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BUILDING DEPARTMENT
VILLAGE OF RYE BROOD
938 KING STREET RYE BROOK,NY 10573 MAY
(914)939-0668
www.rvebrookny.gov VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION
FOR EXTERIOR WORK WHICH DOES NOT RE UIRF VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAI:
FOR OFFICE USE ONLY: ,I�"} /
APPROVAL DATE: MAY RMIT#: ��PERmu
/ V APPLICATION FEE: A/`C't�1
APPROVAL SIGNATURE: FEES: X O
H.O.A.APPROVAL: DATE:
DISAPPROVED: OTHER:
Application dated: 05/02/2025is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the
construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below.
1. Job Address. 8 Wyman Street North, Rye Brook, NY 10573
2. ParcellD#: 141.35-1-4.2 Zone:
3. Proposed Improvement(Describe in detail):
Installation of ( 2 ) replacement Andersen Acclaim Triple Windows into existing openings
wifn no structural a era Ions.
4. Property Owner: Joann Smith
Address: 8 Wyman Street North, Rye Brook, NY 10573
Phone# 914 525-5300 Cell# e-mail jryogo@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 Cell# e-mail Iindsay@permitflow.com
Architect: NIA
Address:
Phone# Cell# e-mail
Engineer: NIA
Address:
Phone# Cell# e-mail
General contractor: Fairchester Custom Windows LLC
Address: 421 West Ave, Building 1, Stamford, CT 06902
Phone# (203) 292 - 0367 Cell# e-mail PERMITS@RBAWestchester.com
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5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: N/A
NIA
6. Area of lot: Square feet: Acres: _—
7. Dimensions from proposed building or structure to lot lines: front yard: rear yard:
NIA
right side yard: left side yard: other:
NIA
8. If building is located on a corner lot,which street does it front on:
9. Area of proposed building in square feet: Basement: 1"fl: 21 fl: 3'fl: NIA
10. Total Square Footage of the proposed new construction: N/A
11. For additions,total square footage added: Basement: 1"fl: 2"d fl: 3=11 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:
-NIA
14. Construction Type&Location:()Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT];
O 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: Overall Height: Median Height: N/A
16. Basement to be full,or partial: , finished or unfinished: N/A__
17. What material is the exterior finish: NIA
18. Roof style:peaked,hip,mansard,shed,etc: Roofing material: N/A
N/A
19. What system of heating:
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 N/A
suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No:
(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: (f yes,applicant must submit a Site Plan Application,&provide detailed drawings) NIA
N/A
24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No:_
(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
(f yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) N/A
26. is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: Na
(if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) N/A
27. WiII the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No:
(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 I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required)
29. What is the total estimated cost of construction: S
14,264 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.
N/A
30. Estimated date of completion:
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BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573 MAY 13 2025
(914)939-0668
www.aebrookny.Sov VILLAGE OF RYE BROOK
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:
JOANN SMITH ,residing at 8 Wyman Street North, 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;
8 Wyman Street North, 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.
aj—
JOANN SMITH
Sworn to before me this S
RR>H�P"aCAi�
day of 1 / /� 20 — state of
cow�312�p
My cc�
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Doc ID:457c5c99cb7a8ac9697delf0ac5546cc3b8b5c3e
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.
STALII F ,�u'LQ OUNTY OF WESTCHESTER ) as:
L�IVL7 lr V ,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 Codc,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.
�th Swom to before me this Swom to before me this 2nd
day of , 20Z,_t.� day of MaY , 2925
R jj. L� o 41r_
Signature of Property Owner Signature of Applicant
JOANN SMITH LINDSAY LOSON
Print Name of Property Owner Print Name ofApplicant
Notary Public Notary Publiq State of TexasCounty of Harris
Electronically signed and notarized online using the Proot platform.
E3RtAN MACDONALD
NOTARY PUBLIC
State cf corzne, t—t p m'rt�,
�to PY►4P'w John Loul,Williams JR
MY COMMISSION EXPIRES Oct"312026
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�f e, <�� tOMMlSEDN E?!RIRES
'4yilrymlryEU @.,rc b.,10 702E
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