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HomeMy WebLinkAboutBP25-192 : CN N o w _ Ln N \ C a m ! 00 v � � H ~ O en 0-4 L Q o 3 c� bc 2. G J W n 1 O cn 0oa cq 00 A N Oa .� co �i W z � W oo z A w c� ,.0 O p W �" o O b v pm( ■ cn p ` ' p 1 CPN ^ ,n w i v A Q, �, ` Z I� M z M w � � Eo � v (� A � � H Ig � � w �W V z ~ W p w z � o o a a00 `Q � M [� ^1 rH � I�w A 'z'i cn 0.i o7fL cn t7 o a "o C U a 4 NI 7, A © zZy 0- J Cn s= 0 Z �" O j" 2v� 8 `n , aC 4 O z V C� ` ° c► a. o w v z O CA C O a.,n A w F O Z �� ~ A w v 9 z V w HS H O U z -° o, b w c9 A z O 0 � � v a lu W 4 O � fob U a E■ v e _ . BUILDING DEPARTMENT VILLAGE OF RYE BROOK ��] 2025 938 KING SMEET RYE BRooK,NY 10573 I �� (914)939-066$ VILL r �'= $ROOK www.tyebsoo�cny,�a% BUIi. ' _1EPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: taut _ o � 5/ f� Approval Date I' nr Application Fee:$ Appwval Stgnaaltrre: Permit Fees:$ 1,80 — /�IJ 4 19isappr� � Other: !!R!!l4fRRA4 RlRff!lRRff4flflffRRRflR4RRRR4!l4RRlRRRR fRRRl4RRRRRfRRlRRlf RRR RRRR R44 RRl4Rl RR RRRf RRRRk RR kk RRRlR Application dated: is hereby made to the Building Inspector of the Village of Rve 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: It 4-1 t 0 nE PJ 9 oy\ ©Ir SBL: ,�a„�,'�� �a—7 Zone: 2. Proposed Improvement.tI k,crihe in detail r: 0 2 Ca rya D Lr of EX"brinq !7lywl lb i-1 H Gv►(d E eTrc_ lt_ X\.C'Tiny Tvfis IToygf rE►�4%te ctv\d CN.&grf fo 51�0v✓�rt 1VEty 11/AtWrl TlAQ1 3i%ck Q�+d-�.Ti�f Pa�ra�rov� 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook'? No: Yes: II'yes,indicate: TIER I: TIER 11: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(lire Sprinkler. AN�1 tiN acm. FN i-_n()S.aeni. fclx:1 11oo&etc... :No: ✓ Yes: I'detaailcd engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm..etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property C-Xvner: 10�1✓l a rl of StJ 6AfJ M OI'4!I k W Address: I l {, t 0 0 ew-j IV 0 yn � Dr E 0Jra Y Phone# Cell# 91 ( — �� 3 �- email: 8. Applicant: Clart05 5A-05+%J0 Address: `t(C ft"WTi"" 5r 5TMmFOCO) Cr Phone# Cell# `703 -S(ol 1001 ► o"Fr►rlp�oy nEns�CLCrQ� 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: CIASSto "ftf I'"fro46-4t',yAddress: L4(a rkArr;� S i Apr s S7-tir vr-o.-4 C r ph"ne 06,1I05 SQTC2II L-�CCU# '203 3-tel-tool email: !AS Q! f`l t7m FJ rOV T'SL.1-C 12. Estimated cost of construction $ It verl (Nui7.: Ilrr4stirouliYlr.sl.hall tnriuJ�•alllulk.r. . gratis.) 13. Job Timetable: Start: Finish: (I) 6/112024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK AUG - 1 2025 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOD www.�vebrool:riy Gov BUILDING DEPART MENT R#RIIRlR��!lR�RRRRfi RRR RRRRRRRRRR XRIlRRXR'Rf RRRR RXX RRRRX RRXRfRRRRXRRRRRRXRfsRRRX RkX Rfi Rfi kRRRk RR RRkfiRfi RRRRfikRRfi 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, &4't- /� D 411� residing at, =L)K64K 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; `�-Y / 00 t= l t Rye Brook, NY. 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. L� Sworn to before me this O day of 20 2 �r RICHARD J.SLAGLE NOTARY PUBLIC-State of Connecticut My Commission Ex*" March 31.7,M (2) b/i/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. STAT OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name orindividual signing as the plicant) and farther states that (s)he i 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 contacted 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/shc 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. I S+ Sworn to before me this Sworn to tx;fore me this day of ,20 day of f . 20 2- -_ Signature of Property(honer Signature of Applicant c Print Nanw of Property Owner Pant t Notary Public Notary c Joni Lamaj Commission#O 1 LA 0025681 Notary Pub1ip,State of New York My Commission Expirm lure 07,2028 (4) 611/2024