The URL can be used to link to this page

Home My WebLink AboutBP23-031-VOID M N ■ CV O O ,:� �„ � U i0 M M M • kl A O O v a" y a ; .T 0 rT� • a 0 (U ,q i O 00 00 O M o Q cry A o d J o o a o w w Ld z co r Q 00 u6 z 0 w C w e a V z � Cl c7 � N a H � w .. � ' 111 o 0 0 ;: I v V p jw .n � � c • 00 � eq % �, �. W ce � ] � C r� pal � � � � � � ■ F � w t- fx �" p o o C.� x U ty�r� - , oa oa �ju c� A z O aw) > a,v 0 z a i A w z a 0 � 0 �:) v U a � c BUILD MENT 1E C E 0 VIL OF RY + OOK FEB ' 2023 938 KING ET RYE BR ,NY 10573 -0 - VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONL : ,f� Approval Date: ermit#: �(/3 I Application Fee: $ Approval Signature: Permit Fees: S / V Disapproved: Other:_ 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 ch744G a in u e,as per detailed statement described below. / Q 1. Job Address: � r I .e- � SBL: `c�1 • /73 -/tG 9 Zone:-_ 1 U� 2. Proposed Improvement.(Describe in detail): P .T( S 4.1.1 !t 5 /n Q ' `,- 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:_'*N_ Yes: If yes,indicate: TIER I: 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: Jk, Yes: (If yes,please submit a separate Automatic Fire Suppression System Pe it application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: 1 After Construction: 6. N.Y State Constructio lassificgq lle l-aation: / N.Y. State Use lassificcation: 7. Property Owner: S v;d Lo e 1 Address: y Ae ,/ oq Phone# Cell# 1�/7-4/1-37Z g email: P10 C& O 5• ca A) 8. Applicant: n J�a''y r4eC Address: /a P/i vt/ / /ou e -ro/ Q 546 Phone# Cell# �� S �3 email: rl t & S 9 co. i 9. Architect: TCA �( rie �� ^ rs�. r/ r5' Address: 7S -3S KQ cna /OS`3� Phone#_q/k-330`77t Z- Cell# email: J946Q- 651-e 4l . CoOlt 10. Engineer: Address: Phone# /Cell# email:/ 11. General Contractor: Address: I577 -F1 /S (07.0-, Phone# j, Cell# Q/4/-z-SY 57 3 email: �tt 4 Qtf _ ['o•c o.% 12. Estimated cost of construction $ ? So 0a (NOTE:The estimated cost shall include all labor,mate ial,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: 12 Finish: r/ 3 ' 2 (1} 8/12/2021 BUIf MENT F �/VILOF RY OOKEED 938 KING RYE BR ,NY 10573FEB - 3 2023 . ^p VILLAGE OF RYE BROOK BUILDING DEPARTMEN`F 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: / Q �1 1, l��'V 1 d� � �4' ( , residing at, - 1�e Ile �°�+� /�-OG j, '`r� J�i o� (- (Print name) (Address 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; Rye Brook, NY. (lob 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 Property Owner(s)) O,vA-C o \ (Print Name of Property Owner(s)) Sworn to before me this day of 6rr , 20 c9& \-7' U (Nola C Pub i I) SERINQ Nd"pyblic, State of New York No. 4884001 Qualified in ylesichester County�� Comm-ssion Expires march 2. 1 (2) 8/12/2021 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: QQ I Subject Property: /� J�Pf,c 'Y- 4q SBL: Zone: Please take notice that the subject; ❑ One or Two Family; ❑ Commercial, ❑ New Structure ❑ Addition to an Existing Structure n � F_ �W Elf Rehabilitation to an Existing Structure U `' to be constructed or performed at the subject property will utilize; FEB - 3 2�23 ❑ Truss Type Construction(TT) VILLAGE OF RYE BROOK ❑ Pre-Engineered Wood Construction(PW) BUILDING DEPARTMENT )[Timber Construction(TC) in the following location(s); % Floor Framing, including Girders&Beams(F) pi Roof Framing(R) I%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 Family Dwellings. Sworn to before this Sworn to before me this day of ,20 day of ,20 Signature of Property Owner Signature of Design Professional Print TZ pe O er z:7� Print Name of Design Professional Not 04ASSERIN Notary Public lKOterY ublic, Stale of Ne! York No. 4884001 Qnissi n iv iresCMarchr Coon N Commission Expires March 2,i1�J (3) 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 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. At to before me this � Swom to before me this day of]) �E' �, 20L_ day of �� , 20� 4.01 Az�� - /9 ie" Signature of Property Owner Signa ure Apcant p si -��o�` h I Y&V Print Na of Property Owner J � Print Name of Applicappf e Notary lic otary Public gHARON SPINA Notary Public-State of New York �ARCR 7, CMERINl7 No. 01 SP4912189 NW Public, State of New York qualified in Westchester county No. 4884001 Qvdit is westche$ter County My Commission Fspires Nov.30,2025 Commieeian Expires March 2 o� (4) 8/12i2021