HomeMy WebLinkAboutBP22-043-VOIDPERMIT # �c�— Q'°rj� 3 DATE. �I EXPc
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VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914) 939-0668 Christopher J. Bradbury
www.ryebrookny.gov
TRUSTEES BUILDING & FIRE INSPECTOR
Susan R.Epstein Steven E. Fews
David M. Heiser
Donald T.Krom,Jr.
Salvatore W.Morlino
CLARIFICATION OF RECORD
May 6,2025
Jeffrey Fischer&Dea Kakitelashvili
9 Candy Lane
Rye Brook,New York 10573
Re: 9 Candy Lane,Rye Brook,New York 10573
Parcel ID#: 135.52-3-24
Building Permit#22-043 issued on 3/31/2022 to Legalize Finished Basement with Rec Room,
Office,Exercise Room,Powder Room,Install EERO and Window Well,
Legalize 1°t Floor Shower
This certifies that the above captioned permit has been closed out by Building Permit#24-091 issued on
5/20/2024 to legalize finished basement with Certificate of Occupancy#25-061 issued on 5/6/2025.
Sincerely,
"I
Steven E. Fews
Building&Fire Inspector
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BUIL MENT [E C IE�M
VIL E OF RY UOK
D v
938 KING .ry RYE; Bk ,�,NY 10573 FFEB2 5 2022
ff VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
INTERIOR BUILDING PERMIT APPLICATI
FOR OFFICE USE ONLY:Approval Date: MAR 2 4 Permit#: d`` Application Fee:$ 75DC1
Approval Signature: Permit Fees:$ 3 O� • pp
Disapproved: Other: Ur�G,dLtZJ�� ! �t oD • #`
Application dated: L !/ 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 an existing building,or for a change in use,as per detailed statement described below.
1. Job Address: CT w•K SBL: 13 s t S2- -3 ZL+ zone:17, �
2. Proposed Improvement.(Describe in detail): LEC-ALd W, 54an)�I �Ezii_r p
'5iVW 04 � 962a!!!1
3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook?
No:JC Yes: if yes,indicate: TIER 1: TIER II: TIER Ill:
4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire
suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: L'-"" Yes:
(If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans)
5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: ah Ly After Construction: I f5 ,rf.[ LY
6. N.Y State Construction Classification: N.Y.State Use Classification:
7. Property Owner:'%E J'iTE( Address: !y � 1,49EF. EYE JRt?���
Phone# I-q,54-(�/Q-4Z�;Z_Cell# emai etiE)e
8. Applicant: Address: 9 MQ I�. t'_A✓�
Phone# Cell# email:
9. Architect: Address:
Phone# Cell AWLS-1 _ ¢ ��'
email:�j�?1�� � .4914
10. Engineer: Address:
Phone# Cell# email:
11. General Contractor: jt �Q ,(-r/XIC3 Address: _1m
Phone# Cell#Gj)4-777 j- 3-37 email:
12. Estimated cost of construction $ 1,01 C C v
(NOTE:The estimated cost shall include all labor,material scaffolding,fixed equipment,professional fees,and material and labor which may be donated
gratis.) /
13. Job Timetable: Start: 31 r! 1 L Finish:
(I)
8/12/2021
BUILD MENT D v
VIL E OF RY OOK F E 6 2 5 2022
938 KING Q ET RYF-B ,NY 10573
-� VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
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:
E�'C.1-lZ -, residing at, 6490-/ ( ,
(171t7nt name) iAddress where you live)
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;
4_\4C , 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.
(Signatur w ropeity - mer s})
(Print Name of Property Owner(s))
Sworn to befor me this "Fe
day of , 20 2 2
� S
(Notary Public)
SCOTT J.GOWE
NOTARY PUBLIC OF NEW YORK
SCOTT J.GOVVt D #01 GO6357188 (2)
NOTARY PUBLIC OF NEV11VXPIRES
I.D.#01GO057188
MY COMMISSION EXPIRES 8/12/2021
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 non-refundable.
STATE OF NEW YORK,COUNTY OF WI'STCHESTER ) as:
A3-igE FL +4F—I_ ,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
O El 2_ 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
day of I , 20_'2 day of l� J , 20 Z
/)JJ
Signature of No Si azure Ap ant
Jrw ,f� �
Print Na fP operty Hner Print Name Ap licant
Notary Public Notary Public
SCOTT J.GOWE SCOTT J.GOWE
NOTARY PUBLIC OF NEW YORK NOTARY PUBLIC OF NEW YORK
I.D.S 01GO6357188y I.D.*01GO6357188
MY COMMISSION EXPIRES 1/�Z�Z� MY COMMISSION EXPIRES Y✓__L
(4)
8/12/2021
Building Permit Check List&Zoning Analysis
Address: SBL: Sr•Sy ' 3 Z�{
Zone. - 7 Use: -21 o Const.Type: Other
I.F"G A L I Z!l_C�1
Submittal Date: Z 2 S 2Z Revisions Submittal Dates: 3 Z Z Z
Applicant !L -t-&v
Nature of Work: A
L L
Reviews:ZBA: F E g 2 8 2022 PB: BOT: Other:
OK
( ( ) FEES:Filing. -S. BP: 3 9.P- C/O Legalization: 2 �—
( ) (Jf APP: Dated. Notarized. ✓ SBL: Truss I.D. Cross Connection: ✓ H.O.A.:
( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening.
( ) ( ) ENVIRO:Long. Short Fees: N/A.-
SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other.
( ) ( ) SURVEY:Dated: Current Archival• Sealed: Unacceptable:
PLANS:Date Stamped Sealed: ✓ Copies: '2- Electronic. Other.
( ) ( ) License: Workers Comp: Liability: Comp.Waiver. Other.
( ) ( ) CODE 7S3#: Dated: N/A:
(� ( ) HIGH-VOLTAGE ELECTRICALPlans: Permit: N/A: Other.
( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other.
(Jf ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other.
(Jf ( ) PLUMBING Plans: Permit Nat.Gas: LP Gas: N/A/: Other.
( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other.
H.V.A.C.: Plans: Permit N/A: Other.
( ) ( ) FUEL TANK:Plans: Permit Fuel Type: Other.
O O 2020 NY State ECCC: N/A: Other.
( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other.
( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other.
( ) ( ) Other.
( )ARB mtg.date: approval: notes:
( )ZBA mtg.date: approval• notes:
( )PB mtg.date: approval: notes: APPROVED
REQUIRED EXISTING PRQPQSM NOTES
Date: MAR 2 4 ZU22
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General Notes
1)All work to be done according to 2020 Residential Code of
New York State and local codes
RO 2)All plumbing work to be done by a licensed plumber
3)All electric work to be done by a licensed electrician
4)Install fireplace according to manufacturers instructions
-- - - - D ARCLI,
NIA �` zF F>-,, M4 F 1---M r-CC-4 t� Dra 'ng Number
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MM Architect PLLC Drawing Date
�- 5 Scott Circle ,.,r � Scale = /
urchase,New York 10577 Drawn By
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