The URL can be used to link to this page

Home My WebLink AboutEP21-309 r1 I evi Iv 11 Iv Iv Iv ee, ee n' er. -Ie p. 11 11'i -Il. p. 11 p' III, p. II' 11 r Iv ,.11_ 11. 11 11 11, _i fv1' _ 11 e1 p Ir r YE BR PERMIT#: EP 21 0.1 Vek ILLAGE QF ROOK -3a9 0. 11 Ilk BUILDING DEPARTMENT ISSUED: 11/23/2021 Ift 938 KING STREET, RYE BROOK, NY 10573 ExPIRES: 11/23/2022 (914) 939-0668 www.acbrook.org ELECTRICAL INSTALLATION PERMIT r NEW 200AMP 'SERVICE AT: 14 MARK DRivE BUILDING CLASSIFICATION& PARCEL ID##: R-3/ONE FAmtLY RESIDENTIAL./ 135.33-1-22 Ie PROPERTY OWNER: KARAN SHARmA& AKSHITA GOYAL(914)351-6274 LICENSED ELECTRICIAN: FRANKLIN SALAzAR LIC# 1888/EVOLUTION ELECTRIC INC (914)5644635 11a 1�1 1I� INSPECTION AGENCY: WESTCHESTER ROCKLAND ELECTRICAL INSPECTION SERVICES (914)347-3595 Ift 4011 t1 FEE PAID: $150.00 �. A HOURS OF OPERATION OF CONSTRUCTION EQUIPMENT/VILLAGE CODE§158-4:WEEKDAYS-8:OOAM TO 6:06PM OR DV9K,WMCHEVER IS EARLIER; SATURDAYS-4:OOAMT04:00PM; - SUNDAYS&11OLIDAVS-NOCONSTRUCrIONA(-rnrrti AI.LOtVED ift a • Michael J. Izzo 1913 Building& Fire Inspector THIS PERMIT MUST BE CONSPICUOUSLY POSTED AT THE JOB SITE n u:, -'.f'.. n,- u r n -;m .. -,so I I r w n r ■ r n Irk a Iu n p Ir u r r p r r r r n r n r r r r r r ■ �`E 13RC�v'� BOIL : �E 'AR MENTF� NOV 2 2 2021 VILLE OF RYE OK 938 ICnvcd`�h�ET RYE BIx,NY 14573 VILLAGE OF RYE BROOK (914)q +g�{}�{�� ' BUILDING DEPARTMENT www.j:y ook.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: Approval Date: NOV 2 � Permit Fee: $ Approval Signature: Other: Disapproved: UK (feet are non-refundable) Application dated, / 3 AOt/ 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. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: /y -/�a "K fir• �yc 3 _ _ SBL: 35►3 3 . 1—c`j Zone: 2.Property Owner:,xo ra.r 3Lic�•'.tee 4 Address: 'o 0 Phone#: !aZY-,3.5'/-A2-7y Cell#: -TJ-/-fi 2 7 y _email: ,SAO,-a. i "k-/ •elp-1. 3.Master Electrician: Address: !�� i.�'.,� _4!L w o,ti� yy/or7z Lic.#: 16168 Phone#: �� Cell#: email: ,-yo,/v/4oNcy`/-_ LTr1ct�.Co»�. Company Name:�i,-4A6" !!v e-• Address: / -tg _-tom i, fsx�c /him /7aey er�t- Ivy/OS3Z 4.Proposed Electrical Work/Fixture Count: Ca� calve- 740 e7l6.210n�'/C--Qv�y�c�7` STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: -i Salo-o -v , ,being duly swum,deposes and states that he/she is the applicant above named,and does father (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the �.row�70-+ ��✓�c !�C'. for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states that all 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 before me this Sworn to before me this D-.;' day of ,20 day of N j t. i-, rr ,20 N Signature of Property Owner tore o A ant ` Feint Name of Property Owner P*Rt4ame of Applicant � M Notary Public Notary Public - 1Ci� Ili SHi-,Hl ,JEULL0 Notary Public, Stats Of New York Nrn. 01 41^':r.3 O al;i�d in VIOSIch- ,ter Coun ` 8/1=021 Commission Exnirr.s January 29 2 ' BUIL E NT VIL E OF RYE OK NOV 2 2 202f 938 KING T RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT VA v hV ace .org -- ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY RP#: / EP #: c:;)! — 309 Approval Date: Permit Fee: S Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 1 )'L; G .Y l 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. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. 1.Address: 1`7A►�K N yt �tiGG SBL: 36-1 33 •-'�—r� pp Zone: 2.Properly Owner: �:61{�A N r�b�M�\ P�d�Address: (t! K� ' �,� y C C K Phone#: `�r 3 1 EZ j y Cell#: �rl�r 3 S I G �( email: K►1\P AN.Sfj4P1j,j. PAIL aaGIMAL (01 3.Master Electrieiat ,r,,M/ '� 7�lddress: ��'r c� r,�/t o�.rC k.�;Nq Lie. #: 188P3 Phone#-. Cell#:may-S6Y-z16Y5 entail: o /e e'r,r // •�, Company Name: j,14= Address: 12,2 ; o v �✓fifto�^P/dY,/a;r 4.Proposed Electrical Work/Fixture Count: / p 07 ' p�✓� 77o STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 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 legal owner of the property to which this application pertains,or that(s)he is the ,r�,�✓Ji:a H �� jc /:+C, for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor.agent,attorney,etc.) The undersigned further states that all 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 before me this /4 0" Sworn to before me this 17)4-. day f 0 V CA�B- ,20 Q day o No V EM&E ,20 011 Si re of rroperty Owner SigIt ire WAD _, 4'pg� sN At- VA'P_A� s HKN Ar 3Printame f Property Owner Print Name of hcant Public otary DREW P.ALEXANDER DREW P.ALEXANDER NOTARY PUBLIC OF NEW YORK NOTARY PUBLIC Of NEW YORK I.D.#O1AL6414646 I.D.#OIAL6414646 MY COMMISION EXPIRES 03/01/2025 MY COMMISION EXPIRES 03/0RM21 &�5a Westchester Rockland Electrical Inspection Services, Inc. Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fp 14-347�/--3- 596 J Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# 174 E /CITYORVILLA ZIP CODETOWN CO N5,TY h f r 00 STREET AND NO.6R OAD POLE NUMBER Ar r, BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANTS NAME BUILDING OCCUPANCY ,< cy'r-147 OWN. 'S NAME AND RESS �r HO E TELEPHONE NUMBER ran 10w!! Ai 1 2 CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES 6 MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H P EACH NO, WATTS EACH INSPECTION OUTSIDE BASEMENT Y"FL. 2-FL. 3'FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: Y bd- b 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 AS PROVIDED BY THE APPLICANT THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED SY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES,THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW I_i ADDITIONAL Li EXPOSED CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD UNDERGROUND❑ LLJ I I I I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATI N SIGNATURE STREET ADDRESS TELEPHONE NO. 12 c^X e 9/Y —S6y- . CRY POST OF E ZJP CODE LICENSE NO.WHEN APPLICABLE Or O WESTCHESTER ROCKLAND ELECTRICAL INSPECTION SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Evolution Electric, Inc. Karan Sharma&Akshita Goyal 132 Fairfax Avenue NY, Hawthorne 10532 Located at:14 Mark Dr Rye Brook, NY 10573 Certificate Number: 1032855 Section: 135.33 Block:1 Lot:22 BDC: Permit Number:EP:21-309-BP:O A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 1 14 Mark Dr Rye Brook,NY 10573 ®Basement 1 st Floor i 2nd Floor 3rd Floor Garage Attic 15 Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the Installation,as set forth below,was found to be in compliance therewith on 01/28122 Name Type Quantity Service up to 200 Amps ------- 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services, This certificate may not be altered in any way. 1111 This certificate is valid for work performed before date of inspection only. I