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HomeMy WebLinkAboutRP25-055 a ■ i O m ■ � Lin N ■. W " v N Cr a s ■ P a � a Cn y q F0-4i I■L■I a� � cn p" Omni ■ 5 p ry ` Oin © O cy�, r h z cd n " W _ v ■ let _0 tz 00 � � \ M � � '�"� z Uz � v a � O �j ■ z � � .-. W o � � v � � ■ � � H C °' w y z u �t v' u °' `s N © v a y can W r o z z p `� a� �I U z � ILI � � Cl) W 0 A. rn V F" W 0 � � �.� °, � ■ N oA W W � a av a 414141419944141414;a4;4144444aaQQQQQQQQa4a Gag Go ago 4444 -D F BUI DEPARTMENT VI E OF RYE $ OK JUL _ 9 2025 938 KING ET RYE BRt�o NY 10573 -0668.' VILLAGE OF RYE BROOK kti 'ov BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date:AUL r it##/�-1 �Q � Application# : Approval Signature: ARCHITECTURAL REVIEW BOA": Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: / }� Application Fees/ hermit Fees: ROOF PERMIT APPLICATION Application dated: 7,g _Q� 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: f�' SBL: 7 —�— Zone: Property Owner: y`j<: Address. Phone#: �_1�� g � Cell IF, // email: riG' 2. Applicant: .I' M*V Address: Phone#: Cell#: Ila / email; 3. Roofing Contractor: ��1' �iw 'crc6��� Address: / � l, ,r �� Phone#: /-2 /0 Cell#: email: 4. Job Description,list all Methods&Materials: 5. Estimated Cost of Job:$ZZ6?22',�2/ (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 comer property,indicate street frontage: /a 7. Construction Type: /� ' NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No:( ) •Yes:( )Attached No:( )•Yes:( )Number of Cars: 14. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: 6/112024 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: ,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 forthe 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 Sworn to before me this day oQ[ e Q! , 20 day of , 20 lr Signature of *e/rty-O/wneeir Signature of Applicant Print Name of Property Owl?( Print Name of Applicant N Ia ubli _/ Notary Public sHARI MEULL0 Notary Public,State of New York No.01ME6160063 Qualified In Westchester county commission Expires January 29.20 V 611/2024