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HomeMy WebLinkAboutMP25-045 L o t � w v N ClN \ \ H A, O CL �f O 4 i V i � i N p 3 o w" y o O ~ A oo .� w 0° rogtj � C O U E-� �n v a, ��j. y v O 45 I'Q a '" O a w " a < (� w a x " v " ., � d, O W w Q z W so �+ Q Q u O � Qon � �o � V ��++ .a6 G � 00 w Z o oZ va H W o H A ►—� H o o ° o z °c .a u u� wo b . .& w a, u � 0 TI w 1.4 W C7 O F 0, ' V ". O O Z z �, ao Q ►"� © O V. = Now° a Z v O v o 4 � � w , � o nZ a. IA a 00 Z O M A w z H PLO O p %E V1 I�j� VILL F BROOK MAR 2 4 2025 BUI N(; DEP MENT _ __ 938 KING F.T, 24'F.. K,NY 10573 VILLAGE OF RYE BROOK (914)939 8 rookny.gov BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL, MODIFY AND/OR REMOVE MECHANICAL I+ UIPME ,�1. OFFIC Permit : MCI-)-15--o AR 2 6 2025 Permit#: Building Inspector: Application Fee: Date of Approval: Permit Fee: &1-300�/Q6 Bldg/Use Class: Res. ( );Comm.( ); DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUll,l l'VG INSPEC 1'OR.'THE ADMINISTRATIVE FETE FOR WORK PROGRESS['1)€ R ( ()NII'1_,ETED W ITHOLT A PERMIT IS 12%OF"THE'TOT'AL COST OF CONSTRUCTION %1 I 111 A MI NI NI t'10 FEE OF$750.00 _ REQUIREMENTS FOR RELEASE OF PERMIT: (A CERTIFICATE OF COMPLIANCE is REQUIRED TO CLOSE OUT THIS PERMIT) 1.Properly Completed&Signed Application. 2. Payment of Application Fee:Residential=$100.00; Commercial=$250.00{fees are non-refundable) 3. Site/Staging Plan as required by the Building Inspector. 4. Sealed Construction/Installation Documents&Specifications as required by the Building Inspector. 5.Copy of Licensed Contractor's Liability Insurance. (village or Rye Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form (Form#C 105.2 or Form#U263/or NY State Workers Compensation Waiver) 6. Payment of Permit Fee: Residential=$18.00/1000.00 of Constructionr''Materials Cost with a millimum fee of S 150.00. Commercial =$25.00/1000.00 of Construction/Materials Cost with a minimum fee of$275.00. 7. Inspection by Building Department for removal and/or installation. (48 hour nonce required) 8.Any electrical work requires a separate Electrical Permit and Electrical Inspection. 9.Any gas/plumbing work requires a separate Plumbing Permit and Plumbing Inspection. Application dated, is hereby made to the Building Inspector of the Village of Rye Brook,NY,for a permit for the installation,modification,and/or removal of the specific Mechanical Equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with the approved plans,and with all applicable Local,County,State&Federal laws,codes,rules and regulations. 1.Address: 387 N Ridge St SBL: 129.75-1-24 Zone: R-15 2.Property Owner: Scott Bergman Address: 387 N Ridge St Phone#: 914-698-0497 Cell#: email: ssaal@aol.com 3.Contractor: Leandro Diaz—My Neighbor Htg &Cooling LLC Address: 24 Sand Drive Phone#: 914-642-6541 Cell#: email: Leandro0yostandcampbell.com(contractor) Mhanasai@yostandcampbell.com(perm t coordinator 4.Scope of Work:New Installation( )•Replacement 00•Removal( )•Other( ) 5.Type of Equipment: Condenser+Fan Coil(Please see specs for details) 6.Location of Equipment: Inside;Outslde k4la 7.Cost of Equipment including Installation Cost:$12,239 1 6/1/2024 STAVE OF NEW YOM COUNTY OF WESTCHESTER ) as: Leandro J Diaz ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Mechanical Equipment Contractor for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this .a I Sworn to before me this 2 I day of Clr, 20.2,E day of AAA-iCi, ,20� f Signature ofPrpperty owner Signature of Applicant Stott Bergman Leandro J Diaz Print Name of Property Owner Print Name of Applicant Of- 7 G RALD Notary Public e - ew York Reg. No. 01 F16402089 NOdPublic, State of New York Qualified in Putnam County Reg. No. 01 F16402089 ",-mmission Expires 12/23/20 JPI Qualified in Putnam County -- °'-remission Expires 12/23/20 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 61112024