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HomeMy WebLinkAboutAbandoned Application Building Permit Check List&Zoning Analysis t Address: c o -t-r Zh> SBL: 13-S S9' - Zone:-1'2-- 1 Z Use: l ----> Const.Type: Other. Submittal Date: _ Z Revisions Submittal Dates: Applicant: L A% 0 Nature of Work: S ti F 7 �L�✓'C�-�ti— �- l 1-.(1 �� Reviews:ZBA:J U L 2 7 2019 pB: BOT: Other. NEW ( ) ( ) ES:Filing.T BP: S�/ C/O: Legalization: ( ) ( P: Dated: ✓ Notarized: SBL: ✓ Truss I.D. Cross Connection: -", H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Shorn Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current Archival• Sealed: Unacceptable: ( ( PLANS:Date Stamped: Sealed: ✓ Copies: 2 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. (v f Plans: Permit: N/A Other. Vri-� ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 20I7 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. ( ARB mtg.date: �`� Z0 approval notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval:- notes: ROVED REQUIRED EXISTING PROPOSED NOTES A • ow Cir Fronr Front Si r. Main CovIr Accs.Covwo F S : S Tot.Img Ft.Imp: P Hight/Stories: notes: Talcott Woods Home Owners Association OFFICE USE Date Rec'd By REQUEST FOR ARCHITECTURAL COMMITTEE REVIEW Document Check List 599uest From Survey/Plot Pian Specifications Date gpnl 23.2ozo Bldg. Plans Permit MrJMrs.: Elevations Photos Mr.&Mrs.Louis Blaiotta Details Other (noted) Address: 39 Talcott VWoods Rye Brook,NY Phone No.: 914 588-2227 Brief description of addition, alteration, improvements, etc.: Installation of a residential elevator and exterior dormer.The dormer will have three windows and will bring daylight into the interior of the entrance foyer and staircase. Contractor: Out to bid not selected as of yet HOMEOWNERS AFFIDAVIT Address: I have read the covenants and restrictions of my Associations and agree to abide by such covenants and restrictions. No work Cert. of Insurance will be commenced without the approval of my Association. Date: Signed: Please check with Village of Rye Brook for Building Department Approvals FOR ASSOCIATION USE ONLY (:AEpp:rove:dby Homeowners Association Preliminary Approval Subject to Review Insufficient Information Submitted - Resubmit Not Approved Approved with the-Following Conditions 07 Chairiferson, Architectural Review Board Date: D FC E WL� 1 2020 VILLAGE OF RYE BROOK BUILDING DEPARTMENT BUILD -� TMENT FD `� EVIL ' GE OF R ROOK 938 KING STREET RYE BRooK,NY 10573 2020 (914)939-0668 (914)939-5801NNww, rook.orcr YE BROOK QARTs,1ENT *************************s*******************r*********************************s*s**rs*+*****ss**s********* 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:39 Talcott Road Date of Submission: Parcel ID#: 135.58-1-33 Zone:R12 Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: Mt'ST BE COMPLETED Bl' THE APPLICANT New interior elevator and exterior dormer The following items must be submitted to the Building Department by the applicant-no exceptions. 1. Completed Application 2. Two(2)sets of sealed plans. (one full size{maximum Property Owner:Louis and Laura Blaiotta allowable plan,ize=36"x 42 and one I 1"xl7") Address: 39 Talcott Road 3. Two(2)copies of the property survey. 4. Two(2)copies of the proposed site plan. Phone#914 588-2227 5. One electronic/disc copy of the complete application materials. Applicant appearing before the Board: 6. Filing Fee. David Mooney 7. ( )Any supporting documentation. Address:5 Blind Brook Lane Rye , NY 10580 8. HOA approval letter.(ifapplicable) 9. ( )Photographs. Phone#914 967-0960 10.( )Samples of finishes/color chart. (a sample board or Architect/Engineer: Same model may be presented the night of the meeting) Phone#914 967-0960 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 Swom to before me this day of_ 20 day of 20 't-> — Si of operty Owner signature of Applicant Lj Blaiotta David W Mooney Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 11I 3/21/19 8 Mark Drive (Roy) Kitchen Window Elevation 5050 Changes & Interior Renovations 9 Talcott Road New Shed Dormer To (Blaiotta) Facilitate Elevator Instillation 14 Carlton Lane Front Portico,New 75052 (Kawlw/khobragade Window, Interior Alterations 31 Brookridge Court Replace Existing Wood 5053 (Friaoli) Deck 57 Belle Fair Road Replace and Extend 5054 (Gupta) Existing Deck 2 Latonia Rd New Rear Deck 5042 (Pascuma) 259 N. Ridge St New 2 Family Modular 5055 (Larizza) Buildings 1 A& 1 B 2 Crossway(Yablow) 2nd Story Addition&New 5056 Windows 111 S, Ridge Street Install Illuminated Building 5057 Numbers ML NM MR SE JM SF AC MI VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, August 19, 2020 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on August 19, 2020 will be closed to members of the public. The public can still watch the live meeting online through Zoom through the app or through the following https://us02web.zoom.us/i/83992763257 If any interested members of the public would like to provide comments during the meeting, comments can be emailed to stevefews@ryebrook.org or called in during the meeting at +1 (929) 205-6099, meeting ID: 839 9276 3257 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 76 Country Ridge 4 Foot Open Picket Fence Consent 5043 Drive (Levine) In Rear Yard Agenda 8 Meeting House Replace Decking And Consent 5044 Lane (Chaudry) Railing With Composite Agenda Material 547 Westchester Swap Out 2 Picture Consent 5045 Avenue (Marshall) Windows For Bay Agenda Windows 17 Hidden Pond Replace Decking on Consent 5046 Drive (Berner) Existing Deck Agenda w/Composite, Replace Stone, Brick and Gravel Walks w/Blue Stone. Windows Replace in Kind 104 Country Ridge Install Hot Tub on Consent 5047 Drive (Savitt) Existing Deck Agenda 50 Winding Wood Amendment to Prior Consent 5048 Road (Klein) Approval - Moving Sports Agenda Court Further Away From Property Lines 66 BelleFair Road New Deck Over Patio & 5049 Egress Window ML NM MR SE JM SF AC MI JB Laura Petersen From: Lou Blaiotta <lou@blaiotta.com> Sent: Wednesday,July 15, 2020 10:59 AM To: Laura Petersen Subject: Re: 39 Talcott Road - Exterior Building Permit Application My pleasure- I just heard from the Architect that our contractor will be bringing you that info in the next day or so. thanks for the heads up, Lou From: Laura Petersen [mailto:LPetersen@ryebrook.ore] Sent:Wednesday,July 15, 2020, 10:36 AM To: Lou Blaiotta <lou@blaiotta.com> Subject: 39 Talcott Road - Exterior Building Permit Application Thank you very much Mr. Blaiotta. Have a good day! Laura From: Lou Blaiotta [mailto:lou@blaiotta.com] Sent:Wednesday,July 15, 2020 10:30 AM To: Laura Petersen<LPetersen@ryebrook.org>; David Mooney<dwmoonev@gmail.com> Subject: Re: 39 Talcott Road - Exterior Building Permit Application Nice to meet you, Laura. Unless I'm mistaken, I believe our Architect(David Mooney) has already provided all of that info at the time of the permit application. (I apologize in advance if that was an incorrect assumption.) To correct the deficit, I've cc'd David on this email so he can respond with the required information. (David: please let me know if you need anything from my end.) Thank you, Laura, for bring this to our attention -we will endeavor to get you the missing information presently, Lou Blaiotta 39 Talcott Road Rye Brook i From: Laura Petersen [mailto:LPetersen@ryebrook.orsl Sent:Wednesday,July 15, 2020, 10:16 AM To: li.blaiotta@columbia-elevator.com <li.blaiotta@columbia-elevator.com> Subject: 39 Talcott Road - Exterior Building Permit Application Good morning, The building department has received an application for a new interior elevator and exterior dormer. We are missing the following: 1. An approval letter from your Homeowners Association 2. The application for the Architectural Review Board 3. An electronic(disc) copy of all materials submitted If you have any questions, please do not hesitate to contact our office. Thank you very much! Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 loetersen aOryebrook.orq 2 Ny `' fit• ��" R. b �( TOWN OF RYE SHEET 135.058 SURVEY OF LOT 50 AS SHOWN 00 >>. ON A MAP ENTITLED "SUBDIVISION �'0, BLOCK 1 PLAT, TALCOTT WOODS" DATED in 1 AUGUST 30, 1976 & FILED — LOT 33 OCTOBER 15, 1976 AS COUNTY 1'04 hf CLERK MAP No. 18972. 1,57 so>>� �: r1 V IC J _ l U UNDERGROUND PIPES, WIRES, STRUCTURES, ! \�'1oi`acc ?g96 ETC., IF ANY ARE NOT SHOWN cm SD71 �,Raw a� JUL 1 !20 I j Lot Area=0.156 acres. &w` W e,�� 4 f s? 2.0 , VILLAGE OF R BROOK 1 ILDING.DE RTMENT ti �.� 15.3' Woad Lot St 170 d Woad Dew Deck 2 gyp. �` r { wa S QPa 49 1 0 ,--,� 2.5 1 --' 12.2'` sf ; Lot N, ,C) 1\ 50 ,` �' Residence h 3 X ` o` t a 111-ee 7 112 Si' Stan, �a �rQ at-y .7 � 9.4` � � �ec �e � j LOt \� i 51 e Tax � 7.4' Wa C°or Tax r-----� t`Y Table Poor i7epwo ', F-----7 ' Tax qC a' ; Lot a° pear 0.1' I I �, I 34 l Lot ; 3.1, L-----J a �N Res ae s a ; 33 ; m y o L-----J � � a � y 0 yo,`? SURVEYED AS IN POSSESSION THE MUNSON COMPANY R=225,00' �� 9 NORTH GOODWIN AVENUE 5 aL= 82o� E ELMSFORD, N.Y. Rq�� a� �9 10523 O Olt �`, 's ,, �{ Scale 1 "=20' Sz 1 30, 2020 R-225.00' 4=2010 i Unauthorized alterations or additions to a survey map Is a violation of section 7209, sub—division 2, of the New York State Education Low." "Only copies of the original survey mocked with the land surveyor's inked or embossed seal shall be considered a true and valid copy.' J-15370 Laura Petersen From: Laura Petersen Sent: Tuesday, August 25, 2020 3:14 PM To: 'DWMOONEY@GMAIL.COM' Cc: 'Ij.blaiotta@columbia-elevator.com' Subject: Building Permit Application - 39 Talcott Road The building permit application has been approved by the Building Inspector, before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name & phone number. 2. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Mechanical Installation Permit for the elevator (will need the liability insurance and workers compensation with this application) 6. Building permit fee $750.00 (due once permit is issued and ready for pick-up) Thank you Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 IgetersenCcDrvebrook.org 1 BUIL R MENT V I E OE RYE OK 938 KING ET R �i�,B>� � , NY 10573LBUILDING I (914)93 39-5801 _ e _Or RYE BROOK iu[DEPARTMENT FOR OFFICE USE ONLY: Approval Date: AUG 2 4 202 Permit# Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: AUG 1 9 2020 BOT Approval Date: Chairman: ONLI PB Approval Date: Secretary: ZBA Approval Date: Case# Other: Q � Application Fee r b Permit Fees: 70- EXTERIOR BUILDING PERMIT APPLICATION Application dated: 5/12/2020 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.alterations or for a change in use,as per detailed statement described below. 1. JobAddress:39 Talcott Road 2. Parcel ID#: 135.58-1-33 Zone: R12 3. Proposed Improvement(Describe in detail): New interior elevator and exterior dormer 4. Property owner: Louis and Laura Blaiotta Address: 39 Talcott Road Rye Brook, NY Phone#914 588-2227 Cell# e-mail Ij.blaiotta@columbia-elevator.com List All Other Properties Owned in Rye Brook: Applicant: Same as owner Address: Phone# Cell# e-mail Architect: David Mooney Address: 5 Blind Brook Lane Rye , NY 10580 Phone#914 967-0960 Cell#914 588-1251 e-mail dwmooney@gmail.com Engineer: Address: Phone# Cell# e-mail General Contractor: Address: Phone# Cell# e-mail (1) 3/21/19 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction:1-family Post-construction: 1-family 6. Area of lot: Square feet:6,823 sf Acres:0.156 7. Dimensions from proposed building or structure to lot lines: front yard: NA rear yard: NA right side yard: NA left side yard: NA other: 8. If building is located on a corner lot,which street does it front on:NA 9. Area of proposed building in square feet: Basement: NA I-fl:NA 2°d fl:NA 3rd fl: 10. Total Square Footage of the proposed new construction: NA 11. For additions,total square footage added:Basement: I'fl: 2"d fl: 3'd fl: 12. Total Square Footage of the proposed renovation to the existing structure: NA 13. N.Y.State Construction Classification: 5B N.Y.State Use Classification: One family 14. Number of stories: 1 112 Overall Height:22' Median Height: 17' 15. Basement to be full,or partial: crawl space , finished or unfinished: unfinished 16. What material is the exterior finish:vertical wood Siding 17. Roof style;peaked,hip,mansard,shed,etc: sheds/peaked Roofing material:asphalt shingles 18. What system of heating:NA 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: X (ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets ofdetailed 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: X Area: 0 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: X (f 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: X (f 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: X (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: X (f 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 (rfyes,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 11: TIER III: ('(yes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: None 29. What is the total estimated cost of construction: $50,000 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 thefinal cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: November 2020 (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: 39 Talcott Road Section: 135.58 Block: 1 Lot: 33 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 6,823 Sq. Ft. Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building (Including Attached Garage or Accessory Building) 2,411 Sq. Ft. Sq. Ft. b. Area of 151 Floor Divided By Area of Lot x 100 35 % % 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages,Tool Shed, Playhouses) 0 Sq. Ft. Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 0 % % 4. AREA OF DECK 1,507 Sq. Ft. Sq. Ft. a. Coverage of Deck Area of Deck Divided By Area of Lot x 100 22 % % I attest to the best of my knowledge and belief, the above information is correct. A/ 1� c+ v Architect's Signature (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: 39 Talcott Road Section: 135.58 Block: 1 Lot: 33 Zone:R12 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:6,823 sq.ft. Existing Allowed Proposed Total impervious coverage = NA S .ft. 2,900 S . ft. 0 S .ft. Front impervious coverage = NA % 27 % 0 I attest to the best of my knowledge and belief, the above information is correct. • VV\. e, v Architect's Signature (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: 39 Talcott Road Section: 135.58 Block: 1 Lot. 33 MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area —21,780) x 0.11478421 ]: a. Allowed = 2,283 Sq. Feet b. Existing =2,411 Sq. Feet c. Proposed =0 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/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 EXIS77NG PROPOSED REOU/RED FRONT: FRONT: FRONT: .44 R-35 SIDE: SIDE. SIDE: 1.20 FRONT: FRONT: FRONT: .48 R-25 SIDE: SIDE: SIDE: 1.30 FRONT: FRONT. FRONT: .60 R20 SIDE: SIDE. SIDE: 1.60 FRONT: FRONT: FRONT: .60 R-f5 SIDE: SIDE. SIDE: 1.60 FRONT: FRONT: FRONT: .80 R--1SA SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 R-12 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 /T f0 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 /t7 SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 R-5 SIDE: SIDE. SIDE: 4.00 FRONT: FRONT: FRONT: 1.20 /t2F SIDE: SIDE: SIDE: 4.00 1 attest to the best of my knowledge and belief, the above information is correct. V [. o Architect's Signature (5) 3 21'19 BUILD t NT DIECIEMED VI E OF'R � K 938 KING FT R1�E BRY 10573 JUL 14 2020 (914)9 5801 W .� VILLAGE OF RYE BROOK BUIL.D!NG DEPARTMENT 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: 3j Louis J Blaiotta , residing at, 39 Talcott Road Rye Brook, NY (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 which this Affidavit of Compliance pertains at; 39 Talcott Road Rye Brook, NY 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. 4ofPigna s)) Lo.�t 5 J (Print Name of Property Ovvner(s)) Sworn to before me this S day of ~� , 20 7b_ DAVIT) F APPEL NOWY pupi1c - Staie of New York 41h� ID Nt,. OIAV-6200616 Z�l (Notary Public) Qualified in West&*,ter COUMY My Cutnrrmissaion Expires pebr%3'Y 9, 3( + (6) 3/21/19 This form must be properly completed & notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. IECREHWED Notice of Utilization of Truss Type, Pre-Engineered4YCRR ' JUL 1 b 2020 1 or Timber Frame Construction. (Title 19 Part 1264& 1265 - r ___._ VILLAGE OF RYE BROOK To: The Building Inspector of the Village of Rye Brook. BUILDING DEPARTMENT From: David W Mooney Subject Property: 39 Talcott Road Rye Brook,NY SBL: 135.58-1-33 Zone: R12 Please take notice that the subject; iA One or Two Family; ❑ Commercial, ❑New Structure 16 Addition to an Existing Structure ❑ 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) V Timber Construction (TC) in the following location(s); ❑ Floor Framing, including Girders& Beams (F) 16 Roof Framing(R) ❑ Floor 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. 3A Sworn bef me s Sworn to before me this i4j% v 0 0 day of %t. 20b ignatu Proper er Signature of Design Professional LJ Blaiotta David W Mooney Print Name of p ty er Print Name of n s ' na Notary lWic Notary blic CLAUDE PHILIP PRIOLET CLAUDE PHILIP PRIOLET C-STATE OF NEW YORK NOTARY PUBLIC-STATE OF NEW YORK NOTARY PUBLI No.02PR6191700 No.02PR6191700 Qualified in Westchester County Qualified in Westchester County 3.3.20 My Commission Expires 03-04-2021 My Commission Expires 03.04-2021 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: Louis J Blaiotta ,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. Sworn to before me this ` Sworn to before me this vx� 4of20 day of 0 10—wner Signature of Applicant Louis J Blaiotta y1ti C Q QPM Print Name of Property Owner Print Name of Applicant =- Notary Public _- - Notary a is - PHILIP PRIOLET NEW K E YOR PRIOLET GAUD IC.5TATE OF CLAUDE PHILIP PORK NOTARY P NoL02PR6191700 my NOTARY pUBLIC-STATE OF NEW estchester CO°4 2021 No.02PR6191700 Qualified in W Tres 03 in Westchester County My Cornn`IssIon Exp Qualified 04-2021 MY Commission Expires 03- 3/21/19 W E D JUL 14 2020 -n n VILLAGE OF RYE BROOK 71; Z 0 w P. r-- F. :0r y �0 R.Q 0 0 LIM n I M I ffi a 9.1, A I imp. 0 1-01 VILLAGE -1. 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