Loading...
HomeMy WebLinkAboutRP24-129 _ LO C4 H Fil pG �J- v W vi w U a. C A. C14 R ~'' 00eq 14 cn a o 0 3 �I1 O C ter HI \ �i O C O W „ w o o v� _ bA °o1 .2 O 00 '•• I .. y 'O ° q!T n y C� w za � g o u NIC o cn Q W cn 0.�i W WbQ W +'O C U W o 5Q " W Oo 0ON c� �,..� 00w v �..1 i 0 O o a� v c O � y O z o o Nll v H C, a v o © .ti a Uv u. O v V w—� O H a u� W O O ++ ao 2 CIS W o v o V H $ ° n � � y c1 N .. .- 1 O V BUILDING DEPARTMENT R VILLAGE OF RYE BROOK NOV 2 5 2024 938 KING St ET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK .s, w -� . BUILDING DEPARTMENT www1. kn . ov --__��. _-_-- FOR OFFICE USE ONLY: Approval Date: NOVerm4 ­9 Application#Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: n Application Fee:4 W P6 permit Fees: I 1 ROOF PERMIT APPLICATION Application dated: l� �c7 I 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:_ l ca MC"kAh."._��L_ a - SBL: �;-f -2g Zone: K-z-)O Property Owner: G Address: 12,. P_aL Phone#: Cell#:`�T(2 q— ,�48 33 email.�`�t Q �! QI two• �r�.�.; 2. Applicant: ` N�.P... Address: Phone#: J44� � �� Cell#: email:{"� L.dnj C_ar�,0 Q - 3. Roofing Contractor: R Address: Phone#: Cell#: email: 4. Job Description,list all Methods&Materials: 5. Estimated Cost of Job:S (NOTE:The estimated cost shall include all site improvements,labor,material,scat-foldmg,fixed equipment,professional fees,and material and labor which may be donated gratis.) b. If corner property,indicate street frontage: 7. Construction Type: NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No: (/f Yes:( )Attached AANo:( )•Yes:( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: 1 11. Estimated date of completion: e ` 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. ST TE OF NEW YORK,COUNTY OF WESTCHESTER ) as: J C19'rey Rp,Qnilk being duly sworn, deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further sta es that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the /V7* 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 18, Sworn to before me this 19 day ISO 21q $g fl. , 20 A'I day of MOOeKI'le R- , 20 A'I Si atur rty Owner t ature of Applicant Print Name of Property Owner Print Name of Applicant I vil 6- IAI� :I VA to U.,�A No Ptwlic ca. Notary bli JUDY A.SCHWARTZ JUDY A.SCHWARTZ Notary Public State of N Y Notary Public State of N Y No.OI SC6083248 No.01 SC6093248 Qualified in Putnam County /r Qualified in Putnam County Commission Expires 11/12/20.76 Commission Expires 11/12/20 6 _2- 6/1/2024