HomeMy WebLinkAboutBP17-196 BUILDIN �TMENT
VILi A E OF RYEI?BROOK
REVISED _ 7 2011 38 KING$WET RYE Mom,NY 10573 D
PLANS AUG (914)93 . 14)939-5801 JUL 13
DATED: Ww l e "r 2017 ID
VILLAGE O�FR RY''E RO
FOR OFFICE USE ONLY: �-
SEP 2
Approval Date: ermit# 1 _ Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: : Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case# ;
Other:
Application Fee: Permit Fees: 1 6,
EXTERIOR BUILDING PERMIT APPLICATION
Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the
construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below.
1. JobAddress: nn
2. Parcel ID#: I?�a. Zone: v�
3. Proposed Improvement(Describe in detail): ►\JEW Ce)IVSTrLU(_?IOC!— 51 KC-Le f"19MIL Nj WMUfa-)
4. Property Owner: SC gA C_ )6Y_ A X= �� �T LLC-
Addresss('rN'f-r.Aw jrt&1 CnV_0�_V �I►�/C Gl¢�J IR 71 C>t�1gL 17121►/�' Si A_-_=_Tt' I I H 1312UZ)1L Nil J0"3
Phone# 191q 2Z� 5D51. Cell# `11 L( 22_4 50SYo e-mail J D-P
List All Other Properties Owned in Rye Brook: (�J �
Applicant:
Address:
Phone# Cell# e-mail
Architect:
Address:
Phone# Cell# e-mail
Engineer:
Address:
Phone# Cell# e-mail
General Contractor: SC Rye Brook Partners LLC - Jeff DuBois
Address: 5 International Drive Suite 114, Rye Brook, NY 10573
Phone# Cell# 914-224-5056 e-mail
1►)
12.9.16
This form must be properly completed & notarized by the Design Professional of
record and the Property Owner. Failure to provide this completed form with your
permit application will delay the permitting process.
Notice of Utilization of Truss Type, Pre-Engineered Wood,
or Timber Frame Construction.
'Title 19 Part 1264 & 1265 NYCRR
To: The Building Inspector of the Village of Rye Brook.
From: 1y21 A n1A i�ULI 17T S&7V ----
17 Honeysuckle Lane
Subiect Property: I)_O. l I. 3(0 SBL: 129.25-1-1.36 Zone: PU D
Please take notice that the subject; One or Two Family; ❑ Commercial,
a-i<ew Structure
❑ Addition to an Existing Structure
❑ Rehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize;
'Truss Type Construction (TT)
211pre-Engineered Wood Construction (PW)
❑ Timber Construction (TC)
in the following location(s);
❑ Floor Framing, including Girders & Beams (F)
❑Roof Framing (R)
(door Framing and Roof Framing (FR)
Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or
building utilizing truss type, pre-engineered wood, or timber construction must be posted with a
Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings,
and NYCRR§►265 for One & Two Family Dwellings.
Date Design Professional
Date -- — Pr m
Date N Pu is
Michelle Diane Gironda
NOTARY PUBLIC,STATE OF NEW YORK
Reg No.01 G 16301231
Qualified in Westchester County
My CoRtmission Expires 04/14l2018