HomeMy WebLinkAboutBP20-049PERMIT #
SECTION
TYPE OF WORK
JOB LOCATION
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CONTRALTO
5T. COST
CO # C
TCO # FEE DATE
INSPECTION RECORD
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FRAMING
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AS-BUILTfFINAL SURVEY
REQUIRED PRIOR TO
FINAL INSPECTION
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FINISHED BASEMENT NOT
APPROVED FOR USE AS A
SEPARATE APARTMENT OR
D�NELLING UNIT
THIS BUILDING MUST BE POSTE�7
WITH R PERMANENT CONSTRUCTION
TYPE IDENTIFICATION SIGN;
FR
PRIOR TO THE ISSUANCE OF A C/0,
AS RE )UIRED BY NY STATE LAW.
BUILD R RTMENT
VI[,1� E OF RYE OK OCT 2 2 2019
938 KING ET RYE BR NY 10573
(914)93 i939-5801
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
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FOR OFFICE USE ONLY:
Approval Date: D Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: : Date:
BOT Approval Date: C : Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other:
Application Fee: Permit Fees: V V y L�L�
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EXTERIOR BUILDING PERMIT APPLICATION
Application dated: jryis hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Pcrmit for the
construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below.
1. JobAddress: 'PQI MQOSC_ Gj0Af� ��lC g ,04 "V /j'S7-3
2. Parcel ID#: / Z 2-5 — / — /, j4 Zone:
3. Proposed Improvement(Describe in detail): e V1jSfAt-t r SJAJ/lL'�_ /%f1m L�
A7-rlqCrt'w-i.-) DkJlr `L���./� w/�1�r �r�.lrs<���j SAS�c�'1k�T AZQ 6j�-�P4y� .
4. Pro,pqrty Owner: S C Q /L e-C 0 4 RP P%�.,1?'a L L e__
Add lm: jV q 4J`p&1 lo,Q6hP 5 i,1-f IWAJA i 10 A(R L Pf 1fa i I"f PO4 1:9eDDK ti /US 73
Phone# 4I I4 LZ 4—5051p Cell# "1 1 y 22 4-5o5L a-mail,7_DA150 W,1�1-g04 JX"'VM
List All Other Properties Owned in Rye Brook: /\,alukr
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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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.
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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: 17F—JP^l S1-40 -L— 6'V14 i 044,--1 D 61 ��� ,teC'Ni% �4—
Subject Property: 5 Primrose Lane SBL: 129.25-1-1.84Zone: PUD
Please take notice that the subject; E�One or Two Family; ❑ Commercial,
2/New Structure
❑ Addition to an Existing Structure
❑ Rehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize;
&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)
❑'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§iaGS for One&Two family Dwelli�,"�.
Date Ix ot,al
/01a 01
�� I
Datc Pt, ner
Idle
Datc Not Public
TRISHA MARTINEZ
NOTARY PUBLIC-STATE OF NEW YORK
No.01 MA6331843
Qualified in Dutchess County
My Commission Expires 10-19-2023