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HomeMy WebLinkAboutEP23-020 - O = N en W wNo Ln r a w k-, CI z z a A bq MW � H �— � � x © ,� x o A A • cr Sa p F�•1 o M N moCn © • oMo W oho M z 1 W iV F� W Cfi z ;4 L I O m co N � z �,z III,:: _ � A � ^ � � x ►� x U W+j � A r l m a cy V N x x � U UT W ~ m H c Z o A � V � a BUII., ENT VnL K JAN 2 4 2023 938 KING',— $ ,NY 10573 � VILLAGE OF RYE BROOK or BUILDING DEPARTMENT ' .o ELECTRICAL PEl MT APPLICATION Westchester County Nutter Electricians License Required FOR OFFICE USE ONLY BP#: EP#: CD Approval Date: J AN 2 2 Permit Fee: $ Approval Sipature• Other- Application dated, 1120/23 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,fbxtures, or to perform other high or low voltage electrical work as per the detailed statement described below_ By signing this document, the applicant 8s property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. p 1.Address: 38 S Ridge St. SBL: f 35- b 3 �` Zone: 2.property OwnerZinsner. Living Trust Sherianne ZinsnerTT Address: 3253 Duncan Ave. Sarasota FI. 34239 Phone#: 941-921-7066 Cell#: 941-544-0790 email- sherryzzz@aol.com 3.Master Electrician: Anthony/Mark Pinto Address: 109 Maple Ave., Rye, NY 10580 Lic. Phone#: 914-967-8051 Cell#: 914424-8100 cmail: 9Meccaelectfic@aol.com Company Name: Mecca Electric Address: 109 Maple Ave., Rye, NY 10580 4.Proposed Electrical Work/Fixture Count: Wire for and install five (5) lighted exit signs with emergency fighting Basement; bottom of stairs. First Floor; NW office hallway, living room,front door, kitchen rear door. S.3"t Party Electrical Inspection Agency: State Vide Inspection Services, 1080 Main St., Fishkill, NY 12524 x:at:xxxxx,rwx*tx#x*xxx�rxxxxx*xx:xx*xxxsxxxxxr**,txaxxxx*�t#**�*sxxxRxsxxwxxxxx,e�rxx#*,tx,t�ex:xxxxxxxxxwxxxx:�• STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 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(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 architcct,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 Cade,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this J Z VL O o Sworn to before me,this day of c 20 �_ rr o 00 v day of 201_ cc m Si ature of pro /OwII 2 W N Z� re t-j u� !vg �u�r z„x o`N Signature of Applicant :.IR-Vsr Zi ,Sot/ t��v„E� TK4s7- z v o._ Qli�An� it/S��Q 93 Prime.Nome of roperty Owner F-a'R e n Print nine of licant Z :5AEa C: " E Q U Notary Public o u Notary Public 6/23/2022 ��•4RCrti7. BUIL E ARTMENTID VILI AGE OF RYE BROOK t 938 KING STREET RYE BROOK,NY 10573 JAN 2 J 2023 (914)939-0668 wn,W-ryebrook.org VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATION BUILDING DEPARTMENT Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: ��C Q Approval Date; Permit Fee:5 Approval Signature: Other• Application dated is hereby made to theZngpector 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. L Address: SBL: Zone: 2.Property Owner. ' ) 't Address: arX,211 iTu �}Irl` T f� Phone 4: I]#: email: 3.Master Electrician: r Adiiress: Lic.#: q 911—_Phone#: qJL4 42 &0 Cell C q U 4 y--A4 $(rY`�—email: r r� C Company Name: Address: 4.Proposed Electrical Work/Fixtum Count — / 5.31 Party Electrical inspection Agency: ddc •#tllf/iRtt#!!#•f1t#t44fi4•**t*1#•/�*ff#>li�lf lFflt!#!►fete*fi++#ttti.#if tl++katM!*••*R1v i!**!#•N/iir4 •lflf STATE OF NEW YOyR�K-,COUNTY OF WESTCHESTER ) as: __�[CT _�"1 I[� ,being duly swam,deposes and states that he/she is the applicant above named,and does further (print name of indivii7a 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 �'vrlirr, 4 rti'" 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 hisllrer 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 m 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 Sworn to before me this )Qj6jA&LA day of ,20 da of ZS—C" ,20 Zr Signature of Property Owner Si of Applicant i7�ovl— 0 Print Name of Property Owner Print Name of A licar Notary Public zlota paWi ry e-� ©AFt ALDANA No cry pobllc-State d crew YerM No.01ALFA25W \\ ©,afied in Westchester county \, 623/2022 y Comrrtisa)on Epim iIMM 65" STATE WIDE INSPECTION SERVICES, INC. cjk--�) Service Wirli Inlegrity 1080 • • SWIS JOB APPLICATION tel 845.2017224 fax 0. • Office Use Elect. Permit # �� f� � Date \� Ls r C7 C� Bldg Permit # S4 Ft Plumbing Permit Final Certificate# City/Village Zip 1Cr57?-' Building Dept. County Address 5-6 C) �� �t�'! - Cross Street Section Block Lot Owner Name/Address(If different than aticive) (rtV Contact Number 3ZL�; r � . ❑Basement ❑1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 FL ❑Garage ❑Attic ❑Outside V6 sidential 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 T Disconnect ❑Underground JqWw ❑ Reconnect ❑Repair Overhead Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson. ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation Vu►Yr- +h ok .BAN 2 4 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one ti 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.'fhe 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 terma and conditions as set forth for the application. Email Address � r 'lL �,� Name f Y—) � License A �j � Date � �7 Signature --- -- -F Address II —` c, city i state 70?` d ' Compan,; Pho.e