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HomeMy WebLinkAboutEP22-117 r a - m = a A p4 V � a _ F-+ b W to ° H � s G�i w w 0 8Ln O ,./ too �, a z 00 U z ON u 00 : Cm W !� U V A W • zz z x W O � off w w o � cn O a Ln o >W z w a ° o z w 0 �I m- a a M w r m p ECCNC JUN 15 2022 BUILDING DEPARTMENT VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET RYE MwOK,NY 10573 (914) -0669 vt'ww.rrydkdok.orc ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required 7FOR OFFICE USE ONLY RP#: FP#: — Approval Date: JUN 1 5 29V Permit Fee: Approval Signature: Other: Disapproved: (fees are non-refundable) Application dateed, (0 ��" is hereby made to the Building Inspector or the Village of Rye Brook NY,for the issuance of a Permit to install andloi rcaluve 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 perfonmed wilt be �conformance with all applicable Federal,State,County and Local Codes. 1»Address: 5 K0 h,o ra) n`C SSL: 13 , .11- / 3 one' l�- 2.PropertyOwner: Shf,phyn ZtCLCk,ci" Address: So-m-e Phone#.: '1$'I -��S-a!{o�T Cell : email. S ZW�Gkt°r C„t h • Cc•t — 3.Mzster Electrician: ten ',no Address: 110 .Sad /YIa Lic.#: Q1.1 Phone#:_ /y-7y7-?2%y Cell 4: email: t c .C�►'j') Company Name: kfc.At.Uj EA Y4.6 1 c Address: I q0 3441 &Lj 2L.Iw ed Jyk y" 4.Proposed Electrical Work/Fixture Count: , U tj-'Q k r f t 0 w-�,- c. 'e C s s{ d t+� ba yew','f un ck a.Il S t b 1,c4t VG Ct 2 vLte i ct _ 7r+Fklky}k#yfxp#*yf**,►###;,y*###M##iF######iiFi#*�k##k###A#####i**t#*k#t##t**i#k##i##iirik*#k#ki**i k##t*i STATE OF NEW�Y,ORRK,COUNTY OF WESTCI[ESTER-ZJ � ZC-�"' ,being duly sworn,deposes and starts that hdatte:s the applicant above natned,and does further (prim naml of uuhti ideal;agning a,the applicant( state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is tie I kbr'm b Vtno for the legal owner and is duly authorized to make and file this application. (indicate architect,contraclor.agent.alutrnev.c1c. The undersigned further states that all statements contained horcin are true to the best of nis/her knowledge and belief,and that any work performed,or use conducted at the above,captioned property will tie in confurnrance 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&Butidir.g Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulation Sworn to before me this q Sworn to ore me this 1 day of 70,411 20 2,76 day o, )O Signs of Property Ownye�r � Signature of Applicant 4 -- - '�uoMt.S lbe yiri0 Print Na of Property Owner Print Name of Appli ant ` Notary P:i lic Nn:a-y Publ c npt0 N.Y. CAROLYN LIBERATI Commissicxt E>�t���°"�'0 2 NOTARY PUBLIC,STATE OF NEW YORK Registration No.01L16181428 8/12202: Qualified in Westchester County 9 Commission Expires Janua y 28,- STATEWIDE INSPECTION SERVICES, INC. APPLICATIONSWIS JOB tel845.202.7224fax1 Office Use Elect. Permit# � J r] Date Bldg Permit# Utility ID Final Certificate# City/Village c7 k Zip /Q s 73 Township p County Address 35- A n© J ' A r) Lq n-e Cross Street Section/, l Block / Lot 312 Owner Name 1 Address(if ditferent than above) Contact Number Basement ❑ 1st FL ❑Znd FI. ❑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 Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage III 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ He-Inspection Additional Information ECE V1�- �j j ��ti5�tt �� ` DQ�v�t,� �YLtrs�rmG� l_C Vi,,85Ca'P'L JUN 15 2022 a cr Lot U.I 1v� 5.-c��C `J'rL VILLAGE OF RYE BROOK T `��`� BUILDING DEPARTMENT This application is valid for one(1)year from the date received by 9WI5.This application is intended to cover the above listed items to be inspected,if at any time(if Inspection additional items have been installed,you are authorized to make the inspection and adjust the tee 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. Inspector Date Finalized Inspector# Company Name f — Date Sign Address l !Q S640 vt t l t V,. City/State t r� Zip Code 6S3v� License# 7 / I l L Phone# ( 7_ State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 TOa 845 202-7224 Phone 914-219-1062 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: Keating Electric and Technology Zwicker Residence 190 Saw Mill River Road 35 Mohegan Lane Hawthorne, NY 10532 Rye Brook, NY 10573 Located at: 35 Mohegan Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-117 135.41 32 Certificate Number: 2022-5231 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: 35 Mohegan Lane, Rye Brook, NY 10573 The Exterior was 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 8th day of September 2022. Name Quantity Rating AFCI 01 Luminaires 16 Transformer 01 100AM P Landscape Lights 08 Motion Sensor Flood Lights 02 Fixture by Front Door 01 Recessed Luminaires w/LED Wafer Lights 05 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.