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HomeMy WebLinkAboutRP25-053 a ■ ■ N ■■ M N Ln N © a v 0 ■ W � W V � �, � � p, r1. �� x N '� Dd' cn �. a, .x � ,� W ■ _ Ln 0+' n v u'7 q�+ \ v O o w`+ v A F i a u ✓: CG W W po o00 -� M W O '�' '0 O dj s G4 , p n O a C . ■ rT� / ter' ►e) i C' v i� ■ -i � No ti VJ w O � 0 v 0 jo u z s b a cn W r MCN let ao Q Uen (�, x H w wQ ° oo O ■ c ZC\ M C` W a z N b a �..� v ■ ►j a a3 o w a s te 8 a. ■ V P" a1 w d zz � w " ■ gel d `+ d V O w W V p V ° U � x 0o z a w o � : N A � z lul '.� � e BUIL TMENT DIECIEWE V E OF RY OK 938 KING JUN RYE BRA NY 10573 JUN 2 6 2025 VILLAGE OF RYE BROOK _BUILDING DEPARTMENT **M##**#**#*##*#**#�#******�****#**********#**##'## **#*#*##*####►##k k$#k##k#%F%k#K#M*#oM#I##*##R##*###F k ik k k k*k FOR OFFICE USE ONLY: : Approval Date: JUN 3 Application # Approval Signature: a53 ARCHITECTURAL REVIEW BOARD: Disapproved: Date.- BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee:4,/X'7*)6 Permit Fees: 1JY j g5�,_170--P6 ROOF PERMIT APPLICATION Application dated: _ro j n 1 5 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: :q L,6 L-,C N!DP%RV C tR 91 r gR4*k t4 y WS 13 SBL: 137,&J�'�l—c) !'-7 /�Zone: /"'U6 Property Owner: SUCH 1 T k A to L- Address: X L V Qf,4, D 0*Y C i k Phone#: Cell#-. 6'0414-f if 24- email: kri oAt 61 Q*ma,l,Ga;Y% 2. Applicant: $L'(N I-T P Uj, Address: Phone#: Cell* C 1�_d -914 -St 2 email: 0+ r ,T 3. Roofing Contractor: rik-? Szv is' Address: Phone#: 1114-?k-4 -4 C K Cell#: email: 4. Job Description,list all Methods&Materials: Re -Tr,:. 1) F Idea h1th 1,t1odck, tAA 6r+tt z) ASP f� r s��' 3 ►�� r �' t' (oxw ) �„Ott II'Ay try S. Estimated Cost of Job: S I qi 200 (NOTE: The estimated cost shall include all site improvements,labor,material,scatTolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 6. If comer property,indicate street frontage: 3 t 7. Construction Type: W j 'low- NYS Construction Class: i 8. Number of stories: 2 Height: 9. Is garage being re-roofed:No:( )•Yes:VAttached No: ( )•Yes: ,^umber of Cars: 2 10. Is roof peaked,hip,mansard,flat,etc: Ff t P 11. Estimated date of completion: MA i y u 20-2 S A- 611/2024 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: ;S L(HIT k P til, ,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 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 C Sworn to before me this 26 day of —V µT; , 20 �1'` day of Nr� , 20 Z<:' Signature of Property Owner Signature o pplicant 9110-I tT k-"L .S OCH l'T k-_AA"L Print Name o Prop wner Print Name of Appli t �, && v pa e- P�� Notary Public Notary Public SCOTT GOWE NOTARY PUBLIC OF NEW YORK I.D.#01 G063571 8 SCOTT GOWE MY COMMISSION EXPIRES�alze NOTARY PUBLIC OF NEW YORK I D. #01GO6357188 . MY COMMISSION EXPIRES Y/lZ -2- 6/1/202d