The URL can be used to link to this page

Home My WebLink AboutEP23-002 : x e = e N O /yNy Cf p W s a W N w ,.� CA p z R : Z a 00 oCIS o � � W �, � N o � � W • En as Itt a A 1-4 H z x : ., p o V w "o ° ° p Z � cn Z U z cn 0 V z � Z V z A x C,6) w 0 w e MM M dww ►. � � w A � V w a F u o � W � _ W CA W O Z o : o z z N V I � z W , x z W 4. w � as � a z 441 xon DEC 2 9 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT BUILDING DEPARTMENT VILLAGE OF RYE �90K 938 KING STREET RYE BRbok,NY 10573 (914)99-066& www hn took.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFUCE USE OAII_ Approval Bate: J AN - J02'3 Permit Fee:S Approval Signature: Other: #4#k4##k}#4##}#############*##k k}##}##4#### Application dated, 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�inn con`Wfo\rmanee with all applicable Federal,State,County and Local Codes. t.Address: COCM ESj Q—AQQ ;;�LQ J i SBL: ��llS, y—�— Zone:—Lb �} _ 2.Property Owner: �+{C e�7L`—t L Address: 14 t. STC.1�ESi Ek�Vr sltl l<t DG�[ t� Phone#: cell#:q,1-4.g22.GbyR email:':' AI bLEA,L,Lh,, � 4 3.Master Electrician:M (°D"1a1 wAt Address:L,_(�"j3A)_hP, 0 >]t .1��oS3s2 l� 3Ltiz o Phone#41y. oo Cell#:41�1 4 O. SU emai►:�p��l b 11� Company Name:ArD—[ ►Lry l V el A I Address:(p SKI Lt rJr� 4.Proposed Electrical Work/Fixture Count: �QLA. 7 f S L'—PA_t_0___ F 12 C 5.3rd Party Electrical Inspection Agency: EIW S SIAM 111I ) ] STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: ,being duly swom,deposes and states that helshe is the applicant above named,and does further /� / r (print name of individual signing as the applicant) f (1 /Jt'!7�^4.T p state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the-� _ V 2!"w Tea S, 1 O v� Lfa��t `� for the legal owner and is dui authorized to make and file this application. s 1� / 7 r g Y PP (indics a architect cw.traclor,agent,anomey,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 Fite Prevention&Building Code,the Code of the Village of Rye Brook and all other apphcable laws,ordinances,and regulations. Sworn to before me this��..,�� Swo to before me this 20 ') day of 20 �. - � �,� erty Owner Signatwe of icamt 1 t �IL L Uf' GLn rill &PitNameofprope�m v Print Name o plicant No Publ J.tub GREGORY K RIVERA Net"Public,State of New York ROSEA*:aRiE A K02ERA No.011316441398 Notary Public-State of New York 6 2]72022 Qualified in Westchester County N0.01K06216660 Commission Explres September 26,ztl� Qualified in Westchester County ty My Comm STATEWIDE INSPECTION SERVICES, INC. cxk) Service With Integrity 0•0 SWIS JOBAPPLICATION0, Office Use Elect.Permit# (Do Date,41_z)_9X��- Bldg Permit# Utility ID# Final Certificate# City/Village f/�f�8 Zip/ 7 Township�I�IQ Q ' County -_ EYE AddreISr /_ Cr/ V Cross Street V Section Bloc , 7/ Lot l L� Owner Name/Address(if different than above)kxc re J L� Contact Number C/4/— 1 _'7T 7- v Basement 5r1 st Fl. ❑2nd FI. ❑3rd FL ❑More Than 3 FI. [:]Garage ❑Attic 0 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 N1 New Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information ey 1AC_e fi9e,,-a<,, r iii2 2 F r'-e- ALull,� 4-0 v o RCLOI DEC 2 9 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one 11)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time 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 far the above address with any other inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions asset forth far the applkation. Inspector Date Finalized inspector# Company Name y ICJ/ rmerc, �4k Z Date Signatur Address ht oQ r' ' e City/State !„c)r e Zi ode a License# 000��fr?33 � 0 Phone# +I 7 DC[E 0 v State Wide Inspection Services 1080 Main Street JAN 19 2023 Fishkill, NY 12524 a 845 202-7224 Phone 914-219-1062 Fax VILLAGE OF RYE BROOK Email: officeC�swisny.com STATE WIDE INSPECTION SERv"'s BUILDING DEPARTMENT - ? 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: ADT Commercial LLC Rye Hotel LLC 6 Skyline Drive 699 Westchester Avenue Hawthorne, NY 10532 Rye Brook, NY 10573 Located at: 699 Westchester Avenue, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-002 135.74 Certificate Number: 2023-0344 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: 699 Westchester Avenue, Rye Brook, NY 10573 The Basement 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 19th day of January 2023. Name Quantity Rating; Circuit Type Fire Alarm Strobe Units 22 Officer: Frank 1. 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.