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HomeMy WebLinkAboutEP23-059 ■ cys Ln M O cq O W O ■ U N N ■ � M M � OG .� [xI v�i LO aop W M--� N � � � c fil � ►wri Q1 Mom! ,r, ►�„� W U �. x o � A Z � z N w = Mw �j � O O �i � � N F" �i � O ■ Ln N ■ W � � W z _ Cl) coO ■ w w u z �, �I ... � O w � V Z U s (> xftftlrb OC A � q o haM rn 9 N w a , H wl ON 04 V Ra O a o �Z; � Q� rx w _ W U zg a U � W o0 Ln x W z � x O A a � •• 14 M a z w x � B UIiDor ENT 3D VIOK MARL920J231 938 KINNY 10573VILLAGE OF RYE BROOK BUILDING DEPARTMENT __ _ ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: pl 9 Approval Date: 8IR ���nt Permit Fee: $ Approval Signature: Other: Application dated, 02 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. I.Address: l� t-e_Lx:j e_ . SBL: �� � —�"�� Zone.e_'�—� 2.Property Owner: Address: Phone#: Cell#: - 3.Master Electrician/Licensed Installer: Address:. Lic.#: Phone#: 6-D&1#1 Lq 7(oO— C) Q email: �.,Vy Cr-el (PA,L r Company Name: I 1] 12— I t��LC, e . Address: ��}5 4.Proposed Electrical Work/Fixture Count: C)%�3 4 k 5.31 Party Electrical Inspection Agency: 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 ignin€,as the state that(s)he is the �l(It I� t(� d i for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) 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 A� Sworn to efore me this V day istt�' 20 3 day of ,20 c�3 Si f Property Owner a of Applicant PnVlame oj ropertm Owner Print Name of Applic , -Kota _Public LISA txclocclo __ to P�t l�l�10 Nd*v Nbk. 3tete of New Yolk LISA i No �{819030 �_ NotaN Pubrro • date of New York No.4819030 Cer iflopte FAe In Westchester^,.otm l/ CenMr to File In Westcnester amour CommLwlon ff f 3f 1R0'—t(' Commission Expir" 7/3) �P'('p 3/3/2023 INSPECTIONSTATE WIDE Service With Integrifty 1.1 i i SWIS JOB APPLICATION1 16 • • Office Use Elect.Permit# 3- Date Bldg Permit# Sq Ft Plumbing Permit# Final.Certificate# City/Village-Rvte oc> Zip OS 13 �BuildingDept' County UCH S-T— Address I �� Cross Street Se�Eiq` ��j Bicl / �t of Owner Name/Address 41fferent than above) C' Contact Number k� Basement ❑ 1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic Outside Residential ❑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 q P r Meters ~Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect ]unction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect Legalization ❑ Safety Inspection ❑Consultation �r1 e ova O 'P-oo &Rp 0\�Q kc)-A "c>�\JLCOEZ.. F� '�!7 J, I E D DD i MAR - 9 2Q2� I VILLAGE OF RYE BROOK BUILTNG DEPARTMENT This application is valid forone(11 year from the date received Isy SWIS.This application is intended to cover the above listed items to be inspected,if at anytime of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspe ted.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 ahcme terms and conditions as set forth for the applicatiun. Email Address , I' ,, NameTej f License# I fry a Date skak; Signature. Address I —y— e e-4 Gty/State r0 V ti e- *-r, N Zip Code p Company 4L4� r - 't Phone# R �`J� 1h, State Wide Inspection Services cjk--:> 1080 Main Street Fishkill, NY 12524 4Au"7 MAR 21 2023 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: offlce@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: La Bella Electric Inc. John & Kristina Salov Jerry La Bella 15 Highview Avenue 145 South Main Street Rye Brook, NY 10573 Port Chester, NY 10573 Located at: 15 Highview Avenue, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-059 141.35 � 11 Certificate Number: 2023-1843 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: 15 Highview Avenue, Rye Brook, NY 10573 The Basement 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 21st day of March 2023. Name Quantity Rating Circuit Type Service 01 200AMP Meter 01 Panel 01 Grounding and bonding of service to current codes. 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.