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HomeMy WebLinkAboutBP22-212 . i N c c .r Lb a � w y � O F _i H V © a ►-i O U v y C Fi A qy� 0-4 Q � ~ (� ow In ai •"' � 0 � _N f� 3 z yISs r-4 Q 4� S U _ Lr) O ° 4.4 e A E. lu 00 ON o � C4 �j Lei o o a i N Z w I ICI �' C1 F� M W LL O w W ' " N �+ ' dS7 Vol 0 o ,. 40 QU 9 CA W w Wz 6 $ � c4 0 0 v Q W � ,� A w � o ° � � � � � � •� � a 14 14-1 A 8 c 2: v� t� V U P: , ' I"I v o � w3 C7 A z O av' > a jy J � � z a Q Qd . .c ° P a z .. o -C W CO Uj O U p a u PE I 1 W �0- :4 Q t O BUILD G DEPARTMENT VIL O F R. ,:$ROOK 938 KIN EET RYE BI�`oK,NY 10573 jj 14 9-06d8 or FOR OFFICE USE ONLY: ; Approval Date- Permit# �'w+ Application# � 77� Approval Signature: ARCHITECTURAL REVIEW BOARD: laisapproved: Date: / BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary ZBA Approval Date: Case# Other: /} ; Application Fee: "P Jf Pb Permit Fees: FE//NC�E�/ WALL / GATE PERMIT APPLICATION Application dated: �j(p Ca4' is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,construction,repair or replacement of a Fence,Wall or Gate,in accordance with Section 250-6 B.(1)(g),of the Code of the Village of Rye Brook,as per detailed statement described below. Swimming pool fences must conform to the State Code. 1. Job Address: dY� TG VY k o ct A 2. Occupancy/Use: -{OAM i1q S.B.L.#: 13 S — Sod --2 Z Zone: /Z- 3. Proposed Fence/Wall/Gate(describe in detail): If,r,0 p 1k� ✓zu ✓ate V N rP mtG� s16.�-Q rc s 4. Property Owner: L'S---� Address: (e,Y �Gt lYt Q arR G� Phone# *'5-'-&( 3 Cell# email: " YVS1t.IeJ,-3-7V aa.cn" Applicant: L.Q.'SJ(40 Address: Phone# Cell# email: Architect/Engineer:-/Waw© /Pal oe L'A 0 19/,q a)yl/)'►L(,rtl� �f l�f �I�I Hf� Address: q3 (,vpa#lx A Phone# Cell# email: C"►PuI Contractor:Gt PS f 1,hoS{z &ejaC1 Gg 1� �)`t B( �' % QQ e/rt./ i'ar/o/7 Address&Phone: 5. If building is located on a corner lot,which street does it front on, 7/ 6. What is the estimated cost of construction ( O (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated"gratis.) 7. Estimated date of completion: Yq 1 1?4 ZZ 1 8/12/2021 Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: z_sl l G AOSa It 5 ,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 l(LCSfzI-es'f 4i G2 tos" &SQ J fk1 for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That al I 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. Sworn to before me this S Sworn to before me this �S day of Je-j?Jem day of ignature of Property Owner Signature of Applicant LDS�t-e _ 1 Sk /tJ Les &.S' e-j fPrinta of Pro caner Print of Applican'.�) blic otary Public Lynda Derenzis Lynda Derenzis Notary Public-Connecticut Notary Public-Connecticut My Commission Expires My Commission Expires November30,2024 November30,2024 2 B/t202t