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BUIL - TMENT D
VIL OF R ROOK
938 KIN EET RYE B ,NY 10573 MAR 15 2024 0
,3 14 39- re VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
Approval Date: APR 2 2 PAf
m #'711 /r c 77 ; Application# AN J
Approval Signature: ARCHITECTURAL REVIEW
BOARD:
Disapproved: Date:
BOT Approval Date: Case# ; Chairman:
PB Approval Date: Case# Secretary; 41
ZBA Approval Date: Case#
Other: ,,``
Application Fec Nermit Fees:
*Pass******a*sssss*ssss�****�*sassssssassssss�**sssssasssssssssssssssssssssss*sssssss**�**��**�**�********�
FENCE l WALL / GATE PERMIT APPLICATION
Application dated: 3_1 v _ 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 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��hCCrj%G��LP river t I2V e E3QDQk ,IVpY IUS 13
2. Occupancy/Use: /�!—A✓� S.B.L.#: /���.`S, �`� —1— / Zone: ')-
3. Proposed Fence/Wall/Gate(describe in detail):
W 00d pea.103eit y- fence I_AJ'r+h ric UbW (2 +e QCPLO SS CAIZ.J Ve WC1.4
lot x R' W DUQ-Ena V-V-Ai-,%gQ1 wlr) n rY'_P narle-IS-
4. Property Owner: nQrjkejLQ FIZQjQMCZYI
Address: l$ VQL)W%( Xn j Aven Q w_ 99_00L j h.1Y I0573 _
Phone# Cell# •711-91(,o-L41lp-2 email: cAMJr 51.S O f Ci o U d•COrn
Applicant:
Address:
Phone# Cell# email:
Architect/Engineer:
Address:
Phone# Cell# email:
Contractor:
Address&Phone:
5. If building is located on a corner lot,which street does it front on;
6. What is the estimated cost of construction 4 2,Sop • 00
(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: end CI maw lca_-y
1
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:
pL11nwAy fteanon ,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.
Sworn to before me this 1 5— Sworn to before me this
day of M , 202� day of , 20
Sig-nVde of Property Okner Signature of Applicant
Print Name of Property Owner Print Name of Applicant
Notary Public Notary Public
CHRISTOPHER J,BRAD13URY
Notary Public,State of New York
No.01 BR6159985
Qualified in Westrhesier County�C7
2
61112023