Loading...
HomeMy WebLinkAboutBP26-004 BUILD MENT J� VILE, E of R oox - DEC 1 �+ 2025 938 KING ET RYE BR ,NY 10573 4 -0 0/ILLAGE OF RYE BROOK Ov INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: JAN 5 20 a tt o: jtly ,q- Application Fee:S i U C Approval Signature: Permit Fees: $ YN Disapproved: Other. Application dated: tZ,ZZ• 2 a 2S is hereby made to the Building Inspector ofthe 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,�ajs`per detailed statement described below. ;(M T 1. Job Address: rev(lti y� 1�`7� '�r'W A7 SBL: Zone: 1Z'5 2. Proposed Improvement. (Describe in detail): Pei,(Eft,I n Ohl r7N F TOM) lQ_EPt,kf Pt,✓ J3+ArG P)Y-TvkfS r c 6c Ac -Tr)13Ty A- skf k k4vi f5hT"Ook au 7�'P(XV/-, A-Vt- �JiU/ �l oM Aiv FtxTt . E)e-# r Firms Au Ciy_ kok VAtA,S zl-I t-"uU �t 0--� O - i pAkXN S 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: 7 Yes: If yes, indicate: TIER I: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an exists g 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 engineered plans) 5. Occupancy;(l fam.,2 fam.,comm.,etc...)Prior to Construction: ( rdwi After Construction: ¢ 6. N.Y State Construction Classification- T15 N.Y. State Use Classification: 7. Property Owner: gA-M 11~ G lift Address: x 11 jfZF-XJ(- a Ayh-NV f Rye Imo©k� I 1 o573 f . S SG I .290 5"I S{, ca uI(c,rvu. 60AA Phone# '� `�,Z S Cell# � y email: i(f 21(,lf C S 8. Applicant: JfAA ''I c/1fJ2�A+�, IMetff�� Address: 44 DA-LCw,04M , 4A4rSMtf, LAJ 105-3u —T^ Phone# t? 73t-( , '300 ! Cell# 17 73-f • SUOL/ email: _i.1atd�C j lOrc�1 owr_G kd-t-ox, 4. Architect: JE�(�fi`'J'�Or?4 A ZAP* Address: � >1fwJo�TP4Vt 1'}A-�-t i�kcri, Ie�53v Phone# 17-739. 4100�f Cell# 417.73y- 500 y email: 10. Engineer: Address: Phone# Cell# email: it. General Contractor: WM3t_,f,0 GOvSl)2u-ElAl Addres: [Q! RvCte-RiOC6z 1ZdAib, LAfz-ctIfiAViui� tk/ (t1S Phone#21Y-760 - F'�6 7 Cell# `?0 , 7&0. 'bv'(-7 email: wOvd(a.,,,c�ncvust�u c}r'rn rencC csr(4-rn,,yts� 12. Estimated cost of construction $ 159"0-06 1- 7G,ad 0 _ ),6�, t)ad (NOTE:The estimated cost shall include all labor,material,scaffolding,tiled equipment.professional fees,and material and labor which nim be donated gratis.) Jit�.rlA� I�, 2c1),(, R- 15� Z c7 ZG 13. Job Timetable: Start: Finish; �� (l) 611/2024 BUILD MENT DEC 2 4 2025 = ViL OF R OK 938 KING ET RYE BR NY 10573 4 -0 -� w ov AFFIDAVIT OF COMPLIANCE VILLAGE CODE 4216 • 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 . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: , residing at, �� � '( (Print namcl (Address where you lire) Nl.� 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; - r ; �ti I r6 7 , Rye Brook, NY. (lot+Address} 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. (Si rt tureofProp"O ncr(sll �rck (Prins!Name of Property Owner(si) �}�� Sworn to before me this day of D l✓IQ- , 20 �4� & A/t tiry Public! -- Yalanda Garvey Notary Pubiio,`',atu of New York ido.01 !AW57458 i Qualified;n ldr,w Ybek County Commission rExp:res r!.wrCh 25,2026 6/i I2024