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HomeMy WebLinkAboutRP24-020 _ . N O N ° N eq� c b H C N W a.. q N a b Y �y 00 N 00 ~ n do O w CV, s M Ln ,./ O w V a a F-i Q I� ` � Fry O W a 0 ® y A n cn CA � �' o -15 00 QO ,._, Ln 0 -0 ~ A v W x "o GIN cy 14 a A z O acn � ° vo ry E-� p-, O rV z w _ N A W z x o ,B o _ _ w a w > x � � BUILDING DEPARTMENT 2 E C E � " IE VI �'ACrE OF RYE BROOK MAY - 1 2024 938 KING ET RYE BROOK,NY 10573 W.(914) 939-0668 VILLAGE OF RYE BROOK www.ryebrook.org. BUILDING DEPARTMENT I. OFFICE USE QNL ': ` \ 2 �Approval Date: 2 e rni 0�0 Application# Approval Signature: � L/ XARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: ? Application Fee �� Permit Fees: �7&0 -- 6 : 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. ?? p Q 1. Job Address: Z6 1014 Imo* Sl3L:/JSi t*y �a Zone: ) -c) Property Owner. b Address: Q L Phone#: 91q-qjq - t©U ,_Cell#: q1�-714- 0966 email: 2. Applicant: L. i --? Address: 26`6 k'4 ,a 1N4 3 Phone#: Cell#:91 y_t;6 S- SG `6 S' email: 3. Roofing Contractor: vt.y ( �to yalkjddres5:26-5 ALI41 A. Pelf Y Poi iL&1 c)IU Y, 11DS'7 3 Phone#: Cell#:914- 6 4r-S16 Y f email: G 9vo i ►ui4 9'e�v��✓l+Vc'�rc.� �-�- Ala Ca ir► 4. Job Description,list all Methods&Materials: Lau weuj Roo P w o e cl �vl I�ki a 19 I 1y l pp I fr e& (,SAWWA' Ins la tLCXA 0AUiN`wti0vit 0yoo d #ate- ADID� e ,tes •ansS V% l t;Atc fs ti,J +�mrue A?i�I'Ct't;'©YVI�r 5. Estimated Cost of Job:S 9-0i Q © Q (NOTE:The estimated cost shall include all site improvements,labor,material,s�ding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: 7. Construction Type: m© a - NYS Construction Class: 8. Number of stories: — Height: "; 0 & C' 9. Is garage being re-roofed:No: •Yes: ( )Attached No: O•Yes: ( )Number of Cars: 0 I 10. Is roof peaked,hip,mansard,flat,etc: t t(..k14 11. Estimated date of completion: -t- 10130023 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: 3 %5 :F kL'vt � Q ,being duly sworn, deposes and states that he/she is the applicant above named, (print name of individual myning 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 Lu 13 z' 4%* o ► -o a4er the legal owner and is duly authorized to make and file this application. (indicate Wchiect,contractor,age ,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 I Sworn to before me this 3 day of tVA a , 20 a ( day of_ R P f p I , 20 2y,, Signature of Property Owner ignature a App icant (,IV PrI;: rolpee ty�Owner Print Name of Applica 4 \ r, - clx,,�ez� Notary Public Notary Public SHARI MELILLO Notary Public,state of New York No.O1ME616OO63 Qualified In Westchester County Commission Expires January 29,2OL-7 �T�UELA.pc CUEYA PU8i1C,STATE OF NEW YORK No.OIME6443229 Qualified in Westchester county M Commission Ex Tres 101311262,6 -2- 10/30/2023