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BP25-021
rq o O N G a+ v • � 4 v a� • r ' H�j � � o «. • h+1 , V wo N N z P+ D u r Ln W � � av A 00 � O �0 0 © b i z Z O W Ln �4 cn64 �l W m A Poi w z F 06 �ao a V W oo x V CT p b �% 4 a z CD w uz a Z W v, � LZr M CD z w �' QQu W ° or- SO:00 _ cn w H E U G. go CA $ � A v � � 0-4 A w o CZ zoc W W J a" :i 4. Hv -W .-� ffL � - u W � O O � .a •Es u U U � � C7 A z O NCA > o = A W z R; d a 9 -� o .. o W Wa " bqq G4 a aiu a ' 7: rng � � b BUILDING DEPARTMENT p E C ENE VILLAGE OF RYE BROOK 938 KING STREET RYE BRooK,NY 10573 JAN 2 7 2025 (914)939-0668 www.ryebrook.org VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: FEB 3 xd eL_ �i0 c� I Application Fee:$ Approval Signature: Permit Fees: $ L Disapproved: Other: Application dated: January 27,2025 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. / 1. Job Address: 28 Bellefair Rd, Rye Brook NY, 10573 SBL: /c)7i 23"—/'&a Zone: PUD 2. Proposed Improvement. (Describe in detail):_ In Situ Kitchen and Master Bathroom renovation In Situ Replacement of Kitchen cabinets counters back splash, sink& Flooring. In Situ Replacement of Master Batroom cabinets flooring wall the shower glazing &tub. 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: X Yes: If yes, indicate: TIER I: TIER 11: 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: X Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fain.,2 fam.,comm.,etc...)Prior to Construction: 1 Family After Construction: 1 Family 6. N.Y State Construction Classification: N.Y. State Use Classification: 7. Property Owner: Jason DeJesus Address: 28 Bellefair Rd, Rye Brook, NY 10573 Phone# Cell# 917-455-8101 email: jdejesus@tares-Ilc.com Same as Property owner /Ol 0 V_Prl Wn ,�P S. Applicant: p y Address: Phone# Cell# email: 9. Architect: N/A Address: Phone# Cell# email: 10. Engineer: N/A Address: Phone# Cell# email: 11. General Contractor steve DiSisto General Contractors IncAddress: 2153 Albany Post Rd,Cortland NY 10567 Phone# 914-402-4167 Cell# 914-906-1948 email: steve@sdgcine.com 12. Estimated cost of construction $ $62,000 (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: 2/10/25 Finish: 3/7/25 (1) 6/l/2023 BUILD G DEPARTMENT Q E C IE ��I VIL IE OF RYE BROOK DD 938 KING ET RYE BROOK,NY 10573 JAN 2 7 2025 (k4)9 .9-0668 www r `i>r VILLAGE OF RYE BROOK BUILDING DEPARTMENT wwwwwwwwwwwwwwwwwwwwwwwwww wwwwwwwwwwwwwwwwwwww#******iF***#r#*,t irtwwww,tww,tw,k**irw*ir,t**ir,k,tir,t,t ie,k,k,k*,k,t it**+cw ic,k* 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 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: I, Jason DeJesus ,residing at, 28 Bellefair Rd (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; 28 Bellefair Rd , 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. (Signs of Property Owner(s)) (Print Name of Property Owner(s)) Sworn to before me this day o >z S MARGARITA V. GIBBONS Notary Public, State of New York (Not P ic) 11 No. 01G16136190 Qualified in Dutchess County Terrn Expirom Qotciher 31.20,E (2) 9A 212021 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: 5,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. Sworn to before me this -1 51Z Sworn to before me this day of , 20 aZS, day of , 20 f' //of Property Owner Signature of Applicant ✓9Sah ����...�sus _ Print N e of Prope Print Name of Applicant Not lic Notary Public MARGARITA V.GIBBONS Notary Public, State of New York No.01 G[6136190 Qualified in Dutchess County Term Expires October 31,20 2} (4) 8/12/2021