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HomeMy WebLinkAboutRP25-087 t 'A y Ifl �D W C 1 Q � .. � •t � � � p" �' ►ram` w T l [ 0.64 �yy ley. 4-4 T r V ;10 F� W N `�' © G v C L° u 0-0 en cr E OCR N � cl� o CSea V 0 v U- C7 p o a ' q w z � � o W 0 W W a—lu a BUILDIN .6 RTMENT VI4 '' E OF RYE OK DEC 0 9 2025 938 KING + ET RYE BR NY 10573 _0 ov ****************s*s:a««�*****«*sus**•�s�»���********************************************************s*****• FOR OFFICE USE O\LI:: Approval Date: ' ` Pe it � ' Q Application# : Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# : Chairman: PB Approval Date: Case# Secretary- ZBA Approval Date: Case# Other: Application Fee: 1 i � Permit Fees: 2_70 06 �l 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 B ildin ,as per detai ed sta ent descr' d below. I. Job Address: , �P►�(�JT( A SBL: t 7 , Zone: J 2— Property Owner., 0 Address: Phone#: f - ]Z Cell 2. Applicant: Address: Phone#: ell email: 3. Roofing Contractor:g L 3 & Address: Ci Phone#: r1')b j Cell#: email: 4. Job Desc . tion,list all Methods& Materials: �,� ':mo _ ar L OI Gl_ll�l ✓1 �20 5. Estimated Cost of Job:S I T.rs W.0 p (NOTE:The estimated cost shall include all site impro enients.labor.niateria�affnlding.fixed equipment,professional fees,and material and labor which may he donated gratis.) b. 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:(J()Att shed o:( )•Yes:( )Number of Cars: 10. Is roof peaked,hip,mansard,flat,etc: U. Estimated date of completion: 1 srvzoz4 L 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 YQKK�COU/N�T,Y, OF W STXHESTER ) as: Ding duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the apphgaOV 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. —1 Sworn to before me this �A S%orn to before me this day of DC4 20 23 % da} of e ,20 S"gnature of Property Owner ignature of Applicant Print Name of Property Owner Print Name of Applicant Notary Public Notary Public Mohammad Ashman commission#OIRA0032973 Notary Public Side of New York My Commission Exptrnitm:01117/2029 Mohammad Raltman Commission#01RA0032973 Notary Public State of New York My Commission Expiration-01117/2029 6/112024