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BUILD G ARTMENT
VILL:' ' OF R =IIROOK NOV - 6 20?5
938 KING EET RYE B 00q,NY 10573
4 39-0 $
W Ov
FOR OFFICE USE ONLY:
Approval Date: DEC 0 2 2025 3 : Application# A 0A -AI-7
Approval Signature: ARMTECTURAL REVIEW
BOARD:
Disapproved: Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# �r Secretary:
ZBA Approval Date: Case# -112
Other:
Application Fee: Permit Fees:
FENCE / WALL / GATE PERMIT APPLICATION
Application dated:_H (n /� n2 G is hereby made to the Bailcfing Inspector of the Village of Rye Brook,NY,for the issuance of a Permit
for the installation,con iio r or re lacement of a Fence,Wall or Gate,in accordance with Section 250-6 B. 1 P� P ( )(g),of the Code of the Village of
Rye Brook,as per detailed statement`descrribed below. Swimming pool fences must conform to the State Code.
1. Job Address: L + V V PDA I 0 A 1:)6 k'1HQ, U60 K ,V)i-A I,Q(;-)3
2. OccupancyfUse: l -F-7 AM S.B.L.#: I'?,S. a'4— 12,9-)D Zone: 5
3. Propo Fence Wall/Gate(describe in detail):
t o�)te.__. .
4. Property Owner: Vy 1
Address: AI (-1
Phone Cell#q�4— 2�p2- I cj�0 email: I L,,1'n In w�. r,n� (iln�t 11.�►�(lR►
Applicant: Al I j 5:0 Vl�-�, k l a,-\IPI C n k 0i1i�
Address: y-\, L(I-- I N
Phone# Cell# 0 — email: D Ily��``.(o
Architect/Engineer:
Address:
Phone# Cell# email:
Contractor:
Address&Phone: O 4 5A 0 4-
5. If building is located on a roarer lot,which street does it front on: Z'1--
6. What is the estimated cost of construction t I I�D 0
(NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and
material and labor which may be donated gratis-)
7. Estimated date of completion:
t
6Mt2024
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 signatures)shall be deemed null and void, and will be
returned to the applicant.
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of ukhvid".%gawg as dwapplicant)
and further states that (s)he is 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.
(acdicAe achitei-t,crxth�a.�tor,ageiN, y�,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.
Sworn to before me this 74h Sworn to before me this A
day of 1 V oV e. .�p r , 20_ day of �� , 20R5
ell
Signature of Property Owner Signature of Applicant
I"t t c CAI' i(_�w[
t Name of Property Owner Print ame of Applicant
Pu is I'trls:ic
JONATHAN C COWEN
JONATHAN C COWEN Notary Public,State of New York
Notary Public, State of New York No.01 C06230935
No.01 C06230935 Qualified in Westchester County
Qualified in Westchester County Commission Expires Nov 15,2G216
Commission Expires Nov. 15, 202 6
611 024