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VIL EOFRY OK �CENE
938 KING ET RYE BR NY 10573
7 0, r APR -ti 2023
oldere HI
VILLAGE OF RYE BROOK
BUILDING DI E6M
FOR OFFICE USE ONLY:
Approval Date:-ANN 3 Q 202 r it# A��Q; 3j_3eaApplication#A�' —V�
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other:.
Application Fee: Permit Fees: 4/00-1,60
EXTERIOR BUILDING PERMIT APPLICATION
Application dated: At A I T3 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the
construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below.
1. JobAddress: \t1 g1,.1\1 1Aclla1j Clvye �\)c_ d�ook j ti,� 1 t)513
2. Parcel IDA — 1a /, Q-�( — ep— 90 Zone: E)
3. Proposed Improvement(Describe in detail): Q%_\ics
4. Property Owner: W&- \ - Sar-,c
Address: Uv�-.
Phone# -Y\ti- Cell# e-mail
List Ail Other Properties Owned in Rve Brook:
Applicant:
Address:
Phone# Cell# e-mail
Architect:
Address: A%
Phone# aoa - Cell# e-mail
Engineer:
Address:
Phone# Cell# e-mail
General Contractor: / fit/r_Ot/-0 Q• SCQ,49. (7�.�/' Q-77'7L6 ,/
Address:�, c � SJJ� �✓7L NJC�7�C�ro/�P�Jc 7 lU� s
Phone# �/ � {�— � Cell# e-mail
cl7
5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: ""` Post-construction: FP^
6. Area of lot: Square feet: %IS 0 �QeN Acres:
7. Dimensions from proposed building or structure to lot lines: front yard: rear yard:
right side yard: left side yard: other:
& If building is located on a comer lot,which street does it front on:
9. Area of proposed building in square feet: Basement: I'fl: 21d fl: 3rd fl:
10. Total Square Footage of the proposed new construction: 450 5% l-A
11. For additions,total square footage added:Basement: I"fl: 2°d fl: 3"a fl:
12. Total Square Footage of the proposed renovation to the existing structure:
13. N.Y. State Construction Classification: N.Y. State Use Classification:
14. Number of stories: Overall Height: Median Height:
15. Basement to be full,or partial: finished or unfinished:
16. What material is the exterior finish:
17. Roof style;peaked,hip,mansard,shed,etc: Roofing material:
18. What system of heating:
19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this
application.
20, 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 Hood,etc...) Yes: No: ✓
(ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engweered plans)
21. 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? Yes: No: ✓ Area:
22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes: No: (if yes,applicant must submit a Site Plan Application,&provide detailed drawings)
23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No:
('ifyes,you must submit a Site Plan Application,&provide a detailed topographical survey)
24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No:
(f yes, the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan)
25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No:
(rf yes, the area and elevations of the f lood plane must be properly depicted an the survey&site plan)
26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No:
(if yes,applicant must submit a Tree Removal Permit Application)
27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: ✓
Indicate: TIER I: TIER H: TIER III: (if yes,a Home Occupation Permit Application is required)
28. List all zoning variances granted or denied for the subject property:
29. What is the total estimated cost of construction: S 3 1S&c) ` Nate: The estimated cost
shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees, including any material and labor which
nray be donated gratis.If the final cost exceeds the estimated cost, an additional fee will be required prior to issuance of the C/O.
30. Estimated date of completion: �4q akoa3
(2)
ECE V E
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK I I! R 0
MAY 17 2023
938 KING STREET RYE BROOK,NY 10573
(914)939-0668 VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS
Address: tot Block: Lot: Zone:
IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above
the ground which are comprised of materials through which water cannot readily flow, including, but not limited to
asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court
yards, sports courts, swimming pools, patios, sidewalks,ramps,terraces and driveways.
TOTAL MAXIMUM PERMITTED MAX. PERMITTED
COVERAGE Zoning IMPERVIOUS
LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT
(sq.ft.) For Base Lot For Lot Area YARD(%)
Area(sq.ft.)* Over Base R-35 15
Lot Area % R-25 20
0 to 4,000 0 55 R-20 30
4,001 to 6,000 2,200 35
6,001 to 12,000 2,900 27 R-15 35
12,001 to 16,000 4,520 26 R-15A 35
16,001 to 20,000 5,560 25 R-12 40
20,001 to 30,000 6,560 24
30,001 to 40,000 8,960 23 R-10 45
40,001 & larger 11,260 22 R-7 40
R-5 30
*"Base Lot Area" is the minimum end of the lot size R2-F 30
range in the "Lot Area"column
Area of lot: I t5� A sq.ft. Existing Allowed Proposed
Total impervious coverage = Ul � S .ft. 1 (f, S . ft. 1 9$ S .ft.
Front impervious coverage = 2 % 00 % 'r 1 =C�s
ARCH/
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1 attest to the best of my knowledge 1� wlie info a on is correct.
31 3
Ar C:itect's Sign re
(d)
xn 2no21
BUILDJ N 69PARTMENT [ECEWED
VILLA#i OF RYE;BROOK
938 KING ET RYE BROOFK,NY 10573 EAP 4 20241W3
_O*g VILLAGE OF RYE BROOK
��� BUILDING DEPARTMENT
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:
, residing at, \o\
Print name) (i dd[Ctis++hcrc WU InC(
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;
Xo\ 4i�,� 1\0�10., Clod , Rye Brook, NY..
(Joh AddrCw(
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 of Properly Owner(s)!
Pnm Name ofPropert� 0%kner(s))
Sworn to before me this
day of fr ` 20--�
Nolan Pu ic)
GREGORY IL RIVERA
Notary Public,State of New York
No.DIR16441398 (6)
QualdW In Westchester County
Commission Expires September 26,20 '7 -- ___.
This application must be properly completed in its entirety by a N.Y. State Registered
Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where
indicated. It must also 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 WESTMESTER ) as:
pA,0_4N ,1. ,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
(t'6' J. 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 stotmwater or
groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property.
Sworn to before me this q Sworn to before me this
day of f7f�` , 204
day of 720
Signature of Property Owner Signature of Applicant
Print Name of Property Owner Print Name of Applicant
ga(lq�IV, f �erw_
Notary Ptlb& Notary Public
GREGORY M.RIVERA
Notary Public,State of New York
No.01 RI6441398
Qualified In Westchester County
Commission Expires September 26,
(8)
18.00'
- Iviilage of Rye Brook
Architectural ev6 w Board d)
approval Date: Z W
Chairman: o 0
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ZO141MG INFORMATION, �� P_ . -- °�Ilag Rye Brook.t� �J>-
BUILDING O Z
MAXIMUM IMPERVIOUS COVERAGE M 55 Y OF TOTAL LOT AREA 3 I d
EXISTING LOT A4ZEA = 1,594 S.F. us=O
0 cd ''I cdEXISTING LOT COVERAGE = 615 S.F. PfL1NC1PAL SLDG) + 63S.F. (MECH SHED) = 678 S.F. W�
t0 I ap EXISTING IMPERVIOUS COVERAGE = E78 S.F. W.
TOTAL EXIST. IMPERVIOUS GOVEFZAG E = 678/ 1,594 = 42% rto
f I 0
EXISTINGPROPOSED 1MPERYIOUS SURFACE G7YERAGE■198 S.F. + 678 S.F. ■876 S.F. ■ 56Y. p �0>
�
2—STORY D ECIE Q Wl�n
Ito 1—FAMILY
"W DWELLING PAYER HFORMATIO14 FMAY 11 2023
MAXIMUM IMPERVIOUS COVERAGE 5 }: OF TOTAL LOT AREA Q W 0
�
/ PROPOSED PAYERS ARE TO SIT ON 2° OF 3/4° PEA GRAVEL VILLAGE OF RYE BROOK Q V L �
WITH SAND DUST AT BASE AND A7 ALL JOINTS � BUILDING DEPARTMEiVT to a W O
I � c
AREA OF PAYERS 1S 198 S.F. THUS NO DRAINAGE IS NEEDED. >~ Q �
I '
W� � Q
AS•BUI�TIFINAL SURV�Y ' QED ARC
REQUIRED PRIOR 1O� � � W= IL I
FINAL INSPECT �\C�� �Assq�oT���� ON
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DWIY.BY CHK BY
18.00' * I JEV 111
SCALE
AS sHown
BRUSH HOLLOW CLOSE 37356
'9 DATE JOB NO
Q � 5.11.23 JEV-775
SITE PLAN
DWG.NO.