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BP25-154
to ►n e�°v `o o ■ 44 CA x a p ND .. w 0-4 CA ■ � � � o o a � .. W v r s 0 � : x ■ O un W o o o w ° cn Cq W O 3 LOx � C " ob A Ln o o a OM 6 ,0 U O Z gip.� o �, z V w U z �5 a I .1 W M fl+ QCISbD a O _ ` ~ Z A W `: ` docl IU W E PO 00 v cy aoeb d V z c x w t � Z W c o � vQ _ w o Z z za c� a , v IS © ° H 2 of x v m ;d z o o q � . v W A 1d U Q V -fa � al Z 3 z � � ` at � d x ,=� p Q © ° gam . u H A a z o � ao A zap V _ BUIMETRYE MENT V1cox938 KING ,NY 10573 JUN 2 4 2025 90_0v VILLAGE OF RYE BROOK -_ BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Q � r Approval Date: J U L 0EQN�X _ ; �: / e��� � Application Fee:S Approval Signature: Permit Fees: $ 0 -P Disapproved: Other: Application dated: 6p 0$'-4. 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. f 1. Job Address: 27 Doral Greens Drive West / a Rye Brook, 10573 SBL: 9/ 444`3 40 Zone:f" 2. Proposed Imp Vement.(Describe in detail): Painting, Flooring, Plastering, Tile, q*V\I(4P 4Q .. - 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 Tire Suppression System Permit application R 2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: 1 fam After Construction: 1 fam 6. NX State Construction Classification: N.Y. State Use Classification: 7. Property Owner: Yuri Bogdanov Address: 27 Doral Greens Drive West,Rye Brook, 10573 Phone#5715655043 Cell# 5715655043 email: yurl•bogdanovl @gmail.eom 8. Applicant: r. Oltion Uega Address: 117 East 77th Str, New York, NY, 10075 Phone# 929-219-7215 Cell# email: Ir1c�,`OzGblPy,�1iL�iv�� 9. Architect: Address: Phone# Cell# email: 10, Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: Phone# Cell# email: 12. Estimated cost of construction $— t � (NOTE:The estimated cost shall include all labor,materati;scattmaing,fixed equipment,professional fees,and material and labor which may he donated gratis.) 13. Job Timetable: Start: June 23rd,2025 Finish: September 23rd,2025 (1) 6/l/2024 BUILD TMENT VIL E OF RY OOK 11 938 KING ET RV-E BR, ,NY 10573 w� �ov vu 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 Yuri i3ogdanov, , residing at, 27 Doral Greens Drive West, Rye Brook, NY 10573 (Prim name) (Addres" nh.rr you I i� ) 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; 27 Doral Greens Drive West, Rye Brook, NY 10573 , Rye Brook, NY. (.lib Addre zO 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. (Signature o('PropertyOwner{ )) Yuri Bogdanov (Print Name ol'Property Owner(:)) Sworn to before me this 17 Notarized online using audio-video communication Lee Presser day of June , 20 25 Online Notary Public State of New York Westchester County Public) Commission#:01 PR0000217 Commission Expires:02/02/2027 (2) 6/U2024 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 WESTCHESTER ) as: (print name of individual signing as the applicant) being duly sworn, deposes and states that he/she is the applicant above named, 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 17 Sworn to before me this 0 day of June 920 25 day of il LA 20_F) ♦J Signature of Property Owner gna f pplic nl Yuri Bo danov Print Name of Property Ow r Print Name of Applicant rl� Notary Public Notary Public Notarized online using audio-video communication =NF PAPM NOTARY PUBLIC STATE OF Ntw YOHt< Lee Presser No,C1RAWM7 Online NotaryPublic Ouaii8edinthaCountyofN"York State of New York Commission Fxptr18 May 02.20M Westchester County Commission#:01 PR0000217 Commission Expires: 02/02/2027 (4) 6/I/2024