HomeMy WebLinkAboutPP25-099 QyE DR
VILLAGE OF RYE BROOK
MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914) 939-0668 Christopher J.Bradbury
Nv%N-%v.!3�e b ro o knv..gov
TRUSTEES BUILDING & FIRE INSPECTOR
Susan R.Epstein Steven E.Fews
David M. Heiser
Donald T.Krom,Jr.
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
July 8,2025
Kevin Miller&Emily Miller
123 North Ridge Street
Rye Brook,New York 10573
Re: 123 North Ridge Street,Rye Brook,New York 10573
Parcel ID#: 135.59-1-34
This document certifies that the work done under Plumbing Permit #25-099 issued on 6/18/2025 for the
installation of an electric hot water has been satisfactorily completed.
Sincerely,
Steven E.Fews
Building&Fire Inspector
/to
BUILDING DEPARTMENT
INSPEC'MOR VMLAGE 01'.11 RYE 13ROOK
11 CODE 938 KING STREVf - R:v],B'nooic,NY 10573
(9.14) 939-0668 F.AX (914) 939-5801
w qqg
T 0.'F,-:,-, !,CTION REPORT - - - - - - - - - - - - - - - - - - - -
o K (Q =-TE:-)A -2Z - 2f
e —
LoC.A.1-TON: -eS -v-,aj OCCUPANCY:
REINSPECTION
0 SITE INSVFXITION
El F00D.'TN(-;
0 1:'OlTNID.A.1-10N
11 'UNDERGROUND PLUMM.NG NO' IES ON IN*SP.'P'C'1' '0
N:
11 ROUGH PLUMIUNG
n- ROUGH FRAMING
1:1 INSUIAL'VWN ►
n- NxruR.xi,GA.s
0 IFITELTANK
0 FIRE SPRINKIIA-3?
,2�"'INAL PLUMBING
0 CROSS CONNECTION
❑ F"YNAJ,
❑ 01MER
a =
a =
6 •
s .Chi N e
Q., p O
a Q N N U ■
�
N
Ln
M Z
H p rh
ru
• PPl44y to �GyS e'4 � w
r; x
Ln
a
S d Cl)
ON
lu-
oc
W-1 p x
wUcn i
W Z U M N W _
cn
GN
■ ~ 0�0 � � � A W N � � x W =
a
a
0 O oD
;� x x
z o H
d W oo
wC > o HCD
U � N w6z
x � �
a Z o � a
a
s
yE BR
BUIL E . MENT JUN 18 2025
VIL E OF RYE OK VILLAGE OF RYE BROOK
938 KIN ET RYE BNY 10573 BUILDING DEPARTMENT
ww vA nv.aov
PLUMBING PERMIT APP ICATION _
FOR OFFICE USE ONLY BP#: PP#: �� C) 9
Approval Date: &W%b Permit Fee: $
Approval Signature: Disapproved- LT
(fees are non-refundable)
DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BV THE BUILDING
INSPECTOR.THE ADIMiNISTRATIVE FEE FOR WORK PROGRESSED 01 COMPLETED WITHOUT w
PERMIT IS , it12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00
Application dated, (p/// 410.2s hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of
a Permit 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 Local Codes.
Q
1.Address: / 3 JV. Old -5 7- U�y D 00,1�L SBL:J j�/7 "�—3 /Zone
2.Proposed Work: Le L,zn T;''y '9Y L Lp c.%91 C j f n 1 !y/2%d H
3.Property Owner: &e /Y1, l/@✓ Address: a 3 N <,7- /v IQT77
Phone#: Cell#: s A—r email: keU,.j . t:. N o.✓
4.Master Plumber: C 9-d r Va Z Address: F m,_ L A,�2 FL,,s a j /✓ o;t _3
Lic.#: . Phone#: 3`1S_ // Cell#::TI(�qi`f) 4i Y/ i s email: ru �i c ()�u���•••, �i M�,,�L�,
Company Name:�q t^, y �(�. it, ,) o6 ti4ddress: Y Uri r No L r}�,+ t, C L��s �' �Y ��;i3
INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE:
Location Water Urinals I Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total
Closets Fountains Tubs Tubs Service Service Sewer LP Gas
Basement
Ist Floo,
2nd Floor
3P Floor
41 Floor
5d'Floor
Exterior
5.* List Other Equipment/Provide Details: Le 5 a::E, 'x E � �G T t�' 07 w O.-i,ri 4
(Notarized Signatures Required Next 2 Pages)
-1- b/1/2024
STATE OF YORK,COUNTY OF WESTCHESTER ) as:
r 41 Y,I ci f-"- ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual sign ng 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 be/fore me this // Sworn to before me this�! 1
day of 1//U�' ,20 � day of ,24
Signature of Pr erty Owner Signature of Applicant
Print Name o Pr Owner Print Name of Applican
Notary Public SCOTT GOWE t�8>lr�%�I) State of New York
NOTARY PUBLIC OF NEW YORK No.OIME6160063
I.D. #01GO6367188 Qualified in Westchester County
My OOWSSION.EXPIRES�13_W Commlaalon Expires January 29,201!-1
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-
6/1/2024
BUILDJNG DEPARTMENTRVIL E OF RYE BROOK JUN 18 2025
938 KINGET RYE BRoo ,NY 10573
-0668�- VILLAGE OF RYE BROOK
w knN.(youN" 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.
STATE OF NEW YORK, CCOUNTY OF WESTCHESTER ) as: `
, residing at, 1 Z�3 �\U S�- PIKCk�h �
(qjnt name) (Address where you iiv �� 1:�
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,
Rye Brook,NY.
(Job Address)
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.
Iz
(Signature of*Property Ow r(s))
(Print Name of Propert C)%vner(s))
Sworn to before me this I
g
of , 20 S__
(\nl;it_\ Public)
SHARI MEULLO
Notary Public,State of New York
No,OIME6160063
Qualified In Westchester County
Commission Expires January 29,20 I
6/112024
�E BRC�v�,
cu �
1982 BUILDING DEPARTMENT
❑BUILDING INSPECTOR
ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK
❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573
(914) 939-0668 FAX (914) 939-5801
www ryebrook.org
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS : I 1 DATE: ! c
PERMIT# U�`F' ISSUED: SECT: BLOCK: LOT:
LOCATION: ! OCCUPANCY: < �'
VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/REINSPECTION
❑ SITE INSPECTION y REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION t
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING `
❑ INSULATION l 1 ' �• r
❑ NATURAL GAS
❑ L.P. GAS
❑ FUEL TANK
❑ FIRE SPRINKLER ►�.� t IZ)� ! L� 1
❑ FINAL PLUMBING �L
❑ CROSS CONNECTION
❑ FINAL �\��bo T- al V I I
❑ OTHER