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BUILDIN(�-DEPARTMENT
VILLAGE OF RYE BROOK MAR 7 2Q2 Lb�
938 KING STREET RYE BROOK,NY 10573
(914)939-0668
www.ryebrookln}Cgov VILLAGE Oi- it r i BROOK
y BUILDING S�Er ARTI',7— �
ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION
FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL
FOR OFFICE USE ONLY: �*5 ,/1 / \ !d
V
APPROVAL DATE: PR IT# / CJ� APPLICATION FEE: '� lj
APPROVAL SIGNATURE: PERMIT FEES: � QJ
H.O.A.APPROVAL: DATE:
DISAPPROVED: OTHER:
Application dated -d /—c)-J is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance ofa Permit for the
construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below.
1. Job Address: 75 Windsor Road, Rye Brook, NY 10573
2. Parcel ID#: 135.52-3-39 Zone: /0J 7
3. Proposed Improvement(Describe in detail):
Installation of( 18 ) replacement Andersen Acclaim Windows into existing openings
with no structural alterations.
4. Property Owner: Deirdre Odonnell
Address: 75 Windsor Road, Rye Brook, NY 10573
Phone# (914)980-2779 Cell# e-mail dodrye@me.com
List All Other Properties Owned in Rye Brook:
Applicant: Lindsay Loson
Address: 421 West Ave, Building 1, Stamford, CT 06902
Phone# 315-335-8730 Cell# e-mail lindsay@permitflow.com
Architect:
Address:
Phone# Cell# e-mail
Engineer:
Address:
Phone# Cell 4 e-mail
General Contractor: Renewal by Andersen - Fairchester Custom Windows LLC
Address: 421 West Ave, Building 1, Stamford, CT 06902
Phone# (203) 249-1986 Cell # e-mail PERMITS@RBAWestchester.com
11)
er112024
Doc ID:d19e53fb00ad274bcdf908ad15392c49520ddce1
NIA
5. Occupancy;(1-Fam.,2-Fam.,Commercial-,etc...)Pre-construction: Post-construction:
6. Area of lot: Square feet:
N/A Acres: NIA
7. Dimensions from pro osed building or structure to lot lines: front yard: N/A rear yard: NIA
right side yard: NFA left side yard: N/A other: N/A
8. If building is located on a corner lot,which street does it front on: N/A
9. Area of proposed building in square feet: Basement: N/A Is,fl: N/A 2"d fl: N/A 3,d fl: N/A
10. Total Square Footage of the proposed new construction: N/A
I I. For additions,total square footage added:Basement: N/A 1-'fl: N/A 2"d fl:_ N/A 3'd fl: NIA
12. Total Square Footage of the proposed renovation to the existing structure: N/A
13. N.Y.State Construction Classification: N/A N.Y.State Use Classification: N/A
14. Construction Type&Location:O Typical Western Lumber Frame;()Timber Frame[TC];O Wood Truss[TT];
O Pre-engineered wood[PW];Located;O Floor Framing[F];(j Roof Framing[R];O Floor&Roof Framing[FR];Other:
N/A
15. Number of stories: Overall Height: Median Height: NIA
16. Basement to be full,or partial: finished or unfinished: N/A
17. What material is the exterior finish: N/A
18. Roof style:peaked,hip,mansard,shed,etc: Roofing material: N/A
19. What system of heating: N/A
20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this
application. N/A
21. 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:— N/A
(fyes,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 of impervious coverage requiring a
Stormwater Management Control Permit as per§217 of Village Code? Yes: No:—Area: NIA
23. 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) N/A
24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: N/A
(if yes•you must submit a Site Plan Application,&provide a detailed topographical survey) N/A
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)
NIA
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) N/A
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)
N/A
28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes:—No:
Indicate:TIER I: TIER 11: TIER IIL (ifyes,a Home Occupation Permit Application is required)
29. What is the total estimated cost of construction: $5R 659 Note: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 C/O.
30. Estimated date of completion: N/A
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6/1/2024
Doc ID:dl9e53fb00ad274bcdf908adl5392c49520ddce1
�oE� 1 ��
BUILDING DEPARTMENT In F`
Di
VILLAGE OF RYE]BROOK P ' MAR 2 7 2025
938 KING STREET RYE)BROOK,NY 10573
(914)939-0668 VILLAGE OF RYE BROOD
wfvw.ryebrookny.2ov BUILDING DEPARTMENT
AFFIDAVIT OF COMPLIANCE
VILLAGrE 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 OF WESTCHESTER ) as:
DEIRDRE O'DONNELL residing at, 75 Windsor Road, Rye Brook, NY 10573
I, ,
(Print nantel (Address voo licel
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;
75 Windsor Road, Rye Brook, NY 10573 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.
(Signature of 1'ropert Uwner(s))
DEIRDRE O'DONNELL
(Prim Nance oi'i'roperh (hvncr(s))
Sworn to before me this :;V St
day of R.h , 20 7 BRLkN NiAcDgNp,l=�
State of Cann@€g@L'f
MyCOIA WON F71PIf{€f Pt;� 3= '
JNolary Public)
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Doc ID: dl9e53fb00ad274bcdf9D8ad15392c49520ddce1
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.
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
LINDSAY LOSON , 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. 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 stonnwater or
groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property.
Sworn to before me this V St- Sworn to before me this 21st
day of A«h , 200-51 day of March , 20 25
Signature of Property Owner Signature of Applicant
DEIRDRE O'DONNELL LINDSAY LOSON
Print Name of Property Owner Print Name of Applicant
Notary Public Notary Public
4��;'RI]IIIIP C,, 1s
Candice N Cress
X3 tp]j tvIAClJotin>_n l` ID NUMBER
NOTARYPU$UC 1 f tiro 13:737�]
State ofConnecacuf
M COMMISSION EXPIRES Oct 31 202B Qp 1� � COMMISSION EXPIRES
�i7�7/ll%Ippp1411�°��� Ma,,h],2027
Electronically signed and notarized online using the Proof platform.
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6/1/2024
Doc ID:d19e53fb00ad274bcdf968ad15392c49520ddce1