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HomeMy WebLinkAboutEP22-263 M 1-4 �' 00 z W A 0.! N C) cu CD bo ad ►z g a� O O ,..� '�� \ C a O a C� Q Z _ W to d W et p p4 N 00co 04% r— Hoo P4a -3 `-� V O00 cy WC A F" oZ 00 w U U o ° a w w p za 0 a LO V _ d = N A w � ° � BI;ILDING DEPARTMENT R LO��I � VILLAGE OF RYE BROOK i 938 KING STREET RYE BROOK,NY 10573 OCT 2 $ 2022 (914)939-(16f8 VIL AGE OF RYE BROOK t�tvtr.ry'hcu�,l:.c�r� BUIU)ING DEPARTMENT ELECTRICAL PERMIT APPLICATION— Westchester County Master Electricians License Required Approval Date: NOV Permit Fee: S / L = Approval Signature: Other: t:*b*y*in*ade` +�iF?�%�>isk#>F###�k;t#K#M###�k#M##kc3�IR#�k##�k�It##7It###M###### #########Application dated, is ro 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.. ,,rr� �}l 1.Address: n C � ' ©L(`SBL: /0�lM0,S'_J_7a Zone: 0a6 2.Property Owner: Im G Gil Address: Phone `{ G 3 t 4,Cell#: email: 3.Master Electrician: 1PQr`d __ Address: \0VN u-ST SJ v. Lie.#: Phone#MN-.S51 - (,- Cellm#: eail:CG� Lc; C Vd �J�►_�� e� z g _CG►"'� Company Name. k �*y 14 1� 7�t,1�L�-( C_ _ _Address: 4.Proposed Electri/c�al Work/Fixture Count: l .y n a n r. C-'r 5 3`d Party Electricai Inspection Agency: C' STATE OF NEW Y/ORK, COUNTY OF WESTCHESTER ) as: FQ b 1 an �Qr(i�(� __ being duly swom.deposes and states that he/she is the applicant above named,and does funheiV pi uil Itunic of 31HI It'IdwII Nq�uulp.a.,IIlc nt) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the a► _ for the legal owner and is duly authorized to make and file this application. (uulirate nn•Ililccr coulow,iwcnt,nnl}rno etc l 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 I14-, Sworn to before me this day of dc¢otW _,20 z day of_ , 20 Signature of Property Owner VSignature Applicant I� � . Prin: pert+Own Pri Name of pplic t Notary Public N ,� ubli CHRI HER J.BRADBURY fj V Notary Public,State of New York Wefanla Marlene Plnos Sanmarthi No.01 BR6159985 Notary Public;New York State Qualified in Westchester CoumU No.01 PI6418409 Commission Expires January 29,2fl F� ssin or Westchester County 2025 INSPECTIONSTATEWIDE Service With littegrily CXA 0:0 SWIS • : APPLICATION0. Office U Elect.Permit# 1/ _ Date O Bldg Permit# j Utility ID# Final Certificate# City/Village j Zip /`�� To ip �C_I County � C) C Address %J ��+ Cross Street Section �/� Block Lot Owner Name/Address(if difierent than aeon Q ai f r-za Contact Number 9 "l _5` 1 _� 1 ❑Basement ❑1 st FI. ©2nd FL ®3rd FL ❑More Than 3 Fi. ❑Garage ❑Attic - 'utside 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 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information OCT 2 S 2022 VILLAGE OF RYE BROOK BUILDING DEPARI-P,AENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed hems to be inspected,If at any time of inspection additional hems have been Insulted,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 otter inspection company.The ap leant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name L Date Signature Address City/State + Zip Code License# I to Phone# C� State Wide Inspection Services NOV 18 2022 1080 Main Street Fishkill, NY 12524 aVILLAGE OF RYE BROOK 845 202-7224 Phone BUILDING DEPARTMENT Email: Fax STATE WIDE INSPECTION SERVICES Email: offlceCa)swisny.com Service With IntegrityWebsite: www,swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Westput 24/7 Electric Inc Anima& Rajeeb Mohapatra Fabian R Pardo 22 Milestone Road 8 Van Wyck Street Rye Brook, NY 10573 Ossining, NY 10562 Located at: 22 Milestone Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-263 124.65 70 Certificate Number: 2022-7546 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:22 Milestone Road, 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 11th day of November 2022. Name Quantity Rating Circuit Type Electric Car 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.