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HomeMy WebLinkAboutEP23-001 M � � cv00 N W c = W a o cn a u , o z 4) C1� waN x N U o 00 � � W was H M 00 0 011, o 41 W a U z w ° va 00 u z ' W z C/) M o 0 o CN .. 00 H a Q f _ V w 3 0 � , 0g w p aP'r O O H W o 0 0C'N � x A aW, w w �� a w x -<�,- - CSC DMC BUIL E MENT 3D DEC 3 0 2022 VIL E OF RYE K 938 KIN ET RYE B NY 10573 VILLAGE OF RYE BROOK (914)9 939-5801 BUILDING DEPARTMENT .or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required J FOR OFFICE USE ONLY BP#: I P#: c:�)3—oO f Approval Date: r)iAH \J 423 s Permit Fee: S Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 12- L 'LL is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or renlove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. q 1\ 1.Address: �vl 4CCj G V'� tJ SBL:14 --- / Zone:/�ty� 2.Property Owner: �. (D q/ 19 e L t {" Address: -i 9 3 C l tN ke *- Phone#: �j ti r 8 3U^►( �P 7 Cell#: / email: At e IM— ?A t� k- �l�1 Q cap Address: a rN q 3.Master Electrician: ✓'Qvt Sp'� t�q� �✓ �t N►t►' o.t Lie.#:�Phone#:?!Y-777-77 YIKell#:91 V-If?0-4 7a Z email:Company Name:r• 6-4S4el(4 N0 ii ! eL. in C Address: S r 1f✓0 Q A W^�' yePt r.0�+. �• 4.Proposed Electrical Work/Fixture Count: STATE OF NE YO K, COUNTY OF WESTCHESTER ) as: �r0F N � �S C l 4 k 7 being duly sworn,deposes and states that he/she is the applicant above named,and does further (pnmt 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 6 04 4.0rl c-•� for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,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 Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn t fore me this � Sworn to before me this day of ,20 day of ! 20� r rp Sigh a of Prope Owner Signatur of Applicant Fvq,VA (2*s M nt Name of Property caner Print Name of Applicant Notary Public Notary PAlic SHARI MEULLO Notary Public,State of New York GREGORY M.RIVERA No.OiME6160063 "a"Public,State of New York Qualified 1n Westchester County No.01RI6U1398 Commission Expires January 29,202�- Qualified in Westchester County , Commission Expires September 26,20i L21Al)i INSPECTIONSTATEWIDE Service With Integrity 0:0 Main Street, Fishkill, NY 12524 1 email:• SWIS JOBAPPLICATION0. . « Office Use Elect. Permit# Date 1 Z ZC1 ZZ Bldg Permit# Utility ID# L •(oS8�3o Final Certificate# City/Village Zip IDS-7-3 Township County w es Address n Jew (} t V L Cross StreetSection Block Lot Owner Name/—Alddress(if different than above) /� + `ca, e G Contact Numbey!9—es03 0 _ [:]Basement ❑ 1st FI. ❑2nd FI. h]3rd FI. ❑More Than 3 FL [:]Garage ❑Attic ®,QytsidegZesidentiai [:]CommercialI Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven is) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑underground ❑ New ❑Reconnect A00 1 Ld Z v ( l ®Overhead Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information r'-a n `•� / , 'D a ���u , C_ DEc 3 0 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one tl I 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 for 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. Inspector Date Finalized Inspector# Company Name Ca 5 4_1 4( ctol0 e C >nc Date /Z 2 ZZ Signature Address D ,-Oct �� City/state v�f S 0 i" Zip Code License# O Phone# 0 — IDState Wide Inspection Services cok-'> 1080 Main Street RJAN 17 2023 Fishkill, NY 12524 S%V uas 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@swisny.com 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: F Castellano Electric Inc Libia Declet&Gerardo Paico Eusebio 58 Broadway 493 Ellendale Avenue Harrison, NY 10528 Rye Brook, NY 10573 Located at: 493 Ellendale Avenue, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-001 iai.2s Certificate Number: 2023-0287 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 Basement and Exterior were 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 17th day of January 2023. Name Quantity Rating Circuit Type Service 01 200AMP Meter 01 Panel 01 Grounding and bonding of service to current codes. r 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.