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BUILDING DEPARTMENT F
E C E O V
ED
VILLAGE OF RI.E BROOK J 2J 1 S 2�23
938 KING�;�rl.Err RYE BROOK,NY 10573
(914) 9-0668 VILLAGE OF RYE BROOK
►►wA. ok.org. L 1'CIILDING DEPARTMENT
101401-11( El ' IFONI.1
\pprm al Pate -- Perini � � • Application#—A 3
Apprll%al signalure: 0 ARCHITECTURAL REVIEW BOARD:
Nsapprw.ed: Date: T r�
BOT Approval Date: Case# Chairman
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other:
Application Fee: Permit Fees:
EXTERIOR BUILDING PERMIT APPLICATION
Application dated: 3 is hereby made to the Building Inspector of the Village of Rye Brook,NY.for the issuance of Permit for the
construction of buildings,structures additions, Iterations or for a change in use,as per detailed statement described below
1. JobAddress: 'I'y�
2. ParcellD#: Zone:���t•
3, Proposed Improv men((Describe in detail): 'h u A
V1 law 1 o
4. Property Owner: _
Address: � �p �t
Phone# �`y'4p11. 5 I (I Cell# e-mail
List All Other Properties Owned in Rye Brook:
Applicant:
Address:
Phone# Cell# e-mail
Architect: !/U V (/I Qf baj_—i
Address:Phone# p_ Cell# e-mail
Engineer:
Address:
Phone# r Cell# e-mail
General Contractor:
Address: i 1'� e!
Phone#914 ,7„ Lam?.a Cell# �->�'� 'G�� 1} � email fl. ���c��[><C.,S i[44� , L-G�
(1) J
6/V2023
5. Occupancy;(I-Faro.,2-Fain.,Commercial.,etc...)Pre-construction: 64 Post-construction:
6. Area of lot: Square feet: Acres:
7. Dimensions from proposed building or structure to lot lines: front yard: rear yard:
right side yard: left side yard: other:
8. If building is located on a corner lot,which street does it front on:
9. Area of proposed building in square feet: Basement:_ I`fl: 2"d fl 3"J fl:
10. Total Square Footage of the proposed new construction:
I I. For additions,total square footage added:Basement:i l'fl: 2111 fl: 31d fl:
12. Total Square Footage of the proposed renovation to the existing structure:
13. N.Y.State Construction Classification: 00000 N.Y.State Use Classiticatiom FA 114
14. Number of stories: Overall Height: Median FSeilht:
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 anew,or an extension/modification to an existing automatic ire
suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No:
(i/:ves,applicant wusr snbinit a separate Automatic Fire Suppression Srstenr Perniii application&2 sets o(detailed engineered plans)
21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or mylfe of impervious coverag requiring a
Stormwater Management Control Permit as per§217 of Village Code'? Yes: V 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:- (rJ ves,applicant must suhmit a Site Plait Application,&provide detailed drarsnngs)
23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No:
(ffyes,you innst submit a Site Plait Applications.&provide a detailed topographical sarvev)
24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No:_
(i/ves,the area n1 wetland and the wetland butler zone inu.st he pr nperlr depicted nn the suivev&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: ro: X
(if ves. the area and elevations of the flood plate mast be proper(v depicted on the survey&site plan)
26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No:
(il yes,applicant i nnst stibntit 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 l: TIER 11: TIER 111: (if;ves,a Huinne Occupation Perinit Application is required)
28. List all zoning variances granted or denied for the subject property:
t�l
29. What is the total estimated cost of construction: S ti[7�DDP7, 5,C r ' �ie e�inrated cost
shall inchide all site innproveinems.labor,nnaterial,scgflblding,fixed equipment,professional lees,including ritp material and labor which
rnav he donated gratis.If The final cost exceeds the estimated cast,an additional fee will he required prim•to issuance(?f the C/O.
30. Estimated date of completion: ��$.;��It�Q�1Qs � Z o r1 3
(2)
tit t t2023
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK, NY 10573
(914)939-0668
RESIDENTIAL LOT AREA COVERAGE
Address: 7- � 1 1� ►'1� Section: 115•15 Block: I Lot: �b
PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-88)
YOUR ZONE AREA IN MAIN ACCESS. DECK
ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX.
CHECK MAX.
R-35 35,000 14% 4% 5%
R-25 25,000 14% 3.5% 4%
R-20 20,000 14% 3.5% 4%
R-15 15,000 16% 3.5% 4%
R-15A 15,000 12% 3.5% 4%
R-12 12,500 17% 4% 4%
R-10 10,000 20% 4.5% 3.5%
R-7 7,500 23% 4.5% 3.5%
R-5 5,000 30% 5% 3.5%
R-2F 5,000 30% 5% 3.5%
Existing: Proposed:
1. AREA OF LOT 023 4vj.13Sq. Ft. 3,414-o3 Sq. Ft.
2. AREA OF HOUSE
a. Coverage of Main Building tt
(Including Attached Garage or Accessory Building) Q•�Sq. Ft. 1$ 3'00 Sq. Ft.
b. Area of 1 s1 Floor Divided By Area of Lot x 100 ' (� % ' 1 %
3. AREA OF ACCESSORY BUILDING 11
(Includes Detached Garages,Tool Shed. Playhouses) Sq. Ft. 1� ' Sq. Ft.
a. Coverage of Accessory Building
Area of Accessory Building Divided By Area of Lot x 100 Q %
4. AREA OF DECK Q Sq. Ft. 4 Sq. Ft.
a. Coverage of Deck
Area of Deck Divided By Area of Lot x 100 % %
�'}"M".
I attes ledge and be ation is correct.
Architect's Sign
(3) r
8,112021
N23 T90 ,� r
4 OF ►E* ���'�
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914) 939-0668
IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS
Address:-3� ' "a At Al—ection: 17-71 '15 Block: ! Lot: -72 Zone: �'l(5i`r
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 4,0057 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 1 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:23 ,o-o3 s .ft. Existing Allow �'� Pro osed
Total impervious coverage = 15 or�3.2 S .ft. s ft. 1 0 `' S .ft.
O n
Front impervious coverage
1 est t the t o owled;e and belief, tltie above information is correct.
Architect' Sign ture
s sr- (4)
4f iw
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK, NY 10573
(914)939-0668
BULK REGULATIONS IN RESIDENTIAL DISTRICTS
Address:34 ne tkVF- Section: I35 •, Block: , Lot: 7%
MAXIMUM GROSS FLOOR AREA
USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area —21,780) x 0.11478421 ]:
a. Allowed = SI- 877 Sq. Feet
b. Existing 410*I I Sq. Feet
c. Proposed = k01•I l Sq. Feet
HEIGHT/SETBACK RATIOS FOR RESIDENTIAL DISTRICTS
DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of
the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane
beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the
specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer
windows not covering more than 10%of the entire roof area,shall be permitted to extend. Height and Setback shall be calculated using
the formula; Height I Setback =X, where X is the required side or front yard ratio for the zoning district in which a property is located
as specified in Article VIII of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings.
FILL IN YOUR RATIOS:
ZONE EXIS77NO PROPOSED AE0111 PED
FRONT: FRONT: FRONT: .44
RN95 SIDE. SIDE: SIDE: 1.20
FRONT: FRONT: FRONT: .48
J1l SIDE: SIDE: SIDE: 1.30
FRONT: FRONT: FRONT: .60
0-20 SIDE: SIDE: SIDE: 1.60
FRONT: FRONT: FRONT: .60
1P-15 SIDE: SIDE: SIDE: 1.60
FRONT: . FRONT: •AW FRONT: .80
lR 15A SIDE: $tr SIDE: ( SIDE: 2.40
FRONT: FRONT: FRONT: .69
RI-12 SIDE: SIDE: SIDE: 1.60
FRONT: FRONT: FRONT: .80
Rt 10 SIDE: SIDE: SIDE: 2.40
FRONT: FRONT: FRONT: .96
/PT SIDE: SIDE: SIDE: 100
FRONT: FRONT: FRONT: 1.20
IP-5 SIDE: SIDE: SIDE: 4.00
RONT: FRON Al
Q 1.20
1DE: SI 4.00
attest to the st o know and o nfor 'on correct.
Architect's Sign ture
8/12/2021
C LE' J W[E ED�1
BUILDING DEPARTMENT JUN 2
VILLA.G E OF RN-E;BROOK 9 2023 1
938 Ktlrc STREET RYE BRooK,NY 10573
(914)% 9-0668 VILLAGE OF RYE BROOK
BUILDING DEPARTMENT j
���rw.r>• rupk.ury ---
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:
J1. �' G lus , residing at, 34- 4-1t�h E
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;
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.
JI L
Sworn to before me this D
120
TRACI M CAMP E
Notary Public.State orNew York
NO.01CA6001357
Qualified in Westchester County IE�1
My Commission Expires Jan 12, 2026
81 1 21203 1
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.
*##*#*$Y:T:eY:e'iCr*:�#r.tr#r.xs�•:eae**#},****#*****##****ii+F**�'#**#'R***4**#ff*]F**•k**1Y*****lk**##*'R*#il****1R#!F*'Jr**4:4]Frtff iF:F
S 1TE QF�NL}V Ytj lt,lt,)L iY' ()I 1�t ST being
)sworn,
_��i� �� ,being duly sworn,deposes and states that he/she is the applicant above named,
Cprtnt name ofindrk idual.ilpm g as the appl aut I
and furl er s to that (s he is the legal owner of the property to which this application pertains, or that (s)he is the
1 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,surnp pumps or other prohibited stormwater or
groundwater connections or sources of infiltration into the sanitary sewer system.on or from the subject property.
L Sworn to before me this 0 Sworn to before me this `)"7
day of 20_ZJ da of �t�t 20 23
Signature of Property Owner Signature of A
1A t e i. 4 Aa-L � -- u�,-t.� tom,'►0 �_ t;?V61L �,
Print Name f Pr y Owner Print Natne of Applicant
LEELAMMA PRAKASH
Not Public Nmsgjr%biic,State o New or
No.01 PR6194075
:Public
M c- — — Qualified in Westchester County
Not -State of New Yorkif fn153it}IlXplr@S SBpt@nlber�9,2�
1C_A6001357
QuWestchester County
My C Expires Jan 12,2026
l$)
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