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BUILDING DEPARTMENT D CIEVED
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573 AUG - 3 2022
(914)939-0668
www-aftookorQ VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
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FOR OFFICE USE ONLY:++� �(
Approval Date O�q, Permit 1 � \ ��
Application#
Approval Signature: � � .�,��� ARCHITECTURAL REVIEW BOARD:
Disapproved: : Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other: pp
Application Fee: Permit Fees: I S W
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EXTERIOR BUILDING PERMIT APPLICATION
Application dated: 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,alterationsor for a change in use,as per detailed statement described below.
1. JobAddress: s,
_1 S 1 add OG1- or h , p
2. Parcel ID#: 115. 2(p — ( " rj 3 Zone:
3. Proposed Improvement(Describe in detail): s�,�S O 4 2 p�
C
4. Property Owner: _FMC_Ny1_-- r 1`I
Address: 5
Phone# 49,CD-Ca Cell# 15W- e-mail -�a�tt(D Zgrytat .CGS
List All Other Properties Owned in Rye Brook:
�—
Applicant:
Address:
Phone# Cell# e-mail
Architect:
Address:
Phone# Cell# e-mail
Engineer:
Address:
Phone# Cell# e-mail
General Contractor:
Address:
Phone# Cell# e-mail
fl)
8/12/2021
5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Prc-construction: Post-construction:
6. Area of lot: Square feet: '2(0, 13(D Acres: . 00
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 comer lot,which street does it front on:
9. Area of proposed building in square feet: Basement: 1"fl: 21 fl: 31 fl:
10. Total Square Footage of the proposed new construction:
11. For additions,total square footage added: Basement: 1"fl: 2nd fl: 3nd 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 cxtension/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 engineered 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:
(if yes,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:
(if 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:
(if yes,the area and elevations of the flood plane must be properly depicted on 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 II: 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 -3D0 Note:The estimated cost
shall include all site improvements,labor,material,scaffolding7txed 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 be required prior to issuance of the CIO.
30. Estimated date of completion:
(2)
8/12/2021
BUILDING DEPARTMENT ECENED
VILLAGE OF RYE BROOK AUG " 3 2022
938 KING STREET RYE BROOK,NY 10573
(914)939-0668 VILLAGE OF RYE BROOK
www.ryebrook+orQ BUILDING DEPARTMENT
AFFIDAVIT OF COMPLIANCE
VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS
THIS AMDAVIT MUST BEAR THZ NOTARIZED sIGNATURZ OP THE LZGAL PROPZRTY OMlMZR AND BZ SUBMQTTED
ALONG WITH ANY BUILDING OR PLUMBING PZRMIT APPLICATION. ANY BUILDING OR PLUMBING PZRMfIT
APPLICATION SUBriITTZD WITHOUT THIS COMBLZTZD AND NOTARIZED PORN WILL BZ RZTURNED TO THE APPLICANT.
STATE OF NEW
YORK,COUNTY OF WESTCHESTER ) as:
$, ' `Q &II—e I�( , residing at, -?wMy_
(Print name) (Address where you live)
being duly sworn, deposes and states that(s)he is the applicant above named,and further states that(s)he is the
legal owner of the property to why ich this Affidavit of Compliance pertains at;
ocy_ 1.!:u . , Rye Brook,NY.
(Job Address)
Further that all statements contained herein are true,and that to the best of his/her knowledge and belief, that
there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further
that there are no roof drains, sump pumps,or other prohibited stormwater or groundwater connections or sources
of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State,
County and Village Codes.
o p&ty Owne s))
(Pnnt Nariii of Pr6perty Owner(s))
Sworn to before me this'/ 4
day of r , 20 r DIANNE ROJAS
Notary Public-State of New York
No.OIR06127547
J Qualified in Westchester County
(N Public) My Commission Expires May 23.2025
(6)
8/12/2021
This application must be properly completed in its entirety by a N.Y. State Registered
Architect or N.Y. State Licensed Professional Engineer$ 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 YORK,COUNTY OF WESTCHESTER ) as:
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
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 stormwater or
groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property.
.r
Sworn to before me this k Swom to before me this
`K)'
day of &4k ,20 day of4��"4it , 20 Jl-Z
o.�
� v
Si atc' of perry Own pplicQ� ant
r
� DIANNE ROJAS f Public-State of New York
Print sineo roperty er Notary No.OiR0027547 Print Name of App icant
Qualified in Westc�18ster county23 2025
\r�'C,•i;r^ISSIOrI Expires May
Notary Public No Public
(8)
811 212 02 1
VIOLATION CORRECTED
DATE:,.,,,I
�E BR(��•
O�` tim
cu �
• 1982- BUILDING DEPARTMENT
❑BvILDING INSPECTOR
ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK
❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573
(914) 939-0668 FAx (914) 939-5801
www ryebrook.org
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - -- - - - - - - - - - - - -
ADDRESS : / � �<1 c c/0c DATE: 12 - v -Z d 0 3
PERMIT# ISSUED: SECT: 1, o BLOCK: f LOT: 3
LOCATION: \G 4 OCCUPANCY:
❑ Violation Noted THE WORK IS... 9' PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ Natural Gas i COL /!' A;i--) A(�/yJG'
❑ L.P. Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING l J j l 6t l /
❑ CROSS CONNECTION _ !�/
❑ FINAL A
[OTHER
Building Permit Check List&Zoning Analysis
Address -s �a 0�12 �r� SBL: 3 S,7-
Zone:IZ"1 Use: z t o Const.Type: Other. L_\ZAZ DQ
Submittal Date: 13 I ZZ. Revisions Submittal Dates:
Applicant: S A V- T-0 2 E L.L. k
Nature of Work: t-G-4 A L l-Z
Reviews:ZBA: AUG - 8 2012 PB: BOT: Other.
OK
( ( ) FEES:Filing.���'�BP: C/O: Flood Plane: Legalization:
( ) ( ) APP: Dated: / 'Notarized: ✓ SBL: ✓ Truss I.D. Cross Connection: H.O.A.:
( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening:
( ) ( ) ENVIRO:Long Short Fees: N/A:
( j VSITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other.SURVEY:Dated: Current: Archival• Sealed. Unacceptable:
( ) ( ) PLANS:Date Stamped Sealed Copies: Electronic. Other.
( ) ( ) License: Workers Comp: Liability: Comp.Waiver. Other.
( ) ( ) CODE 753#: Dated: N/A:
(� ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other.
( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A Other.
( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other.
( ) ( ) PLUMBING Plans: Permit: Nat Gas: LP Gas: N/A/: Other.
( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other.
( ) ( ) H.V.A.C.: Plans: Permit: N/A Other.
( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other.
( ) ( ) 2020 NY State ECCC: N/A: Other.
5i6l Topo: RA/PE Sign-off Letter. As-Built Plans: Other.
( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other.
( ) ( ) Other.
( )ARB mtg.date approval notes:
( )ZBA mtg.date: approval• notes:
( )PB mtg.date: approval• notes:
REOMED EXISTING PROPOSED NOTES
AL: Data- AUG 1 8 2022
CLU
FmnW
Front
Front:
Ste:
Rar.
Main Cov
Accs,Cow.
Ft.H :
S .HS •
Tom:
�:
P i .
Hight/Stories:
notes: L µ Lo 9
BUILDING DEPARTMENT [ECIENIED
VILLAGE OF RYE.BROOK A U G - 3 2022
938 KING ET RYE BR NY 10573
4�9 9-0 VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
*++*****s�•+•:s+«ss.+++*ss:.*+++..*s*•s+.**s*sss*s*ss+*.+s:**s.+.**s*ss****s***ss****.�s�:..s*s*s.**sss*ss.
ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS
This form must be completed and signed by the applicant of record and a copy shall be
submitted to the Building Department prior to attending the ARB meeting. Applicants
failing to submit a copy of this check list will be removed from the ARB agenda.
Job Address: `� (,'�0(1 Date of Submission:
Parcel ID#: 13�.2(0 ^5 3 Zone:
Pro osed Improvement(Describe in detail):
APPLICANT CHECK LIST:
MUST BE COMPLETED BY THE APPLICANT
The following items must be submitted to the Building
Department by the applicant-no exceptions.
Property Owner: Fl oy_ SQ(N6 re 1\,% 1. ( )Completed Application
2. ( )Two(2)sets of sealed plans. (one full size{maximum
Address: 1 - P O.Ct do C V__ " , allowable plan size=36"x 42") and one 11"xl7")
3. ( )Two(2)copies of the property survey.
Phone# — Tj b o —S to 31 4. ( )Two(2)copies of the proposed site plan.
Applicant appearing before the Board: 5. ( )One electronic/disc copy of the complete
�l`t7ull cQ��r� I i application materials.
V 6. ( )Filing Fee.
Address: 7. ( )Any supporting documentation.
�� 8. ( )HOA approval letter. (if applicable)
Phone# S �.�� 9. ( )Photographs.
Architect/Engineer: 10.( )Samples of finishes/color chart. (a sample board or
Phone# model may be presented the night of the meeting)
By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit
Instructions&Procedures, and that their application is complete in all respects. The Board of Review reserves
the right to refuse to hear any application not meeting the requirements contained herein.
Sworn to before me this Y k Sworn to bef re me this
day of, '� ,20 tea— day of
DIANNE ROJAS
Notary Public-State of New York lure
sign a op No.01 R06127547 fAppiican
Qualified in Westchester County
I fib I C My Commission Expires May 23.2025 1 `
Print roperty Owner t Applicant
7,j
Notary is Notary Public
III
8/12/2021
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
938 KING STREET, RYE BROOK,NY 10573
(T) 939-0668 (F) 939-5801
ARCHITECTURAL REVIEW BOARD
IN PERSON MEETING
AUGUST 17, 2022 @ 7:30PM
NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.#
4 Birch Lane Roof Top Solar Array Consent 5740
(Hartman) System Agenda
52 Greenway Lane New Panel(s)of Arbors Consent 5741
(Vladsky) Standard Design Fencing Agenda
9 Phyliss Place Replace Old 6ft High Consent 5742
Stockade Fence with New Agenda
Stockade Fence
4 Loch Lane Replace Sliding Door& Consent 5743
(O'Neill) Windows on House. Widen Agenda
One Window
15 Paddock Rd Seasonal Above Ground Consent 5744
(Santorelli) 15' Round Swimming Pool Agenda
18 Hillandale Road Amendment to Prior 5745
(Marks) Approval (Pool Barriers)
Fence Changes
I Castle view Ct 1 Story 2 Car Detached 5746
Garage
14 Whippoorwill Rd In-Ground Swimming Pool 5747
(Martel)CS w/Coping& 4' 0" high
Fence Barrier
13 Old Orchard Rd One Story Rear Addition 5748
1 Dorchester Drive 1st Story & 2nd Story 5749
(Duir) Additions, New Windows
& Rear Patio
102 S. Ridge Street New Sign and Awning 5748
"Customer's Bank"
124 Country Ridge Legalize New Outdoor 5750
Drive(Brookman) Kitchen & Patio
ML NM
MR SE
JM SF
AC MI
KC
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
938 KING STREET, RYE BROOK,NY 10573
(T) 939-0668 (F)939-5801
ARCHITECTURAL REVIEW BOARD
IN PERSON MEETING
AUGUST 17, 2022 @ 7:30PM
_ PAGE TWO (02)
18 Lincoln Ave New Detached Barn 5750
(Magar) Style Utility Building
18 Lincoln Ave New Solar Array on 5751
Road(Magar) Detached Utility Building.
11 Loch Lane Enclose 2nd Fl Front Porch 5752
(Karasik)
I
ML NM
MR SE
JM SF
AC MI
KC
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