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BUIL DEPAgTMENT �� L� U L�
V VE OF RV OOK
938 KIN ET RYE BRO ,NY 10573 NOV 12 2�2�
4) 9-068
VILLAGE OF RYE BROOK
0 ov BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
DEC gay- �cl
Approval Date: er Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
BOT Approval Date: Case# : Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other: +
Application Fee: Permit Fees:
AW_.__
DTI N TO INSTALL PHOTOVOLTAIC SOLAR ARRAY
Application dated- is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the
installation of a Pho Solar Array as per detailed statement described below_
1. Job Address:3 Sunset Road, Rye Brook NY 10573 SBL: 135,-7 3 —1 —Z 3 Zone:
2 Type,kW&Location of Array,(use additional Sheets if necessary): Install a 11.77 DC/ 10.00 AC solar photovoltaic system
on the roof consisting of 29-SIL 520W and 2-JIN425W panels with 1 SE1 OK HD Inverter mounted on a racking system.
3 Property Owner:Marc Testerman Address: 3 Sunset Road, Rye Brook NY 10573
Phone#914-374-7524 Cell# e-mail
4.Applicant:Janet E. Glover-Green Hybrid Energy Solutions, Inc. Address: 11 Washington Place E. White Plain NY 10603
Phone#914-949-4900 Cell# 914-299-9552 e-mail eglover@ghessolar.com
5. Design Engineer:Sunil Sai al-Enthink Engineering LLC Address: 1266 Rahway Avenue, Westfield NJ 07090
Phone#(646)632-7738 Cell# e-mail enthinkllc@amail.com
6. Solar Contractor:Janet E.Glover-Green Hybrid Energy Solutions,Inc. Address: 11 Washington Place E.,White Plain, NY 10603
Phone#914-949-4900 Cell# 914-299-9552 e-mail eglover@ghessolar.com
7. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 1-Fam Post-construction: 1-Fam
8. If building is located on a corner lot,which street does it front on: Not Corner lot
9. N.Y.State Construction Classification: II N.Y.State Use Classification: Residential
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];()Floor&Roof Framing[FR];Other:
SolA2 1n4'totL_4.
11. Number of stories: 2 Roof Style: (hip,shed,mansard,etc...) —ab[G IZOo�
12. Will a New Roof Be Installed: NoX Yes 1] (a separate roofing permit is required to re-roof an existing building)
13. Roofing Material&Number of Layers:
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? Na:X Yes: ❑ Area:
15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
No:X 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:X 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: XYes: ❑
Indicate:TIER I: TIER It: TIER III: (if yes,a Home Occupation Permit Application is required)
18. What is the total estimated cost of construction: $ 2 1, b D ti
(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 C/O).
19. Start Date: I a 1 I `f Completion Date: 1 a•J l 3 a''f
his 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, TA n G"f e- 6(1 o VE12 ,being duly swum,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,
A G-r N T 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 Cale of the Village of Rye Brook and all other applicable laws,ordinances and regulations.
Sworn to before me this P/p
t Sworn to
bb fore me this
day of Q'Gf nbaly ,20 a day of `�'�✓C' i5pz. 1 .20AV
AMEL. .DONOHLJE
p U lC,State of New Yotk
-1731804
N Pub` No Public Qualiiied in4Wstchester County
q�
Commission Expires Feb.28,20:/
ature of Prope wn erAt�ofAW]icaw
grc- CGS ta11 4A4).--7- it 1 6�0 V
Print Name of Property Owner Print Name of Applicant
ALEXANDER GLOVER
NOTARY PUBLIC STATE OF NEW YORK
Na.01GL002736d 2
QQOHf ed in war C4nwtj
d
Commission Expires Aug.2,20 d 0
6/12024