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HomeMy WebLinkAboutBP23-166 ■ v wl � f• y a ena" O LW Gn ■ [� W f U v 1Y j�, s � � p �'� LL � �p-r � ■ � W �v � rT� ON env >r H W N-+ M o z00 O A o 12 v ++ M A ■ O O >� H M = A/ �a ,JjjRIT W = Ln O cn p 00 � I � c2 M1 � O G •+ 'y � ■ CA ° � Q � � • can _ Hoc, 00 w W A N 0 � o � owa V i p W 00 zo M : !0004 A U x W °c am CA. _ CS M V w � � Uilu G1 W w U C a W p zZb �o � v o o g z O W l'•' M 0 14 © cn W Ei O D� Z - � IXw ¢ C. IL o Wes ? C7 A z O 0 >� ,4 ' ° 5 .Jd Op z W C7 O � oA Wti H A o v w 2 .9T . v U am �I a W - x � � b BUILDINlq'DEPARTMENT VILLAC.i of RYA`-BROOK AUG 2 12023 938 KIN BEET RYr BI�ooIK,NY 10573 4.,. VILLAGE OF RYE BROOK �j 14 9- 668 BUILDING DEPARTMENT or FOR OFFICE USE QNLY- Approval Date: SEP Application#J Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# J Other: \\ II )) Aye= Application Fee: A66121yermit Fees: FENCE //WALL / GATE PERMIT APPLICATION Application dated: J is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,*cont,7,,tiTnrepaair 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: 1 c\\li rl\' �o r` 2. Occupancy/Use: Q `��C�. k\C S.B.L.#: — Zone: I 3. Proposed Fence/Wall/Gate(describe in detail): 4. Property Owner: 4 Address: .1'\rm x cw Phone# - Cell# 'k\1 Lk)-?-- yL3< email: �V O CAW1% Applicant: ,, Address: Phone# Cell# L10�1.-Wb3K email: '�A�Z10 @ C t� Architect/Engineer: Address: Phone# Cell# // email: Contractor: i�s 7 /' /.S-�A2!/ 1 P S i r�r,7� 1-4 Address&Phone: 7 7 7 ��1J7�' 9K� ✓/e[�. �7� `'`i''f` /1\�y g _ — 1p 5. If building is located on a corner lot,which street does it front on: 6. What is the estimated cost of construction 3 Wo (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fined equipment,professional fees,and material and labor which may be donated gratis.) \\ 4 hh \ 7. Estimated date of completion: £�\ i 6/112023 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: 1fix_k x� tname 197�t Z �� ,being duly sworn,deposes and states that he/she is the applicant above named, (punt 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. tqSworn to before me this Sworn to before me this day of t , 20�� day of t.R-d ril,'� , 202,3 k4ot-� Signature of Property Owner SignaIbre of Applicant Print Name of Property Owner Print e f A Iica ry Public ry Public S}{ERI S.PADERNACHT �y PUBLIC,STATE OF NEW Y SHER13.PAAERNACHT No,o1PA5035809 talARY PUBLIC,STATE OF NEW YORK ousll w in Westrci No><10 C.J�� No.01 PA5035809 C""mission ExP ovelffied In Westchester Counly gdyCommission Expires Nov.14.Z(:2_L 2 611/2023