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HomeMy WebLinkAboutEP22-189 x 0000 N N N w Ln • h a w M H en en ON Q °� ►� cal o �0ON in M r Acn A P� w 5 0 V 'H � � z A � uz° C7 © a U U W A R pwq w o w w f M [1 Qn cn zA z 0 CA A w z 0 W � C - W Q w 0 ' O U W z6s x x A � U z A o H .. A aw, w a a DIECENEr[3R vC1 �. BUIL E, � MENT v>2 E OF RYE OK a�G 1 6 2022 938 KINq- ET RYE B ,NY 10573 (914)9 939-5801 VILLAGE OF RYE BROOK Org BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required p FOR OFFICE USE ONLY AUG 1 fi P#, EP#: Approval Date- rFvzl, Permit Fee: S Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, ��Oc`��aa- 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. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State, County and Local Codes. 1.Address: QC��outdjtjQ� SBL: �� � � '�-�_ � -Zone:i�-r�� 2.Property Owner: Address: 1 t �1'i�{2 1•w N� 05 Phone#: Cell #: email: 3.Master Electrician:� t(� Li�ja� Address: �, ltl Lic.#: I"t Phone 4:gIq OSD Cell#: lr-E — OAO email: iLOH Company Name:� . E� rt�; �n�. Address: ScAAkx pr� eJ ©S`l3 4.Proposed Electrical Work/Fixture Count: `Y STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: �'eil'rq LZB-e l ck— being duty 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 l[Ito r _ 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 hest 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$pproved 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 efore me this k-� �` Sworn to before m�this day o r -1- 202 day of 5 20 Si eofProp� er t fApplicant Prin ame of Property Owner Print am of Appl Pt f t`ce d 110 ottt Public Public L16A=40ccio r LISA 000CCio Ntwy pubk • %tb of%w Ycm% Notary Pubdia• State of Now York Me 4e"9030 Nc W 3030 CardlikMe Flo In.WesxTwster Cou f(Iy Certificate file it `IVestcrrester County CipMM"n 001111111! •7/3,pQP(p Commission Expires: 7/31 ra0--4- I I INSPECTIONSTATEWIDE I:i Main Street,Fishkill, NY 12524 1 email:office@swisny.com SWIS JOB APPLICATION 1 914.219.1062 1 SWISNY.com • • Office Use Elect. Permit# � ,�} �� � Date Bldg Permit# �f Utility ID al Final Certificate# City/Village p ��y '� Zip I O S 113 Township County Address ft, `Coal i —by-;v Cross Street Section Block Lot Owner Name 1 Address Of different than above', ��n_ 1 h �l � , Contact Numberkft Basement t 1st FI. ❑2nd Fl. ❑3rd Fl..�[i❑� More Than 3 FI. ❑Garage ❑Attic ❑Outside —} Residential ©ICommercial 116-1 Receptacles Special Recept GFCI Al 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 i #Meters #Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information 'fie- 1hstta_o - S t AUG 16 2022 DD L_. VILLAGE OF RYE BROOK ; BUILDING DEPARTMENT This application 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 are authorized to make the inspection and adjust the fee for the additional items inspected-The applicant declares that there ism open applications for the above address with any other inspection company.The applicant,owner of authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name t1QC��'l� Date �`p� �� Signature ri Address O City/State 17{ - S&� , ` Zip Code License# G Phone# 1 �-]_-I(Si S ND �J-� �v n� State Wide Inspection Services CAC) D 1080 Main Street DD Fishkill, NY 12524 DEC - 2 2025 845 202-7224 Phone TO�U 5 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office@swisny.com VILLAGE OF RYE BROOK Website: www.swisny.com Service With Integrity B1111 T.r=P1RTMIE-NT BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: La Bella Electric Inc. Jonathan &Stacy Hochberg 145 South Main Street 9 Woodland Drive Port Chester, NY 10573 Rye Brook, NY 10573 Located at:9 Woodland Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-189 135.36 1 35 Certificate Number: 2025-8274 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:9 Woodland Drive, Rye Brook, NY 10573 The Basement: Family Room,Theater Room 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 24th day of November 2025. Name Quantity Rating Circuit Type Luminaires 16 Light Fixtures 04 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.