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Home My WebLink AboutEP22-219 _ ON N \ 4-4 = W � p H ■ a W O � O s Ln au _ U E+ W cq � e C N g � M w N 0 = cq Ln w C7 7 CC) O w o -z V ° °° z U w I v� ce w \A V 00 e cn � � w p w � � H e z o zz o � o , A w ^ F W z c U o U � W A w a Z C W CW7 C z cn ' ww Hom w :z ' yE. 13RC�uh 'lam— �"1 E BUIL DE MENT VIL E OF RYE` OK R SEP 13 2022 938 KIN ET RY E B ,NY 10573 VILLAGE OF RYE BROOK w or BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required G FOR OFFICE USE ONLY BP#: EP#: r Approval Date: S'Ep I 4 ,ZQ12 Permit Fee: $ / J'✓ Approval Signature: Other: rebv*mz Application dated,��3--c�� is hde 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: V IAU)f, c, `i21-1116- SBL: 1 q- 67-- 5Y Zone: L iS 2.Property Owner: ��_ 66a� Address: 3P Jgrb6, �C. Phone#: �� 32.3-7)w Cell#: email: 61 rt X-&&,'f 3.Master Electrician: pS �d A4 ��gi (� Address: ri 7 #/i - H ZAA-60 1i1�G Lic.#: 3U Phone#: S--0.3�Gzte�ll.�#p /��jrY-j6�� email: f1 •.M r � V t' "G�1 y1. Company Name: A L7 Aiel-& �LL�tI�� _Address: 4.Proposed Electrical Work/Fixture Count: t fl' 1 0 6) AAA S.3'Party Electrical Inspection Agency: 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 for the legal owner and is duly authorized to make and file this application. (indicate architect.contractor,agent.attorney,etc.l 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 60 Swom to befor me this day of s$- ,20 L Z day of ,20 a Signature of Pr rty Owner Signa of Applicant Print Name of Pr wner LName of Applicant Notary Public Notary Pub11I'c SHARI MELILLO THOMAS HAROLD STRAUB Notary public,State of New York NOTARY PUBLIC-STATE OF NEW V@RK No.O1MF6160063 No.01ST6234624 Qualified In Westchester County r/l��l Qualified to Queens Couftjy Commission Expires January 29,20!%�b/23/2Q22 My Commission Expires 0►1-24'410 STATEWIDE • Service Wilh Integrity 0•0 SWIS JOBAPPLICATION0 • Office Use Elect. Permit# 17 Date 9 f Bldg Permit# Utility ID# Final Certificate# City/Village Zip j O L� Township County Address �' 1 y ` ,Y Cross Street✓ Section �1 Block V V Lot 30 Owner Name/Address of different than above) ru Lo Contact Number g a •J ❑Basement ❑ 1 st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑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 1 P 3P #Meters #Disconnect ❑underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-inspection 7 Additional Information V p�,r�� 1 ,e S� e r Lr 0 0 j P)p D E LE V I D SEEP 13 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is vaiid for one(1)year from the date received by WAS.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 wtth arty other inspection company.The applicaM,ownw or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name UPADate _I �� Signature t� Address ' City/State ` O Zip Code License# Phone# C1 ,4 l _ ?� i R State Wide Ins ection Services (--- p I Do 1080 Main Street MAR 2 8 2023 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@swisny.com Service With Integrity Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: AG Miele Eric Gioseffi 47 Highland Avenue 30 Lawridge Drive New Rochelle, NY 10801 Rye Brook, NY 10573 Located at: 30 Lawridge Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-219 129.67 54 Certificate Number: 2023-1676 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: 30 Lawridge Drive, Rye Brook, NY 10573 The Garage 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 17th day of March 2023. Name Quantitv Rating Circuit Type Service 01 200AMP Meter 01 Panel 01 Grounding and bonding of service to current codes. If r Officer: Frank!. 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.