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BP25-087
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W N h+ I rT M O N t 66 o W a o GW `~ �. � W O z � a a� � � ■ 0 ■ N r-6 O Cdb c W W Gp �l ,o o c 0 ✓] L� s F-I p �7 ON F 3 c°i v W � � Q c x .04o � � ° .o W . � i F+�I r pO ° � a•^ O � A � M � i/1 � � � .. •� 6�7 O d �' b z � � W O a © W w - �; "oLO � = v� a 00 W W U O O W o o vW E V a 00 z a m o Q o o a � � 0 x o z 00 O v PL' W " Z a ° Z CJ w 00 00 a �T� {/� W Q J R > y $ ; a 0 Cn P� CD ►--r dd -o un� z d x _ � p •N u C)>, ° o A w Z ° 5 � -B ° qj � P4 4 $UICEETRVE TMENT VI OOK Q i r 938 KING �) ,NY 10573` MAR 3 1 2025 ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE AAO�jNLV: ff�� Approval Date: M�� 1 025 mit# ��OYT Application# Approval Signature: ARCHIT//E/CTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: 'v ao — bPermit Fees: APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR ARRAY Application dated:S—3) is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation of a Photovoltaic Solar Array as per detailed statement described below. 1. lob Address: 4 Magnolia Dr., Rye Brook, NY 10573 SBL:L3l/i rl/— V Zone: 2 Type,kW&Location of Array,(use additional sheets if necessary): Roof mounted solar 10.320kW 3. Property Owner: Mike Gorman Address:4 Magnolia Dr Rye Brook NY 10573 Phone# Cell# 347-416-099f _e-mail mgormanl@qmail.com 4. Applicant; Doris Ceballos - Infinity Solar Address:575 Corporate Dr.,Suite 2200,Mahway, NJ 07430 Phone# 201-669-8454 Cell# e-mail permitting@infinitysolarsystems.com 5. Design Engineer: Mik E Miele Address: 705 Orrs Mills Rd., New Windsor, NY 12553 Phone# Cell# 845-629-9693 e-mail mikemiele a mail.com 6. Solar Contractor: Infinity Solar Systems Address:575 Corporate Drm Suite 2200 Mahwah NJ 07430 Phone# 845-200-3700 Cell# e-mail vermittingtct'Zinfinitysolarsystems.com T Occupancy I-ram 2-fam.,Commercial.,etc...)Pre-construction:1 Eamily Reside ncePost-construction: 1 Family Residence 8. If building is located on a corner lot,which street does it front on: 9. N.Y.State Construction Classification: N.Y. State Use Classification: 10. Construction Type&Location:( )Typical Western Lumber Frame;( )Timber Frame[TC];( )Wood Truss[TT]; O Pre-engineered wood[PW];Located;( )Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other: Modules- rooftop 11. Number of stories: Roof Style:(hip,shed,mansard,etc...) 12. Will a New Roof Be Installed: No ® Yes ❑ (a separate roofing permit is required to re-roof an existing building) 13. Roofing Material&Number of Layers: 1 6/1/2024 14. 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? No: ® Yes: ❑ Area: 15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? No: V Yes: ❑ (l l N es.applicant must submit a Sae Plan Application.&pnn ide detailed dramrigs) 16. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?No: 9 Yes: ❑ III yes applicant must submit a'I'ree Removal Permit Application) 17, Does the proposed project involve a Home-Occupation as per §250-38 of Village Code? No: 0 Yes: ❑ Indicate:TIER 1:_TIER II:�TIER IIL' (dtcs.a Home occupation Perna)Application is required/ 18. What is the total estimated cost of construction: $ 3f),-SnO (Note The estimated cost shall mcltide all stic impmtcments,labor,material,scaflolding.fixed equipment,professional fees,me]udine am material and labor which may be donated grans It the final cuss eweeds the estimated cost,an additional ree will he required prior to issuance oflhe C'O) 19. Start Date: Completion Date: This application must bear 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: 1, Doris Ceballos - Infinity Solar ,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. Contractor for the legal owner and is duly authorized to make and file this application. (indicate architect.comractui,agent.allorne).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. Sworn to before me this ^':_ Sworn to before me this _ 7 day of M GirC, , 20 aS day of MG rz k 0 2$ w�. M- tan Puhlic N ai, bhc 7 .i � Signatureol'Propem ON%ner a Mike Gorman Doris Ceb Ilos- Infinity Solar Print Name ot'Propern Owner Prim Namc ol'Applica it JAji2 _. NUUM NOT JACLYN St;RO K NOTARY pt1BlfC,STATE OF Nt1y YORK t Hle No.01SGg315056 Qua1range Count° sion Ex Tres 11/17/2026 6„l 2024