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BUILDING DEPARTMENT
VILLAGE OF RYE BROOK [APR 2 5 2024 t a
938 KING STREET RYE BROOK,NY 10573
(914)93.9-0668 VILLAGE OF RYE BROOK
wt w.ryebrvul:.org BUILDING DEPA'RTkIFNT
ELECTRICAL PERMIT APPLICATION
Westchester County Master Electricians License Required
FOR OFFICE USE ONLY RP #: EP#: 7 C)
Approval Date: � � � Permit Fee: $
1 "S '—I)L
Approval Signature: Other:
Application dated, 4/17/24 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of
a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per
the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work
performed will be in conformance with all applicable Federal,State,County and Local Codes.
1.Address: 46 Rocking Horse Trail 129. 74 — 1 — 48
SBL: Zone:
2.Property Owner: Robin Linder Address: 46 Rocking Horse Trail
Phone#: -Q — Cell#: email:
3.Master Electrician/Licensed Installer: _Jame s A. Stone Address: 522 Fenimore Rd.ecJc Ny_10543
Lic.#: 1387 Phone#: 914-835-0999 Cell#:914-290-2739 email: lAmes jamesstoneelectri.c.eom
Company Name: James A Stone Electric Inc Address:522 Fenimore Rd. Mamaroneck NY 10543
4.Proposed Electrical Work/Fixture Count:
Replace existing Service with new 200 Amp Service
5.3rd Party Electrical Inspection Agency: State Wide Inspection Service (SWIS)
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
James A. Stone ,being duly sworn,deposes and states that he/she is the applicant above named,and does further
(print name of indiv ideal signing,as the aipplicaw)
state that(s)he is the Electrical Contractor for the legal owner and is duly authorized to make and file this application.
(Master Electrician'Licensed Installer)
The undersigned further states 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 be re me is Swornt Sworn to before me this �J
,20 ea d of ,20
S gnature o Proper caner tgnature ofAppncam
b James A. Stone
Print N o Property, wn P e of Applicants
Notary ublic
ALAN H SOLARZ I MELILLO
NoteryPublic-State of NewYotk Notary Pubkic,State of New York
No.02SO4992320 No.OIME6160063
QualHled in Westchester County Quallfled in Westchester County
pbsrtmission Expires February 24,2026 Cnrrtmission Expires January 29,2;?j-- 12023
STATE WIDE INSPECTION SERVICES, INC.
Service With Integrity
080 • •
SWIS JOB APPLICATION0. •
Office Use Elect. Permit# �n 4-0 90 Date
Bldg Permit# Sq Ft
Plumbing Permit#
Final Certificate#
City/Village �� Zip 105'+3 Building Dept. County
Address qb {� `t ' �--��, Cross Street 5 ctio Bloc Lot V
Owner Name/Address If difff e-r-en[than above) Contact Number o
❑Basement ❑ 1st Fl. L_I 2nd Fl. ❑3rd A. ❑More Than 3 Fl. fj!1-6erage ❑Attic fj!�Qutside 'residential ❑Commercial
Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact
Amt Amps
Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch
SERVICE
Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair
1100 b ./� ` ®Overhead Upgrade ❑ Disconnect
Utility ID# 20con Ed ❑NYSEG ❑Central Hudson ❑ Orange/Rockland
PHOTOVOLTAIC SYSTEM
PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect
❑Legalization E] Safety Inspection ❑Consultation
P�,LC,4Z- -E>q C> l0 V'0. S
�VVI
APR 2 5 2024
VILLAGE OF RY
This application is valid for one M year from the date received by 5WI5.This application is intended to cover the above listed items to be inspected,if at anytime of inspection additional items have been installed,you are
authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there Is no open applications for the above address with any other inspection company.The applicant,
owner or authorized agent agrees to all the above terms and conditions as set forth for the application_
Email Addres5-�q yyq,S 0.w��sS�o �IQC � w` Name w�C.S
License # ,'; Date LliLi, Signature
rdress •��� VA f-lL_ IK-G City/State a w1�nV Zip Code OS It?�
mpany �� V�L• Rhone # qi - 'ZCi