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Home My WebLink AboutBP25-237 Docusign Envelope ID:F65F9B69-FFE4-4866-8023-656DF95A4334 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KiNc,STREET Rn BROOK,NY 10573 DEC4 20,25 (914)939-0668 www.aebrookny.gov ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT RE DIRE VILLAGE ARCHITECTURAL REV1Ew BOARD APPROVAL FOR DEFICE USE O L APPROVAL DATE: RMI APFLICATION FEE: 100 APPROVAL SIGNATURE: PERMrr FEES: H.O.A.APPROVAL: DATE: i� DISAPPROVED: OTHER: Application dated: 10/30/2025 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. 1. Job Address:_27 Old Orchard Road, Rye Brook, NY_ 10573 2. Parcel ID#: 135.26-1-67 Zone: 3. Proposed Improvement(Describe in detail): Installation of 1 replacement Andersen Acclaim Casement Single , Exterior White, Heatlock and tempered Glass, no grilles into existing openings with no structural alterations. 4. Property Owner: JUDITH KAPLAN Address: 27 Old Orchard Road, Rye Brook, NY 10573 Phone# (203) 292-0367 Cell#(203) 292-0367 e-mail Jkap1an60 gmail.com List All Other Properties Owned in Rye Brook: Applicant: Lindsay Loson Address: 2261 Market St, Suite 10301, San Francisco, CA 94114 Phone 9 3153358730 Cell # e-rnail IindsaY@p'rmitNow.com Architect: NIA Address: Phone# Cell# e-mail Engineer: NIA Address; Phone# Cell# e-mail General Contractor: Fairchester Custom Windows LLC Address: 421 West Ave, Building 1, Stamford, CT 06902 Phone# 475441-8425 Cell# e-mail PERWTS4@RBAWestchester,cwn (t) 6/1 I2024 Doauaign Envelope ID:F65F9B69-FFE4.4866-8023-656DF95A4334 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Past-construction:N/A 6. Area of lot: Square feet: Acres: _ 7. Dimensions from proposed building or structure to lot lines: front yard: NIA rear yard: NIA right side yard:NIA left side yard: other: N/A 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: N/A i-Il:N/A tad fit,NIA 3 d fl: N/A__ 10. Total Square Footage of the proposed new construction: N/A 11. For additions,total square footage added:Basement N/A i-fh NIA 2-fl:N/A 31d f: N/A 12. Total Square Footage of the proposed renovation to the existing structure: N/A 13. N.Y.State Construction Classification. N/A N.Y. State Use Classification: NIA 14, Construction Type&Location:()Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; ()Pre-engineered wood[PWJ;Located;()Floor Framing[F];()Roof Framing[R];()Floor&Roof Framing[FRJ;Other: I5. Number of stories:N/A Overall Height: Median Height: N/A 16. Basement to be full,or partial: finished or unfinished. NIA 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: 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 fire suppression system?(Fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc...)Yes: No:_ (lf yes,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:_.4rea:WA 23. Will the proposed project require a Site Plan Review by the Village PIanning Board as per§209 of Village Code? Yes: No: (f 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: N/A No: (if yes.you mast 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 ofwelland 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 (f 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§235 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 1: TIER lI: T[ER III: (if yes,a_Home Occupation Permit Application is required) 29, What is the total estimated cost of constn tion: $$2,779.00 Note:estimated cost shall include all site improvements,labor,material,scrtffo ding fzed equipment,profe_ ' nal 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 Docusign Envelope ID:F65F9369-FFE44866-8023-656DF95A4334 BUILDING DEPARTMENT VILLAGE OF RYE.BROOK DEC 0 4 2025 938 KING STREET RYE BROOK,NY I0573 (914)939-0668 www.ryebrookny.gov .AFFIDAVIT OF COMPLIANCE VILLAGE CODE &216 • STORM SEWERS AND SANaMy SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE Op THE LEGAL pROPERTY OPENER 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 WEESTCHESTER ) as; I,JUDITH KAPLAN �, residing at, 27 Old Orchard Road, Rye Brook, NY 10573 �1=,u�t[�,ftncl i.Aciti:: ,try; Ilk, 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; 27 Old Orchard Road 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. Doeu5igned by: FJL4J4 1 Signaturl o . JUDITH KAPLAN (Print Natncu!'i'ttri�.z�� Sworn to before me this day of A,64W1E42- 20 Z� FRANKLIN E. BARAHONA --� —Notary Public, State of ConnectIcut My Commission Expires Dec 31, 2027 (3) 6/12024 pocusign Envelope ID F65F9$69-FFE4-486&8023-656DF95A4334 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 Logan 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 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 b Sworn to before me this day of fl �c �3t , 20 �? day of , 20 tlocus4gned by, )JJ& � CZt/tLtJ 4�d.S0/L tg .owner Signature of Appliognt JUDITH KAPLAN LINDSAY LOSON FRANKLIN E. RARAHONA Print Name of Property Owner FNotary Public, State of Connecticut Print Name of Applicant Commission Expires Dec 31, 2027 Tvota Notary PY' i (4) 6/112024