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PERMIT # .� DATE: vl !': d c
SECTION �.�� BLOCK..___ f _ LaT .. 10
TYPE OF WORK
JOB LOCATION -55
OWNER Pr LL NEI
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CONTRALTO - / Ir t- of L-I - 5C
NtT. COST _ G 2%Qe � '— FEE � ck5 �.
# DATE 91 Oq Oa
TCO # FEE_. DATE_ _
INSPECTION RECORD
FOOTING � �
FOUNDATION I k,
FRAMING
RGH FRAMING is 5
NSUL.ATION
PLUMBING b
RGH PLUMBI _
GAS \
SPRaNKLER
ELECTRIC
LOW -VOLT
}�CtSe VY1(ft) t
AS-BUtLT1F{NAL SURVEY
REQUIRED PRIOR TO
FINAL INSPECTION
FlNfSHED BASEMENT NOT
APPROVED FOR USE AS A
SEPARATE APAR i MER
"To
O
91 / �l Nebro4yPi�v"' DWELLING UNIT
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�P 19—a70/ Enterprise Flec$rtcal consuI+an+s
� THIS BUILDING MUST BE POSTED
WITH A PERMANENT CONSTRUCTION
�r 1� TYPE IDENTIFICATION SIGN;
PRIOR TO THE ISSUANCE OF A C/O,
AS REQUIRED BY NY STATE LAW,
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: /3/,_1 a nt S PA c"-L. - C 7 ri 61/I►�j A e-G' 4H/ -7/ 4c,
Subiect Property: 5 Lavender Lane SBL: 129.25-1-1.99 Zone: PUD
Please take notice that the subject; F One or Two Family; ❑ Commercial,
C�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)
Cl/Pre-Engineered Wood Construction(PW)
❑ Timber Construction(TC)
in the following location(s);
❑ Floor Framing, including Girders & Beams(F)
❑ Roof Framing(R)
ErFloor 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.
I lapc Drsi,n
Date Pr
G _f
TRISHA MARTINEZ
NOTARY PUBLIC-STATE Of NEW YORK
No. Ol MA6331 843
Quolllied In Outchess County
Commission Expires October 19, 2019