DO NOT START CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR

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EXTERIOR BUILDING PERMIT APPLICATION, FILING INSTRUCTIONS & PROCEDURES BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET, RYE BROOK, NY 10573 PHONE (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org Applicants seeking an Exterior Building Permit must first obtain approval from the Village Architectural Review Board (ARB). Applicants proposing an addition(s) to an existing 1 or 2 family dwelling which will result in an increase in Gross Floor Area of 50% or greater must also comply with Village Code Chapter 8-13 entitled, Public Notice. A representative of the applicant must be present at the ARB meeting which is held on the 3 rd Wednesday of every month, 7:30 p.m. at Village Hall in the main meeting room. Applications must be submitted to the Building Department by no later than the 3 rd Wednesday of the month in order to be considered for the next month s agenda. For those properties regulated by a Home Owners Association, written permission by your HOA is required prior to attending the ARB meeting. Please note that the agendas are limited to ten (10) applications per month. Once your application receives ARB approval, it must then be reviewed by the Building Inspector for compliance with all applicable state and local building codes, and for issuance of the permit. DO NOT START CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF $600.00 & A MAXIMUM OF $5,500.00 APPLICANT S INITIAL SUBMISSION TO THE BUILDING DEPARTMENT MUST INCLUDE: 1. A properly completed application with notarized signatures where indicated. 2. Application filing fee: Residential = $75.00 / Commercial = $175.00 (Application fees are non-refundable) 3. Completed & Signed Application Check List 4. Eight (8) sets of dimensioned site plans depicting the location of all existing and proposed buildings and/or addition, alteration, repair, including proposed elevations, floor plans and all existing and proposed property setbacks. Plans must be signed & sealed by a NY State Registered Architect or NY State Licensed Professional Engineer. (The maximum allowable size plans are 36 x42 NO EXCEPTIONS) 5. Eight (8) copies of a recent survey of the subject property. (A topographic survey is required for any proposed re-grading or work in a steep slope as defined by Village Code) 6. One (1) electronic copy of the entire application including all plans, surveys, photographs, etc... 7. Photographs showing front & side views of the existing property as well as photographs of properties on either sides and across the street. 8. Samples of Materials and Finishes. (Sample boards may be presented at the meeting) FOLLOWING APPROVAL BY THE ARB, THE APPLICANT MUST SUBMIT THE FOLLOWING: 1. Full payment of the building permit fee. (see permit fee schedule on the following page) 2. Your contractor s valid Westchester County Home Improvement License. 3. Your contractor s valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 4. Your contractor's valid proof of workers compensation insurance. (Form # C105.2 or other approved NY State form / or NY State Workers Compensation Waiver) 5. The Call Before You Dig (dial 811) dig number. 6. Three (3) sets of sealed construction drawings. (one full-sized set [max. size 36 x42 ] and two 11 x17 sets) 7. Fire sprinkler systems are required for all new buildings, for additions & alterations to commercial buildings and when finishing a third (3 rd ) floor in a 1 or 2 family dwelling. Any installations of a new, or modification to an existing fire suppression system, (fire sprinkler system, ANSL system, FM-200 system, Type I Hood, etc ) require a separate Automatic Fire Suppression System Permit application & two (2) sets of engineered plans. Fire sprinkler plans must be approved by the Building Inspector prior to the issuance of any permit, and Westchester County Department of Health approval is required for the fire sprinkler system s backflow prevention device. 2/10/2015

BASIC BUILDING PERMITS FEE SCHEDULE: Commercial: $20.00 / $1000.00 of construction cost. Residential: Fee A For new construction & additions less that 800 sq. ft. in size and alterations, decks, patios or other work: $15.00 / $1000.00 of construction cost. Fee B For new construction/additions 800 sq. ft. in size or greater; Total Gross Floor Area x $220.00 x $15.00 / $1000.00 plus any alteration fees from Fee A above. EXPIRATIONS, CODES & REGULATIONS: A building permit application that is dormant or otherwise inactive shall be deemed abandoned twelve months after the date of its submission to the building department. ( 91-2.1. Code of the Village of Rye Brook) A building permit shall expire six months after its date of issuance if construction has not commenced. If construction has commenced within the six month period as set forth in this subsection, the building permit shall expire 18 months after its date of issuance if all of the proposed work has not been completed or a temporary certificate of occupancy has not been issued. Construction shall be deemed to have commenced when significant construction work on the project, as described on the building permit, has been performed. The Building Inspector shall have the authority to determine whether construction has commenced, and his or her decision shall be final. ( 91-2.b. Code of the Village of Rye Brook) Please note that should you fail to properly close out your permit prior to the expiration date in accordance with the law, you will be liable for the $750.00 Administrative Fee in connection with all expired Building Permits issued after January 1, 2003. Please note that this Administrative Fee applies to each individual permit and must be remitted in addition to any other required fees associated with closing the permit, as well as any court imposed fines should a summons be issued. HOURS FOR OPERATION OF CONSTRUCTION EQUIPMENT Weekdays: 8:00am to 6:00pm or dusk, whichever is earlier. Saturdays: 9:00am to 4:00pm. Sunday & Holidays: NO CONSTRUCTION ACTIVITY ALLOWED (Holidays Include: News Year Day, January 1 st ; President s Day, 3 rd Monday in February; Memorial Day, last Monday in May; Independence Day, July 4 th ; Labor Day, 1 st Monday in September; Thanksgiving Day, 4 th Thursday in November; Christmas Day, December 25 th ; when the holidays set forth fall on a Sunday, the holiday is observed the next day). ( 158-4. Code of the Village of Rye Brook) It shall be the responsibility of the applicant, owner, or person in responsible charge to notify the Building Department at least 48 hours in advance to schedule all required inspections for site work, footings, foundation, drainage, framing, plumbing, electrical, fire blocking, fire suppression, insulation, final or any other required inspection. Please note that electrical inspections are performed by the Village s third-party electrical inspection agency and must be scheduled by your licensed electrician. Electrical certificates, C/O application & fees and the final survey must be submitted prior to scheduling the final inspection. It shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created, erected, changed, converted or enlarged, wholly or partly, in its use or structure until a Certificate of Occupancy shall have been issued by the Building Inspector ( 250-10.A. Code of the Village of Rye Brook) Please keep these instruction sheets throughout the duration of the job for reference. 2/10/2015

BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK, NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org *********************************************************************************************************** FOR OFFICE USE ONLY: Approval Date: Permit # Approval Signature: Application # ARCHITECTURAL REVIEW BOARD: Disapproved: BOT Approval Date: Case # PB Approval Date: Case # ZBA Approval Date: Case # Other: Application Fee: Permit Fees: Date: Chairman: Secretary: *********************************************************************************************************** Exterior Building Permit Application Application dated: is hereby made to the Building Inspector of the Village of Rye Brook, NY, for the issuance of a Permit for the construction of buildings, structures, additions, alterations or for a change in use, as per detailed statement described below. 1. JobAddress: 2. Parcel ID#:Zone: 3. Proposed Improvement (Describe in detail): 4. Property Owner: Address: _ Phone # Cell # e-mail 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) 2/4/2015

****************************************************************************************** Table R301.2(1) 2010 RCNYS CLIMATIC & GEOGRAPHIC DESIGN CRITERIA FOR RESIDENTIAL DISTRICTS IN RYE BROOK GROUND- SNOW LOAD WIND SPEED (mph) SEISMIC DESIGN CATEGORY WEATHERING FROST LINE DEPTH TERMITE DECAY 20 Pg 100/110 C SEVERE 42 MODERATE TO HEAVY SLIGHT TO MODERATE WINTER DESIGN TEMP ICE SHIELD UNDERLAYMENT REQUIRED FLOOD HAZARDS 7 YES FIRM Map 36119C0279F 9/28/07 AIR FREEZING INDEX 618 (5a) 2/10/2015

BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK, NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org *********************************************************************************************************** FOR OFFICE USE ONLY: Building Permit #: Issued: Approval Date: Permit #: Approval Signature: Expiration Date: Permit Fee: $150.00/Trailer: Renewal Fee: $100.00/Trailer: Renewed Expiration Date: *********************************************************************************************************** TEMPORARY CONSTRUCTION TRAILER APPLICATION Application dated:, is hereby made to the Building Inspector for the issuance of a Permit to place a Temporary Construction Trailer on public or private property in accordance with Chapter 186-6.E. of the Code of the Village of Rye Brook. 1. Address: _Parcel ID #: 2. Number of Trailers & Proposed Location(s): 3. Property Owner: Address: Phone: 4. Owner of Trailer: Address: Phone: 5. Trailer Leased To: Address: Phone: 6. Will the trailer require plumbing? No: Yes: Describe: 7. Will the trailer require electricity? No: Yes: Describe: *********************************************************************************************************** Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. ********************************************************************************************************** STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as:, 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 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 day of, 20 Signature of Property Owner Print Name of Property Owner Notary Public Sworn to before me this day of, 20 Signature of Applicant Print Name of Applicant Notary Public 6.1.2014

BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET, RYE BROOK, NEW YORK 10573 (914) 939-0668 - FAX (914) 939-5801 www.ryebrook.org For office use only: PERMIT # ISSUED: DATE: FEE: PAID APPLICATION FOR CERTIFICATE OF OCCUPANCY / COMPLIANCE AND CERTIFICATION OF COSTS It shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created, erected, changed, converted or enlarged, wholly or partly, in its use or structure until a certificate of occupancy shall have been issued by the Building Inspector. 250-10.A. Code of the Village of Rye Brook ****************************************************************************************** Address: Occupancy / Use: Parcel ID #: Zone: Owner: Address: P.E./R.A. or Contractor: _Address: Person in responsible charge: Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy / Certificate of Compliance for the structure herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: being duly sworn, deposes and says that he/she resides at_ (Print Name of Applicant) (No. and Street) in, in the County of in the State of, that (City/Town/ Village) he/she has supervised the work at the location indicated above, and that the actual total cost was: $, for the construction, alteration or repair of: Deponent further states that he/she has examined the approved plans of the structure herein referred to for which a Certificate of Occupancy / Compliance is sought, and that to the best of his/her knowledge and belief, the structure has been erected in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized, and as erected complies with the laws governing building construction. Sworn to before me this day of, 20 Signature of Property Owner Print Name of Property Owner Notary Public Sworn to before me this day of, 20 Signature of Applicant Print Name of Applicant Notary Public 6.1.2014

IF YOU RE NOT LEAD-SAFE CERTIFIED, DISTURBING JUST SIX SQUARE FEET COULD COST YOU BIG TIME. GET LEAD-SAFE CERTIFIED BY APRIL 22, 2010. LEAD-SAFE CERTIFIED FIRM If you re working on homes, schools or day care centers built pre-1978, you now must be EPA Lead-Safe Certified. WHAT The Lead-Based Paint Renovation, Repair and Painting (RRP) rule is a federal regulatory program affecting anyone who disturbs painted surfaces where lead may be present. Submit an application to certify your firm for five years. A one-day class will certify your renovators for five years. Learn the required steps to contain the work area, minimize dust and thoroughly clean up every day. WHO Any contractor, including renovators, electricians, HVAC specialists, plumbers, painters and maintenance staff, who disrupts more than six square feet of lead paint in pre-1978 homes, schools, day care centers and other places where children spend time. WHY 1. Avoid risk of government fines and civil liability: - Without certification and by not following approved practices, you and your company can face tens of thousands of dollars in fines and put yourself and your company at risk of potential lawsuits. 2. Protect your workers, yourself and your customers from a health risk: - Dust from renovation, repairs and painting can contaminate an entire home and, if inhaled or ingested, can cause irreversible damage to children and adults. 3. Gain competitive advantage: - Certification makes you stand out from others and positions you as a professional contractor consumers can trust. Using your company s certification in your marketing materials may help attract business. - Consumers will look for the certification before hiring contractors and may be more accepting of additional costs and time associated with doing the job safely. - Upon certification of your firm, your company will be listed as a Lead-Safe Certified Contractor on the EPA website, giving your firm the potential for new customers. WHERE To find an accredited trainer in your local area or get additional info, go to epa.gov/getleadsafe or call 800-424-LEAD. WHEN Now Certification requirements begin April 22, 2010.