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HomeMy WebLinkAboutBP25-116 o $ s N = ^ M N q+ ry ■ F+ 1 \ � a y p MM = ICI s • m � a W -o : A4 t� a - ■ a W O z Ln "� Ga � 3 v w O = tu a p Q ° W O o 1 © ^d W W N V s l J t7 O A N O ° 104U W m � Qa �-oa9 cc t" x W MW MLn z O o cri A F U O W O0 c R+ O O ►� ! W V o , V ice+ qqCN ON W V) v a 3 o c v Z o F a F g ; � W p z .6 x Qq L • O O F Z w a Yy l r � V 11 fn o A z o � � 0 eq In C7 q a r-1 z _ DIECEWE BUILD _ 6 E,PARTMENT MAY 1 6 2025 DD VIL E OF RYE , OK 938 KING ET RYE BRO NY 10573 VILLAGE OF RYE BROOK 4_1 -0668>` BUILDING DEPARTMENT >t ov INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: - 1 / _ Approval Date: MAY 2 2, 5 Fermi / Application Fee:$T� ' Approval Signature: Permit Fees:$ A J 0 Disapproved: Other: Application dated: ` _35 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: 11 I`A t 1e 5 toile 9d Zone: 2. Proposed Improvement.(Describe in detail): i nAeo yv Ytv~1c c.. -tc�. }o k• l�jr�k, 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,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;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: k 4%m After Construction: VG.z8 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: M%%' Sc>^ %c yoyi�tr_ Address: _ IZ wti ItOOV%e R—c Phone# Cell# '1I9 jig 11,51 email: al: ,berKcu.,tz(0elmvL.1.COA,t 8. Applicant: And(CW Ut50,"ci D S A PTFTZc5MCVrXddress: 2-b'd VaI1C�y Kd Gas Lvb c r n 6$U"7 Phone# Cell# 533 307,& email: O C E c e A d t I Semour%.t- rw-t 9. Architect: Address: '—�- Phone# Cell# email: 10. Engineer: vv G,I VC V C, U rSG h.4) Address: Vt't t1CH lZd (OS Cuh CT Phone# Cell# 7.03 533•- 30-? i- email: C_I'WC K ®d-tf rose rncvrl,V, lfe-r 11. General Contractor: i>T'r JZ.oSe rnwr<F LLC Address: 261? VG I l e!f 6-d COS Colo GT 06 8G"7 Phone# Cell# 20 3- 5 3 3— 3,07 0 email: _©E E-. t(� d t f r oSGrr�cQrn V ne.,V 12. Estimated cost of construction $ 15 I QW,U U (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: 6 150 uss Finish:_ '31�0`LS (t} 6iu2a2a BUILD rTT ]�D] v E OF> x MAY 16 2025 938 VJNG ET RYE Bit ' NY 10573 q p < VILLAGE OF RYE BROOK -� v ; BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 . STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST SEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONE; 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; _,residing at, �2- (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; \ �)— \�� �� C C 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 land into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (signature of Property Owner(s)) (Print Team:of Property OWlier( E Sworn to before me this 13 r� clay of M��� 1 2©— KP I ST ATE ATE OF NOTARY YORK Registration No. 01BROO19201 Qualified in Westchester County ttir�tary Public) Qualified Expires Dec.29,201J (2) 6,1112024 This application must be property 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 property signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are nonrefundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: _ 8n d s e w _U3S C fn t ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the ap licant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)hc is the CL-1r-1-trek 1�0,(- for the legal owner and is duly authorized to make and fife this application. (indicate architect,contractor,agent,attomey,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 Cade, 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 stormwatcr or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 13 th Sworn to before me this 13 day of MLl ,20� day of fin`� ` , 2© aa-� of PNmepertyOtvnor Signaturc of Applicant Print Name ofProperty owner Print Name of Applicant ` `�cyy i &tom�.��1.t.�� -.<W3.G4th S't V414'. --'- Notary Public Notary Public KARINA BRACHLOW NOTARY PUBLIC,STATE OF NEW YORK KARINA BRACHLOW Registration No. DIBR0019201 NOTARY PUBLIC,STATE OF NEW YORK Qualified in Westchester County Registration No. 01 BR0019201 Commission Expires Dec. 29,2023 Qualified in Westchester County Commission Expires Dec. 29, 207,1 (4) 61%2d24