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HomeMy WebLinkAboutMP25-039 x Y M `14 _ \ � C'n M N 0 N pR' c� w � '° � � - c .e o� � C) S 5 cn a� zq � � ro,Oz v a 1-0-"G v 00 ps GO U C �/ ,.7 �i MM W W a PLO uQ y > w m U d� o 0 QI F Y x O ® O O � 6z w i > � o � N z w © A p � .- - M q W z F 0 5 0 � o W V W A CLJ? a. � O � Q,'� a 041 4 a ECEWE 0 MAR 2 0 2025 BUILD, MENT VIL OOK VILLAGE OF RYE BROOK 938 KING ,Q ET RYE BR t�,NY 10573 BUILDING_DEPARTMENT ov APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EOUIPMENT FOR OFFICE USE Oi LY: PERMIT Z Approval Date: Permit Fee: Approval Signature: Other: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 REQUIREMENITS 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#U36.31 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 reyuirecf) 7. Electrical work requires a separate Electrical Permit&Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, 3/19/2025 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 wilt be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. I. Address: 32 Roanoke Ave, Rye Brook, NY 10573 SBl : 141.35-1-40 Zone: Ael�)F 2. Property Owner: Yolanda Paullno Address: 32 Roanoke Ave, Rye Brook, NY 10573 Phone#. 914-830-2159 Cell #: email:yolandapaulinol011@gmail.com 3. Contractor: Burke Ener Address: 476 Commerce St, Hawthorne, NY 10532 Phone#: 914-919-3507 Cell#: email: burkepermits@meenanlp.com 4. Scope of Work:New Installation(X)•Replacement( )•Removal{ )•Other( ): 5, List Equipment:Install new Fujitsu mini split cooling system with heat pumps for first floor: (2)outdoor heat pump model AOU18(one on rt side of house/one on left side of house), (3) model ASUH9 indoor heads(one in each bedroom), and(1)model ASUH12 indoor head(kitchen/living room) 6. Location of Equipment: As above: heat pumps outside/indoor heads in first floor rooms 7. Method of Instal t ation/Rem oval (list atl equipment needed to perfonnjob): Inswil refrigeration W*5 from indoor heads to outdoor compressors, to be covered in line hide as needed.Condensate drains from indoor heads to outside.Communicating wire from indoor heads to heat pumps. Provide line voltage electrical from electric panel to heat pumps. 1 6n n-024 STATE OF NEW YORK,COLTNTY OF WESTCHESTER ) as: Kelly Redlon!'Burke Energy ,being duly sworn,deposes and states that heishe is the applicant above named, (print name or individual signing u dm Al and further states C:iat(s)hc is the Heating,Ventilation and/or Air Conditioning Contractor for the legal owner and is duly authorized to make and file this application That all statements contained herein are tnie to the best of his/her knowfedgti and belief,and[hat 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 to any accompanying approved plans and specifications,as well as in accordance with the Nev,York State Uri form Fire Prevention&Building Code,the Code of the Village of Rye Brook and a!I other applicable Jaws,ordinances and regulations. Sworn rbtr/o'rrc ym�e his 4zu Sworn to before me this day of r"!VC L } .20 day of CL�'.1C�-1 20 S au re of Property er Si antre O A frc�r 4 Vol r Cif \, at Kelly Rye on 1 Burke Energy Pn�r s irsn e o�fJProperty Owne: Mint Name of A I_tcinii 4otar} tL SARLES A+.ElZ NOTARY PUBLIC,STATE OF NEW YORK r4otary Pu e a New York NO. 1,wo5 23 6 Registration No. 01 SA6392045 Qualified i west ester County Qualified In Putnam County My commtssto res Feh 7. 2026 Commission Expires May 20,2027 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owners)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. z 6 2024