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Home My WebLink AboutBP25-243 e a c � a N , w a t1y cal N N o a N ' 1 cli W Q L a w a Qc � W MCI �' � � �; �`$ ''� s `� ��-t ■ t O F lLn $ c � A ¢ a zC� 00 � F � ca o �+ � V} r� QO �`r-.j1OD C p a FBI M 4.0 � �" 0 , o : w >1 Ln w z Qw L.. w a O w w A A ,8 � u z J 0-4 Z aCN i W GO tF 14 zo zSGy V Q V OZ °l9 4-1 -as s a BUILDING DEPARTMENT f E�--� VILLAGE OF RYE BROOK DEC ' 8 938 KING STREET RYE BROOK,NY 10573 ' (9114)939-0568 'ILL-AGE OF RYE 1:s�,OOK FL i � www ryebr001:n)..�0v INTERIOR BUILDING PERMIT APPEWATION FOR OFFICE USE ONLY: Approval Date: Utl`' 23 1 .� - Application Fee:S Approval Signature: Permit Fees:$ -7 -Z Disapproved: Other: Application dated: is hereby made to the Building Inspector of the 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. Job Address: P� R-o_ cpti b Hot 5E Tf A 1 L SBL: ) 2 1 •35- I -LL.�Zone:�iZ_! 2. Proposed Improvement.(Describe in detail): SEco,, p EcooJt 6P1#A00^ ,,i D VPl i t 0 J 4600t A-i 5 tt C f R f I fiGot . V-�-tJ l tT/ — I��:�tl�4 C rEM fr•�'� 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:Y.- Yes: If yes,indicate: TIER 1: TIER H: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an exts mg 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 en`*incered plans) 5. Occupancy;(i fam.,2 fam.,comm.,etc...)Prior to Construction: fps After Construction: 6. NX State Construction Classification: 9E510 rft A(, N.Y.State Use Classification: 7. Property Owner: ��1 ✓,/�'1 J7PJ IA�✓A 'MC Of Address: lt`' L Phone# Cell# 411 5 C w u email: Mta OL, 7RX. JA(06a�jkk(-. {nh 8. Applicant: k l l +,r D Q g r" � gAddress: ��! t/ I fir, �T� mi l✓ f P N Ar.l Phone# Cell# q aJ"I j 4_� ) y r S7 email:— t tiC rA-a� 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: 1 9 V OP f- 14. Address: V l S n.•' w ,-AA,- +' Phone# Cell# q a- 3PI V / email: d- f L! rO.�J G^44t_ 63'4t 12. Estimated cost of construction $_ o 000 00 11 I::The estimated cost,hall include all labor.tnatertal.scaffolding.fixed equipment.professional fees,and inmerial and labor which may be donated gratis.) 13. .lob Timetable: Start: Finish: — 1 (1) 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE Mom,NY 10573 (914)939-0668 NN wm.ry0i=� o k n N ov AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • 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 . STATES OF NEW YORK,COUNTY OF WESTCHESTER ) as: I, f 1 a'0V— 3(ALO�D , residing at, Q Y-1 �t (Print narnc I (Addr ,s where you fix c) 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; L4 rr'w"t2('t_ �('\ , Rye Brook,NY. lob Addr� 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 further 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. ISiznaa -ofPrope Ch+n ro 0\r\L i['rim \amc A PTcFperl, 0%, Sworn to before me this day of,��_C-e v_\, 20a�j_ (Notary ni'lit) SHARI MEULLO ary public,State of New York No.01MEM0063 cified in Westchester County !on E*res January 29,20?-7 (2) 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 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. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Muck ,�ctto� ,being duly sworn,deposes and states that he/she is the applicant above named, {prittt name of individual signing as the applicant) 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. (indicate architect,contractor,agent,attorney,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. 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. Swom to before me this I� Sworn to before me this day of i~LtI�KK( ,20 V-' day of , 20 Sign -of Prop er Signature of Applicant ,�j1�•cti CLLo Lvc� n Name of Property Owner Pd—nINOrne of Applicant No. Public Notary blic SHARI MELILLO !rotary Public,State of New York SHARI MELILLO No.01ME6160063 Notary Public,State of New York Qualified In Westchester County. No.O1ME6160063 :.ommisslon Expires January 29,20� Qualified in Westchester County �ornrnisslon Expires January 29,20 (4) 6/1/2024