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Home My WebLink AboutEP23-042 ■ i s ■ s � ■ 0 s s N N N u FBI 1-414 "' W ■ N N a v FBI , z ■ w p w ■ W oo w W i F�/I m � � � g u'? � � ■F�1 w W W Q o W O v � oo O AQ • F+■I W --+ z a w Ln O , � ■ � H o O wV w z w z w w a i V ■ t i= V W U A CY c0.4 ■ W 14Z CS o o F H z wp z W FK w C� Ln p O e U w z c � � z oA .. a W aj Ln BUILDING DEPARTMENT VILLAGE OF RYE BROOK RFEB 15 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.ryeliroak.org BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: _ Q 3—0 q Approval Date: Fffg Permit Fee: $ I L _� Approval Signature: Other: Application dated, r' is hereby made to the But ding Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/o reifiove electrical equipment,wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By sighing 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. + rl �' /�„k 1.Address: �� I_` Hill SBL: I e7 9� 7 —�—"! Zone:. 2.Property Owner: o,f( Address: e rri L� Phone#: ON Cell#: email: 3.Master Electrician: 1 4- —2—l l--o e% Address; �,�^ Lic.#: /G60 Phone#}}: q/q-'59-M` 0Celll�#:: 9 I y"t,�4 4151 email: ( ,C�� tT Tell Company Name: AL�l t lam. /S 'Q G-f 1r`t '�. (y; _ Address: l{ 1 A GYe--,n C("4 ,e-fie, (Zl e 4.Proposed Electrical Work/Fixture Count: . S)40, C) O N ba L k OC C-Un h o�-�t 'C ie l i S be r. ir,(-b EA-AT 13i�714iN� t (vrrnDe-eZ-.O % --fi fAicc . 5.3'Party Electrical Inspection Agency: !t,J l 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. Sworn to_hgfore me this Sworn of re me this f ,20 Y day of V, p cr I` ,20 1�I S afore f Property Awner Signature of Applicant JAI a�G do r r Pri o op Own Prtq jqame of Applicant Jc 7 y / / otary Public Notary Public u M CAR L GPEGORY M.RIVts.k Hobq Public,State of blow Vo+4 Public- State of Nets YorkNo.QiR1642139FN0. 01CA6284142 3rz2 ualitied in Rockland ''[Notary y Commission Expire- Eye ComelssioitEVIres Septer tr,e+ n,1�5 STATEWIDE INSPECTION SERVICES, INC. Service With hitegrity ;0 SWIS JOBAPPLICATION tel 84 06 • • C)ffic� U;r� Elect. Permit# Date -5- Bldg Permit# _� Utility ID Final Certificate# City/Village `�� Zip 1 ve3 Townshipk County WegjC Address ll Cross/Street AC Section Block �1Lot 7 IT- Owner Name/Address(if dfferent than above) `, f5 Contact Number [:]Basement ❑ 1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic utslde ❑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 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information� D U� e) Ckc D �C I55 EVE FEB 15 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application Is valid for one(1)year from the date recehved 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 toall the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector 8 Company Name e r Date /S Signature Address City/State Q�p�, N J Zip Code 1 U License# l 5 Phone# 1 y_ 1 REcE �YE State Wide Inspection Services cxk::) DD 1080 Main Street Fishkill, NY 12524 as VW U S MAY - 2 2023 845 202-7224 Phone 9114-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: orf I ice@swisny.com BUILDING DEPARTMENT 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: Lelia Electric Corp Arbors Homeowners Association Richard Zweig 173 % Ivy Hill Crescent 47 Greenway Lane Rye Brook, NY 10573 Rye Brook, NY 10573 Located at: 173 Y2 Ivy Hill Crescent, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-042 129.76 � I,-] Certificate Number: 2023-3015 Building Permit Number: A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 173 Y2 Ivy Hill Crescent, Rye Brook, NY 10573 The Detached Building 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 27th day of April 2023. Name Quantity Rating Circuit Type Exterior Flood Light on Shed 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.