Loading...
HomeMy WebLinkAboutBP24-267 qT L Vr N N C'4 \ v ^N M M v"p.•� _ 5 E a t a a 1 c caWn O a, O W 1-4 V Q w `� cn oa n °� w V. .4 F� �1�, a ,'� �"' � o o �" v � v F•f Ln pop .�a °a ° 2 w F � � o Az � a A o w � � H a w z p � 0 . � vws U p .. o ,--� w oo z J p A F A - � u o w ! �j �1 f �1 Q n GO•. 70 mOE W 00 at u :. E"+ r^ V vJ w � ✓ iL �v � p � w x W CN a�� v0T r x v) A o w Q � p o O 14 z vo a �•Z•i C.7 U dam'• i ? 0 d W z O O w U U l z C7 A z O a, CA av o po +' z o U w a Q v actin Vab E.I s BUILDING DEPARTMENT D C �� VILLAGE,OF RYE BROOK l 938 KING STREET RYE BRopK,NY 10573 DEC 2 0 2024 (914)939-0668 ! _ ivi%w.4jcb= okM%gov ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLACE ARCHITECTURAL REVIEH'BOARD APPROVAL FOR OFFICE. USE ONLY: APPROVAL DATE: ©� Rb APPLICATION FEE: APPROVAL'SIGNATURF: PF,RM[T FFS: d/ ,50 H.O.A.APPROVAL: DATE.: DISAPPROVED: OTHER: Application dated: 4 is hereby made to the Building Inspector ofthe Village of Rye Brook,NY,for the issuance of Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1• Job Address: _. �7e 1l e- 4 v 044 2. Parcel IDA: KA Parcel 1 b ' 1 Z4-. 5 7 - 1 - Zone: PUD 3. Proposed Improvement(Describe in detail): Cov'rt e j 4r l ,n& j STD,/r . r�lN� ea.tr1 ►,v��do�_ �r rn-d' J bra luc 11 w� � �a��w��I . 4. Property Owner: Address: 7 7 13e/% 4'.- dand Phone# Cell# e-mail C idoeify LIst All Other Properties Owned in Rye Brook: Applicant: Address: Phone 4 CCII 4 e-mail Architect: Address: Phone tt Cell 4 c-mail Engineer: Address: Phonc 4 Cell 4 c-trail General Contractor: IV. 1.5 red Q Co/- u a `Espcs do Address: � ,r3 be D- w 7-r ,�{SO n F i'1 GQ Ae/ U.� A) ��-7 Phonc 4 S/t S !Q© Ccil*t c-mail (i) 6.1 r029 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Fpwt Post-construction: 6. Area of lot: Square feet: Acres: 0. /Y 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: IeR 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: 11 fl: 2-'fl: 3"' fl: 10. Total Square Footage of the proposed new construction: Sam G-P 11, For additions,total square footage added: Basement: 1'fl: 2'Il: 3"'tl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y.State Use Classification: 14. Construction Type& Location:( )Typical Western Lumber Frame;()Timber Frame fTCI;( )Wood'fruss f"171; ( )Pre-engineered wood(PW);Located;()Floor Framing f F];( )Roof Framing(RI;()Floor& Roof Framing f FRI;Other: 15. Number of stories: Overall Height: Median Height: 16. Basement to be full.or partial; finished or unfinished: 17. What material is the exterior finish; 18. Roof style: peaked,hip,mansard,shed,etc: Roofing material: 19, What system of heating: 20. if private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. 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: )C f(f t•er,applicant meet suhnrit a.separate:automatic Fire Suppression Sustem Permit application&'.ceis of detailed engineer-ed plans) 22. Will the proposed project disturb 400 sq. ft.or more of land,or create 400 sq. t.or more of impervious coverage requiring a Stormwatcr Management Control Permit as per§217 of Villagc Code? Yes: No: K Area: 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:_k !f ws.applicant must suhmit a Site Plan Application„&providedetailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: fifyes, You oust.suhnrit a Site Plan Application.&provide a detailed tnpagrnphical sunvy) 25, Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: x f f Yes,the area of wetland and the wetland buffer zone must he properly depicted(in the sun•ev&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FI&M Map dated 9/28/07? Yes:—No: x (dyes,the area and elevations atf the flood plane must he properly depicted on the san eY&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: 1 frf yes,applicant rnrasr suhnrit a Tree Remowl Permit Application) 28. Does the proposed project involve a I1ome-Occupation as per§250-38 of Village Code? Yes: No: X' Indicate:TIER I: TIER 11: TIER III: fif ves,a llome Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ Z 2 . �/ Note:estimated rnst.shall include all site inrpmvements.labor,material.scaffolding,fired equipment,pre fessional fees,including anY oraletial and labor which mar he donated gratis.If the final cost exceeds the estimated cast,an additional fee it-ill he required prior to issuance //f l�he CYO. 30. Estimated date of completion: 5 G4d u tj 4tVzo Jo l a ra�Oh �/1' '`r/��'��� 1 G re!�'id✓P�'1 lal3� �a� (2) 6A 12024 i BUILD MENT VIL E OF R OOK 938 KING ET RYE BR NY 10573 (914� 0, K•w »r ov 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: I, Rqnw4 , residing at, bazfai Ir �,J - t Print name I (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, Rye Brook,NY. (Job ddress) 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. (Signature rop Owner(s)) a � (Print Namc of Property Owner(s)) Sworn to before me this 21D 4A1 Jessica Barkley of 1P.YY�Ir �( _ , 20 Commission#:OlBAM26020 Notary Public,State of New York My Commission Expires:June 20,2028 '(Not Public) (3} 6/l/2024 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 nonrefundable. TATE OF NEW YORK COUNTY OF WESTCHESTER ) as: 1 V{ f C 4 ,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 2T_r t day of , 20 day of Dft �bty , 20 Signature of Property Owner SignaftyofA.Wicant Print Name of Property Owner /\ Print Nalne of pplicant Notary Public 0tA Public Jessica Barkley C'mmissi oa#:0 J BA('^26020 Now`ptW Stft of New York My Coow*8' n Rxp":hme 20,2028 (4) b/l/2024