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HomeMy WebLinkAboutPP26-010 _ _ cq \ \ IX s e po = rN z V J Q 44 �--� o " 00En H © a C� 4 W 00 * Oj LO GO ul Ln 3 00 o O _ CIN ! ; LA rr)CN w I z a Q ,.. � cr7 V c Q o � A A 0 >4. a BUILDING DEPARTMENT VILLAGE OF RYE BROOK JAN 16 KOH 938 KING*1 T RYE B ,NY 10573 \9 14) 9-Q6 www.ryebrookny,go_v PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: PP#: JAN 120 Approval Date: Permit Fee: $ 2(DD 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. 1.Address: 20 Beechwood Blvd SBL: 1 �:; y • 21"1— I Zone: R _ 25 2.Proposed work: Hand excavate area 3 ft deep on front lawn to locate section of lateral sewer line to remove small section and dislodge foreign object. Replace section and back fill. 3.Property owner: Ivy Hillman Address: 20 Beechwood Blvd Phone#: Cell#: 732-687-0829 email: ivyldavidoff@gmail.com 4.Master Plumber: Sal W MOrllno Address: 1 Bonwit Road Rye Brook NY 10573 Lic.#: 725 Phone#: Cell#: 914-260-1592 email: salvatoreserious@gmail.com Company Name: Westchester plumbing & Heating Address: 1 Bonwit Road Rye Brook NY 10573 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 1 st Floor 2nd Floor 3`d Floor 41 Floor 5"Floor Exterior 1 1 5.*List other Equipment/Provide Details: Hand excavate section on front lawn 4x4x3 ft. (Notarized Signatures Required Next 2 Pages) -I- 6 1'2024 STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: Sal W Morlino ,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. Sworn to before me this 16 Sworn to before me this 16 day of January ,20 26 day of January ,20 26 X Ll�l Sign4brekf Property Owner Signature of Applicant Ivy Hillman Sal W Morlino Print Name of Property Owner Print Name of Applicant ON-0'r'- am,,r wle-�- Notary Public '(d(y; Notary Public 'r-y V � ll ilw This application must,be; completed in its entirety and must in of .ofl r,+ icrt it'��August, the legal owner(s)of the subject property, and the applicant of record to t`lte 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 BUILDtN6- MENT VIL�, E OF R OOK 938 KING ET RYE BRO s,NY 10573 (914)939-0668- wftYbrookm.gov �, - 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: 1, Ivy Hillman ,residing at, 20 Beechwood Blvd (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; 20 Beechwood Blvd ,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. X /-Y (Signature of Property Owner(s)) Ivy Hillman (Print Name of Property Ownerks)) Sworn to before me this 16 day of January 12026 3 (Notary Public) _3_ 6/1/2024 �E BR(Ij�. 198-2 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 :� LJ V �F CN I'V DO =� "ZL VL DATE: /- ZZ'" ZOZ 6 PERMIT#_ 7` Lt - O JC7 ISSUED: '20-Z4 $ECT: /�IoZ� BLOCK: LOT: 7 LOCATION: ajo � � - 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 ❑ NATURAL GAS �Q- I/l� o se to GL 't: Ja �QQ�✓ ❑ L.P. GAS PW ` ❑ FUEL TANK Q N 101 ❑ FIRE SPRINKLER FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER 1 �I i � • ' `•,� �I:`�lryn' .. ray j ,'yr'�. J �r t:'Gt a ya`:s�f``,'.�' � �;� -3 �4 lA 1 •r V j � , . T, A���1 ice. r:✓ � < 4q('y..�'tt�n' r�r.. Y i r� ;� 7r ''�r� �r;� �'� 'ti*�',j ry+f'i�;y 1 '--* � :�. .;i� +r•..-- ,� W16 CM, fk • - R •���ilk/: .<y:`i1 o-�' t - -+.7R� ' •, ` S; _ • r `� •�..+i e+� a r f� Val .; y r 1. � VN Xf J J ;,� •