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HomeMy WebLinkAboutBP18-125 BUIL TMENT D LS V L5 V E OF R ROOk 938 KING ET RYE BROOK,NY 10573 JAN 19 2018 (914)939-0 914)939-5801 H�rw ry rook.or<� VILLAGE OF RYE BROOK BUILDING DEPARTMENT ******+ss***+*+*ssss+*+++****+*s****s++++s*+**++s**s+ss++k+++s*++**s*++*s**++ss*s**++*****s******s*******+* FOR OFFICE USE ONLY: Approval Date: AUG - 1 2 Permit r '�� Application# Approval Signature: l ARCHITECTURAL REVIEW BOARD: Disapproved: ; Date: BOT Approval Date: Case# ; Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: Permit Fees: (ram 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: 25 LAVk.NU>t2- LA-tlkr 4y4 13tUOk- /JV 166:7 3 2. Parcel ID#: /29•Z$-/ - / -// I Zone: 3. Proposed Improvement(Describe in detail): N/C l y e 0AI S r7Z M_A>/OA/-S/nfAL!L A�:/x/r1 4. Property Owner. �S 2t1(C Q200/L rR�7hlS L L C AddressC�wAQr/a/� Phone50_5 o Cell# �i�H Z2'f-3Q5t� e-mail JDSO/Sn/t1itQ.Th/YIGiQONP�'OM List All Other Properties Owned in Rye Brook: /40 tjk— 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 ki f NEW VORK STAM nEPARTtaE N I OF HEA.Ti, Sureou&rl*v uli'm M -C"-Iour pyp,p,rcira, Report on Test and Maintenance Empire Stffie Plea-Cc nir�p Tprer Re,xn t t a;� ALeny.Nr 12M of Backflow Prevention Device Please use a separate form foreac+device. For Vieyar- I--- -- bdthi be-Complote entire hxm Aefaaat WO-CO mplefe Part A only Puhiic aratw Suppy AeOmV N& Lorton or Deena FacAty Nef m �. ... _ - O address 1 NY inn t+wtiehw4arar Typo ©Rn 5trea(in I Sane)rhsnoer DCV r! Ctre!Valve rfa 1 Chaff Vida*Ib.= 1 GfRaesnaal Fftwomps amw Lhn Pvmm me oei �falrrr Tent LAuked Dow 'butwoCkiaed t{phttFpht Cltl . Op-,WwRIA pW ir �e�aaaa� exae ae firm dock a7hre Y i IL7�i�tJi IL1!_Il(.!�JI 11i D �Alra �b iY Mow* r Name mist 1 lic# Date repokm& M... 4 Y F4mbd Cosed� Gbstl u0m m OpeA s axis Feau �\ L��Ji L_ LL nr A ) y rled e W lar IMeWr fJr rtbar iEOi Reedit' Type of Swvk5ec ied rem) Raruarka f Dr.eraa aernwraaa:bvv»,r.oua w hefrre•.ee R�a,e roo�„be[+as,hr a.onr.moo ea 1 d.ae�y,r ray w as y„»,rre.) C I'mGrCOC4 T1is d-WAge -.1. do-NOT"reef,the requwwnweta of an to art d rA at M of*a^g t v�&a bropm dew d he rarre� C endow Tm qe Iro. rum AavefAr *4araana.ne agarap e.rri6orion rare bal was pmfornrad: D.s Cy MG1t�� c-1l4 �.� �C P"New � Tdeohrna Cae�loli than innlvltabm is in mocordmroe with the approved Olen. (to be ire ey*-, ig anr*war nr arrlhlwd n.star -VON.) Y htea6! t+et aya trtwaYm s n eccnruwd AM/ae apprrw�ed ptereL Nerve. RLueell Paluoci Tiaa Engineer Da>r J � J Nvs oar,Lmg# Lopm"Number 78721-t Ffrona�W)337-&XO rn d y 1 8 �--- r q-CC DA ConsuMN Engnmrs @�me a minor a,rteneKon d.engw Addraa,r 140 Pdrweb n Drive cty 5helonn She CT D64S4 Spnaaure sae ewer reason owa,nrgra reptsan a w w,e oar caoy w�r,a warty ar w Earn lyarq caww. naeer www sea warty aatr0aer aneneaaeery a ar.c.lees saal eeb rapmn can a mrro0+naty w�r6a_ DoDF +as 3(W) 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: Re-lAAJ S ✓1u.t.c - e7oQi;TS'r, J 74cS«7i.J Ae0Hi %!ce"irk12-k— Subiect Property: 25 Lavender Lane SBL:129.25-1-1.119Zone: PUD Please take notice that the subject; D"'One or Two Family; ❑ Commercial, R/New Structure ❑ Addition to an Existing Structure ❑ Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; 21"Truss Tvpe Construction (TT) C"re-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders & Beams (F) ❑ Roof Framing (R) E�Floor 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§1z65 for One& Two Family Dweellin s. Date p Iksip Pro /- Date 14 QL Datc 'ctan Public iRISHA MARTINEZ NOTARY PUBLIC-STATE OF NEW YORK No. Ol MA6331843 Qualified In Dutchess County 4v Commission Expires October 19, 2019