VILLAGE OF SCARSDALE
ENGINEERING & BUILDING DEPARTMENT
COORDINATING OFFICE
VILLAGE HALL
1001 POST ROAD
SCARSDALE, NEW YORK 10583
OFFICE USE ONLY
APPL. #
____________
DATE:
____________
FEES
B.A.R.
__________
BUILDING PERMIT
__________
(914) 722-1140
FAX(914) 722-1103
BOARD OF ARCHITECTURAL REVIEW
(BAR) APPLICATION & BUILDING PERMIT FORM
Your application will be placed on the next available meeting agenda. You can check if
you are on the agenda at WWW.Scarsdale.Com or calling 914-722-1140 the Monday before a
scheduled meeting.
PART I:(TYPE OF BAR APPLICATION)*NEIGHBOR NOTIFICATION:REQUIRED NOT REQUIRED *
 PRELIMINARY REVIEW NEW 1 FAMILY
 NEW STRUCTURE  EXTERIOR ALTERATIONS TO EXISTING STRUCTURE
 APPLICATION NEW 1 FAMILY  APPLICATION FOR FENCE INSTALLATION  OTHER
TO THE BUILDING INSPECTOR: (Brief description of work must be provided)
Description of work:
_______________________________________________________________________
__________
__
_______________________________________ _________________________________________________________________________
_____________________________________________________
It is agreed that all provisions of the Village Code shall be complied with whether or not detailed
information regarding any one of such provisions is given in this application.
NAME:_____________________________
ADDRESS:
______________________
PHONE: _______________
_____________________
FAX: _______________
(Signature of Applicant)ONCE YOU HAVE BEEN APPROVED BY THE BAR YOU MUST CALL THE BUILD.DEPT. AND REQUEST
THAT YOUR CONSTRUCTION PLANS BE PLACE IN FOR REVIEW BY THE PLANS EXAMINER.
PART II: (Construction Classification & Occupancy/Use Classification)
*Per New York State Uniform Fire Prevention and Building Code*
 1  1A
 2  2A
 3  3A
4
 5  5A
1/2Family(Residential Code)  R-1  R-2  R-3  R-4
B
 M
 H-1  H-2  H-3  H-4  H-5  I-1  I-2  I-3  I-4  S-1  S-2  E  U
Construction Classification Type:
Occupancy/Use Classification:
 F-1  F-2
PART III: (PROPERTY, OWNER, ARCHITECT & INFORMATION)
STREET ADDRESS OF PROJECT:____________________________SEC.________BLK.________LOT_________
ZONING DISTRICT:______________WETLANDS CONTROLLED AREA (check one):
FLOOD ZONE:_________(check one):
 YES
 YES
 NO
 NO
PROPERTY OWNER’S NAME:_____________________________ADDRESS:_______________________________
(If different from above)
PROPERTY OWNER’S PHONE NUMBER:HOME#: ____________ _ BUS.#:_________
__ FAX#_________ ___
ARCHITECT:___________________ _
ADDRESS:____________________
____________ ______
PHONE: ________ _
FAX# ________
_
CONTACT:______________________
PERSON
ADDRESS:____________________
__________
_______
PHONE: ____ _____
FAX# _____ _____
Village of Scarsdale web site: http://www.scarsdale.com/
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PART IV: (PRESENT USE OF PROPERTY-AREA OF NEW WORK)
PRESENT USE OF PROPERTY WHERE CONSTRUCTION WILL BE DONE: (Please check one)
 SINGLE FAMILY
 MULTI-FAMILY
 COMMERCIAL
 OTHER
IF CONTRUCTION PROJECT, ESTIMATED COST: ____________________________________________________________
ADDITIONS & NEW CONSTRUCTION ONLY, PROVIDE SQUARE FOOTAGE (AREA) OF PROPOSED AREAS ONLY
BASEMENT/CELLAR __________________1st FLOOR ________________________ 2nd FLOOR ________________________
CRAWL SPACE ______________________DECK_____________________________ SHED ___________________________
PART V: LOT COVERAGE (To be completed only if property is located in Res. A District)
LOT COVERAGE
* PRINCIPAL BUILDING
* OVERALL
ACTUAL SF __________________PERMITTED SF______________
ACTUAL SF __________________PERMITTED SF______________
*Note: these figures may be obtained by completing the Lot Coverage Ratio Form.
PART VI: FLOOR AREA RATIO (FAR):
LOT AREA ____________________
ACTUAL FLOOR AREA SF_________________ PERMITTED ACTUAL FLOOR AREA SF _________________
*Note: these figures may be obtained by completing the Floor Area Ratio FAR) Form.
PART VII:
AFTER obtaining necessary Board(s) approval and BEFORE a Building Permit is issued, New York State
Law requires that anyone working for you MUST furnish the Village with CERTIFICATE OF INSURANCE FOR
WORKMAN’S COMPENSATION AND DISABILITY
EXPIRATION DATE: _______________________
PART VIII:
OFFICE USE ONLY
APPLICANT REQUIRED TO SUBMIT DOCUMENTATION
OF APPROVALS FROM THE FOLLOWING (Where
applicable):
STATE OF NEW YORK
COUNTY OF WESTCHESTER
I, ___________________________ being duly sworn,
(PRINT NAME)
(agent, owner, corporate officer)
deposes and says: that
_______________________________________ is the owner
in fee of the premises which this application applies;
that the applicant is duly authorized to make this
application; and that the statements obtained here are
true to the best of the applicant’s knowledge and
belief, and that the work will be performed in the
manner set forth in the application and in the plans
and specifications filed therewith, and in accordance
with all applicable laws, ordinances and regulations.
BOARD
DATE
ZONING
DISPOSITION
___________________________
PLANNING ___________________________
P E R M I T S
R E Q U I R E D
DATE
ISSUED
#
FEE
SWMECP
_
___________________
BUILDING (inc. _
demolition)
___________________
PLUMBING
___________________
_
Signature
OIL BURNERSignature
_________
Sworn to before me this __________ day of __________,
ELECTRICAL
20____
CERTIFICATE
OF OCCUPANCY____________
_
Notary
COUNTY BOARD
OF HEALTH
______
___________
______________
________
________
____________
DEPARTMENTAL USE: Approved ______________ Disapproved ___________ Date _________ Initials _______
NOTE: A BUILDING PERMIT IS REQUIRED BEFORE STARTING ANY WORK.
Village of Scarsdale web site: http://www.scarsdale.com/
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