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HomeMy WebLinkAboutRP24-091 a a YI y _ o CIA N 4 s s N � 0 oo y C 1+4 � oo1-4 y y O E cn F G � � x a� � •+ C], h+ l w V H O Q O Q o O v u Q. a. W �Ql ° a M 00 W Ri 14 _ ti ' -d a W ro oi0 ^ Oi0 Q � � w y ^ A a 00 noO V � w 'o o � o � 0 V O W z z N W H o b vWO W uo � O a Ln o V w 00 o4 � x CA i/ WC,Im o zzbi 1-4 o o � kA) N ti e Q H o V z o n a�i avi w _ v o U o � O F p �-4 Q0 . v � " W w © p o mo . o cn 5 O. �I W b 13[II1,1)IN�; �1 �it'1'M'�:N'1' [E DD VII,�{ll,�flii;t)1 IZYI ROOK OK 938 klNti '1 .1;1 Ryr, Hitt aic�NY 1057t - �Q24 tl.�) q-o6 AUG VILLAGE OF RYE BROOK DD R•••►►••►tts•etstttt•tsttsss�s•sstrssts•tt•ststtttss•s••••l►►►►►►►►►►►•••tut• •.$a1,i�Jl�GA'�PA�J�F�N7•� • VOR W I Icr-U:SL unI_i : Appro%al 1)atc' ION � � Applictalion a Apprm al-Signature: ARCIII'mcr(MA1, REVIEW BOAR • 1)i•:alahr���cvl; Dale: BOT Approval Date: Casc# _ Ch:a innall: PB Approval Date: Case# Secrctary: !IAA Appn.val Date: — --_ Caw# -- )thcr: • ,pplicatinn Vcc:4/00'r`U 1'crmit Fccs: ►sussstr�•ssssts••t•tttttt•s•ttttttttttstt•#t•tt•t•t••••••••••`tt•••t••••tt•tt•!t••••••••t•••••••••t•stt•• ROOF PERMIT APPLICATION iplication dated: 0-1 1 Zi, 1 Zq is hereby made to the Building Inspector of the Village of Rye Brook, NY,for the issuance of a Permit to •Rwfan Existing Building.as per detailed statement described below. 1. Joh Address: Ct boX W OOC 1 01 Ly f G K-, f3l 1 L>>--�SBL: /c) /q r& 7 Zone: Property(timer: D.SC� �LI ;-(' Address: Phone : 2 K (08 2 7 Cell#: email: 2. Applicant: j w n C—l�)CL► ►(�a l Address: ��� QJ S rah \GLEE j 1( cI 3 Phone#: 911 Syy Cell #: email:�vionn S COT CL.)jj0CK-. Lcvv 3. Roofing Contractor: . (.`h+'t�T C-0-15-1-rc-t(_.+-10, Address: �`1 VrCLI'1 ondLn rill 1�c�! IOct Phone : qj 1 L� b��` Cell#: email:,)bonn S(.Uf O I. Job Description, list all Methods& Materials: Estimated Cost of Job: $ V), JSQ (NOTE:The estimated cost shall include all site impro+rments. labor.material.scatlolding,. fixed equipment,professional fees,and material and labor%%hich may be donated gratis.) If cornerproperty,indicate street frontage: Construction Type: rl n Q VIP I("Iuyl+ - NYS Construction Class: Number of stories: Height: Is garage being re-roofed: No: (X)• Yes: ( )Attached No: ( ) • Yes: ( )Number of Cars: Is roof peaked hip,mansard, flat, etc: Estimated date of completion: -l- 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. a,toaraaaarisalaalaaaaaliaaaaaaaaaaaaaaaaaaiaaaaasaasaaaalasaaaiiias!!!!!lflala!!i!i!!!lssialiai!!iJlfa4lia slAll.( NLW YO K.Cot1N1Y of Wf.SIClll.%Il x , �+ _ at I 111 UCt ,being duly %Horn, dcporec wW %tatc%that he/.hc it the applit:ant atx»e named, I Irm►-"W of md#"&w strum M OW a,IPIW W) and further statL-% that (s)he t-� the legal t►v►ncr of the pn►pvrty to which lit. application pertains, or that (%)he Is the 11jt aC f�f_ --- for the legal o%ncr and i+duly sudw)riAA to make and file this application 4HWKAW asrtwa 1.Ce"MLAX,&Sabi.act MCN es, i -- Fhat all statrmcrits contained heron are wt:to the Ix-%t of hK,'hcr know Iedge and belief,and that any work performed,or uw conducted at the above captioned property u il1 be to conformance w ith the detail,wi set forth and contained in this aM icatitm and in any accompanying approved plain and %T cilicalit►ni,as well as in accordAnce w ith the New York State Ilntli►rm l'irc Prevention&- Building Code,the t•ndc of the Yillagti of Rye Brook and all other applicable laws,ordinance%and regulations. Swom to befom me this Sworn to heltirc me this T day of v �� ' ,20 Wn day of Ju(L 20 a 4 Sigp tune of Proputy OwW Sig t of Applicant © C-lCj.n Print Name of ( Print Name of Appika d jh Notary 1'u�yh — N Wblic WILSON ALCAN?ARA Notary Public-State of New Yorit JOSSRINE J(SCOUR NO.CIAL6419415 Not"Pi bllc Stit!of Ww yoril Qualified in Westchester County No Olm"0725 My Commission Expires Jul 6.2025 QulllN*d in Rockland County AO cornrnlssfon ExOvOs Sp t2. 2026 -2-