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BUILDING DEPARTMENT E C E��E
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 1057 f UN 16 2025
(914)939µ0668 VILLAGE OF RYE BROOK
wwwxyebrookny.jov BUILDING DEPARTMENT
DEMOLITION PERMIT APPLICATION
FOR OFFICE USE ONLY: �+ Q f
Approval Date: ju c 1 N Pe / J�6/'Application Fee: $
Approval Signature: Permit Fees: S Asp._ lJ
Disapproved: Other:
Application dated: (49 ( 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 anexistirig building,or for a change in use,as per detailed statement describeedd below.
1. Job Address: 2c+ S' PE-D6C 5T—EE7— SBL: 4'3 Zone:
2. Proposed Demolition.(Describe in detail): ?19M rkie r t �h� 0✓3 fG�ah{ �i�'fvIt.S ��`fti2 !
�0Vp erlS'n Pad416A LO� 140047S . 4"OVe efrof Ce,* �eJe ��o r U
Cc��ert� � vk/�F� � �! � .c� PH� +" A T�Pgo•F GC.Sa 1,
3. Property
nnOwner: WA KCK" Address: Z_4� �_e`�� h�4
Phone#_I 1� I �� Cell# email: ��1['1r tR z 1 Vs!<'�h+c�`,t✓+�`�
Applicant:T)ANS6C' MC Address: P W N bP A,r&5 Yan P-r /a40 SF
Phone# '114 3 4g 33a 3 Cell# 1(43/63 a'g email: ceA����. �'a cG/Mfa��L�/lI+/ •�o.^�
ArchitectfEngineer: Address:
Phone# Cell# email:General Contractor:DeG}eZ� Aezkfcj Cv,09 Address: 3q-0 Saw f"'1( 4'Vef ,,//Qal. lop^�t6OW�
Phone# qN 349530 Cell# 9N W 5 33�,3 email: cl eC,+&0,k^y fg1�+kar j•�
4. Estimated cost of construction S �' 5. 00
(NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated
gratis.)
5. Type of construction: (wood frame,masonry,steel,etc...) S� rOC�G- •� (J(30d jrid Ce.1.'n
6. Method(s)of Demolition: -61 Np^ UG� SGG.r F .
7. Number&Location of Fuel Oil Tanks to be Removed: 0
8. Number of Stories: Height to Highest Ridge: To Highest Chimney:
9. Estimated date of completion: S
1
6/1rzo24
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:
)Awyf e f CgItr1"o� ,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
C o4*,'t'rstv_4"v<— 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.
Sworn to before me this 161-0 Sworn to before me this ! ��
r r "�
day of ,20 W day of VVN3- 25-
_e -
i n e of Prope y Ewrrw Signature of Applicant
Print re of Proper y Prin Nam �Applica t
Notary Public Notary Public
AL NA MRAMANI EAINA NAKANJtM
NOTARY MC.RATE OF New YORM &C.ITATE OF New YM
RMe�btrotlen No.01MA0013645 tion No.OtMA0013645
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6,1 2024