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BUILDING DEPARTMENT D E C EW E
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573 OCT - 6 2025
(914)4,39-0668
\vv, NN .ryehrooknyov VILLAGE OF RYE BROOK
ELECTRICAL PERMIT APPLICATIOK BUILDING DEPARTMENT
Westchester County Master Electricians License Required I
FOR OFFICE USE ONLY BP#: EP#: �� 43
OCT 0 6 2015
Approval Date: Permit Fee: $
Approval Signature: Other:
************************************* * **********************************************************
DO NOT START 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
TOTAL COST OF CONSTRUCTION WITH A MINIMLIM FEE OF$750.00
Application dated, ^ is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of
a Permit to install and/or remove electrical equipment, wiring, fixtures,or to perform other high or low voltage electrical work as per
the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work
performed wi1� I�+•ll be in co/ Qnformance with all applicable Federal,State,County and Local Codes. Q
1.Address: ' I 1`�0ae. SBL: Zone: 945
2.Property Owner: tr l 4 N n g 99r h a'h 4(0 Address: Y7 f 0•941Jn V'L 5'' U
Phone#:q/4-�2 Z y^ 70.r Cell#: email:�96 h)is Nf N T(, QCphn 1 G,Dw%
3.Master Electrician/Licensed Installer::FY4N I- Cayell4 17 d Address: s8 r,�b11" w.,IY
Lic.#:Phone#:91 C -000-�o?9)Cell#: f 14- 490`4?YZ email: Fyyoll+ye W'W�L &PatoG-&&
Company Name: �4fT�d►.ytc� G (eC_ Address: SS BlroA"�/. �iryleoN �tacW
4.Proposed Electrical Work/Fixture/Count:
're_ e- ? M v.. a w oae
G C. f oe
-LU C if.Q 14 n4t� C . �s a Q ey,i S ty, v7 �. P o o f �Q y.1 p
5.3rd Party Electrical Inspection Agency:
TATE OF NEW YO.RK,COUNTY OF WESTCHESTER ) as:
dq&t t— Q$`( t-" ,being duly sworn,deposes and states that he/she is the applicant above named,and does further
(print name of individual signing as the applicant)
state that(s)he is the for the legal owner and is duly authorized to make and file this application.
[(Master tlectriciat Licensed Installer)
The undersigned furth 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 b fore me this Sworn to befor me this Ac
day of � kQ ZY ,20 day of 20
Signature of Property Owner Gib` Signature of Applicant
PripA Name of Pro erty wrier Print ame of Applicant
NOUW GREGORY M.RIVERA Notary PATic
Of New York Notary Public,state of New York
No.01 RI6441398 6/I l2oza
Qualified In Westchester CountyNo.01RI6441398
Commission Expires September 26, 0 Commission
In Westchester County
n
ommission Expires September 26.20�(
STATEWIDE •
cxk__�) Service With Integrit-i
ISI Main Street,Fishkill, NY 12524 1 emoil:office@swisny.com
SWIS JOB APPLICATION 1 914.219.1062 • • •
Office Use Elect.Permit# � I 43 Date t)
Bldg Permit# Utility ID#
�% I
Final Certificate#
City/Village .t_ Cw'o 0 Zip 0 S 7 3 "'1 ;n y e rj f J
ao It County W Q ('
Address I 1 t— Cross Street Section Block .
Owner Name/Address(If different than above) T �T� R ] J L V f Contact Number 'N
*Basement pst A. ❑2nd FI. ❑l 3rd FI. ,❑vMore Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential %Commercial
Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact
Amt Amps
Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw
Incandescent Fluorescent
SERVICE
Amperage Voltage 1 P I 3P #Meters #Disconnect ❑Underground ❑ New ❑Reconnect
❑Overhead ❑Change
❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection
Additional Information
I I h e w 0 �► 4S'
4ew 0 S-FI. r►y LV ; ✓ 4- C 0 " ►�r
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W -e a trc C lae.a t� u r �- S A -� e a . e ►��>,
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VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
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 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 company.The applicant,owner
or authorized agent agrees to all the above terms and conditions as set forth for the application.
Inspector Date Finalized Inspector#
Company Name ,i(fa s4 l (1✓70 Q L Date /0 b ZS Signature
Address 5_ V-oa[��� City/Stag VIA _ ?p Code Ql�
License#\ CY Phone# (} '1
DE (C E V E State Wide Inspection Services
L��Vv� V L� 1080 Main Street
Fishkill, NY 12524
a OCT 17 2025 845 202-7224 Phone
914-219-1062 Fax
STATE WIDE INSPECTION SERVICES Email: ofFice01swisny.com
VILLAGE OF RYE BROOK
Service With Integrity
BUILDING DEPARTMENT Website: www.swisny.com
BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES
CERTIFIES THAT:
Upon the application of: Upon Premises Owned by:
F. Castellano Electric Inc. The Nurtury
58 Broadway Brianna Banahan
Harrison, NY 10528 431 North Ridge Street
Rye Brook, NY 10573
Located at:431 North Ridge Street, Rye Brook, NY 10573
Section: Block: Lot: Electrical Permit Number: EP 25-243
129.68 F
12
Certificate Number: 2025-6999 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:431 North Ridge Street, Rye Brook, NY 10573
The Basement and Exterior 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 91h day of October
2025.
Name Quantity Rating Circuit Type
Light Fixtures 10
Disconnect 01
Disconnection of Crawl Space Inspection and Install Pool Equipment 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.