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BUILDING � A TM NT D
�j - Bn
VILLA
GE OF RYE BROOK E B -8 2019 U
9 KIN TR.EET RYE BROOK,ICY 10573
(914)9 9- :F 9 1 939-5801 VILLAGE l_..1 f BROOK
i
PLUMBING PERMIT PPLICATI N
TOR OFFICE USE ONLY lip : P
FEB 1 1 2019
Approval Date. Permit Fee: S 71ir-�r_-L
Approval Signature: Other:
Disapproved:
(fees are non-refundable)
Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of
Pertnit to install and/or remove Plumbing as per detailed statement described below. The applicant&property owner,by signing this
document agree that said plumbing work will be in conformance with all applicable Federal, State, County and Deal Codes.
I.Address: 699 Westchester Avenue, Rye Brook SBL. I ��' Zone; 0
Proposed Work: V
.PropertyOwner: +
West ter Hilt Address:Hotel 'Westchester Ave, Rye Brook, Y
_...
Phone : Cell email:4.Master Plumber: -
Stanley McKenney _ Address: 15 Commerce Rd, Newtown, CT 06470
. 12 4o 2 3-3 4-1 20 - - 1 2 email: st n@m nn yr ni 1, �
LI , ##: Pi e.:. Cell
M K ran yMechanical Contractors In . ddress: 1 Commerce Ind, Newtown, T 7
Company lame... -
INDICATE FIXTURES LINES TO BE INSTALLED AS PER THE FOLLOWING HD LF:Location Va.er Urinals Drinking Sinks :Sliowers Bath Laundry Domestic Fire Sanitary Naturall C trier* Total
Closets Fountains rubs Tubs Bernice Service Serer LP Gas
Basement
I st FloK)r
?nd Floor
rd Floor
"F I oo i-
th Floor
Exterior
.* List Other Equipment/Provide Details:
(Notarized Signatures equired Next 2 Pages
1 1/2 7.118
STATE OF NEW YORK, COUNTY OF)XEISTCHESTER as:
being di fly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing As the applicant)
and further states that she is the legal owner of the property to which this application pertains, or that(s)he is the
A'C11AT__ for the legal owner and is duly authorized to make and file this application.
(indicate architect.contractor,agent,attorney,etc.)
That all stater ents contained herein are true to the best of his/her knowledge and belief,and that any cork 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 before. his
day of rl A,20_1
day of vow
A 17'
Sig tune of Property Owner Si�<atttre f Applican
r-V� vj
—Prin 41ame cof Property Owner Print tame of Applicant
1.
A11111i v�vIt/a/24,4
L D I Au NVa y u 9bl i C 4 V 16tar ublic V
ELIZABETH NFRANCESCO ELIZABETH J. GIANFRAJESCO
NOTARY PUBLIC-STATE OF NEW YORK NOTARY PUBLIC-STATE OF NEW YORK
No, O1G16040712 No. OIG16040712
ouqjified in Wet ester County QUalffied In Westchester County
Th's AIP.14919A YIMS 1k
��tkjyw'i 11 its entircty and
)Mpleted i J;t�jj��
the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications
not properly completed in. its entirety and/or not properly signed shall be deemed nUlt and veld and will be
returned to the applicant.
-2-
11/27/18
D-
BUIL EPARTMENT
VILE$ of _8 0 9
93
n FED
8 i STET RYE 0 1 T
(914) i4' v - 8 1VILLAGE OFRYE BROOK
x 'BUILDING DEPARTMENT
AFFIDAVIT OF COMPLIANCE
VU,LAGE CODE §216 • STORM SEWERS AND SANITARY E S
THis AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG
WITH ANY BUILDING OR PLUMBING PERMIT APPLicATioN. ANY BUILDING OR PLUMBING PERMIT APPLICATION
SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FOB WILL BE RETURNED TO THE PPLI )MT.
STATE OF NEW YOM COUNTY OF WE TCH T as.
qq
{
4 esiding at,
ScS
he duly sworn, deposes and states that the is the applicant above named, and firth+er states that Whe is the
legal owner of the property to which this Affidavit ofCompliance perta s at;
A
qq Mw�k - e Brook NY.
tJoh Address
Further that A statements contained herein are tree, and that to the lest of his her knowledge and belief, that
there are no know illegalcross-connections concerning either the storm sewer or sanitary sewer, and further that
there are no roof drains, sump Pumps, or other prohibited storrnwater or groundwater connections or sources o
irfflc w or infiltration of any kind into the sanitary sewer from the subject property ire accordance with all Mate,
County and village Codes.
(Print Name of'Property cr(
Sworn to before me this
day of Pik n x 0- 20 C!
ELI ABETH J. GIANFRANCESCO
NOTARY P EAU -STATE OF NEVI+' YORK
No OIG16040712
uoijfied In Westchester counity
y commission Expires Aptil 24. 20
11/ 7/1
I I i I
I I I EXISTING BUBBLE I VIVID
I I TENNIS COURT
i I I
I I AREA OF WORK-
------------ I-------------------------•- L_.-----------------------
I tL TOIJ
EXISTING BUBBLE
CONNECT NEW GAS PIPING 2 APPROVED
"
TENNIS COURT TO EXISTING 1-1/2"AT GAS XI
y TRANSITION RISER TO
METER I IRON.TRANSITION TO Z
3'HDPE. i' L
i
k <. N
KEY PLAN
i SCALE:NONE
NEW 3"UNDERGROUND GAS PIPING /
y PROVIDE HDPE PIPE WITH TRACER /
I WIRE AND WARNING TAPE(TYP). j (�
MINIMUM COVER OF 18". INSTALL y
I PIPING IN COMPACTED SAND,6" FF
I MINIMUM ON ALL SIDES.
TRENCHING RULES & RESTRICTIONS
I 1. TRENCHING CAN BE BY MACHINE ONLY WHEN OUTSIDE THE DRIPLINE AREA
OF THE TREES. THE DRIPLINE AREA OF THE TREE IS THE AREA BENEATH
I THE CANOPY BRANCHING OF TREES. WHILE TRENCHING BY MACHINE AND
ROOTS ARE ENCOUNTERED,THESE AREAS MUST BE HAND DUG;CAREFULLY
I WORKING AROUND,UNDER OR OVER ROOTS WITHOUT CUTTING THEM.
2. WHEN INSIDE THE DRIPLINE AREA OF THE TREE,TRENCHING MUST BE HAND
y I DUG ONLY.
I 3. WHEN TRENCHING IN WOODED OR HEAVILY TREED AREAS,AVOID ROOT
CONCRETE FILLED SYSTEMS BY TRENCHING OUTSIDE THE EDGE OF THE WOODS WITH INDIVIDUAL
BOLLARD TRENCHES THAT ARE HAND DUG NEXT TO EACH TREE LOCATION.
I 4. ON ALL JOB SITES,THE CONTRACTOR SHALL COORDINATE AND CLEARLY
2"APPROVED TRANSITION - COMMUNICATE WITH THE CREW SPECIFIC TRENCH LOCATIONS AND THEIR
RISER TO IRON P
- "" - - -_ `--"'-- -�" IMPORTANCE. IF PROBLEMS ARE ANTICIPATED WITH THE TRENCHING DUE TO
IPING. I - -
TRANSITION TO 3"HDPE = s. TERRAIN,SOIL CONDITIONS,ETC.;THEN THE CONTRACTOR SHALL BRING THEM
AND 3'IRON TO THE ATTENTION OF THE OWNER AND ENGINEER PRIOR TO BEGINNING
' WORK.
5. THE CONTRACTOR IS RESPONSIBLE FOR DIGGING,BACKFILLING AND
COMPACTING ALL TRENCHES. TRENCH LOCATIONS ARE TO BE COORDINATED
i
CORE DRILL THROUGH WITH THE OWNER.
END WALL.
6. CALL DIG-SAFE OJ OR MARK OUT OF EXISTING UTILITY SERVICES PRIOR
TO START OF PROJECT.
EXISTING TERRACE ABOVE - =---'
---- _.-----------------
CD -- -
a
1
EXISTING UNDERGROUND GAS !
PIPING TO BE ABANDONED 0! STORAGE
BELOW PATH
NEW EXPOSED WELDED 3"SCH 40 � copy
BLACK GAS PIPING.RUN PIPING UNDERNEATH EXISTING TERRACE(TYP)4,1
�ylr �
EXTEND NEW 3"GAS FROM J
EXISTING 2-1/2"GAS �( � i EXISTING 2-1/2"GAS
PERMIT# PP 19
SBl# 19 S•7't-I o
PORTION OF EXISTING GAS
PIPING ABOVE GROUND TO DATEAPPROV
/ BE REMOVED. a,
WOMENS
LO
ST iRAGE CKER BUILDING INS CT R,iltaga of Rye Brook,NY
l ply 1/ - -
p DATE REV DESCRIPTION BY
JC ! ( i
�J / T ----
�Cf ®r 9 4 0
Southport Engineering Associates,PC
11 Bailey Avenue Tel.: 203 431-6844 Ridgefield,CT 06877 Fax:�203)431-6877
EMPLOYEE
�l �( \ /�i/// /� CAFE --- a? a PROJECT:
` / %,' l` l III H f ��� HILTON WESTCHESTER
GAS REPAIR
699 WESTCHESTER AVE,RYE BROOK NY 10573
DRAWING TITLE:
C C IEE
OS PLAN AND NOTES
PLUMBING GAS PIPING PLAN
8 2gt9
SCALE:118"=V-0" VILLAGE OF RY BROOK SCALE: NONE DRAWN BY: RDS DRAWING NO:
_BUILDINGDEPA TMENT DATE: 217119 CHECKED BY: AK
STA,' PROJECT NO: 85119 APPROVED BY: Vwv P-100