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BUILDINGJ)EPARTM
VILLAGE OF RYE B_ RO U - --= -
938 KING EET RI'E B ` *.,NY
\�j 14 39- �Qr.`
AUG - 6 2025
w ov AUG
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VpI�L�L1"C
S9.T+F�k��:
FOR OFFICE USE ONLY: —
Approval Date: erm' t�0g Application #
Approval Signature: ARCHITECTURAL REVIEW
BOARD-
Disapproved: _ Date: �'�ZJO(L5
BOT Approval Date: Case#— Chairman:
PB Approval Date: Case Secretary.
ZBA Approval Date: Case#
Other. — -- - ---- _
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Application Fee: )Permit Fees:
FENCE / WALL / GATE PERMIT APPLICATION
Application dated: Go/L( I 2,P7 C- is hereby made to the Building Inspector of the Village of Rye Brook.NY,for the issuance of Permit
for the installation,construction.repair or replacement of a Fence.Wall or(late,in accordance with Section 250-6 B.(I)(g),of the Code of the Village of
Rye Brook.as per detailed statement described Belo%%. Swimming pool fences must conform to the State Code.
1. Job Address:_ r - iv 1 7-0 iJ 7,OA
2. Occupancy'Use: N)✓after N.+yS S.B.L. :_ 40i 4y 131 iO&-/-5 Zone:_
3. Proposed Fence 'Wall 'Gate(describe in detail):
ZZ Z d f= G ' I'1 K N /ALL ��N,j Ei k-&'T�2�/ �/ Z / S
� Dv� r ti u iI 4✓ i�4
'OA/6- S, i ''� _ .1r 4 t Al, Ne
4. Property Owner:
4e' o�—1 .042r- C��� �,' �� ��1�-o✓ _
Address: /( L2 kf.'' ,0ti, PGA! �Qy r, JLT --
Phone# Cell# 111 95_ 2-2 2 email: Ri4tf 4
Applicant:-jX 1k-4u s r� _
Address: 1 G 1�N�. �Q-F/ PC —
Phone# _ Cell email: u6*i!_4
�rJ
Architect Engineer: Az
Address:
Address:
Phone# Cell # _ _ email:
Contractor: I
Address&Phone: 12 f7,y�/f �� SB, '�`6k/S '6Q
5. If building is located on a corner lot,which street does it front on: _
6. What is the estimated cost of construction 4 / Z I k p
(NOTE.:The estimated cost shall include all site impro%ements. labor. material,scaffolding.fixed equipment.professional fees.and
material and labor%%hich may be donated gratis.)
7. Estimated date of completion: -!C" b)1R9.r2- 2,02�
I
611/2024
Please note that this application must include the notarized signature(s) of the legal owner(s)
of the above-mentioned property, in the space provided below. Any application not bearing
the legal property owner's notarized signature(s) shall be deemed null and void, and will be
returned to the applicant.
:,:xY,:x>xxFxxrrYYxrxrrxrxxxxxxxxxxxnxxxxxxxxrxxxxxxxxxxxxx-�xxrxx;;:�xxxx*rx�xxxxx;:,:xx,:xKxxxxxxxxxxx,:**xxxxx
ST) E OF NEW YORK. COUNTY OF WESTCHESTER ) as:
V11 G 1;-wN 4!1V_ t/dl , being duly sworn, deposes and states that he/she is the applicant above named..
(print name of indici ual sienins as the applicant)
and further states that (s)he is the legal owner of the property to %Nhich this application pertains, or that (s)he is the
_G,'Al 9Q 4-� #/= 9 12. lam. for the legal owner and is duly authorized to make and file this application.
(indicate architect.contractor.agent.attomev 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 asset 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 Rve Brook and all other applicable laws,ordinances and regulations.
Sworn to before me this Sworn to before me this
day of kel 20 day of 70
V`
4. g,n&twur_cofPropert} O,�ner-AS or 2 2 Signature of Applicant
Ik
Print Name of Pro ert, O n r Print Nanteyf A lie it 2
Notan Public Notarn Public
SCOTT J.GOWE
NOTARY PUBLIC OF NEW YORK
I.D.#01GO6357188 7�7 ' SCOTT J.GOWE
MY COMMISSION EXPIRES.V1177 NOTARY PUBLIC OF NEW YORK
I.D.#01GO6357188
MY COMMISSION EXPIRES—Y//! Z47�
6i1%2024