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BUILD TMENT ���\/]
VIL OF R OOK U
IE
938 KING ET RYE BR NY 10573 APR 14 2025
14)939-06
°` VILLAGE OF RYE BROOK
. 190 ' BUILDING DEPARTMENT
ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION
FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL
FOR OFFICE USE ONLY:
APPROVAL DATE: PERMIT #: I APPLICATION )FEE: b
APPROVAL SIGNATURE: PERMIT FEES: `s'3 CYO
H.O.A.APPROVAL: DATE:
DISAPPROVED: OTHER:
Application dated: 04/07/2025 is hereby made to the Building Inspector orthe Village orRye Brook,NY,for the issuance ol'a Permit for the
construction of buildings,structures,additions.alterations or for a change in use,as per detailed statement described below.
I. Job Address: 61 Talcott Road, Rye Brook, NY 10573
2. Parcel 1134: 135.50-1-67 Zone: c�-
3. Proposed Improvement(Describe in detail):
Installation of ( 1 ) replacement Andersen Ensemble Double, Dual Active Inswing Entry Door
into existing openings with no structural alterations.
4. Property Owner: Robin ElkowitZ
Address: 61 Talcott Road, Rye Brook, NY 10573
Phone# (917)365-9577 Cell# e-mail elk1021@gmaii.com
List All Other Properties Owned in Rye Brook:
Applicant: Lindsay/ LOson
Address: 2261 Market Street STE 10301, San Francisco, CA 94114
Phone# 315-335-8730 Cell# NIA e-maillindsay@permitflow.com
Architect: NIA
Address: NIA
Phone# N/A Cell # N/A e-mail NIA
NIA
Engineer:
Address: N/A
Phone# N/A Cell# N/A e-mail NIA
General contractor: Renewal by Andersen - Fairchester Custom Windows LLC
Address: 421 West Ave, Building 1, Stamford, CT 06902
Phone# (203) 292 - 0367 Cell # e-mail PERMITS@RBAWestchester.com
(I}
6/t/2024
'5. Occupancy;(I-Fam..2-Fam.,Commercial.,etc...)Pre-construction: N/A Post-construction: NIA
6. Area of lot: Square feet: N/A Acres: N/A
7. Dimensions from pro osed building or structure to lot lines: front yard: N/A rear yard: N/A
right side yard. Np/A 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 I s,fl: N/A 2„1 fl: N/A „a 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 2"d fl: N/A 3rd 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];O Wood Truss[TT];
( }Pre-engineered wood[PW];Located,O Floor Framing[F];O Roof Framing[R];O Floor& Roof Framing[FR];Other:
N/A
15, Number of stories: N/A Overall Height: N/A Median Height: N/A
16. Basement to be full,or partial: N/A finished or unfinished: NIA
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&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: 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: lA (if yes, applicant must submit a Site Plan Application, &provide detailed drawings)
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 f ood 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
(if yes,applicant must submit a Tree Removal Permit Application)
NIA
28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No:
Indicate: TIER 1: TIER[I: TIER III' (if yes,a Home Occupation Permit Application is required)
29. What is the total estimated cost of construction: $19,316 Note:estimated cost shall include
all site improvements, labor,material,scaffolding,fired equipment,professional.hes, including any material and labor which may be
donated gratis. lf'the final cost exceeds the estimated cost,an additional fee will be required prior to issuance ofthe C/O.
30. Estimated date of completion: N/A
(2)
6/1/2024
BUILDING,DEPARTMENT
VILLAGE OF RYE BROOK APR I � 2025
938 KING STREET RYE BRoox,NY 10573
(914)939-0668 ' VILLAGE OF RYE BROOK
%%-wwx%,ebrulAkny.+,1ov BUILDING DEPARTMENT
###**###*#**###***#********#*t*#t##*##*t*##*#*k*****t**#*#kGkkkkkkkk***k****k**##***##*t#t***####**##*#
AFFIDAVIT OF COMPLIANCE
VILLAGE CODE 4216 • 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:
ROBIN ELKOWITZ 61 Talcott Road, Rye Brook, NY 10573
residing at,
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;
61 Talcott Road , Rye Brook,NY.
O'd, .
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.
,r
�Sl�n.dlf�nl I'lupctt owncrioi
ROBIN ELKOWITZ
11 `11. 11VII
Sworn t before me this
day of
A
` I'111+Ifa1 i
Michelle D. Berk
Notary pudic,State Of Connao
cW
Commission: 126816 (3)
Gnrtoza
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.
Sworn to before me this r r`— Sworn to before me this 7th
day of_l 'n—+( , 20 day of April , 20 2025
Signature of Property Owner Signature of Applicant
ROBIN ELKOWITZ LINDSAY LOSON
Print Name of t',roperty Owner Print Name ul'.lpplieant
Z.
_ I"' Michael De Pena
Notary lublic Notary Public
HH 308451
Michelle D. Berk
NO�ry P
ubic'StatO Ot CorM Florida Broward
�mmissiora: 126816 .
'pr rip MICHAEL DE PENA
i Notary Public State or Florida
Commission#r 3x4si
o.z
�. a Expires on Sept~s,2ms
or
Notarized remotely online using communication technology via Proof.
l-tl
6/l/2024