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BUILDING I3 MENT CM IV[ED
V E OF RYE OK APR TO 25
938 KING ET RYE BR NY 10573
(914)9 _l 39-5801 VILLAGE OF RYE BROOK
ok�f .
BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
Approval Date: APR 2 25P r ' f`1 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: Permit Fees:
ROOF PERMIT APPLICATION
Application dated: �l.f �} 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: 61 &63 High Point Circle SBL: 124.73-1-13 124.73-1-14 Zone: P416
Property Owner: gellefair Homeowners Association Address: 24 Bellefair Blvd
Phone#: Cell#: 914-690-1371 email: manager@bellefair.org
2. Applicant: Mark Franzoso @ Franzoso Contracting, LLC. Address: 33 Croton Point Avenue Croton on Hudson NY 10520
Phone#: (914) 271-4572 Cell#: NIA email: sales@franzoso.com
3. Roofing Contractor: Franzoso Contracting, LLC. Address: 33 Croton Point Avenue,Croton on Hudson,NY 10520
Phone#: (914)271-4572 Cell#: N/A email: sales@franzoso.com
4, Job Description,list all Methods&Materials: Roof Removal/Replacement at conjoined 61 &63 High Point Cr
(52 squares)
5. Estimated Cost of Job:S 31,200.00 (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: NIA
7. Construction Type: protected non-combustible NYS Construction Class: 1 A
8. Number of stories: 1 story Height: 18 feet
9. Is garage being re-roofed:No:V—Yes:O Attached No:( )•Yes:VNumber of Cars:
10. Is roof peaked,hip,mansard,flat,etc: Roof peaked
11. Estimated date of completion:TBD
-t-
6/1/2020
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:
Mark Franzoso ,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
Franzoso Contracting,Inc. 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 a * Sworn to before me this I f.?
day of (�r' , 20 2'S day of prod 20 �S
�/" '4wr7_1
Signature of Property Owner Signature of scant
IA its Ar Mark Franzoso
Print N e of op arty Owner Print Name of Applicant
surf
Notary Public Notary Public
Michael Sauit
DAVID E. LEVINE Notary Public,State of New York
►Votary Public,state of New York No.01 BAS331102
Registration No.02LE6004399 Qualftled In Westchester County
oualified in New York Caurrty Commis&fon Expires September 28,2027
Commission Expires 03f23 !,
6r112020