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Home My WebLink AboutBP26-009 BUIL $ARTMENT VILE, E OF RYE BROOK 938 KING ' ET RYE BROOK,NY 10573 9-0668 JAN 0 $ 2020" wv vknN.gov FOR OFFICE t1SE ON N : Approval Date: JAN 1 Permit# Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application F . , Permit Fees: W214ce EXTERIOR BUILDI PER ON Application dated: 0 0 Z is hereby made to the Building Inspector of the Village of Rye Brook,NY,for die 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: +9..]j S.� '�1_ aft. _� . 2. Parcel 1D#: I`}I .3 3 - 1} Zone: i 3. Proposeddd Improvement(Describe in detail): OL64 t,. ty W Cow U,tl f L N rt 1n--/I W 2 5 x 10 ✓'a 5 1111 `' i x t�b i(( si oat�t 1 �� Ve✓ X a 4. Property Owner: A w6 tn, o QL.o Address: 1 S ,p r. .N. I 0 evi Phone#�� A �f `p � Cell 6 1- 45) Z e-mail 0��(p�;Q I yt�.C�1/P,✓ � ' 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# e-mail (1) ` 6/l/2024 L 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: 0 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. Area of proposed building in square feet: Basement: 1"fl: 2"d fl: 31d fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: 11 fl: 2Rd fl: 31 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. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: finished or unfinished: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL 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. f3.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: 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: ' (if ves,applicant must subunit 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: (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: (ifyes,the area of wetland and the wetland buffet-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: Na:.-1< (ifyes,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 (fyes,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: (ifyes,a Home Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: J1r }� — I 29. What is the total estimated cost of construction: S ,6 0to 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 CIO. 30. Estimated date of completion: a t �4 ZO 7'(0 (2) 6/1l2024 BUILDING DEPARTMENT VILLAGE OF RYi-,OROOK 938 KING"ET RYE BR(kitf NY 10573 ` J1 J::offJAN 0 8 2026 V 1 I }...�-... s .. -�.� - _ ''1• I AFFIDAVIT OF COMPLIANCE VILLAGE CODE &21 6 • 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: 3J, &4ento G w4o ,residing at, is.y ogot I Prini name l i 1.I11 . - 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; 57 (,3,o �J+ L l'avL `7t- , Rye Brook,NY. (Job Addres,i 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. ISignaiure of Propci. .Nnerlsil iPrint .:r._ >uncrlclr Sworn to before me this gA� day of , 20 QC-3_ E4W111 3U#Jdl"rt±,irri Notury Public-State of NY _2` No 01SU6042483 :,qualified in Westchester County M-1 Carnrnh;siori Expires Mav 30,,J'�to 6nr2o24 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 YqRK,COUNTY OF WES`fCHESTER ) as: &' M%,e, {a f& p ,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 o W^Iey 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 iN' Sworn to before me this 8 t h day of b r o t`. , 20_,�6 day of .- c ,20 5Zit Signature of Property Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant LR: Notary Public Notary Public EAMIn 3undheirn Notury Public-State of NY No 01 SU6042463 :qualified in Westchester County Mj :;.,erarniiisian Expires May (B} 6/l/2024 lot Q CI-1Ant � ,V 10 30 72 � = a A IV 4 _ SEE# d DA At �Q Kp BUILDING INSF>cCTO Uiit _ k . �' aft {owX � r+159ti'�w P