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BUILDING DEPARTMENT MAR 3 2025
VILLAGE OF RYE OK
938 KING STREET RYE BROOD NV 10573 VILLAGE OF RYE BROOK
4) -06f ` BUILDING DEPARTMENT
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FOR OFFICE USE ONLY:
Approval Date: APR 0 1 2 e 7 Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: : Date:
BOT Approval Date: Case# : Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other:
Application Fee: $/ y Permit Fees: 70--
ROOF PERMIT APPLICATION
Application dated: 3/28/25 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. f
1. Job Address: 14 Fairlawn Pkwy SBL: /��pi 5q•—/—`7 7 Zone:��
Property Owner: Liviu Horn Address: 14 Fairlawn Pkwy
Phone#: 914-484-4122 Cell#: email: liyiuehorn@gmail.com
2. Applicant: Perry Verrone Address: 12 Center Street, Pleasantville
Phone#: 914-747-7663 Cell#: email: maria@perryverroneroofing.com
3. Roofing Contractor: Perry Verrone, LLC Address: 12 Center Street, Pleasantville
Phone#: 914-747-7663 Cell#: email: maria@perryverroneroofing.com
4. Job Description,list all Methods&Materials: Roof removal and replacement- 20 sq
5. Estimated Cost of Job:S 15,000.00 (NOTE:The estimated cost shall include all site
improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.)
6. If corner property,indicate street frontage:
7. Construction Type: Residential NYS Construction Class:
8. Number of stories: Height:
9. Is garage being re-roofed:No:QO•Yes:( }Attached No:O•Yes:{ )Number of Cars:
10. Is roof peaked,hip,mansard,flat,etc: Peaked
11. Estimated date of completion:4/2/25
-I-
61112024
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 YORK,COUNTY OF WESTCHESTER ) as;
Perry Verrone ,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,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 wi I I 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 tPM
his Sworn to b for this
day of , 20 ^A day l �Jt ! , 20
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Signature of Property Owner Signature of App rc nt
L_� V I (,/ �,—V-�_ ?erru _
e of Properl Owner ri rr of App is nt
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Notary Pu, tt,• P Nor!OrTbli8 7E�41
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6/1/2024