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DP25-005
a � '� N W ro � ■ Ln mqt �" a ■ WW ,s� nr 0 W � H O ri � � b � p � v� GJ O ■ a ao W H M .afs pa +y .y .� O W bA � ■ OCU y H N CG � g a o W 00H `n ■ Q Q W O OR U © � 0 'ocoJ � O d � Fes ' OO ■ �+ C Q N W@ W 7 � r OT4 W v I�1 p o a ro U00 f� ■ G1Q Q 5 ✓' a -,A � �f, ^ o ti 00cn z � � U U @ U o N ' y M ■ z — a F+ Q a, o v " U ►+� ■ U z w FB � m•y 00 A Z O tL BUILD MENT D C IE �W IE VIL OF RY OOK 938 KING ET RYE BR ,IVY 10573 APR - 3 2025 4 -0 ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION FOR OFFICE USE ONLY: /� Approval Date: APR 0 9 20 , ttt• �����! Application Fee: $ /0/�} Approval Signature: Permit Fees: $_ f 5 D r)'4 Disapproved: Other: #********##ic is ac is is it is ic-ie#Fi:ie##******##*#ir it is is ie it ie#ie itxxie#****##**ic is is rr ic�c ir.is is icx###i<ie izr.xxx*r,xxxie##ie�e it it is it+c is:k ie iex iezx xxx Application dated: O� —06(—'2,5 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 er deltailed statement described below. 1. Job Address: begun Ln Ry, 0 W, 11 L: Zone: )<7—/O 2. Proposed Demolition.(Describe in detail): Won 5 rtt r j U rQ) D6.,,,j,410n © 1'flsulalim 3. Property Owner: Dkilarl T7' 'o( Address: (J 6P,A_LAn Ln [1 yC �r04 k; N y Phone# g 5 q2Z D� S Cell# email: Su I►a f; I -CbM� "I� v Applicant: �oSC A��o_ ��°�S _ Address: 68 PrGt G �t1J� � le l Phone# qILt _3C2, -0-]1A{ Cell# email: u5_ i Architect/Engineer: Address: Phone# Cell# email: +" c3i fi/ IV 7 / General Contractor://�_ TQ^QS 0'W •(20 Address: ��brg4 � /1�,,-10, le Phone# 3 iP a`0 Cell# email: 4. Estimated cost of construction $ � (NOTE:The estimated cost shall include all labor,material.scatloldin fiXCd eyuipntrnt,professional Fees.and material and labor ir%hich ma}he donated gratis.) 5. Type of construction:(wood frame,masonry,steel,etc...) 6. Method(s)of Demolition: 7. Number&Location of Fuel Oil Tanks to be Removed: 8. Number of Stories: Height to Highest Ridge: To Highest Chimney: 9. Estimated date of completion: t 6iti2o24 This application must be properly completed in its entirety and must include the notarised signature(s) of the legal owner(s) of the subject property, and the applicant of reoord in the spaces provident. Any application not properly completed In Its entirety and/or not property signed shall be deemed null and void and Mil be returned to the applicant. Please note that application fees are non-refundable. ST IT OF NI:'�'Yr. I .CI?i>tV7Y OF WFST�ShR ) ax Qyt Morro t<i • bek%dul)r swum,dgxKcs and states that he/she is the applicant shove aim, (pal IONIC of odrvN&d tqphft s+is 3MAW O and fiHVW states that (s)hc is the legal owmt of fire pror" to which thi% applicawn pertains, or that (s)hc is the C.O, rt:te f _ fordw legal owner and is duty sudwrizw to make and fik this aMication. rha ail stater»..-nt,containod herein we trite to the best of his er know IL*%:and W,icf,and tint any work performed or use condwacd at the atone rapt onedplWalyy will be in coctfixmancc with the details as set foi th and contaiaml in this appkation and in arty acemimnying appnwed pints and s-pe6fcations,as%vell as in accordmee with the New York State Uniform Fire Prevention&Building Code.dw Code of the Village of Ryc Bnxik and all other applicahk law-s,Ordinances and regulatiom. Sw•nm to h&wc Inc this Sw•ata to bcforc mr this day of a t^l b/�i ?p 2.`� day of O't 20 c"inm or owner ar Aiplimi r � Dl itan F r _ 0 Anlo ii© 4ra` NOW% XX RWAM ALV+AREZ(SRO NOTARY PUMX STATE OF NEW JERSEY 0 SwIlIrm MY OOId61WM EXPIRES WV,22.20t� v i W24