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BUILD ENT
• VIL LOx Y. K AUG 19 2025 l
938 ICl1nc kVt Bi M 1073
VILL
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Approval Datg_2 FJ 202 t�k — Application* A-P�Q5- /QCj
Approval Sipatttre: Air ARD•
Disarprow�d:
Date:
DOT Approval Date: Cate p Chairman:
PB Approval Date: Cateµ Shy.
Z BA Approval Date Cate 0 '
Ckdor: -— •
Appl eadou Fee 70 Pernik Fen:
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SIGN PERmu APPLICATION
Appkatiin ddod: , is eereby made to the Bm'ldiog Spector of the VlllWoflltje HrWk Ny.far tee iasetace of s Pe®it foe tee
wnstrtretioo/mstaI of a Ap in aootrdana with VNIap Cade J250-35 as per detailed stattanest der dW below.
1. Address:
SBL Zone:
2. Property Ute or Bu4nea Name:
3. Propotod Sips)(Describe in detail including number of signs,types,SizCS.exact kcsd*sl sad Mwnmatim method(s)if apphabk.)
(A separate Electrical Permit Will be roquired for any associated ne ed Wo&) •
e/ �n�� rr�er�-f S1C�r�� Lc1, fL
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4. Hei0f from grade to WOM Point of sip: —•to lowest point of sip:
yC 5. Pr opaty owns:�a.i,V C�'�t a c ti M f,4)L4 f4 CA,t LCID6ddreu: SAL G&jjA s Ijj-V4 E fttwk N y/4j-�)
Phone M._ Con p email: i , c:oi✓►
6. Applicant'
Add.
Phone,0 4 ld—g 3 7-(v3G Ceu lr emu: —tit s14 rJ Dt sl a �o^'`
I Addrea•
7. ArcbitecdFgpoeer.
Pbooe N # tiL
ef
Tel 1�5 73
B. Sip Contractor: S tJ �Ll�W h t r► _Address: 0 _f I I GTT � Q—
Phone p t? _ :�J Z'63 0 Cell# email:
I
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6/1f2024
9, VVitI the p qm rupire a Site Plan Review by the VO4c Plannin j Boatd u per 1209 of Village Code?
• Yee No: (if)T,you must oubmit s t+hr Plan Application,A prorldr dralkd draaYnr.,
10. Does the proposed a*involve a Horoe4ocupation as pet 1230-39 of V111060 Code? Yes.--No:,__ Jf yes,indicate:
TIfiR I:_TMR I1:______TIER Ill:— (if yea,a Floor Occupation Pamh Applk•trnn is retreirey)
11. If building is located on a cornet lot,which street does it tot on:
12. Property f ntage:
13. Property sine,Sq.R.:
14. What is the total estimated Coat of construction: t 'r0 ")Ob Q D
(Tlte estimated cast shall indWe all site improvemeats,labor,,t w erial,scaffolding,fixed equipment p(ofe•ilm"!kn,i"clu ing any matma
and labor whica tea),be donated gtatis.)
13. Edim etsed date of completion:
i
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This application must include the notarized signatures) of the legal own*gs)of the subject
property.and the applicant of record In the spaces provided.Any application not PrOPeft
completed in its entirety andlor not properly signed shall be deemed null and void,and will be
returned to the applicant.Please nob that appKcation fees are non4rfundabie.
NfM}#.flR#lNIRRtMAillRfNf/fNN#N#M#N#AR#N!f#f#ltilt!RNRfNANf!#tN#NfRAfINHMfN1M#!#fAMN
STATE OF NEW YOM COUNTY OF VESTCH13SM ) as:
5 N to• 6 uU. .being duly sworn,deposes and states that hatahe is the applicant above named,
OrMname o[io�sites to its rppbaes)
and further states that (s)he is the legal owner of the property to which this application pertains, at that (:fie is the
c.T O 1 L- __w_for the legal owner and is duty authorized to make and file this appbcafm
(odiass.r lot,ooatracsoti WK YlCrI ) tar-)
That all statimenta coaWned beet an true to the brit of bn&er knowledge and belief,and that any work performed,err ass
oonihwted at the above captioned propeltY will be in conformance with the details as so forth and cow in this application
and to any accompmymg approved plant and q=&*Wns, as well as in accordance with the New York State Uniform Fire
preventim&Building Code,the Code of the Village of Rye Brook End all other applicable laws,ordinances and regulations.
k Sworn to before the this
x Sworn to before me this
i
v l� , 20 9-s day of 20 5
S ofProperty 4patu a of licatt
Za--
pS t t U R U L Print Name o
Prior came ofPtoparty Owner
— — Notify Public
LOIS NIETO
SONIA M. KRAUS NOTARY PUBLIC, STATE OF NEW YORK
Notary Public• State of New Yor NO. 01 N14899825
No.01KR62=4 QUALIFIED IN WESTCHESTER COUNTY
Qualified in Westchester County COMMISSION EXPIRES DECEMBER 3, 2026
My Commission Ew It-aG—Uo -�
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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
Front Entry Way to Doral Greens P.U.D PUD
Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency
2 monument signs and disconnects Swis Electrical Inspection Agency
Master Electrician/Licensed Installer Information
Name Lic#s Address email Phone# Cell#
Girolamo Giglio 1744 90 Jefferson Avenue Kensicoelectric@gmaiI.com 914-522-8662
Company Name Company Address
Kensico Electric 90 Jefferson Avenue Valhalla, NY 10595
Address of Work?
Homeowner Information
Front Entry Way of Doral Greens Drive East&West
Electrical Permit Application,page 1/1
BRc�t VILLAGE OF RYE BROOK
P 938 King St Rye Brook,NY 10573 �
W � #
Y Phone:(914)939-0668 1 www.ryebrook.gov S
b2• Building Department
Electrical/New Fixtures And Wiring(Remodel) Permit
Permit Set 40 DORAL GREENS DRIVE WEST P#RB25-0084 R#129.26-1-32
PERMIT INFORMATION
Address Permit number Date issued
40 DORAL GREENS DRIVE WEST RB25-0084 10/29/2025
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
3rd Party Electrical Inspection Form 4
Copy of Electrical License 5
Electrical Permit Application 6
Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668
BRnv� VILLAGE OF RYE BROOK
938 King St Rye Brook,NY 10573
W �
Q Y Phone:(914)939-0668 1 www.ryebrook.gov
�O
��• b2• t Building Department
INSTRUCTIONS
THE PERM IT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURI NG THAT ALL REQU IRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT
THE PERMIT IS COMPLETE
.:
T '
❑■ �6
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.
Final Electric Final Electric
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