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HomeMy WebLinkAboutBP25-017 i e i x : s s N a h E+y a • O yy vi i c C9 rTl 10, }� i L� L a0 4W +� W� x O C J o Q p� t% LL �4 .�. � O L Q � A Q 14 3 w V 0 t.. °�a a �cn Ln G ° O ,o C > N+ i '�,,, � Z{ W W oo � � 3 � a•� � e Q O r1 W .--� c`�n � � o o � a•� �► I i •.. ti 0 a f� a O W ao z U 0°00 v v P-r M '� a w Vz .5b a ° va �W1••°I a cn W `� cw7 0 a m lot Z i ` a u o E w w oI'DQ " V = 0 � U W s Q U A � � F• 1 EdCA � �� � („) w z A � 5 �" p ,sad a � � � ■ cy Vz z ^a „ y w O O v- `V� a c) h�l x z � o � v ° W �► 0 O H x' � a u �--i Z (� w oo5 � V O _ �Wj W � 0 ���y •� �n � °5 ° BUILD MENT t VIL E ©F RY` OOK ' ryuV �t 2�24 938 KING �i FIT RYE NY 10573 0 "e VILLAGE L`r RYE BP•.00'o ov INTERIOR. BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: NOV z 2024 �,���-017 Approval Date: P pit#. Application Fee:S 00 Approval Signature: _Permit Fees:S 1�p Disapproved: Other: .�,r****��+.�:�,r*,r*,ry****,�*,x*,rare*,r�*,r,r,w*«,r,ra**,a*a**�*��a,a*.,a*****�x,�*,►��,t���,�**����*,�,t,try*****,rw*na,r*,tr,t***�,r*rr Application dated: is hereby made to the Building lnspectorofthe VillageofRye Brook,NY.for the issuance ofa Permit forthe interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: 4 Suns-o V-a RrC)g0L, N _SBL:. 73 /—30 Zone:�11D 2. Proposed Improvement.(Describe in detail): _ a) R MOYe. dM 1�0\0U W 006 Cko 0i jM - ILAf- n_(120SIF), ) i liq 00M ('L�p 5F), N QI Wot (J5 6f f C(a k L S ) 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: ✓ Yes: If yes,indicate: TIER L TIER 11: TIER Ill: 4. Will the proposed project require the installation of a new,or an extension/modification to an existi�g 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) S. Occupancy;(I fam.,2 fam.,conim.,etc...)Prior to Construction: After Construction:.y d. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: ftnt% Mao airv'tcL< I(Nf. Address: S„f►S�-k 9-4 t?-q4e �}rpfl k t N4� Phone# '7 a—534-u311 Cell# nla email: 04 8. Applicant: SSG L Oro�rywor\ _Address: 5% 111 n 4 Lakewogd, N-T 0T701 Phone# 73�` 534-4,51'b x��Cell# Me, _email: - O00 h on kfiw rn uno a em en+• GoiK 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: 5fO COJ\SIrf Vdlo , Address: '5q0w }c.uiydq 9)1,4a, � fU11j0UI ,NJ 06-701 Phone# 73a- 53q-tT51-6 XW1 Cell# 'Mck _email: 0vt„ 1i On1 e 0J)Ct ern - t;, aN 12. Estimated cost of construction $ 5,500 7/ff—' o e-- (NOTE:The estimated cost steal!include all labor,mats rial,scatTolding.tired oquipmcnt,professional fees.and material and labor which may be donated gratis.) 13. Job Timetable:Start: I �� _ —Finish: � �a� Il) 6i 1 J2024 D .. 1'I LC i l Nov 2 2 2024 BUILD ivIENT VILLAGE OF RYE BROOK v1L�. )E Ql�'RY OOK BUILDENG dEPAR T MENT 938 KING .ET'4-V1?111R NY 10573 no w» �e of ov trtrtrrrxwrrrwwrrrtwxwtrrtirrwrrttrrrwtrxrrrrrrrttrxtxrttrtxrxxttrtixrtrrtirrttrirwxxxtxixxxrxxtwtwtirr AFFIDAVIT OF COMPLIANCE VILLAGE CODY.k216 • STORM SFWERS 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, a��Tnn O'C. ,residing cat,- 'y ?OLL r',l,c;w-. 2-d , wee}lave 1I 01V , CA' 0161l nail.? ;10J0.%.»`.ir, }„u li,c; 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 OfCumpliance pertains at; 9-6 _ _ .Rye Brook,NY. 1uh.e.laec..) Further that all statements coniaincd herein are trite,and that to the best of his.her knowledge and belief, that there are no known illegal cross-connectiuns 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. StEn:,lurc I'rtq,crt�ihrnefiol {Prout�anlC.t t'nryicltc{1u urri�t) Swom to�before me this day of "`- --Pt ,?C''-L-- AMMON Y.RRA NOTARY IUBLIC OF NEW \l Ji 1't'Utllll:l MY y{ittui'tW E*w _ 1:1 a 1,2024 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 YURK.COUNTY OF %VHSTCHE-STER t as: -being duly sworn,deposes and states that hershe is the applicant above named, tprinl nano:of individual iigning'Zs the applicant/ and further states that Whe is the legal ot,►ner of Ilse property to which this application ,pertains, or that (s)hc is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contrador.agent,anarncr,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 propcily 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 Ryc 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 swrrnwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn icn before nic this 010 day ofn ,' 2(l�_ day„r _ r!b✓ . 20 _ Sil;n:nurct olxnp U,vnet Signuturenl Applscunt den P�ac• _ 5 f G c ,s7r c4i U Print\at a orPtopuny Ownc Prim Nautc of Apphcatu o EW >! Public X ary'Puhtic0nc � �ON Of HEW (4) r 6,112U24