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BUILDING DEPARTMENT 21ECEMEB '
"VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573 OCT - 3 2024
(914)939-0668
1v%'w.rN-e6rookny.go-, VILLAGE OF RYE BROOK
BUILDING DEPAR i MENT
FOR OFFICE L
Approval Date Application#
Approval Signature: : ARCHITECTURAL REVIEW BOARD:
Disapproved: Date: D
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# : Secretary:
ZBA Approval Date: Case#
Other:
Application Fee: A) Permit Fees:
APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR ARRAY
Application dated: /0'—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. Job Address:9 Boxwood Place, Rye Brook, NY 10573 SBL: 129.67-1-17 Zone: —
2 Type,kW&Location of Array,(use additional sheets if necessary):
Roof mounted-30 REC 460AA panels (13.800 kR
3. Property Owner:Joseph Feisel Address: 9 Boxwood Place, Rye Brook, NY 10573
Phone#(718)908-6872 Cell# e-mail feiselsemail@gmail.com
4. Applicant: Infinity Solar Systems Address:575 Corporate Dr; Suite 2200, Mahwah, NJ 07430
Phone# (845)474-0064 Cell# e-mail permitting@infinitysolarsystems.com
5. Design Engineer:RE:Mike Miele Address:705 Orrs Mills Rd, New Windsor, NY 12553
Phone# (845)629-9693 Cell# e-mail mmielepe@yahoo.com
6. Solar Contractor: Infinity Solar Systems Address:575 Corporate Dr; Suite 2200, Mahwah, NJ 07430
Phone#(845)474-0064 Cell# e-mail permitting@infinitysolarsystems.com
7. Occupancy;(1-Fam.,2-Fam.,commercial.,etc...)Pre-construction. 1-fam Post-construction: NO change
8. If building is located on a comer lot,which street does it front on:NIA
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;O Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other:
11. Number of stories:N/A Roo....ff�Style:(hip,sited,mansard,etc...)
12. Will a New Roof Be Installed: No 21 Yes ❑ (a separate roofing permit is required to re-roof an existing building)
13. Roofing Material&Number of Layers: Asphalt shingle
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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: d Yes: ❑ Area:
15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
No: it Yes: ❑ (If yes,applicant must submit a Site Plan Application,&provide detailed drawings)
16. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?No: ft Yes: ❑
(If yes,applicant must submit a Tree Removal Permit Application)
17. Does the proposed project involve a Home-Occupation as per §250-38 of Village Code? No: id Yes: ❑
Indicate: TIER 1: TIER II: TIER III:_ (if yes,a Home Occupation Permit Application is required)
18. What is the total estimated cost of construction: $ 37,000
(Note:The 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 CIO).
19. Start Date:Within two weeks of permit issuance 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, Mike LaRosa-infinity Solar Systems ,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,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.
Sworn to before me this 3&d Sworn to before me this 364':tt
day of ,20,;V day of Cc,*e.Mhex ,20
A,'
Notary N&O PGblic
Al I
S ure operty Owner Sign of scant
Joseph Feisel Mike LaRosa-Infi 'ty-Solkr Systems
Print Name of Property Own N07ARy YN M SGRO Print Name of Applicant ARy py�,C.1 'k
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