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EP22-281
L _ 00 N N G1 4 L N N p U = N 000 w rT1 00 ON v40-4 ,,,,,,]] a� US s � M r� W � c cn Q O ZQ � \ N ° w � H r� w H z o H ° • w 0 W co a c I w 00. a 0 44 � W a tn V H � U W Z �, x H M� z w l �u 7 2022 ��BUILDING Ut MENT NOV f VILLAGE OF RYE K VILLAGE OF RYE BROOK 938 DING STREET RYE Bwoik,NY 10573 ' ��� !*,ir, ncpARTMENT (914) =0669 w•ww_ryr-btUuk.urg ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required C� / FOR OFFICE USE ONLY BP#: EP#: �'—C V / Approval Date: �`���,��� 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 1.Address: I S�p n e 4 j\5 (tea- SBL: 135.G 7 —l - L/c Zone:/ ✓0 2.Property Owner: K o k n5 Address: SO m e L Phone;}: °titH -939-GSe-f Cell#: email: p kCef 0)�p ne-fle 3.Master Electrician: ntrnn&g vin-0 Address: 19D Sub Mt.1l ei,yW a /aka Lic.#: I)� Phone#: 91y--7`f7- J�)fy Cell i7: email: 9erVICeP- L(gc6n fe jec+rt .Ccwfl Company Name: (�Csr �t n a CI�'c t C Address: t R.. L Luir- Pd GTaL?~11+!Y!Z 4.Proposed Electrical Work/Fixture Count: L5 I,Ztoj(^ I AQ 5.31 Party Electrical Inspection Agency: 5-Ftl,t`e 11)(de STATE OF NEW YORK.COUNTY OF WESTCHESTER ) as: 47 iY1'5 t�L VI PI a 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 Whe is the legal owner of the property to which this application pertains,or that(s)he is the QfN-6-..t;4r 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 I Ll Sworn to before me this day of 00TG 1O e!v ,20 L� day of 5`L M 2042'2 Sign; re of Properly Ow Signature of App scant oet4ym vNA oPl�✓ -� ��rin45 Vtnv Print Nam f Property Owner Pr' Name of Appli ant Notary Public Notary Publi RbpW C,Lanza NNo Pubk,State of KY, CAR©LYN LIBERATE .01LA6003242 NOTARY PUBLIC,STATE OF NEW YORK Qaalfled In WestcheM 23 20� Registration No.01 L16181428 CnmT4Q*n FrnlranFeb.1 j Zu C)ualifeci in Westchester County r"23 2022 G+mmissi�n Expires Janua 28,W. STATE WIDE INSPECTION SERVICES, Service Witit Integrity •:0 OFFtCEPSWISNY.COM SWIS JOB APPLICATION tel 845.202.7224 [fax 914.219.1062 1 SWISNY.coml SWISTRAINING.COM Office Use Elect. Permit# �� Date �L; 7 ZY Bldg Permit# Sq Ft Plumbing Permit# Final Certificate# City illage R,,14 rOv V Zlp10-523 Building Dept. ��� i�I�k County VV l Address 5',{ _�le ('_ �I _ Cross Street Tsectioni-3.5-*7 Block / /Lot�L�L� Owner Name/Address(If different than above) (� © I ,L o S Contact Number ! i ❑Basement ❑ 1st FL ❑2nd FI. ❑3rd FL ❑More Than 3 FI. ❑Garage ❑Attic Outside 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 J I El 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 Nov 17 2022 VILLAGE OF RYE BROOK t BUILDING DEPARTMENT i This application is valid for one(I)year from the date received by 5111II5.This application fs intended to cover the above listed items to he inspected,if at anytime of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee'or 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 agenr artrees:calf t he above terms anal conditions asset forth for the appiica?ion. Email Address �'�°✓ V�G� k [ �l`e�`lYIC 6oly3 I Name License# `� / — _ Date ^ �a Signatur �L Address City/State ✓ / Zip CodE CompanyfC Phone# State Wide Inspection Services I R DD a7 2023 1080 Main street Fishkill, NY 12524 845 4 219-1 Phone VIL RYE BROOK 914-219-1062 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: Keating Electric and Technology Raymond Hopkins 190 Saw Mill River Road 1 Stone Falls Court Hawthorne, NY 10532 Rye Brook, NY 10573 Located at: 1 Stone Falls Court, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP-22-281 135.67 � 40 Certificate Number: 2023-0191 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: 1 Stone Falls Court, Rye Brook, NY 10573 The Exterior 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 17th day of January 2023. Name Quantity Rating Circuit Type Photocell 01 Backyard Pillar Light 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.