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BP18-139
J O a a Q a � w w m� � �o m O <CchCLNO • low .NNW low t V, A 9 IK 401 w 0 d 0 WC 0 a ZQ�- z h- Z F L�J UJ U)0 a w LU M� wa�tp ZOO U. z L6 u MOM P.8:j ,,"�'� ©W W W ��' .:.met c� �Qa� r mQw ` BUIL RTMENT M IE V EOFRYE OK D �� �� 938 KING ET RYE BV NY 10573 (914)93 x(914)939-5801 JAN 1 9 2018 w �r r el or -- VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: i Approval Date: AUG 2 O 20 8 Permit # 1 '- Application# Approval Signature: ARCHITECTURAL REVIE ARD: Disapproved: ; Date: BOT Approval Date: Case# ; Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: Permit Fees: ( 7A 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: / L-AVkAJOCe- LAt�JII- RVl? )/ZC04 "jy /C533 2. Parcel ID#: /Z y-25`/ —/ • // Z Zone: 3. Proposed Improvement(Describe in detail): /Jelk) 0 ON SIZke Ti Dr4-S//J 6 Lit �q'M 1 Ly A %/3C K41D 4. Property Owner: S C 4yt I:W"Ok- C_ Addre s:�wA-gjtrM "11p, 5 liJlkLa-iA J4A)a4 . OiL .fa l/'+ 4yk /-Uyok. /'1y 112 73 Phone# y1f LZy- ' —Cell# jib Z2`f-5U"L e-mail JIJKBC/S�luRQl�r/hy PL'OM List All Other Properties Owned in Rye Brook: /1J0%14— 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 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: JIAn1 SrlGcGL - C'a21�T5tint /�fcS�l�r�f �keC'f-t�ikCTLz2�- Subject Propgrty: 18 Lavender Lane SBL: 129.25-1-1.112 Zone: PUD Please take notice that the subject; 13"One or Two Family; ❑ Commercial, El"'New Structure ❑ Addition to an Existing Structure ❑ Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; El"Truss Type Construction (TT) [?'Pre-Engineered Wood Construction (PW) ❑ Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders & Beams (F) ❑ Roof Framing (R) C' '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§1Z64 for Commercial Buildings, and NYCRR§1a65 for One &Two Family Dwellings. Date Design I 1- 18 -�8 Date Pr rtY 1- 18 419 Dfite -- Antarp Public TRISHA MARTINEZ TARY PUBLIC-STATE OF NEW YORK No. 01MA6331843 uoiitied in Dutchess County n ssion Expires October 19, 2019