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Home My WebLink AboutBP25-054 LO ►� N w x N ■ � as O W = i H Q � � v °1 -d U ■ a � 'L. � U p p•' : + MM ■ � � w � D� � �' 04 u ~ FBI = os -o v G ..4 .? z a b ■ AJ ` to ,_; B O y p 8 0 Cn pq a O ZLn j o F-�I O 00 ■ M F� O rO O A F sn n v gc 00 104 ■ ^ ILA-' O ON 44 I� 00 GC H V a 5 o-, p t, ,-� (� w V O a0 A [� U 0 sr q Z O OZo V V U z w ioNo en Z A W Od ." ILnq Wow, o � 5 ob U ECEMEB BUIL DEPARTMENT VIL EOFRYEB HR 13 2025 Y Y10573938 KuvG B GRYE BR OOKOF 0 BUILDING DEPARTMENT k ov INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: MAR 2 025 Approval Date: Perm Pd�'a '7 Application Fee:$ Approval Signature: Permit Fees: Disapproved: Other: Application dated: 0 -0-al 5- 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: o SBL:/�J, ��a�p Zone: 2. Proposed Improvement.(Describe in detail): O N P f ULL BATA REtdoleAr l O d , 0/- E PO W DFfL RaDM [LEI O liAX- o ' , RE PL(A(-E AU Ir-1fFI01L DooQl o„.l M of olr 6s oF o,.�fl a17 Q€. cE f►En �1�uTj 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 I1: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an extsti 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) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: FRh. After Construction: 6. NX State Construction Classification• N.Y.State Use Classification: 7. Property Owner:_I,)4 V/O( V 4-/:ef2 Address: r 3 I—A t c. o rf rJk r Phone# Cell# 347--q-06—,X99 email 8. Applicant: pA V i b 5 T(E L Address: )"0 IL , Q tk S f I'P't"ax g �y _r�x Phone# Cell# %L/3� 06 " Do q8 email: D<&a, ✓,}/G(�G."tAl 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: L VGIRrJO of gf& ( Address: V f 7T! �t, r✓f W (-P(JAA/ C 4A.0 Phone# CellAmi 331-)91S email: Piz,L(f pr.+0.0 L ( t'nA,4 12. Estimated cost of construction $ �b o oo. co (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: ✓' �0" 1 Finish: 5—(Q — JV (I) 6/1/2024 BUILD bk _TMENT VIL 'E OF RP OOK MAR 2 22 225 938 KING ET RYE ,NY 10573 4 VILLAGE OF RYE BROOK W � BUILDING DEPARTMENT 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, AV 1 O 5 rl r( ,residing at, 5 t �l>�O TT_ (�O (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; AL C- 0 r l � , Rye Brook,NY. (,fob 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 Propert) Owner(s)) I)Avz() f>rs (Print Name of Property Owner(s)) Sworn to before me this- dav of IV) G��Lv , 20 ) ( otan Publifkl MEULLO Notary Public,State of New York No.01ME6160063 Qualifled In Westchester County Commission Expires January 29,202 (2) 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: tea✓.1z) ;'T-T'-tT? _ ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as plicant) 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 d -I Sworn to before me this day of laa'c� , 20 day of , 20 Signature of Property Owne Signature of Applicant -0A\Ja9 Print Name of Property OwneCr Print Name of Applicant Noiary Public Notary Public SHAR1 MELILl.O Notary Public,state of New York No.01ME6160063 Qualified in Westchester County Commission Expires lnntlafy 29,202D (4) bn/zaz4