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HomeMy WebLinkAboutRP25-057 x ■ a I° a LO N p Ly ' Q N \ W W h Cs a PLO \ v a �S H xx 14 p _ Cd 04 44 all ■ � cry .��. v " x' o '� " .� I,+.I ` v a4 z p �T� ,..� p F-rl ►�" N � Q E" � " ' � c 0ON o c. o ,ti ' ■ W � � � W LT 'r"' � � � o o -� a � x 77 TT x A W /7. �' F.•I go, z 0 0 �+ lowVI r/ i�L O _ p W 00 z 0 A q V a u C U ■ T 1 \ C� ' j h �1 Z W zl ■ � �i O p F.L� M �" ''—' � W ci V rn � -o Q a t�C � ' >00 �, CNrn W CN � x ' ~� ✓ \./ C� cy t 'gyp p Wz c wAka � °' � Q ■ Q z V U zg °a b (u ■ Z U Q U o�v g w x v u (z A z F- , y I1 z W � C44 7 � od .� � as v _ h P�7d17s���P!� N P �M�� P `W P P P P 4■V 7�1�P��71a�dal��P P������ _ BUIL 1� VI E OF RYE OK JUL 2 3 2025 938 KING ET RYE BR NY 1 3 -a VILLAGE OF RYE BROOK w ov BUILDING DEPARTMENT *********************************************************************************************************** FOR OFFICE USE ONLY: Approval Date: Z r51tt# Application# Approval Signature: UV/ ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee: CL Permit Fees: ROOF PERMIT APPLICATION Application dated: �� '' 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. lab Address. D_ 1. SBL: /(�//JJ9/m��`7r-/-_)4Zone: e—C Property Owner: lvi lk f' 11►%A& Address: S�rrre l Phone#: ttj( y 2 E 6 Cell#: email: . 6&W 2. Applicant:Ej?AjUAdA&jW Wd Address: N ©KI Phone#: 97 3 S1476 Cell#: email: 3. Roofing Contractor: be Address: 9A Phone#: 977 z� �� ,(` Cell#: email:�� y 4. Job Description,list all Methods&Materials: F O if 5. Estimated Cost of Job:$ 111.91?0, G 0 (NOTE:The estimated cost shall include all site improvements.labor,material.scaffolding,lixed equipment.professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: 7. Construction Type: NYS Construction Class: S. Number of stories: (2 Height: 9. Is garage being re-roofed:No:( )•Yes:V)Attached No:( )'•Yes:(J4 Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: 11. Estimated date of completion: 0 77 l 110 �r W12024 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 N W 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 Mfor 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 Sworn to before me this day of aU444K , 20 day of \ 20 aJ�- Signature of Property er Signature of Applicant am of Pro Owne P ame of Applicant Notary Public ,1 Notary Public TRMA FLAINE TH ASI1 WI LEY Notary Public, State of LEY No. 01 TH6289985� York aumified in Westchester County Expires Oct.M 7, 20_a4 -2- 6/112024