Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutSP23-006 M a
w qM
O p N Ln o$ SA
Q G
en
'
�+ � U � w o �
O v z
co� 0 a
d Nt t- " z
C:D
00 g O to
CL
C)II*4
v �4
a
� ~ A o d x 00
� vy � � 0 W
00
w H
0
~ 1r"1 U V CG U d O
w � � �
O M z w w d od -A °
1-0
a w :z
6
BUILDING DEPARTMENT p E CIE O S
VILLAGE OF RYE BROOK
938 K-ING STREET RYE BROOK,NY 10573 JUL 2 6 2023
(914)939-066$
WWW,ryebroak.or= VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
FOR OFFICE USE ONLY: A.
ll JJ� f?
Approval Date: AUG I it � d�J�Q47 ; Application# A,�423--v9
Approval Signature: Y ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
BOT Approval Date: Case# Chairman:�
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other: \\—/7
Application Fee: -- Permit Fees: A d 5 bUE
SIGN PERMIT APPLICATION
Application dated: (/f is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the
Fa
consttuctionfinstallatio ofa si in accordance with Village Code§250.35 as per detailed statement described below.
1. Address: `3 D . ,0_ 118 /f4 r /y'd, SBL:/ 7-3 _.)__5 1 Zone: ,
2. Property Use or Business Name: C#//_D 7-/,49 F_ L- G -
3. Proposed Sign(s)(Describe in detail including number of signs,types,sizes,exact location(s).and illumination method(s)if applicable.)
(A separate Electrical Permit will be required for any associated electrical work.;
ZVO N'-- / L.L lira i�'eq-T��
if r V c 46 ffgi Gti J<L
fee = 'i12A
V, 4. Height from grade to highest point of sign: r to lowest point of sign:
Li 5. Pro e e :, i Address:
v r T
Phone# 1 Cell#_��^ email: /�Q7�gp/�i -'S�7�5/pS,�tt¢�•�
6. Applicant: Address:
Phone# Cell# email:
7. Architect/l ewdy� ,r ul ICa-s/owrk Address: y/����,I'll /ice+ 118dCfOtriil I- ft
Phone#- -70 - 121 Cell# -;''0T 5W—3 6d2g" email: pg#Jkyz_�rpAgt?Se- .",;p
8. Sign Contractor._2! ,Z' ` ;S%E7 NS Address: 77 )_07�G K/k Ave 9)15% e ?/?S A�y
,,rr /oho/
Phone# Cell# /T� y��-{] a y email:
i
8/12/2021
9. Will the proposed sign require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes: No: )!L (If yes,you must submit a Site Plan Application,&provide detailed drawings)
10. Does the proposed sign involve a Home-Occupation as per§250-38 of Village Code? Yes: No:-If yes,indicate:
TIER I:_TIER It:_TIER fII:_ (If yes,a Home Occupation Permit Application is required)
11. If building is located on a corner to which street does it front on: )?e ��� r!� ✓�
12. Property frontage:
13. Property size:Sq.Ft.: ��ry► Acres:
14. What is the total estimated cost of construction: $ o(, goal Py
(The estimated cost shall include all site improvements,labor material,scaffolding,fixed equipment,professional fees,including any material
and labor which may be donated gratis.)
15. Estimated date of completion: L(4;� 00 go �L I 4/O 7- SoONE
rr*x,e,e*xw***,►****�*,r,r*t*,t*,tit*w*,er***,►*,r,e,t,tsr**�,t*��x**r****t,r***«***,e***,t**�,�,r��,r��,�*,r*****t�****r***,r***,r*
This application 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 YOR�COUNTY OF WESTCHESTER ) as:
S c ffi S/o-)If f(being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing is 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
flr2cr k V& 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.
2
Sworn to before me this � Sworn to before me this
� 4 20 3
day of s day of J U 2o,7-3
SigfiatureSofPr O�tlD7Krrl p� �d� ' Si of Applicant
I
Ut�Kf�rf- N<eow)vA o &fill t� �a6tr� �1rc-�a - ©wHtU
nt Name of Pro erty O er Print Name of Applicant FoLs-s t�rts
Notary Public V Notary Public
A MA~ANQ
Nt"P44k ftft d Now York A.NAPUuTANO
In No. Notts►Pu ft aft of Now York
VesbcM+estet County
area March I A ` )
Z_IV County
Comnll`IN"M■018,2b
8/12/2021