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HomeMy WebLinkAboutBP25-174 a s ° n7 N G�i v m � v � a o, 01 CA Iz logo Ldi P. ® en O Lr7 \ ° to C 0 z F-I WLnto �/ W ° rri O A OVA N o .5 n � � � I.n � � Y � td O+ 4�i •� O ■ cq A Q W � w V V w OC © Cc: W QO w O V W.0'a U 1-4 Q W © o � vQ � . U ° acn a z w w � � W � a `R " BUILDING DEPARTMENT D E C IE P E VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 JUL 2 2�25 (9t4)939-0668 iviviv.i-yebrookny.gov VILLAGE OF RYE BROOK tC'i�tS � BUILDING DEPARTMENT UILDING PERMIT APPLICATION FOR OFFICE USE ONLY. ` / / Approval Date: JUL erni I ��v J/ /�J Application Fee:$ / Approval Signature: tl" Permit Fees:$ �U� L) C?i :tppruved: Other: Application dated: 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 a change in use,as per detailed statement described below. 1. Job Address: 94 Bari Pont Driva SBL:1a9 da_,_s s Zone: A15 2. Proposed Improvement.(Describe in detail): nd.install-36 doorto utility room basement 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: y Yes: If yes, indicate: TIER 1: TIER 11: TIER III: 4. Will the proposed project require the installation of a new,or an extensiontmodification to an existing automatic fire suppression system (Fire Sprinkler, ANSI.. -;tcn1. FM-200 System,Type I Hood,etc...) :No: x Yes: n Pennit application &2 sets of detailed engineered plans) 5. Occupancy;(I fam-2 fam.,comm.,etc...)Prior to Construction:i After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: jenny pwtn Address: Pd Red Rnnf rlriva,E3VP Rrppk NV in57A Phone# Cell.# email: JrJhpr-h1A1MQmai1 com 8. Applicant: KA.IV r nL10 rtinn I I r:(Lets t111etinn) Address: 4-rS Tar),I=n goad#1135 Whita Alai„q Nv 1nRm Phone# (914)G1A-O55P Cell#_(914)m8-0552 email: Wvrnnctnirtinnilragmail rnm 9. Architect: Address: Phone# Cell # email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: wy crtnstrurtion l I C __Address: Phone# 1p14)6]a 0559 Cell# g1at_ n1A-n _.._email: _>�j,i��„�trucGonuc@grr,aii r„m 12. Estimated cost of construction $gi,Rnn A-0i l I tic otiisuned'0A<hail iurhidc all I':JbO 11kit:'I.il.a.;ui+�l�iur= Il.�rtl uluihnacnt tu.tc�+r,,r .,tn�i tirncn:�i and labs❑ �tilu,i�ni.ir h�duuatc�l 13. Job Timetable: Start: ,luiv yn.po2s Finish: A„nust 75 POPS _ 41) 6/112024 BUILD!�4G DEPAI �MENT Vu, >✓o>H RY>; ROOK JUL 2 1 2025 .� 938 KING ET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.r el�innookn ov BUILDING DEPARTMENT *****9r***�:••k**************&**�r*�**************i:***kk*******************tY****1F*****************4�t*****fie** AFFIDAVIT OF COMPLIANCE VILLAGE CODF, §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: residing at, (Print name) (Address where y u h 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; Ot`1 Kll� vp k V r. , Rye Brook, NY. (Job 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. (S gt•cure of I o e Owner(s)) (Print Nam(�, Property Owner(s)) Sworn to before me this F '.4 i� ZO Z S - •• JAKP A.LIPMAN day of 1��� , ,I�trARY PUMIC.sTATF OF NEW YORK —� I Itegistretlon No.01L16173955 Qualified In New York County My Coninisslon 9V101Z0 (Notary Public) (2) 6/1/2©24 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 NEVJYORK,COUNTY OF WESTCHESTER ) as: �fdw.dual being duly sworn, deposes and states that he/she is the applicant above named, signing as the applicant) !AL ktates hat (s�he a legal o ner of the property to which this application pertains, or that (s)he is the the legal owner and is duly authorized to make and file this application. (indicate architect,contrac ,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 Sworn to before me this day of J ` 2 , 20 L S day of C�yl'n , 20 �S WAI AA Sig tolure of Pro rty �/v(n�er Si a re of Ap an PQJ�! %AAf v Print Name iloperly Owner Prin Name of Ypplicant Ncb blic U N a blic TIMOTHY DEAN TAMEZ TIMOTHY DEAN of New Notary Public-state of New York Notary Putrlic state of New York N0.01TA0007382 N0.01TA00073$2 Qualified in Bronx County Qualified in Bronx county 2027 My Commission Expires May 12, 2027 My Commission Expires May (4) 6/l/2024