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BUIL _. A TMENT
VI CE OFRYI", OOK
938 KING FE:T RYE l lzk) ,NY 10573 SEP 3 202
�j41 1)939-I)Gf
. ov
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
FOR OFFICE USE ONLY: 6� r
Approval Date: O C 7 T 1 �P it# Application
Approval Signature: : ARCHITECTURAL REVIEW BOARD:.
Disapproved: Date: a G 2
BOT Approval Date: Case# : Chairman:
rxf
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other: /
Application Fee. �Permit Fees: �(�! �Ue.
APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR ARRAY
Application dated: 9/17/2024 is hereby made to the Building Inspectorof the Village of Rye Brook,NY,for the issuance of a Permit for the
installation of a Photovoltaic Solar Array as per detailed statement described below.
1. Job Address:215 Betsy Brown Road, Rye Brook, NY 10573 SBL: 135.44-1-13 Zone: —lO
2 Type,kW&Location of Array,(use additional sheets if necessan•):
Installation of roof mounted solar (21) MXN-6-440w panels, 9.24 total system size
3. Property Owner:Kaloyan Lazarov Address: 215 Betsy Brown Road, Rye Brook, NY 10573
Phone# 832-306-9892 Cell# e-mail k_n_l@msn.com
4. Applicant:Ellen Bury (Empower CES, LLC) Address:999 Stewart Avenue, Suite 210, Bethpage, NY 11714
Phone# 516-544-4592 Cell# 518-965-4228 e-mail permitting@empower-solar.com
Gregory D Sachs, PE 999 Stewart Avenue,Suite 210, Bethpage,NY 11714
5. Design Engineer: 9 rY Address:
Phone# 516-5444592 Cell# e-mail permitting@empower-solar.eom
6. Solar Contractor:EmPower CES, LLC DBA EmPower Solar Address:999 Stewart Avenue,Suite 210, Bethpage, NY 11714
Phone# 516-837-3459 Cell# e-mail permitting@empower-solar.com
7. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 1-Family Post-construction: 1-Family
8. If building is located on a corner lot,which street does it front on: NIA
9. N.Y.State Construction Classification: N.Y.State Use Classification:
10. Construction Type&Location:( )Typical Western Lumber Frame;()Timber Frame[TC];( )Wood Truss[TT];
( )Pre-engineered wood[PW];Located;O Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other:
roof mounted solar panels
11. Number of stories:2 Roof Style:(hip,shed,mansard,etc...) gabled roof
12. Will a New Roof Be Installed: No 0 Yes ❑ (a separate roofing permit is required to re-roof an existing building)
13. Roofing Material&Number of Layers: Asphalt Shingles- 1 Layer
1
6/1/2024
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: lV Yes: ❑ Area:
15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
No:&� 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: d Yes: ❑
(Ifyes,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: d Yes: ❑
Indicate:TIER 1: TIER I1,• TIER III:_ (ifyes,a home Occupation Permit Application is required)
18, What is the total estimated cost of construction: $31,365.00
(Note.The estimated cost shall include all site improvements,labor,material..scaffolding,fixed equipment,professional fees,including any material and
labor which may he donated gratis If the final cost exceeds the estimated cost,an additional fee tiAill be required prior to issuance of the CIO).
19. Start Date: 11/26/2024 Completion Date: 11/27/2024
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 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:
I Ellen Bury (EmPower CES, LLC) 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,
Agent 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.
Sworn to before me this 17th Sworn to before me this 17th
day of September 2024 day of September 2024
- qa-4Sign
li Notary Pub c
o p ty wnci Signature of Applicant
Kaloyan Lazarov Ellen Bury (EmPower CES, LLC)
Print Name of Property Owner Print
Sara E. McCaffrey
Sara E.McCaffrey NOTARY PUBLIC,STATE OF NEW YORK
NOTARY PU6t_IC,STATE OF NEW YORK Registrallon No.OIMC6425412
Registration No.01MC6425412 Qualified in Nassau County
Qualified in Nassau County Commission Expires November 22,2025
Commission Expires November 22.2025
6/l/2024