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BUIL TMENT ES
� MEWED
VI E OF R OOK
938 KING 4 ET RYE BR ,NY 10573 MAY 2 3 2025
4} 9-0
. ov VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
Approval Date: JUN P rmit# Application# �9
Approval Signature: ARCHITECTURAL REVIEW BOARD:
r
Disapproved: Date:
Y
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case# Al
Other:
Application Fee: . Permit Fees:
APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR ARRAY
Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the
installation of a Photovoltaic Solar Array as per det'led statement described below.
1. Job Address: 10 Arlington PI.�Y 573 SBL: 135.44-1-39 Zone:
2 Type,kW&Location of Array,(use additional sheets if necessary):
Installation of a 11.475kw and tied roof mounted solacestem.
Installing a total of 27 solar panels
3.Property Owner: LuCaS Amaral Address: 0573
Phone# (914)61.9i-3333 Cell# e-mail Iamaral877C@oma11_rnm
4.Applicant: Emily Quiroa Address: 13 N Liberty Dr. Stony Point NY_10980
Phone# 201-371-3248 Cell# e-mail permitagonsiteenergyusa.com
5. Design Engineer: Ermocrates Castillo P.E. Address: 1060 Maitland Center Commons Maitland FL 32751
Phone#407-289-2575 Cell# e-mail info®castilope.com
6. Solar Contractor: OnSite Energy Inc. Address: 13 N Liberty Dr. Stony Point NY 10980
Phone#201-371-3248 Cell# e-mail permits@ onsiteenergyusa.com
7. Occupancy;(t-Fam.,2-Fam.,Commercial.,etc...)Pre-construction:1-Fam Post-construction: 1-Fam
8. If building is located on a corner lot,which street does it front on: NIA
9. N.Y.State Construction Classification: N.Y.State Use Classification:
10. Construction Type&Location:O Typical Western Lumber Frame;O Timber Frame[TC];O Wood Truss[TT];
()Pre-engineered wood[PW];Located;()Floor Framing IF];()Roof Framing[R];()Floor&Roof Framing[FR];Other:
N/A
11. Number of stories: 3 Roof Style:(hip,shed,mansard.etc...) Hip
12. Will a New Roof Be Installed: No ❑ Yes 2 (a separate roofing permit is required to re-roof an existing building)
13. Roofing Material&Number of Layers: Comp Shingle
1
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: 0 Yes: ❑ Area:
15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
No: ® 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: 0 Yes: ❑
(If yes,applicant must submit aTeee Removal Permit Application)
17. Does the proposed project involve a Home-Occupation as per §250-38 of Village Code? No: V 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: $ 22,950
(Note:The estimated cost shall include all site improvements,labor,material,scatFolding,fixed equipment,professional fees,including any material and
labor which may he donated gratis,if the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the C/O).
19. Start Date: 7/30/25 Completion Date: 8/30125
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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:
I, Emily Quiroa ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing as the applicant)
and fttrther 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 Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations.
Sworn to before me this AIr Sworn to before me this
day of 20 l__ day of a o25
Notary Public N ary blic
4it&ignature o Property Owner Signature of Applicant
Lucas Amaral Emily Quiroa
Print Name of Property Owner Print Name of Applicant
HOLLI FINN
EMILY QUIROA Notary Public,State of New York
960
Notary Public-State of New York Reg.No, odda d County
No.01QU6350827 \CN'sv Qualified in Rockland Cou,2CP
Qualified in lot Cou tt 2 Commission ExWrss March 18,2
My Commission Expires 11121120a U'Zl�
6/l/2024