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BP25-042
_ i i _ � s N c a� _ Cq N " y 4-4 o W = R n 4 ,0 5 ❑ to 00 PLO 00 W y i v J W W v C% � ^ W ao c v W p x 1�I H W Cl% F 04 O W 00 O \J I�i W C� ��q 9 E i O J C u aGi U 0-0 1-4 = W A C7 M ;zoCN let r by d 4 cn e H W 04 W V o dd -j O '✓ 'fl O. Ld) CJ I y G J -0 N d d z V o OF"b � w Iv w W W O 0d :" �p f G �IE G-W LEJ� �l F MAR - 7 2025 VILLAGE OF RYE BROOK BMIL A 'MENT BUILDING DEPARTMENT VIL EOFRYOOK 938 KING I;T=R'i�'Bi� off,NY 10573 Y INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: �1 �f Approval Date: MAR 7 2025 tit>r / U_ 7Application Fee:$ C?�, a_AD8 Approval Signature: Permit Fees:S Disapproved: Other: Application dated: 3/4/25 is hereby made to the Building Inspector or the Village of Rye Brook,NY,For the issuance ofa Permit far the interior alteration of an Itsm&build' Q o fora hange in use,as per detailed statement described below. � 7 1. JobAddress_ R92'fd't`� tite-4dfl�` SBL: � �� c�7�� / Zone: 2. Proposed Improvement.(Describe in detail): Construction of new interior fit out. Scope of work will include demolition ca[pentry. Rlumbing, electrical HVAC ands rinkier. 0 P 61 ockrl 3. Does th proposed improvement involve a Home-Occupation as per§250-38 of tite Code of the Village of Rye Brook? No: Yes: If yes,indicate: TIER L• TIER It: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existig automatic Fire suppression system(Fire Sprinkler,ANSL System,17110-200 System,Type l Hood,etc...):No: V Yes: (IfYes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 Cam.,comm.,etc...)Prior to Construction:Commercial After Construction:Commercial 6. N.Y State Construction Classification: Non combustible N.Y.State Use Classification: Office 7. Property Owner.WIN Ridge Realty, LLC Address: 24 Rye Ridge Plaza Rye Brook NY 10573 Phone#(914)701 4005 Cell# email: ahakanjin@win6dge.com S. Applicant:Scully Construction LLC Address: 141 Lafayette Ave N.White Plains NY 10603 Phone# 914 682-8088 Cell#(914)490-1814 email: Jim c�scullycorp.com 9. Architect:Combined Resources Consulting&Design Inc. Address: 155 First Street Suite 102 Mineola NY 11501 Phone#(516)644 2828 Cell# email: 10. En;ineer:Urban Design En ineerin LLC Address: 420 South Avenue Staten Island, NY.20303 Phone# 718 757-8347 Cell# email: Sherif@urbanengineeringcom 11. General Contractor: Scully Construction LLC Address: 141 Lafaypte Ave Phone#(914)682-8088 Cell# (914) 490-1814 email: Jim(EDsculiycorp.com 12. Estimated cost of construction $ 1X9-5, OC)6 (NOTE.: the estimated cost shall include all labor-material.sailTolding,tired equipment.prvll:sinnal Ices.and mtcnal and labor�khieh ma}tt donated gratis') 13. Job Timetable: Start: ASAP Finish: 60 Days all �itr_oz-t MAR - 7 2025 1 DDI R� VILLAGE OF RYE BROOK BUILD. i = P� .TiMENT $UILDING ©EPARTMENT VIL, ;ar RY \�gOOK 933 IQivc ET RYEBR,* O ,NY 10573 *******i*****x***ki*xk**ie*?exsF*,F#ik*:�}�;ir{r*ir**k***i*k**ii*k heri it:4 ei*iik*n.%*h+t ie+ 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 SUBMITTn.D ALONG WITH A_*TY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLMMING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: L DkN)G C146-1-1 S-H ,residing,at, (Print name) (Address where v ou 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; !ifs ��C 917nG~� VLP( A .Rye Brook,NY. (Joh 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. (. '_na rc of Pro( °rty Ch-r.ms)) tba r. 2__ N LIt F- ) (Print Nance or Propert% (4++d+qs))AT/f,V} Sworn to before me this �rn &yf 11� •C.t� 20blic) ALENA NAKANJIN NOTARY PUBLIC.STATE OF NEW YORK Reyistrstion No.01NACO13645 (2) alned In Westchester County My Co"Ission Expires W1912027 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: Jim Scully _ , being duly sworn,deposes and states that he/she is the applicant above named, (print name oFindividual 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 C',9ntrartnr for the Iegal owner and is drily authorized to make and file this application. (indicate architect,conlractor,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 4vill 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 to Sworn to before me this "! day of (V��IF (1 ,20 day of )LI r ,20 isnat a of Prope y @"mr- 1!-i, r-t �`S natureoFAppltcant �t�'N Jim Scully Print me ol'Prope Gamer Print No a aI'Applicant Notary Public J N!E Public ALENA NAKANJIN - NOTARY PUBLIC,STATE OF NEW YORK Registration No,01 NA001 H43 Qualified In Westchester County My Commhska Espies 9/1912027 _ •."') �' (4) 6/I P-02d