Loading...
HomeMy WebLinkAboutBP21-311 I I ■ ul III of P tl_ P tl u III I III III I 11 11 I 11 11 11 I 11 ii . ' 0 .I P P tl tl � lft VILLAGE OF RYE BROOK PERMIT#: BP 21-311 f� 19;�- BUILDING DEPARTMENT ISSUED: 11/30/2021 938 KING STREET, RYE BROOK, NY 10573 EXPIREs: 11/30/2022 O1 (914) 939-0668 www.ryebrook.org BUILDING PERMIT FOR THE CONSTRUCTION OF' STORM RESTORATION; HURRICANE IDA AT: 67B AVON CIRCLE BUILDING CLASSIFICATION & PARCEL ID#: R-3 / ONE FAMILY RESIDENTIAL/ 135.75-2-38.1 rk PROPERTY OWNER: ROBERT DIBETTA(914)494-5534 LICENSED CONTRACTOR: PLATEAU PAINTING CO INC (914) 588-4000 l EMERGENCY CONTACT: RICHARD BAKER(914)5884000 l� ffi FEES WAIVED dw HOURS OF OPERATION OF CONSTRUCTION EQUIPMENT/VILLAGE CODE§1584:WEEKDAYS-8:00AM TO 6:00pm OR DUSK,,WHICHEVER IS EARLIER; In SATURDAYS—9:t10AM To 4:00PM; - SUNDAYS&HOLIDAYS—No CONSTRUCTION Amvrry ALLOW ED 9ft This permit is valid for a period not to exceed twelve(12)months from the date of issuance, and covers only that work listed above. Separate permits are 10 required for any electrical,plumbing,fire suppression,fire/smoke/carbon monoxide detectors/alarms,or any other work not covered under this permit.The tft approved plans must be kept on the job site&be made available for review by the Building Department upon demand.Any amendments or changes to the lift IP approved plans must be designed by your architect/engineer and submitted to the Building Department for review and approval prior to performing the work. lft A Certificate of Occupancy or Certificate of Compliance is required in order to close out this permit. l� lid? Michael J. Izzo Building& Fire Inspector f�1 THIS PERMIT MUST BE CONSPICUOUSLY POSTED AT THE JOB SITE N P BUILD �� NF VIL E OF RYA OOK NOV 2 9 2021 938 KING ET RYE BR ,NY 10573 VILLgGe pF r 4 -0 SUILUI�p D 1�YE BJR p oo"-� PAYE N-F INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: / Approval Date: l I Z Permit Application Fee: $ Approval Signature: Permit Fees: $ Disapproved: Other: Application dated: 2 1'2- is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of existing building,or for a change in use,as per detailed statement described below. 1. Job Address: Q 7 13 X y 4f,�ZY� �1 SBL: 3$, l Zone: - 2. Proposed Improvement.(Describe in detail): STo7tM 66�r .F5aA4/ZX A�% CorrrTl,�s 7�s 7a-orz• t��t�. �3,�s6 �il.�,,-! 3. Does thp`proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:V Yes: If yes,indicate: TIER I: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existi g automatic fire suppression system(Fire Sprinkler,ANSI.System,FM-200 System,Type I Hood,etc...) :No: il Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: 1 r4il9:tL'� After Construction:.1 r4mzz-Y %6. MY State Construction Classification: _IEI�_ N.Y.State Use Classification: —t z - Z- �/� 7. Property Owner: /� 4n7 �73�7,C Address: d"7 AM"J �'1t4 IZye Z'W v Phone# f/I yq'ef` SS3Y Cell# � ' y - SS3 email: 7,08tdy/©/D e e71P7-.r0Vl�_"r 8. Applicant:,�Z-A7erAtl %AsXT4VLe"r 01 i Address: 3�? Sd y7 N '"/ Phone# c]/`/ S�S�} ' y dod CelI# �`� S�S— email: l �lGyt�i(Z �diL, 6s� 9. Architect: Address: Phone# Cell# email: 10. Engineer:- Address: Phone# _Cell# erttaifi: 0 0��� F '/ 11. General Contractor: Q Alf �4V CO--\ddress: Phone# Cell# 1/000 email: N 7 /459,1 12. Estimated cost of construction $ (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) f 13. Job Timetable: Start: t l , Finish: �� /27— {I} 8/12/2021 BUILDING ffi*fry.TMENT VILLA J' i OF RYE BROOK 938 KING"ET RYE BROOK,IVY 10573 ( I4) �Ob68 w'��w.>I k:or AFFIDAVIT OF COMPLIANCE VILLAGE CODE �216 ` STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: fi'1'; �-i i/v' 71� "� IJ, / � �f� , residing at, 6 (Print name) (Address hcre uu Ii%C) being duly sworn, deposes and states that(s)he is the applicant above named,and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; �7 b Rye Brook, NY. (Job Address Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Property 0%%nco (Print Name of Property Owners)1 Sworn to before me this day of 1-),_yeaA , 20 UGC INotar% PUblle) Bambara Groden Notary N.OIGR5057991vv York (2) (�ialif ed in VVestcheste:�`oun Commission Expires Apri11, �g S/12/2021 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are nonrefundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: CV--t,aLZ> 7;k-reel— ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that s)he is the legal owner of the property to which this application pertains, or that (s)he is the C FEZ% for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. By signing this application,the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this o2 day of l kbt o , 20� day of /(/, ?", L't, , 20X r- Signature of Property Owner Signature of Applicant Prin�Name roperty Owner Print Name of Ap licani otary Public Notary Public i� Bambara Groden Notary Public,State of New York Bambara Grcden No.OIGR5057991 Qa&Med in Westaheste:C.otuniq l�atnr'y Public,State of New York Na OiGR CammAssioa�T April 1, �Ua1 nIMsi in chests County ioa�tresApril 1,�> 1� (4) 8/12/2021 AFFIDAVIT IN SUPPORT OF FEE WAIVER RELATED TO HURRICANE IDA STATE OF &dAj AIL COUNTY OF /ZoT.�chT .2g 17A,, (insert name), being duly sworn, deposes and says 1. 1 am the applicant for a Building ermi Certificate of Occupancy/Demolition Permit E ectrica ern�it /Plumbing Permit/Fence& Wall Permit Mechanical Permit/Pod Permit(circle all that apply) 2. 1 am the legal owner of property located at 72 Vp �lrlyd�� Rye Brook,New York (insert street address) OR I am the (Architect/Contractor/Engineer/Attorney) (circle one) for the legal owner of property located at el 7 ,F Z 11 ox/ Rye Brook, New York and I am duly authorized by property owner /20�Er►T]�/ 77�''7� to make and file the accompanying application. 3. The following is a description of(1)the work to be performed under the permit for which I am applying; and(2) how the work arose as a direct result of Hurricane Ida: ,ems p`A Gf Wooz> Feaolt¢Are-r Gm,npe 7l A wP 7:.40' rfMnEW7- er G,413-XAQ5Pr-X' 11A/vz ry A vnvD Gavnqmnv 4. The work described herein arose as a direct result of Hurricane Ida and does not include Work which was not caused by Hurricane Ida. Sworn to before me thiso? Al ley f a2 Notary Public PATRiCE PORTANOVA NOTARY PUBLIC,STATE OF NEW YORK Registration Number 01P05166025 Qualified in Westchester County Commission Expires May 14,2023