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BP25-196
Lin N \ ■ N \ Q W v _ \ 00 ~ II CA � A p ace y u W 9 114 cA 44 CS U PC y w C = N W 4 z1 q M = `O r a en w I 400 W 0 V L �Myy oj./.�, O7 � H" a u a h+y zz IE-1 415 WCIS _ 3 E a' �4 O [ ' iz G� L p �4 N � ¢ -Vo O ^ a z (� w co Oo Z © W W QLd O Nw p o c a4 0 _ 00 u Id olLim U $ o � � sav w ° o O rib ■, o, o ° � a BUIEDING DEPARTMENT ® �CC E� � IV IE I VILLAGE OF RYE BROOK 1 938 KING STREET RYE BROOK,NY 10573 AUG 2 0 2025 • (914)939-0668 w,vw, ebroolcn)--ov VILLAGE OF RYE BROOK ` �`•,1t, DEPARTMENT INTERIOR BUIL G PERMIT APPLICATION FOR OFFICE USE ONLY: �J � Approval Date: UG I Fill [!� Application Fee:$ J�1 Approval Signature: Permit Fees:$ d� Disapproved: Other: - 06 Application dated: `�� _ is hereby made to the Building Inspector ofthe 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. lob Address:5 beechwoad Blvd SBL:_ 5 L a9 `f�Zone: 9-0-k-- 2. Proposed Improvement. (Describe in detail): Master bathroom renovation 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 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: Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application& 2 sets of detailed engineered plans) 5. Occupancy;(I €am.,2 fan.,comm.,etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: N.Y.State Use Classification: 7. Property Owner: Mara&Niel mILLER Address: 5 BeeChwood Blvd Rye Brook NY 10573 Phone#917-880-2826 Cell# email: mara.miller@me.com 8. Applicant: 914.299-1961 Address: 31 Red Fox Lane Phone# Cell# email: 9. Architect: Address: Phone# Cell # email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Freddy Ramires Address: 31 Red Fox lane Brewster NY Phone# 914-299-1961 Cell# email: Info@northviewconst.com 12. Estimated cost of construction $ 39,)00.00 (NOTE:The estimated cost shall include all lab)r,material.scaffolding.fixed equipment,professional fees.and material and labor which may be donated gratis.) 13. Job Timetable: Start: Finish: (i) 6/t/2024 BUILDING DEPARTMENT Q "� VILLAGE OF RYE BROOK 20 ��� 938 KnvG STREET RYE BROOK,NY 10573 AUG (914)939-0668 L--------_ +�sw.r�chr(�t►I:n�. ov VILLAGE OF RYE BROOK DEPARTME.N r is ie ve ee irR a'r 4 F yr it is it ie x,t,t ie ie ss aF*ic*,:ek F it*ie,k*�r:Eir*�*ir ie it s:k*ix xic�cxir ie t ksrx*rx�x*ir*4e*9e kie s'rxir*,tr:t*eF**•k it sir rt'c:tr iexde 9e ie:k krk,'s*,t*ir**&ki,:aF 1 AFFIDAVIT OF COMPLIANCE VILLAGE CODE 6216 - 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, VISA 4(V. El f (Print n.mlc) l:A,Itir.'„��h�r�you litcl 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; Rye Brook,NY. I lib 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 filrther 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. (Srgnawre ot`PruPcrty O%Aner(s)► Wrint Name of Prolicrl.k Ov%ncrls)) Sworn to before me this of 20S (Notary Public) SHARI MEULLO l�otar y Public,State of New York No.01ME61600Q Qualified in Westchester County (2) `OMMission Expires January 29,20 6/1/2024 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 andlor 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 (indicate architect,contractor,agent_attorney,etc.) for the legal owner and is duly authorized to make and file this application. 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 71D Sworn to before me this day of , 20 day of kj�- \--4NT- 202,5 Signature of Property Owner ature of Applicant Ma i,,A W t Name of Property Owner Pr ame of.A*icant Aa�_' V\- Le—Ilff I-,,— � \-t Q—& Notary Public S►iARI MEULLO Notary Publie Notary Public,State of New York No.01ME6160063 Qualified in Westchester counter SHARI MEULLO commission Expires January 29.20_., Notary Public,State of New York No.OIM E6160063 Qualified in Westchester County Commission Expires January 29,20?� (4) 6/1/2024 This form must be properly completed¬arized 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. (Titie 19 Part 1264& 1265 NYCRR) To:The Building Inspector of the Village of Rye Brook. From: Subject Property; SBL: Zone: Please take notice that the subject;),vbne or Two Family; ❑ Commercial, o New Structure ❑ Addition to an Existing.Structure ,Rehabilitation to an Existing Structure to be constructed or performed at the subject property Ni ill utilize; ❑ Truss Type Construction(TT) ' ❑ 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 before me this Z Swom to le re me this day of ,20_1 day of ,20 ZZr Signature of Pro erty Owner Signature o esign Professional t Name of 7�im Pri m estgn Profe ' 1 hh1,� a Nosy Pu5NAR1 MELILLO Notary gblic HARI MELILLO Notary Public,State of New York Notary Public,State of New York No.OIME6160063 No.OIME6160063 Qualified In Westchester County Qualified In Westchester Count --7 Commission Expires January 29,201� Commission Expires January 29,2� 1 (3) o � V1 .. F— ca O rZi F 0 � 3m o � ri - � H Qw •- 0 a) � CC U 2 0 .. o ; ? C .4 Cl Cl) F- a) a o 1 w d c U �J w p3 Q v Wcr \` � Z L o "o C'7 a � EL CL '� ` 3 a� '. ►-� M ""� �, o m V m Q 1 M � O cv d Z a z ' C cr W Q W = C:) p a CD 1 CA C4 w oa� W 3 ` w C m a) E CrO _ W z d� �. A m0 � Q w 0Q 0 �_ 1 � `J m4 N w a) CL m W U N UCA Q � 1 A 0 w � @z _ 00 A W W ► t � o > W w x ^ 1 oc 4, ° m i�i -� o O w a) O coo EN `F Z > .- - E "0 W O N ° w w • wlN1 c'► C Q 7 W- 0