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HomeMy WebLinkAboutEP23-039 = M o 93 bz aCA 01 Sri Qr`"' 00 w q z N w $ va 0-0 O Ln 00 z O A S Q w Z W N Ln z Wiz° z � o \ _ N-I en zow �" A V C� Q a 00 ON = V a oZ zz � U O (> O w BUILDING DEPARTMENT VILLAGE OF RYE BROOK R FEB 13 2023 938 KING STREET RYE BRooX,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK ww°w.aebrook.org BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: Q 3 r 0 3- ! saft 66 Approval Date: Permit Fee: S J�T / Approval Signature: Other: Application dated, 0,?J/3/z.0 j-3 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or move 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: �Z11 HILL A SBL: 1151�Ji 57 Zone: c�- 2.Property Owner:. + /CCU 1 HILL 14 L _ Address: 2 ELM H11 I L1 C q Phone#: ),"! pO 2 2�' Cell#: email: ckj e o, 0. O�.CC44f 3.Master Electrician: �w✓ o'. Address: 15 Ut6 f-e— 9d P(jlrrj ie Al Lic.#: r3T Phone#: Cell#: email: 1W1 r2a24 70) ic((7tX -s —7 Company Name: 14Y1 ft� _ MAnj . C _Address: l N1 b1Y 7 4.Proposed Electrical Work/Fixture Count: 9G l K`� 5L-E tJ l c 4 �oo �_ qP< l 99T&PT&t 5.31 Party Electrical Inspection Agency: STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: &��r M V I(c! Apo, __,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of indn ideal-signing as the applicant) ( state that(s)he is the legal owner of the property to which this app ation pertains,or that(s)he is the Ql e i( 1 (,0Ajy c 4f for the legal owner and is duly authorized to make and Erie this application. 1 ind+-ate architect,contractor,agent,attornevetc.) 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 Sworn to 4bre me this V� day of ,20 day f h ,20 Signature of Property Owner ---: -Yf Signature of Applicant t_e-bur /v1 ViwYw. Print Name of Property(honer Name of Applic. N 1 Notary Public No a �state of New Yorh No.OIME6160063 Qualified In W�tJa� r)'29.2t� Commission Expl 6/23/2022 RFFEB[ECEN� E�BUILDING I�EPA MENT 14 2023 VrL E OF RYE K __1 938 KIN ET RYi;B ,NY 10573 VILLAGE OF RYE BROOK } -06 BUILDING DEPARTMENT or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: -3— C)S �I Approval Date: FEB I 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 �eall /a/ppiable Federal,State,County and Local Codes. 1.Address: d /'� �J/// /J�� ��- SBL: Zone: 2.Property Owner: Address: Phone#: Cell#: email: 3.Master Electrician: Address: Lic.#: Phone#: Cell#: email: Company Name: Address: 4.Proposed Electrical Work/Fixture Count: 5.31 Party Electrical Inspection Agency: 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 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.bef re me this / / / Sworn t e ore me this of to C 20 day of 7t Si �ture of Property O� � S� e APPh � jof1t Naope Owner ame of Applicant Notary Public Notary990W MELILLO SHARI MELILLO Notary Public,State of New York V�tary Public,State of New York No.01ME6t60063 No.OIMF-6160063 Qualified in Westchester County Quallfied In Westchester County Commission Expires January 29,26.2-1 2t?22 ^a,-+mission Expires January 29,20L INSPECTIONSTATEWIDE Service Willi Integrity 0:0 Swias JOBtelAPPLICATION0. Office Use Elect. Permit# 7 NN L Date /, Bldg Permit# Utility ID# Final Certificate# City/Village y bjE�KL Zip f o)" Township County Address r] /n t/ it LI 2 Cross Street Section Block Lot Owner Name Address(if different than above) Contact Number ❑Basement ❑ 15t Fl. ❑2nd Fl. ❑3rd FL ❑More Than 3 Fl. ❑Garage ❑Attic RjOutside ❑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 ©� Q X Overhead ❑Change ®Visual Re-Inspection 0 Safety Re-Inspection ❑ Re-Inspection Additional Information r FEB 13 202 VILLAGE OF RYE BROOK BUILDING DEPARTMENT l 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,d at any time of Inspection addhlonal hems 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(of 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 (lU) L _ ��� ' Date q2 �S Signature Address L City/State �l u v `j . t/ Zip Code License# + T' Phone# Z A3 f p C \ , State Wide Inspection Services �. E"B 21 2Q23 C 9 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYc BROOK � 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMEPJI' 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: IWIRE 24/7 Electric Inc 2 Elm Hill LLC Cesar M.Vicuna 2 Elm Hill Drive 25 White Road Rye Brook, NY 10573 Putnam Valley, NY 10579 Located at: 2 Elm Hill Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-039 135.51 Certificate Number: 2023-1240 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 Elm Hill Drive, 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 27th day of February 2023. Name Quantity Rating Circuit Type Temporary service 01 100AMP Meter 01 Panel 01 Grounding and bonding of service to current codes. Exterior GFCI Receptacles 04 bo 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.