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BUIL MENT .,. �-='_L
VIL E OF R OOK I
938 KING ET RYE BR ,NY 10573
L Ml� 23
ov VILLAGE OF 1=.YE. BROOK
BUILDING DEPARTMENT
FOR OFFICE USE ONLY:Approval Date: fd / Application# af) —V7�t
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
,FF
Other:
Application Fee: Permit Fees: 16
EXTERIOR BUILDING PERMIT APPLICATION
Application dated: May 20, 2025 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the
construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below.
1. JobAddress: 566 Westchester Avenue
2. Parcel ID#: 135.83-1-55 zone: R2-F
3. Proposed Improvement(Describe in deWl): Addition of 2 egress roof windows on east side of
existing residence J,-7S4Q/! �QG�
4. Property owner: Michael and Lori Kopy
Address: 566 Westchester Avenue, Rye Brook, NY 105p731-
Phone# Cell# / - Io7--'8 tP�� e-mail lorkop@hotmail.com
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: / $/ 0/YIP �'/1O v�eo s'-7; G Q S Valg6 /OS
Address: l d d E o w C k
Phone# ' 5 Cell# e-mail
(1}
611/2024
5. Occupancy; 1-Fam 1-Fam
p y;(I-Fain,2-Fain.,Commercial.,.etc construction: Post-construction:
6. Area of lot: Square feet: 5,034 Acres: .115
7. Dimensions from proposed building or structure to lot lines: front yard: N/A rear yard: N/A
right side yard: N/A left side yard: N/A other:
8. If building is located on a comer lot,which street does it front on:N/A
9. Area of proposed building in square feet: Basement: 1°`fl: 2111 fl: 3'fl:
10. Total Square Footage of the proposed new construction: N/A
11. For additions,total square footage added:Basement:N/A I'fl: N/A 2n"fl: N/A 3'fl: N/A
12. Total Square Footage of the proposed renovation to the existing structure: -0- N/A
13. N.Y.State Construction Classification: 5 N.Y.State Use Classification:
14. Number of stories: 2-1/2 Overall Height: Median Height:
15. Basement to be full,or partial: N/A finished or unfinished: N/A
16. What material is the exterior finish: Stucco
17. Roof style;peaked,hip,mansard,shed,etc: Peaked Roofing material: Asphalt
18. What system of heating: N/A
19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this
application. N/A
20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire
suppression system?(Fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc...) Yes: No:X
(if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans)
21. 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: NoX Area:
22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes: NO: X (fyes,applicant must submit a Site Plan Application,&provide detailed drawings)
23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No X
(if yes,you must submit a Site Plan Application, &provide a detailed topographical survey)
24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No>X
(if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan)
25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No:X
(if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan)
26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No:X
(if yes,applicant must submit a Tree Removal Permit Application)
27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No
Indicate: TIER I: TIER H: TIER III: (if yes,a Home Occupation Permit Application is required)
28. List all zoning variances granted or denied for the subject property:
None
29. What is the total estimated cost of construction: $ o D coo '— Note:The estimated cost
shall include all site improvements,labor,material,scaffolding,fixed equipment,professioilalfees,inc uding 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: SSG -r SO ZS
(2)
6n/2024
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914)939-0668
RESIDENTIAL LOT AREA COVERAGE
Address: 566 Westchester Avenue Section: 135.83 Block: 1 Lot: 55
PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS
YOUR ZONE AREA IN MAIN ACCESS. DECK
ZONE DISTRICT SQ. 'FEET BLDG. BLDG. MAX.
CHECK MAX.
R-35 35,000 14% 4% 5%
R-25 25,000 14% 3.5% 4%
R-20 20,000 14% 3.5% 4%
R-15 15,000 16% 3.5% 4%
R-15A 15,000 12% 3.5% 4%
R-12 12,500 17% 4% 4%
R-10 10,000 20% 4.5% 3.5%
R-7 7,500 23% 4.5% 3.5%
R-5 5,000 30% 5% 3.5%
xx R-2F 5,000 30% 5% 3.5%
Existing: Proposed:
1.AREA OF LOT 5,034 Sq. Ft. 5,034 Sq. Ft.
2. AREA OF HOUSE
a. Coverage of Main Building
(including Attached Garage or Accessory Building) 97g Sq. Ft. 979 Sq. Ft.
b. Area of 1 st Floor Divided By Area of Lot x 100 19.45 %0 19.45 %
3. AREA OF ACCESSORY BUILDING 280 280
(Includes Detached Garages,Tool Shed, Playhouses) Sq. Ft. Sq. Ft.
a. Coverage of Accessory Building
5.56 5.56
Area of Accessory Building Divided By Area of Lot x 100 % %
4. AREA OF DECK NIA Sq. Ft. N/A Sq. Ft.
a. Coverage of Deck
Area of Deck Divided By Area of Lot x 100 NIA % N/A %
I attest to the best of my knowledge and belief,the above information is correct.
Are ect' ignature
(3)
6/1/2024
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914)939-0668
IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS
Address:566 Westchester AvenueSection: 135.83 Block:1 Lot: 55 Zone: R2-F
IMPERVIOUS SURFACES(Definition): All buildings,as defined herein, and all areas on the ground or elevated above
the ground which are comprised of materials through which water cannot readily flow, including, but not limited to
asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court
yards,sports courts,swimming pools,patios,sidewalks,ramps,terraces and driveways.
TOTAL MAXIMUM PERMITTED MAX• PERITTED
COVERAGE Zoning IMPERVIOUS
LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT
(sq.ft.) For Base Lot For Lot Area YARD(°f°)
Area(sq.ft.)* Over Base R-35 15
Lot Area % R-25 20
0 to 4,000 0 55 R-20 30
4,001 to 6,000 2,200 35 x
6,001 to 12,000 2,900 27 R-15 35
12,001 to 16,000 4,520 26 R-15A 35
16,001 to 20,000 5,560 25 R-12 40
20,001 to 30,000 6,560 24
30,001 to 40,000 8,960 23 R-10 45
40,001 &larger 11,260 22 R 7 40
R-5 30
*"Base Lot Area"is the minimum end of the lot size R2-F x 30
range in the"Lot Area"column
Area of lot: 5034 s .ft. Existing Ailowed Proposed
Total impervious coverage = 2327 S .ft. 1762 S . ft. 2327 NIC S .ft.
Front impervious coverage = 31 °1° 35
31 N/C
I attest to the best of my knowledge and belief,the above information is correct.
r"
Ar itect Signature
(4)
6/1/2024
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914)939-0668
BULK REGULATIONS IN RESIDENTIAL DISTRICTS
Address: 566 Westchester Avenue Section: 135.83 Block: 1 Lot:55
MAXIMUM GROSS FLOOR AREA
USE FORMULA: Maximum Grass Floor Area = 4,000 + [(Lot Area—21,780) x 0.11478421 ]:
a.Allowed = 2207 Sq. Feet
b. Existing = 2214 Sq. Feet
c. Proposed 2214 N/C Sq. Feet
HEIGHT/SETBACK RATIOS FOR RESIDENTIAL DISTRICTS
DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of
the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane
beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the
specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer
windows not covering more than 10%of the entire roof area, shall be permitted to extend. Height and Setback shall be calculated using
the formula; Heiaht/Setback=X,where X is the required side or front yard ratio for the zoning district in which a property is located
as specked in Article Vill of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings.
FILL IN YOUR RATIOS:
ZONE EXISTING PROPOSED REOUIRED
FRONT: FRONT: FRONT: .44
R35 SIDE: SIDE: SIDE: 1.20
FRONT: FRONT: FRONT: .48
R25 SIDE: SIDE: SIDE: 1.30
FRONT: FRONT: FRONT: .60
R20 SIDE: SIDE: SIDE: 1.60
FRONT: FRONT: FRONT: .60
R f5 SIDE: SIDE: SIDE: 1.60
FRONT: FRONT: FRONT: .80
R MA SIDE: SIDE: SIDE: 2.40
FRONT: FRONT: FRONT: .69
R--12 SIDE: SIDE: SIDE: 1.60
FRONT: FRONT: FRONT: .80
R-10 SIDE: SIDE: SIDE: 2.40
FRONT: FRONT: FRONT: .96
RY SIDE: SIDE: SIDE: 3.00
FRONT: FRONT: FRONT: 1.20
R-5 SIDE: SIDE: SIDE: 4.00
FRONT: FRONT: FRONT: 1.20
R2F SIDE: SIDE: SIDE: 4.00
1 attest to he best of my I wiedge and belief,the above information is correct.
Arch' is Si ature (s)
6/1/2024
BUILD, MENT
V >E OF][t OK MAY 2025
938 KING ET RYE BR NY 10573 �-
_0 VILLt"GE O% EZYC $ROOK
BUILDING DEPARTMENT
ov
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:
Michael and Lori Kopy ,residing at,566 Westchester Avenue, Rye Brook, NY
(Print name) (Address where you live)
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;
566 Westchester Avenue ,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.
W � ��c
(Signature of Property Owner(s)'i
Michael and Lori Kopy
(Print Name of Property Owner(s))
Sworn to before me this ,�o
day of M
rcub � ARy•,(cam
NQUA!lF4giLcD 962'.
'WCSrCoER COUNTY'
NJ . 7 7-2g.pp xp (6)
����y�F"AUB!1 C •' Q.�`���w! 611/2024
This form must be properly completed ¬arized by the Design Professional of
record and the Property Owner. Failure to provide this completed form with your
permit application will delay the permitting process.
Notice of Utilization of Truss Type, Pre-Engineered Wood,
or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR)
To:The Building Inspector of the Village of Rye Brook.
From: Rex B. Gedney, AIA, Architect
Subject Property: 566 Westchester Avenue SBL: 135.83-1-55 Zone: R2-F
Please take notice that the subjectXXOne or Two Family; ❑Commercial,
❑New Structure
❑Addition to an Existing Structure
)9(iehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize;
❑Truss Type Construction(TT)
❑Pre-Engineered Wood Construction(PW)
XX Timber Construction(TC)
in the following location(s);
❑Floor Framing,including Girders&Beams(F)
)(Woof Framing(R)
❑Floor Framing and Roof Framing(FR)
Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or
building utilizing truss type, pre-engineered wood, or timber construction must be posted with a
Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings,
and NYCRR§1265 for One&Two Family Dwellings.
Swom to�begfore me this 24 Sworn to before a this ZO
day f M 20 day ofZI ,20
Signature of Property Owner Si a o Desi n Profess' nal
Michael and Lori Kopy Rex B. Gedney, A
Print Name of Property Owner Print Name of D sig fesV
nil
N
Not Pub WWgry Public
+IrG�11� //`i DANIELLE DEVITO
\`��` Q`.• '' O1 qR�,�i��i NOTARY PUBLIC-STATE OF NEW YORK
MO_ f GE4s88g `• No.01 DE6307850
rwe� RLfFfcD i 62: Qualified in Westchester County
HESrE N =
O qI EXp�rrv,: _ (�) My Commission Expires 07.14-202�
N� T 1-25 20
IC
���%i� F!N E\N %\'����a
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:
Rex R cedney. AIA, Architect ,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 properly 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. 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.
Sworn to before me this 20 / Sworn to before me this 1t7
day of JAA 20 ?IQ day of ,20_2�_
/)N
Signa a of Property Owner Si ature of Applican
Michael and Lori Kopy Rex B. Gedney, A
Print Name of Property Owner Print Name of Applicant
\\\��$utG ESN
otafublic `��` Notary Public DANIELLf DEVITp
:'N�UAGE4498LIFIED N2'; NOTARY PUBLIC-STATE OF NEW YORK
'WESTCHESTERCOUNTY: _ No.01DE6307850
COMM.EXP. Qualified in Westchester County
11-25.20
@4"�� My Commission Expires 07-14-202
•����q?F/O Fl N Ems`.+��°��
(8)
6/112024