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BUILDING ARTMENT
VIL E OF RYE BROOK
�J u SEP 3 0 2024
938 KIN EET RYE BROOK,NY 10573
4 14 39-4 VILLAGE OF RYE BROOK
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BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
Approval Date: mit d / s ; Application# c
Approval Signature: ARCHITECTURAL REVIEW
BOARD:
Disapproved: Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other:
Application Fee: Permit Fees: Wj
FENCE I WALL / GATE PERMIT APPLICATION
Application dated:September 25, 2024 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance ofa 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.
I. Job Address:9 Charles Lane, Rye Brook, NY, 10573
2. Occupancy/Use: Resident/Single FamS B L#: 135.41-1-36 Zone:R15
3. Proposed Fence/Wall/Gate(describe in detail):
Rotten wood fence replacement with white style vinyl fence.
4. Property owner: Edwin & Stacy Gonzalez
Address. 9 Charles Lane, Rye Brook, NY, 10573
Phone# Cell#(917) 670 8714 email:
Applicant: Edwin Gonzalez
Address: 9 Charles Lane, Rye Brook, NY, 10573
Phone# Cell#(917) 670 8714 email:
Architect/Engineer:
Address:
Phone# Cell# email:
Contractor: Mike Fence Corp
Address&Phone: P.O. BOX 391 NEW ROCHELLE NY 10802/ (914) 636-8031
5. If building is located on a comer lot,which street does it front on: N/A
6. What is the estimated cost of construction $12,000.00
(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: TBD
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siv2024
Please note that this a ppIicationmus tin cIudethe notarized s ignaturos) of the leg aI own el(s)
of the above-mentionedpropertyin the paceprovidecbeIow Any a ppIicatiomot bear ing
the leg aI pro pertyownefs notarized sign aturos) s hallbe deemednuIIandvoid, and wiII be
return edto the applicant
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
Edwin Gonzalez ,being duly swom,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
,agent 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 2r1 Sworn to before me this
day of ,2099 day of -tptnjqpr ,20 2t
Signature of Property Owner Signature of Applicant
1A//,v 691/24-oZ eytl we D C&W/il/ eWCAAJGfcU
P Name of Property Owner Print Name of Applicant
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otary Public Aotary Public
Jessica BKkky
Commissionk 01BAM26020
Notary Public,Stale of New York
My Commission Expires:Jame 20,2026
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