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HomeMy WebLinkAboutBP26-020 BUILDING DEPARTMENT V1LL E OF RY6,14POK JAN 2 3 LCIL0 938 KING 5 T RVE BRO 0,NY 14573 4 ekw4zlov INTERIOR BUILDING PERMff APPLICATION FOR OFFICE USE ONLY: Approval Date: FEB - 3 Pe #: - V Application Fee:$ ' 'n t �'0 elu Approval Signature: Permit Fees:$ f Disapproved: Other: Application dated: is hereby made to the Building Inspectorof the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of I exisfint building,or or for a change in use,as per detailed statement described below. 1. .lob Address:`e�Z i-ey nt O n Yam - SBL: ..T• zone: 2. Proposed Improvement.(Describe in detail): aS2n-i�en+— cl� L'R 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:,&— 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 existing automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type l Hood,etc...):No:�_Yes: (Ifyes,please submit a separate Automatic Fire:Suppression ti.stem Permit application R 2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc.,.)Prior to Construction: I FCJIMi � After Construction: 1 17:k1"rl* I 6. N.Y State Construction Classification: XB N.Y.State Use Classification: 7. Property Owner: �( .�'� �a r';s'��' Address: Vz kwn i vn Ge- Y=,�k Phone#2%D to Cell# t-� 10 emai . W G2!L NA pG-13 S. Applicant: Address: 63 M f- I ' C O r+r-1 Phone# Cell# email: 9. Architect: }f lL�f�� _Ot-#r�► n Address: C> SLy'hl Ci lrcy— Qy C61—lcLe,'e. tj Phone# Cell# (LO email: 64e�ieAou of 0- -C.D re) 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: 1010 Ci[.t'.r MY1•+l Address: JOUW- Pla.CQ- AL N IV" Phone#0114-1 13- 1Uto (o Cell# N email:2.01.1 sr-4- 12. Estimated cost of construction $J 0[31 tD r_� (�9 rf>M4 1 - C C� (NOTE:The estimated cost shall include all labor,material,scafrolding,fixed equipment,professional fees,and matenal and labor which matt he donated gratis.) /y r,, �] 13. Job Timetable:Start: M0.r� 10 Finish: ,106a )2(0 6/l/2024 BUMDI DEPARTMENT VILLAGE OF RYE$ROOK 938 KIN'G STREET Ri E BROOK,NY 10573 JAN 2 3 Li!25' (914)939-0668 i�ivwx chrookm.gov 4i. AFFIDAVIT OF {COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST HEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND HE 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: I, �84t &K4pW , residing at, gwr-); D n P-4- Pq e b KvkoN� (Prim name) I- ddresN%% crc Nou li,._ ���- 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; 7,7 Re-U n I C" 1` - F.�4 e 91^Dr->V—r 1 v I),r-7 ,Rye Brook,NY. (_oh 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. (Signature ofPropert.) Owner(s ) (print Name ol-Proper( . Sworn to before me this day of -J ar1 V 61 20 � t�'otan i is r�REG','. M, RNER S V0'17,Rt F 15-1 1C,STATE OF NEW YORK N0.01 M"1398 (2) )UALIFIED A 1h7=STCHES7ER COUNT�' JAWSSIOd EkP1RES SEPTEMBOR 26,20 xh 611/2024 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 nonrefundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: _V( }L 92at!JvLA2 _ being duly swom,deposes and states that he/she is the applicant above named, (print 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 Sworn to before me this day of 20 day of 120 v tX�' 11.J Signature of Property Owner Signature of Applicant b4 Prinjfqarne of Property er Print Name of Applicant Notary f)r.-6 Notay Public GREGORY M. RIVERA NOTARY PUBLIC,STATE OF NEW YORK NO.01 1116441398 WALIFIED IN WESTCHESTER COUNTY' COAlIt1I5.4 N D(PIM S87946 R 26,20 (4) 6/ll2024 BUILD MENT IE O n h �` U v1L� E of R1' OK FEB 2 0 24Z5 938 KING�� ET RNT BR(,1c� i�,N T' 10573 ,try VILLAGE OF RYE BROOK °1 BUILDING DEPARTI'L� INTERIOR BUILDING PERMIT APPLICATION ` O F CE USE ONLY: pr al Date: Prf trait Application Fee:S Ap ova!Signature: e rmit Fees:S aspproved: _ Other: t are*:t+r,trra*r,ttr*,r*w*a:tag+t,rre,t,�r*,r**�t*r*,t*:,�**::t,4rtte**,t,e,t+r�rrt�f,tat *�*irtsttt►�#fr,e**ter,�#**tk*,rarer**�,t�,t+tar,t;t!#t►ir*,�**t Application dated: 0-ear 5 is hereby trade to the Building Inspectorol'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 usc,as per detailed statement described below, I. Job Address: Z2- a2H 4a f..(1 /S\,j E SHIP: 7- Zone: 6 2. Proposed Improvement.(Describe in detail): El ki taH ^-�- 3. Does the proposed improvement involve a I lome-Occupation as per§250-38 of the Code of the Village ol'Rye Brook? No: 'X Yes: If yes, indicate: TIER l: TIER II; TIER III: 4. 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 Ilood,etc...):No:N_Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I Earn.,2 fam.,conim.,etc"".)Prior to Construction: After Construction: }�JI(L�/ ft. N.Y State Construction Classification: N.Y.State Use Classification: ",� �1�1T7,�1 7. Proper ry owner: � OIY�D Address: 1-2_ - reiyn j(;� leG'l� 4(Q B yyc k 1"y Phone ft ;OWDVI -90509 Cep 4 tjI Pr _ email: "OP—Ttw y2 AV I 8. Applicant: Address: �►Y�ct'+ �' Phone A Cell 4 email: 9. Architecl: Address: !E� 2L..r lr�, EUR, WWAC )'Ay Phoned Cc11 4CZ11 . 15- 1 62 email: ✓\ie C l iA )lh �a LpM 10. Engineer: Address: Phone f+ Cell 4 email: 11. GcneralContrarrtor. R'O\' 4yCCMA Address: ynL, Phone# 914` 21 1 -11ipu(c Cog N114 sm:til: 12. Estimated cost of construction $ ©� 0�7Q Mai j . [O (NOTE!The estimated cost shall include all labor,m;ater.al.scaffolding,Exed equipment.prutcssional fees,and matcrtal and latx)r vrhich niar he donated gratis.) 13. Job Timetable: Stan: j __Finish: ti5 tl} 6112024 D If BUILD .T`MENT VILt E OF R OOK FEB 0 202 938 KLNc ET RYE BR ,1Y 111573 VILLAGE OF RYE BROOK ov BUILDING DEPARTMENT w,t,ew,+**r**w,►r�*t,r*w*w�.*,��v,tw*,�**+:�r*t;r*w*x,:+w�w�**�*x+www�*�,�*w*�w�*wwrwx,�www��***xwxwwww*w�w.,r►*rkw�ww 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 . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: GIY ? , residing at. SJ`Yl t D�1 , V, e, [Print name' (;'Id Iron,a here y.tr lix el y1 3 being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the ti 1 legal owner of the property to which this Affidavit of Compliance pertains at-, q_2 �zc ywt yrj 91d. 3� e_ 6vocy-+ I'9 I ps 7 �, Rye Brook, NY. r!,J7 1rilrr,.r 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. i5it�tt:rturr: �fPr�Pcm ();trt�rr,. t lPrnit Narn;°O'Propc y()e+norr,1 Sworn to before me this SHARI MEULLO da of �Q 2� Notary Public,state of New York No.OiME6160063 Qualified In Westchester County Commission EXPlres Jenuary 29,26L i ti„tsrI. Public G'1'22024 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:. Kam 5ar-+yL.0 _,being duiv sworn,deposes and states that he/she is the applicant above named, (print name of individual signing ac the applicant) and further states that (s)hc 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,contra tor.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 Stare Uniform Fire Pre)ention & 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 lbvayu, $worn to before me this day of I/It 20�_ day of , 20 lyo�- &01�� — Sign ore of Progeny{hmsx Signature of Applicant F nt dame of Pmperty�O�wtte mf.A \r Ptint\ac nppticanl V V t VnWIRI MEULLO ?rotary Public Notary Public,State of New York No.CdME6160063 Qualified In Westchester County . commission Expires lenaary 29,20 Z� (41 6112024