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D EC ENE
BUILDINtlDtPARTMENT
VILL.A4 OF RyVAR,OOK JUL - 3 2025
938 KING S(rKEET RYE B1166K,NY 10573
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B
-Qom IUI LLADING DEPARTMENT
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Wnv.t `n .'gov
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JUL 2 4 2025 PertTtit : Application# /-1 KnC? '/=0 q/
�;)proti al Signature: ARCHITECTURAL REVIEW BOARD:
:) .a;thru�cd: Date: L
BO T Approval Date: Case i- : Chaimian:
PR Approval Date: Case ii Secretan-:
Z13A Approval Date: Case
Other:
Application Fee: Permit Fees:
SIGN PERMIT APPLICATION
Application dated: is hereby made to the Building Inspectorofthe Village of Ryc Brook.NY.for the issuance ofa Permit for the
con;tructionrinstallation of a •i n in accordance with Village Code§250-35 as per detailed statement described below.
I. Address:204 South Ridge St SBL:141.:5_"-P;3Cr _zone:C1-P
?. Property Use or Business Name:
I
Proposed Signs)IDescribe in detail includine number of signs.t\'pes.sizes.exact loeation(s).and illumination methodts)i!•;ipplicahlc.)
:A separate Flectrical Permit will he required foram associated electrical cork.;
Reverse (Halo) Lit Channel Letters
g. Height from _grade to hi17
w hest point of siion:�,, to lowest point of sign:: � p p
5. Property Owner: l!V �� P-f" N l/i. Address: Z4- (Z-Y� F*N�-�G -�`�V.�-►�'7`t\
Phone 6 ' cell= email: hHkK WiN�WI���I�IIEP
6. Applicam:Kid strong Address:204 South Ride St. Rye Brook, NY
Phone:�973-979-9988 Cell=973-979-9988 en,ail:ioe.l)edatella kidstrong-Corn
7 Architect/Frigineer:Philip H. Cerrone _ Address:421 Meadow St, Fairfield, CT 06825
Phone:;203-333-2066 cell�:203-333-2066 email:phil(Wcerrone.us
S. Sian Contractor:Brian V. Cullen Address: 64 Merritt St Port Chester, NY
Phone?914-315-6120 cen-914-315-6120 email:brian gothamsg.eom
-t-
6,.1,202-1
9. Will the proposed sign require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes:X No: 1!�,>.tau mutt submit it tine flan :\Pltlication.&pro%id;:detailed drattin-s)
10. Does the proposed;i�sn involve a Home-Occupation as per§_'50-38 of Village Code? Yes:--No:X__[f yes. indicate:
TIER (:_TIER I1: TIER III: _ tlfyes.a Hanle Oaup:uion I'crmit,\pplication is required)
I I. If building is located on a corner lot.which street does it front on: NO
12. ProperiN fron[age:
13. ProperLN size: Sq. Ft.: Acres:
14. What is the total estimated cost of construction: S6500
i The cs(imaied uist shall include all;itc improvements.lahor.!naterial.scat'101ding.fixed equipment,professional fees.including am_ material
and labor ufiich maN he donated Brans.)
15. Estimated date of completion:
This application 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.
Y.*::it%*%%%lit%%%%%%**%%i[..Y.**]i%ft*i:%%%*%***YiC%*%]t%%]ilt*****lt***%**%]t*%%%%*%%%%*it%%**T'%%*%][it*%%]t*%%%).•%:t*r•ic%'if%*%%*
STATE OF NEW YORK.COUNTY OF Va ESTCHESTER ) as:
BrimV. CuIItKn _ _ . being=dull• sworn. deposes and states that he/she is the applicant above named.
pant n,nne of nuli�idu;d>i�nmg a�the applicants
and I'urther states that (slhe is the leual owner oh the property to which this application pertains. or that (s)he is the
Contractor for the legal owner and is duly authorized to make and file this application.
indicate architeet.contractor.agent.:uwrne�.etc t
That all statements contained herein are true to the best of his/her knowledge and belief. and that anv work performed, or use
C0110uCted at the above captioned property \\ill he 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
Pie\ention & Buildinu Code. the Code of the Village of Rye Brook and all other applicable laws. ordinances and re`zulations.
Sworn to before me this Sworn to before me this
day of V li -)0 25 day of 20 2_
F tiim .Ere 01 crn t3esrt,r Signature of Appl and
I'r'a N::me of Proper (?eertuJW� Print Nanic-of App icant
Li Public Notan Public
ALENA HMAN M ELLENA M JOMN8ON
WrARY/U8X,0TATE0FWW.VM NOTARY pUUX
R=o�IftnUOn No.0114AO013MS STATE OF CONS
ptq�HMd to 01HteMller Coo
my Ct!!=bpkooI h1Y COMM. EXP.01/31fX0
6 1 2024