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Bum � MENT EE JUN - 4 2e25
VI E OF RYE OK
938 KING ET RYE,BR NY 10573 VILLAGE OF RYE BROOK
(914)9 39-5801 BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
Approval Date: 1UN 0 95 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:`J 00` 6 Permit Fees:41Y Q 6cp�_P )
######*##*###***#*##4F Mkt#i►it�#+k yM�#4•#irt9h44##***######F4ik#*#ik#M+t*#R##W:WWWWWW#W#W###########*##**##k#+k#+k*##
ROOF PERMIT APPLICATION
Application dated: s'JVrn��� is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit to
Re-Roof an Existing Building,as per detailed statement described below,
1. Job Address: 15 BelleFair Blvd SBL: 124.73-2-16 Zone: R3
Property owner: Bellefair 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#: NSA email: sales@franzoso.com
3. Roofing Contractor: Franzoso Contracting, i_i_C. 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(23 squares)
5. Estimated Cost of lob:$ $13,800.00 (NOTE:The estimated cost shall include all site
improvements,labor,material,scaffolding,fixed equipment,professional lees,and material and labor which may he donated gratis.)
6. If corner property,indicate street frontage: N/A
7. Construction Type: Protected non-combustible NYS Construction Class: 1A
8. Number of stories: 1 Story Height: 18 feet
9. Is garage being re-roofed:No:M•Yes:( )Attached No:( )•Yes:(Number of Cars:
10. Is roof peaked,hip,mansard,flat,etc: Roof peaked
11. Estimated date of completion:TBD
-t-
6/112020
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.
*yet***xr****�********aie**i�k***�e,4*ie�e***+k**,►*ie*,*******.kak***********************irA**Ar*�*******���*Faz*A*******
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,LLe. for the legal owner and is duly authorized to make and file this application.
(indicate architect,contractor,agent,attotnev,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 15 Sworn to before me this
day of 202�L day of nQ 20
=,",
Owner Signature of Applic t
6106 11r- �� Mark Franzoso
Print Na f Pr< ert Owner , rCCl�� Print Name of Applicant
7,a4 A'�
Notary PYRc Notary Publiq
Michael Babit
Notary Public,State of New York
DAVID E. LEVINE No.01BA6331102
Notary Public, State of New Yor1, Qualified in Westchester County
Registration No.02LF60043,?g
Cornmission E,)cpires Septernber 28,2027
Qualified in New York County
Commission Expires 03123/20A
6/1/2020