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HomeMy WebLinkAboutBP25-140 a N O d Ln N \ W CV n p 4-4 0-4 E. s O Ln 19 Oz j rq �4 `D O a W 1 z 00 M w � ao 01 O .-4 v ° o _ a �..� � F� � � G4 N O ti LrJ � � � � '� ►-� . oo p rpi ° w q w W w O LC) 0 0-4 O OZ W A z O z O b w v _ F' .. ° �con , za ICI c� a, ►-+ W .It killo 't Q ,w V _ 1-4 ►-� �+ r' � � �-� A � O � � � � �° � `� o can 00 W A s � az � vL°IC � o z Q z o a a b L= p p ° q � v x � 0-4 � a o � _ W W Off' � � .� _ �� 11 00 A 0-4 PLOW ✓ xm � b a BUI ;Q' a MENT VILOOK 938 KiN. ,NY 10573 MAY 2 9 2025V VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY:Approval Date: JUN rt i _7c J application Fee:$��,0 Approval Signature: Permit Fees:$4 Cad Q Disapproved: Other: **x�xxx,.,:xYxxxxxxx\xxCxxxxM�uxx**,�* Application dated:�—CJ /'0 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the interior alteration of an existing building,or for LA change in use,as per detailed statement described below. / J / 1. Job Address: wn LA -+ ,S'�BL: /3- J 64%MCP�� Zone: 2. Proposed Improvement.(Describe in detail}: ry (1(l iatti Vdl 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: Yes: If yes,indicate: TIER 1: TIER[1: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system (Fire Sprinkler,ANSL System, FM-200 System,Type I Hood,etc...) :No: Yes: please submit a separate Automatic Fire Suppression System Permit application R 2 sets or detailed engineered plans)( 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: fam After Construction: 1 74 A 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: Dylap, or Address: 0 Lnr Phone# A. ©l D Cell # 4 email: 8. Applicant: .�06Pi /1, ba f a}C& S Address: S ra A N Phone# JI, `4�8 _M i` Cell# email: basa`k% J a5C (@gnat,C,0/'1 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: II. General Contractor: 13; dia5 Address: Phone# 14 "Q 3q -��'$� Celt# email: I e440'C 60r ('0 M 12. Estimated cost of construction $ 60,000 (NO 1'1::The estimated cost shall include all labor.material.scaffolding,fixed equipment,professional tees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: Finish: (l) 6/1/2024 E. � Vf MAY 2 9 2025 VIL F RYE BROOK BUILDING DEPARTMENT— BUIL MENT VIL E OF.IR OOK 938 KING ET RYF tR ,NV 10573 -c �� ov rr+air+arrrarat►tNafaa++►aa►fala►aafaar+i+a+air+trial++a rarraaaraaaf+arf+ai►faarfifNariaarrrrrrrrNa♦ AFFIDAVIT OF COMPLIANCE VILLAGF, CODE 521 fi+STORM SEWERS AND SANITARY SFWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE DF THE LEGAL PROPERTY OWNER AND BE sunBaTTED ALONG WITH ANY BUILDING OR PLUMING PERMT APPLICATION. ANY BUILDING OR PLUMING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RET TRNED TO THE APPLICANT. STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: 1. Wqn r 1IAr residing at, 4? 19 J-41 (�Vt' st-odg) rinl=no IAddns°,°1w.rrt°ou li,.i being duly sword,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; �j�Af pn Ln ,Rye Brook,NY. (!oh Addrw) Further that all statements contained herein are true,and that to the best of hislher 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. 4�" icr ur:of Pn,pert� „ncr(ill (Prim M�,:of Pn,pcny ancr(%)) 27�� Sworn to before me this r�� day of a ��2 JDFRYMALALVAREZ GUERRERO NOTARY PUBLIC STATE OF NEW JERSEY ID#Nl 17272 MY COMMISSION WRHI NON .l "hi `,wµttvlr'`,r MAY 2 9 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This form must be properly completed&notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type,Pre-Engineered'Wood, or Timber Frame Construction.(Title 19 Part t264&1265 NYCRR) To:The Building Inspector of the Village of Rye Brook, SuNectProp M: n SBL: Zone: Please take notice that the subject;}(One or Two Family;o Commercial, o New Structure ❑Addition to an Existing Structure )(Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑Truss Type Construction(TT) ct Pre-Engineered Wood Construction(PW) ATimber Construction(TC) in the following location(%); ,Lt'Floor Framing,including Girders&Beams(F) a Roof Framing(R) ❑Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type,pre-engineered wood,or timber construction must be posted with a Truss Identification Sign,installed in conformance with NYCRR§1264 for Commercial Buildings, and NYCRR§12.65 for One&Two Family Dwellings. Sv om to f rc me this swore+to b f me this darof A ?p day ZNo Owner S' of fessimal purer Print Nuns of Design fessional • Notary Public 90 LALVAMGUERRERO `'N07ARYPUBLIC r31 STATE OF NEW JERSEY ID Mi17272 MY MMMWION E7(PIRES NOV.22,2129 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 Et� v�YORK, OUNTY OF WESTCHESTER ) as: _ 'U AVOW m(W-5 _being duly sworn,deposes and states that he/she is the applicant above named, fPI;t aarrtc of WWI"Swung a dW v'-) and further states that (s}�te is the legal owner of the property to which this application pertains, or that (s)he is the L 5S1144 {f I for the legal owner ark is duly authorized to make and file this application. (mdicYc-+dea cmh-ar,xWeK*Wnw).ere.) That all statements contained herein arc true to the best of hislher knowledge and belief,and that any work performed,of 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 slgning 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 fors me this " fy Sworn to before me this 7--7'h day or a ,20 25 day f � )0 2.5 Siansum of NWMy nWVW5i ofA ]L, IQn �tvr -so flT0 tl a's PMN orProperty ��Nmnc of A,ypU navy Public �� JOFRYMALAL.VAREZ GUERRERO JOFRYMALALVAREZ GUERRERO NOTARY PUBLIC NOTARY PUBLIC STATE OF NEW JERSEY STATE OF NEW JERSEY ID 060111272 ID#50117272 Wy 0o iwlN 1MR11 NOY,m M My COMMISS10N a(ARES NOV.2Z 2M cn . . dtna:♦