HomeMy WebLinkAboutBP19-115"MIT$ I - I� DAm.-( Jo �51�9E1�� OTHER APPROVALS
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BUIL R 'MENT M
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VIL� E OF RYE OK JUL 16 2018
938 KING ET RYE BR Y NY 10573
(914)9 39-5801 VILLAGE OF RYE BROOK
wwW. r"00611M BUILDING DEPARTMENT
***********************************************************************************************************
FOR OFFICE USE ONLY: a f
Approval Date: JUN 1 8 Permit# — 1-1 I Application 4
Approval Signature: V11 ARCHITECTURAL REVMW BOARD:
Disapproved: Date:
BOT Approval Date: Case# : Chairman:
PB Approval Date: Case# : Secretary:
ZBA Approval Date: Case#_
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 �raJc�,`i[DtI
2. Parcel ID#: 1 2q• 25— I — I 1 1 t Zone:
3. Proposed Improvement(Describe indetail): NkI.t1 C�NS7lL�tt' 1p�' ���Lx Fan'ttLy I��ACf�IGt�
PVAL -I A—IGr W i l N rltJlSkkr) 13AS, ifYIk J 1` AM;) Gjf e-A1115 .
4. Property Owner. S C (2N k 1312G01L PA�''r►�1 k tZS LLL-
Add ess W P O-TIVM 4sU"P . 5 l rJ i�ir�t�Sl��l D fJAL_ - ,Sqi !i 4 14yt Beope r"y 105T3
Phone# 1 4 124-5054e Cell# GI)4 224-505tp e-mail lDuBUlS�W6lP�rt/12G1QJhP•LtL14�1
List All Other Properties Owned in Rye Brook: 0!S k--
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
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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: aQlar.i e v"kL1. Cye�TS�r�i T7k5eGjr.; A�['H ��kC''rl�e�.
Subject Property: 17 Lavender Lane SBL:129.25-1-1.111 Zone: PUD
Please take notice that the subject; 0,10ne 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;
ffTruss Type Construction (TT)
C�Pre-Engineered Wood Construction (PW)
❑ Timber Construction (TC)
in the following location(s);
❑ Floor Framing, including Girders & Beams (F)
❑ Roof Framing(R)
CYFloor 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§1265 for One&Two Family Dwellings.
Date I 2onal
Date
bi — — Notary Public