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HomeMy WebLinkAboutAbandoned Application Building Permit Check List&Zoning Analysis ` Address: SBL: I Z 7-C Zone: - 1 Use: Const.Type: Other. Submittal Date: l L Z Revisions Submittal Dates: Applicant C>F,S A k Nature of Work. '� �T'7 'fa',ac Ica IZ7 0„y �.CF✓�� FC�a� —�o�-•G'� � . 1,1E-`� '��- �C-z�-lt� � ---I Z-0 o�r Oar-n— Fi�,c i s i -—r Fukr-- �7 a: Z o . Reviews:ZBA: JAN 1 9 2021 PB: BOT: Other. NUIP OK (v5 FEES:Filing. ?S• � BP: C/O: Legalization: ( ) (..YAPP: 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: ( ) ( ) SITE PLAN:Topo: Site rotection S/W Mgmt: Tree Plan Other. ( ) ( SURVEY:Dated I Current Archival Sealed Unacceptable ( ) (• PLANS:Date Stamped ✓ Sealed ✓ Copies: Z 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. O O 2020 NY State ECCC: N/A: Other. Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. GARB mtg.date: approval: notes: (4:BA mtg. date: approval• notes: ( )PB mtg.date: approval: notes: REOLMED EXISTING PROPOSED NOTES Area: ! S k- Circle Fr nta Front: Front Sides: I s `l 0 2 .� t{ gs- vs- Rear. ti o Main Cov: l(v ol L 250 - 3Z• 3 . •� JAN - �. Accs.Cov DVI Sd.H Sb: I (o S? f Iv GFA: 37-2 l Z S 3 to -Z, Zg-0 - Z o. F 4-7 C Tot.imp: S 00 30�1 - (to �p d FtFt.ImD: ° ZZ•Z "' P HHdght/Stories: 2 (Lk r-. Residential Building Permit Fee Work Sheet Permit#: Date Issued: SBL: Zone: Address: Property Owner&Contact Info: Job Description: For all new dwellings and for additions measuring 800 sq. ft. or more made to existing dwellings, the following fee schedule shall apply: (plus any alteration fees) Total Sq. Ft. (excluding basements) x $225.00 x $I5.00/$I,000.00 Basement Sq. Ft. x $65.00 x $I5.001$I,000.00 -------------------------------------------------------------------------------------------------------------------- New Construction Sq.Ft. • New Construction Cost • Building Permit Fee Basement= sq. ft. x $65.00 = $ x$I5.00/$I,000.00 = $ Ist Fl. = sq.ft. x $225,00 = $ x$I5.00/$I,000.00= $ 2°d Fl. = sq. ft. x $225.00 = $ x$I5.00/$I,000.00= $ Attic = sq.ft. x $225.00 = $ x$I5.00/$I,000.00 = $ + Total Sq.Ft. = sq.ft. Total Cost= $ Total B.P.Fee = $ °Includes Attached Garage if Applicable. Total Amount Paid = $ Total Amount Due= $ Date: Signed: BUILD MENT D IE C LE O " V1 it) OK W -W.. 938 KING rC.; . ii ,NY 10573 JAN 14 2021 (914)9 39-5801 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ##t###4#iVit#t#i#t#t###tttttt4f#i44it#4t4#flf4f4f##MF44#f##44it#t4i#44ii#tiifittittif#tttr����f(���''�"^"�•-�- 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 thischeck list will be removed from the ARB agenda. Job Address: 1 S�2,p�-1 �lbw lrLo Date of Submission: Parcel m#: Zone: -IS - Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: �� OY12 ��OM i�I ` �-uvnl � MUST BE COMPLETED BY THE APPLICANT ;L The following items must be subnutted to the Building (�p,w (n eS�L^ ( L.Sri }-e DUEn Department by the applicant-no exceptions. I-(L/oft, r)tfQ C-rant- PnrZf4c, Ylatvfir- I. ( )Completed Application D 2c.k ltnn —ro- o e� 2. ( )Two(2)sets of sealed plans. (one full size tmaximutn Property Owner: 1Dur v iA+4(, P_S fi 1 allowable plan size=36"x 42")and one I I"x 17") 0 T— 3. ( )Two(2)copies of the property survey. Address: Lie G 4. ( )Two(Z)copies of the proposed site p Phone# 91"l� S-3 ! �' ZU 6 r( 5. ( )One electron ictdise copy 9f the comp application materials. it i Applicant appearing before the Board: 6. ( )Filing Fee. �I �nr1 6 5 CSxr Iwo `/- 7• ( )Any soWiting documentation. 8. ( )HOA approval letter.(;yapplicablc) Address:"' 3 9. ( )Photographs. Phoneo/4 L)3-233-0 /02 41 10.( )Samples of finishes/color chart.(a sample board or wodel inay be presented the night of the meeting) Arch itect/Gngineer: �jiry R,S 43avt.. Phone# 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. r Sworn to before me this I I Sworn to before me this \2 day of _I q•V\ ,20' I day of 20 2 $t�lsdtyoM SignaNrc of allicant` j�e,�,; Print Name orProp ty Q—, Print NaamccoofA pplicant Q Notary Public Notary Public KYLE CROWLEY lI1 SHARI MELILLO RY PUBLIC OF COW Notary Public,State of New York No.01 ME6160063 -fission Expir, Qualified in Westchester CUJU Commission ExnirAs Jan!tP^'9P ?fl Z� -KYLC CAM NOTARY PU"(r r *caili U1ftellow:" RDEWEMWE JAN 14 2021 5 JOHN G. SCARLATO JR. VILLAGE OF RYE BROOK BUILDING DEPARTMENT ARCHITECT 33 Byram Hill Road Armonk, N.Y. 10504 Phone: (914) 273-7350 Fax: (914) 273-9222 JGSCARLATO@a GMAIL.COM 1/11/21 Mike Izzo Building Inspector Village of Rye Brook 938 King Street Rye Brook, NY 10573 Dear Mike: RE: 16 Sleepy Hollow Road This application needs to have two variances, floor area and main building coverage . If you have any questions or need anything else, please give me a call. Thank you for your help. Sincerely, John G. Scarlato Jr. ,i�VyW� OY . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914)939-0668 Fax(914) 939-5801 Christopher J. Bradbury www.ryebrook.orS TRUSTEES BUILDING&FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein NOTICE OF DISAPPROVAL Application # 21-003 January 20, 2021 Mehernaz Desai & Purvang Desai 16 Sleepy Hollow Road Rye Brook,New York 10573 PLEASE TAKE NOTICE that your application for building permit dated, January 19, 2021, for the premises located at 16 Sleepy Hollow Road, Parcel ID# 129.75-1-16,has been disapproved because of non- compliance with the following section(s) of the Code of the Village of Rye Brook: §250-20.E. The maximum allowable Lot Coverage is 16%. The proposed additions will result in a Lot Coverage of 16.5%. §250-37.B. The maximum allowable Gross Floor Area is 3,221 square feet. The proposed additions will result in a Gross Floor Area of 3,692 square feet. Please revise your plans to fully comply with the applicable section(s) of Village Code, or an appeal to this decision may be brought before the Village Zoning Board of Appeals(ZBA)in accordance with §250-13 and §250-40 of the Code of the Village of Rye Brook. Applications to appear before the ZBA are available at the Building Department or online at www.ryebrook.org. Sincerely, 0� :�-_ Michael J. Izzo Building & Fire Inspector mizzogryebrook.org GN �...� OJ dt `. 1�jPI z IbM>I21bd b3nlb NDSNIHJ111H .01 ELI s' ^ e `U\ O � O r+ J cl 71�P c Q d I n. y�a e SUIL F ,r K }y iVIl;IVT (� V IS V t OK 938 KING ' a �> ,NY 10573 JAN 19 2021 ] ID (914)93 }' E 39-5801 ,r e rgy VILLAGE OF RYE BROOK BUILDING DEPARTMENT w##www�w####w#wwwwwy#w#wwMw#w##ww*w##w#wwwMwww#ww##wwww#www#wwwwwM#w#w##w#ww##w#**#w*w##w#wwM##ww�lwww�#w#nw MR Orr ICE USE ONLY: i Approval Date: Permit# Application# Approval Signature; ; ARCHITECTURAL REVIEW BOARD: Disapproved: BOT Approval Date: Cas PB Approval Date: Cas ZBA Approval Date: Ca # Other:. Application ice:,)U T � Permit ices• wlMww*wwMwww#wwwwwwwwAMwwblAwMwwwcawwwwwwMwMMw#ACw+Aww#**wok*M#YMw#*�#Ik�lw*ilwM##M#pwMwblRw+hMrt�l*#wwwww#wMk*wwwwww+Yw EXTERIOR BUILDING PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of tlic Village of Rye Brook,NY,for the issunnce of Permit for the construction of buildings,structures,additions,niterntions or for a change in use,as per detailed statement described below. 1. JobAddress• ) 5 2Pf��� `t1t�i (4 7qV 2. Parcel ID#: f Z 9 �'� �n Zone: 5- I 3. Proposed Improvement(Describe in detail): R ex,,r- ofNe.&4'oM �—14-f'ke'n tGu rH i`l el� i-h.'n) i'le.L, aJ 4e,�~ sv►te. AC0 -Lan X LS41 w2 riys-', /'�L4D/L f err r l�s-u, tW �'a�ft e , r 4. Property Owner:- WU rtJel ��t-� n 4 rf'1['h e e'h ri Z Address: S 04 Phone#_ 911 .`f '� — Z.0(o of Cell# e-mail j.0—re jeatno @ List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# e-mail Architect: �73b //��\,n l s_ BSc acicc� Vy, I�CrI. .cif Address: S3 4 o yr. 4 l l( 6/2_AU &YN lL, ��"/ /6,P,14 _Cell# r9/ I2I/a—('1!SZ e-mail_" Cc�r)e�� `t�?4777&1L,raM Engineer: Address: Phone# Cell# e-mail General Contractor: Address: Phone# Cell# e-mail {I) 3/21/19 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: I fc1vhil!, Post-construction: o-V­ 6. Area of lot: Square feet: /�)U U U 5 q OCT Acres: a 3`{A 7. Dimensions from proposed building or structure to lot lines: front yard: '4 O.3 S rear yard: b. 0 right side yard: Z Sb-� 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: 2°d fl: 3`d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: $S7— v,fl: SZ 2nd fl:-7o Z 3`d fl: 12. Total Square Footage of the proposed renovation to the existing structure: 702 13. N.Y.State Construction Classification: N.Y.State Use Classification: —Z- 14. Number of stories: Z Overall Height: Median Height: Z S 15. Basement to be full,or partial: F:J A , finished or unfinished: F heir 16. What material is the exterior finish: ftay►k 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material:__FA&rG LY33 S:T J MU t.0 jn L 18. What system of heating: -r A i IL -A,� 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:_ CX (rf yes,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: X No: Area: j?"I j 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:X (ifyes,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: X (f ves,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: X (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: X (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: X _ Indicate: TIER I: TIER II: TIER III: (f 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: $ 3-�,sl Oo0 Note.The estimated cost shall include all site improvements,labor,material,scaffolding,fixed 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) 3/21/19 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 FAX(914) 939-5801 RESIDENTIAL LOT AREA COVERAGE Address: 16 S1--eAE:, 4AOow oL10 Section: I Z1.7S Block: 1 Lot: I 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% t/ 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 /5/Ccu Sq. Ft. /Y 1 00o Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building (Including Attached Garage or Accessory Building) �� 6 Sq. Ft. Zq �J Sq. Ft. ne e4 . b. Area of 15'Floor Divided By Area of Lot x 100 % % VoviU/Ke 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages, Tool Shed, Playhouses) Sq. Ft. O Sq. Ft. a. Coverage of Accessory Building O Area of Accessory Building Divided By Area of Lot x 100 o % % 4. AREA OF DECK o Sq. Ft. 4 °�' Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 % 2' % I attest to the best of my knowledge and belief, the above information is correct. Architect's Signatur (3) 3/21/19 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914) 939-0668 Fax(914) 939-5801 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: I(o SL.eg-j 4oll(iw (LV Section: I Z-9•'1.�- Block: I 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: IS)0(0 sq.ft. Existing Allowed Proposed Total impervious coverage = 30$^1 S .ft. s30G S . ft. 3 9 6 o S .ft. Front impervious coverage = Z Z • Z- % 5,57 % ZZ- L % 1 I attest to the best of my knowledge and belief, the above information is correct. Lt AL ect's Signatur (4) 3/21/19 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 FAX(914)939-5801 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: 16 1�40w �W Section: I ZA, _� Block: ) Lot: r' MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area — 21,780) x 0.11478421 ]: a. Allowed = 3 ZZ Sq. Feet b. Existing Sq. Feet c. Proposed = 3 `1 Z Sq. Feet N d Urt✓'(a w-e- 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/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 EXISTING PROPOSED REOU/RED FRONT: FRONT: FRONT: .44 R35 SIDE: SIDE: SIDE: 1.20 FRONT: FRONT: FRONT: .48 R2S SIDE: SIDE: SIDE: 1.30 FRONT: FRONT: FRONT: .60 R20 SIDE: SIDE: SIDE: 1.60 FRONT: ,mil( FRONT: .41 FRONT: .60 R-f5 SIDE:" SIDE: ,fir (,off SIDE: 1.60 FRONT: FRONT: FRONT: .80 R 1SA SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 RL f2 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 R f0 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 R-7 SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 R-S SIDE: SIDE: SIDE: 4.00 FRONT: FRONT: FRONT: 1.20 J?2F SIDE: SIDE: SIDE: 4.00 1 attest to the best of my knowledge and belief, the above information is correct. hitec 's Sign re (5) 3/3/2020 BUILD MENT D E C EID vi ,,u1+t OK JAN 14 2021 938 KING I 'R NY 10573 (914)9 39-5801 VILLAGE OF RYE BROOK w 9 BUILDING DEPARTMENT xxxxwxxxxxtttttwtwxwwxwxxxtxxxwwxxxtxtwtt*wwt*xw*xxxxxttttttxxxxttxttttwxxwxxxtxxwxxxwwxxxxxxwwtwwwttxx AFFIDAVIT OF COMPLIANCE VILLAGE CODE�21 6 • 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: 31, f ur yaV)4 le Sc�.� , residing at, 16 'S Le_� 4agjOw (0 �(Print'namc) (Address wluro 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 which this Affidavit of Compliance pertains at; 1 b S e��J ri L-'J 6�eA , Rye Brook,NY. (Job Addi m) 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. (Signal orftperty Owner(s)) L.,I'/ nI I�� � cht yyk eA 1 C-9M ; (Print Natne of Propbrry Owncr(a)) Sworn to before me this P day of 20.11 (Notary ) KYLE CROWLEY NOTARY PUBLIC OF CONNECTICUT (6) My Commis*tn Was 10i'8U402'1 3/2l/19 This form must be properly completed&notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with 0ti1d , CE permit application will delay the permitting process. H 4:4<4:4:4+4 l 4 * 4::N:k 4,*9, # k t�t� JA N 14 2021 Notice of Utilization of Truss Type, Pre-Engineered Wood, VILLAGE OF RYE BROOK or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR) BUILDING DEPARTMENT -------- To:The Building Inspector of the Village of Rye Brook. From:_ awn G s C.ar i c,-ko ag, 91 -c Subject Property: Lpe p, 4,\,jo,,, LLD SBL: Zone: _ 15' Please take notice that the subject;,,&ne or Two Family;o Commercial, o New Structure X,Addition to an Existing Structure a Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑Truss Type Construction(TT) Pre-Engineered Wood Construction(PW) ❑Timber Construction(TC) in the following location(s); ❑Floor Framing, including Girders&Beams(F) ❑Roof Framing(R) XFloor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. Sworn to before me this 1 Sworn to Irfore me this day of w� r ,20 day of 20_2 Sign f Property Owner Signature of Desrgn Professional Print Name of Pr 0 Name of Design Pr essioaal Notary i Notary Public SHARI MELILLO Notary Public,State of New York No.01 ME6160063 KYLE CROWLEY Qualified in Westchester County NOTARY PUBLIC OF CONNECTICUT Commission Expires,tanup—PQ pn Z� My Co ssion Expires 1013112021 (A 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. k#k**fikkkfi*k******k#**kfikkkkkk#kfi*fi**k*k*kfik#*k***kfikkfi*kfifi***********fifififikk*fi*k********k*##ttA•fi♦fififififi##* STATE OF NEW YORK,COUNTY OF WESTCI-IESTER ) as: �n`n*\ 6 SC cu-1�•01- 09041c-,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 1 e� for tite legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,ctc.) 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 die 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. Sworn to before me this Sworn to before me this day of Jui"t 120 day of �l y , 20 \ t ) SigAdrc of property Owner Signature of Applicant ro-6 V 64 0 Prim of Pp6pedy OWM Print Name of Applicant No*PWI 7 • `1 t-E9 ���� lJ�-J � Notary Public ? SHARI MEL.ILLO KYLE CROWLEY Notary Public, State of New York NOTARY PUBLIC Otr CONNECTICUT No.01 ME6160063 MY Commies cr res 10'3112021 Qualified in Westchester County Commissinn Exnires Janup�.,29 20 -_ i I 3R1/19 � . VILLAGE OF RYE BROOK a R 6 BUILDING DEPARTMENT g•, p{r� O j�p �o w }}}�Z...J 0 3 0 P a o�D �O O� � 3 � g -o s s o Fo"O d •ems 9 Q so- � 9 b ��J Q V1 g� a �r�un+ fir. 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D n N .. w v) CD C n P. cu O n 'J• V O = Oo is O O :K n n ruo a q a! ',� a n a 9 a. o '3 ci a 9 D• D. 5 �. -, C r� A ca m O O O v +", c- o p+ a yr 7 00� n o a o n v< a -c a m Q G,1 W n a n o A Cl.n a n a, :: q G w a VD Q 0 g & � n a = � 0 w o � o y cmi P = ``D' P 3 � z � a� n �� n a� o� m��- H >v � w � m c g -m � p, n "v w -0 w +'� 00 N n .•i O y c� m vOi W rni, fu _cOD �_ C _ T ^ 2 o i. O y cD Oq Q c O OC' .. m co O 'a w O =- / v m b w$ vni 9 =` '., V, o_ v °, p F 5 S. �� _ o _ -fin II c Q �' w -cce " n -•-aas 'A9 �.cmi 0 ^ a o �y- c a w v v s, o o a o w Boa n o n Qc - o y O D O E o o a c0 a c) Q w c A o p .,+o t7 _•� m o w o � M ... n v, w ae a "' a+ u v+ A 1 rn n n cn p n n < C. =• - w 9'; n O O a ? y a CD O '3 ,_. C c� v O A 4. 0 v O" o O `�' C: - i9 w C 7 C --I �' 3 r 0 F a •a r n - �. n t A- w c '- tr :n c"9 a E. N C n w" M �) w O cp ,s p, :° m " oo ._ v c n o in a c4. - E_ c U z n S' v� �_' m o a cD a a = m oa n )' . r -• ,y r ry (D == n ov a 't1 -1 A w n O v o w .. O• p n O T- i.] v F n c9 w pn o a. n n r n c -o a w =o o R 5' 7 °a o - "' 3 a v, a m3 L•=.I o n ot z A= �' -o �'v �m m ' C �•w c " o C n)^°° n f9 g a -m V, --j i a• < w P O - n ..r .-. n O+ n QO " w w N !1 n :' E. m _ c � c T C 0 N w w D O O cc o o n m o y r� "� - n m y `G o v O N a +•h d f9 n - n 3. 4' n :P n- 00 ^ O. M• `9 n 7 A w < o n �. 3 �. �"'.. a `� Q oo o r•. 0 5 c- F n v • 2 -rn•, 2 :, m .< y ro �', o cGD o o o o a, _ `a' � '> n P< a.. O m p1 Da w n b O w Rl - 'n p- H w ' w c p ^ O Q m n --T a _ O - C '13 R Iy p - Q. ' n w ,tl._. p, O' - a C - � n -- � - a. Ft a Z .`',,, t. , o ^. ^+. Z r- c'� C a 0' G n d n. n . O b O rn n N C' 0 n 0 _ n - 8 _ O c: _< n '7 a -y Qo N n m 'O W U. O O':1 ►� n S. ''. F, - c n C<• O w HC "o a w = a' o r n y - < � o =. � 'c a CD h -n Ej' < 00 ° f. a N C..1 0 o w n ado ,' G C: ° a X +o - m _ w Ea. = a w 0 � a w � j- n I 4 .I I < n n m n o N o a p o " F -= n o a o o Do (A w �) o= o a� H n ra a a 0 M. o p =� a " = o' n _c c ao a^ p< .Jn S r) o " C3 o c) as ° n :3 . o G c d= a �_ cD w O w P A f7 ^'+1 C C -^..O O O " + \ J a m z• o- a iD 9 A Q- w iv' � "+ b �' o n cD C; � 3 K C Zr ae � o° � 3 D c �" �) "+ o-4 -•-", n o, __ -, , � n o O5 2X ` 1 II 2. .Q,`e o rae o " e c d� Q a-0 cc a < = k c� w 2 a �' ' �o -"'o o ,, � n n I o � co--c P. y -•a c ww0 = o O m C il_P n ^o d 04 a 0 N = - a n 0 = rQn m 0 n CAA O 9 O G) w Q :A H O O p• CD C I. 9 n n m N .'. f0D C) .9 cCJ O ..N. C m O n n O O m �^ E•' C i� n O o o C cD in =. n a O y -, a' •A 7 p, O vCD ai a' a n �} T. m " •, . o + .,, 0 a a o d o 6+ w n a Qa .."" ci v� (� n 7c' + I' cD ao 1,.Y G C n' 's `< -0': K­ CL L_� 0 0+ .) .Q -pal �^ I Il _ w w O w A (� rJ n P tl w G-d w c? -.y v ' Fn 0 I 11 = 1-1 <° - co x ° w. c c'ro" .0 uci ^ =' OC ° N O a P.0 n G _. O `a '•�"� m o z o n x1 . o Z a o y n G n w" a v c a o pai c = o _ •� to w G C =h rD a a ^ = m :) n " • c0 cdD w cdD " o c" � q ;� n q iD o c In w o< a == m 'C7 W o v a w C o ^, w c) -1, tl =- _ �_ ,'7, iD c ro co "a -+ n o C n A c. n y oo in !� p t= tlC Z w G a n< OQ a F g- m oo ?� o n0 It o a n °R o a •yn- o o a oa o o a n r_ R. o u F^co n C o o X ro* E, .< dZI < rn a O Code C7 o' o C! ° 0 j .a o` CO w $ o " `-' L°' = n Q a n g n-4 a m Q w H n n n 3 0 r„ M T a c a^ o �+ a �e - a fD o n g w $ o: o` n EL a' ._ ie n n .n o a g _ N ;_• .-. o f0 N n . t Q' �, " - a C7 Q c° 3 •" ° +'.. w ti - a _ __ =-•n, o v", `' u y.. n c0 �O cD �-•• E. .ca < n < d c0 C C 7 H M. Fn' tl n w O 7� �. O C.1' V+ O m d Do' _ '� =� p N p' d Q^ - t'~ rD cD it •-- w W i•+ n° d P= 1•+ Q n n O. C i+ o a o O• Q .- - o A m 7' W '< n .. w A s a Nn z o- 9 O -, .. n P) a t11 w G o w 'S' a oc" n = A b n "+ m.. w 010 n rn -+ = p '� �' M Cc'- Q G 00 p C "" W O a OV CO 4D y rn C A 7 L?. [V w cn C .a rwn N t d "1 0 a' .a N H p m N o = r0 0 _< y. O1=1 C. < w tr. °e =_' 3 _ - _m'`+`<p n � ^ M) Cc > N�,n_ o r- c 4-0 5.m ('w c, o 0 0 9 ti c Fr" o n � n o 1 ==Q � o n � g -n � R � rn - =" =- ;� = O 1=. A < 00 c _ Y �a 7i .O F. a''C P1 i? a RL w < = W ^- iD vdi O p _ N O C a = IA ,.� �' .y _ O 7c' o ^, _ ..+ - - fi C. w '07 n ce 07 9 c .ti- = w " CL C "_ < - • (D r n < O y z T n .4..a - < +' m T m - C g n 0 7 C• n 0 c C o .D Q 0 :- d 1'') co 00 --- '_') n p G. O ' rf ... 00 in Q pj < Q'O D n O V] `C 'O. w n a 00 C< x G1 7 n d n x .o 9! OT < ,•-y, G p n w a a o O c m 5 it Ra n -, +O n ,_ "' n< n c a '• '_i CD in ., n e w L, a n a n. A •, ao N c p� 3 c -M �• i9 to <. _E "' 3 n• -, 5 w m N w n "', a c ti + y p CL w. `< .a w %4 -1 F 'o a y cD n mEi. cD a c_ ; O n �• n_ _ c c a• nd. n a cD O 9 n w c`o o G O n a' n c'� C v [Y on _ = n O L -2 u; a cD 0. `+ n " -..n A a O � C). PZ. _ c co .+ n rs c� � � �+ w,• n c .a m o � n fyil w J y n a p n �. O ,n.. a 'a A r- ..1 - A O. a C= 7e -- O. p c H �.. " i H 7 �' n 00 r.. '�'- ? �' n P ^ ^' O '�, °' O I � S � a w w�� m o � o _< a. ^+ a :,, n C7 =<" C c = n �a c a' o w S tl n o. - o r0D oo 5 o 0 p= n G -, c 3 c+ - c ao a �' o o - r' 0 C. - o - c+ cC. In oo < �' n " : �. c) F. � � oo - P-'O as . a " - , a = p '» o n r a 3 Q' a 0 a r`) o �) S v p' '- C) h c I-. O 0�a A,) vOi �, .A•- C. '9 U Q ry w (<D _� C <• •i `n` A A G 7 - 0_CO OC7 r' C7 n• O " C O m a' W a .� �. `-" N CI. ° v c _ I 11 cn m iD a - C x. - o a va =, sy a v z cr rD O +n Q `y ° o U n c000 _ n �' . w o ,_+ O< y w '_• n n n C n cn p G _ p O r. A• c< a n n .a O- n o . n w w cD +-h 3 d ^ a w E!-m n o O -= O a. in �_. _ O m I II 'o o - co q, o m - ce - P 8 � .no. _ cD H n o. w N. - - o a n• 0D o N co _ = .p .w ^ 1n'' Q rrA � C w y w H w =o rn c n b G'< ^ F - H p - >2J O P f� O p C` d ci c9 n n .n.. 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