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BuIL NIENT JAN 2 9 2025
V E OF RYE OK
938 KING �,ET RYE Bx ; NY 10573 VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
Approval Date: yp it# �j Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
BOT Approval Data: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other: \\
Application Fee> 60' AA& Permit Fees: c-
ROOF PERMIT APPLICATION
Application dated: r — 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: 23 Talcott Rd Rye Brook, NY 10573 SBL: 135.50-1-77 Zone: R-12
Property Owner: Vera Fu Address: 23 Talcott Rd Rye Brook, NY 10573
Phone#: (315) 450-2011 cell#: email: minijiahui@gmail.com
2. Applicant: Andrew Prchal Address: 78 Halloween Blvd Stamford, CT 06902
Phone#: 203 388 5555 Cell#: email: kauanny.zanetti@gunnerroofing.com
3. Roofing Contractor: Gunner LLC Address: 78 Halloween Blvd Stamford, CT 06902
Phone#: 203 388 5555 Cell#: email: kauanny.zanetti@gunnerroofing.com
4. Job Description,list all Methods&Materials: Remove&replace existing roof. Inspect roof deck to verify that all all sheathing is
suitable. Install seam tape per CT Code Install water and Ice barrier,underlavment asphalt shingles and proper ventilation.
5. Estimated Cost of Job: $ 15,000.00 (NOTE:The estimated cost shall include all site
improvements,labor,material.scaftblding,fixed equipment pmfessional fees,and material and labor which may be donated gratis.)
6. If comer property,indicate street frontage:
7. Construction Type: Roof Replacement, GAF Asphalt Roof NYS Construction Class:
8. Number of stories: 2 stories Height:
9. Is garage being re-roofed:No:( )•Yes: (N/rAttached No: O•Yes:VNiunber of Cars:
10. Is roof peaked,hip,mansard,flat,etc: Pitched
11. Estimated date of completion: Feb/March
10/3012023
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.
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STATE OF NEW YORK,COUNTY OF WESTCBESTER ) as:
Andrew Prchal ,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
contractor for the legal owner and is duly authorized to make and file this application.
(indicate architect,contractor,agent,attorney,ere.)
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 . C7 1 kr Sworn to before me this 0�q 4"
day of (/1 q , 20 025 day of Ida[�SA , 20 &'Ioj
Signature of Property wner Signature of Applicant
Vera Fu Andrew Prchal
Print Narpc of Property Owner Print Name of Applicant
Notary Public tan lic
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