Loading...
HomeMy WebLinkAboutRP23-050 s e : In N N W e W y � ■ �I � l--I ai �O w 3 � G a © �T� O, 0 a o 10 W : o cl v a C/1 W .a `n GIN .� N ° o h"1 h+y a t U v 6J 1' V a Vol: LIl 8 ` CO vJ 4-4 V�V O6 OpO ^C ,ON I^1 ■ Z x o w r�1 O a � a z 0' "' cn W O W ® z o w � � o z trk O _y +� n q� ■r--1 z r � W � qV U z p�,,, �a � � � r e V OC fd O � � v u O „ v V U ^ Z H I—,z 0 � � 5y � � o � .� � A BUILDING DEPARTMENT D VILLAGE OF RYE BROOK OCT 6 23 938 KING STP-EET RYE BROOK,NY 10573 (914) 939-0668 VILLAGE OF RYE BROOK www,ty o org. BUILDING DEPARTMENT FOR OFFICE USE ONLY:OCT 2 6ZQ23 Approval Date: e # —Wf(U Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other:Application Feel) l0- 1 Permit Fees:>1 3 `)0)!5 ROOF PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit to Re-Roof an Existing Building,as per detailed statement described below. �7 /� 1. Job Address: QQ N ��i G ae A.-> 6=k ,JJ`( SBL:/35,1y /- �(�Zone: Property Owner: ri C �� )Df1C� Address: top A/- yP 13fw k- lJ, y r7 S 7? Phone#: 9[`{ _ 3,g 1 - 2!5.;aj Cell#: email: S aFrn ,fir c.en rr+ 2. Applicant: Se Ci COnSAYu L'fjC4 Address: -[9c7 &W J� CAVT W00A & U-Tdl2 Phone#: 6 �j�7, 2 SP[l Cell#: rj'?a 2Q4. 9 92 email: SdM; (a Spci inc -E`_o 3. Roofing Contractor: SeCi CnA.AYuCfjj`un Address: `190 (cifMa,&rit1j C .Ve Phone#: 510- 5'a 3 - !n 9, Cell#; email: 5aM, Lod S('i 1'//�C•c�j 4. Job Description, list all Methods&Materials: Q j& !j$ f y(n,h G1 sk!°�irn� roo-?- 1?a eje 04.y 5. Estimated Cost of Job: S�_� , 00 (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) b. If comer property,indicate street frontage: 7. Construction Type: Kt� ke f lac'wea+ CS�iym f eS —NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:{ ) •Yes: V Attached No: •Yes: O Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: '2 �l�� Ce �''T�,y� SAZ��4 . 4- srtnaz3 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 CZ Sworn to before me this (o day of , 20 0*23 day of b r�,,be r , 20_?3 i ature of P pert9Owner 4 Signature of Applicant Vziqt Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,state of New York No.O1ME6160063 SHARI MELILLO ')ualified in Westchester Countw7� Notary Public,State of New York ,or, mission Expires January 29,20_ No.01ME6160063 Qualified in Westchester County Commission Expires January 29,20 7 -2- 6/112023