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Home My WebLink AboutBP25-055 o Ln N �° N N N w .a P-� , 'tr rA ca W o w '� a .2 Z � E a °o o V 4 -0 w � �� = h+ l Fri \O 000 C)o ° v A vwo .= a � cn x � � o a o 00 ZZ � � Q v Z w o 00 C) W Q rM w a � `n O L Ln � ' o •° a to v U u O V p $ � � M � z w � � 0 � 0 rn -o a O W W � aU wcu BUILDJB MENT EJ V E VIL OOK938 KING ET ,NY 10573 MAR 2 7 ZG25 14v VILLAGE OF RYE BROOK BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR ENTFRIOR WORK WHICH DOES NOT REQUIRE VILLk(. ARCIII-I-L('I't'r,R,,1L REN'IENti BOARD APPROVAL FOR OFFICE USE ONIX: APPROVAL DATE: APR O 1 LO #:/Vc�S t/��_ APPLICATION //FEE: *zQ� `"lam APPROVAL SIGNATURE: PERMIT FEES: "h�.�i l j H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: Application dated: 03/13/2025 is hereby made to the Building Inspectorof 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: 12 Eagles Bluff Rye Brook NY 10573 2. ParcelID#: 135.27-1-48 Zone: 3. Proposed Improvement(Describe in detail): Installation of(6)specialty trapezoidal windows, (1)entry door, and (4)windows with no structural alterations. 4. Property Owner: Thomas Blum Address: 12 Eagles Bluff, Rye Brook, NY 10573 Phone# 914-216-9219 Cell# e-mail tombluml@gmail.com List All Other Properties Owned in Rye Brook: Applicant Lindsay LOSon Address: 17 Doral Greens Drive East, Port Chester, NY 10573 Phone# 914-403-5216 Cell# e-mail lindsay@,permitflow.com Architect: N/A Address: N/A Phone# N/A Cell # N/A e-mail N/A Engineer: N/A Address: N/A Phone# N/A Cell # N/A e-mail N/A General Contractor: Fairchester Custom Windows LLC- Renewal by Andersen Address:421 West Ave, Building 11 Stamford, CT 06902 Phone# (203) 249-1986 Cell# e-mail PERMITS@RBAWestchester.com (11 6/1 Y2024 5. Qccupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: N/A Post-construction: N/A 6. Area of lot: Square feet: N/A Acres: N/A 7. Dimensions from proposed building or structure to lot lines: front yard: N/A rear yard: N/A right side yard: N/A left side yard: N/A °other. NIA 8. If building is located on a comer lot,which street does it front on: N/A 9. Area of proposed building in square feet: Basement: NIA I m fl: N/A 2"d in: N/A 3rd fl: N/A 10. Total Square Footage of the proposed new construction: N/A 11. For additions,total square footage added:Basement:NIA I-fl: N/A 2nd fl: N/A Yd fl: N/A 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:()Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; ()Pre-engineered wood[PW];Located;()Floor Framing[F];()Roof Framing[R];()Floor&Roof Framing[FR];Other: N/A 15. Number of stories: N/A Overall Height: NIA Median Height: N/A 16. Basement to be full,or partial: N/A finished or unfinished: N/A 17. What material is the exterior finish: N/A 18. Roof style: peaked,hip,mansard,shed,etc: N/A 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. 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 (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&l 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: N/A 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) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: N/A (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: N/A (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: N/A (!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: N/A Indicate:TIER 1: TIER It: TIER III: (ifyes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ 51,470.00 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 COO. 30. Estimated date of completion: N/A (2) 6/12024 BUILDJBR MENT �� ,J �� JD VIL E OOOK MAR Z 7 2025 938 KING ET ,NY 10573VILLAGE OF RYE BROOK w (0k 01% _BUILDING DEPARTMENT 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 OF WESTCHESTER ) as: I, THOMAS BLUM 12 Eagles Bluff, Rye Brook, NY 10573 , residing at, 9 Y (Print name) (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; 12 Eagles Bluff, Rye Brook, NY 10573 Rye Brook,NY. Doh Adds-r >) 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 Property Omier(s')) THOMAS BLUM (Print Name of Property Ox%ner(s)) Clark Nevada Sworn to before me this 1Lh vter Bglari day of March oO 25 _ '; NOTARY PUBLIC v `. p STATE OF NEVADA 1 ,Vickey 9 Be lari 23-3998-01 Appt. No.23-ssse-ot (Notary Publi, te�:�u� EXpireS August 25.2027 Notarized remotely using audio-video communication technology via Proof. 6!I/2024 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 stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. 14th STATE OF TEXAS, COUNTY OF TARRANT Sworn to before me this Sworn to before me this 13th March 25 day of , 20 day of March , 2025 Signature of Property Owner Signature of Applicant THOMAS BLUM LINDSAY LOSON Print Name of Property Owner Print Name of Applicant 23-3998-01 Notary Public, State of Texas Y Vickey BeglariS!�� Notary_Public Clark Nevada Notary Public John D Clark13240917-9 \\a,��RVIYIIIIpI/� . ti ;:t.,�t rip ryf Vickey BegMrf {�. e' John L}Clerk r'• J^ NOTARY PUBLIC ID NUMBER x _ STATE OF NEVADA r` 1324431e17•e Appt. No.23-3998-01 �hi��if pp �� COMMISSION EXPIRES 1rNlmmm March 18.2028 Expires AuyuSt 25,2027 Notarized remotely using audio-video communication technology via Proof lectronically signed and notarized online using the Proof platform. (4) 6112024