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VILLAGE OF RYE BRQDK
938 King Street, Rye Brmk, N.Y. 10573
(914) 939-0753 Fax (914) 939-5801
MAYOR BUILDING INSPECTOR
Francis L. Filipowski William J. Gerety
TRUSTEES
Jody H. Brackman
Donald Degling
Dean P. Santon
Lawrence Rand
ADMINISTRATOR
Christopher J. Bradbury
CERTIFICATE OF COMPLETION
Date: May 18, 2001
Name: Brickman Associates
Address: 900 King Street
Rye Brook, New York 10573
Re: Section: 1 Block: 6 Lot: 2A1
This certifies that the Two Signs under permit #00-04 issued on September 19, 2000, has been
satisfactorily installed.
William J. Gerety
Building Inspector
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VILLAGE OF RYE BROOK I-yr6 -` 7
APPLICATION FOR PERMIT TO HUNG SIGN OR ADVERTISING DEVIC
TO THE INSPECTOR OF BUILDINGS:
l � .
Application is hereby made to the Inspector of Buildings of the Village of Rye
Brook for the approval of the detailed statement of the specifications and plans
herewith submitted, for the hanging of a sign or advertising device herein described
and for a permit to erect such sign or device.
It is agreed that if such permission be granted, such sign or device will be
constructed in conformity with this application, and the plans and specifications
thereof, as approved, and that all State Laws, By-laws and Rye Brook Ordinances of
the Town of Rye, and rules, regulations and orders of any board, body or department,
so far as the same may be pertinent, will be complied with. /
The applicant further agrees to furnish any additional information, plans or
statements, if required by the Inspector of Buildings. All plumbing and electrical I
work to be installed by Licensed Contractors.
1. What is the owner's name and address?
2. What is7 the lessee's name and address? Nv
3. What is architect's or contractor's name and addreess?
2 �fdMQ Ll�ytG�L 1�IR 1��10 � 0(0162- - P,_%D Uri
4. What is the house number? I4.)14 Street:
5. What is the number of Lot? �fi/ Block: Section One.
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6. State how many signs or devices are to be erected: [.
7. Size of sign or device: _53,10 1 )C —] 1 211
8. Number of feet from grade level to lowest point of sign or device:
9, How supported? How How fastened? l.�VlcCll�2c� �Ut�(QS`Sc,fPsUS
10. Will any workmen be employed on this project?
11. Are you insured under Section 57 of the Workmen's Compensation Law? �
Agent or Company holding such policy
Date of expiration of policy
Applicant agrees to continue in force at all times adequate insurance, as provided by law.
Dated, VILLAGE OF RYE BROOK, NEW YOR.K 19
SIGNATURE OF APPLICANT:
ADDRESS: