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O a�i V I■� rj H Q i/ 0 �y44 O _ CL� ° O oC n O BUILDING DEPARTMENT D VILLAGE OF RYE BROOK SUN 18 2025 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 'VILLAGE OF RYE BROOK www.aebrooknv.gov BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHicH DOES NOT REQUIRE VILLA [TECTURAL REVIEW BOARD APPROVAL FOR OM!CE USE ONLY: .lUN 2 3 � 4 APPROVAL DATE: #: i — 13 / APPLICATION FEE: * , APPROVAL SIGNATURE: PERMIT FEES: g/ A-1) _ H.O.A.APPRovAL• DATE DISAPPROVED: OTHER: ############Rf#####rt#rt#f#f#ff#rtrt#4#f#f############frtrtrtfrtf#rt*####rtrt####ff####rtf rtf#rt###*##rt#rt###f#frtrtrtfrtrt#rt## Application dated: ram-�c� � is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance ofa Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. I. Job Address: 31 Doral Greens Drive West, Rye Brook, NY 10573 2. ParcelID#: 129.26-1-34 zone: a� 3. Proposed Improvement(Describe in detail): Installation of( 1 ) replacement Andersen Acclaim 200 Series perma-Shield 2-Panels Gliding Patio Doors Into existing openings with no —sfr—uctural alterations. 4. Property owner: Carole Haber Address: 31 Doral Greens Drive West, Rye Brook, NY 10573 Phone# (914)937-2037 cell 4 a-mail hillair33@aol.com List yell Othcr Properties 0%%n%d in R c Brook: Applicant: Lindsay LOson Address: 2261 Market Street STE 10301, San Francisco, CA 94114 Phonc a 315-335-8730 Cool s; -Itl ll lindsay@permitflow.com Architect: NIA Address: Phony a Cell Engineer: N/A Address: Phone u Cvll = r-mall Oenertl Contractor: Fairchester Custom Windows LLC - Renewal by Andersen Address: 421 West Ave, Building 1, Stamford, CT 06902 Phone;; (203) 292 - 0367 C`;II PERMITS@RBAWt,.rlchester.com :-mail C� fl? 6r1no24 5. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: N/A 6. Area of lot: Square feet: Acres: N/A 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: NIA right side yard: left side yard: other: 8. 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: 111 fl: 2"d fl: 3Id fl: N/A 10. Total Square Footage of the proposed new construction: NIA 11. For additions,total square footage added:Basement: 1a1 fl: 2°d fl: 3fd 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:()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: NIA 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: N/A 18. Roof style: peaked,hip,mansard,shed,etc: Roofing material: NIA 19. What system of heating: N/A 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 suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No:_ N/A (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets ofdetailed 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: (if yes,applicant must submit a Site Plan Application,&provide detailed 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 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 (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 be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§2 3 5 of Village Code?Yes: No: N/A (ifyes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: N/A 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 $9,746 Note:estimated cost shall include all site improvements, labor,material,scaffolding,feed 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. 30. Estimated date of completion: N/A (2) 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK RTJUN 18 2025 938 DING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www,ryebrookny.gov 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: CAROLE HABER residing at, 31 Doral Greens Dr I, , r Print!,.ime' (Address where)uu five) 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; 31 Doral Greens Drive West, Rye Brook, NY 10573 (Job Address) 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. (Signature u' ropertv0wner(s)) CAROLE HABER (Print Name of Propert} Ouneris)) Sworn to before me this I� BRIAAt MIaCDvrtALiJ N rA"nc dayof -SunG state of Conn ecttc u MY COMMISSION EXPIRES Oct 312025 (3) 6/1/2024 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. 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 fier�l� Tres that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the Acatio TT 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. Swom to before me this 1 f-h Sworn to before me this 9th day of 5L)ne 20 _ day of, June. .20 25 signature of Applicant na re ofPr!2-operty Owner / LINDSAY LOSON CAROLE HABER Print Name of Applicant Print Name of Property Owner Clark Notary Public 25-9552-01 Notary Public _c..• arton Lawlor t3F21.e.N MACDpNAt.,O :^ t• ; NOTARY PUBLIC NorARYPUBLJC STATE OF NEVADA State of Connecticut Appt.No.25-9552-01 MY COMMISSION EXPIRES Oct 31 2028 t~�'•,+ Expires January 25 2029 (4) 6/1/2024