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Home My WebLink AboutMP25-062 a e e a N 'C y e f �p s c� a a � w ir, m a ~ a Z0-4 O WL 'C Or s ► W N U q oo 0 3 " u• °'� i 0 O -~�'D W bA w f eq ° o A w p W rl p � v � O � w � H o w w Fw3 � °'� O w ?. 72. wa Ln w w ti o v id Vl oo °° 00 14 1 G 00 Q� f w S" G" V q � x Q F-1 d W 4 spy zz a 00 1� z ,b �� 9�1 c� o USo ; g f A, w c V o ° a 'm -- v w � x P B w N OQ _ C Li BUILD MENT R " VIL E OF RY\ OOK 938 KG Q ET RYE BROOK,NY 10573 MAY — 2025 KIN GET VILLAGE O; n- c,F RYE BROOK 0v BUILUIN( PARTi1IENT L�� APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: /& Approval Date: MAY 25 Permit Fee: $ 3 oo P! > 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 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#C105.2 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, — J 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: 78 Greenway Close, Rye Brook, NY SBL: 129.84-2-67 zone:f�46 2. Property Owner: Liz Tippens Address: 78 Greenway Close, Rye Brook, NY Phone#: 914-980-8874 cell#: email: liztippens@aol.com 3. Contractor: Meenan Oil Co LP Address: 1 Gateway Plaza 4th fir, Port Chester, NY Phone#: 914-847-0295 Cell#: email: )weir@robisonoil.com 4. Scope of Work:New Installation( )•Replacement(�•Removal( )•Other( ): 5. List Equipment: Removal of existing air handler and condenser. Installation of new Bosch heat pump condenser model B0VA-60RXB-M155 and Bosch air handler model BVA-48RXB-M15X. 6. Location of Equipment: Attic and outdoor unit 7. Method of Installation/Removal(list all equipment needed to perform job): NIA l 6/l2024 STATE OF NEW' ORK,COUNTY OF WESTCHESTER ) as: -- f/)E / 11" ,being duty swom,deposes and states that he/she is the appltcant above named, (print name of individual signing as the applicant) and further states that(s)he 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 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 thi day of 20 day of 20—� a re o roperrti'\ to tgna ure ofApplic n a o roperty Own r Print Name App a t r Notary Public tc SHARI MELILLO Notary Public,State of New York No.OIME6160063 K OLMSTEAD NOTARYPtJBiJC,Mn OF NEW YORK Qualified in Westchester County Regisuatioo No.OIOIb417632 Commission Expires JenUary 29,20 Q-hf.d ro W e,Cm" Co®isyioa i XnArm 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 6/112024