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HomeMy WebLinkAboutBP25-182 i Ln N O N c i \ °\p v f sa -d vi _ 00 • ■ W �04 r o W = n U a -obz v v 7 W bA !T� • L � 4 H y o 0 3 P� _ O, ^Q�1 IOUy _ O O b A i = W Z }�-� z S a W M '~ aai ° � 1-4 = a, '� W ob � o E "O c!a ■ ZO = r� w N U W 0 Q in 4v ° v ° E V = i V «� O o z gobs � u a ee) � >4w 00 a w v v o G a rn � O zz � F1 d z o G a.n � A © U U U $ a z� o � v z � � � � i ■ U z ° W i - L,-. ` BUILDING DRTMENT �1,� VILLAGE OF RYE BROOK IJ -JUL2 9 _i025i_J Jf 93$KnvG STREET RYE BltOca>ti,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rvcbruokm.�g,ov BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: A116 0 5 ermit / C�g� Application Fee:$ Approval Signature: Permit Fees:$ �� 35�) _ Ue_ Disapproved: Other: **,�xxxxx,�xKx�xxxxxxxxxx�xxxxxKxx*xxxxxxxx*�rexxxx�x,.xxxxxxxrixxnnxMx,.xxxxx,.xRx,�,,�n„xxxxx�x�,��********�***�**,� - 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: Ly, BnXW 000 PL^ SBL: I Z9.67- l— Zow o,_ I Zone: — 1S 2. Proposed Improvement.(Describe in detail): V P DP����'�1'IZ. 6t4� U CAAAN FL.C.)p P�_I 140 3. Does the�proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: Yes: If yes,indicate: TIER 1: TIER II: TIER 111: 4. Will the proposed project require the installation of a new,or an extension/modification to an existin utomatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: "Yes: (I f 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 rIIg1Nll After Construction: FAM 6. NX State Construction Classification: r ` V N.Y.State Use Classification: Property Owner:6 1 c a M�,r1U,y Address: 1% Q(01 00 1�t�p Q U nn Phone Cell 5�(QP S 3��� email: "Cv-1Cqu,lCV\C�Q�I"�I�VI�GlII�.( a+o 8. Applicant: ftk 6(_S 0WN-\,Q,✓ Address: Phone# Cell# email: 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General ContractoriorIMLffiA I IrN, ddress: Phone#91d T1 D U_`Cell 9t 7 74- b 11 :7 email: SCtLF 0 MG LOUP, C o ^4 12. Estimated cost of construction $ 7.nm (NOT1. 'Me 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: J O� -7-0 2,- Finish: 5 t5fT 2"o Z5 !I) 6/l/2024 BUILDING D]it TMENT VIL AG E OF RYE BROOK J U L 292025 938 KING TREET RYE BROOK,NY 10573 (914)939-0668 > 1 VILLAGE OF RYE BROOK wn2tX_yebrookn}.Ito%° BUILDING DEPARTMENT x�xxKnxxnKnxKnxnnxK,xxKnxxx��xxx,�*�,�xxxxxxx*xx,�,���xxx;��xxxx,��xx��,�*:�x,�Wx*x�,�xx%KxR;,�,�nx�;,�xx;xxxx,�xxx AFFIDAVIT OF COMPLIANCE VILLAGE CODE UI6 • 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, IW=�Qj W L j�— , residing at, '4!0XV4vbQ pL 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; P L_• , Rye Brook, NY. (.lob 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. {5ignawreof op veers)) 6�C-0 " �_ "-Y/- (Print Name of Property Owner(s)) Sworn to before me this d of u 20 (Nola uhIic) SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County commission Expires January 25,20LJ (2) 6/1/2024 This form must be properly completed&notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR) To:The Building Inspector of the Village of Rye Brook. From: Subject Property: WaDXN"-1D //QL_, SIIL: IL - 20 Zone: �— Please take notice that the subject;V/OOne or Two Family; ❑ Commercial, ❑ New Structure ❑Addition to an Existing Structure Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑ Truss Type Construction(TT) in Pre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the following location(s); ❑ Floor Framing,including Girders&Beams(F) ❑ Roof Framing(R) ❑ Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. Sworn to b fore me this `� Sworn to before me this day of ,20 day of ,20 Signature P Owner Signature,if Design Professional nt same of Prope� Print Nanre f Design Professional No PubliliAR1 MEULLO Notary Public Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commission Expires January 29,202:_� (3) 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: t344pr W I 1�f,l>E772— ,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 C3_w1 rim 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 1�. Sworn to before me this day of J ,20 day of ,20 Signature ope weer Signature of Applicant Ca Wu t ame of Property Owner Print Name of Applicant Notary Nblic Notary Public SHARI MELILLO Notary Public,State of New York No.OIME6160063 Qualified In Westchester County,? Commission Expires January 29,201— (4) 6/1/2024