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BP24-265
� N N O � s cV o W s IRt n W dy CV 66 ZD F" O Ln a o bp _ en Lr) w w s O/ 0 � ab w r- 3 _ x O O A �" p. � 2 Rod wLn cz � r w O v o °J �o o O C'7 moo z � A cob W ct W � >+ o �j c� O A W obD V s u A00 ono `n p o d as rj U _ E .n � P� � � c1r5 W V O, cn a va v�a B o cn )a* G1 '� �., O � d v v b = PG 1� r' C4 z Q , Z z � - a r Ao A Ua � � � O U oo •a `y� � �I s CEETRYE BUI TMENT Vi OOK D ECHWE 938 KING ,NY 10573NOW 2 2 2024 ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: 'crn t # I cam' �"� Application# A Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: Z SOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee-A ` Z�) Permit Fees: APPLICATIO�N/ TO INSTALL PHOTOVOLTAIC SOLAR ARRAY Application dated: f�� �7 is hereb}made to the Building Inspectorofthe Village of Rye Brook.NY.for the issuance of a Permit forthe installation of a Photovoltaic Solar Array as per detailed statement described belom. 1. Job Address:9 Maywood&& Rye Brook, NY 10573SBL: 135,75-1-24 zone: 2 Type,kW&Location of Array,(use additional sheets ifnecessaq): Roof mounted-(12) SEG 420 panels (5.040kM 3. Property Owner:Dawn Bayer Address: 9 Nlaywo0014ye Rye Brook, NY 10573 Phone#(914) 879-3251 Cell# e-mail bayer316i@gmail.com 4. Applicant: Infinity Solar Systems Address:575 Corporate Dr; Suite 2200, Mahwah, NJ 07430 Phone# (845) 474-0075 Cell# e-mail Permitting@infinitysolarsystems.com 5. Design engineer:Mike Miele Address:705 Orrs Mills Rd, New Windsor, NY 12553 Phone# (845) 629-9693 Cell# e-mail mmielepe@yahoo.com 6. Solar Contractor: Infinity Solar Systems Address:575 Corporate Dr; Suite 2200, Mahwah, NJ 07430 Phone#(845) 474-0075 Cell# e-mail permitting@infinitysolarsystems.com 7. Occupancy;(1-Fam.2-Fam.,Commercial.,etc.. )Pre-construction: 1-fam Post-construction: No change S. If building is located on a corner lot,which street does it front on:NSA 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:( )Floor Framing[F]:( )Roof Framing[R];O Floor& Roof Framing[FR];Other: 11. Number of stories:N/A Roof Style:(hip,shed.mansard.etc ..) 12. Will a New Roof Be Installed: No 96 Yes ❑ (a separate roofing permit is required to re-roof an existing building) 13. Roofing Material&Number of Layers: Asphalt Shingle 1 6/l/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: 16 Yes: ❑ Area: 15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? No: d 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: 1A Yes: ❑ (if yes„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: S6 Yes: ❑ Indicate:TIER 1: TIER 11: TIER III:_ (if yes,a Home Occupation Permit Application is required) 18. What is the total estimated cost of construction: s_17,000 (Note:The estimated cost shall include all site improvements.labor,material.scaffolding,fixed equipment,professional fees,including any material and labor which any be donated gratis.If the final cost exeeLds the estimated cost,an additional fee will be required prior to issuance of the C/O). 19. Start Date:Within two weeks of permit issuance Completion Date: ************�:�***:*�**ar***�*•*********t***t*****t**tit*tt*t***:**�###*,r***t*tit*::t**t**f***tttt:t*+f+r+.** 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: 1, Jan Bergus-Infinity Solar Systems being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and farther states that(s)he is the legal owner of the property to which this application pertains,or that(s)be is the, contractor 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 histher 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. g," � Sworn to before me this fi 'r Sworn to before � !efore me this day of N"CV' ,20 1 day of OVW er 20,�q � �- JACLYN M :TAM,M SuRO Su40L447PUl�LASTATE OF NEW YORK STATE 0�NEW YOW(No.OtSG6315066j1::ZNNo.01sG6315056Not blic Orange Oourltyy N© Public Orange counttyyazY Cissbn Ex Ires 11l1117028 Expires ft/1712026 f 91A�A Infinity Solar Systems nature of Property Owner Agnaturc!�o�fApp�fi—�I�� Dawn Bayer Jan Bergus-Infinity Solar Systems Print Name of Property Owner Print Name of Applic ant 2 6A1/2024