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Home My WebLink AboutEP25-213 m a = a m � x N N � a Ra `� o 00 ob � � z V � o W a � z ° z LD r O = Qn I� CIA � C Q � s wo az H z o o ° z u a o x p o W z W °� _ U z p ° A a w a �I Z W o w x � _._.D..E `1J l� -N BUILDING DEPARTMENT VILLAGE OF RYE BROOK AUG h; 2025 938 KING,STRI'ET RYE BROOK,NY 10573 \'(914)939-0668 VILLAGE OF RYE BROOK www ehcoo#nyy.gov BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP Approval Date: AW 4 Z Permit Fee: Approval Signature: Other: DO NOT ST:X ItT WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BV THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE p TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, 0 I'l , 2 S' 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: 00W SBL:I 19 �O O—I—3 Zone: 2.Property Owner: k 1\�AAon!j C Qj b O• Address: y11-\d4t 109-1 Phone#: X 4 S ` 717 • 7 7(J S Cell#: email: 3.Master Electrician/Licensed Installer. L- j S Address: k•0 6c>X Q`7�.�e p(mic y t ". Lic.#: \60 Phone#: Cell#: 9 S09 email: W11 P DO11 A'� OU �o •CmL1r1 Company Name: K +T?CJIaItd Qj Qc.� c- Address: P Obt>k AQ q. N 9A!nt gnC L- WA I 4.Proposed Electrical Work/Fixture Count: V--Q Qair Mctktn �JL'V Cj 2C30 �'efvi CQ- �Matl- C 5.3Id Party Electrical Inspection Agency: S' STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: tS' � .-V— being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signi g as the appli t) state that(s)he is the \6 - t_S�s for the legal owner and is duly authorized to make and file this application. (Master Electrician 1 Licen. d 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 before me this �� Sworn t ore me this lof iti s' 0�_ da of 20�� i nature of Prop rty caner Signature of Applican oD is A • 5r �riAName of Prope O 'P n Name of Applican E 0 1 N Notbc01PME6160063 ° o, 6160063 Qualified In Westchester County 7-1 Qualified In Westchester County--?12024 Commission Expires January 29,201 I Commission Expires January 29,28-/ STATE WIDE INSPECTION SERVICES, INC. Service Willi Integri(v 080 Main Street, Fishkill, NY.125241 Email:OFFICE@SWISNY.COM SWIS JOB APPLICATION tel 845.202,7224 1 fax 914.219.10621 SWISNY.coml SWISTRAINING.COM Office Use Elect. Permit # a Date ell as Bldg Permit# Scl Ft Plumbing Permit# Final Certificate# City/Village A�' ISY'OO�i zip }C� `�3 Building Dept. County Address YZ— Cross(Street I Section Block Lot Owner Name J Address cif different than above) -\ 'O.Y\ C n ):�0 Contact Number ❑Basement ❑1st FI. ❑ 2nd FI. ❑3rd FI. ❑More Than 3 FI. Garage ❑Attic Outside N 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 1Amperage #Pane III s I 3P µ Meters # Disconnect ❑Underground ❑ New ❑ Reconnect a Repair OA ix i Overhead ❑ Upgrade ❑ Disconnect Utility ID# Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect ]unction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation Ef I-) S'eX—'N Ce t� S (Mcki n i AUG 12 2025� VILLAGL OF kYL BROOK l BDILDI? �' '`'E?ARIWENT This application is valid for one(1)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 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 Address �1'lt oV,yl�C'0.1 by ok r �—� Name f,s S 1Y'Qr1 License# Date r' _ 2 S Signature �v Address 1) box /� City/State v�N �k Ny zip Code `O Company Y 'T 1oa Phone# MVILLAGE - F"' I State Wide Inspection Services 1080 Main Street F202-1, 24 12524 a845 202-7224 Phone STATE WIDE INSPECTIONS ERVICES C�'t+ 914-219-1062 Fax BUILDING DEPART A-!�=NT 1 Email: office@swisny.com 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: M&JP Power Inc. Anthony&Valerie Balbo Luis Estupinan 1 Country Ridge Drive 134 3rd Street Rye Brook, NY 10573 Verplanck, NY 10596 Located at: 1 Country Ridge Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-213 129.60 1 31 Certificate Number: 2025-5558 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: 1 Country Ridge Drive, Rye Brook, NY 10573 The Exterior was 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 18"'day of August 2025. Name Quantity Rating Circuit Type *200AMP Service Repair Only 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.