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HomeMy WebLinkAboutEP22-285 s 00 eq N N O N N � CV N N W s � G i.r W s ui en Ln NT o _ � w .� C (� NLn IC Q W "s 0 0 � � z uz P 00 14 a¢ V z a = w o E , H Q � '~ = W 0-4 H 0-4 u5 g 1c. o © cn W W C7 c p oZZ cn w � ° A o 0 w o w a w �I a a Z O.-Il w xcn BUILDXI G DE'P i.TMENT NOV 2 8 2022 VILLAGE OF RYE R(JOK VILLAGE OF RYE BROOK 938 I{11•1CftEET RYE Bt,NY 10573 BUILDING DEPARTMENT wk.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: Q� — (9 Approval Date: NO 2 Permit Fee: $ /�� 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. 1.Address: 13Jak- SBL: /? ,�7 ( Zone:/ Z 2.Property Owner:��4 J1,A) b 2-8 F­'Vi�, Address: 'S,'41-&6 Phone#: q1 q 3IO—iW I Cell#: / -(a`IZ Ga s"1 email: /t Gam✓ -W�&'C" 3.Master Electrician: Address: l/z2j� l ��✓6LSK� ram ,, Lic.#: i Z2-(- Phone#:yy7 Cell#: email: /ZaE�).5 / Z 2 2 •�'t;�{�(Q Company Name: Address: 4.Proposed Electrical Work/Fixture Count: 2_�_S Lff 6/X9�;� 5.31 Patty Electrical Inspection Agency: E(AJ,_TS c STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: S25V& _r �`��'g/yLU ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing 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 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 before me this Sworn to before me this day of ,20_ day of ,20 Signature of Property Owner attue o Applicant ,576i"p-e CLS5-75we_' Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 6/23/2022 STATE WIDE INSPECTION CAO Service Wifli Integrity 1.1 • • SWIS JOB APPLICATION /2.7224 1 fax 914.219.1062 1 SWISNY.coml • Office Use Elect. Permit# �� Dat�! /Z-2-/Z Z Bldg Permit# Sq Ft Plumbing Permit# Final Certificate# City/Village f7 ` ,J� Zip Building Dept.,Z,/,f 13 7 J- County/ , / u Cross Street Section 1 i Block G� Lot Address /�LCC j%/Z� / ,S Owner Name/Address(If different than above) V,r��_v4 q H��� Contact Numbe �,! 5❑Basement ❑ 1st FI. ❑2nd Fl. >❑3rd Fl. ❑More Than 3 FI. ❑Garage ❑Attic Outside 7 Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 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 Rk7 ID NOV 2 8 2022 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 fnr 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. Email Address --- License " Date Z Signature Address 1��� City?State N� Zip Code Coinp an y Phone# DDState Wide Inspection Services 1080 Main Street DEC 13 2022 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@swisny.com �__..._.T.._.._...___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: Red Star Electric Corp. Xiaodong Zheng& Rita Fuller 2 Hedge Row 4 Talcott Road Congers, NY 10920 Rye Brook, NY 10573 Located at: 4 Talcott Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: 22-285 135.57 11 Certificate Number: 2022-8014 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: 4 Talcott 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 6th day of December 2022. Name Quantity Rating Circuit Type Tesla Car Charger 01 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.