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BP22-254
a a z in N 4-4 _ s CV N N CL4 W z Q W O O W a-0 ` ;.To e ° W o. O ■ o 0 H F—# Lr) FBI O Cti V y O W o o w° � c WK., oLn _ O ` W�TII a s . ru. CC)E l7 O w 4 c. c ` ;' o ° ~ 0. W V V W w z x WW `? A a � ° 014 1-0W o O O L Z v Z v a © ■ ~ M 0 � w j. DA V N i 4 w ono 00 ads ° vo. � . d O Q [ Ct v �' W z " d d y cL to y Q, BUIL TMENT VI E OF RYE OOK D 938 KING EET RYE BR ,NY 10573 `, 4)939-06-. DEC - 7 2022 r VILLAGE OF RYE BROOK BUILDING DEPART NT FOR OFFICE USE ONLY: '�f Approval Date: DEC20 Permit# Q —a9v Application#� / Approval Signature: : ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# : Chairman: : PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: n Application Few.A /� Permit Fees- APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR ARRAS' Application dated: /lz�Z `7'<4< is hereby made to the Building Inspector of the Village of Rye Brook.NY,for the issuance of Permit for the installation of a Photovoltaic Solar Array as per detailed statement described below. 1. Job Address: 25 Wilton Rd., Rye Brook, NY 10573F31 135.66-1-51 Zone: —/0 2 Type,kW&Location of Array,(use additional sheets if necessary): PV SOIar Install - Roof Mounted System PV Modules - (17) Sunpower SPR-M425-H-AC System Size: 7.225 kW DC 3.Property Owner: Rajapaksha Premarathna Address- 25 Wilton Rd., Rye Brook, NY 10573 Phone# Cell#860-990-7876 e-mail sasankap@gmail.com 4.Applicant: NYS Solar Farm, Inc. Address: 1938 Route 44-55, Modena, NY 1254E Phone#845-256-6051 Cell# e-mail Rose@nyssf.eom 5. Design Engineer: James A. Koppenhaver, P.E. Address:575 Van Reed Rd., Wyomissing, PA 19610 Phone#484-794-9949 Cell# e-mail koppenhaverpe@gmail.com 6.Solar contractor: NYS Solar Farm, Inc. Address: 1938 Route 44-55, Modena, NY 12548 Phone#845-256-6051 Cell# e-mail Rose@nyssf.com 7. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction:SFR Post-construction: SFR 8. If building is located on a corner lot,which street does it front on: 9. N.Y. State Construction Classification: N.Y. State Use Classification: 10. Construction Type&Location: O Typical Western Lumber Frame;O Timber Frame [TC];O Wood Truss [TT]; O Pre-engineered wood[PW]; Located;()Floor Framing [F];()Roof Framing[R];(}Floor&Roof Framing[FR];Other: PV Solar Install - Roof Mounted System PV Solar Existing 11 Degree Pitch Shingle Roof 1 11. Number of stories: Roof Style: (hip,shed,mansard,etc...) Install Roof Mout 33 Degree Pitch Shingle Roof 2 12. Will a New Roof Be Installed: No V Yes ❑ (a separate roofing permit is required to re-roof an existing building) 13. Roofing Material&Number of Layers: Existing Residential Roof Top I 8/12/2021 14. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq. ft. or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? No: KJ Yes: ❑ Area: 15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? No: V Yes: ❑ (If yes,applicant must submit a Site Plan Application,&provide detailed drawings) 16. Will the proposed project require a Tree removal Permit as per§235 of Village Code?No: V Yes: ❑ (If yes,applicant must submit a Tree Removal Permit Application) 17. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? No: 0 Yes: ❑ Indicate:TIER l:_TIER II:,TIER III:_ (if yes,a Home Occupation Permit Application is required) 18. What is the total estimated cost of construction: $ 13,444.00 (Note:The estimated cost shall include all site improvements,labor.material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will he required prior to issuance of the CIO). 19, Start Date: ASAP Completion Date: Approximately 2 Days This application must bear 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 property 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: 1, Anthony S. Sicari, Jr. / NYS Solar Farm, Inc. ,being duly sworn,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, Contractor 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 ail other applicable laws,ordinances and regulations. Sworn to before me this�� Sworn to before me this `o day of 1V o J ,20 _ day of �:V ,20 a) Notary Public Notary Public Signature of Property Owner Signature ot Applicant Rajapaksha Premarathna Anthony S. Sicari, Jr. I NYS Solar Farm, Inc. Print Name of Property Owner Print Name of Applicant BIANCA V.CAUCHI BIANCA V.CAUCHI Notary Public,State of New York Notary Public,State of New York No,OICA6233239 2 No.OICA6233239 Qualified in Ulster Cou Qualified in Ulster County Tern Term Expires December 27, Aires December 27, � 9/12/2021