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Plumbing Permit Application Village of Rye Brook
938 King St Rye Brook, NY 10573
Phone: (914)939-0668 1 www.ryebrook.org
Building Department
Project Information
SBL: Zone:
Proposed Work:
A NEW GAS LINE INSTALLATION
Indicate Fixtures&Lines to be installed as per the following schedule:
1st 2nd 3rd 4tiht OthergfWipment/Provide Details:
FIXTURES Basement Floor Floor Floor Floor Floor Exterior
Water
Closets
Urinals
Drinking
Fountains
Sinks
Showers
Bath Tubs
Laundry
Tubs
Domestic
Service
Fire
Service
Sanitary
Sewer
Natural/LP
Gas
Other*
TOTAL
Plumbing Permit Application,page 1/1
y BR(�
VILLAGE OF RYE BROOK %ai
938 King St Rye Brook,NY 10573
Phone:(914)939-0668 1 www.ryebrook.org
Building Department
1 02.
Plumbing/Gas Line(New)Permit
Permit Set 17 HIGHVIEW AVE RYE BROOK NY 10573 P#RB 25-0008 R#141.35-2-10
PERMIT INFORMATION
Address Permit number Date issued
17 HIGHVIEW AVE RYE BROOK NY 10573 RB 25-0008 06/26/2025
REVIEWED BY
If you have any questions regarding the review of these drawings please contact:
Application in general
Steven Fews
stevefews@ryebrook.org
INSTRUCTION AND ATTENTION
It is the responsibility of the Applicant to print full size the entire approved permit package and provide at the time of inspection.
TABLE OF CONTENTS
Cover page 1
Building Permit 2
Required Inspections 3
Copy of Plumbing License 4
Plumbing Permit Application 5
Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668
�y BR(��
O� VILLAGE OF RYE BROOK
938 King St Rye Brook,NY 10573
Q c Phone:(914)939-0668 1 www.ryebrook.org
Building Department
� 02 '
INSTRUCTIONS
THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQU IRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT
THE PERMIT IS COMPLETE
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a
REQUIRED INSPECTIONS
Name Description
Final Inspection Completion of all required items under the permit including the site grading and the surveyor's final grading
certificate.
Rough plumbing Installation of all plumbing including drains,waste,vents and water supply lines.A test for this portion is
required including a 100 psi test on all water supply lines.