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:
BUILDING DEPARTMENT ECEU VED
VI E OF RYE BROOK JON -9 1015
938 KING ET RYE BROOK,W 10573
39-0668 VILLAGE OF RYE BROOK w �,Xye okn ov BUILDING DEAARTMEN
T
FOR OFFICE USE,1ONLY:i
2425
Approval Date: �UN 1 ermi ; Application#
Approval Signature: 3(p 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: 6/9/25 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. c !/
1. Job Address: 30 Lawridge Drive SBL:�v17 r - —sT Zone:��
Property Owner: Eric Gioseffi Address: 30 Lawridge Drive
Phone#: 845-323-9966 Cell#: email: Emgioseffi@gmail.com
2. Applicant: Perry Verrone Address: 12 Center Street, Pleasantville, NY 10570
Phone#: 914-747-7663 Cell#: email: maria@perryverroneroofing.com
3. Roofing Contractor: Perry's Roofing Address: 12 Center Street, Pleasantville, NY 10570
Phone#: 914-747-7663 Cell#: email: maria@perryverroneroofing.com
4. Job Description,list all Methods&Materials: Roof removal and replacement-26 sq
5. Estimated Cost of Job: S $14,900.00 (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: 2 Height:
9. Is garage being re-roofed:No:( }•Yes:QC)Attached No:O•Yes:00 Number of Cars: 2
10, Is roof peaked,hip,mansard,flat,etc: Peaked
11. Estimated date of completion: ASAP upon receiving permit
-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:
Per[y 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 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.
q�h
Sworn to before me this 9 Sworn to before me this
day of ,20 2S day of Q , 20
A,,l,���i
Signature of Property Owner /OF NEVVATE `� `,� _` gture of Applicant
Op ST,gAW
r�`� 'l
Eric Gioseffi I J ��p� =3 Np "Yak, erty Verrone
Tq�f pl/BL l"t Name of Ap a t
Print Name of Property Olafta1+�so i o I
Notary Public t' '�� EjrRE o'try Public
-2-
6/112024