Loading...
HomeMy WebLinkAboutEP22-216 s . a = M = N W �] N a w � - o O �wPMW N W U 00 a oA x en I-� F� o ►n z � © p m t N Ien Ln O 4 w °a' W c� O V Wo v) v a w a L w w U 00 P-4 z Nt o W .a ■ cn W � z � o z H � x W z ci o cn z o _ `—� � o w w z o Q w w � U Ln o z A r'; A w W a 04 BUIL1GE$ R'TMENT SEP - 9 2022 VILLA,PE OF RYE OK 938 KING Si ET RYEBl;` NY 10573 VILLAGE © RYE BROOK ' BUILDING DEPARTMENT &i4 W�Vwv_ :or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: SEP 1 3 2022 Approval Date: Permit Fee: $ Approval Signature: NA z--"' Other: Application dated, ���(G! v2 v� is her made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install andlor 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. 'J 1.Address; 00 ' vs SBL:� q , l� � � � � Zone: P_ 2—Q 2.Property Owner: S C It t,t Ile ( Address:J 00 oZ V, V,4 Is t Phone#:'ll y 3d F' fc& Cell#: email: KIL t Kc,_j .N e S c; 4.a h oo. co err 3.Master Electrician: O'r"t' o f O - pAddress: �i G� y rt t{Ci le1�1Gt C C Lie.#:��,Plhone#: 1 `1 " Z'��KelI#:qI j- q p` j/ M email:( r,Jgk L f( l\0((Q e l"O- ff�L' (o m Company Name: N O V CD Address: 7 f f e 4.Proposed Electrical Work/Fixture Count: j w l I ,ZOO A tm p 5.31 Party Electrical Inspection Agency: j STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: l9 eo f�e G t o VV'- ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print nsine of individual signing as the applicant) f/ state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the t I PC f(-`Cq ( coy?f rz,(?o r for the legal owner and is duly authorized to make and file this application. (indicate arcbitect,contractor,agent,attorney,etc.) The undersigned finther 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,theC de of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn t before me this Sworn to before me this Irk day of ,20 day of 1 ,20 Sit- lof Property Owner I Signature of Ap I t 1 &kK� �)e - Ay 2� J Print Owner Print a ofApp 'cantA� 'T COTR NA A-�NoMy Publle.Sly of Now York no Inco"aw" Public Notary Public aoettni�ian C= 6/2 M22 �NA�St1Brp'I/Z025 INSPECTIONSTATEWIDE Service With Irilegrity 0:0 Main Street,Fishkill, NY 12524 1 11 office@swisny.com SWIS JOBAPPLICATION0. Office Use Elect. Permit#�P ^ ) Date 9 9 Bldg Permit# Utility ID# �3 r d Final Certificate# City/Village 1�- I f 00 Zip © Township�•t (0. County W 1*5fIC6 f51k r Address 14- tinels CrasSStr etr�� I Se do ' y- Block V+r Lot �( Owner Name/Address(ff different than above) 1_ U i Irr�J Contact Number q1,/ _ 7.r1 ❑Basement ❑1st FL ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. [:]Garage ❑Attic Outside ❑Residential [:]Commercial Receptacles 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 nderground ew ❑Reconnect -200 j ZO 2 0 r ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information � E E SEP - 9 2022 VILL^AGE (-'F F-IYE BROOK BUH-D44G DEPARTAAPNT This application is valid for one it)year from the date received by SWIS.This application Is intended to cover the above listed hems to be Inspected,If at any time of inspection additional hems have been Installed,you are authorized to make the inspection and adjust the fee for the additional hems inspected.The applicant declares that there Is no open applcallons 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 N o CC C 1W fr aC (ore Date Cl Z 2- Signature Address 70 �D CT`k 1�c-1 lr A City/State 6L fVIt`e Zip Code IOS� License# Phone# State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 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: Norco Electric Corp. John& Nikki Schueller George Cotrona 1002 King Street 709 North Barry Avenue Rye Brook, NY 10573 Mamaroneck, NY 10543 Located at: 1002 King Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-216 129.43 Certificate Number: 2022-6095 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: 1002 King Street, 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 10th Day of October 2022. Name Quantity Rating Circuit Type Service 01 200 Amp Meter 01 Panel 01 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.