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HomeMy WebLinkAboutBP23-210PERMIT # %01�--0� /0 DATE. `d �), ),3 c� c� SECTION J3 5, (o (7) RI nru / f%T �'I TYPE OF WORKz,,eqall JOB LOCATION OWNER/ CONTRACTOR EST. COST %W %O/cO # TCO # FEE DATE U/02 r Uc1�c��ie�nQ� rCl/ INSPECTION RECORD DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT ALARM 0 AS BUILT E FINAL =FIa 3 �N3 /� 9/GlieS�c/iPs�es /°%-�r3 - a OTHER APPROVALS ARB BOT P$ ZBA OTHER VILLAGE OF'RYE BROOK WESTCHES9W COUNTY, NEW YORK �,�. j NO: 2-I-001 Certificate of ®ccupa.u.cp 'This is to certify that of, c)k having duly filed an application on JQ/7/J(QyU 9 20 c2 requesting a Certificate of Occupancy for the premises known as, Rye Brook,NY,located in a �"7 Zoning District and shown on the most current Tax Map as Section: J�. ��Block: Lot: V , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. C;?13 "6?/0, issued 20 23 such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications,Use: /p 'r—Qom')/ /'!x Construction: for the following purposes: �QQ I I Z E3� ��� Su "�OGnm Vic_n�o-I-h y-o0 m F V40 hen Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height shall be e,n e building be moved from one location to another until a permit to accomplish such change has been tain fr Building Inspector. Building Inspector,Village of Rye Brook: Date: d AN 0 8 2024 F )IZ For office use only: JAN - 2 2024 BUtLD►�fE T ENT PI.RMt t a --a/o VIL A OF.RYE OK ISSUED:/�o1c1—c�3 VILLAGE OF RYE BROOK 938 KING STRE ZvF;13RooK, V YORK 10573 DArI:: - -a BUILDING D;EPARTMENI I 9 -06 , O` FEE:4( / /p —_PAIDAIi. APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ............................................................................................................................. Address: \ Z1\-)t Occupancy/Use: Parcel ID#: l3J�i�� --� _ S-(D _ _Zone: _ Owner:( q OC.,-, Address: P.E./R.A.or Contractor: Address: Person in responsible charge: /— Address: /r Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: D OC`(a being duly swom,deposes and says that he/she resides at)Q 60n , LC Q IP in[Name ofApplicant) I --- 1 0lmdltreetl in U 9�Wa Yf. 0 i in the County of R=L w ,r�c� in the State of 01 that �lh/lo�cp[ 'tllagcl he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S\9 100 for the construction or alteration of'Rct-N-�[^r� t- C;�e►p—>t (�nc._ i14 ;cam Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful loran owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-IO.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of �� e. C •2Q day ofbe C. ,202-3 J (�vl�-ems of Properly O%cner Signature of Applicant IoNI \ \No Print Name of ProperNOccner Print Name of Applicant Notan Public ON o TONIE ANN WANGELO NOTAK� p4liot,l �5tl` OF NEW vOflK 1Vn '+�ynA,CZ27RgR tJOIAHY PURL IC-STATE OF NEW yORK r r 1 cl t I No 01DA6327996 r Qualified in Rockland County _ -• - „�a -r-2027-1. My Commission Expires 07-27-2027 i 4Rnv� Q 913 BUILDING DEPARTMEN T ❑BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑ VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 ❑ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAx(914) 939-5801 - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - - L ADDRESS: A 6V \> DATE: PERMIT# ISSUED: SECT: BLOCK: 1 LO&O LOCATION: F' �1 CYI OCCUPANCY': ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION \ REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE \ O ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING 0 ROUGH FRAMING 0 INSULATION ❑ NATURAL GAS ❑ L.P.GAS 0 FUEL TANK 0 FIRE SPRINKLER ❑ FINAL PLUMBING ❑ FINAL ❑ OTHER b _ NPLO N w � lz 0 ~ w rA x o W v l--iLn AID � w N O 010 �i " � 4 E00 ��0 .0 O 0.4 v � O w ' ^ 00 W U �` ° q p V A u F7 "o O �i V z v v v Nen w A ^ 'm o . '"" � c p ►-.� � x � � -� as N - 0 .. v cf .� °00 eke P14r� r C zZ o u USA ° F-1 � � z P. .O v ca v c� il W. V a, O VJ z M o ~ a w z x •. 9 .13 ✓ W u v W OF � y 4 . > w a a = a BUILE� MENT Q V[L E OF RYE lf�ZOOKJD NOV 2 7 2023 938 KING ET RYE B1100k,NY 10573 i 939-0668AFO VILLAGE OF RYE BROOK ok.or BUILDING DEPARTMENT **************+****++****+s*******+******+****++++*****+t*+war****+**+**++**++*****+***+***++*+********++++s* 1-014 011 R I: t fit: ONI.1_: a/�.�'J/ � �ppro�al Uatc: mit Application # Approval 5iguatur-e: ARCHITECTURAL REVIEW BOARD: Date; BOT Approval Date: Case# Chairman: PB Approval Date: Case# : Secretary: ZBA Approval Date: Case# Other: Application Fee:, — Permit Feesrt�� EXTERIOR BUILDING PERMIT APPLICATION Application dated:�/�a7 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. JobAddress: r-� 2. Parcel ID#;_3,, Q — — Zone: — / 3. Proposed Improvement(Describe in detail): -ed c, 0� �tQ CS 0 4. Property Owner.-Z[k1_!N" k%Q� !�(1 Address: Phone# CelleL a-mailjc�.IC,��r ,c ,l List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Address: Phone# Cell# e-mail (I) 6rl rzoz3 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: l Qr"k-%" Post-construction: 6. Area of lot: Square feet: Acres:.1 A 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 11,fl: 2"d fl: 31d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: l I fl: 2nd fl: 3`d fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y.State Use Classification: 14. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. 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 1 Hood,etc...) Yes: No: (ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq,ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Area: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: (ifyes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER 1: TIER ill: TIER III: (if yes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: $ 15 /00 Note: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.lfthe final cost exceeds the estimated cost,an additional fee will be requiredprior to issuance of the CIO. 30. Estimated date of completion: (2) 6/1/2023 DECENE BUILD DEPARTMENT VIL E OF RYE BROOK NOV 2 7 2023 DD 938 KING ET RYE BROO ,NY 10573 VILLAGE OF RYE BROOK 14)939-066, � BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE 4216 • 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; j1, �)Q rn C. Ki e m or-% , residing at, LOX-)6,_ Cx—Uf\G_ 5a (Prim nanlc) 1Addrr, Mwhrrc uu 1i el 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; 1�D q\\(A g- �\J 6 , Rye Brook,NY. (Job;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. I5i rnl,�crq rhrnerls)1 r,C, . I Print Name of I'mrerl} O��ner(s)1 Sworn to before me this c — day of N a V3 IN"'�"� �6�L ANN D'ANGELO NOTARY PUBLIC-STATE OF NEW YORK NO-01DA6327996 Quatitied in Rockland County My Commission Expires 07-27-2027 (6) 8/12W21 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also 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. *kkk*kkfi*,k**rYk*iR***k**#***N,tfi,Ykkk*********kk**NN*Nfi****k*NNNN**Nkk NNNNkNNkk*NN/,*Nkl,k**NNk*kkk*NNie Yk*ir it*k*N STATE OF NEW YORK.COUNTN'a'WESTCHESTER T , being duly sworn,deposes and slates that he/she is the applicant above named, (print name orjw1%idtud signing as the wlicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the application. for the legal owner and is duly authorized to make and file this ondtcate anhitRt cvmractor,agent,attomey,etc.) That ail 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 anv 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 propem'.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. Swornto before me this � 7 ` 1 Sworn to before me this dayof I�i?VP � . 20 --Q day of 20 .y �? r'tifYroperty punier Signature of Applicant C -Crn C Print Name of Property Owner Pnnt Name Qf Applicant Notan,PabGc Notary Public N!C©LE &EIiMUDEZ NOTARY PUBLIC-STATE OF NEW YORK No.03BE0013100 Qualified in Rockland County My Commission Expires 09-05-2027 N , N W ' z N N w z Ln Ln I ccn w W O o 0.41�0 CA a v x ui 1-4 CN g `� cp E-� 0 p x x N H 010 O ' { Mz g Az a ' ov Ill O W 00 0 � (<� � "cn • '� W N ] O W o W z IZ 00 o V ' O O et W O 'o Z Ra w o Z \ � z w , oLn N Z op mo F•. 11 l W Z o� { 00 cn A o `n 5 � Mi < I U W W w z H o � (7 A �j c Z o cn A p a W Vg x O V W oW ~ az a w A aAW o09�a U. z o a �4 H 0-4 R �� � 0W DEC 19 2023 BUIL E >I MENT VIL .E OF RYE ,QOK VILLAGE OF RYE BROOK 938 KIN I f RvI.I3 ,NY 10573 BUILDING DEPARTMENT w � .o ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: ���'a 0 EP Approval Date: DEC Approval Signature: Permit Fee:S ******ss*4*Oth** ***++*s**s*ss*sssss***s********r+*+ Application dated, 15 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work Performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address:� d 1 p _& 2.Property Owner: — SBL: `�(�Zone: t m Phone#: (_LC Address: ��e.�\v� bj_ S ✓ �.iy ICIS L3 Cell#: 1 35-8` d 3 __email: 3•Master Electrician/Licensed Installer:, — �- Address:IIIL \.14�1`h `} _Phone#:� - D�jD Cell#: 14 Chtsrt�,e ,J �O - �_.5Z�_email:CH t tc W In brj .C Company Name: Ir Tn r _ sCy Address: h �.keF,,�• 4.Pr sad Electrical Work/Fixture Count: —PCWA Comte v N 4e-n —- �� po M 5.31'Pam Electrical Inspection Agency: -- STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: �� r U L `"__V__S_e Ljc- ,being duly sworn,deposes and stales that he/she is the applicant above named,and does further (print name of individual jigning as the applicant) state that(s)he is thci!Ap/ E 1 PC-rri ictn for the legal owner and is duly authoriuud to make and file this application. (Mader F.Icctrician/Licensed Installer) 7hc undersigned further states that all statements contained herein arc true to the lest 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 194'" da of Sworn t before e this q sec ember ,20�� day of 20 3 titre of Property Owner ure of Applicant Gn c k t r�on 11% /—L�Jt" 2Prinl&ef Propert 6 y —L�G � Print ame,q pplic t ` Notary Public NICOLE BERMUDEZ r tllN1 c NOTARY PUBLIC-STATE OF NEW YORK I �Ypt�p,�ofMmf k No.01 BE0013100 U&Mtt�00o Oualified in Rockland County coma"*ru Iw Veewrew My Commission Expires 09-05-2027 °o""r82b"E"'"* m� 3/3/2W, STATEWIDE INSPECTION SERVICES, INC. Service Willi InlegrilY 1:1 Main Street, Fishkill, NY 12524 1 ennoil:• • SWIS JOB APPLICATION :4 1 914.219.1062 • • Office Use Elect.Permit# l ?_ � Date Of J ( ( a Bldg Permit# Utility ID# Final Certificate# City/Village Zip Township County , T Address ' / ,v 1 Cross Street Section Block Lot Owner Name/Address(If different than above) (�{ Contact Number ❑Basement ❑ 1st Fl. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection Re-Inspection Additional Information 1'tom -Q r� �o��Q✓ �d�til r DEC 19 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name ; ti Date f 3 r Signature- Address, E �ILt S k' City/State. f 1(t I' t 1pc_ � N' Zip Code I JS License# / 1 1 Phone# t ,, ::, _ G W L17-�' 9 State Wide Inspection Services 11 1080 Main Street JAN — 2 2024 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING Ds=PAKTMENT Email: ofFice(�Oswisnv.com - Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: La Bella Electric Inc. DOPM LLC Jerry La Bella 16 Ridge Boulevard 145 South Main Street Rye Brook, NY 10573 Port Chester, NY 10573 Located at: 16 Ridge Boulevard, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-262 135.60 1 5o Certificate Number:2023-9313 Building Permit Number: BP 23-210 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 16 Ridge Boulevard, Rye Brook, NY 10573 The First Floor Kitchen, Powder Room,and Back Porch were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 29th day of December 2023. Name Quantity Rating Circuit Type Kitchen Light 01 GFCI 03 Receptacles 04 Porch Light 01 Switch 01 GFCI 01 Name Quantity Rating Circuit Type Bathroom GFCI 01 Light 01 Switches 02 A Visual Inspection of existing conditions was performed on December 291h,2023,of the First Floor Kitchen, Powder Room,and Back Porch and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. i�...�LL ... Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Page 2 ■ CIA N N rl � M N N W Ln V-4ON W bd v w W 60 O z p F �i Z ° z 0 z w o 00 it p oco c`�n woc0-4 O w w u z can z o ~Z N �z wW z 3 A 0-4 . zp� N Ln � N ON Z � �re) azZ �W 0) 0-4 w z p v a a w � a CA z a W z A o � w 0 � MR- ID ' BUIL E \ MENT DEC 2 2 2023 VIL E OF RYE OK 938 KIN ET RYE BR ,NY 105731 VILLAGE OF RYE BROOK 68 BUILDING DEPARTMENT wt�vvyh�yebrook.org _ �� PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: 3 -a i PP Approval Date: _ Permit Fee: S 3DO- "6A Approval Signature: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated,/ a—ola 1-43 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: l I /Z wic X G v Q SBL: /35-,,6Q—4—5-0 Zone: 2.Proposed Work: 13A 120/"z -= /-z- i %C 3.Property Owner: �,�,�� l�//y/�'✓ Address: Z6 Phone#:g/L� ZS=�f�/� 3 Cell#: 9/ email: 4.Master Plumber: Address: /90,�,/7 Ave Lic.#: 73 57 Phone#: G( I tl �,6()' /51 a#: q1" ;w /57y2 email: ��4Z(i/JPGCI� Company Name: L,_&J LU-6k, A-I-A/Z ,,'�eL-Address: INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor / 31d Floor 41'Floor 5°i Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) r 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: �Q1f1n V k'krA rf-" ,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 Master Plumber for the legal owner and is duly authorized to make and file this application. 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 -2J 74 Sworn to before me this day of �i�/�1 ,20 2J day of 0 3 Stgna ure of Property Owner Signature of Applicant 7c�i1c, 1�' ncc, 14t k—e �� Al Print Name of Property Owner Print Name of Applicant Nota Public Notalic ry MOALMfd DANIEL D T AQW y PuNc,$t W e}Neon►York Notary Public,State of New Ybrk h:0.01(N0�011t QWWIeddQin 2We�hes e 3 CouVr:_,>„t`Ied Stt 4rUes13d1fid�ef(3Y won April20 .,itt Expires August,� �0 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. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 10/30/2023 BUILD MENT VIL E OF RY OOK DEC 2 2 2023 3D 938 KING ET RYE BR ,NY 10573 C 4 -0 Y VILLAGE OF RYE BROOK ro l ar _ BUILDING F'r4,RTMENT \• AFFIDAVIT OF COMPLIANCE VILLAGE CODE 4216 • 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: , residing at, \G �—�, , LLlr� ��,rci .►J` 1 �V�t (,Z (Print name) JAddress 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; l�C�cGy_ %\yC\ g4=;. (�cy�\` , Rye Brook,NY. (Job 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. V 1. ire of Property Owner(s)) (Print'Manic of Prohcrt\ (h�ncrl.11 Sworn to before me this '70'(4` day 20 DANIEL D TARTAGLIA Notary Public,State of New York No.02TA6323493 Qualified in Westchester County Commission Expires April 20,202? _;_ 8/12/2021 Building Permit Check List&Zoning Analysis Address: .�[. ���(:� sBlr � Zone: Use: Z 1 0 Const.Type: Other. Submittal Date: (I 2-1 Revisions Submittal Dates: Applicant Nature of Work. 6 _G ls t U(- t-� Reviews:ZBA: Z 1 2�'PB; BOT: Other. ICED OK - (L)� FEES:Filing. �W BP Flood Plane: Legalization: ( ( ) APP: Dated: Notarized SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening ( ) ( ) ENVIRO:Long. Short Fees: N/A. ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. SURVEY:Dated: Current: Archival:- Sealed Unacceptable: ( ) ( �4LANS:Date Stamped: Sealed Copies: Electronic Other: ( ( ) License Workers Comp: Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dared: N/A. ( ( ) HIGH-VOLTAGE ELECTRICAL.Plans: Permit: N/A Other. Perniit ( ) ( ) LOW-VOLTAGE ELECTRICAL Plans: N/A: Other. ( ) �) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other- PLUMBING Plans: Permit Nat.Gas: LP Gas: N/A/ Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK Plans: Permit: Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other; ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approvaL• notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approvaL• notes: REOLMED EXISTING PROPOSED NOTES APPROVED Arm Cog' Data!&1W Fr n Front: Froru Sides: R-ear. Main Co Accs.Cow Ft.H S S .HS • S,Fa T Itn : Fc Imp P Hcight/Stories notes: /i - N � O �E BRC�k • 1982 BUILDING DEPARTMENT QBUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street - Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : , -` `` , ` \ DATE' PERMIT# ISSUED:` SECT: BLOCK: LOT: LOCATION: ` \� Ste- OCCUPANCY: ❑" Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION j REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas b� t ❑ L.P.Gas ❑ FUEL TANK ❑ FIRE SPRINKLER � C C�6 ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER - c ` `.ice �\J �,_:r i +j� ♦ 1 J fir,,- �`�' '� �c �_ \l '.z_C t . , 11/17/23,10:39AM 16 Ridge Blvd,Rye,NY 10573 1 realtor.com® < 16 Ridge Blvd d LJ ALL photos Map Floorplan Exterior (9) Bathrooms (3) Kitchen (3) Living roc PM i i 1 "^ https://www.realtor.com/realestateandhomes-detaiVI641i kje-BNO_Rye-Brook NY_10573 M40848-39625 1/4 �srRp CREEP fElfr /�%'.i '• CREEP snoop t ,t • t CNN ` t Aiw 9 i OCCIDENTAL FIRE & CASUALTY COMPANY OF NORTH CAROLINA Policy Declarations A Member Of: MINSURANCE GROUP Policy Number: Statement Date: CUSTOMER SERVICE NYDB45188000 June 1,2023 For Policy Service Named Insured: Producer: Call Your Producer: DOPM LLC E2000OG (855)721-9251 19 GARRY LN GEICO INSURANCE AGENCY LLC ORANGEBURG,NY 10962 PO BOX 9503 For Claim Service (914)325-8423 FREDERICKSBURG,VA 22403 Call Occidental Claims- danakiernan®gmail.com property-occidental@geicomail.com (877)842-0227 Additional Insured: Agent of Record: or file a claim online None SAGESURE INSURANCE MANAGERS LLC www.MySageSure.com PO BOX 12999 TALLAHASSEE,FL 32317 For All Other Inquiries: (800)481-0643 Policy Period: Residence Premises: Transaction Type: New Business May 31,2023 to May 31, 2024' 16 RIDGE BLVD RYE BROOK, NY 10573 Trans Effective Date: May 31,2023 ' 12:01 am local time at location of the residence premises Trans Amount: $ 1,645 Your Insurer: OCCIDENTAL FIRE&CASUALTY COMPANY OF NC TOTAL POLICY PREMIUM $1,645 4200 Six Forks Rd Suite 1400 This is not a bill,you will be invoiced separately. Raleigh,NC 27609 This insurance applies to the Described Location,Coverages for which a Limit of Liability is shown and Perils Insured Against for which a Premium is stated. Policy Coverages and Limits of Liability: Policy Savings: "Coverages": Property Coverages Limit The following credits and discounts reduced your total A. Dwelling................................................................ $396,000 policy premium: None B. Other Structures................................................... $39,600 C. Personal Property................................................ $0 Policy Deductibles: D. Fair Rental Value& E.Additional Living Expense $59,400 In case of loss under Policy Coverages, we cover only that part of the loss over the deductible stated. L. Personal onal Liability-Each Occurrence.................... $500,000 Section Liability Hurricane (2%of Coverage A)................... $7,920 M. Medical Payment to Others- Each Person........... $2,000 All Other Perils........................................... $2,500 Water/Sewer Backup................................. $500 Mandatory Forms and Endorsements: Fees&Taxes: DP 00 03 12 02-Dwelling Property 3-Special Form NY Fire Insurance Fee............................... $0 DC0721301 03 12-Act Of A Tenant Or Guest Of Tenant Exclusion DC0721303 03 12-Lead Abatement Provisions-NY DC0721305 08 22-NEW YORK MANDATORY SPECIAL PROVISIONS DL 24 01 12 02-Personal Liability DL 24 03 12 02-Personal Liability Endorsement Schedule DL 24 15 12 04-Workers'Comp Certain Residence Employees-NY DL 24 16 12 02-No Coverage For Home Day Care Business DL 25 31 02 10-Special Provisions-NY DP 16 10 01 09-Water Exclusion HCO700014 0615 Page 1 of 2 OCCIDENTAL FIRE & CASUALTY COMPANY OF NORTH CAROLINA Policy Declarations A Member Of: MINSURANCE GROUP Named Insured: Policy Number: Statement Date: DOPM LLC NYDB45188000 June 1, 2023 Policy Forms&Endorsements: Limits of Liability($) Increase Total Premium($) DC075191 09 15-Special Provisions-NY Included Number of Consective Days:30 DL 24 11 12 02-Premises Liability-Non-Owner Occupied Dwelling Included 16 RIDGE BLVD RYE BROOK,NY 10573 Number of Families:1 DP 05 31 12 02-Modified Functional Replacement Cost Included DC0710301 03 12-Corporate Owned Property Included DC074171 03 12-Hurricane Windstorm Deductible Cat 1 or Higher-NY Included DC0700001 03 12-Hurricane Windstorm Deductible Advisory Included DL 24 89 07 21 -Cap On Losses From Certified Acts Of Terrorism 0 DP 05 38 07 21 -Cap On Losses From Certified Acts Of Terrorism 0 DC075171 03 12-Limited Fungi,Mold,Wet or Dry Rot,or Bacteria 20,000 Included DP 04 63 12 02-Loss Assessment Property Coverage 1,000 1,000 2 DC075131 03 12-Water Back-Up and Sump Discharge or Overflow-NY 5,000 5,000 100 Mortgagees&Other Interests: None IN WITNESS WHEREOF,the Company has caused the facsimile signatures of its President and Secretary to be affixed hereto, and has caused this policy to be signed by an authorized representative of the Company. Occidental Fire&Casualty Company of North Carolina June 1,2023 David G. Pirrung Michael Blinson Countersign date President Secretary HC0700014 0615 Page 2 of 2 Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 112, 3 or 4 Family, Owner-occupied Residence "This form cannot be used to waive the workers'compensation rights or obligations of any parry." Under penalty of perjury, I certify that I am the owner of the 1,2,3 or 4 family,owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific prm)f of workers' compensation insurance coverage for such residence because (please check the appropriate box): ❑ I am performing all the work for which the building permit was issued. ❑ I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work for which the building permit was issued or helping me perform such work. I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite)for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers'Compensation Board to the government entity issuing the building permit i f I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit,or if appropriate,file a CE- 200 exemption form;OR i ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for,provide appropriate proof of workers'compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit. v i Z-2..10- ?3 (Signature of Homeowner) (Date Signed) Ov -�c., Li er'��ceN Ilomc Telephone Number C) 'Lill (Homeowner's Name Printed) Sworn to before me this ( dqy of i Property Address that requires the building permit: �_-- , y (�unrjl (lrlf41�1V�oiR ---- —c)---- Z�.� 1 NOTARY PUBLIC-STATE OF NEW YORK No.01 DA6327996 Qualiiied in Rockland County My Commission Expires 07-27-2027 Once notarized,this HP-1 form serves as an exemption for both isorkers'compensation and disability benefits insurance cosera£c. i NY-NVCB i I I w Mark Fritz Architects 133 Fernwood Road,Trumbull — — - Connecticut,06611 I" y Property lmcativn:16 RIDCE BLVD NLVIDA351060000V05010(00M)Bldg Neme: Slate Dee:210 Propert3'Lvrvtivn:16RIDGEBLVD MAPID:135[O600001r O5Oi6DODOODI Rldq Nmne: Slate U'ae:210 - - - _ _ _ 1; - -__ g Seek: tar 1 Card 1_--. - en 09750000 lffdX%: lafl .Ste k. I uJ 1('nrd 1 of 1 Prim DWe:06l1]2017 Ug:34 - :,' ,,� _ � _. •�- Phone:203 880 9800 Vision Aecountk00009]50000 BW k:furl or I Prin[Da1e:06/17/201706:94 ny(ee,m:pn6 ,fern rCON r"-- -1' - --F- MWFARCHITECTS@GMAIL.COM - CG'RRE,vl UII;VER T(IYU (T(L(Tl£5 STR7JR040 LUC'A71llh' (NREn'T.S"SESSNE:VT. CO:YC,CTIDN DI TAIL CONSTRUCT101'DI:T4fl�OnTl1(1:1)) - - (ATNLENF,ANN LATCLI.1 J 1'bB 5<er uMlc -uDor6 vie lksr+y,riurt Ludy miuN Value ArreaeeJ 1,11A ty16 femmaf lA.Ch. UezcnTHon I ECaediuoe Ld. Nonvd rnPtwrn PTO _ EP _— 1dRIMEBLVD Ohcs1D: 60IISOwNr 3iW0 tden 200 93 M 93,4I OF 5 04 G Cod _ 4C 667artrlu-- —� LOeo 30D 156,906 ISar900 TOWN OF RYE,NT Madcl 01 tesldev4Ll - YE BRCOY NY IN73 SUPPLEMENTAL DA T4 (heck Od CAvrrage -FL FIEL ddlNoul(Mee�s: L19 1dHb7 3Jh100 VISIONRmrlS Wa)3 0[eYI310 SM410 33M Dac E Panty t MLYED US 554B05 Z317M.�158 A.PSDCPIUN 3 a 352 00- 35weo r d1e9 10 PL 1almcr R'all I _ FOP .-__. ___ r NPCORUOf OIYYEH.SIffP BX-VOI✓PAGh SALE llATf AS.ILE PRICE�VC: IRIII005 ISSF SSiII'�TS(IIISTORY re1n 2 m TNLRNE ANN I.ATELLA blow i4a J111201200[D 1 T Y l'«le,lvicee 4Nrx�}Y eMu eR ha r. a_4sx,eM Vafve 1e We111 COST,41,RACTVALI%ATIDN f'ENE ANN LATrJ.LA ! Ol/OL1900 1 16 300 106,9002015.0 r 11t,70D 14 300 1A1,600 1 kri»Flrl 12 ardwood 1 Bosa No,c: 19890 - _.-_1 TRLENE ANN LATE ! DIIOL1900 1 016 200 115,3002DI3 J10 ISO,IBD 14 200 ISdA00 In'a FIr2 1 1 71m Typo �J[a WfrlBream Blwv Can 30J62J T 1 36 Z00. 3J0 Twal: ]II.600 AC Type Ne 0 A EXEMPTIONS THER ASSESSi11iNTS .`Thu vigwamre arkttawledgna sfeNlsyv DR.CnBee4orvr Asr, TdW Bodmovn 36etlnoms �Year T De tlnn .4rnaav Cade I Ilev ian i h,cnber Mwwe Canty.hu. cmodel Rolin6 FL M -I t Q 201E d1d5/ Bea 99,310 T.a ffdMdB s aRaswddad :s O - _APPRAISED VALUES_UMMARY Tool xaa I— % K APP�vi Bldg.Vd,,(Card) 193,40o TOW1 Ruom¢. nn,rnul(Nnlrcroc O d lLr rn'. vdHU/SUB NH/rn xm.e ASSES JI fRrmnROHH000 rnrrin. —Bang APProised OB�)VIBIL� 0 RoaJ ismn:1� B�r p«+ol Cond Code 3" —_ Qo.Irry v 1; 000.31A Ryn&voA 1 n pP () (� �m� Ate° — It is a violation of the Law for APPrr'sed land Value(Bldg) L5E$W rye ; AOTE.S .. Spcclal Land Valuc 0 laces prel¢Yd 9J,40B - �.-.. S1 f s D mg of nor any person,unless acting under s. 1'nWIA dParcel Value 052,300 umenl Typo BerBel On Oommmr � \ wna.NfAdd: e w.BmtAc ^�°" 3i �1 the direction of a licensed ' aBld IJn .�(M Comm ect to II - - - Bm00-OMUIWINGAYARDITEMS(L)lxFauL01NGExTR4FIL44 REsred in any way.I alter thisd cument is Adjuvanenl 0 f document Ne[Tatel Appra¢edP rl Valne 351,3fp � — __._-_ In an way.If this document is -- — -"-" C¢v4 Can%on Srsb:SWsUmn a Unrra UnreEn;Yr Ode D Rs CM 4iChJ A.Yulvr_ BUILDING PERMIT RECORD WSITICHANGEHIS70RY - "� ,; t�,l � -- altering A -i=roe ri•- rrH dv.-- ,wren; l D, %c A Due ca o:n,nw, um Tr- Is m F.�enm�'Impc nY _ rem ' G - — - �� t au22 0 Nx Nmntep Rvol ],liar loD Ov11rzD10 m4erlsl{aq bNldlog 026I2012 ueN I 'Y•j @x ^ 4• j- altered,the alte Architect 5 shall affix his seal and the 1 -- — --— notation tattered the followed by _ L r —r - I his signature and the date of such � 4 UATIaNSECTIOn' BU NAHYsfrnD,Y t m i — alteration,and a specific LAA'D LIM1'E VAL C 1T erial YrleYn dAdi rude Ueeai ion L'vin Area Grwa Arsw t'.Arra Urtir Corr Urnl -1r,. r i:' * �� _ GL r..�� /Y p0 r B U U Uni 1 r- p Code /Aazr Nor, lnne D Pront'A U f__Prire FuaM Fae {dx'A NFHa-A Utt S Calr 1.ARP_e.La_nd'St. n[Fbu[C161oCAYcu 6J0 6J2 a 1—_®-- Anydescrial eon of the alteration. aw n d ¢ 14!� I .. r _L V — - -1A0100S 0.83 1.00- 2a.09��2SBy08. 11'a �1{ r� L Any alteration of this document, r 06 1 310 YameY OE Ail 1,927 SF E4.441.0000 S Zr (t rnPpreh 0 103 J918 - msev N P by any parry,without written r _ 4 SFI. 'iewnd Fluor l.lNng Ana �, 429 0 - — permissi i 429 `� on of Mark W.Fr tZ ra.l c.ra La.d uaB: e.td AC Purd ranlT..nd An.:n.leac Tonl LeM owe: ase,9DD `{I-- Architects,A.l.A is strictly TM Gma ln/—Area• 11611 3Jd5 prohibited. 9 1125#16 FRAME 1 " _ a O� —I — OWNER N Image Mete Online r_--- Nnivrt alsM�TuM�e DTFUne A mem pMo NmplCon2dW IWM VICINITY MAP —L--- LATELLA FaegMMlel —Allme9oo Mumidpality of VI'llage of Rye Brook _: mpvrylnb _�� PhowrePha RESIDENCE s o«nedsalen "Ee -_. Tan ID 135A i1 - ��Mmal 16 RIDGE BLVD. . I Pvvemante. S 1 Tac Map ID J Pmpeity Aata I Ta.lnro 18 Nd�. �� RYE BROOK, EB ' Epnpaahlas FNPerrygeae: 310-1-1 Famoy Pea I..Fmpelrygma 310�1 Fa 1y Rea D Beal a9 NEW YORK ' ZurrnBCudo R-19FR-I.SK 9oF1 Mln BIdO-BMe: __Gayewd %dtz n� 10573 -., :"�n NeghOanaaQ 02903-Vf9Bd BBSD SrA Dahkt Blab BmaiAye xm " I/ TodIM.rBag49bB: d16 E9 Rlralldf Rsb: ... 7/(�. land AmeednerA 209�8JBeA00 MAaeeNment 2028�5508,W0 -_.'.Oaaene,lb L/e/J •. F411 MdNBlValltl: 20R3-d�8:W0 ,. J Dead pone 83124 Ills dPn9a: 341E 'iwev0 '._ � G¢Id c•.r ]t8T4B GYW NOM: T95441 :mAi Mepa .. vp Special Districts far 2023 Nw i Map Dual Fmmnl Wue C59B1NRB Sew- 0 0 0% 3.+`BB.yCO pn Halwryon qB Mp ?`p 61� SW48—d Wash AIMW 8686000 — - vreamcvapenm , Em dTypes New In Blrq Mepa T She MaaoNan:v PLOT PLAN I¢- ? x'T � ryz ITT' �n aN 92I.DD aR �� L ZONE.RMWn IAA 357 EAs SPACE MON.€,00 LOP FILE COPY N IC<E� PA.cE DN TO S f EX15TING GRADE ndc n W I INCLOSED I _�, PORcI-i BDL# DAT P R0 2023 ( V IS 11.- E rfi T tl-A' U w`a BUILDING INSPECTOR,Wlage of Rye BI NY D NOV 2 7 2023 — _ EXISTING r l AXIS IN VILLAGE OF RYE BROOK P EXISTING a DINING ROOM $© M�� BUILDING DEPARTMENT �, KITS D'T t.5�, ®0 F �wALrF cy o --------- 5 11 T J. 1'-ila DN 70 w e P� eF r �1- __-____R 18T FL.' iN.�.. �� Oco C0 EXi5TING �r / (-S) BEDR�Oi� v t - _ ?> S° Cu �CF EVE N mEXISTING 1ST FL. i5TING X S C0 EXITI' C14IMMNEYXi �l�`T R001 I r y cx MD R a i A c 11/20/23 ILiT- C 00 -. 6 t TO �Qi� Ih vE, LIVING RQ21 2ND FL. �- -- iB'-fie - 1 D i rl � MARK DATE DESCRIPTION 0 o F7 g,'2r -6AarETER PROJECT NO: 112023 D 1'II_�gN 2-In,_II Ilan i �rL EIS NG EXI57lNtT 1'l'x3'1??" CAD DWG FILE: `L�/�rlttG ��C�rlr� 2-61 r3-g x-lE x3'-9 2'-�'�x3�-1ma ?'-�°x3'-I¢4p Exlsrs� SHEET TITLE legalization rTER C° COMBINATION SMOKE/CARBON S,CO JAIL`h,ON SMOKE/CARBON \S/ MONOXIDE DETECTOR ON TO MONOXIDE DETECTOR EXISTING BASEMENT PLAN EXISTING FIRST FLOOR PLAN GRADE EXISTING SECOND FLOOR PLAN s;CO MONOXIDL`oN SMOKE/CARBON RBON E DETECTORSCAL AS BUILT SCALE:114'=l%G- SCALE 0' CODES _ 2020 PE5IDE VTIAL CODE OF 5TATE OF NEW YORr, CODE5 OF THE VILLAGE OF RYE BROOK,NEW YORK AND ALL APPLICABLE RULE5 AND REGULATIONS A 1 SHEET 1/�1 1