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HomeMy WebLinkAboutBP25-143 i L s N p C ° \ W v ° N to N C+n ■ a M � �j O .00. E ■ Y�i.r1 � 0 N ■ � A C4 Q �t b � � ■ W rn DC rr� J) eYe O C yr o ■ i--i �p W � .� v � v � W aq ■ V 1 c, O 4b - a � ■ ~ o ye 'O w J L ■ �i W z H © 4 M T [r. uu c � �-+ � � O N 00 � � Y y � � y .� O ■ O y Q O L W 00 W z C4 O A O W U 4 o V ■ ° O U EO G1 U F 5 r .na CO - __ ON A x © zz 70 v H L w z � A aj y x L p w y u ren � � � o � a u +' r cn I� w 'p p u u � a. � i L _ BUILDING DEPARTMENT U V VILLAGE OF RYE BROOK 938 KING STREET RYE BRQOK,NY 10573 JUN 2 5 2025 (914)939-0668 WWW,ryc ekny.R0 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICIi DOES NOT REQUIRE VILL%GE ARCHI'rECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY: 2 � �YF � � 3 APPROVAL DATE: JUN Y PE AAPPLICATION FEE: — APPROVAL SIGNATURE: PERMIT FEES: '4ff � 1 ]y) H.O.A.APPROVAL: DATE: DISAPPROVED: OTH ER: Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY.fbr the issuance of Permit for the construction of bui i gs.stluctures,additions,alterations or for a change in use, e�yyas��per detailed (�statement described below. 11 ���j 1. Job Address: f Q �1I IT RIL r 'V W ! 2. Parcel 1D#: e `� �—/ i / 7_ Zone: AUL Proposed Improvement(Describe in detail): �a 1 MR UnP 4. Property Owner: Address: ri U r Phone# Cell# � �' "'J / e-mai It wytzt r'1v1 I•cc al List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell # e-mail Architect: Address: Phone# Cell # e-mail Engineer: Address: Phone# Cell # e-mail General Contractor: ` Address: Phone# Cell# 0 Q e-mail {19 5. Occupancy;(I-Fam..2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Areh of proposed building in square feet: Basement: IS`fl: 2"dfl: 3'd fl: 10, Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: I`fl: 2ad fl: 3rd fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y. State Use Classification: 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: 15. Number of stories: Overall Height: Median Height: 16. Basement to be full,or partial: finished or unfinished: 17. What material is the exterior finish: 18. Roof style: peaked,hip,mansard,shed,etc: Roofing material: 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. 21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic lire suppression system?(Fire Sprinkler,ANSL System, FM-200 System,Type I Hood, etc...)Yes: No: _ (ifyes, 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: 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: (ifyes,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: (ifyes, the area of wetland and the wetland buffer zone must be proper(v depleted 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: (ifyes, the area and elevations ofthe flood plane must be properly depicted an the survey&site plan) 27, Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: (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: Indicate:TIER 1: TIER 11: TIER III: (ifyes, a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: S 10,"• Q[J Note:estimated cost shall include all site improvements. labor, material,scaffolding,fixed equiptn nt,professional fees, including any material and labor which may be donated gratis. lithe final cost exceeds the estimated cost, an additional fee will be required prior to issuance ofthe CIO. 30. Estimated date of completion: (2) 6/112024 BUILDING DEPARTMENTDD VILLAGE OF RYE. BROOK ,11N Z 5 ZOZS 938 KING STREET RYE BROOK,NY 10573 (914) 70668 VILLAGE OF RYE BROOK www.rvetokny.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 . STA OF NEW YORK, COUNTY OF WESTCHESTER ) as:L ,residingat, )AGI& CtnceA, + (Print nan}c) IAddress�%hcrc NOU Ike) 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; Rye Brook, NY. (Job Address) 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. U'-Am 2Di*4 (Signaturco'l'roperh ()%encr(s)) 7a I fcr-, (Print Name of roperh t> i�rl.I I Sworn to before me this of S 11.r1Q , 20 (r\1<i I�m L�-i "_ �ML& (Notan-7 1'i Notary Public,State of New York No.01ME6160063 Qualified In Westchester county Commission Expires landary 29,207 l (3) 6/112024 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. S OF NEW YORK,COUNTY OF WESTCHESTER ) as: I 0has , being duly sworn,deposes and states that he/she is the applicant above named, (print nante 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 for the legal owner and is duly authorized to make and file this application. (indicate architcet,wntraaor,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 stortnwater or groundwater connections //or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this d Sworn to before me this day of � 2 , 20 61S day of , 20 *M Signature of Property Ow Signature of Applicant 'yPw(cl) 7(1 Print Name of'Property Owner Print Name of Applicant Notary Public Notary Public SHAM MELILLO Notary Public,state of New York No.OIME6160063 Quadfled In Westchester County Commission Expires January 29,2027 (-4) 6/l/2()24