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PP25-113
DR 7, VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye 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 August 11,2025 Jim Fishbein&Jenelle Fishbein 4 Stone Falls Court Rye Brook,New York 10573 Re: 4 Stone Falls Court, Rye Brook,New York 10573 Parcel ID#: 135.67-1-37 This document certifies that the work done under Plumbing Permit #25-113 issued on 7/15/2025 for the installation of a new gas hot water heater has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to yE f3Rni�,�. O� y 4 � Y f�7� 1982'T BUILDING DEPARTMENT ❑ltua imm.Im a-m rt'oR B�ssasTANX ltm[I OING INSPECTOR VILLAGE OF RYE BROOK ❑CODE Elffow"Mm NT 0111441a?R 938 Ding,Sirc,4•Ryc Brook,NY 10573 (914)939-(Wi8 FAx (914)939-5801 ww.w.ryc rook.oss - - - _ -. - . -- - - - - - - - - - INSPECTION REPORT - - - -- --- - - -- - - - - - - -- - Ammiss: -DATE: ' 8 ZoT..S� •7 �.�►ECT;_f � G 7 13LOC,K: l LOT• 7_ ISSUED' LOCA'I'loN: _—T— ��1,� OCCUPANCY: ❑ violation Noted `film wo m is... I`l PASSIID ❑ TAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOoTTNG ❑ FoOTING 13R.A,INAGE ❑ FOUNI)NrloN ❑ UNDERGROVIND PLUMBING NCYr.I?S ON INSPECTION: ❑ ItOUGTI P.I,UMItlN(i ❑ ItOUGII FRAMING ❑ Nstiau:tl.(.'r:ts ❑ FUEL TANUi �"l•LOV (ter�S (,.,q ❑ FIRI?SI-RINC�.T,)?R. ,P'TTNAI,PLUMItIN(. ❑ CROSS CONNECTION _-�------— ❑ FINA.I, - - -- p OTHER -- 9 S s en un � N r..4 O (=� VI 9 a NLO N00 en H cn z r� 'z W U w 'HSJ Qa� os u r.s va �� • Ln a z o � A o d Cn A CEO 4 �"� °� O ■ O oo W 4; cON En N a cn cn H � ►� o w CO In �~ H 1 1� z 0 0o W , z ccn n a z a N c: Qn , BUIL u� MENT JUL 15 Z025 VIL E OF RYE OK 938 KiN ET RYE B. ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT n ov PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: PP#: Approval Date: Permit Fee: S �Q 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, is 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: Ll S rl I—�I!S (1T / SBL: I3�r �O / l� Zone: /�/O 2.Proposed Work: 'u'c P hn.�P� tD� [� ! h�&kr 3.Property Owner s f l 1b el n Address: y ST(.ir 1>° Q I S Phone#: Q I q, Q n_ 1 j a Cell#: email: ` 'IA (5 ZC)n, � I I 4.Master Plumber:P�c-ca 11C7' Address: L4 Gjz) I fl..5i . =p.C. f�f Lic.#: 140_Phone#: Q Izl_q3L),?3C)I Cell#: email: Company Name: AIrC�c m ee kva n I Ce,/ Address: 1-1?e 0 tI- IYIA I n 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 I st Floor 2nd Floor 31 Floor 4"s Floor 5"h Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -k- 6/112024 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)hc 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 (54k Sworn to before me this 1 day of �'k 120 J day of J 202_ 1St1 t6re of Property Owner Signature of Applicant Z-1A RI*W-41 4� P b"qc' Print Name of Property Owner Print Name of Applicant � + r No ary Public �?<taiy Public LORI LOCKS LORI LOCKS NOTARY PUBLIC,STATE OF NEW YORK NO.OILOD0391O6 NOTARY PUBLIC,STATE OF NEW PORK MO,OiL00039106 QUALIFIED IN WESTCHESTER COUNTY QUALIFIED IN 01L000 9106 COUNTY. MY MMiSSION EXPI ES JULY 3 _ 028 Th ihleted in its entirety and must inc (MY COMMISSIOWEXPIP49JUILYA2020 the legal owner(s) of the subject property, and the applicant of record in the providod. 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 BUILD MENT D VIL ' OF RY OOK 938 KING ET RYE BR ,NY 10573 JUL 15 2025 4 -0 w 0v VILLAGE OF RYE BROOK 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, COUNTY OF WESTCHESTER ) as: �t Sh j n , residing at, J4 S4yne JE7_6 )) 3 C 4 . (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; re , 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. — t" - /C� - (Signs re of roperty Owner(s)) T1'r rA/l ,N (Print Name of Property Owner(s)) Sworn to before me this day of J , 20� (Kota Pu n 0RI LOCKS NOTARY PUBLIC,STATE OF NEW PORK QUALIFIED IN WESTCHESTER COUNTY MY COMMISSION EXPIRES JULY 3,2029 61U2024 BRADFORD WHITE in r--I an W A T E R H E A T E R S A lospheric Vent High Input ennororrn w«r. Residential Features • Defender Safety System'"*—Designed to be the safest&most reliable flammable vapor ignition resistant system in the industry with a proven track record since 2003. Featuring an advanced ScreenLokl technology flame arrestor design, resettable thermal switch, sight window, and designed to be maintenance-free. • Bradford White ICON System"—Intelligent gas control with no need for external electricity. Proprietary algorithms provide tighter temperature differential '► and consistent water temperature levels up to 160°F(71°C). LED light indicates operation status/service required. • Vitraglas®Lining with Microban®—An exclusively engineered enamel formula that provides superior tank protection from the corrosive effects of water; and with Microban"'antimicrobial product protection to help prevent - the growth of bacteria, mold and mildew on the surface of the tank lining. Photo Is of RG255H6N • Hydrojer Total Performance System—Sediment reducing device that also increases first hour rating of hot water while minimizing temperature build-up in tank. scdmy systurt ' Additional Details I& ,Syvyv • Water Connections—Factory-installed true dielectric waterways extend water heater life and simplify water line connections. • Hand Hole Cleanout—Allows inspection of tank interior and facilitates the MICROBAnP removal of sediment deposits(RG2100H6N models only). • Protective Anode Rod—Provides added protection against corrosion for long-term, trouble-free service. • T&P Relief Valve—Installed. • Low Restrictive Brass Drain Valve—Durable tamper proof design. • Thermostatic Mixing Valve(ASSE Approved)—Included with RG255H6N only. • NOx Emissions—Less than 40 ng/J. *May vary by region. **Only available in the RG250H6N model. I . Component For • on please visit www.bradfordwhite.com productsFor ... product Atmospheric Vent High Input Residential Gas Water Heater SPECIFICATIONS HIGH INPUT MODELS These water heaters meet or exceed all or portions of(where applicable)the minimum Natural Gas and Liquid Propane Gas efficiency requirements of ASHRAE Standard 90.1(latest edition). Model Nominal Recovery at Model Nominal Recovery at Gal. DOE 9O'F Rise' Liter DOE 50'C Rise" Number Capacity Rated First Number Capacity Rated First Storage LP Hour Uniform LP LP Storage LP Hour Uniform LP U.S. Imp. Volume BTU/Hr. BTU/Hr. Rating Energy U.S. Imp. U.S. Imp. Volume kW kW Rating Energy Liters/ Liters/ Gal. Gal. (Gal.) Input Input (Gal.) Factor GPH GPH GPH GPH (Liters) Input Input (Liters) Factor Hour Hour RG25OH6N 48 40 46 65,000 65,000 106 0.63 70 35 70 35 RG25OH6N 182 174 19.0 17.9 401 0.63 265 265 RG255H6N 55 46 55 78,000 78,000 117 0.61 84 70 84 70 RG255H6N 208 208 22.9 22.3 443 0.61 318 318 RG275H6N 75 63 72 76,000 76,000 135 0.59 82 68 82 68 RG275H6N 284 273 22.3 22.3 477 0.59 310 310 RG2100H6N 100 83 95 80,000 80,000 157 0.57 85 71 85 71 RG2100H6N 379 360 23.4 23.4 519 0.57 322 322 Model A B C 0 E F G H J K L M R S Approx. Number Floor to Jacket Vent Floor to Floor to Floor to Floor to Depth C/L Floor to Floor to Water Space Gas Shipping Flue Dia, Size T&P Gas Top of Water of Water Space Healing Space Heating Conn. Heating Conn. Weight Conn. Conn. Conn, Heater Conn. Conn. Inlet Outlet NPT Conn.Sae Size in. in, in. in. in. in. in. in. in. in. in, in, in. in. lbs. RG2501-16N 60'/a 22 4 49"116 13 5651a 573/8 251/2 11 13726 49151,6 3/4 314 V2 189 RG255H6N 5842 24 4 482/a 131/s 543/4 561/2 271/4 8 131/2 481/a 3/4 314 42 210 RG275H6N 625/6 26 4 512/a 15 595/t 60416 291/4 11 165/6 513/s 1 3/4 2h 240 RG2100116N 71112 281/, 4 595h6 153h6 655h6 661/2 313/4 16 17V 50518 11/4 314 112 413 Model A 8 C D E F G H J K L M R S Approx. Number Floor to Jacket Vent Floor to Floor to Floor to Floor to Depth C/L Floor to Floor to Water Space Gas Shipping Flue Dia. Size T&P Gas Top of Water of Water Space Heating Space Heating Conn. Heating Conn. Weight Conn. Conn. Conn. Heater Conn. Conn. Inlet Outlet NPT Conn.Size Size mm. mm. mm. mm. mm. mm. mm. mm. mm. mm. mm. mm. mm, mm. kg. 1`113250116N 1527 559 102 1268 330 1438 1457 648 279 341 1268 19 19 13 86 RG2551-16N 1486 607 102 1222 333 1391 1435 657 203 343 1222 19 19 13 95 RG275H6N 1591 660 102 1318 381 1514 1526 743 279 422 1318 25 19 13 109 RG2100H6N 1816 718 102 1507 389 1659 1689 806 406 448 1286 32 19 13 187 For Propane(LP)models change suffix"N"to"X". For 10 year models,change suffix from"6"to"10" (Not available on RG255H6N). 00 Based on rated recovery efficiency. 5� O +J Uniform Energy Factor and First Hour Rating is based OO " _ on the latest AHRI directory listings. a M R u _ B • -i rc �c� R—+ R—�} A G D6L A F G F s D&L s 1 1 — R'� v E t O E= K ) K RG25OH6N/RG255H6N/RG275H6N RG2100HIBN GENERAL:All gas water heaters are certified at 300 PSI test pressure(2068 kPa)and 150 PSI working pressure(1034 kPa).All gas connections are 1/2'(13mm).All models design-certified by CSA International(formerly AGA/CGA),ANSI Z21.10.3 and peak performance rated(except RG250H6N=ANSI Z21.10.1). Suitable for Water(Potable)Heating and Space Heating. Toxic chemicals,such as those used for boiler treatment,shall NEVER be introduced into this system.This unit may NEVER be connected to any existing heating system or component(s)previously used with a non-potable water heating appliance. Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. -BRADFORD WHITE 15- �` AMEERICAN BJ?ADFOIW &MITE Sales:800-523-2931 STRONG. W A T E R H E A T E R S 24/7 Technical Support:800-334-3393• Email TechServ@bradfordwhite.com Buift to be the Best Products made by Bradford White are manufactured in America using the finest materials and components from around the world.©2024,Bradford White Corporation,USA.All rights reserved. 1108-1224