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HomeMy WebLinkAboutEP22-267 n
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NOV - 2 2022 0
-tE BIR VILLAGE OF RYE BROOK
Bum NT BUILDING DEPARTMENT
v
938 KIN NY 10573
.or
ELECTRICAL PERMIT APPLICATION
Westchester County Master Electricians License Required ))
FOR OFFICE USE r.P#:
Approval Date: NOV 3 Permit Fee:S
Approval Signature: Other:
#i#t#tt##itit# #iiii#t#it#ti#;######ii###t####lit###i;###;ii;ttiiit####
Application dated, 11 1 Z Z is h to the Building Inspector of the Village of Rye Brook NY,for the issuance of
a Permit to install and/ r move electrical wiring fixtures,or to perform other high or low voltage electrical work as per
the detailed statement described below. By sigtun8 this document. the applicant& property owner agrae that all electrical work
performed will be in conformance with all applicable Federal,State,County and Local Codes.
1.Address: 100 South Ridge Street Rye Brook, NY 10573 SBL ,t)
2.Property Owner l ( - :( , Address
Phone M: I�- _—Cell tY: email: AMMM
3.Master Electrician. Brian J. Egan Addmw 47 Mansion Avenue_Yonkers, NY 10704
Lic.µ: 1870 phone!#: Cell q: 914-828-6919 email: soureeelectriealinc@gmail.com
CompanyNama: Source Electric, Inc. Address: 47 Mansion Avenue_Yonkers, NY 10704
4.Proposed Electrical Work/Fixturc Count: -Replace 1-220v 20 amp receptacle for the steam table which was
dammed
5.3id Party Electrical Inspection Agency: S.W.I.S. State Wide Inspection Services_845-202-7224
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STATE OF NEW YDRX,COUNTY OF WESTCBESTER
' ) a9:
Lr�� I e .being duty swore,deposes and states that hdsbe is te applicant above named.and does further
6;Q max of Individual slyung as the applieam)
state that(s)bo is the legal owner of the property to which this application pertains,or that(s)be is the
for the legal owner and is duly authorized to make and file this application. (indicate a d itect,eodractor,anent,attorney,arc-)
The undersigned thrther states that all statements oentained herein are tme so the test of his/her knowledge and belief,and that any work
performed,or use oonducted at the above captioned property will be in conforms ce with the details as set forth and contained in this
application and in any acoompanying approved plans and specifications,as well as in secerdatce with the Now York State Uniform Fire
Prevention&Building Code,the Code of the Village of Rye Brook and all otber applicable laws,ordinances,and rcgulatioes
Sworn to before niv this I L Sworn to before me this 1 St
f ] 20_a, der of November 2022
of operty Owner 1bt7kM Signattrre of App�n Brian J. Egan, Master Electrician
t (&=of p
N0 ARY PUBLIC,STATE OF NEW YORK
Mayub o ONO
let a0.U1 u Canby
November 16.20
KELLY SANDLER �
Notary Public, State or New York
No. 01 SAhu03882
Qualified in We.,,•tchester County
Commission Expires March 9, 20;,2(p
STATE WIDE INSPECTION SERVICES, INC.
Service With Integrity
••• • •
SWIS JOB APPLICATION •2.7224 1 fax 914.219.1062 1 SWISNYcoml SWISTRAINING.COM
Office Use Elect. Permit# Date /
Bldg Permit# --""'"r��
Sq Ft
Plumbing Permit#
Final Certificate#
City/Village z_ Zip Building Dept. County
Address "i ' ;. Cross Street Section Block Lot /
Owner Name/Address(If different than above ,,J I ►�f= ,. i' I{� �� Contact Number
❑Basement ❑1st FI. ❑2nd FI. ❑3rd Fl. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial
Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact
Amt Amps
Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch
SERVICE
Amperage #Panels 1P 3P # Meters #Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair
❑Overhead ❑ Upgrade ❑ Disconnect
Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland
PHOTOVOLTAIC SYSTEM
PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect
❑Legalization ❑ Safety Inspection ❑Consultation
P
Ar
D IEC� IEFM[F
NOV - 2 2022 53
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 anytime 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. t
Email Address ii N� y��S C(_ CL C f (Q-•r !-�' Name 43i
License# ( Yj`� Date Signature
Address City N�_A t ty/State f :� �C 'f Zip Code ! �}
�� �' � �-
Company i Phone# Gi = ,
CAD State Wide Inspection Services
1080 Main Street
Fishkill, NY 12524
U 5 845 202-7224 Phone
44 K914-219-1062 Fax
STATE WIDE INSPECTION SERVICES Email: officeCd)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:
Source Electric Inc Rye Ridge Realty LLC
Brian Egan 100 South Ridge Road
47 Mansion Avenue Rye Brook, NY 10573
Yonkers, NY 10704
Located at: 100 South Ridge Road, Rye Brook, NY 10573
Section: Block: Lot: Electrical Permit Number: EP22-267
141.27
Certificate Number: 2022-7590 Building Permit Number:
A visual inspection of the electrical system was conducted at the Commercial occupancy described
below.The electrical system consisting of electrical devices and wiring is located in/on the premises
at: 100 South Ridge Road, Rye Brook, NY 10573
The First Floor 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 11th day of November 2022.
Name Quantity Rating Circuit
Replace Steam Table Receptacle 01 50AMP
���j
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.