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Home My WebLink AboutPP25-152 � � H 00 z n A Ln 1-4 O x Ln H _ w to \p U O a CA Rr i--i W M to Y a Lin U04 0en 04 D _ M O Z o W w z a0 0 W • OH > IS = Fn�l Z O A a o = � o C � E o x H w A z �z �.' w P1*14 co � �+ � W � o z uz _ Z Ln 00 � Z Z a a � _ en C d CJ a a zz : A z z �-i z U zz Q y o $ ►.., a4 u W wzz as c z zH +� Ou x �i z H �I � � ►1 f� xv�i BUIQwnto NT LEc � �/VILED K SEP 2 9 2025 938 KINY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: PP#: Approval Date: SEP 3 0 Permit Fee: $ 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, q Zs 2S 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 LocalCodes. 1.Address:I I?CVV �1�5� P \J e. S `7 4f, B(-DOV SBL: I� 3�1' /o 5 t Zone:-1—P 70 2.Proposed Work:Vjp (N i J I 2,fnCQ n 1 A Sin nm RUd �QVe. femoye.d wo- w l/ Sef /iak Cbnnec� 5in� ip, Qjaltt' 01A itns�l1 a QW bf(Ap f �u� y,� 'er2 ,I )r_ l,,iIt also I + in nek, shu>� o�F uGlveS fip ht W 5 in K� p I 1 I / 3 PrnnartvOwner: DAf0AfA �SOOC15kiin Address: 1 �►k iIC( iVe1RUe $TCXDf't ..l Kone#: ql4,-(1{�7-k Z Q Cell#: email: 4.Master Plumber: V,/\ BkyYl l Address:100 I(j('ASSiajlcs ZM8, Efr s-krj NY Lic.#: ISGS Phone#: 11H-31S-�ggo Cell#: email: IVe4-t.ful-20 "CAM i✓e,,.aaw1 Company Name: S Ull 1 F CCAfflp 51 Address: /60 (j(ra55lain s "4 rlgA)nr /V y 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 iJ 1 st Floor y 2nd Floor 311 Floor 4`h Floor 5`h Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 6/1/2024 STATE OF NEW Y,ORK,COUNTY OF WESTCHESTER ) as: Ke:M D�(i1, , 1 ,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. s"''H^ � DEOUNA BARON-DANiEL 2� Sworn to before me this "worn to before me this NOTARY PUBLIC,STATE OF NEW YORI Registration No.OIBA0032946 day of �OE'/f" ,20 ZSVlayo �1'►tbo'r 20 2Qualified in Westchester CCountyMy Commission Expires0l- I b Zy Signature of Property Owner e of Applicant Kel ri Print Name of Property Owner Print Name of Applicant lea t,�a &Q_ l Q gel, Notary Public Notary Public 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 BUILDmov MENT D f� �/� VIL OOK v938 KING ,NY 10573P 2 9 2�25 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 NEW0_100SS YORK, COUNTY OF WESTCHESTER ) as: 3J, -i U1V l,N, EI1_ , residing at,-I— (Print name) (Address where you lire) 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; POW � e, 1p� It Ve , 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. f I �L - - (Signature of Property Owner(s)) (Pant Name of Property Owner(s)) Sworn to before me this 3S 41,1 _ _ F BARON-DANIEL day of SC'A eA1n je- 20 Z 5 C,STATE OF NM YORK n No.01 BA0032946 `'� j�I �ater C tyDnUn� 1�oc�)�' cAnIC�A t (Notary Public) -3- 6/1/2024 Bk O tim w � BUILDING DEPARTMENT ,❑BUILDING INSPECTOR Y 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.ryebrooLorg - - - - - - - - -- - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - -- - - - ADDRESS : � Y� I Z S 7 OW -. 4 I��. DATE' PERMIT# �`� �_ S Z� ISSUED:_-10-V SECT:Igr*V BLOCK: LOT: LOCATION: - '.� KaG OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION n _ ❑ NATURAL GAS �_`y�^f/ .vf LA AJ ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER � r1NAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER