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BUILDING DEPARTMENT D E C EN E
VILLAGE oI; RYE BROOK MAY 2 2 2a23
938 KING STRI Ei,RN E BROOK, til' 10.573
(914)939-06►S VILLAGE OF RYE BROOK
�►v►.r�ebro�k.or� BUILDING DEPARTMENT
FOR OFFICE USE ONLY: gq r ,/�Q/� ^� L�
Appro%al Date 4—0 3 UG &_ C__�)��� /7/�/c QJ" 0� /
it#_ Application#
1pprocalSiLinature: '1ROUTECTURAL REVIEW BOARD:
Disapproved: Date 4?
BOT Approval Date: as = Chairman:
PB Approval Date: se# Secretary:
ZBA Approval Date. Case# _
Other: _ 1 r
Application Fee: Permit Fees: S 3�7— UE _
�f EXTERIOR BUILDING PERMIT APPLICATION
Application dated: ! A3 _is hereby made to the Building Inspectorol'the V ilhLc of R\a Brook_N Y.l'or the issuance ofa Permit tier the
construction of buildings,structures,addituls,alterati�onss or for a change in use;as per detailed statcment described below
I. JobAddress � 1 C� l�'c
2. Parcel ID#: 6�� 3(,. 21 _&ci 4 I _ oc _//one:
3, Proposed Improvement(Describe in detail): AUCrS '1` J0AhQ d J
4. Property owner.- f`7a!�N -T .S c�I�Gj,�/�
Address: 7 1 K-r
Phone# Cell # y)7 y e-mail ' )S* /-Ir�° "&6kr4
GOM
List All Other Properties O,\ricd in Rye Brook.. Na N t
Applicant: It rl HMV
Address: `) u /��Qtlovo
Phone# Cel # e-mail
Architect:
Address
Phone# Cell# e-mail
Engineer-
Address.
Phone# Cell # e-mail / �!
General Contractor L5 G&W C&j A. r _ ML_ —)—LAI $
Address -r a _— y'e WW ._ s NY < IXO0.3
Phone# rk� 3 3 " ell# a-mail
ll)
W 12 2021
•-�
5. Occupancy (I-Fa .2-Fans.,Commercial.,etc.,.)Pre-construction: � rr� Post-construction:
6. Area of lot: Square feet: 15, 95 F+, Acres: , 350
7. Dimensions from proposed building or structure to lot lines frroni v trd: � + rear yard:�/y.
right side yard: 1 `p•0 t left side yard.��� / � other
8 If building is located on a corner lot.which street does it front on T!v / P
9. Area of proposed building in square feet: Basement. 1" 11 2"11 3"fl:
10. Total Square Footage of the proposed new construction..-
]I. For additions,total square rootage added: Basement 1"11: 2"d fl: 3' 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 I(eight.
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: Rooting material
18. What system of hcating:
19. If private sewage disposal is necessarv.approval by the Westchester County I lealth 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 lire
suppression system`'(Fire Sprinkler,ANSL System. FM-200 System.Type I Hood,etc...) Yes: No:
(if yes.applicant must submit a separate Automatic Fire Suppression•tivsteut Permit application R ?secs of detailed engineered picots)
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:-X—Area:
22. Will the proposed pr(iject require a Site Plan Review by the Village Planning Board as per§209 of Village Code'?
Yes: No:)< _ (rf res,applicant inust submit a Sne Plan Application.&provide detailed drtnrings)
23. Will the proposed project require a Steep Slopes Permit as per§213 or Village Code Yes: No: _
0Jyes,you must submit a Site Plan Application.R provide it detailed topographiccd surrey)
24. Is the lot located within 10011. of a Wetland as per§245 of Village Code" Yes: No:V
(if yes.the area of unhand and the merland huJkr-ate mast be properli depicted on the smrlcy cR.sue 1 air)
25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No:
ti(yes, the area and ele rations of ihe.,tlood plane must he properlt•depicted on the sun•tw A. site plait)
26. Will the proposed project require a Tree Removal Permit as per p235 of Village Code? Yes: No:
(if),es,applicant irntstsubmit a Tree Removal Permit.Ipplicationl
27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code`? Yes: No: K
Indicate: TIER 1: TIER 11: TIER III: (t/,res,a Flotne Occupation Permit Appltcatiom is regatnCcl)
28. List all zoning,variances granted or denied for the subject property.
29. What is the total estimated cost of construction: $ / 9, 00C) Note. The estimated cost
shall include all site improvements. labor. material..segfliddirt, .Jived egaqu1011.professional fees. including tin material and labor lvhich
near be donated gratis. lf'the final cost exceeds the estinxrred cost.an additional fee Brill be required prior to issuance of the CO.
30. Estimated date of completion
(2)
8/j 2P2o2 t
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914)939-0668 FAX(914)939-5801
RESICENTIAL LOT AREA COVERAGE
Adiress: Section:
3�v,2 Block: l Lot: 2`
PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-88)
YOUR ZONE AREA IN MAIN ACCESS. DECK
ZONE DISTRICT SQ. FEET BLDG. BLDG. N�AX•
CHEC
R-25 25.000
R_20 20 000
R7715 15 000 16% 3.5% 4%
15,000 12% 3.5% 4%
R-15A o
R 12 12,500 1 4% /o
7% 4
R-10 10,000 20% 4.5% 3.5%
R-7 7 500 2300 4.500 3.5%
R-5 5,000 30% 5% 3.5%
R-2F 5 000
Existin :
Proposed-4
sq. Ft. 4�sq. Ft.
1. AREA OF LOT
2.AREA OF !-LOUSE
a. Coverage of Main Building (�p Sq. Ft. �D L Sq. Ft.
(including Attached Garage or Accessory Building)
b. Area of 1a Floor Divided By Area of Lot x 100 �•--
3. AREA OF ACCESSORY BUILDING q Sq Ft �Sq. Ft.
(Includes Detached Garages,Tool shed,Playhouses) �t>._
a. Coverage of Accessory Building (C r%
Area of Accessory Building Divided By Area of Lot x 100
p ,Sq. Ft. Sq. pt.
4.AREA OF DECK �
a. Coverage of Deck % 2-
Area of Deck Divided By Area of Lot x 100
i `� fr`.Vt: �I attest to the best of my knowledge and belief,the move�rtormahan'ts et• '�. S�EVEN
co
' Si g nature
<cc:�/ Sys. 0798ti9
C 6.1.12
Ul-
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREETRYE BROOK,NY 10573
(914) 939-0668 Fax(914) 939-5801
IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS
Address: (. L --
Section: Block: Lot: Z 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 MA.M11 M PERMITTED MAY, PERMITTED
COVERAGE Zoning INVERVIOUS
LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT
(sq•ft•) For Base Lot For Lot Area YARD
Area(sq.fft.)* Over Base R-25 20
Lot Area % R-20 30
0 to 4,000 0 55
4,001 to 6,000 2,200 35 R-15 35
6,001 to 12,000 2,900 27 R-15A 35
12,001 to 16,000 4,520 26 R-12 40
16,001 to 20,000 5,560 25
20,001 to 30,000 6,560 24 140 45
30,001 to 40,000 $ 96p 23 R 7 40
40,001 & larger 11,260 22 R-5 30
R2-F 30
*"Base Lot Area"is the minimum end of the lot size
range in the"Lot Area"column
Area of lot: s -ft- Existing Allowed Proposed
Total impervious coverage = -4 S ft. S . ft. S .ft.
Front impervious coverage = H oho .o % , %
try ,4
I attest to the best of my knowledge and belief, the above information is correct, ' ? %'
s Signature
(4)
vior2ais
7_
CC � 71cr _
BUILDING DEPARTMENT R
f
VILLAGE OF RYE BROOK MAE22 2023
938 KING SXREET RYE BROOK, NY 10573
(914)939-0668 VILLAGE OF RYE BROOK �
ww,".r8ebrook.org BUILDING DEPARTMENT
AFFIDAVIT OF COMPLIANCE
VILLAGE CODE �216 • STORM SL:WI RS 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: -fir
33, ( U , resid ing at_ l�N l� Q�^
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;
1��t1f Gj ,�'DD�C I Rye Brook, NY.
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.
X
Sworn to befgre me this
day of /-- P/Zi�- .za 2—3
ELLEN S BRUNO
Notary Public - Slate of New York
NO.01 BR4752760
Qualified in B,onx county��2� (r,l
PAy Commission Expires Nov 30,
• �:—��.: .. .,ram...._,_
Hi I�l2Uv t
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 non-refundable.
STATE OF NEW YOiRK,COUNTY OF WESTCHESTER ) as:
_L1, being duly sworn,deposes and states that fie/she is the applicant above named..
(,print name of n vidua sib i� s 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 architta,contractor,agent,attomcy,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.
SIT-
Sworn to before me this 1
oSworn to before me this
day of �/e/L 20 23 day of , 20
X��— kdle�7JA
SigniAr of Pr perty Q�;t Signature of Applicant
Print Name or property owner Print Name of Applicant
Notary Public Notary Public
ELLEN S BRUNO
Notary Public- State of New York
NO.01 BR4752760
Qualified in Brnnx County
My Commission Expires Nov 30,E
(8)
8/12/2021