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HomeMy WebLinkAboutBP23-017 N '+• v o F+ 1 N N `/ (n ad a = F O Z : 9W 3 P,44 x so c% U � o z x o � g 1L y, 4 y oRE CN o •o �J n Q p d u p a v" Lin v G O i-4 0 v G CfJ Z n N 5 �T pp r O M Q q © v 'n co v o., w o O 00 u 0%4 CA ® o c � � � V = W A z � o WrTl ce x � � a� o • oo w J 3 A G4 W M w1-4 o a � vvao o C Q W z p OZ z y� v z W � � 0 �2 1-4 Je 0 -0 BUILD TMENT D A 1LL OF ROOK JAN 1 7 2023 938 KINd, T RYi B NY 10573 VILLAGE OF RYE BROOK r BUILDING DEPARTMENT FOR OFFICE USE ONLY: ,/� Approval Date: FEB ? P # le � Application# Approval Signature: ARCHITECTURAL.REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: r} Application Fee:C jr Permit Fees:`4 37L �60& ` FENCE / WALL / GATE PERMIT APPLICATION Application dated: / / 2 43 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,construc ion,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:`M y C464_�� _ 2. Occupancy/Use: S.B.L.#: f C)1 9r -210-1—I Zone: 3. Proposed Fence/Wall 1 Gate(describe in detail): jj� � VA.Cre- u 1 Q 4t4_ l�VLA WA]1 t kJ4t [1 3 4. Property Owner: �t h�t� Address: Phone# Cell# email: Applicant: Address: Phone# Cell# email: Architect/Engineer: Address: Phone# Celll# email: Contractor: �u lM tiSC�t C Address&Phone: IL11 bu i I l-1h 7v f C , /V 5. If building is located on a corner lot,which street does it ont on: - �7-,5;--Q/q— 6?7 — 6. What is the estimated cost of construction (NOTE:The estimated cost shall include all site ilnwvemekts,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 7. Estimated date of completion: t 8/1212021 ` 2,q �S �•x�-r�{�� �i - �3 e'er 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 YOM COUNTY OF WESTCHESTER ) as: 46 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 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. Sworn to}before me this j Sworn to before me this 3 " day of,JAuu , 20 day of- , 20 Z Signature of Property Owner Signature of Applicant � 04 Print Nq of Pro Owner P&otMyPubr/1i Applicant o Public LAUf1A J DtLUCA � + NotaryPublic-State of New York L4URA J DELof N Ftary Public•State of New York NO. 01 DE4998586 NO. 01 DE4998586 Qualified in Westchester County afifled in Westchester C unty My Comm. Expires June 29,A mm. Expires June 29, 2 811212021