HomeMy WebLinkAboutRP25-086 00 ° h
Ln
� N N
N w a�
D
o a)
w N
Ln
1�1 Sri to
o � ao .. A
O ^^ enF s o. cn W W
O W H ONCN
a = 0
Lin
4.4
cILn x � O
O
�J
WM z �° W W cw7 � bA a+°''cu is Z
A cn c� O G7 °0 w W c Q ° Q "' O
w a > aZ § 11i V
o00
a
M w v H CN a y e cn
h W
(n 00
O O a o ,o
V w z17%
O U V C c 0 a.'g w
y � •�' � W
o ff & � - u�
o w �
r-� D z V w O r. 8 w°
w V o V z
C7 >" A Z O a �
y
Z W a' C7 d od .�- 0AD
A a z x
w0-4
Q off " �-� N
z
BUILZBROcd
ENT
V E OK
938 KING ETNY 10573 DEC 0 4 2025
FOR OFFICE USE ONLY:
Approval Date: n, � Pe mi ��(� _D�j(�j Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other: _ t
Application Fee. 7() Permit Fees.
ROOF PERMIT APPLICATION
Application dated: 10L bt—) _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,ass per detailed statement described below.
1. Job Address: Pj(V e— SBL: Zone:
Property Owner: are ip Address: 12 Tojj Place-
Phone#:b ILI) 522—092q —Cell#: email: ��SUCL1o4�1ir1�_. ne-�-
2. Applicant: J)Q("\krcaU:c Un�iml� td \nc . Address: 432-W UMUCAm Skt'tt'F'
Phone#:(4�c;L 5-41 Cell#: email:aprb 'r'n.'k �i �tkcm
Cr
3. Roofing Contractor: �M� Address: Q3 Z W W 1 kklC.m SATdj�
Phone#:(A1q) 565-AAG3 Cell#:(q(L1) H email: vx 6 - u &Mlcom
4. Job Description,list all Methods&Materials: Remove- e-)-ci--M rn =m4f- i cs\% . jewa-1 — Y��e�i C_
�D Z—► lnskn.\\ 'ice ti.x ex, Ane� m. mVes orZ exec 4 Ayy-rre�i �p�}�,,1� new Titn�aUne
A"as
5. Estimated Cost of Job:$ 2I1P&O (NOTE:The estimated cost shall include all site
impro\entcnts,labor.material,scaffolding. I i\cd cyuipmcnt. hrol'essional Ices,and material and labor\Nfiich may be donated gratis.)
6. If corner property,indicate street frontage:
7. Construction Type: NYS Construction Class:
8. Number of stories: Height:
9. Is garage being re-roofed:No:( )•Yes: Attached No:( )•Yes:!4 Number of Cars:
10. Is roof peaked,hip,mansard,flat,etc: Q - -
11. Estimated date of completion:
4-
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 NEAYORK,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
CaAfG.0 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 Sworn to before me this
day of,_ 'P , 20�iz day of C-ew�=kf , 20_�
Si ature of Property Owner nature of Applicant
5;s-,� -4 .
Print Name of Property Own eaApp�lic7an7t�
No ary 7XIca Notary Public
HOPE B. VESPIA
Notary Public, State of New York SHARI MEULLO
No. 01 VE5084028 Notary Public,State of New York
Qualified in Westchester County No.01ME6160063
Commission Expires August 25,20vy Qualified In Westchester County
Commission Expires January 29,20
-2-
6/1/2024