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Home My WebLink AboutMP25-119 W � L +� qm N \ cn A, s PG cw M Gk O W a � ti) cn s R-i 1 W 00 W u a ° o -0 �� 000 � � x z o ` er _ H 20 Ln o CL ho � � � ° cv � yam, � 0� w z o a ' Co., _ = c� w _ �I w r, z , v 2 E U �r I�� ., z o N � o = O V W pp Q 1-0 U O A a v 6v py Q w p O V z ,� ,n A � � o �.E v z z gg Z zo � v W z O A Po 0 a w x° � - A _ BUILGETRYE MENT VILOOK 938 KING ,NY 10573 JUL 2 5 2025 Qv VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING VENTILATION AND/OR AIA CONDITIONING E UIPMENT FOR OFFICE USE ONLY: PERMIT#: t' � 9 Approval Date: AUG 2A ( 025 Permit Fee: $ oo Approval Signature: Other: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$200.00/unit • COMMERCIAL=$450.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required) 7. Electrical work requires a separate Electrical Permit& Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. Application dated, ZS is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County, State&Federal laws, codes,rules and regulations. ^^�� 1. Address: 14 SBL: 91 76 4A Zone: 6( 2. Property Owner: �"h C� ,/`�(>� Address: t? Phone#:&LI�O, L�(2�, 1,j jF42 n Cell#: email: ! 6( (� 3. Contractor: Arh�_ echim i Ce'Ll Address: y(or-) t_ 1. M&i n Phone*�QL)f�j Cell#: email: 4. Scope of Work: New InstallationReplacement( )• Removal( )-Other( ): 5. List Equipment: itir h&nd),er 6. Location of Equipment: A447iL 7. Method of Installation/Removal(list all equipment needed to perform job): 1 6/1/2025 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: (Y)a rr 61A Jtf 41 being duly sworn,deposes and states that he/she is the applicant above named, (print nume of individual signing as the applicant) and further states that(s)he is the Heating,Ventilation and/or Air Conditioning Contractor for the legal owner and is duly authorized to make and file this application. 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 Cade of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this y of 2( day of JA 20 Z \da C[ S nature of Property Owner Signature of Applicant Pri t Name roperty Ow er Print Name of Applican otary is ry Wfic LORI LOCKS NOTARY PUBLIC,STATE OF NEW YORK LORI LOCKE NO. 01 L00039106 NOTARY PUBLIC,STATE OF NEW YORK QUALIFIED IN WESTCHESTER COUNTY NO.OIL00039106 MY COMMISSION EXPIRES JULY 3,2029 OUALIFIEO IN WESTCHESTER COUNTY MY COMMISSION EXPIRES JULY 3,2029 .This application must be properly completed in its entirety and must include the notarized signatures) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 6/1/2025 C > O N o " U o 0 a O `1 C G) C a °c° L v a LL cZ o c aa aU m E m v a' CD a m a, a 3 L � a, a U- X v w w N s '_^ a > ca m > -° - c y H L O W cu u v s N W l!) 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O V u o 0 � o c0 `� oAr�o ` N�WYOP Q � o > E0v � r � ' NE -0c (n J N a �, a c LLJ CD cO U � O 0 0 u � u w o Q Q Z o � .av = � � a, � Electrical Permit Application Village of Rye Brook 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 www.ryebrook.gov Building Department Project Information SBL Zone 5 Bay Berry Close PUD Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency Wiring Condenser&Air Handler Master Electrician/Licensed Installer Information Name Lic# Address email Phone# Cell# Company Name Francisco Barajas 1868 info@jbgelectriccorp.com 9144380282 JBG Electric Corp. Company Address 24 Walnut st Address of Work? Homeowner Information 5 Bayberry close Electrical Permit Application,page 1/1 �yE f3Rnv� VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 # W Q Y Phone:(914)939-0668 1 www.ryebrook.gov 1982 Building Department ❑ Electrical/Service(New)Permit Permit Set 5 BAYBERRY CLOSE P#RB25-0034 R#129.76-1-88 PERMIT INFORMATION Address Permit number Date issued 5 BAYBERRY CLOSE RB25-0034 10/17/2025 REVIEWED BY If you have any questions regarding the review of these drawings please contact: Application in general Steven Fews stevefews@ryebrook.org INSTRUCTION AND ATTENTION It is the responsibility of the Applicant to print full size the entire approved permit package and provide at the time of inspection. TABLE OF CONTENTS Cover page 1 Building Permit 2 Required Inspections 3 Electrical License-Photo-Westchester County 4 3rd Party Electrical Inspection Form 5 Electrical Permit Application 6 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 �y BRnv� VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 W � Q Phone:(914)939-0668 1 www.ryebrook.gov ��• 02• i Building Department INSTRUCTIONS THE PERM IT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQU IRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT THE PERMIT IS COMPLETE RE ❑� REQUIRED INSPECTIONS Name Description Final Electric Final Electric STATE WIDE INSPECTION SERVICES, INC. ;0 • • swis JOB APPLICATION tel 845.202.7224 1 fax 914.219.10621 SWISNYcoml SWISTRAINING.COM Office Use Elect. Permit tt Date Bldg Permit # M� Z5 119 f1 I Scl Ft Plumbing Permit # Final Certificate# City/Village Zip 105�3 Building Dept. County Address 5 CLle ( Cross Street Section Block Lot Owner Name/Address of d fferenc than above) n mD Contact Number I 1 831- 5 IN ❑Basement ❑1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential [:]commercial Receptacles Specjal Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Corrpact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels iP 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con 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 ❑ Safety Inspection ❑Consultation Scope of Work �I-.e, cond��s & L ha C�eva(4 This application is valid for one(1)year from the date received by sms.This application is intended to cover the above listed items to be inspected if at any time 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 companny.The applicant.owner or authorized agent agrees, coto all the above terms and conditions as set forth for the application. Email Address �1 1ro((�' Jb&Ae (G Namee License# (0q Date ca o U2,5 Signat re el Address )4 Waq-i �, City/State t- TQ 1 A Zip Code Company Phone At (4 439 OZS2—