The URL can be used to link to this page

Home My WebLink AboutPP26-026 a a 1 � ,.� w a 44 ICA GQ : a W LO04 00 cn 00 z o P-01 cn � cn r .a c � _ I�f C)C) tn tL4 V pa A � z x • � Q � w � � a �;I w cn D YC BUiL N4 DEP�RrTMENT FEB 11 2026 VIL�(4E OF RYE BI200K oD 938 KING,,' TREET RYE B} ,NY 10573 VILLAGE OF RYE BROOK (914)939-044;' BUILDING DEPARTMENT www.06br6okny.gov PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP #: PP #: Z Co — O ZCa Approval Date: FEB 12 2026 Permit Fee: 9' Approval Signature: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BI'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, D 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, Count and Local Codes. 1.Address: ' N ODD LANb , " I V `SBL: 1� — 5 Zone: !` � 2.Proposed Work: S� 3.Property Owner: JR,,l1 k MAU IA-1-0 Address: hin d b UN6 IV I& Phone#: 'q Iq— 41Pq— 3 j'te Cell#: email: 4.Master Plumber: Address: / Lic. #: �Phone#: Iq 01- Cell#: email:` Company Name:LrW � Address: � fF� l 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 4'h Floor 5'h Floor Exterior 5.* List Other Equipment/Provide Details: 0\ (Notarized Signatures Required Next 2 Pages) -1- 6/1/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ChresNiOx\I h\)es en ,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 I Sworn to b fo a me this day of �Q'QCV( VI 20210 day of ,20 �L� V 44� Signature of Propert Owner FA opt V t \you a -o Print Name of P operty Owner Print Name of Applicant MARYANN LONGOBUCCO MA El NOTARY PUBLIC STATE OF NEW YOU N ry Public JWW No.021.060619% No Qualified in WESTCHESTER County NOTARY RMW,STATE OF NEW YORK Commission Ex fifes OCTOBER 15.2 NO.01R16441398 QLJAUFIED IN WESTCHESTER COM SSION DOM SMEIREER 26,20 This application must be properly completed in its entirety and must include the notarized signa re(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 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (�14)939-0668 wH y.ryebrookny: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: 31, 64!q qV_ �Je46121�!U , residing at, �/✓Pd�L ale I V fPrin( n.uuc) (Addre�<'AlicreVou livcl 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; 4 A/ 6 D&44 A bAU & , 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. 4;4 U1zU11A_ (Signature of Property Owner( ) 14 R(k6)l- 1'�0nz\ a�-o Flint I'loperty thcncritty Sworn to before me this 1 MARYANN LONGOBUCCO MAT1El day of r-e�p� , 202,�- NOTARY PUBLIC,STATE OF NEW YORK . Registration No.02LO60819% Qualified in WEST CHESTER County Commission Expires OC TOBER 15.2014 (Notal I'uhl 1 -3- 6/1/2024 QyE BRq l J> �O BUILDING DEPARTMENT ❑,,BUILDING INSPECTOR G'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.or¢ - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : - 1 �U V L,4 A be I'Vf- DATE: Z - Z 4- Z O Z 4o PERMIT# f� O Z ISSUED:Z -/Z •Z SECT: (, BLOCK: / LOT: . ?/ LOCATION: A SFr > C.v T 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 12� �� ,I( L�.. � L ULJ 7 �'f f�q JI a Cy ❑ L.P. GAS ❑ FUEL TANK FIRE SPRINKLER �� L j� G ❑ FINAL PLUMBING s ❑ CROSS CONNECTION G ❑ FINAL ❑ OTHER