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Home My WebLink AboutPP25-080 �yE DR h O ' t IL t° 19112 i VILLAGE OF RYE BROOK MAYOR 938 King Street, Rve Brook, N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING&FIRE INSPECTOR Susan R.Epstein Steven E. Fews David M.Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE June 24,2025 Bernice Coll 17 Doral Greens Drive East Rye Brook,New York 10573 Re: 17 Doral Greens Drive East, Rye Brook,New York 10573 Parcel ID#: 129.27-1-4 This document certifies that the work done under Plumbing Permit #25-080 issued on 5/14/2025 for the installation of a new natural gas water heater has been satisfactorily completed. Sincerely, Steven E.Fews Building&Fire Inspector /to 0, Q, 1989,- BUILDING DE-PARTIVUENT R ILIDING INSPJIC;'j'().jt 'Vll,.LAG.F-' 0F, .l E .9 VAs'sISTANT Bujir..I),fN(..IMPECTOR 01 - . zy* B. zoo.gc D Coxm ENFORCEMEN-VO.VVICER 938 Ktr44:: - RVI.,B-Rooli.,NY 1.0573 (914:) 93 )-4)66817,Ax (9'14) 939-5801 INSPECTRON .R-FEPORT - - - - - - - - - - - - - - - - - - - - Ax).P.R.ESS f -7 DATE: 24 - 402.57 2-5 - c)S(:D BLOCK.'-/ LOT: 1A)CAI'VON: OCCUPANCY: J.'s... ItIllux"UmV R.m-NSPI,,(,TT0N 0 SVQJ' [NS,R:,R;(J'00N 0 G Cl U0 U N H-PAI-ION 1-1 UNDURGROOND PLU1A[MM4 NOTFIS ON I.NSPECI-ION: U INSMATION F-I NA:j.,irjxN.i:,GAS i-^j Se 0 ED TANU 0 FIRE SPRINICIA-13t. ,Er F"INAL 1"I,UM'.I;I.:NG [I CROSS CONNECTION O 00 N c c � d = O \ ` O w N ~ u 4 rw w `n M 34 _ L = 1 z ZZ .7 _ 1~ w p z r � f V w o w cn w as OD z w A oa � o A a can aQ V) cn w z zz a = 1-1 zo 0 w O O F 64)- V ` _ W Z = = P-4 4 �1 W- _ OUny.gov BUIENT MAY 14 2025VILOK 938 KIN NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTME PLUMBING PE T APPLICATION FOR OFFICE USE ONLY BP#: PP#: ' / c� 0 Approval Date: MAY Q25 Permit Fee: S Approval Signature: 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 Application dated, S o is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install an or refnove 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 Local Codes. 1.Address: l e SBL: / Q)9,-)7 r/�� Zone: 2.Proposed Work: (A.1CtIdt Q 3.Property Owner: R Address: 7 W Vy Phone#: qIg-g�S,2110Cell#: email: y/ ,/ 4.Master Plumber: v ,/Address: r26r M llai ? S 1 _ / Lie.#: A&_7 Phone#: - 1 Cell#: 7�`7 -q�7-I/ / email: Q�f�a1&1c-/�fTY�141i1'a 6 Company Name: Address: U� INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1 st Floor 2nd Floor 3rd Floor 4'h Floor 51 Floor Exterior ,� d Ro 5.* List Other Equipment/Provide Details: f 725- mQ (Notarized Signatures Required Next 2 Pages) -1- 611/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Master Plumber 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 1 -\ Sworn to before me this /'//h` day of ,20 day of 12 Kli ture of Pr erty Owner Signature of Applicant 9�'P-v "c--..— \ �-k4 k4GVd,nlJ Print Name of Property Owner Print Name of Applicant NrrYY blic A WHALEN otary-Public,State of New York PuW,State of Now YOfk No.01ME6160063 No.01WH63945W Qualified in Westchester County Qijalffied In Westchester CWTIV Corn Z-7 mission Expires January 29,20 Cann*qjon Ey*"JWy 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. Applications 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/l/2024 BUILD MENT D VIL OF RY OOK MAY 14 M5 938 KING ET RvE BR ,NY 10573 4 4 _per VILLAGE OF RYE BROOK ' ov BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS 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 FORM WILL BE RETURNED TO THE APPLICANT . p �STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: (� residing at, kXtju,,'�%,1e. b4 � (Print name) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; C.g r✓t-Q. , Rye Brook,NY. (Job Address) 61 Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Ptope� cr q) (Print Name of Property Owner(s)) Sworn to before me this 20 � I— (Not,�t_ry Public) SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County Commission Expires Jandary 29,20Z-7 -3- 6/1/2024 smith. q iome>Residential>Water Heaters>Gas Tank>ProLines 75-Gallon High Recovery Atmospheric Vent Natural Gas Water Heater _.. - - . 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