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HomeMy WebLinkAboutBP25-148 S m = T� O C C a O p4 Ra.� O W a r-� } X H S `.1 00 N a 1--I ed cn si s v fi O V x � vv °J o W bo vU u ■ z 8 a V C L a ■ �' o a c/� • 0-4 a'� F� a m W H `O L V L7 U a �Cq y ,end O a N W U Z o v z all bz PIZ oo m E~ U 0. O C0-4 �"I � Q o •• �' v " 0 00 Fo `° a O � gibes .. �'. 021 Or ° 'd 41414 a a 414 a 4 4;4;4;4;a4;4;4;4;9a4;a4;4;4;49 4;9 9 4;.4 4;a a a a a a a a 414N 49-469 BUILD. i .DEPARTMENT VIL LRVE E OOK J� JUN 2025 938 KING RO 4,NY 1057366$. VILLAGE OF RYE BROOK v ov BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: _ 1� Approval Date: /k� pp Alication Fee:$ je'__ Approval Signature: Permit Fees: Disapproved: _ Other:_ - Application dated: is hereby made to the Building Inspectorof 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: VFW —m-ir- P an L �K,t J S�SBL:V35.% ' -' �� Zone: '�+� 2. Proposed Improvement.(Describe in detail): KgGrter/e. C�Prf �,S'��t1Hri► RS �sr»�(�V—lrserlt- •o���, � 1�. � ���_'�✓1 �Cl��"..v1,� QA►yttt'1r+c !�-t.'r�"'��.. �-'A�t ri��1� � I �ler r�w R1i CfA An�I,^ _Vt�t7Jtc � ��; r � Oy�y L- s Does thp proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: V/ Yes: If yes,indicate: TIER I: TIER II: TIER III: FWill the proposed project require the installation of a new,or an extension/modification to an existin automatic fire `` suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: V Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) Dccupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: 1 C"A*4 After Construction: { N.Y State Construction Classification: `` N.Y.State Use ClaClassification:7. Property Owner: X/*,)Na C.4.;V(! Address: Raw M64%+'X AQ iM &Mv) Oy It94b©l Phone# Cell# %,I 1' ?'41 16 email: Applicant: Hl�oz> Vc'1CJ10 Address: Phone# Cell# °�► Zl 4 2Yr41 email: r► '� Cesvtn 9. Architect: Address: Phone# Cell# email: 10._ Engineer: Address: Ph ne# Cell# email: 11. General Contractor: Address: Phone# Cell# email: 1 timated cost of constructionF$ ��t TE: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: Finish: (1} 6/l/2024 $UILD � J MENT VIL E OFRY ' OOK .SUN 12 2025 938 KnvG ET RYE Bit ,NY 10573 -� ? VILLAGE OF RYE BROOK wwN .901 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, 1cla k fa� to ,residing at, 1 4:lq t NVft&A We, ?nMA r ISY 10by(9 (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; LRye Brook,NY. (Jab 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. vc, — (Signal 'e of ilroperly O vner(s)) 04W�xN 44�, �_�w / (Print Name of Property Owners Sworn to before me this . day of it�P , 20 (Natary P ,i.) GREGORY M.RIVERA - Netmy Public,State of New York (2) No.01RI6441398 Qualified In Westchester County Common Expires September zs,2 4 — 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. STIlkTE OF N %gRK,,COUNTY OF WESTCHESTER ) as: �"la ,being duly swum,deposes and states that he/s a is the applicant above named, (print n 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,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 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 Sworn to before me this day of , 20 day of , 20 E_� SiEp ture of Property Owner Signature of Applicant M�4N . l �1 Print Name of operty Owner A Print Name of Applicant Notary li Notary Public GREGORY M.RIVERA Notary Public,State of New York No.01 R16441398 Qualified In Westchester County Commission Explres Septotnber 26,204 )(4) 6/1/2024