HomeMy WebLinkAboutBP18-076PERMIT #
SECTION �1
TYPE OF WORK
JOB LOCATION
ITT
FOOTING "--
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
PLUMBING
SIGH PLUMBM;y
GAS ✓
SPRINKLER
ELECTRIC
LOW -VOLT
ALARM
AS BUILT
FINAL
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OTHER APPROVALS
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BOT
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RFINAL NSPECTION
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VILLA E OF RYE BROOK
938 Kuvc ET RYE BRoo>�,NY 10573
(914)9 14Y939-5801 2 6 ���
wv I el or VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
Approval Date: _ P mit# 1f� Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: _ : Date:
BOT Approval Date: _ ; Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case# T
Other:
Application Fee: Permit Fees: �
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: I hAe-Dkti11A LNr`i t YZ-y4- le(. C , Nq it)S73
2. Parcel ID#: I Z"I .Z5 - I - I - I Zone:
3. Proposed Improvement(Dcscribe in detail): Oik W Sl N!fi I k &n i I L-V A i i A 'c A-!kl)
DoUk.LLI "fi W t I N All A g:e�(( r- . _ � A�-4 �%_ tL---J ( v,.,y
4. Property Owner: s L' 12u4L gP"DA! (7A V
Address: Vt Ae'TAM 110-k191 5 INT_ .Q r,IA1 rDlJAL
Phone# (11tt 2-2-4-6b6l, Cell# el i `♦ 2L4-- 5P;L1 e-mail T "'WACj7N/YlGt VW. A&kj
List All Other Properties Owned in Rye Brook: t_►D NFL
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 Site 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: Eerfr`l Nrurr_j CD2:r W(=ry -Pk.Sil,ni !x(LCf-tf7t��'ilu��c—
Subject Property: 1 Gardenia Lane SBL: 129.25-1-1.1 Zone: PUD
Please take notice that the subject; C]�One or Two Family; ❑ Commercial,
Ei'New Structure
13 Addition to an Existing Structure
❑ Rehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize;
u'Tfruss Tv Construction (TT)
Q'Pre-Engineered Wood Construction (PW)
❑ Timber Construction (TC)
in the following location(s);
O Floor Framing, including Girders & Beams (F)
❑ Roof Framing (R)
1?Tloor 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 w(x-)d, or timber construction must he posted with a
Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings,
and NYCRR§1265 for One & Two Family Dwellings.
Z-r3-id
Date Iksi n Profess »�
Z)i +� _—
Date i'r ur
3 -
Date TRISHA MARTINEZ "�` Public
NOTARY PUBLIC-STATE OF NEW YORK
No. 01 MA4331843
Qualified in Dutchess County
My Commission Expires October 19, 2019