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HomeMy WebLinkAboutEP23-004 a a a O M o M n a N � � w o Cl) o to h� � a a n O Lr) [� N w � © Z o � � � a N ©1-4 o W r' W N w a W o z M N w g@ w00 N �, °° o l `-' ° ° oo F� oo O � W "0 Z 0 z � 0 � = z acn 21 In a H � Z Fi ► Q cn of V} r7 V w w a o o � A ¢ a Q W © a x W Cw7 G Z © Cn W V W z � � x y. w W P-OO A O � A W z W o Ow .. w Li F-+ `� w o F IBR BUIL E MENT VtL E of RYE OK R NOV 3 0 2022 938 KIN -1'r RYr B. ,NY 10573 VILLAGE OF RYE BROOK or BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY A. EP#: oo 24 Approval Date: iN�> Permit Fee: S 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 bein conformance with all applicable Federal, State,County and Local Codes. q Q I.Address: �`1 fI V Zone 2.Property Owner: 16 to k�P- C p� Address: '�f,1 Phone#: Cell`#: 1� -� o��} email: d��+y _ Q,1YI Q ��OI" 0(�^1VI 3.Master Electrician: l `l Q L . 411 t�qS Cln.�re yTk Address: Lie. #: 1 q Phonee#: Cell#: �I OBI y 7 �J�' g�� ,email; a�� t IPt 1 f I c �, 14000 M&I Company Name: Pl(1�.1�m E.�, c. yl(. n Address: 1� 6QkI �� SI�� RO��,u`� .�ft 4.Proposed Electrical Work/Fixture Count: v� �e 1 Y1 L� A 6DXy �5 61 f)! S'Wl " a rf QS'�Cd SMOKE /C z r— 5.3'd Party Electrical Inspection Agency: '1. N 15 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,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. r� Sworn d1bbefore me this Sworn to before me this day of 20A day of A V 20 Sipna eJ of Prope Owner y Si o pp tc Print N Property Owner P?My! icant W,,Wr��I/ No� y Public IA D RIGUEZ JC� � �����cJ�O Notary ic - State of New York 01 R05199133 Notary Public State of New York Westchester ou t Qualified - Westchester County on Expires 1 t - 02 # OIDI4804045 Exp. 9/3C1/76 �- STATE WIDE INSPECTION SERVICES, INC. CAD Service TVitlir Inlegrity 1:1 i i SWIS JOB APPLICATION12.7224 1 fax 914.219.10621 SW15NY.coml SWISTRAINING.COM Office Use Elect. Permit# }�—cc Date Bldg Permit# Sci Ft Plumbing Permit# Final Certificate# City/Village t brook zip wg43 Building Dept. P—� b e y- County Address aoLL Cross Street Section Block Lot Owner Name Address(If different than above) LI �( Contact Number ❑Basement ❑ 1st FI. ❑ 2nd FI. ❑3rd FI. ❑More Than 3 FI. Garage ❑Attic ❑Outside 1 ❑RDesi�dee/nti{al [:]commercial Receptacles Special Recept GFCI AFCI Switclyes Dimmers Smoke Alarms C/O Detector Hood Trash Compact Amt Amps Z Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave luminaires Generator Transfer Switch SERVICE Amperage #Panels I 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 ]unction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect Legalization ❑ Safety Inspection ❑Consultation A,r D j N 5,TA j j 4 T70fV n v� i 6 C—lrgeAbE D NOV 3 0 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT rhis application,is valid for one;1)year from the date received by SWIS.This application is intended to rover 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 for the above address with any other inspection company.The applicant owner or authorized agent agreesto ail the above terms and conditions as set forth for the application Email Address Atyn /'�,�„ — t C1 T�(, C��1I -- Name L• t'�U 2 f 5 '%(A License -1 16 Date I I,�C, 2 2 Signature —� AddressFLa- 2 Citr!State Company 6. VA �u� C. _�_— Phone# — J D State Wide Inspection Services �// 080 Main Street Fishkill, NY 12524 APR 1 8 2023 845 202-7224 Phone 91`4-219-1062 Fax STATE WIDE INSPECTION SERVICES -- Email: office@swisny.com �ce@swisny.com j VILLAGE OF RYE BROOK Website: www.swisny.com Service With Integrity ; BUILDING DEPAPTNIFN.IT y BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Matem Electric Libia Declet&Gerardo Paico Eusebio Jorge Huertas Cabrera 493 Ellendale Avenue 18 Dell Street- Floor 2 Rye Brook, NY 10573 Sleepy Hollow, NY 10591 Located at: 493 Ellendale Avenue, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-004 iai.28 Certificate Number: 2023-2703 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: 493 Ellendale Avenue, Rye Brook, NY 10573 The Detached 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 18th day of April 2023. Name Quantity Rating Circuit Tvpe Ceiling Fan Boxes 02 Single Pole Switches 05 3 Way Switches 02 Receptacles 02 Recessed Luminaires 11 C/o Smoke Detectors 02 A Visual Inspection of existing conditions was performed on April 181h, 2023, of the Detached Garage and Conforms to NFPA 70-2017 NEC. No Defects Were Noted J,I^ 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.