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BUILDING DEPARTMENTnn
rF
VIL AGE OF RYE BROOK4
938 KING ET RYE BR K,NY 10573 25 20/14
}939-
W ebrd®cT�'a. ru VILLAGE OF'FiY
BUILDING
FOR OFFICE USE ONLY: n
Approval Date: �� Permit# r �0,)7 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:, CC-P� Permit Fees:4 � �70
EXTERIOR BUILDING PERMIT APPLICATION
Application dated:�—a S c)-I 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
1. JobAddress: I H p r 1�.5{\ ��1 r� ) ' Yl��
2. Parcel ID#: c- q► CCU r 1 Zone: AU b
3. Proposed Improvement(Describe' (detail): - �J
1 l
4. Property Owner:
Address: b e E -e Z rdo tJQ I b(S 7 3
Phone#Q/7-5f %I?U Cell# e-mail L0Wk VA01 .QD(VA
List All Other Properties Owned in Rye Brook:
Applicant:
Address:
Phone# Cell# e-mail
Architect:
Address:
Phone# Cell# e-mail
Engineer:
Address:
Phone# Cell# e-mail
General Contractor: C7/l Q —7 U LAC .S
Address:
Phone#Qv/ 9 40-ya 37 Cell# e-mail
{1)
6/]/2023
5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: IE t-iw,Post-construction: IFA
6. Area of lot: Square feet: A a$n Acres:
7. Dimensions from proposed building or structure to lot lines: front yard: S rear yard:
right side yard: H left side yard: \r\P.vx r other:
8. If building is located on a corner lot,which street does it front on: in O_/\r*
9. Area of proposed building in square feet: Basement: ncu,nc.. 1"fl: 2"1 fl: (n 910 3"fl: `L PO
10. Total Square Footage of the proposed new construction:22,n
11. For additions,total square footage added:Basement: Is'fl: 2nd fl: NU!1 G 3n1 fl: 2,20
12. Total Square Footage of the proposed renovation to the existing structure: aQ
13. N.Y. State Construction Classification: _lr 1, N.Y.State Use Classification: C 4 6%\ US-,
14. Number of stories: :i� Overall Height: q \ Median Height: �
15. Basement to be full,or partial: finished or unfinished:
16. What material is the exterior finish: )ft2 ter, C_-J%t) r e
17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: aNN,ANi
18. What system of heating: 0 X
0
19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this
application.
2.0. Will the proposed project require the installation of a new,or an extension/modification to an existin automatic fire
suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No:
(ifyes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans)
21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a
Stormwater Management Control Permit as per§217 of Village Code? Yes: No:_L$,.Area:
22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes:_� _No: (f 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:AL_^
(f 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 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:
(tf yes,the area and elevations of thefloodplane 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:
(ifyes,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 II: TIER III: (fyes,a Home Occupation Permit Application is requ red)
28. List all zoning variances granted or denied for the subject property:
29. What is the total estimated cost of construction: S Note:The estimated cost
shall include all site improvements,labor,material,sca ing,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.
30. Estimated date of completion:
(2)
6/1/2023
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914)939-0668
RESIDENTIAL LOT AREA COVERAGE
Address: I L!D T,17us4. 400 ) Section: Block: Lot:
PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-88)
YOUR ZONE AREA IN MAIN ACCESS. DECK
ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX.
CHECK MAX.
R-35 35,000 14% 4% 5%
R-25 25,000 14% 3.5% 4%
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 5,000 30% 5% 3.5%
Existing: Proposed:
1. AREA OF LOTS Sq. Ft. Sq. Ft.
2. AREA OF HOUSE
a. Coverage of Main Building
(Including Attached Garage or Accessory Building) �b Sq. Ft. Sq. Ft.
b.Area of 1'c Floor Divided By Area of lot x 100 _% A %
3. AREA OF ACCESSORY BUILDING
(Includes Detached Garages,Tool Shed,Playhouses) _Sq. Ft. ?)LSq. Ft.
a. Coverage of Accessory Building
Area of Accessory Building Divided By Area of Lot x 100 7.U1 �% %
4. AREA OF DECK gOto Sq. Ft. Q 00 Sq. Ft.
a. Coverage of Deck
Area of Deck Divided By Area of Lot x 100 % 'a_%
I es the best of my knowledge and belief,the above information is correct.
Archit t gnature
(3)
8/12/2021
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914) 939-0668
IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS
Address:114D fart l �66�QKw� cc t�-Section: Block: Lot: Zone:
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
LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT
(sq.ft.) For Base Lot For Lot Area YARD(%)
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 R-10 45
40,001 & larger 11,260 22 R-7 40
R-5 L30
R2-F 30
"Base Lot Area" is the minimum end of the lot size
range in the"Lot Area"column
Area of lot: s .ft. Existing Allowed Proposed
Total impervious coverage = S .ft. . ft. S .ft.
Front impervious coverage = % % gkz %
I att t t e best of my knowledge and belief,the above information is correct.
Archit ignature
(4)
8112/2021
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914)939-0668
BULK REGULATIONS IN RESIDENTIAL DISTRICTS
Address: W) 6y sh �46b(k) Co �itt Section: Block: Lot:
MAXIMUM GROSS FLOOR AREA
USE FORMULA; Maximum Gross Floor Area = 4,000 + [ (Lot Area -21,780) x 0.11478421 ]:
a. Allowed - Sq. Feet
b. Existing = r fii Sq. Feet
c. Proposed P 6 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 1 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 VII I of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings.
FILL IN YOUR RATIOS:
ZONE FEWnN6 PROPOSED REOMIRED
FRONT: FRONT: FRONT: .44
"S SIDE: SIDE: SIDE: 1.20
FRONT: FRONT: FRONT: .48
"S SIDE: SIDE: SIDE: 1.30
FRONT: FRONT: FRONT: .60
"0 SIDE: SIDE: SIDE: 1.60
FRONT: FRONT: FRONT: .60
Reis SIDE: SIDE: SIDE: 1.60
FRONT: FRONT: FRONT: .80
RLISA SIDE: SIDE: SIDE: 2.40
FRONT: FRONT: FRONT: .69
RL12 SIDE: SIDE: SIDE: 1.60
FRONT: FRONT: FRONT: .80
RLIO SIDE: SIDE: SIDE: 2.40
FRONT: FRONT: FRONT: .96
RA7 SIDE: SIDE: SIDE: 3.00
FRONT: FRONT: FRONT: 1.20
RLS SIDE: SIDE: SIDE: 4.00
FRONT: FRONT: FRONT: 1.20
R-2F SIDE: SIDE: SIDE: 4.00
1 attest th best of my knowledge and belief, the above information is correct.
Architect i ature (5)
8/12/2021
ILLUSTRATION OF HEIGHT / SETBACK RATIO
Setback Line for I J
Maximum Height I J
REAR
c I Minimum
Setback Line
I LaO3v G HOUSE
POTENTIAL v
UILDIN
ENVELOPEI on dr3rn5m �v-ww°
4dJCdo
FRONT
Area in which Average
Grade is Measured STREET
Average Grade Along Property Line
at Property Line
ELEVATION PLAN
Table R301.2.(1) 2020 IRC
CLIMATIC S GEOGRAPHIC DESIGN CRITERIA
FOR RESIDENTIAL DISTRICTS IN RYE BROOK
GROUND- WIND SPEED TOPOGRAPHIC SPECIAL WIND- SEISMIC DESIGN
SNOW LOAD (mph) WIND EFFECIS WIND BOURNE CATAGORY WEATHERING
REGION DEBRIS ZONE
20 pst 115/12D NO NO NO 0 SEVERE
FROST LINE TERMITE WINTER DESIGN ICE BARRIER FLOOD AIR FREEZING MEAN ANNUAL
DEPTH PROTECTION TEMP. UNDERLAYMENT HAZARDS INDEX TEMP.
REGUIRED REQUIRED
42" YES 15 YES FIRM MAP 1000 52.2
36119CU270F
9/29/07
(5a)
8/12/2021
`��
BUILD MENT [BUIUILD
Ll=,VEL OF RY < OOK438 KING ET RYE BR _,NY 10573 A�'R Z Jr z�l?4
4 -0668`
ttrt. LLAGE O RRYE BROOK
IFO(, nf:—P
AFFIDAVIT OF COMPLIANCE
VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS
THIS AFFIDAVIT MUST BEAR 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 WESTCHESTER ) as:
JLVN_��_, residing at, I Lf 0 '_6 tusI AA6 ( 0 (�weA Vy e BYod�
(Print name) (Address where VOL]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;
I LI d �66,) ere�T_M-� , 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 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.
ature of Trope O r(s)) ?
1-�� Arnr'T
(Print Name of P operly 0wner(s)1
Sworn to before me this
day of ri l , 20
SHERI S.PADERNACHT
NOTARY PUBLIC,STATE OF NEW YORK
No.01PA5035809 (6)
Ouallfied in Westchester Court�j��/6
My Commission Expires Nov.14, a
8/1 21202 1
This form must be properly completed ¬arized by the Design Professional of
record and the Property Owner. Failure to provide this completed form with your
permit application will delay the permitting process.
Notice of Utilization of Truss Type, Pre-Engineered Wood,
or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR)
To:The Building Inspector of the Village of Rye Brook.
From:
Subject Property: l L(D �rl P1, ND�`r>� 11� P SBL: Zone:
Please take notice that the subject; o One or Two Family; ❑ Commercial,
❑ New Structure L=
❑ Addition to an Existing StructureID
XRehabilitation to an Existing Structure APR 2 ��
24
to be constructed or performed at the subject property will utilize;
VILL ti1✓� ur ,r 6ROOK
ii Truss Type Construction(TT) SUILDIIJG DEPARTMENT
❑ Pre-Engineered Wood Construction(PW)
❑ Timber Construction(TC)
in the following location(s);
o Floor Framing, including Girders&Beams(F)
A Roof Framing(R)
o Floor Framing 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 §tz64 for Commercial Buildings,
and NYCRR§1265 for One&Two Family Dwellings.
Sworn to fore ate this q*4,nI Swom to fore Me 1his
day of L 20 day of 11 rt 20
ature c6Wperty Owner Signa a of esign Professional
Qn1 � A( n 1 V�OI \lhl(h � {''�
Pr' t me of r pe�tp-A�ner Print me of De ofessio dal
otary Public \V�J otary Public
SHERI S.PADERNACHT
SHERI S.PADERNACHT NOTARY PUBLIC,STATE OF NEW YORK
NOTARY PUBLIC STATE OF NEW YORK No.01PA5035809
,
No.01 PA5035809 (7) OualMied In Westchester CourMy _��
OunI led in Westchester Co"
o My Commission Expires Nov.14,
My Commission Expires Nov.14�
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.
STAT F W`�ORK,TUNTN,�F STCHESTER ) as:
j being duly sworn, deposes and states that he/she is the applicant above named,
(print name of individual signing 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
()Lk. K 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. 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 the subject property.
Sworn to before me this Z'4
V4) Sworn to before me this
day of r, , 20 Z�'! day of , 20
lure of P pe Owner Signature of Applicant
(2- CCkC
Print Name of Property Owner Print Name of Applicant
Public Notary Public
SHERI S.PADERNACHT
NOTARY PUBLIC,STATE OF NEW YORK
No.01PA5035809
Ouallfied In Westchester county
My Commission Expees Nov. 14,P'>
{8)
8/12/2021