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U H oo ( `° ^ � Q �/ �/ -' � � J� J� L = Q a Q a a z (A v 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 Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency Nema 14-50R EV outlet installation -dedicated 50A 220V Swis branch circuit protected by 50A overcurrent device. Master Electrician/Licensed Installer Information Name Lic# Address email Phone# Maxim Khvostov 2166 55 Tulip Ave, Floral Park, NY 11001 support@zuntekservice.com 917-768-0438 Cell # Company Name Company Address 516-303-2980 Zuntek Electrical Services 252 Java street, ste.208, Brooklyn, NY 11222 Address of Work? Homeowner Information 14 Mohegan Lane Rye Brook, New York 10573 Electrical Permit Application,page 1/1 STATE WIDE INSPECTION SERVICES, INC. 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 09/15/2025 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 14 Mohegan Lane Cross Street Bonwit Rd Section Block Lot Owner Name/Address()f different than above) Weijun Vivian Lou Contact Number 9142025076 ❑✓ 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 Nema 14-50R EV outlet installation. Branch circuit is 50 amp protected by 50 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 08/15/2025 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 i ^F .r E V , JL, 1 O��yE bRC,U�'G VILLAGE OF RYE BROOK ■ ■ 938 King St Rye Brook,NY 10573 W rr Phone:(914)939-0668 1 www.ryebrook.gov 198 Building Department Electrical/New Fixtures And Wiring(Remodel) Permit Permit Set 14 MOH EGAN LN P#RB25-0024 R#135.42-1-17 PERMIT INFORMATION Address Permit number Date issued 14 MOHEGAN LN RB25-0024 09/16/2025 REVIEWED BY If you have any questions regarding the review of these drawings please contact: Application in general Alfredo(Freddy)DiVitto adivitto@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 Photograph 6 Property Owner/Homeowner Government ID,and/or Proof of Ownership 7 3rd Party Electrical Inspection Form 8 Electrical Permit Application 9 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 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. D CSC E U `vJ ilrm I State Wide Inspection Services i 1080 Main Street _/ Fishkill, NY 12524 2025 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILL�C�c Or {�`f_ 'o:-;`—OK Email: office(a)swisny.com E:U!!_C1it,.•G C .i�AR.i'`` :''�T Website: www.swisny.com Service With /ntegrlty BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Zuntek Electrical Services, LLC Weijun Vivian Lou 252 Java Street Suite 208 14 Mohegan Lane, Brooklyn, NY 11001 Rye Brook, NY 10573 Located at: 14 Mohegan Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: RB25-0024 135.4 1 17 Certificate Number: 2025-6822 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: 14 Mohegan Lane, Rye Brook, NY 10573 The Basement, Garage& 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 3rd Day of October 2025. Name Quantity Rating Circuit Type EV Charger 01 50 Amp -)ez— -� 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%vork performed on the date of inspection only.