HomeMy WebLinkAboutBP17-208 B G MENT
rDATED:
ED _ q 2107 VI E OF R OK
38 KING ET RYE BR ,NY 10573fj
(914)939�0 � 39-5801 JUL 1 3 2(!'7
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VILLAGE R! BROOK
fl 3U11 DII%!G F.117-PAR T MENT
FOR OFFICE USE ONLY: I
Approval Date: 21
ermit# `` ` Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Ll
Disapproved: : Date:
BOT Approval Date: Case# _ : Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other: —7
Application Fee: 1 Permit Fees: I A,
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: ( t DTF_- 1 s1 Ckz l jU An, : LLB j 10 5-13
2. Parcel ID#: 29- Z,'S--I —� • 30 Zone: w�
3. Proposed Improvement(Describe in detail): N/�1: N CU0TV ST12_i )(7LOW- 3)r-,XAk--_ 15�rvt►t_�J 14'T'1'FKt± t1
WYVNLl-+fvl MT fTNI bkiEni Gr 9,19:6
4. Property Owner: )ev� M1QZIstnes L LC-
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Address: ;«rive ia�,1p 5 In/�t3u�rW?1t?tt U�rvt�JUYi� I l►1 12a1E 1594013- IJY Qt'13
Phone# qt'q tit �5VSZ Cell# "il U ZZL/ S1_S� e-mail JhaatrW y.�a�J?►n�61Q o,�1�eD��
List All Other Properties Owned in Rye Brook: �Zlkl
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: �ftTJ S1-lULL- OQVDTS� 161� � ` b11"T TUYlC�
11 Honeysuckle Lane
Subiect Property: 12-q.2,�--J—) . 3O SBL: 129.25-1-1.30 Zone: PUD
Please take notice that the subject; G�10ne or Two Family; ❑ Commercial,
I;Aew Structure
❑ Addition to an Existing Structure
❑ Rehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize;
9'fruss Type Construction(TT)
Q"Pre-Engineered Wood Construction(PW)
❑ Timber Construction (TC)
in the following location(s);
❑ Floor Framing, including Girders & Beams (F)
❑ Roof Framing (R)
CkFloor Framing and Roof Framing (FR)
Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or
building utilizing truss (Tpe, 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§1265 for One &Two Family Dwellings.
1I13)1-7
Date DeNig Professional
'7-1-6- 1'1
Date —-- -Is-
Date Notar% Public
Michelle Diane Gironda
NOTARY PUBLIC,STATE OF NEW YORK
Reg No.01G16301231
Qualified in Westchester County
My Commission Expires 04/14/2018