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HomeMy WebLinkAboutBP25-004 o y 4. O N eq c v N W as ON v a ' R� T-4 0 w �4 O W O u tj v W 7 m Ra ►v�i W H Z O N O ov. Q O N y 40, � o � � H 04 � A N " cv � '� I--�i 0 0 ems-+ F,, j. y ' o y" 14 •� si o Crl—]� ap x G y •� a w h M �n n ° s ^r Z a p w a a w C� 00 z A {.te A0b OO I—I Q rl' Z U on � Aw 's as - ;� a3 u fir, ctv O xZ " • u Q W oC 0 4) _ A O oo 9 a� [ -a C' L o ° '� � ;WJ O E-4 Z z A `n p /O, UIR o ? v P-4 O F Oo Y � H a bctl OO C.7 a A Z O w o _ ab 0-4 � c� BUILDING- z TMENT V1L l F R O, OKOR938 KIvG T YE BR Y 10573 )99 JAN 7 2025 43 -06 oV ti n2 ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY. -&25 �� / ]� APPROVAL DATE: IT # �S`/�—� !APPLICATION FEE: /D O jO L] APPROVAL SIGNATURE: PERMIT FEES: H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: *********************************************************************************************************** i Application dated: 7`as 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 orfor a change in use,as per detailed statement described below. 1. Job Address:_1100 Brt'A HD 1!OI.J c f-cj C.Q/. 2. Parce]ID#: o� .`� - 1 - 1 Zone:_ 110 3. Proposed Improvement(Describe in detail): l nz i I f S i)P t..-) A io Sc�n 100 6E'17 G.s L51 i j nn �a e � -rc r�y-fv.�� e x-Ee,n 0 r,lc,,. ;+.P- t ice;o ter- �*YA s +v ,n319 fnl � '� lniitrp,U�S 134t�(UUra - I w���lGOt�► �a��-. 1 �1jo�� c,r>; I— wyry��itJ� 1Uor- 4. Property Owner: Address: I 6 r"-.i v L'i OAS Phone# q 1 q 11 - ` q 3 -Y o 6(5� Cell# e-mail List All Other Properties Owned in Rye Brook: Applicant: Q''L+ 6 1 � it Address: Ate- 0 Phone# - - v� Cell# e-mail p!I G • uti�� �q mw;�• �rh Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# I Cell# e-mail bGeneral Contractor: d Address: vp- b rfi G d 5 0-7 Phone# Cell# e-mail �5 �. a r �y��• (1} 6/1/2024 5. Occupancy; (1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: I -�gk f"Ii Post-construction: 1 3:-t Y" 6. Area of lot: Square feet: I "DC(d Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left 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: I"fl: 2nd fl: 31 fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: I ,fl: 2nd fl: 3,d fl: 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: O Typical Western Lumber Frame;O Timber Frame[TC];O Wood Truss[TT]; ()Pre-engineered wood[PW];Located;O Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];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 extension/modification to an existing autom is fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No: (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more o mpervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Area: 23. Will the proposed pro' t require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (ifyes,applicant must submit a Site Plan Application, &provide detailed drawings) 24. Will the proposed project require a Steep Slopes Pen-nit as per§213 of Village Code Yes: No: V (f yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 25. Is the lot located within 100 ft. of a Wetland as per§245 of Village Code? Yes: No: (if yes, the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes:-No: (if yes, the area and elevations of the flood plane must be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: (f yes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate:TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ ) f l 0 4�13 Note:estimated cost shall include all site improvements, labor,material,sca/J`olding,.lixed 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. 30. Estimated date of completion: (2) 6/l/2024 1/6125,8:16AM imageO.jpeg BUii.DiN- C. DEPARTMENT L V1L 'A(;F.OF RY , OOK ,JAN - 7 2025 938 KING i4 ET RYE BR ,N V 10573 ► lyw,rve AFFIDAVIT OF COMPLIANCE VILLAGE CODE �216 STORM SEWERS AND SANITARY SEWERS BIS AFFIDAVIT MUST BE" THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERWT CATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORK WILL At RZTUMMD TO THE APPLICANT STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: , V 2 T"V P1 ,r )I c st In residing at, 6r,,sS II I 1 C— rC-t n / (Prini name) (Address where you IlWo) being duly sworn,deposes and states that(s)he is the applicant above named, and further states that(s)he is the Ie0 owner of the property to which this Affidavit of Compliance pertains at-, C nJLQ„ , 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 crass-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. ��y� fi ` l�M1lIL(e Ot•t - - (Pnnt Name- ! —— ilefore 1ne this �' "'' 1RMA QUIEZADA cj.s c�1 . + vIc ( NOTARY PUBLIC,STATE OF NEW YORK �t, # Ivci, 01 aus1 asas4 j QUALIFIED IN WESTCHESTER COUNTY _. - ���j�� MY COMM SSIRN EXPIRES APRIL 28.20 tr 7FULILe} L — hops://maii.google.com/maiI/u/0/?tab=rm&ogbl#inboxlFFNDWLHwngzBhvpgpLXZNJdCSPvCGMxM?projector-1 1/1 1/6125,8:17 AM imagel.jpeg W, 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 mpleted 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. 2 STATE OF NEW Y�RK,COUNTY OF WESTC14 STER ) as: being duly sworn,deposes and states that he/she is the applicant above named_ (print narucofindividua!signing as the aWisant) and further states that (s)hc is the legal owner of the property to which this application pertains, or that (s)he is the C for the legal owner and is duly authorized to make and file this application. '� i;txticatc*Mhacct a rnnao{1sgent.anomcy..tc.) 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 liniform Fire Prevention & Building Code,the Code of the Village of Rye Brook and all other applicable laws.,ordinanc and re`ulmiomi. 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 i'toundwater connections or sources of infiltration into the:unitary sewer system on or from the subject property. C Su•ctrn,to betnre me this Srvcam to before me this r day of J 4 0-A/A f 2(}-�-,5 day of z1; 20 SigmawcC�fp �• wncr `h Signature of Applicant l Ittanx 0 Prvpe y Owner I Print Name of Applicant i otary s '�iowry b e LNNOTARYP IRMA Qu�aoAuEw YORK IRMA QUEZADA NOTARY PUBLIC, STATE OF NEW YORK ALIFIEO IN W STCHESTER COUNTYNO. 01 OU6186064 .� QUALIFIED IN WSTCHESTER COUNTY MY G©MMISSION EXPIRES APRIL 28,2028 r' https://mail.google.com/mail/u/Q/?tab=rm&ogbl#inbox/FFNDWLHwngzBhvpgpLXZNJdCSPvCGMxM?projector=1 1/1