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HomeMy WebLinkAboutBP23-167 S a 7 S i At CA \ \ W N r N c C, • N G � ��•TT ti p h+�l cfi a c 14 Cd a o W A O O v w a y u. : a w ( � Lei y \/ Q W Cl3 � Ln OD CN Ln 00 �0 00 0-4 t 00 cq Q x C o Q v A l� w w N co •� La '� S � N � Z V : V W z �" °� `O A a � �° v 'RI H � 0.0 co � \ W � 0 a W CuW7z = � Q 1 x �ren 0 00 0 0-4 -0 : ^ x Z x " z © ' v N 74 � y � ro W r.i O - U. J OZ �4 d w O H ° v n w z V O z Y x fJ� C? �' A Fp p � LLUI j 0 C) zd0-4 Z f- � J A w 04 O � y 4-4 u IS A a -d BUILD# I � RTMENT D �' VIL OF RVV ROOK AUG 2 2 2023 938 Kith ET RYE BRO ok,NY 10573 4 t4)939-0668 VILLAGE OF RYE BROOK laror►k.01-2 BUILDING DEPARTMENT s**#*****s+s*ss****s**s**rt#***#*+#*##**###*###rt***#*#*trt#*++ *##***##*s###*#*#***4*##*rt***##*###*#rtrt*rt**rt*# FOR OFFICE USE ONLY: SEP 2 5 A lication # Approval Date: 3 tit PP Approva► Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman. PB Approval Date: Case# Secretary: Z13A Approval Date: Case# Other: r Application Fee 00--Pb Permit Fees: AJO(D �, "FENCE / WALL / GATE PERMIT APPLICATION Application dated: ;:)-� ` BOA?) is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,construction,repair or replacement of 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: d ^ . c', ^'r/G ".��oo "r '�/ J CT -73 2. Occupancy/Use: / O,4.144 S.B.L.#: 13 S, L b Zone: 3. Proposed Fence/Wall/Gate(describe in detail): 4. Property Owner: , } d to Cot 1 r, ✓\ r t4-) kGe r 1� Address: c 0(IC [3 fOCC , N V I OS7—Z Phone# Cell �Q Lf fi) g(p-j -S 7 S!- _email:^� �u�e r'� 6?r( r ri'0 ` A •td•- Applicant: Address: Phone# Cell# email: ArchiteeLfEngineer: Address: Phone# Cell# email: Contractor: tr U i r-s c h-f, C-e. i n.40 1 I�YeS t eq ►l Address& Phone: 1 U 1 R-f yy C -I-c p1.P ;uq VA 11 dr � (0-f� 41 , ti b I 0 qi I � (16 qS)-Is0 5. If building is located on a corner lot, which street does it front on: '1 -2 6. What is the estimated cost of construction (NOTE.: The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 7. Estimated date of completion:_ Q W12023 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: J41G1r1�(� S-k-rAf( ,being duly sworn, deposes and states that he/she is the applicant above named, (print narne 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(his Ak A 0)I U Sworn to before me this day of Qc , 20a3 day of 120 re of Property Owner Signature of Applicant f l Print Name of Prop t Ou ncr Print Name of Applicanl Notary Pub 'c Notary Public VENESSA VITIELLO NQTARY PUBLIC-STATE OF NEW YORK No,01V16412798 (loolilled in Westchester County toy Cart-Alssion Expires 01-11-202`3 z 6l112023