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VA-gTMENT
VILLA�EOFRY OOK
938 KFNG EET RY'E BR Vic,NY 10573 APR 2 202.5
4) 9-0
ww ne ov VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
FOR OFFICE USE ON Ll: pQ /3
Approval Date: MAY Z 20 emit# Application# /�/��,
,5J0
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: : Date: r�5
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:04.18.25 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit forthe
installation of a Photovoltaic Solar Array as per detailed statement described below.
1. lob Address:454 N. Ridge Street, Rye Brook, NY 10573 SBL: 129.60 - 1 - 33 Zone: R-15
2 Type,kW&Location of Array,fuse additional sheets ir»ecessan I: Rail-less rooftop mount PV array with Energy Storage System
20 solar panels will be used for an 8.2 KW add-on. Array located at northeast roof plane
facing neighboring property ay 458 N Ridge with solar inverter proposed in front of existing solar inverter equipment.
3. Property Owner:Patricia Walker Address: 454 N.Ridge Street, Rye Brook, NY 10573
Phone# 914.980.4852 Cell# NA e-mail John.H.Herkert@gmail.eom
4. Applicant:Kathy Nickerson, Permit Coordinator Address: 1073 Route 94,Unit#4.New Wndsor,New York 12553
Phone# 845.275.6011 Cell# 845.916,4417 e-mail knickerson@tesla.com
5. Design Engineer: Xiaojian Xie Address: 8044 Lombard Way Dublin OH 43016
Phone# 845.275.6011 Cell# NA e-mail NewWindsorPIC@tesla.com
6. Solar Contractor: Tesla Energy Operations Address:
Phone# 845.275.6011 Cell# NA e-mail NeWWndsorPIC@tesla.eom
7. Occupancy;(1-Fam,2-Fam,Commercial,etc )Pre-construction: Post-construction: 1 Family
8. If building is located on a corner lot,which street does it front on:N. Ridge Street
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];
( )Pre-engineered wood[PW];Located;( )Floor Framing[F];( )Roof Framing[R];O Floor& Roof Framing[FR];Other:
11. Number of stories: Roof Style:(hip.shed.mansard,etc
12. Will a New Roof Be Installed: No NJ{ Yes❑ (a separate routing permit is required to re-nxofan existing budding)
13. Roofing Material&Number of Layers:
I el
6/l/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: V Yes: ❑ Area:
15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§204 of Village Code?
No: V Yes: ❑ t If%es.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: d Yes: ❑
IIi 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: d Yes: ❑
Indicate:TIER I: TIER[I: TIER III:_ Ufyes,a}some Occupation Permit Application is required)
18. What is the total estimated cost of construction: $$'42,283.23
(Note The estimated cost shall include all site improvements.latwi.material,scaifoldm_,fixed equipment.professional tees.including am material and
labor which may be donated gratis If the final cost exceeds the estimated cost_an additional fee will he required prior to issuance of the GO)
19. Start Date: Upon Approval Completion Date: Within 1 month of approval
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 Amy Conn of Tesla Energy Operations being duty sworn,deposes and states that he/she is the applicant above named,
iptint 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,
Contractors Authorized Representative for the legal owner and is duly authorized to make and file this application.
(indicate architect.contractor.aaent.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 Sworn to before me this
day of ftl ,20 2-S day of ia ,20 25
Kathy Nickerson �l Ltk�. Kathy Nickerso
Notary Public Notary Public
4� e�►
Signature of Property Owner Signature of Applicant
Patricia Walker Amy Conn of Tesla Energy Operations
Pint Name of Property Owner Print Name of Applicant
Kathy K.Nickerson Kathy K.Nickerson
•' Notary Public State of New York
r Commission No.01 N16237550 t Notary Public-State of Now York
Qualited in Orange Coun , E
Commission No.01N16237550
My Commission Expires 312t120 Qualifed in Orange County
My Commission Expires 3l21120Y
6/1/2024