HomeMy WebLinkAboutBP20-2280 EfRmIT # by" 0O
SECTION L J:
TYPE OF WORK 1
JOB LOCATION r
OWNER
CO Nl
DATE: EXP: II � d
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TCO # _ FEE DATE
INSPECTION RECORD
DATE INSP
FOOTING
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
PLUMBING 52,010
RGH PLUMBING
GAS L7
SPRINKLER
ELECTRIC
LOWVOLT 0
ALARM
AS BUILT CI
FINAL
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OTHER APPROVALS
ARB
BOT
PB
zBA
OTHER
FINISHED BASEMENT NOT
APPROVED FOR USE AS A
SEPARATE APARTMENT OR
DWELLING UNIT
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AFFIDAVIT OF SERVICE BY MAIL
I, Patrick Gregory,the undersigned mailer, being of sound mind and under no duress, do hereby
certify,attest and affirm that the following facts are true and correct,to wit:
1.That on April 03,2021,on behalf of Village of Rye Brook,the undersigned personally mailed
the following documents and transmitted them via myself to wit:
Levine residence 4 Red Roof Dr. �
Rye Brook NY - � ��� \L,
�-
1 ''``
4 -&,tk r�, u r Q— u P -\C, `N� � �. ` t-k (Y`� `1 It e "V
at Rye Brook, New �ork one complete set of originals of the documents as described aove
properly enveloped and addressed to addressee(s) and address(es) as follows:
2.That I am at least 18 years of age.
3.That I am not related to the recipient(s) by way of blood, adoption, marriage or employment.
but serve as a "disinterested third party" (herein server) and further,
4.That I am in no way connected to or involved in or with,the person and or matter at issue in this
action.
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I now affix my signature to these affirmations this date of
20-- 'Iat
p
STATE OF �Nt COUNTY OF � 5 �. �c-� , ss:
Notary Public
Title (and Ran )
My commission expires
SHARI MEULLA
Notary Public,State of New York
No.01 ME6160063
Qualified in Westchester County
Commission Exnires Jani m—29 20�3
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