Loading...
HomeMy WebLinkAboutEP23-008 a a a a 00 a © M = M o o u a W r" a W vi � OL, W a ~ C z O L. Gq4A L x O � A a o x a as N v H 0.,/ � ✓ W V n (� � ,� �z oo oo V 0 U, z w Z H ; W M a o z w U : � •� z � � � C! � W a �O V a � 4 a � I� V w r-•1 W z � � d � a � }" xOCR 1 O w cW7 Z o Ln U w z x W � H = N z W oA A a z W a MM� U W � 4 �1 rTe BUIL PA MENT VIL OF RYE'' OK I pry 10 2023 938 KIN ET RYE B ,NY 10573 _ '6 VILLAGE OF RYE BROOK W ,r BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: C__)'3-00</y Approval Date: JAB Z� Permit Fee: $ / V - 1`"j� Approval Signature: Other: Application dated, 13 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: c� 4o(-5e`5 ko c_ l—yN >3ok— SBL: I 5 _J`' 1 Zone: 2.Property Owner. e 7k 5 ck,✓f Address: o f Phone#: ey -%{ 3 Cell#: email: Ckak.61 3.Master Electrician: 610 ZaC4C- VN 0 Address: -(CLJG I 11-3 Lic.#: 7rys Phone#: - Cell#: email: rtO.;�e t Company Name: Zc,c t'li o EiP_c,`r.L Address: 4.Proposed Electrical Work/Fixture Count: �00 C41go 6efV c e_ J(-CJ' Gee 5.3'Party Electrical Inspection Agency:14 STATEZNEW YOM COUNTY OF WESTCHESTER ) as: I// tV ,being duly sworn,deposes and states that he/she is the applicant above named,and does further print na is of individual sigpfingaq the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the ?AZL1C0L 9N1Z'o 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 befo me his Sworn to b m his A -11 day of / A ,20 day o ,207/7 Signat of rc6L)gj��,bwtjer Sign `a / e of pp kfe— �jv EV 9N �t/ G C 4 /" /o9 pr j§ EW YORK n t e I No. 0 38 NOTARY PU AT F NEW YORK 9unlffiw 238 No*fYC9l+ {jflon Fx Ires oclober 14, 2 NotzWcRuWir• w tc suer County My Commis on fires ctober 14, 201�_� 6/23/2022 INSPECTIONSTATEWIDE CAD Service With Integrity 1080 Main Street,Fishkill, NY 12524 1 email.office@swisny.com SWIS JOBAPPLICATION0. a (;ffice U,e Elect. Permit# Date e Bldg Permit# Utility ID# Final Certificate# City/Village Zip vs1 2 Township County Address Cross Street / Sect Block Lot Owner Name/Address of different than above) ' Contact Number 9��/ 7;3� 7 2 Basement [:] 1 st FI. 2nd FI. 3rd FI. More Ran 3 FI, Garage Attic 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 lP 3P #Meters #Disconnect Q Un ound H Ne 0 Reconnect Overhead Change Visual Re-Inspection ❑ Safety Re-Inspection El Re-Inspection Additional Information ID) J� AN 10 2023 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 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# Companyii�, <'-A— ib Date/ Z 2 Signat eqAddress il�l� City/State 1r'17 de License# �,\ Phone# a J I r o R[ECEME - ID FEB Z 1 2023 State Wide Inspection Services cok—Dill 1080 Main Street Fishkill, NY 12524 41 @1�LALNV VILLAGE OF RYE BROOK 845 202-7224 Phone a BUILDING_ DEPARTMENT 9114-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office@swisny.com Ice@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: Zaccagnino Electric Jeffrey&Shelley Fischer Angelo P.Zaccagnino 2 Horseshoe Lane 81 Maple Avenue Rye Brook, NY 10573 Rye, NY 10580 Located at: 2 Horseshoe Lane, Rye Brook Lane, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-008 135.51 1 Certificate Number: 2023-1073 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: 2 Horseshoe Lane, Rye Brook Lane, NY 10573 The Garage 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 20th day of February 2023. Name Quantity Rating Circuit Type Service 01 200AMP Meter 01 Panel 01 Grounding and bonding of service to current codes. Inlet 01 30AMP Interlock 01 30AMP 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.