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HomeMy WebLinkAboutBP24-091 6 9 a x m O 14 O - _ a �►.� p N Q.�.a n s \l[1 ►t adi r Iti � O NC A m O z ao 1 m ►.i W p„ �j O � �� J �1. � a U Nn O m � o m © en Z �O f�' ' �V G�i G W o LO Ir 010 w Z o Z z o W spa v .� O a rr 4 v a av R! �_ M O 0 � d p ro o. 04 � _ M b`t3 W W CN1% m co M v ro, o 110. a " � z R ° ra" � (� W M W V � y o � � �., A " W A .b � SJ ON m ►�� Wo Q Z H w z � zv � o m ON Q 1-4 ON �� � A CRI cal) 00 CN ham" Py W Q z z i "+ I.d A O ;44 � .� � y � � eI�• /may w y`; U Z O C t p..D at ru. z z p b U Q, o : a � am > a' .rOr a 44414;a414W04a444aa494149.04;44900a.04;4;44a410aa4;4;aa414141441 m BUIL MENT D (� VIL E OF RY OOK 938 KING ET RYE BR NY 10573 MAY — 8 2024 VILLAGE OF RYE BROOK i BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: N Approval Datc: MAY 1 3 20 Pe it �J l / Application Fee: $ Approval Signature: Permit F es: S — DO Disapproved: Other: 'e!po l�7-40/I W3, �r Application dated: 5—v Q—:� IC/ is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance ofa Permit lox the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address:_ q C'm'D\1 LI&AF— _ SBL:`J3,5-,,S-,4 c)Y Zone: _ 2. Proposed Improvement.(Describe in detail): 47 C�ZZ `s,LL •1C�. � itit 1�4 3. Does the proposed improvement involve a Home-Occupation as per§250-35 of the Code of the Village of Rye Brook? No:ae.- Yes: If yes, indicate: TIER I: TIER II: TIER III: 4. 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 I Hood,etc...) :No:� Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 fam.,comet„etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: V_ I IZ Address: G,jT� y�Dy Phone# Cell# email: 8. Applicant: (]Z �5c(_ t_;1Z Address: �'� C.�I•I��r L 1L^ Phone# Cell# email: 9. Architect: `�31M-1 94,4 t " &RjC 4 !!E 1F.1 Q`) Address: ��`�GI kc7,.�. 't �k'G�, �• it l Phone# Cell# -G�/S-& —email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor:D0_P_F_" ddress: LSO >&Nru Ylif 254. Phone# Cell#qJ4` 7773LSTrTl c�'1`4 12. Estimated cost of construction $ Do. oc)c) -- (NOTE:The estimated cost shall include all labor,maiedal,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13, Job Timetable:Start: Finish: (t) 6/l/2023 BUI MENT D ViL ;3 oOK MAY - 8 2024 938 KnNG 'tt NY 10573 VILLAGE OF RYE BROOK -b BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • 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 PLUMING PERMIT APPLICATION. ANY BUILDING OR PLUMING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as- I,— r I, ,) '� f ,(CL_/ , residing at, (Print name) (Address 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; C L , 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. (Signa re of erty Owvner(s)) p � (Print Name of Property Owner(s)) Sworn to before me this day of i& &Z Z /Y a'22 INotary Public) SCOTT J-GOWE NOTARY PUBLIC OF NEW YORK I.D.001G089571 7 (2) MY COMMISSION EXFWES�1_2At� 8/1 21202 1 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. 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 YORK,COUNTY OF WESTCHESTER ) as: ,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. By signing this application, the property owner further declares that he/she has inspected the subject property, 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. 1 Sworn to before me this 5 Sworn to before me this 9 F day of , 20 day of . 20 Sign f P perty Owner a Signpp A licant J f � �' � -!� -1 Pgvxe-�Ir Print 5Ne of Pro r (Print Name of iy4p_� ��4' Notary Public INotary Public SCOTT J.GOWE SCOTT J.GOWE NOTARY PUBLIC OF NEW YORK NOTARY PUBLIC OF NEW YORK I.D.#01G0635718 I .r�[ La.0O1GOt33571$$ n , MMISSION EXPIRES r tl L`) MY COMMISSION EXPIRES I41 8/12/2021 General Notes 1)All work to be done according to 2020 Residential Code of New York State and local codes 2)All plumbing work to be done by a licensed plumber 42 3)All electric work to be done by a licensed electrician 4)Bath exhaust fan to vent to exterior b IT �P'DEK- W)LL 5E ,zaa.,nzzp LECIE WE M AY — 8 2024 VILLAGE OF RYE BROOK _ -- '�-UILDING DEPARTMENT 71 G.k, r �.-- .ax i PERMIT #4 -- 09/ v► 7'77 cu V 5N-V,cam-r1o� SQL 3 y a DATE P GVER�ZjZUZ4 4 F1 LE COPY N )F WIF.L � 4P�- OVF,;Z 44' — — - _ i 13UILDING INSPECTOR,Vi%' e o � � W►u_ 4 ,. 6 ye Book,NY g� m FY 6I?.E it-4 FREE t�! W Val ft�IDt�W N�,D CUT.L�Wei 7,_71 � 1Z �d7�V€�� �"`'-JT•1� $ �• � / -._. ot�i FOP- P `� NEW AJJDSRE;�- , CY4 I� C.W.�. -0 So:. X .=T �$ -Gcd V�Id.L�. S ,�- ; I Will R-Sa b FOB 14 S W--7 0- 5wr, wAlL-L,_2;4 67ZC- i *�c IZF S>06r, E5&45EME4ll f5A-r'4 Fop,Mp,.1~5ClZ Drawing Number lzyp- s" "} SMM Architect PLLC Drawing Date 5 Scott Circle Scale 14- ��A,.�► Purchase New York 10577 �� ,�� Drawn By 151"'1 J I i i I J Ii I f I I�� a -0-.2 1 /ICU J- -j Ll St�bW - L N I NC WZt:M General Notes 1)All work to be done according to 2020 Residential Code o i New York State and local codes 1 2)All plumbing work to be done by a licensed plumber Do 3)All electric work to be done by a licensed electrician 4)Install fireplace according to manufacturers instructions -- 1 @� Dra ing Number 'AJfj, s Gl GWIDY L.4-164 E M Architect PLLC Drawing Date 5 Scott Circle �Z:�� Scale /�_ /•.rJ' .` rchase,New York 10577 Drawn By ��''�