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HomeMy WebLinkAboutEP22-264 s = a L = i s V , � N � N O CG a N c N w a \ W w ° a u a W N L a +5 Ln NN O L w Ln N W� C N x _ !�1 v z $ Q + ae. © Q A O H � W ., 00C co d a U0 (>uz can = ~ 0.0 a ►-� c C/ V W A A. a moo A V U v � Z z0 �- W a Ln114�} � cn x x a 414194441444;44&466444;449414194416 GI 41- 4 414-;6 6 16- 4 4 4;4141419 414;Q BUILDING DEPARTMENT �� I VILLAGE OF RYE BROOK Fr 938 KING STREE'r RYE BROOK. NY 1057.) OCT 2 8 2922 Di (914) 939-066 b t__ -- VILLAGE OF RYE BROOK r,c�t�7uh.or BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required Approval Date: NOV - 120 Permit Fee: S Approval Signature: Other: ��*#Mk k kk!e%rc aF aikr;,Mak kSF',keMM;t k M;<>_ =s �rde Application dated, ���d c�� is to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Pen-nit 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. / 1.Address: i r -- - _ - - - SBL:J - Zone:^,6 2.Property Owner: � So Il I CA, -Th Gull G er Address: Phone#: 1 -A - &'-I q - Cell#: email: 3.Master Electrician: -f7 nnCbjCtn rRrOIC) Address: 5� SJtYtir� ff �(Jj Lic. #: �� Phone#: CA - S S: ' 4V9: _email: t`t ri Company Dame: .,� 1``� `L'R 1 C. _Address: 4.Proposed Electrical Work/Fixture Count: (rk-c_ '. G z� n " ak (A.-/lk � r 5.31"Parry Electrical Inspection Agency: ��Ci� I l.1 C't1� r ����r ��-� S� xX x%%%iP%%X%%%%%%%%%%1r%%%%%%%%irw%ie rr,i%%%%%rr%%ir%%%%%%%%%%%%%%xx%%%%%ix%%%ir rr%%%%%%ir%%ar%%sc%%%,e%%xX%%ae%%•ie%xx XXxx STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: r "T Gb I�n Vard d being duly swom,deposes and states that he/she is the applicant above named,and does further 1.'nnI n 4111'. 0 niJn idii'll .u•nnr•n,ilir.y�il u.Inl l state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the e_ t c_ t c_- C1n, for the legal owner and is duly authorized to make and the this application. [I,,I ;(nu+i,fill.u}c+u.aui+„ire , : � 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 befor a this I I Sworn to before me this day of b 20 -Z) day of ,20 Signature of Property Owner Sian e of pplicant / 5 j 0 1 it �rJ AS, �Q�I�� r �`o( o Print N of Prope Owner Print ame of ppli n Notary Public `,,)tary Public CHRISTO J.BRADBURY Notary Public,State of New York No.01BH815s9m Estefania Marlene Pinos Sanmartri Ouallfied in Westchester County Notary Public:New York State 623/2022 Commission Expires January 29,20 No.01 P16418409 Qualified in Westchester County Commission(Expires on June 7,2025 STATEWIDE • Service Willi Integrity 0:0 SWIS JOB APPLICATION0. nffir��li,., Elect. Permit# � > � Date (fJ Bldg Permit# Utility ID# Final Certificate# r , City/Villag G i zip 3 To CountY I lC4 Address �� Cro sStreet Section Block Lot Owner Name/Address(if ant than above)5 he►'} C Contact Number 1 ❑Basement ❑1st FI. ❑2nd F1. ❑3r FI. ❑More Than 3 FL []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 1 P I 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-inspection ❑ Safety Re-Inspection ❑ Re-inspection Additional Information c�r r RIe � �- �� VEL � OCT 2 8 2022 VILLAGE OF RYE BROOK BUILDING Q This application is valid for one III year from the date received by SWIS,.This application is intended to carer 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. Inspector Date Finalized Inspector# Company Name W + Z G Date (0 Z Z I Signatur Address 3' V( o/A f � City/State e., Zip Code License# t�L Phone# _ SS'" Z } (U FEcE �wE D State Wide Inspection Services 1080 Main Street NOV 18 �� Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES I 1 Email: office@swisny.com BUILDING � .0 FARTA„��_N�' �' - 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: Westput 24/7 Electric Inc Sanjay& Latha Thanneer Fabian R Pardo 17 Legendary Circle 8 Van Wyck Street Rye Brook, NY 10573 Ossining, NY 10562 Located at: 17 Legendary Circle, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-264 124.65 14 Certificate Number: 2022-7580 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: 17 Legendary Circle, Rye Brook, NY 10573 The Garage 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 filth day of November 2022. Name Quantity Rating Circuit Type EV Charger 01 60AMP 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.