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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
135.73-1-30
Proposed Electrical Work/Fixture Count 3rd Party Electrical Inspection Agency
move electric panel from kitchen to living room SWIS
Master Electrician/Licensed Installer Information
Name Lic# Address email Phone#
Ernest F. Gilbert 1354 1860 Jacob Street, Cortlandt Manor, NY 10567 Off ice@EffectiveElectric.net 914-737-2651
Cell# Company Name Company Address
Effective Electric, LLC 1860 Jacob Street,Cortlandt Manor, NY 10567
Address of Work?
Homeowner Information
4 Sunset Road, Rye Brook, NY
Electrical Permit Application,page 1/1
BRnv� VILLAGE OF RYE BROOK
O� 2 �
� 938 King St Rye Brook,NY 10573 � .�
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Q Phone:(914)939-06681 www.ryebrook.gov
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��• 1 02• i Building Department
Electrical/Panel(New) Permit
Permit Set 4 SUNSET RD P#RB25-0087 R#135.73-1-30
PERMIT INFORMATION
Address Permit number Date issued
4 SUNSET RD RB25-0087 11/14/2025
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
BR(- VILLAGE OF RYE BROOK
ti 938 King St Rye Brook,NY 10573
W �
Q Phone:(914)939-0668 1 www.ryebrook.gov
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��• b2• Building Department
INSTRUCTIONS
THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQU IRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT
THE PERMIT IS COMPLETE
o .o
0
REQUIRED INSPECTIONS
Name Description
Rough Electric Rough Electric
Final Electric Final Electric
STATE WIDE INSPECTION SERVICES, INC.
Service lVith Integrity
••0 • •
SWIS . : APPLICATION tel 845.202.72240. •
Office Use Elect. Permit# Date 10/23/2025
Bldg Permit# Sg Ft
Plumbing Permit#
Final Certificate#
City/Village RYE BROOK Zip 10573 Building Dept. VILLAGE RYE BROOK County WESTCHESTER
Address 4 SUNSET ROAD Cross Street Section Block Lot
Owner Name/Address(If different than above) PENNYMAC SERVICES, INC Contact Number 440-539-8523
❑Basement ❑1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ✓❑Residential ❑Commercial
Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact
Amt Amps
Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch
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 Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect
❑Legalization ❑ Safety Inspection ❑Consultation
Scope of Work
Move electric panel from Kitchen to Living Room
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.
Email Address OFFICE@EFFECTIVEELECTRIC.NET Name ERNEST F. GILBERT
License# 1354 Date 10/23/25 Signature
Address 1860 JACOB ST City/State CORTLANDT MANOR, NY I zip Code 10567
Company EFFECTIVE ELECTRIC LLC Phone# 914-737-2651