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938 KING ,NY 10573ID
OCT - 2 2024
VILLAGE GE RYE BROOK
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FOR OFFICE USE ONLY: 11 Approval Date: 1 Pe d� 0� Application# /�
Approval Signature: : ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
BOT Approval Date: Case# : Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other: _n p
Application Fee:�/00-�� 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: A C.& AC_ a2 A Q 6,k, Da,1:tom_
2. Parcel ID#: 135. 3-7— l —_+7 Zone: O
3. Proposed Improvement(Describe in detail): _MIASIn j P .ram ¢IP VMI,T Q,•," :N
C>A 15 k. Roos F cute-4-A t s ff+n a n r-?Vwr
�2Q,rr0U tnr ¢ 14cj-en 6 n n of)_ (7utu'f�1A- OF 0 13c VnQ kr 0—
4. Property Owner:%AW Ck V-h
Address: C'OC AC. -aA o 6 t qo'k v�p--
Phone# Cell# "2a ;'.J 4 A j 3 e-mail p 9� CA 6 e j4c`
List All Other Properties Owned in Rye Brook:
Applicant:� A �-Ve,--C
Address:
Phone# Cell# e-mail
Architect: SC - ad,-`a"j+ �Z- --
Address: ', 'yy—" r" 11 fz4 wok Arz't r OY1 k,t N_� ( Q.s'++
Phone#�) Z-73--7 35o Cell#���714 —p 1 SZ e-mail�(�5G�12-( �l'fo C GrY+4l�.f.r.
Engineer:
Address:
Phone# Cell# e-mail
i -c�Z
/ L General Contractor: u QS O� 4r-7�inC)L � —�.S�� �
Address: 9 P, 711- 6 � f Pb C,6QS4e.- N 1 aS7 3
Phone# 9r 4/-7&0- 7 7'�a Cell# e-mail
(i)
6/1/2024
5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: ) yr,t Post-construction:
& Area of lot: Square feet: + °I�$ Acres: a Z.
7. Dimensions from proposed building or structure to lot lines: front yard: Z j,SZ rear yard: ,S(o-S7
right side yard: 134 LZ left side yard: Z'I,z(p 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: 2"d fl: 3"fl:
10, Total Square Footage of the proposed new construction:
IL For additions,total square footage added: Basement: I"fl:_ _2❑d fl: 31 fl:
12. Total Square Footage of the proposed renovation to the existing structure: W-L 7 S(i4 eT
13. N.Y. State Construction Classification: N.Y. State Use Classification: — .
14. Number of stories: I Overall Height: `( tr Median Height: Ft
15. Basement to be full,or partial: , finished or unfinished:
16. What material is the exterior finish:A"r CJ�c►T i Mt n q S} y��l p
17. Roof style;peaked,hip, mansard,shed,etc:STjgI.,Z Roofing material:
18. What system of heating: ���jy%y
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,ANSI. System, FM-200 System,Type I Hood,etc...) Yes; No:JL,.-'
(f yes,applicant must submit a separate Automatic Fire Suppression Svstem 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:a�Area:
22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes: No: Le (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: ✓
(if yes,the area o f wetland and the wetland ba f er 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:
(if yes, the area and elevations gl'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: tr
(if'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: If
Indicate: TIER 1: TIER II: TIER III: (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 �5 r Note.The estimated cost
shall include all site improvements, labor,material,scaffolding,f ed equipment,projessienal fees, including any material and labor which
may be donated gratis.If the final cost exceeds the estimated cost, an additions/.fee will be requiredprior to issuance of the CIO.
30. Estimated date of completion:
(2)
6/I/2024
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914)939-0668
RESIDENTIAL LOT AREA COVERAGE
Address: -4 P(Ac- '(Ztini UL. Section: 11 35-35 Block: I Lot: 4�
PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS
YOUR ZONE AREA IN MAIN ACCESS. DECK
ZONE DISTRICT SO. FEET BLDG. BLDG. MAX.
CHECK MAX.
R-35 35,000 14% 4% 5%
R-25 25,000 14% 3.5% 4%s
R-20 20,000 14% 3.5% 4%
R-15 15,000 16% 3.5% 4%
R-15A 15,000 12% 3.5% 4%
R-12 12,500 17% 4% 4%
•/ R-10 10,000 20% 4.5% 3.5%
R-7 7,500 23% 4.5% 3.5%
R-5 5,000 30% 5% 3.5%
R-2F 1 5,000 30% 5% 3.5%
Existing: Proposed:
1. AREA OF LOT I Z97 Sq. Ft. 1 Z-97& Sq. Ft.
2. AREA OF HOUSE
a. Coverage of Main Building
(Including Attached Garage or Accessory Building) 441 Sq. Ft. l-4 3 1 Sq. Ft.
b. Area of 15'Floor Divided By Area of Lot x 100 11' % J(° ( %
3. AREA OF ACCESSORY BUILDING
(Includes Detached Garages, Tool Shed, Playhouses) 77 $ Sq. Ft. 778 Sq. Ft.
a. Coverage of Accessory Building
Area of Accessory Building Divided By Area of Lot x 100 % •�'
4. AREA OF DECK O Sq. Ft. o Sq. Ft..
a. Coverage of Deck
Area of Deck Divided By Area of Lot x 100 % O
I attest to the best of my knowledge and belief, the above information is correct.
- ' 4
Architect's Signature
(3)
6/1/2024
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914) 939-0668
IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS
Address: 4 IZIok figIve.. SectionA.S- 3 ' Block: I Lot: 4 7 Zone: A-•10
IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above
the ground which are comprised of materials through which water cannot readily flow, including, but not limited to
asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court
yards, sports courts, swimming pools, patios, sidewalks, ramps,terraces and driveways.
TOTAL MAXIMUM PERMITTED MAX. PERMITTED
COVERAGE Zoning IMPERVIOUS
COVERAGE IN FRONT District LOT AREA BY IMPERVIOUS SURFACES YARD(%)
(sq.ft.) For Base Lot For Lot Area
Area(sq.ft.)* Over Base R-35 15
Lot Area % R-25 20
0 to 4,000 0 55 R-20 30
4,001 to 6,000 2,200 35
6,001 to 12,000 2,900 27 R-15 35
12,001 to 16,000 4,520 26 R-15A 35
16,001 to 20,000 5,560 25 R-12 40
20,001 to 30,000 6,560 24
30,001 to 40,000 8,960 23 y/R-10 45
40,001 &larger 11,260 22 R-7 40
R-5 30
*"Base Lot Area"is the minimum end of the lot size �R2-F 30
range in the "Lot Area" column
Area of lot: 97 $ sq.ft. Existing Allowed Proposed
Total impervious coverage = I`t,5 S .ft. 4'7 S . ft. 3 Z3 1.5Sq.ft.
Front impervious coverage = S % r % �d
p-y %
I attest to the best of my knowledge and belief, the above information is correct.
hitect's Signature
(4)
6/1l2024
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914)939-0668
BULK REGULATIONS IN RESIDENTIAL DISTRICTS
Address: 4 C�-OU�- (Lio6e Section: / jY,- ' S Block: t Lot:
MAXIMUM GROSS FLOOR AREA
USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area - 21,780) x 0.11478421 ]:
a. Allowed = 2 I g 9 Sq. Feet
b. Existing = )'5 '72 Sq. Feet
c. Proposed = l 37 Z Sq. Feet
HEIGHT/SETBACK RATIOS FOR RESIDENTIAL DISTRICTS
DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of
the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane
beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the
specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer
windows not covering more than 10%of the entire roof area, shall be permitted to extend.Height and Setback shall be calculated using
the formula; Height/Setback= X, where X is the required side or front yard ratio for the zoning district in which a property is located
as specified in Article VIII of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings.
FILL IN YOUR RATIOS:
ZONE EX/ST/N09 PROPOSED REQU/RED
FRONT: FRONT: FRONT: .44
R-35 SIDE: SIDE: SIDE: 1.20
FRONT: FRONT: FRONT: .48
/R25 SIDE: SIDE: SIDE: 1.30
FRONT: FRONT: FRONT: .60
R-20 SIDE: SIDE: SIDE: 1.60
FRONT: FRONT: FRONT: .60
RLIS SIDE: SIDE: SIDE: 1.60
FRONT: FRONT: FRONT: .80
R-15A SIDE: SIDE: SIDE: 2.40
FRONT: FRONT: FRONT: .69
R-12 SIDE: SIDE: SIDE: 1.60
FRONT: G 3 FRONT: , ( FRONT: .80
RL10 SIDE: ,qt: / SIDE:, 6 l,o SIDE: 2.40
FRONT: FRONT: FRONT: .96
RLY SIDE: SIDE: SIDE: 3.00
FRONT: FRONT: FRONT: 1.20
RS SIDE: SIDE: SIDE: 4.00
FRONT: FRONT: FRONT: 1.20
R-2F SIDE: SIDE: SIDE: 4.00
1 attest to the best of my knowledge and belief, the above information is correct.
a/t -7/ --,--
Architect's Signature (5)
6/1/2024
BUILD MENT R
`� Q v E
Vi RX OOK
938 KING �Frr'l+ =$`lt NY 10573 OCTJD
024
VILLAGE OF RYE BROOK
WW oV BUILDING DEPARTMENT
AFFIDAVIT OF COMPLIANCE
VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS
THIS AFFIDAVIT MUST HEAR THE NOTARIZED SIGNATURE OF THE: LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG
WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION
SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT.
STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as:
3 ( ],QL1 S5u (n + if er- , residing at, A IZaco_ rZA a C k_ i0a
(Print narne) (Address 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;
-4 CZQ CAC, E-A 00-f— U, , Rye Brook,NY.
(1oh 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 cross-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.
(Signa(ure of Property Omcr(s))
4e [-S� "A- M Ivy
(Print Name of Property Omcr(s))
Sworn to before me this
day of � c� , 20
(Notary
GREGORY M.RIVERA
Notary Public,State of New York
No.01 RI6441398 (6)
Qualified In Westchester Cou ty
Gommission Expires September 26,2tY G/1/2Q2a
This form must be properly completed & notarized by the Design Professional of
record and the Property Owner. Failure to provide this completed, # _
permit application will delay the permitting process.
4,:k44 At4. k#ae;}t It 41ItIt*99*It
� OCT - 2 2024
Notice of Utflization of Truss Type, Pre-Engineered Wo
yp , g At�LAGE OF RYE BROOK
or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCI aIILDING DEPARTMENT
To: The Building Inspector of the Village of Rye Brook.
From: h'� C,,- .e A� 1.
Subject Property: n SBL: Zone: R—l o
Please take notice that the subject; ❑ One or Two Family; ❑ Commercial,
❑New Structure
YQ Addition to an Existing Structure
❑ Rehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize;
❑Truss Type Construction(TT)
XPre-Engineered Wood Construction(PW)
❑Timber Construction(TC)
in the following location(s);
)4Floor Framing,including Girders &Beams (F)
❑ Roof Framing(R)
o Floor Frarninn and Roof Framing(FR)
Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or
building utilizing truss type, pre-engineered wood, or timber construction must be posted with a.
Truss Identification Sign, installed in conformance with NYCRR §1264 for Commercial Buildings,
and NYCRR§iz.65 for One&Two Family Dwellings.
Sworn to�iefar ine tl is Swom to before e this h�
day of 20 day of
Signature of Property Owner �_gign�ature ofDesign Professional
Pr' Name of Property Ow r Print Nai a Design rofe na
YA
tart' is otary Public
KAREN R. CAPPUZZELLO
GREGORY M.RIVERA Notary Pubik, State of New York
Retry Public,State of New York No. OICA61 SOW
No.01R16441396 Qualified in Aodit M County
Qualified In Westchester County (7) Commision Expires AugW 7, 2,d
Commission Expires September 26,20'
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
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.
�*,�,t�*,r**,r��+�*tt,t�+,�+**t*�tt�:r*+***i x,t:fr**�******,r***t+tt+�*,t�t�t*��y+�•.t�.t:r,rw*�w�.rv:tt,r,�**w��y*,�*-�+�*+**++*t
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
WCA4 tc,'-Wing duly sworn, deposes and states that he/she is the applicant above named,
(print name of individual signing m the applicant)
and further states that (s)hc is the legal owner of the property to which this application pertains, or that (s)he is the
Ae—c- -fie a(' for the legal owner and is duly authorized to snake and file this
application.
(indicate architect,contractor,agent,attorney,etc.)
That all statements contained herein are true to tlhe 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 tine 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 tile Village 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 stormwater or
groundwater connections or sources of infiltration into the sanitary sewer system on or from die subject property.
h C_J
Sworn to before me this t Sworn to before me this
day of S" I , 24 �L ` day of �f , 20..�_
Signature of Property Owner �ignat.,e of Applicant
rl-e
Print Name of Property Owner Print Name of Applicant
Notary P rc ataxy Public
GREGORY M.RIVERA KOM R. CA M,JM L,LO
Notary Public,State of New York NO" hM, SMft Of fw *York
No.01 R16441398 NO. 01CAi 1 StI16i4
Qualified In Westchester County Quaflfwd in RocMand County
Commission Expires September 26,20
Commision Expires August 7, Z.0 2 G
(8)
6/1/2024