HomeMy WebLinkAboutHome Occupation June 2024 0
L w O
Ln
w
>
W w O O
it
�"� cn •• A w H v Q z
U P. x a o xA 00
W` AU cf) oo *10 O M M �
Zv A p Wo w x w
06 ell
F
0.4 O �
►--� O CN V) � �
�. Z H P a
BRC>uk
O ti
w �
BUILDING DEPARTMENT
❑BUILDING INSPECTOR VILLAGE OF RYE BROOK
-0 VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573
0 ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAx(914) 939-5801
- - - - - - - - - -- - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - --
ADDRESS: 1 2 o� e i c�sae s�. DATE:
PERMIT# ` ISSUED: SECT: BLOCK: LOT:
LOCATION: { ' C.! v I v(�/Y7 . OCCUPANCY:
❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION
0 SITE INSPECTION REQUIRED
0 FOOTING
0 FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING �J /
0 ROUGH FRAMING
❑ INSULATION
0 NATURAL GAS
0 L.P.GAS
❑ FUEL TANK
0 FIRE SPRINKLER
❑ FINAL PLUMBING
❑ FINAL
OTHER` /
` BUILDING D .RTMENT Q
� iLIJAV� VE' 1\2�ul\V Vl1jy
938 KING MET RYE BROo>' NY 10573 U N - 3 2024
(914)939-0668 FAX_(914)939-5801 VILLAGE OF RYE BROOK
wWwxy l rook,.er- BUILDING DEPARTMENT
FOR OFFICE USE ONLY. � 14 A
Inspection Date&Timer 01 !y'J-f'1,--
'YYPvvdi iiutc: lie-hispection:
Approval Signature: Original BP#: Date:
2 �
Disapproved a/c: Date: Renewal Fee: 3 -� ' Due: ❑ /Paid:R
*«*,r,r,r****,w«****,r�*�,w***,t**a*�,►,t*****,w,►,►****a***,w**+r******,►*,+****,►******,r*,r***�,w**********��*******�I*****.*
ANNUAL RENEWAL APPLICATION
FOR EXISTING HOME OCCUPATION PERMIT
Application dated: 6 L �— 2 "z`,"is hereby made to the Building Inspector of the Village of Rye Brook,NY,to renew a lawfully existing
Tier 11 or Tier III Home Occupation in accordance with§250-38 of the Code of the Village of Rye Brook,as described below.All Home
Occupation Permits must be renewed by no later than June 15''of each year.Please consult the above captioned section of Village Code at,
www.ryebrook.org.for further information prior to filing this application.
1. Address: 492 North Ridge Street, Rye Brook, NY
9 .,_--_1 TT LJ
— 1 On an A 1 -��_�. R-15
4. 1 CLL�.GI IJ tt. .VV- 1'T I ���+�'• _
3. Property Use: VOne Family; ❑Two Family; ❑Multi-Family; ❑Other:
1 T
4. Property Owner: Diane Schwariz Eslaie Tax SheliereU 1 rusi
Address: 492 North Ridge Street, Rye Brook, NY
Phone# 914-939-0558 reii# 41d_d70-1 RG7 email:
Applicant: Dr. Samuel Schwartz
Address: Same
Phone# 914-939-0558 Cell# 914-420-1892 email:
5. EXISTING HOME OCCUPATION:check one:Tier 11( ) Tier III M(Full disclosure detailing the exact nature of the
proposed home occupation,hours of operation,number of visits per week,number and names of employees,etc... or any other
changes in the nature of the home business since the original approval is required by law.)
[use additional sheets if necessary
Chiropractic Services. For the specifics of the use to which the premise is put;
reference is respectfully made to the Resolution on Appeal of the Zoning Board of Appeals.
3121/19
Please note that this application must include the notarized signature(s) of the
legal owner(c) of the above-mentioned prnrnerf � in the space prnvisled below, Anil
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-YA%�,COUNTY OF ) as:
�j I m, e-1 r , '�.ti w,r"1 - ,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 2 Sworn to before me this
day of �/ , 20 2 day of , 20
Signature of Property Owner Signature of Applicant
L g Ce-4,t/.A eT 7—
Print Name of Property Owner Print Name of Applicant
No c - Notary Public
DEAN A RADICE SR
Notary Public
Connecticut
My Commission Expires Nov 30, 2027
2
3/21/19