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HomeMy WebLinkAboutEP22-280 00 0ell a N N00 00 [' W Lcl Ad r to fw e w O H W W `° G O Ln o Q W 0 1 C W w M w ° a U Oo U Q z Wz C� Z � � o z w Z _ a oo U z a a ^ m a a� '� `n = f [M1 W H a O �+ a A H 3 © �,,� _ 6 zo w W z o E o o z � O $ IV}t z � 41 6 4;9 99496444444 4 994;A 44444 tLt4;41 fi t444;41414;4� DR BuIL Eu� NT NOV 16 2022 VIL E OF RYE OK VILLAGE OF RYE BROOK 938 KIN ET RYE B ,NY 10573 BUILDING DEPARTMENT dv .or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: FP#: Approval Date: Permit Fee: S / 50'_ Ab Approval Signature: 4� ��" Other: ************************************************************************************************** Application dated, 11/8/2022 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. ,0 1.Address: 19A Rye Ridge Plaza - Mendel Optical Insight. SBL: / `Y/, a 7—� �r� Zone /—/ 2.Property Owner: Win Realty Address: 24 Rye Ridge Plaza, Rye Brook, NY 10573 ��,��yy_IU � (_J.�ge Cell#: email: Y1 4� Phone#:91+� 3.Master Electrician: Anthony Coschigano Address: 48 Grand Street New Rochelle NY 10801 Lic.#: 337 Phone#: 914-723-1133 Cell#: email: nickselectdcalservice@outlook.com Company Name: Nick's Electric Service of NY, LLC Address: 4.Proposed Electrical Work/Fixture Count: Install (3) 2-gang WM EX Box with GFI protection Install three(3) receptacles, two (2)quad receptacles and one(1) plug mold 5.31 Party Electrical Inspection Agency: SW I S STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Anthony Coschigano ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual sighing 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 Electrician 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 regulations. Sworn to wore me this Sworn to b re me this of 20� day 20 e of operty 0w=r/��-' Si ature of Ap tc AnthonyCoschigano PH t N of Pr rty O A P , me of plicant 1 - 14 o Public bh KFLLY SAN'r)t Fq Notary Ptlbl', c. NO �.,_, " " nw York DIANA TROMBACCO ( I1 V ed In NOTARY PUBLIC.STATE OF NEW YORK 6/23/2022 Ic COU1'ly Registration No NOITR6348329 CQrrlrtllSJlQn �X1JIf u'S hllU11h 9, �OWD Qualified in Dutchess County Commission Expires Seplemner 26 2024 STATE WIDE INSPECTION SERVICES, INC., Service With InIcgrity 0•• • • APPLICATIONSWIS JOB 0. • Office Use Elect. Permit# - Date Bldg Permit# Scl Ft Plumbing Permit# Final Certificate# City/Village � /� Zip /0'S 7 Building Dept. County L Jc�yic S tC Address l r4 Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number Basement 0 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 5 Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect Ej Underground New Reconnect ❑ Repair ❑Overhead 0 Upgrade ❑ Disconnect Utility ID# Con Ed 0 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 - �hska�l hree �3� Z-�j�'' Wrvl F 'PC)" wI C-1VL Pro#¢c�ccn b) ret..ep+tc.A hes Q yUad lre_CephC_AIS D i 0✓1(�(i� ping +roick i NOV 16 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(,)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' all the above terms and conditions as set forth for the application. Email Address Name License # / �y Date Signature �/ Address -1 11j rAV1 U Jt _~' City!State klc,�T rr Q Zip Code l`��j(} Crampany Phone# _R "'I 74 - 013 DD State Wide Inspection Services DEC 1 3 2022 1080 Main Street Fishkill, NY 12524 a 845 202-7224 Phone VILLAGE OF RYE BROOK 914-2194-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Nick's Electrical Service, Inc. Win Ridge Realty LLC Anthony Coschigano 19A Rye Ridge Plaza 48 Grand Street Rye Brook, NY 10573 New Rochelle, NY 10801 Located at: 19A Rye Ridge Plaza, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP22-280 141.27 Certificate Number: 2022-8178 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: 19A Rye Ridge Plaza, 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 12th day of December 2022. Name Quantity Rating Circuit Type WM EX Box w/GFCI 03 Receptacles 03 Quad Receptacles 02 Plug Mold 01 Officer: Frank]. 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.