HomeMy WebLinkAboutAbandoned Application BUILDING DEPARTMENT
VILLAGE OF RYE BROOK D C E O
938 KING STREET RYE BROOK,NY 10573 DI
SEp 2 5 2019
(914)939-0668 FAX(914)939-5801
wiv-vi'.ryebrook.org. VILLAGE OF RYE BROOK
l BUILDING DEPARTMENT
INTERIOR I I IT APPLICATION
FOR OFFICE USE ON :
Approval Date: r 't Application Fee: $
Approval Signature: Permit Fees:$
Disapproved: Other:
Application dated: September 9,2019 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: 16 BelleFaire Blvd, Rye Brook, NY SBL: 124.73-2-25 Zone: POD
2. Proposed Improvement.(Describe in detail):
Legalization of basement;construction of exit well/closet
3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook?
No: X Yes: If yes, indicate: TIER 1: TIER II: TIER III:
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: Yes: XX_leg ization of previously-installed system
(ifves,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed em*incered plans)
5. Occupancy;(1 fam.,2 fam.,comm..etc...)Prior to Construction: 1 fam After Construction: 1 fam
6. N.Y State Construction Classification: Type V-Protected N.Y.State Use Classification: Residential
7. Property Owner: Linda and Paul Tyler Address: 16 BelleFair Blvd, Rye Brook, NY 10573
Phone# (914)356-2138 Cell# (617)501-6372 email: Imtyler@optonline.net
8. Applicant: Nice Touch Remodeling Corporation Address: 261 Broadfield Road, New Rochelle NTY 10804
Phone# Cell# (914)438-9992 email: nicetouchremodeling@hotmail.com
9. Architect: Gregory Lewis, LEWIS+LEWIS Architects Address: 753 Forest Avenue, Larchmont, NY 10538
Phone# (914)315-6323 Cell# (914)413-3693 email: Gregorym.lewis@hotmail.com
10. Engineer: Not applicable Address:
Phone# Cell# email:
11. General C3,QQM
tracttor: Nice Touch Remodelin Cor oration Address: 261 Broadfield Road, New Rochelle, NY 10804
Phone# Cell# (914)438-9992 email: nicetouchremodeling@hotmail.com
12. Estimated cost of construction $ aF5,mO
(NOTE::'fhe estimated cost shall include all labor.matenT,scab,ldi e tied equipment.professional fees.and material and labor which may be donated gratis.)
13. Job Timetable: Start: Oct. 15,2019 Finish: Jan. 15.2019
(1)
3121/19
BUILDING DEPARTMENT Q /1
VIL).AGE OF RYE BROOK �J---�
938 KING�Tit'EET RYE BROOK,NY 10573 S 5 2019
(914)939-0668 FAX(914)939-5801 Lr
ir
"'wwxviebrook.or2 VILLAGE 0 F RYE 9ROOK
BUILD'NG UEPARTN;Et�1T
AFFIDAVIT OF COMPLIANCE
VILLAGE CODE §216 ESTORM 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:
3l, Linda or Paul Tyler , residing at, 16 BelleFair Blvd, Rye Brook, NY
I Print name) (AddreMhere\ou lip 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;
16 BelleFair Blvd , Rye Brook, NY.
(Joh 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,i'ropert%
v� -PA 0
(Print Name of Property 0%%ner(s))
� S
Sworn to before me t WS
day of )�` 20 �1
MICHAEL A. NAPOLFTANO
Notary Public,State of New YWk (�)
Reg. No. 02NA4888W5
Quelitied in Westchester Cou
Commission Expires March 16, 3121/19
This form must be properly completed & notarized by the Design Professional of
record and the Property Owner. Failure to provide this completed form with your
permit application will delay the permitting process.
Notice of Utilization of Truss Type, Pre-Engineered Wood,
or Timber Frame Construction.
Title 19 Part 1264 & 1265 NYCRR
To: The Building Inspector of the Village of Rye Brook.
From: Gregory Lewis, LEWIS+LEWIS ARCHITECTS
Subject PropertX: 16 BelleFair Blvd, Rye Brook, NY SBL: 124.73-2-25 Zone: 02
Please take notice that the subject; X One or Two Family; ❑ Commercial,
❑New Structure
❑Addition to an Existing Structure
XRehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize; Not applicable
❑Truss Type Construction (TT)
❑Pre-Engineered Wood Construction (PW)
❑Timber Construction (TC)
in the following location(s); Not applicable
❑Floor Framing, including Girders & Beams (F)
❑Roof Framing (R)
❑ Floor Framing and Roof Framing (FR)
Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or
building utilizing truss type, pre-engineered wood, or timber construction must be posted with a
Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings,
and NYCRR§1265 for One &Two Rinifly Dwellings.
Date Design Professional
Date
tN6.tary
er
i -L
Date Public
(3) ,A 1(:HAEL A. NAPOUTANO
!votary Public,State of Now yroak
Reg. No. 02NA48SOM
Qualified in Westotmaw Cou 3/21/19
Commission E)q(rn Maft Kttp;p
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 YOM COUNTY OF WESTCHESTER ) as:
,lean Pereira 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
Contractor 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 pse
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 theNew 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.
S�
Sworn to before me this �/ Sworn to before me this ID
day of � , 20 ( `7 day of Q rojf , 20/ C,
V*y4k h�x� ATn
Inature of Property Owner re of App scant
.F) OqLt� x )wv� i,Z
Print Name of f roo Owner Print Name of Applicant
Notary Public UNotary Public
I.-A'AW;V-4bt
MICHAEL A. NAPOLITANO MARIA C KOTLAR
Notary Public,State Of N"Yorlt V I'ubliC-State of New York
Reg. No. 02NNA 8OW5 1'40. 01K06239253
Q'i-alii+hd in Westchester Count
Qualified in WestCttes�er Y Y
C ;-/mission Expires Match 16.
t_dmmiEsion Expires Apr 18,
(4)
3/21/19