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~ BUILDING DEPARTMENT DM
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573 .IAN 2 7 2025 1 a
(914)939-0668 VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
DEMOLITION PERMIT APPLICATION
%ppi o 'd Dj i;. .BAN 3 0 2025 �/��S`1Z c� Application Fee:
Permit Fees:$ ac) ` P
Other: QOW 1 Z
Application dated: I I a1^I 12.S 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. I /
1. Job Address: a oll� y rCe'1 OQ Creujr t SBL:���►71p�/ cp Zone: ,"
2. Proposed Demolition.(Ucscnbc in dcuul is re.rr,-0Yt W CULL .t L&c.f r i Lt g _
Cl c rG t rt F l o
3. Property Owner: h%cx ii i Address: .1 Z s i Y GP f-)P UCS ceri I
Phone# Cell# 41 N S7 S a cl t I email:_ S h-N 0 3 8'ct ® cZn I. cc 4/1
Applicant: S VC Df,( h(e CU)f\.VG1 Address: (p P.E%W 12 C
Phone# Cell# qP`If 1575 9W( email: is rh `(Zb cp-n 1- 0 fn
ele.t��,�Ct�u� r: Ati be(r) Tot fc- AcJL, CU0f(Arddress: Li 1J7-1 1 f GC Q� Li(7f1
Phone# Cell# 9)L4- Ll tt(p-QW email:
General Contractor: dr i un P C Ye Z Address: 15 PGIYK- ! Q nr4 S<C l '
Phone#_ t I 3 I Cell# email: nPft° Y-C rYNONCtr4r' IC®
c3m0.11
4. Estimated cost of construction $ 31,Soo — c0"\
5. Type of construction:(wood frame,masonry,steel,etc...) f ysJ d tl St'Per york.. e Us-T y ��-
6. Method(s)of Demolition:
7. Number&Location of Fuel Oil Tanks to be Removed: 1P%OC\
8. Number of Stories: Height to Highest Ridge: N I P To Highest Chimney: t.i i
9. Estimated date of completion:
I
6/1f2Q24
app --ation moat be properly complet I :rF its ::.-itirety ar
1ur- y of the legal owner(s) of the sui ec^ �3Tci-arty, and e.
Tided. Any application not propt ly in its
led shalS be deemed null and vc J and v:1�1 be returr.ert
''-'!ease note that applica Sri . re non-re:.
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 Codeof the Village of Rye Brook and all other applicable laws,ordinances and regulations.
Sworn to before me this t Sworn to before me this
day of C n nrl� , 20 day of :: 3Q Ak-kAC 20 2 S
Signature of Prope Owner Si a e of Applicant
3"] SHARP MEULL0
Notary Public,State of New Yack J !
Name of Property Owner No.01MEU60063 e o Applicant
Qualified In Westchester County7
Commission Expires lnnuwy 29,2
Notary Public Notary Public
2
6/1/2024