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ECIENE D
BtII LID INUE�'A
�AA��� RTMENT NOV 13 2024
VI E OF RYE OK VILLAGE OF RYE: BROOK
938 KING ET RYE BR NY 10573 BUILDING DEPARTMENT
rhi ov
FOR OFFICE (ISE
Approval Date: 1, fj y Application#
Approval Signature: ] ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other: x)2 41 So —
Application Fee A/00—/06 Permit Fees: 7�~Q —t�J C-
ROOF PERMIT APPLICATION
Application dated: 1 1/4/2024 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.
1. Job Address: 6 Avon Circle SBL: Zone:
Property Owner: Rye Ridge Condominium Address: 2 Avon Circle Rye Brook
Phone#: Charles Rosabella Cell#: 914-774-2638 email:
2. Applicant: L &M Co, a dic of Nieto Contractors IncAddress: 140 Highland St Port Chester 10573
Phone#: 914-937-1030 Cell#: email. chdstine@LMconstruction.com
3. Roofing Contractor: L&M Co, a dic of Nieto Contract�� � G.
Phone#: Cell#: email:
4. Job Description,list all Methods&Materials: Remove existing shingle roof. Supply new plywood decking
as needed. Install Underlayment , flashing, new roof vents and Asphalt shingles
5. Estimated Cost of Job:$ 17,900 (No ]E: I lie estimated cost shall inchrde all site
imprm emcnts,labor.material.scall'olding_ lixcd eyuipmcnL prolcssional lies.and material and labor which mac be donated gratis_)
6. If corner property,indicate street frontage:
7. Construction Type: Frame NYS Construction Class:
S. Number of stories: 2 Height:
9. Is garage being re-roofed:No:(x)•Yes:( }Attached No:( )•Yes:( }Number of Cars:
10. Is roof peaked,hip,mansard,flat,etc: 'Peak
11. Estimated date of completion: 12/15/2024
6/112024
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, YYORK,COUNTY OF WESTCHESTER ) as:
I A n 1 d ry l( fp , 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
L & M Co a div of Nieto Contractors Inc. forthe 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 5� -- Sworn to before me this 5)�(
day of /,�"-,v V- , 20_.Iy _ day of ,/d✓ , 20CAA%,&j &ea:A&tL_� Z�
�P7'�-�, /11 f� Ne7-7"
Signature of roperty Owner �' Signature of Applic Ott
Print Name of Property Owner Print Name of Appl' ant
Nbta6 Public Notary Public
LOIS NIETO
P10TAnY Jl•<,,IC,STATE OF NEWYORK LOIS NIETO
N6.piNI489025 t,-'O IP%iY PUBLIC, STATE OF NEW YORK
,�l VrE^TCHE5TER COUNTY NO.OIN14899825
l t_,�CNIrt,.a DECEMBER 3,20 QUgIFIED IN WESTCHESTER COUNTY
(:JiMMISSION EXPIRES DECEMBER a,2Q2Y�
-2-
6/1/2024