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HomeMy WebLinkAboutBP25-040 o � - a v d a :, Ra m Cn O A p 0 3 G4 CQ = O U x n v R fij bA - (,� W W o b °� o 00 "" o y o o Ln 010 M a W r o rn FBI � O � `� N x � � Nc •� � � A � p H J y W N z � z O �'ZO v o 0 p V U - CV�1 f� 00 ^ C/� w A 1.� O 'd v aoi U a O � � V �n W A w °' CD Lj) F W C a v � W o � O H z z cv � v � o VI �jr © O N U y W z7 [�] F �j «7 O l y r�ylj ^ 0? �i �)C�yy, F04 u U Q � Cc! O C qn � O Q - z p o o .5 o y u V V U z v o - c� >1 A z C, z x g b .. W W a? am : BUILD MENT VIL ` E OF R OOK 938 KING ET RYE BR NY 10573 ��B 0 2025 4 -0 ov VILLAGE OF RYE BROOK 13tIILDiNG DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Q�C) C� Approval Date: AR 1 L 202 Permit#: jet S -Q !� Application Fee:$ Approval Signature: QOA i Permit Fees:$ Disapproved: Other: Application dated: Q—10i--�' 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: $C�C3 �y'�Q,StCI 1 C St{'ir Pa/PXl SBL: 13S,E D, l�a Zone:S 2. Proposed Improvement.(Describe in detail): r }t fit on i ( Ii- �00 / Al O 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 I: TIER II: 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,ANSI,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) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: COM t-6 IQ, After Construction:ro M rYlcaL la l 6. NX State Construction Classification: N.Y.State Use Classification: 7. Property Owner:90D WP5fCh _S tcr Ave_., LUL Address: PC ROA 3qq. white etGInS, IV IobUS- Phone# 9I+ ' eal 'I' rQrbQp-corn 8. Applicant: S(Q P I St, C0 I"0 Address: PO 6OX ( I /'' / 1 b DT Phone# 91+ a�,S'17D0 _Cell# email: fYl(Yl{'C1 6 qQ) P WO NO CUM 9. Architect: svfano (boamiliAddress: 2071 C(IUHWBOCI ecliwitc -)ba Wnj C �Mlns"\'y Phone# 0114-IID-as s4 Cell# emai1: 5 to frA n _0- M t OU Pe i I I -NPS i-r)ern 10. Engineer: N/P� Address: Phone# Cell# email: 11. General Contractor: P I Sfi, Ci)a. Address: PO P VA 3 L O W h UL 001 S, 1V 1/ /06Qs Phone# 9IL4-A� ` I7Dd Cell# email: l'}'1fY)QC1r1GQ! �plw .(cvr) 12. Estimated cost of construction $ OD (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated grans.) 1 13. Job Timetable: Start: I j �1�a U Finish: (t) 6/1)2024 BUILD MENT VIL E OF R OOK E C E ll 00 938 KING ET RYE BR NY 10573 +� o , �` FEB 0 2025 .ten`• iy L_ i .1 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, lnI -�f n ma (i n GQ ` ,residing at,2U 90K 3UG , WIC I re C1G 10, 1J Y /D(06L�; (Print name) (Address where you live) being duly sworn,deposes and states that(s)he is the applicant above named,and finther states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; f t j?_n u e_ ,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. (Signature of Property Ow (s)) �1k, C' (Print Name of Property Owner(s)) Sworn to before me this f 0 day of TOnvVaryk�, 20 2� (N ry ublic) JANET A HERTEN NOTARY PUBLIC-STATE OF NEW YORK No.01 HE6085824 (2) Qualified in Westchester County My Commission Expires 01-06-2027 6/1/2024 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 YORK,COUNTY OF WESTCHESTER ) as: MAC-V^a (A () Q M ,being duly sworn,deposes and states that he/she is the applicant above named, �(printname ofindividual signing as 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 S��t�)S I- . C 06 . 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 fiuther 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 to I+\ oI" Sworn to before me this f U day of , 20= day of �� I� tJ , 20 �— Signature of P erty caner Signature of Applicant Print Name of Property Owner Print Name of Applicant .... 0� No Public o Public JA.NET A HERTEN PORK NOTARY PUSLIC-STATE OF NEW NEW Ji,NET A HERTEN estchester County IISLIC-STATE OF NEW PORK Qualified in W ires 01-0 p 6-2027 1OTAR'� °hy Commission Exp No.01 HE6085824 {i��eiitied in Westchester County Commission Expires 01 06 2027 (4) 6/1/2024