HomeMy WebLinkAboutBP19-066PERMIT #
TYPE OF WORI
JOB LOCATION
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FINAL INSPECTION
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BUILDR -
ENT
VI E OK938 KING ET NY 10573 �EC — tJ 2018(914)939-5801
s VILLAGE OF RYE BROOK
BUILDING i,EFART"'.1ENT
FOR OFFICE USE ONLY: f�^
Approval Date: APR 1 7 1 rmit # —O V6 ; Application#
Approval Signature: ARCHITECTURAL UorzW BOARD:
Disapproved: : Date:
BOT Approval Date: Case- Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other:
Application Fee: Permit Fees: o
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: 10 LAQkMQfe— LAN tom- ZVk 0acor-, IJ4 10.EY3
2. Parcel ID#: 12-4.25 0 4 Zone: �•� ��
3. Proposed Improvement(Describe in detail): Nk-fN 00 MST-F— (.CT10t`!—SI Nl�j L.1r: IG.AM I.LV A-1-f A C*4 CO
'171,V1c L-L 1 a!h yj► iaA h aeA ti e .
4. Pro ertyOwner: SC 04�- -Lq"64 17Pr9Z1 Nkje-5 , LLt1
A W s: tte JAW 5 I�►fe�T 1 ofJAL_ De 61 11'� Ilk- 3e16� N`I 40��`'
Phone# q14 224 -5D5io Cell# 4114 22-4-505t? e-mail Sbl•t.fpIS Wl*e'Am4e4l.U',C"
List All Other Properties Owned in Rye Brook: �0
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
cn
6/1/18
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: llcll ke_k__
Subject Property: 10 Lavender Lane SBL: 129.25-1-1.1047_one: PUD
Please take notice that the subject; D'One or Two Family; ❑ Commercial,
C3'New Structure
❑ Addition to an Existing Structure
❑ Rehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize;
C!rTruss Type Construction (TT)
YPre-Engineered Wood Construction(PW)
❑ Timber Construction(TC)
in the following location(s);
❑ Floor Framing, including Girders& Beams(F)
❑ Roof Framing(R)
Q'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§tz65 for One&Two Family Dwellings.
Date Dest fessionol
►a-3 - I�
Date p
/`? —I S
Date TRISHA MARTINEZ Notary Public
NOTARY PUBLIC-STATE OF NEW YORK
No. O1 MA6331843
Qualified In Dutchess County
My Commission Expires October 19, 2019
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