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Serjice With Integrity 0•0 • • SWIS JOB APPLICATION tel 845.202.7224 1 fax 914.219.1062 1 SWISNYcoml SWISTRAINING.COM Office Use Elect. Permit# N/A Date 08/07/2025 Bldg Permit# N/A Sq Ft Plumbing Permit#N/A Final Certificate # City/Village RYE BROOK Zip 10573 Building Dept. Village of Rye Brook County Westchester Address 64 Windsor Road Cross Street Ridge Blvd Section Block Lot Owner Name/Address()f different than above) Jonathan Metz Contact Number 914-645-6451 ❑✓ Basement ❑1st FI. ❑ 2nd A. ❑3rd A. ❑More Than 3 FI. ❑✓ Garage ❑Attic ✓❑Outside ❑✓ Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact N/A Amt Amps N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Range (s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer switch N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A SERVICE Amperage #Panels 1P 3P #Meters #Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair N/A N/A N/A N/A N/A N/A ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# N/A [:]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 N/A N/A N/A N/A N/A N/A N/A N/A N/A ❑Legalization ❑ Safety Inspection ❑Consultation Scope of Work Ford 48 amp 240V Level 2 EV Charger installation. Branch circuit is 60 amp protected by 60 amp overcurrent device- 6 AWG Cu THWN or 4 AWG Cu SER cable. This application is valid for one(])year from the date received by SWIS.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 forth ad ditlonaI 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 asset forth for the application. Email Address support@zuntekservice.com, cc to jackjr@jffelectric.com Name Maxim Khvostov License# Westchester 2166 Date 08/07/2025 Signature Address 252 Java street, ste.208 City/State Brooklyn / NY Zip Code 11222 Company Zuntek Electrical Services, LLC Phone # 917-768-0438, 516-523-2479 Application for building and use permit Village of Rye Brook w � ° �'79b2 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 www.ryebrook.gov Building Department For use by Principal Authority Cloudpermit application number US-NY64325-B-2025-74 Application submitted to Village of Rye Brook, NY, New York Project Information Address 64 WINDSOR RD Municipality Village of Rye Brook, NY, New York Subject Land Information Address Legal description PIN 64 WINDSOR RD (Primary) 135.60-1-24 Purpose of Application Application type Electrical—Remodel— New fixtures and Wiring Applicant Last name First name Corporation or partnership Khvostov Maxim Street address Unit number Lot/Con. 252 Java street 208 Municipality State ZIP code Brooklyn NY 11222 Other phone Mobile phone +1 5163032980 +1 917-768-0438 Fax Email support@zuntekservice.com Property owner Last name First name Corporation or partnership Metz Jonathan Street address Unit number Lot/Con. 64 Windsor rd Municipality State ZIP code Rye Brook NY 10573 Other phone Mobile phone +1 914-645-6451 Fax Email j.metz@perkinseastman.com Declaration Property owner I, Jonathan Metz (The Property owner), do hereby declare that the information contained in this application,the attached schedules and forms,the attached plans and specifications, and other attached documentation is true to the best of my knowledge. If a permit is granted, I agree to comply with Local Ordinances and the conditions of the permit. If the Property owner is a corporation or partnership, I have the authority to bind the corporation or partnership by signing off, I understand that it constitutes a legal signature confirming that I acknowledge and agree to the above declaration. Signature Date 08/07/2025 Jona Chany4etz Applicant Name Electrical Permit Application Village of Rye Brook w �'79b2 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 www.ryebrook.gov Building Department Project Information SBL Zone R-7 Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency Ford EV charger 48A 240V Level 2 installation -dedicated 60 State wide inspection services amp 240v circuit protected by 60 amp overcurrent device Master Electrician/Licensed Installer Information Name Lic# Address email Phone# Maxim Khvostov 2166 55 Tulip ave, A76, Floral Park, NY 11001 support@zuntekservice.com 917-768-0438 Cell # Company Name Company Address 516-303-2980 Zuntek Electrical Services, LLC 252 Java street, ste.208, Brooklyn, NY 11222 Address of Work? Homeowner Information 64 WINDSOR RD, RYE BROOK, NY 10573 Electrical Permit Application,page 1/1 �yE 13R— VILLAGE OF RYE BROOK � 938 King St Rye Brook,NY 10573 W Phone:(914)939-0668 1 www.ryebrook.gov 198 Building Department ❑ Electrical/New Fixtures And Wiring(Remodel) Permit Permit Set 64 WINDSOR RD P#RB 25-0036 R#135.60-1-24 PERMIT INFORMATION Address Permit number Date issued 64 WINDSOR RD RB 25-0036 08/09/2025 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 Application Materials 4-5 3rd Party Electrical Inspection Form 6 Electrical Permit Application 7 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 E 13Rnv� VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 W � Phone:(914)939-0668 1 www.ryebrook.gov 1982 Building Department INSTRUCTIONS THE PERMIT HOLDERAND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQUIRED/APPLICABLE INSPECTIONSARE SCHEDULED AND THAT THE PERMIT IS COMPLETE MIPS, , REQUIRED INSPECTIONS Name Description Final Inspection Completion of all required items under the permit including the site grading and the surveyor's final grading certificate. REI 0 ��AUGState Wide Inspection Services cxk- D1080 Main Street t^ 2 � 2025 Fishkill, NY 12524 a i 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES i VILL.AGE OF RYE BROOK Email: office@swisny.com BUILDING DEPARTMENT Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Zuntek Electrical Services, LLC Jonathan Metz 252 Java Street Suite 208 64 Windsor Road Brooklyn, NY 11001 Rye Brook, NY 10573 Located at: 64 Windsor Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: RB25-0036 135.60 1 24 Certificate Number: 2025-5664 Building Permit Number: A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at:64 Windsor Road, Rye Brook, NY 10573 The Exterior and Basement were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below, was found to be in compliance on the 22nd day of August 2025. Name Quantity Rating Circuit Type EV Charger 01 48AMP 240V Branch Circuit 01 60AMP Overcurrent Device 01 60AMP Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only.