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HomeMy WebLinkAboutBP22-043-VOID ety • C v =r a x a tv 1.4 = W >w ce a+ M A W U) W en Ln S O Fj L \ � t y v o 0 0 I� � � A O 0 � H +" —� O F� o z I W� c °° o a Q h—1 4 w U 5a cn b Lgi IL a" co e x Q W z o o 00 0 5 - a w v v = x a CA c zZ t o � X c w �ti z � [ � vv ,�Oo � a'b A w p U q w 70- owl x o � - A CCNA � � 0 �I W x � lub BUILI?JVCx;_ MENT VIL "( F OF' RY OOK R C E MED 938 KING ,.I r RS 1,Bid: ,NY 10573 FEB 2 5 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: 11 Approval Date: MAR 2 Permit Application Fee:$ -7,5rXL Approval Signature: Permit Fees: S 3 'OP. Disapproved: Other: H.Z A Ll Z A:1�7 G 1,� Z i 'it od . Application dated: 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.ng 1. Job Address: -I aK'v'f LA-4-1-C SBL:_13 �SZ- '3 :7 ' zone:�� 2. Proposed Improvement. (Describe in detail): LXa (J7,Z7 -5iVW&F (� 3. Does the 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 It: 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: I a,]+"L After Construction: j JAY 6. N.Y State Construction Classification: N.Y. State Use Classification: 7. Property Owner: # 4TEL Address: 47 ( (gf. Zia Phone# 'ja-OEE�;Z'Cell# email:J91FT EWaW&6j WL-4Wf 8. Applicant: Address: Phone# Cell# email: 9, Architect: ��' 1 �/ Address;t5'�� RN4 Phone# Cell � �, ��Il6 email: •W/_4 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: 1,;� J M4W_L)�4 , )-',f&A4A Phone# Cell#ql 777-Z3377 email: 12. Estimated cost of construction $ �`► q loco (NOTE:The estimated cost sliall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may he donated gratis.)13. Job Timetable: Start: 31112 Z Finish: S 131 Z (1) R/1 V2021 BUILD I t MENT © E CM v E ViL OF, Rv, OOK FEB 2 5 2022 938 KING i`F:r' RYE B►t ,NY 10573 VILLAGE OF RYE BROOK 27 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: 1, =�-� Lr2 , residing at, 17 per/ (Print ntnx4j (Address rvhM YOU Iivei 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; (o tAAF, , 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. / I A;7 ;1� ( igrtatur U ropeat) wnr 4}) (Print Name of Property Owncij(:)) Sworn to befo me this day of ? , 20 2 J (Notary PLlbk) SCOTT J.GOMVE NOTARY PUBLIC OF NEW YORK (,) SCOTT J.GOWtD.#01GO6357188 NOTARY PUBLIC OF 14,tW% EXPIRES_/�/_ MY COMMISSION EXES��f xrivzozl 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 WESTCHESTER ) as: 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 �1Z 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. FSworn to before me this Sworn to before me this day of , 20_2— day of�JL i Sign ire of Pro a Si hire p ant Print Na f pdoperty l�ner print Name p icant sa) Notary Public Notary Public SCOTT J.GOWE SCOTT J.GOWE NOTARY PUBLIC OF NEW YORK NOTARY PUBLIC OF NEW YORK I.D.S 01G06351188 I.D.#01GO8357188 MY COMMISSION EXPIRES I.D. P75 MY COMMISSION EXPIRESYI712UzSf (4) 811,212021 General Notes PERMIT# 0 1 All work to be done according to 2 20 Residential ► g 0 eside tial Code of �• New York-State and local codes � B I_# ! r � 7, 2)All plumbing work to be done by a licensed plumber 4 3)All electric work to be done by a licensed electrician DATEAP O ED 2 4 1 4)Bath exhaust fan to vent to exterior �u l J►W,)WELL �r- L4,-nPEi�. w1L L&E TzEavr,� BUILDING INS R, age of Rye Brook,;y"M 9 sue...... ... -. -. _. -��t-toV E �lsr•�+Nr�w REVISE rGVT j��j W.dd..l�AC. 1Z�.QD � pLANS MAR 2 4 2022 EDO r K BUILDING DEPARTMENT 72 FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR HZOVI DWELLING UNIT �F�r�et.A-rr©ti � N 6 - , sc..�.1E W� FILE COPY • N�W�(INDr'7W�-I ,D m I`Y 6)ZE N 96LD CUT PO � rz - _NEW 1?25 a� A A f I i � D ARC ct 1 Z.FP. M Sri ITT Fc c MR.F 6Gk� Drawing Number R,YE )Q SMM Architect PLLC Drawing Date Z- 1/Z 2 5 Scott Circle ��,��� ��1 Scale v 4= -D OF Purchase,New York 10577 Drawn By V**1 ; !L - - ; - - - t. m 01 Alz ly � r sav LN I 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 6. ��� cf' r 9w f C-;&�D f t!44 4. MM Architect PLLC Drawing Date �- 5 Scott Circle ,.,r � Scale = / urchase,New York 10577 Drawn By ---- --- -- OF ��