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HomeMy WebLinkAboutBP25-134 ■ M N � W � N rl O+ • xx c � y � W a v aY o' cn >C z R� cn W © ►n A W Vin w 1•rl 04 p �Lo W ■ O r , M W W z 0, E ci a v •:: A L O NLn z 'n 0 a V c fsl 00 z N N ti G E-� A U v V O U z ;z O W weq A w V a � r 6 co G1 ,2S -m x j. cy � W W U � cra `� � ✓" y .a .� ea � a W 2 A © Q � V e y C �w •p � Ln > W ° g_ a O-o a C' W F. 0 3 0 1 MM Now y U V v zI - A z p4 O� ao. v� �> �o. v s°daV Z 4 o .b °A5 V O E" �I � � W W � z � � � � b ■ _ BUILDING.DEPARTMENTDD V1II.�,;AGE OF RWJ14OOK .SUN — 5 20?5 938 Knvc$'r1MET RYE B> OOX,NY 10573 -_ 4 �0 $ VILLAGE OF RYE BROOK ww 'ov BUILDING r'FPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: A)S-- / ) Approval Date: JUN 10 1 5 ermit#: Application Fee:$ / 00 Approval Signature: Permit Fees: $ V Disapproved: Other: Application dated: 6/4/25 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: 16 Holly Lane, Rye Brook NY 10573 SBL: _ f 3� Zone: r l�'�e ! �` 2. Proposed Improvement.(Describe in detail): -Renovating 2 upstairs bathrooms. New vanity and tile for both. half bath downstairs replacing sink. -Refinishing hardwood on the first floor. Painting entire house 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 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: X 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: 1 fam After Construction: 1 fam 6. N.Y State Construction Classification: N.Y. State Use Classification: 7. Property Owner: Afshin Mobasher Address: 16 Holly Lane, Rye Brook Phone# 301-613-6456 Cell# same email: nikkomobasher@gmail.com 8. Applicant: Address: Phone# Cell# email: 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email 11. General Contractor:D rQczM ASff I Zo"Adddress: 3l C,d tl-4t�teS ,4y2 A 10-a) &x-Ad1F Phone# '�b I D_5-5a4!e 92 /-qk yar email: 12. Estimated cost of construction $ $50K (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: 6/9/25 Finish: 7/11/25 (1) 6/1/2024 BUILDING DEPARTMENT I V VIL"GE OF RYE"POK F- I 938 KING ST'JWFT RYE ftoOX,NY 10573 I J U N - 5 2025 (914) -0bb8 VILLAGE OF RYE BROOK www a ov 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: ) Ko bus rZ ,residing at, G2 r` L /J r� i o ! �� (Print name) (Address where you live) / J 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; L �f 11 -4,j P_ �i e- ✓S sZ u!�-'/ - 'IV L f , Rye Brook,NY. (Job Address) / c) �— . Further that all statements contained herein are true, and that to the best of his/her-Lowledge 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. �f (Signature of Property Owner(s)) r`� � I. Ali t 3'H c2. (Print Name of Property Owner(s)) Sworn to before me this day of �J 9 � ,20 A7)101711M tart' lic) GREGORY M.RIVERA Retry Public,State of New York No.Ot R16441398 Qualified In Westchester County (2) Commission Expires September 26,21 / 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 WESTC14ESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual 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 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 } Swom to before me this day of JU n:U , 20 day of , 20 Signature of Property Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant Notary Notary Public GREGORY M.RIVERA Notary Public,State of New York No.QfRISU1398 Qualified In Westchester County Commission Expires September 26,209 (4) Gil/2o24 o ICI O O U O ai C) y1 = U cr O ^ ITI > : z z � E—� W >-' z � 3 � Z n o O � , w ' o as U o Z O - 2 -0 o . W o N > cn 96 � m r w z w � _ a L � o 0 L c L) w i-- QSOrd c J L w ar cmQ � -' cl) w ^l c Z LU CA E cn to w � " w OC 1 w O Aol~ m m O n U) a) C oW 3 = w cn � m CLO � U CL Z W ►� ` o � = H M W h _ o IEEEw c W W N Z . � oow cx 1% lo. 22 � o F" coo ` O W o -00 .o Lu O w .. 0 0 Q