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BP25-002
a = N " � ■ .l © N O a, 's 8 a N eq N � " .° CA tg 14 0 y � a CAI M w a y - - v 5 w ao x O c oen 0 -o en I N N O O Le) `� ` Qn co 10 N ran o C Gt+ a� ►� �t 1-4 ti W 0 W x CN Z 0 Z.00 ar ° U �- 1--q cn G� eri d N w a W o" O C7 CNP. Q a° Qea Cn o• .1 a as W OC : I—I W 0 ti ��✓j✓ � z fn V � � � � o o � 2` � z o 00 a a v i s pW.l a W G4 Q zz � v -< Z uj SUS - F4 � OF `n z V W ° 8 N ' � � F Z I--I aa J:LW U O V z ° �' o a z y � .� a a Ln A w z x o9 0 � _ � L a a O a p „ aa zfLw d BUILDING DEPARTMENT R VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 [�EC 11 2024 www.ryebrookny.gov VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: DEC 3 # � 00 Application # Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: L _ >�Application Fee. �� Permit Fees: EXTERIOR BUILDING PERMIT APPLICATION Application dated: 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 or for a change in use,as per detailed statement described below. 1. JobAddress: " ,Y S7 2. Parcel ID#: 3� — —,), Zone: /Q 3. Proposed Improvement(Describe in detail): /',O!�,) lie ' / � �, � -r�.. ri,. f r L,L, tic/��` `t/ n_. 4. Property Owner: Address: Phone# - Cell# e-mail List All Other Properties Owned in Rye Brook: Applicant: Address: Phone#_ q7 y'�-z� -Cell# e-mail(:�CZ��iG_�_ ,Gu�A*Yq ol air Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# / e-mail General Contractor: ��,,. l ji�7.�.�,, Ati� /, /3f Address: � /����`G��')� `/ r.Q aG ! ��►l /�-�'�f - Phone# j ?� Cell# e-mail (I) vn rzu74 5. Occupancy;(I-Fain.,2-Fain.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: 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: IS,fl: 2n1 fl: V fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: I"fl: 211 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. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: (fyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. 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? Yes: No: Area: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,applicant must submit a Site Plan Application.&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application.&provide a detailed topographical survey) 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (tf yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (f yes, the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. 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) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER 1: TIER If-, TIER 111: (if yes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: S r 3 t3 _ . ��a !Vote:The estimated cost shall include all site improvements,labor,material,scaffold nr g f ed 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: z Z_ 2/;� Z_5�-- T' (2) 6/1/2024 D OCT 3 0 2024 BUILQ R, MENT VILLAGE OF RYE BROOK VIL E of RYP-ave, o1 _ BUILDING DEPARTMENT 938 Ktxc ET RYE BNY 1.0573 Q -0 a r►►u►rr►rrrr•►rrr►►►►►►r•rw►r rrrr►►rMsa►,�.r►rrr►►rr►w►r►►►►►►►►s*rt►fr+rrr�+•r•►rrrr•.r••►••r.r.•r r►+ AFFIDAVIT OF COMPLIANCE VILLAGF CODE 5216 ► STORM SEWERS AND SANITARY SEWERS t THIS AFFIDAVIT KUST BEAR THE NOTARIZED sIGuATURZ OF THE LEGAL PROPERTY OWN`CR AND BE SLnHMITTED ALONG WITH ANY BUILDING OR PLUJOING PERMIT APPLICATION. ANY BUILDING OR PLUNGING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLET'YD AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICJWT. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) asp I, Jo�^►e5 l.S C e—" ,residing at, SS Rd. R (Print n.unc) ddre.s 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; LE Wi-A o 94. N -,evx tv k N1' 10r7 ,Rye Brook, KY. (Job Addrew 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 arc 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. t (S azure o Properry Ovancr(s)) (Prins Name of Property Owrerfsp Sworn to before me this 1 C v day of tnn LL 20_1 E t r I r I� n0 -W--" 6 •�'�. �. = rvr:natl This application must be properly completed in its entirety and must include the notarized signatures'of the legal owner(s) of the subject property, and the applicant of record Int 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)FEW YORK,COUNTY OF WESTCHESTER ) as: _�lt.rst_S_ �ha-ngfr_L_ ,being duly sworn,deposes and states that he/she is the applicant above named, (pMt name of i.&,idLW signing u ISc Vptiaat) he is the p and further states that (s)he is the legal owner of the property to which this application crtains, or that W /lRrk E c- 1q , C#rF(S l or, srw��t�n for the legal owner and is duly authorized to make and file this application. (indicate atcbitoc1,camractor,►gent,morncy,etc.) That all statements contained herein are true to the best or 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 Vitlagc 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 storrmcater 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 day of O cyt 'cl 20 day of ,20 l trc of Property O+ccr Signature of Applicant J 1 'roc �if,.nerr PrinlNumeofAppliant Name of Property Owner t ' f,^ Koury'public tie V'1 ®V or 7bo/ J (4) A J