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Home My WebLink AboutEP22-151 m m m ■ N � � e ■ N N W 4-4 . x _ L4 �- cn Q JE, O 00 W It 4° z a W L.� rT A a w z _ O Vw 0z M••�I U C7 A W A = a z zz m � W o Wx � >4 �' z $ W CA w Z o or°� �+.{ W z w o z8 v� w , u o w z °� x z H w o A o '' A a w a Ln � �I � a 4 � w x BUILDING DEPARTMENT DIDi VILLAGE OF RYE OK J U L Z 7 2022 938 KING STREET RYE BNY 10573 _.... (914)939-066$ VILLAGE c")v RYE BROOK Bi l'LD.I 1G DEPARTMENT ww�y.ry -oak.arg _._._. ..._.._..._ ; ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: Approval Date: JUL 2 7,202 Permit Fee: $ /r J Approval Signature: Other: Application dated, /—Z'—D�* 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. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: V3 41j Q__, SBL: 1351 Zone: 2.Property Owner-aAt -t �V r,3 jC TA CTN Li A Address: s ,f _S7C-ko�� pi e Phone#:?),4 - 776 0 Cell#: email:N M TAF)1LT 2�L/i9 95 9!A'Alt-.df&7 3.Master Electrician: h U �' 2AeGG Address:6's,11C'o—f 4,Ai &Oc,�`i /off? Lic.#: �1S 3 l Phone#:9!Y 93 q%2Y l I Cell#: f l Y �-S`/�`1 email: Q 11/ppe- ff/✓�tJ P�4iN Company Name:uj�yn1 &,e- iE7 yL cT(L k c Address: 6—9-1 usj 2� N o b i ZF9 c,G�, NCI 4.Proposed Electrical Work/Fixture Count: � l c__=_R,i C S cl (�LQ;c_42_ C AC iFt. 4-k'_ 24 LL) ;--p— U L cc Ge, ''f7. /VC e,eL tef f 5.31d Party Electrical Inspection Agency: /� STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: /L� C�j /l4 � T j C-1,j,being duly swom,deposes and states that he/she is the applicant above named,and does father (print name of individual signing as the app scant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate archi ct,.contractor, gent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and be _,- 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 A Sworn to before me this 0� day o L ,20 Z day f ,20 92 'gna o operty OwneF Sofiatuie of Xpplicant `( 0 � P]llint Name of erty er Pi t ame of Applicant Public Notary Public ANWI AVACCARIELLO SHARI MELILLO NOUW KMW,STATE OF NEW YORK Notary Public,State of New York Registration No.01VA&W710 No.O1ME6160063 �11�eINl9d In�y �� , County 6r2sr2o22 Expires 12118/2025 Qualified In Westchester Cannli.sW commission Expires January 29,20 23 STATEWIDE • cjk-�) Service Wilh hitegril3i 0•0 SWIS JOBAPPLICATION0. Elect.Permit#�� -)3 /� Dat� Bldg Permit# Utility ID# Final Certificate# City/Village 1` Zip U 5 3 Township C t 1A Address �3 Cross Street Section Block Lot {,UA�ChP��e�. i,�tluvL Owner Name/Address(d different than above) 1 ti K' I ART /; Contact Numbe y _-77 ,60 Basement ❑ 1st FI. ❑2nd Fl. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps L Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent. SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information r L. �kfyrrJ St,- 2ou tf--p w, 'r"L 2 oo A,P 0cd7d ow &,-s- {� JUL 2 7 2022 VILLAGE E A BUILDING C:.- j This applcation 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 n• 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,ow.n.•. or audtorired agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name , _1 Vh 4 rc- �� 'Ll C' Date • G f Z Signature Address 6 S u L) C-1' Kit City/State J y i� Zip Code 3 License# 53 Phone#91 1 Cr_ � L ' State Wide Inspection Services C 1080 Main Street Fishkill, NY 12524 X0�U A 845 4-219 Phone 91 -219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office@swisny.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: Westmore Electric Tartaglia Residence 6 Sunset Road 543 Westchester Avenue Rye Brook, NY 10573 Rye Brook, NY 10573 Located at: 543 Westchester Avenue, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-151 Certificate Number: 2022-4405 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: 543 Westchester Avenue, Rye Brook, NY 10573 The Basement and 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 4th day of August 2022. Name Quantity Rating Circuit Type Service 01 200Amp Meters 02 Panels 02 Grounding and bonding of service to current codes. 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 work performed on the date of inspection only.