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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
129.82-1-32
Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency
Installation of 12 recessed lights in dining room plus master SWIS
bedroom installation of 2 ceiling fans in Kid bedrooms
installation of 4 switches
Master Electrician/Licensed Installer Information
Name Lic# Address email Phone# Cell#
Richard Zweig 1560 47 Greenway Lane, Rye Brook, NY 10573 Office@leliaelectric.com 9149608757
Company Name Company Address
Lelia Electric Corp. 47 Greenway Ln, Rye Brook, NY 10573
Address of Work?
Homeowner Information
188 Country Ridge Dr., Rye Brook, NY 10573
Electrical Permit Application,page 1/1
BR�k VILLAGE OF RYE BROOK
938 King St Rye Brook NY 10573
W
Phone:(914)939-0668 1 www.ryebrookgov
02• Building Department
Electrical/New Fixtures And Wiring(Remodel) Permit
Permit Set 188 COUNTRY RIDGE DR P#RB25-0088 R#129.82-1-32
PERMIT INFORMATION
Address Permit number Date issued
188 COUNTRY RIDGE DR RB25-0088 11/03/2025
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
Westchester Home Improvement License 4-5
Electrical License-Photo-Westchester County 6-7
Contractor's Workers Compensation Insurance(Showing Rye Brook Cert Holder 8-10
Electrical Permit Application 11
Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668
BR,nuk VILLAGE OF RYE BROOK
V 938 King St Rye Brook,NY 10573
W �
Q Phone:(914)939-0668 1 www.ryebrook.gov
O
���• b2• Building Department
INSTRUCTIONS
THE PERM IT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQU IRED/APPLICABLE INSPECTIONS ARE 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.
Rough Electric Rough Electric
Final Electric Final Electric
STATE WIDE INSPECTION SERVICES, INC.
0.0 • •
swis . : APPLICATION tel 845.202.7224 1 fax 914.219.1062 •
Office Use Elect.Permit# Date I C) I ��
Bldg Permit# Sq Ft
Plumbing Permit#
re
Final Certificate#
City/Village �i Zip Building Dept. County OC (�hp ' r.
Address �\)( 3 ,I Cross Street Section Block l J Lot 11
Owner Name/Address(If driTere,t u,an dwve) - ^ Contact Number 1 L, _ C'
❑Basement ❑ 1st FI. N 2nd FI. ❑3rd FI. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside residential ❑Commercial
Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact
Amt Amps 5
Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch
I
SERVICE
Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑New ❑ Reconnect ❑Repair
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
rl Sti, , o y� o ( � �� �e c� s��d I , %- in ► n ,n 12 o rn
�Cu--)CJ L4) S'
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This application is valid for one(1)year from the date received by SWIS.This application is Intended to cover the above lis-ed items to be nspected,if at Any time of inspection additional items have been Installed,you are
authorized to make the Inspection and adjust dte 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 cond tions as set forth for the application.
Email Address '� 1 1 �� Name }
License# 5 r Date l� Signature.:
Address City/State t ` Zip Code 7
Company e V� ,� � t y- Phone# 5