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HomeMy WebLinkAboutMP25-041 l 1 o s v E a C14 C N N H v s a '7g4U w` }+ CL ►� t3r � w � 3 ►n W 4 W x 0 � P. o b x cc z a _ Q W aeq let h+�l � FBI �' O �`c3 0 o W = (.r � z � tea . ~ � pq q w r o �, _ rn • w � W i H rts 0 O 0--4 y v > g y = O H a 'o, CU M Z W , o w :.. o �"ovo W u ■ V W © 0-0' AVo -d w �iV E' W V z "a -c y , © v� MCI 0 M , W y, o14 O ~j W q a v 0. v G�i A � � � ry � 14 a � W zoGa..bv ? E p� v rl q W z (� � .. O W 8 QI as a 04, w x � � -� BUILD DEPAR ME Q V C � VIL OF RYI . OOK 938 KING ET RYE BRt , ,NY 10573 i MAR 2 0 2025 IV 4 14) 0iW . ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONL PERMIT#: Approval Date: Permit Fee:$ Approval Signature: Other: Disapproved: (fees are non-rerundabfe) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BI ILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOITT s. PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form(Form#C 105.2 or Form#U26.3/or NY State workers Compensation waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$150.00/unit•COMMERCIAL — $450.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required) 7. Electrical work requires a separate Electrical Permit& Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, 3/10/2025 is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC 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 all applicable Local,County,State&Federal laws, codes,rules and regulations. I. Address: 16 Bayberry Lane SBL: 129.84-2-5 Zone: 2. Property Owner: Rodrigo & Monica Malzyner Address. 16 Bayberry Lane, Rye Brook, NY Phone#: 914-291-4727 Cell#: email: monicamalzyner@gmail.com 3. Contractor: Meenan Oil Co LP Address: 1 Gateway Plaza 4th fIr, Port Chester, NY Phone#: 914-847-0295 Cell#: email: lweir@robisonoil.com 4. Scope of Work:New Installation{ )•Replacement( )•Removal{ )•Other( ): Boiler replacement 5. List Equipment: Removal and replacement of oil fired boiler. 6. Location of Equipment: Outdoor Shed 7. Method of Instal I ation/Rem oval(list an equipment needed to perform job): Removal of oil fired boiler. Installation of new Energy Kinetics EK-1 oil fired boiler. 1 611/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Jean Weir-Meenan Oil Co. LP ,being duly sworn,deposes and states that he/she is the applicant above named, (pnnt name or individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the conracwr for the Iegal owner and is duly authorized to make and file this application.(indicate architect,contractor,agent,attorney,etc) 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 Sworn to b fore me this day of MAQGh =20 A 5- day f Signature 6f Property Owner gnature of Applicant !Z(DRiG0 M44zYA)r'C ! Print Name of Property Owner Print Name of Ap AMANDA K OLMSTEAD Notary Public ►OTARY PC'BUC,s .rranw Ho.010 = u iC Qualified in Weatcla Cmgy Commusiaa Expo es 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 noE properly completed in its entirety and/or not properly signed shall be deemed nul I and void and will be returned to the applicant. f0cnata WiS NOWY[mac CI N.Y. f .OTLA2 Z QaY01d in yk&'':sm O-U I Feb. 2 6r v2020