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• BUIL � TMENT
AUG - 7 2017 V E OF R OK (v
REVISED �,
PLANS 9 KING STREET RYE BR ,1�NY 10573
DATED (914)939-Q6 39-5801 JUL 13 2017
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VILLAGE O��F[[R,.'EBROOK
FOR OFFICE USE ONLY:
Approval Date: Permit r!�7 I U ; Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: ; Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary.
ZBA Approval Date: Case#
Other:
1
Application Fee: � Permit Fees: z
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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: 13 t-jQlU2181X 1[l_E lfM� J��F 4X M_ fW l US"�3
2. Parcel ID#: 1?-0-2—Y—) •3 7— Zone:
3. Proposed Improvement(Describe in detail): fly/ �'S1NC Tit riit I L-`1 14 f-ri4t 1r11�
r'k «sr J t K-,In Tt+ -1 M syren k4 q75'e4/qqMT lwlb
4. Prope Owner: M)Q-TweG g-S ),L (_
WD
Address: N 0F22
Phone# 91L( 7-2--q SDSZo Cell# 1944 L -Q SQS1, e-mail��t�mv>>Sn t¢.ia9r�►61�L1J10��'L�
List All Other Properties Owned in Rye Brook: KANU E
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)
12.8.16
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: )l5f{nl Si'ILA-t= 0 )12D'�S"�1�1
13 Honeysuckle Lane
Subject ProNrt,,: ) - 2-,S7—1 —). 32-- SBL: 129.25-1-1.32Z.one: PUD
Please take notice that the subject; V One or Two Family; ❑ Commercial,
6fi1ew Structure
❑ Addition to an Existing Structure
❑ Rehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize;
ErTruss Type Construction (TT)
Ap,re-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§1z64 for Commercial Buildings,
and NYCRR§1i65 for One & Two Family Dwellings.
Date DL%wn Professional
,J�s1l�
Date ope net
Date h Pit
Michelle Diane Gironda
NOTARY PUBLIC,STATE OF NEW YORK
Res No.014316301231
Qualified in Westchester County
My Commission Expires 04/14/2018