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HomeMy WebLinkAboutMP26-003 E1� [J 1l BUILD MENT VIL E OF RY OOK JAIN - 9 2026 938 KING ET RYE BR ,NY 10573 q VILLAGE OF RYE BROOK . ©v BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING VENTILATION AND/OR AIR CONDITIONING E UIPMENT FOR OFFICE USE ONLY: PERMIT#: �✓I Z�Q —� 'VO Approval Date: ` Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-tefnndablc) :e:*ttt***tarrttst=*�atwse,e:wwww*x,rwww*wxtre�ew+a*yeirw*+r��tters*:*e**ter**:,sr**:test+'www:xrw*tw:*rwsew*wrwe�w�r 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 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: l. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Contractor's Westchester County Home Improvement License,Liability Insurance. (Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form (Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$200.00/unit• COMMERCIAL =S450.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required) 7. Electrical work requires a separate Electrical Permit&Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. Application dated, 01/09/2026 Js hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below_The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County, State&Federal laws, codes,rules and regulations. 1. Address: 23 HIDDEN POND DR,RYE NY 10573 SBL: 135.67-1-28 Zone: 2• Property Owner: ANTHONY MISCIMARRA Address: 23 HIDDEN POND DR.RYE NY 10573 Phone#: 914-659-6205 Cell#: email: TONYgMISCIMARRA.COM 3. Contractor: ES HEATING&COOLING SERVICES INC. Address: 6 EMERSON PL,MONTROSE NY 10548 Phone#: 914-382-7345 Cell#: email: EDDIE .ESHEATINGCOOLING.COM 4. Scope of Work:New Installation( )•Replacement CA•Removal( )•Other( ): 5. List Equipment (-AgglFR 9F 7e/AFIIF cAP FfRFr)F lgwACF MnpF1.il59Tp7At,(IV74- 6. Location of Equipment: MECHANICAL ROOM/BASEMENT-SAME LOCATION AS OLD 7. Method of Installation/Removal(list all equipment needed to perform job): DISCONNECT&REMOVE EXISTING FURNACE PROPERLY DISPOSE OF Fr.INSTALL NEW FURNACE,RECONNECT TO EXISTING DUCT AND NEW MERMOSTAT t 7n/2025 STATE OF NFW YORK,COUNTY OF WESTCHESTER ) as: ERIC URIBE being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the appfiaant) and further states that(s)he is the Heating,Ventilation and/or Air Conditioning Contractor 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 Swom to ybefore me this C, day of _�u 01 Applicant Signature of erty Owner Signature of t Name of erty O ;P 'O� Rl MEL.ILLO NOTARY PUBLIC,STATE OF NEW YORK NCO.01 ME-6160063 JACQUELINE A VERE QUALHED IN WESTCNESTER COU NOTARY PUBLIC,STATE OF NEW YORK 'C`Mh1iS3i©N EXPIRES MUARY 29,20`_ l d=No.OlVE6370616 Qualified in Dutchess Cormty Commission Etpku Febawy 5,2026 This application must be properly completed in its entirety and must include the notarized signature(s)of the legal ow-ner(s)of the subject property,and the applicant of record in the spaces provided. An, application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant, x '7r1/2025