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Home My WebLink AboutEP25-203 z , s ■ - O CV N N W s 1[') N N N 44 r 4400 _ W o ao A w U c � � � ■ Cv A W tw 0let z a cf) ■ O _ � H � 0 x O 00 U U 44 o �-, w o W � � � Z �. W w a � � H O ■ © C� w � v' v ° d z 8 z CA_ � N z ■ a ►J 00 ICI IV W W w A Z x W a mzW E�'' z o z E. x C/7 a U o W z 0 j = BUIL� E APLYMENT VILc of RYE ox AUG - y 2025 938 KIN Q� I ET RYE B ,� ',NY 10573 VILLAGE OF RYE BROOK BUILDING_ DF ELECTRICAL, PERMIT APPLICATION Westchester County Master Electricians License Required �fi EP#: �CDO FOR OFFICE uSE n1VI,4� #: - Approval Date: AUG 0,7 Permit Fee:$ Approval Signature: Other: D \OT START WORK or CONSTRUCTION IiNT11,A PERMIT HAS RF:EN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLF:TF.II WI HOUT A PERMIT IS 12%OF TTIF. TOIAL COST OF CONSTRUCTION R'f"Ili A ,4T11I.Nit'%I FEE OF S750.00 Application dated, 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. I.Address: eg — SBL: / 7(� 3 zone: 2.Property Owner:W fj S�t_.__ trio u1. iL* p lfra fr [JZ a ►ddress: —S -- Phone#: CeiI#: Q f if—41q 3l bG email: M"ta 70 e7 4) "&•t'!OIMI 3.Master Electrician/Licensed Installer 1S0Sf-1 - IL41 e% Address:I t agA( Uwe FtOF, NA'wyto" Lic.#: 30Ve Phone#4(4 e4d,-1400 Cell#:41$'4-g0-74*bed_ `email: 0 04C0EAq 'LOVA, Company Name:TttE tA1 C tr CD (ANtU, 06 n2t�Address:I/6 64,Lr A-d& R&o.)I"%kP— 1�s3 4.Proposed Electrical Work/Fixture Count: -- C�tSo &A -V S.3nd Party Electrical Inspection Agency: &jVtVf-a h/jetffS �UCC AOQ 250SP-f61VA &OLAc4� **********#**#***####**####*****##*##*####i*******#*******t**ni it*iir**k#:t irh kic:t*ki•7:•.+c4tk*i•k#:!•k tic*t*t*7k**irr�•!+ STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 14)" — K.CbtI being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name r4indivtdunt signing w 1he applicamtI state that(s)he is the Af <1" reISC.1k�A4,#%A for the legal owner and is duly authorized to make and file this application. (Master Hectrician Licensed Inst:ello 1 The undersigned further states that all statements contained herein are true to the best of his/her knowredge and belief,and that any work perforated,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 alt6ther applicable laws,ordinances,and regulations. O > 1� Sworn to fore me this ' ; d Sworn to before me this jj9+4 day of OR z ,0 4 day of ,1�.a:... ,ZO L5 Sig a re of Prope wne z r ° g attire of Applicant a � c /1114&AW L.rE✓q "4,W i4jG >O�� p 0— oto — -- PrintName of pe Owner aa u 0 c Print Name of A' I' and c J C lot 0 �O�B,B�I.N Gq7E�RBER Xo ' 1►r.t' ,, Notary Public eQbtretbn No ._01 �52 y E Notary lie OuallAed in Westchester ctwnttyy q V 611J2024 M Commleslon Expires 0112t12I12! o 0 t 5 Buckout Road BETTER HOMESQfmWest Harrison,NY 0 � Phone:9'14�306-0443443ELECTRICAL INSPECTION SERVICES INC. " ' Email:betterhomes252@gmaii.com APPLICATION DATE: ELECT.PERMIT NO. CffYNILLAGE y� ZfPCODE BLDG PERMff NO. ADDRESS:: BUILDING DEFT COUNTY �� orrl•'H r�l�c.� S`7" clZ �i�2��- WP�i7. PHONE# SECTION BLOCK LOT UTILITY EMAIL ADDRESS: Residential ❑ Commercial OWNER'S NAME AND ADDRESS. L'V' , `63141 VJ6+EO IP0 N AZa -/y/� t Y � �I S S r7Ci iI& LL, /71077h L �� '1&t S.a,At7 n n I Oe -::!;r AUG - it 2025 d D')3 VILLr WORK LOCATION: ❑Outside NBasement ❑Garage ❑Attic ❑Porch Floor: ❑1st floor ❑2nd floor ❑3rd floor ❑4th floor ❑Other floor ❑Reinspection ❑Renovation ❑Generator ❑New home ❑Other Comments: /2 a im �;I P-C7- sIvtTrA-- SERVICE AMPS CASE NO. SERVICE ENTERS BUILDING: CON EDISON 7 Overhead ❑ Underground COMPANY NAME: DATE OF APPLICATION: LICENSE#WHEN APPLICABLE: STREET ADDRESS: CITY: STATE: ZIPCODE: 1111:'2�0�eihL417tV ha /n5 TELEPHONE: CELL PHONE: EMAIL: l� y y 9 l?D l da A' SIGNATURE OF APPLICANT: X The application Is intende to over the above listed items to be inspected.If at any time of inspection additional items have been installed,we are authorized to make the inspeAion and adjust the fee for the additional items inspected as provided by the applicanLThe applicant declares thatthere are no open applications for the above with any other inspection company.Application only good one year after filing date.