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Interior Building Permit Application Village of Rye Brook
938 King St Rye Brook, NY 10573
Phone: (914)939-0668 1 www.ryebrook.gov
Building Department
Project Information
SBL Zone Address Line 2
Danielle Craighead 3 Sleepy Hollow Rd Rye Brook NY
Proposed Improvement
1-Bathroom Renovation,fixtures replacing without change on the existing floor plan.
Does the proposed project involve a
Home-Occupation as per§250-38 of
Village Code?
❑ Yes 0 No
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...)
❑ Yes 0 No
N.Y. State Construction Classification N.Y. State Use Classification Occupancy Pre-Construction
Residential 1 fam
Occupancy Post-Construction (1 fam., 2 fam.,comm.,etc...)
What is the total estimated cost of construction: (NOTE:The estimated cost shall include all labor, material,
28000 USD scaffolding,fixed equipment, professional fees, and material
and labor which may be donated gratis.)
Interior Building Permit Application,page 1/1
�y BRc�t VILLAGE OF RYE BROOK
938 King St Rye Brook,NY 10573 �►
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. 1902 . i Building Department
Residential/Interior(Remodel/Renovation) Permit
Permit Set 3 SLEEPY HOLLOW RD P#RB25-0101 R#129.75-1-18
PERMIT INFORMATION
Address Permit number Date issued
3 SLEEPY HOLLOW RD RB25-0101 11/05/2025
REVIEWED BY
If you have any questions regarding the review of these drawings please contact:
Application in general
Steven Fews
stevefews@ryebrook.org
INSTRUCTION AND ATTENTION
It is the responsibility of the Applicant to print full size the entire approved permit package and provide at the time of inspection.
TABLE OF CONTENTS
Cover page 1
Building Permit 2
Required Inspections 3
Contractor's Liability Insurance,Contractor's Workers Compensation Insurance(Showing Rye Brook 4-6
Cert Holder,Westchester Home Improvement License
Interior Building Permit Application 7
Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668
�yE BR(�V� VILLAGE OF RYE BROOK
V 938 King St Rye Brook,NY 10573
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INSTRUCTIONS
THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSI BLE FOR ENSURING THAT ALL REQUIRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT
THE PERMIT IS COMPLETE
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REQUIRED INSPECTIONS
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CERTIFICATE OF WORKERS, COMPENSATION INSURANCE
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POLICYHOLDER CERTIFICATE HOLDER
PERINOTO HOME IMPROVEMENT LLC VILLAGE OF RYE BROOK
(CT LLC) 938 KING STREET
22 VITTI ST RYE BROOK NY 10573
NEW CANAAN CT 06840
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
W2569 700.4 973594 05/13/2024 TO 05/13/2025 3/27/2025
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2569 7004, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
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OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU MASH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VIER OUR WEBSfTE AT HTTPS:/NVWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STAT SU NCE FUND
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DIRECTOR,INSURANCE FUND UNDERWRITING
U-26.3 VALIDATION NUMBER:25989895