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HomeMy WebLinkAboutRP24-028 s N � QQ Ln Q It N O N C � © N eq �? v ti et �y CC/) p+ 11 x z w pv03- _ Q. i"i M a n aajyj A W o .. _ z A if; cl o �Jen a u ° C:l to o = h+K � � � hH � N G'` �W o0 2 � � •� a /� ~ v I d •p 4 M ~ v v 0is � 3 •1 w YJ z H � W � �, o ~ � w � V W oo H z O AU -42 � p N O w dp. a v x o � z .� v o cn w - r � Q " p w x .o M a Z a C4 — C _ O o U V cn Cog 0 �+ w A 5 ' �. a = a o W zz .� vw 0 0Z- a H V w ea x ¢ W OO V z0.. � G _ O Z o H au4 P-( _ z 0 p o N o c -Z;l �y ° t H p 0 A Oz �uvpo'r. = = u + v X CA _ _ D IE CH V BUILDINP 6iP-ARTMENT VII,�L�>� E OF RYL'` R30K MAY 3 0 �pED 2y 938 KING$T �t-T RYC BROQij NY 1057 y I• 93�-Q � r VILLAGE OE RYE BROOK „y BU1L.I]ING OEPaRTMENT „RC1rr.-ryCkr an0Q. •!! !!!!!ff!!i!!!i!!fi!!ififflflffflf!! !llffflf!llff�lfff!!!!!!i!!�!!!!i!!!!!!!!!!!!!!!!!f!!!!!.fl..!!f•i• FOR OFFICE USE ONLY: Appro%ul Date: ���\ I' rntit q 'Uc� Application N Approcyl Signature: = ARCHITECTURAL REVIEW BOARD: Di%approN cd: Dale: BOT Approval Date: Ctsc N Chairman: PB Approval Dale: z Case q Secretary. ZBA Approval Date: Cast Other: s� ,application Fee: �� DQ Permit Fres: Soy 1 •llifi!!!!filliaif ff!!!!cliffffilltoo fffi!lfffffiiiiliiiii iifi Fitifiiffffiff!!lfifil i if!lfii lfi ffif lf!l to ROOF PERMIT APPLICATION Application dated: ) `� is hereby made to the Building inspector of the Village of Rye Brook,NY.for the issuance ofa Permil to Re-Roof an Existing Building.as per detailed statcmcnt described below, 1 I. Job Address:�1 �(,�—,_xc. ' �L �4 _ SBL: 3� -1—3Z Zone: —�S Property Owner. Address:"A C) 11r C-VSarl�, Q L� Phoned: Cc11 M:q l�-13y _C)2 1 email-�'e�gs��lo� [t`i CDM 2. Applicant: { Address7l c. � �ElrnfzYd t,A Phone F1 y Ccll d: -11t4-q� -f-ZE cmail:C�( C S l•tan 3. Roofing Contractor Phone0: Ccllp: cmaiLCII�WC -�� �- u�kC35 gtr�aiti- ,1 4. Job Description, list all Methods&Materials: 0 -h o S. Estimated Cost of Job:S d 1, ' .w `-nJ (NUTF:The cqumatcd co+l hall include all-it: unpniscrncnis,LiMu.in.itcri.d,scaffolding,fixed cqurpawnt,prnfeasiooal Pecs-aitid material and Iasx)r a hich mq h.•d+inaled grit is.1 6. If comer property,indicate street frontage: 7. Construction Type: ti - 1(::& t, t NYS Construction Clas: B. Number of stories: Z IleighL 4. Is garage hcing rc-roofcd:No:( )•Yes:60 Allached No:( )-Yes: K Number of tan: 10. Is roof peaked,hip,mansard• foul,etc: V 11, E%tirnalcd date of complclion: 01, �t 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, kk4k4Ak4kkkak4kkN4kk4 kkk4kkkf•k4kk4k44Nkk Oaf 4kk4k44k411k•kk kk kkk44ikkikkiA444kk44Nikfi44444+4kk4f 44kk4k• ST1 A OF NEW YORK COUNTY Or WESTCHESTER ) its: T�fJ ✓Cl rr P11-6 v tbeing duly sworn,deposes and states that he/she is the applicant above named, (print rumpor Irxl v uil sis the fppticnnl) and further states that (s)iic is the legal owner of the property to which this application pertains, or that (s)he is the c. forthe legal owner and isduly authorized to make and file this application, (indicate architect,cunhncior,AVn4 attorney,cic.) 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 R Building Codo,the Code of the Village of Rye Brook and all othcrapplicable laws,ordinances and.regulations. Swom to before,,me this 0 1 Swom to before me dils "t om day of 20 -r `l �_ day of 202 Signature of Property O cr Si of Applicant i Print N of Pr fip Irty owner V �anie Appllc 6 i Xi, Notary Pub)' % Notary Public SANDRA A. CARALYUS MICHAEL ESQUIYEL 'NOTARY PUBLIC-STATE OF NEW YORi( ltntary Public-State of New York No. O1 CA6025606 j No.afES6442359 ©uollllyp In 1Hestchest r Qu `I Qualltied in Westchester Cou 2026 MY Commission Expires ro MY(.ommission Expires Oct f i, _ Z i I A ttttoo►lon