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W PLO a W BUIL ARTMENT VI �'/EOFR� >�oox � D 938 KING EET RYE BR IC,NY 10573 -� 449- 1NOV 1 4 2024 FOR OFFICE USE ONLY: Approval Date: DEC 1 9 20 Permit# ��- v Application# I ,(� Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: ���� f /� Application Fee:4 O 6 Permit Fees: APPLICATION 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 a Permit for the installation of a Photovoltaic Solar Array as per detailed statement described below. 1. Job Address: 41 Meadowlark Rd-10573 SBL./a)yi Zone: 2 Type,kW&Location of Array, (use additional sheets if necessary):Roof Mount Solar Installation 12.71 KW, PV 31 Panels 1 Batte / Inverter. • NEW 100 AMP SUB-PANEL TO BE INSTALLED. l d� 3.Property Owner: Paul Snisky Address: 41 Mea owlark Rd. Port Chester, NY 10573 Phone# (914) 772-5043 Cell# e-mail drsnisky W-gmaiLeom 4.Applicant: Sunrun Installation Services Address:202 Commerce Dr Ste 7 Moorestown, NJ 0805' Phone# 916-203-8992 Cell# e-mail nyspermits ar.sunrun.com 5. Design Engineer: Address: Phone# Cell# e-mail b. Solar Contractor: Sunrun Installation Services Address:202 Commerce Dr Ste 7 Moorestown, NJ 08057 Phone# 916-203-8992 Cell# e-mail nyspermits c(�sunrun.com 7. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: 8. If building is located on a corner lot,which street does it front on: 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: Roof Style: (hip,shed,mansard,etc...) 12, Will a New Roof Be Installed: No ❑ Yes ❑ (a separate roofing permit is required to re-roof an existing building) 13. Roofing Material&Number of Layers: 1 8!I212021 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:& Yes: ❑ Area: 15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? No: ❑ 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: EX 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: ❑ Yes: ❑ Indicate:TIER I:—TIER II:_TIER III:— (if yes.a Home Occupation Permit Application is required) 18. What is the total estimated cost of construction: S 34,000 (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 the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO). 19. Start Date: Completion Date: 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: I, Kelli Taggart ,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, agent 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. Sworn to before me this Sworn to before me this /J day of �� e er,20�_ day of e✓ W ,20 N'diraK Public th1 bn FW �y Signature of Property 0 4Tignature of App is Paul Snisky Kelli Taggart Print Name of Property Owner Print Name of Applicant SHARI MELILLO Notary public,State of New York No.01ME6160063 Qualified In Westchester County �7 Commission Expires January 29,20L- 2 8/12/2021