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HomeMy WebLinkAboutEP22-192 s N N M N W o ao U a aui c� t!) r� A, ~ C� r+ ° CN N a CQ cn z p W A N 00 g o 4 W IW OR -Rol CO O W IT y 0 , U � z , -W.4 V_ Z � M , 00 0 01*4 0.4 °a Mai W W c7 A W A A w � O � c Z z rp w V W o o z W � � N V F W z � � °` �; • A W H K z w � �I ca a w x � _Ir BRn5 BUILDING DEP , MENT AUG 18 2022 VIL f E OF RYE BROOK 938 KING EET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT wwwaebrook.or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: �! j EP#: Approval Date: AUG' 1 22 Permit Fee: S Approval Signature: �� Other: Application dated, f' �a 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. I.Address: SBL: 1,7 1p. y3 6 !_,7 Zone: (Z Z(U 2.Property OOwner: S C A u e°l(Cr Address: {00 2- V ►�4 �f` Phone#: Cell#: email: ,14 t V-rA(V+N 1°Sa YU 6 •_(0 M 3.Master Electrician: 0�voyk i Address: r Win ' �a t f 3l-e r Lie.#: Phone#: 1 Y - -w7 Cell#: ,e1mail: (0ri t4 Sh:N YIOi-C {0� �e({ , C to lM Company Name: �OC(p [f f tf C'C co f p . Address: -ri 0 j 1u 0 C+1A T�,G V CV Nt A 0*,0VM e 4.Proposed Electrical Work/Fixture Count: f Pl aCC M`1t0 , y2 e-(ecf c, C 5.3'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 hither (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.) 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 day of ,20 day of ,20 Signature of Property Owner Signature of Applicant &t='O r�C, C f ry Ir'Y%t Print Name of Property Owner Print N e of Applicant Notary Public Notary Public 6/23/2022 STATEWIDE INSPECTION SERVICES,INC. Service With Integrity 0•0 Main Street,Fishkill, NY 12524 1 email: SWIS JOBAPPLICATION0. Office Use Elect.Permit# �/► / �� Date Bldg Permit# Utility ID# Final Certificate# City/Village n Zip lI®S.� Township V, County WeJ fCh-(f r- Address 002. V Cross Street Sec Block Lot IL Owner Name/Address(If different than above) ; K k C k N e I I'LOC Contact Number asement ❑ 1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic utside esidential ❑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 1P f 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect xD4 (tQ f L' f/ verhead Change ®Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information IZ PIa« Ivna etecttr; c -rex&t ? nce -4 r Path a•+d +rroo LECF, OWI E AUG 18 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one Ii I year from the date received by SWIS.This application is intended to cover the above listed hems to be Inspected,h at any time of inspection additional hems 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 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 Ot t0 oeLf'f3 r Date r Z Z Signature Address 7o IA a� 1 arr City/State paqili C Zip Code License# Phone# z I State Wide Inspection Services 1080 Main Street CADI` Fishkill, NY 12524 �] TO845 Phone 914-2194-219-1062 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: EP22-192 129.43 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 101h 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. State Wide Inspection Services CAS 1080 Main Street Fishkill, NY 12524 A 845 202-7224 Phone T01010" 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: EP22-192 129.43 Certificate Number:2022-6094 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 10`h day of October 2022. Name Quantity Rating Circuit Type Meter Pan 01 200AMP Main Panel 01 ATS 01 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.