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Home My WebLink AboutEP23-017 6 = i r� ■ O M x o N N W ■ M p N v s ■ N --� a W cn ■ W N N ycj� r ■ � � z W cn W U W X ■ � C� h*y O y O 'Cc) Z p � z � V � p � W ■ Cq �i ram, od Cc) 0-0C7 r W Lncc x _ w A H W o w s Owl z00 co V = O v W o U z v z uz ON. z z � H PL4 o o � A U ao W W V) a V F o �+ V W Z s W ° x �iLDH Q ° A °' � Q W Z U om VECEO V Lam,2 3 2023 10 VILLAGE OF RYE BROOK BUILDING DEPARTMENT BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KINK;STRrr_TRYr•.BR09K,NY 10573 (914) 9-0668 wxynLrye4tgok.oM ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required 1 FOR OFFICE USE ONLY BI r: — _�I F.I'#: C�3-0) / IP t � r +� t ruv al Datc: Pcrmil Fee: Approval Signature: Other: s#s####y####s##!# *t ####################!#lief####f###ta##+1#!##f#R###i###t#tt#f�#4##*########P##iN• Application dated, I Z is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/ r retnove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed satternent 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. go 1.Address: CJ _ ?i60,e_ P IA Z,0. ZtP—,NY SBA: zone / 2.Property Owner: IAIt 11`7�1[ d. —P l'�ul _Address: Z'+ yLP—mr, Om Phone 0: t' (+ ' ��i1S f Cell>Y: _email: �� 3.Master Electrician:fro k FQr\rl'ing Address: Lie.r: Z 11 Phone h:0114 941 8$9 9 cell a:qwl 490 5534 email: fanf)►nQft{'ew-IC aA1 (0y__1 Company Name:Panniii E __. _ Address: 4.Proposed Flectrical Work(Fiature Count:1r1S ICL,I (I ofw dUQ1 head &w(cl"CLa 1h+ ixLjute, - In a►1I nry-4 Quit QU teal . T — 5.3n°Party Electrical Inspection Agency: S NZ !*****###f###f*!f##f*fR#f##!R*Rflff!##flff#fflf##f#A*f#f#!##f##*+#!R*##!#f********A**sigJ+*i+**f++*+++,*f fl�I STATE �O,�F NEW YLORK,COUNTY OF WESTCHESTER I tss t"f� l�TitV�1►Y V being duly sworn.deposes and states dtat he/she is the applicant above named,and does further iprrnt oarm of individual signing as die appltc:au) C v state that(slhe is the Icgal owner of the properly to which this application pertain.or that(s)hc is die for the legal o%%ner and is duty authorized to make and file this application, 3gkri annmei.etc) The undersigned further states that oil statements contained herein are true to the beg of hivher knowledge and b:licL and that art%tivork pertonnh:d,or use conducted at the above captioned property hh•ilt be in conformance with the details as set forth laid contained in this applicaUun mud in any accuntpanying appru%`ed plans and spcMlcatious,as vh`ci)as in accordance with the Naha York State Uniform Fire Prevention&Building Code.the Code of the Village of RS c Brook and all other applicable In%,s.ordinances,and regu:alions. Sworn to before n►e is o Sworn to before rite this d of��l] ,20 Z 3 day of - r ire of operty 0wnerfVV'-W ! 4*n('UC Signature of Applicant D Et 1d _ V � Pri i e of P operty AtQdT w�lt►�I ' ,r uC Print N of Applicant x 1vl to ublic \�Fyublic tutA.RCO ESTRELLA k 7I,v�n,.t Fr3 NOTARY PUBLIC.STATE OF NEW YORK r Registration No OlES6153853 ry Qualified in Westchester County `P _-iXo Commission Expires October 16, 2026 INSPECTIONSTATEWIDE Service With Integrii 1080 Main Street, Fishkill, NY 12524 1 email:1 SWIS JOB APPLICATION tel845.202.7224 I fax 914.219.1062 1 SWISNY.com I SWISTraining.com Office Use Elect. Permit# �� rQ Date / /7/, Bldg Permit# Utility ID# Final Certificate# City/Village 2tesrco'K Zip'DS-7 � Township County Address 2% pIA2(i Cross Street Section Block Lot Owner Name/Address(If different than above) M V I o V ICI ] � F-ea 1 LW_ /� Contact Number ❑Basement 1st FL ❑2nd Fl. ❑3rd FL 1llJ//��❑`](MMoore Than`3 FI. l❑Garag`e,l•_❑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 1 P I 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information. I n i lo 1 1 (o ,e,,,,, dual htn d e r,CrloT n� 1 gr,� �\x�urf I nStlao ( 3) rrew quad ov+ D cEDw[E DD JAN 17 2023 VILLAGE OF RYE BROOK BUILDING DFPARTMENT 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 �y, i Date Finalized Inspector# 1 1 Company Name Fo I t I l E k` 1 1 c Date Signatur /— AddressSS C (X, �� City/State Oss, nl � 2 ode Il7S(v2 License# 2 1-7 Phone# nij D v State Wide Inspection Services 1080 Main Street FEB 2 3 2023 Fishkill, NY 12524 a 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1 Fax STATE WIDE INSPECTION SERVICES Email: offlce@swisnysny.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: Fanning Electric Co Inc Win Ridge Realty LLC 55 Central Avenue 9 Rye Ridge Plaza Ossining, NY 10562 Rye Brook, NY 10573 Located at: 9 Rye Ridge Plaza, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-017 141.27 Certificate Number: 2023-1201 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: 9 Rye Ridge Plaza, Rye Brook, NY 10573 The First Floor 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 23rd day of February 2023. Name Quantity Rating Circuit TVpe Dual Head Emergency Light 01 Quad GFCI Receptacles 03 Officer: Frank 1. 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.