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HomeMy WebLinkAboutDP26-002 a a s. + =G 0 � � v, pS 00 a WWtzv O in v Qj uJE, -ei o tLn s 14 h..d a0 r 4w \ a+ 0 p ed a ° � zs -o ° z `� w w i „ n 04 oz CN 00 R� a a o a ZT �=WLa 14- C� eq p v � .. W ° v o � � n 4 O � 9a a Cf? 0.4 O 9 � � 9 o � C7 A z �3 w i > s r-t cq Z n BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 A'LJAN � 8 20�� jD ( 141 -0668 - w ov VILLAGE i PYE BROOK DEMOLITION PE APPLICATION FOR OFFICE USE ONLY: Approval Date:—JAN 1 20 'c _ Application Fee:$ too Approval Signature: Permit Fees:$ Disapproved: Other: *i[xXxxiv*fii[lki*.ixxxxx xxxxx xxxi fF irxxx xrz.i*ills%iCi.MR1(.i![Iel''ic'X'if%!(n'%'%'iflffC%'w 1C Sk T'ifXXx3R%ifl�w'1('f)fT'3fXf'%Y"rt%lfif"Kx%'�'�'K KM'K Xxa[it i[k is i[ti[xxi[ 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 1 ( use,as per detailed statement described below. 1. ,lob Address: �l'4 �f-5Y1 1 00 {�^I SBL: I 2�j . 79-+ '-1 Z�o"ne: RL3�) 2. Proposed Demolition.(Describe in detail): 2e:, it 0-VE' e-', f=�c eS �'� /,��H► 3. Property Owner: 1 1 a Q L L t G /rAddress: G "7 Phone# Cell# 9!q �5- �� /s- email: � 3 Applicant: rh 2&dcAddress: IT . In P—Iff ee Pt3 Phone 0 6 Cell# email: D o`Y7 rIL� Architect/Engineer: Address: Phone# Cell# email: General Contractor: /bee Address: zet ra qrm Phone# Iq t� rAG 0 `'e Cell# email: J/ &M' Ue,6-jw �,A,2 PJI/��,m• �srl 4. Estimated cost of construction $ 0 T21-)c (N©TF The estimated cost shall include all labor.ma vial,scaffolding.fixed equipment,professional fees,and material and labor which ma} be donated grabs) 5. Type of construction:(wood frame,masonry,steel,etc...} 6. Method(s)of Demolition: 7. Number&Location of Fuel Oil Tanks to be Removed: 8. Number of Stories: Height to Highest Ridge: To Highest Chimney: 9. Estimated date of completion: Y 6/112U24 F 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 ) a& D,,Nt I M & 4 f (y a 6 H L LL being duly sworn, deposes and states that he/she is the applicant above named, (print name kJndividual 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. Sworn to before me this T Sworn to before me this day of ynY ,20,( day of u , 20`)-U Signature of Property Owner Si tune of Applicant &r�e� L LLC, JzzW 777o-v- Print Name of Property Owner Pri Name of Applicant IL Notary Public Notary Public SHARI WLILLO MICHAEL A ZARKOWER `-:JBLJC, STATE OF NEW YORK Notary Public, State of New York ;.�.O'f►fE8160063 No. 02ZA5049082 :r`i'-'•VESTCHES-ra CO NTY Qualified In Westchester County 'PN,:.�P1RES JANLlARy 29,20 Commission Expires September 5,20_ 2 6/l/2D24