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U H oo E n J� J� L = Q Q Y� a Q a 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 r-20 Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency 1 Receptacle State Wide Inspection Service Master Electrician/Licensed Installer Information Name Lic# Address email Phone# Cell # Alan Bonistall E87 53 PURDY STREET bonistallelectric@gmail.com 9148355659 Company Name Company Address Alan Bonistall Electrical Contracting Inc. Address of Work? Homeowner Information 233 Country Ridge, Rye Brook, NY Electrical Permit Application,page 1/1 O��yE bRC,U�'G VILLAGE OF RYE BROOK ■ ■ 938 King St Rye Brook,NY 10573 ❑ W � Phone:(914)939-0668 1 www.ryebrook.gov 99t32 Building Department ■ '��O ❑ Electrical/New Fixtures And Wiring(Repair) Permit Permit Set 233 COUNTRY RIDGE DR P#RB25-0107 R#129.83-1-5 PERMIT INFORMATION Address Permit number Date issued 233 COUNTRY RIDGE DR RB25-0107 11/06/2025 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 Copy of Electrical License,Electrical License-Photo-Westchester County 4 3rd Party Electrical Inspection Form 5 Electrical Permit Application 6 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 �yE BRnv� VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 W � Phone:(914)939-0668 1 www.ryebrook.gov • 19f32 Building Department INSTRUCTIONS THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQUIRED/APPLICABLE INSPECTIONS ARE SCHEDULEDAND THAT THE PERMIT IS COMPLETE Y 1: REQUIRED INSPECTIONS Name Description INSPECTIONSTATEWIDE SWIS Service M Office Use Elect Permit ij Date Bldg Permit P Utility ID 44 Final Certificate# i "I e Zip ' S7 Tor n rr Addr Street Section Block Lot Owner ld a `r4 cot 1 contac t ri Basement 0 'I st Fl. ® d Fl. Q 3rd R. 0 More Than 3 FI. Q Garage Attic Outside EJ Residential 0 commercial Receptacles Special Recept GfCi AFCI Switches Dimrmers Smoke AlaI'ms Carbon Morlur, Hood Trash Coi-Tpacl Amt Amps Range(s) Cooktop(s) Oven is) Dsshwashers Refrigerator Disposal Microwave warm Draw Incandescent Fluorescent SERVICE Ampefage Voltage t P 3P 4 Meters fE Disconnect 0 Underground ❑ New ®Reconnect 0 Ovtsrhead Q Change ©Visual Re-Inspection ❑ Safety fie-Inspection ❑ Re-Inspection Additional informa[ion M r� This application is valld for orw 11)year from the dire received by SMS.This application h Intrndcd to rovr:r the above Wed items to be Inspected if at anytime,of insp rlinn arkAlionnl irmt I ia;r ht,-n ln%tAcd,yr ii•ar- atrlhorredtomake,the inspertionandadjmlthefee•for the additionalitemsinspectcd.Theapp>'ileamd^cluu.,ilmlthereis toopenappllcattonsfarthFahrr�r•addressvritlrhnyotluaIn:r✓ct nrrlmp:in�r,Fhr+r�pNcani•avrrwr arauthorizedagrnt agrct to all vieahareterm.and conditions as srl forthfortheapphration. Inspecior Date Flnalarld f! r - C IT! Date Signa r Ad city zip Cdd< License a Phone€f r State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: officeCabswisny.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: Alan Bonistall Electrical Contr, Inc. Steven Epstein Alan Bonistall 233 Country Ridge Drive 53 Purdy Street Rye Brook, NY 10573 Harrison, NY 10528 Located at: 233 Country Ridge Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: RB25-0107 129.83 1 5 Certificate Number: 2025-8069 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:233 Country Ridge Drive, Rye Brook, NY 10573 The Basement: Laundry area and electrical panel area 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 171h day of November 2025. Name Quantity Rating Circuit Type GFCI 01 Officer: Frank 1. 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.