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BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROmc,NY 10573 JUN 2 7 2025
(914)939-066S
�NNN .rNebrooknti.`ov VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
s /��, �]
Approval Date 2 P 't r/w`-'� Application# 6 _
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# : Secretary:
ZBA Approval Date: Case#
Other: ,,�^�
Application Fee ' j!S Permit Fees:
APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR ARRAY
Application dated: CP._a_7-4S is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance ofa Permit for the
installation ofa Photovoltaic Solar Array as per detailed statement described below.
1. Job Address: 11 Carlton Ln., Rye Brook, NY 10573 SBL:135.42-1-10 Zone: ev._�k
2 Type,kW&Location of Array,(use additional sheets ifnecessarv): PV Solar Install-Roof Mounted/System Size: 15.180 kW DC
(33) REC SOLAR REC460AA PURE-RX Modules
(33) ENPHASE IQ8X-80-M-US Micro-Inverters
3. Property Owner: Fabio Marconi Goncalves de Arruda Address: 11 Carlton Ln., Rye Brook, NY 10573
Phone# Cell# 914-559-8531 -e-mail fmarconi73@gmail.com
4. Applicant:NYS Solar Farm, Inc. /Anthony S. Sicari, Jr. Address: 1938 Route 44/55, Modena, NY 12548
Phone# 845-256-6051 Cell# e-mail Rose@nysssf.eom
5. Design Engineer: Arash Zandieh P.E. /AHZ Consulting Address: 111 Rodeo, Irvine, CA 92602
Phone# 901-692-0431 Cell# e-mail a.zandieh@ahzengineers.eom
6. Solar contractor: NYS Solar Farm, Inc./Anthony S. Sicari, Jtkddress: 1938 Route 44/55, Modena, NY 12548
Phone# 845-256-6051 Cell# e-mail Rose@nyssf.com
7. Occupancy;(I-Fain,2-Fam.,Commercial-,etc I Pre-construction:SFR Post-construction:SFR
B. If building is located on a comer lot,which street does it front on:
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;O Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other:
PV Solar Install - Roof Mounted
PV Solar Existing:Roof 1 131 Degrees
11. Number of stories: Roof Style:(hip,shed,mansard.etc...) Install Roof Mount Roof 2/14 Degrees-Roof 3123 Degrees-Roof 4/34 Degrees
Roof 5 134 Degrees
12. Will a New Roof Be Installed: No Ili Yes ❑ (a separate roofing permit is required to re-roof an existLng building)
13. Roofing Material&Number of Layers: Exisiting Residential Roof Top
I
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
Stotmwater Management Control Permit as per§217 of Village Code? No: d Yes: ❑ Area:
15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
No: d 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: d Yes: ❑
(If 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: 91 Yes: ❑
Indicate:TIER I: TIER ll: TIER III: _ (if yes,a Home Occupation Permit Application is required)
18. What is the total estimated cost of construction: S 26,015.00
(Note:The estimated cost shall include all site improvements,labor,material,scaffolding,fired 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 C/O)
19. Start Date:ASAP Completion Date: Approximately 2 Days
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.
*kkkk***k************#*k*****k*k*****At*A#!***k**********k**********#********k******kk***k***k*k******k***
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
1, Anthony S. Sicari, Jr. / NYS Solar Farm, Inc. ,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 property to which this application pertains,or that(s)he is the,
Contractor/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 `-' Sworn to before me this
day of P 20 day of 20 -
B1AN-(�:9z cxt
LJNotary Puhllc,S
tary Public No.01
Qualified in Ulster n
Term Expires I ecem
gnature of JS' owns Signature of Appli ant
Fabio Marconi Goncalves de Arruda Anthony S. Sicari, Jr. I NYS Solar Farm, Inc.
Print Name of Property Owner Print Name of Applicant
2
Karin A. Card
Notary Public, State of Connecticut
My Commission Expires Feb.28,2027
6/112024