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HomeMy WebLinkAboutMP25-059 ��W � � � � � H y x Ln W N v C�. y U M a b o > b F oQ Lf)� F 72 1 MLA) C�lD Ln + Qn ° ool tj � L .° v�o a Cn v IS ^C _ U. Q ■ Mai W Q OC O EF p a Irk O O en a V V 409- o o o ■ 0 VILLAGE OF R,. BROOK F.C i_ Q W BUILDING DuP; k MENT 938 KING� 1�T,JtYE BROOK,NY 10573 APR 2 4 2025 (914)93119;. vebrook.or� ` ? VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL MODIFY AND REMOVE MECHANICAL EQUIPMEI OFFICE USEmc) R ,2Permit#: © L__ _ Building Inspector: Application Fee: Date of Approval: Permit Fee: t5n Chi Bldg/Use Class: Res. ( );Comm. REQUIREMENTS FOR RELEASE OF PERMIT: (A CERTIncATE o>;COMPuANcE is REQuipM TO CwsE OUT Txts PERmtrr) 1. Properly Completed& Signed Application. 2. Payment of Application Fee: Residential �100 + 1_ Commercial =5251) 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 of R)c Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form (Form 4 C105.2 or Form#U2E.3/or NY State Workers Compensation Waiver) 6. Payment of Permit Fee: Resin _; .._, 1.5 00/1000.00 of Constructioni"Materials Cost with a minimum fee of S100.00 Commercial= $25.00!1000.00 of("onstruction/Materials Cost with a minimum fee ofS275.00. 7. Inspection by Building Department for removal and/or installation. {48 hour notice 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, y aS 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: 1 Bonwit Road SBL:13JS_, 7 3 /— �)' Zone: 1 "" 2. Property owner: Salvatore W Morlino Address: 1 Bonwit Road Phone 4: Cell 4. 914-260-1592 email: salvatoresedous@gmail.com 3.Contractor: Salvatore W Morlino Address: 1 Bonwit Road Rye Brook NY 10573 Phone 4: 9142601592 Cell#: email_ salyatoreserious@gmraii.com 4,Applicant: Salvatore W Morlino Address: 1 Bonwit Road Rye Brook NY 10573 Phone#: Cell: 914-260-1592 email: salvatoreserious@gmail.com 5. Scope of Work: New Installation(X)-Replacement( )•Removal( )•Other( ) 6.Type of Equipment: Dlzi 7G 7.Location of Equipment: Basement and left side of house were existing unit curently is 8_ Cost of Equipment including Installation Cost: $13,000 8/12/2021 STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: Salvatore W Morlino ,being duly sworn,deposes and states that he/she is the applicant above named, tpiint name of 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 contractor for the legal 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 2 r Sworn to before me this '0le/ day of 1�1E 20 day of G ,20 2� Signature of Property Owner Signature of Applicant Salvatore W Morlino Salvatore Morlino Print Name of Property Owner Print Name of Applicant v� awl Notary Public Notary Public i4oi j�Thls applicat1011 n it ` 11j ] ltS etltrcty and niusi '11cltldellegal owne-(s) 6i tit ti ? rty and the applicant ot'record in the spades r")*vided. Anv appli�ht4m not properly completed'in its entirety and/or not properly signed shall be deemed null and wid and rviR be 1:&urned to the applicant. =- 2 8/12/2021