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Home My WebLink AboutEP22-232 s _ N M d = C'J N PH N \ \ G p W a n n eq � W o O tu oo w W ULn bu � CD q Z N W I o Q H A W N 0) H o w z � _ W o c17 Uz � a W w w A -4z w � _ 00 z N W U Z 0 W ■ w G1 �"■� U W M M z A 0-4 W M = ■ M Cf) F�+1 oa � c� ~ w z ° ° Z cw7 o : Mg. 00 �, x w � A O BUILAING DEPARTMENT SEP 19 2022 VILLA GE OF RYE BROOK VILLAGE OF RYE BROOK 938 KING}STREET RYE BKom,NY 10573 BUILDING DEPARTMENT (914)9, 9.0669 www.r-yebronk.orE ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY >:.;`` __----____-- EP#: ��— Approval Date: Permit Fee: $ / SJ Approval Signature: Other: Application dated,^ � 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. _ /�r l—�I Zone:/e`I5 1.Address: SBL:�`l i S fi, 2.Property Owner: PC,t1 I CL r�JC tq>'Z f _ Address:61 eq �: +r1�t �' Phone#: j�—4 ��— /70 /—Cell#: email: 3.Master Electrician:�13Q M es A, Address:s a 2 Aen o wt ore R c1 1}ic:+nna�'�/,+e1`�-/�✓1' Lic.#:IS9 7 Phone#:�/I� 3 05 9yCell#: email: C EI Address:�� Cry mcr�R iY�G+&Vforteck.N`f''�5 `3 Company Name:_ G2 vv►G S�.��'O�n � 4.Proposed Electrical Work/Fixture Count: CAC + ' G + - 1 -hi [ A8rr ,ter Q✓it, rfr +mot Srrl�k '�5fh e .( bna +fie 5.31 Party Electrical Inspection Agency: /JC+•1 1�D r�(, I il;,2 e +j gd 5e rv!cs-f ****#,..**,�*,�*,r*******,►�►**�*******:*,.}**w*�****.**********+�******,r****..«***t***x*,.*,.mot*�,*��**w,�*f***:,r** STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 3 0'VV%t 5 C->�d)o j ._,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) r lication pertains,or that(s)he is the state that(s)he is the legal owner of the property to which this app 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 regulation Sworn to before me this /IC E Sworn to before,me this �0 d an ay of Si Z day of 2 Signature o Prop Owner gn a of A p �t1 � - ��Ink w1 OL Me Mo Print epl'Applicant JENNIFER RAN Public HERNANDO AGUILAR NOTARY PUBLIC-6TATE 0 NSW YORK Notary Public,State of New York No.O1 RA62687Q3 No.aiAG635n82 buatified in Westchester C090ty 6123/2022 61ua1'rfied in�Nestchsster Coun MY Commission Expires 09-09-2020�' Commission Expires APdI 24,20 STATEWIDE INSPECTION SERVICES,INC. Service Willi lntegri�y 1:1 Main Street,Fishkill, NY 12524 1 email. • • SWIS JOB APPLICATION tel845.202.7224 I fax 914.219.1062 1 SWISNYconn I SWISTraining,com Office Use Elect.Permit# '� -a Date q(v 11 (,LL Bidg Permit# Utility ID# Final Certificate# City/Village �rG C� Zip io 57 7) Township cow tv Address \� I (�; ✓✓✓ Cross Street Section Block Lot Owner Name/Address of different than above PQU c\r �o Contact Number 2"Basement IrJ 'st FL 2nd FI. ❑3rd FL ❑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 1P 3P #Meters #Disconnect Underground New Reconnect ❑Overhead ❑Change Visual Re-Inspection Safety Re-Inspection Re-Inspection Additional information —F. r7 %nc� t`QcQ� t�2S Slot--LCS a #A-J-GV 3l vd SEP 19 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is walid for one it)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 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 ti W'(5 L Date il -L^L Signature Address �ZZ ��r � � ' City/State�I A M "O1�( �f Zip Code (C S'A Z License# Phone# d DG State Wide Inspection Services C� 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone 914-2194-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: officeC&swisny.com Website: www.swisny.com Service With /ntegrlty BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: James A.Stone Electric, Inc Paul Sarkozi James Stone 984 King Street 522 Fenimore Road Rye Brook, NY 10573 Mamaroneck, NY 10543 Located at:984 King Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-232 Certificate Number: 2022-7127 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:984 King Street, Rye Brook, NY 10573 The Basement and First Floor 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 26th day of October 2022. Name Quantity Rating Circuit Type Light Fixtures 47 Bathroom Exhaust Fans 02 Timer Switches 02 Dimmer Switches 08 Switches 14 Receptacles 37 GFCI Receptacles 03 Exterior Flood Lights 02 Battery Smoke Alarms 05 s� Batter Smoke/Carbon 02 � _ _ ICJ 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.