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BUILDING DEPARTMENT E C R " 1E
VILLAGE OF RYE BROOK R1 MAY — 2 2025
938 KING*TREET RYE BRO*NY 10573
(914)939-0668 VILLAGE OF RYE BROOK
vv%w.ryebroknv.gov BUILDING DEPARTMENT
ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION
FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEN BOARD APPROVAL
FOR OFFICE USE, ONLY: c �1 &4 `� C�f�APPROVAL DATE: MA 2025 01.�—o / '�1 APPLICATION FEE:
APPROVAL SIGNATURE: PERMIT FEES: 4 hV e _
H.O.A.APPROVAL: DATE:
DISAPPROVED: OTHER:
Application dated: 04/22/2025 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. lob Address: 262 North Ridge Street, Rye Brook, NY 10573
2. Parcel IDS=: 135.27-1-5 Zone: 1
3. Proposed Improvement(Describe in detail):
Installation of ( 1 ) replacement Andersen Acclaim Window into existing
openings with no structural alterations
4. Property Owner: Volkert Braren
Address: 262 North Ridge Street, Rye Brook, NY 10573
Phone# (914)419-5173 Cell# e-mail cindilou85@aol.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 can e-mail cindilou85@aol.com
Architect: N/A
Address: N/A
Phone# NIA Cell*t e-mail N/A
Engineer: N/A
Address: N/A
Phone# N/A Cell# e-mail N/A
General contractor: Fairchester Custom Windows LLC
Address: 421 West Ave, Building 1, Stamford, CT 06902
Phone# 7 Cell# e-mail PERMITS@RBAWestchester.com
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6/1/2024
5. Occupancy;(l-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: NIA 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: rear yard: N/A
right side yard: left side yard: other: NIA
S. 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: I'fl: 2"afl: 31 fl: NIA
10. Total Square Footage of the proposed new construction: NIA
11. For additions,total square footage added:Basement: I"fl: 2'fl: 3"1 fl; N/A
12. Total Square Footage of the proposed renovation to the existing structure: N/A
13. N.Y.State Construction Classification: N.Y.State Use Classification: N/A
14. Construction Type&Location:O Typical Western Lumber Frame;O Timber Frame[TC];O Wood Truss[TT];
O Pre-engineered wood[PW];Located:O Floor Framing(F];O Roof Framing[R];O Floor&Roof Framing[FRI.Other:
N/A
15. Number of stories: Overall Height: Median Height: N/A
16. Basement to be full,or partial: finished or unfinished: NIA
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: NIA
20. If private sewage disposal is necessary,approval by the Westchester County Health Department must he 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,ANSI.System,FM-200 System,Type I Hood,etc...)Yes: No: _ N/A
(if yes,applicant must submit a separate Automatic Fire Suppression S+,stent 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: ry/A
23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes: N,o: NIA(f yes,applicant ntusr suhmit a,Site Plan Application.&provide derailed 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 suhmit a Site Plan Application, &provide a detailed topographical.survet)
25. Is the lot located within 100 ft.of a Wctland 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 he properly depicred 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
(ifyes,applicant must submit a Tree Removal PerrnitApplic°ation)
2& Does the proposed project involve a Ilome-Occupation as per§250-38 of Village Code? Yes: No: N/A
Indicate:TIER 1: TIER II: TIER III: (if yes,a home Occupation Permit Application is required)
29. What is the total estimated cost of construction: S 3,231 Note:estimated cost shall include
all site improvements,labor,material,scaffolding,fixed equipment,professional fees, including a»v material and labor which may he
donated gratis.If the final cost exceeds the estimated cost,an additional fee will he required prior to issuance of the CYO.
30. Estimated date of completion: N/A
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611/2024
2 F,rE
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK MAY
' 2 2�25
938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK
(914)939-0668 BUILDING DEPARTMENT
www.r ebrookn n�'
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:
VOLKERT BRAREN residing at, 262 North Ridge Street, Rye Brook, NY 10573
I, _ ,
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;
262 North Ridge Street, Rye Brook, NY 10573 Rye Brook, NY.
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.
VOLKERT BRAREN
Sworn to before me thisth
day of `i I 20 BRIAN NIACDONAI
Nr1TARYPUBLic
State ofConnecticut
MY CONNSSION EXPIRES Oct.21 20"
(?)
6CII2024
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.
*�x:��,r**y:�***�*�*x&a*�*t,**r�**,tft*fr,r**,t,t***>F*,rxvc��r**:t��•tt*ic•kxx�iC t.::�**�:�t,***tzt:t**+:t;p�r.xt**f*irk*,t**xx*x,t>'r�,k**
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 30/ Sworn to before me this 22nd
day of + , 201!!� day of April 20 25
Signature of Property Owner Signature of Applicant
VOLKERT BRAREN LINDSAY LOSON
Print Name of Property Owner Print Name of Applicant
`, g_z,'
Notary Public Notary Public jayRin C Fo5d
HH 630538
BRIAN MAe13oNALD
Staff Connecticut o pRY pc"8 JAYLEN C FORD
::iY ColdfAISSfON EXPIRES Oct 312020 e = Notary Public-State of Florida
r
< Commission#NH 630538
C
oo- fi Expires on January 26.2029
OF F�
STATE OF FLORIDA, COUNTY OF BROWARD
Before me appeared: Lindsay Loson
Notarized remotely online using communication technology via Proof,
Type of identification produced:VA driver's license
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6/1/2024