HomeMy WebLinkAboutViolation Inspection Report 2022-7-1 QyE[ aR .
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'9a2 BUILDING DEPARTMENT
❑BUILDING INSPECTOR
❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK
❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573
(914) 939-0668 FAX (914) 939-5801
www.ryebrook.or>r
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS : DATE: - -
PERMIT# ISSUED: SECT: BLOCK: LOT:
LOCATION: OCCUPANCY:
D/VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING _
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ NATURAL GAS
L.P. GAS
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL "
❑ OTHER
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BULLS MENT MAY Q 2022
VIL E OF RYE g$ OK
938 Inv EET RYE B ,NY 10573 VILLAGE OF RYE BROOK
939-5801 BUILDING DEPARTMENT
w n or
ELECTRICAL PERMIT APPLICATION
Westchester Countv Master F11—ztricianc License Required i 7FOR OFFICE USE ONLY RP#: EP#: �`/'
Approval Date: Permit Fee: $ JL1
Approval Signature: Other:
Disapproved:
(fees are non-refundable)
Application dated, 2 p-2-L. is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of
a Permit to install and/ remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per
the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work
performed will be in conformance with all applicable Federal, State,County and Local Codes. Q
I.Address: W SBL: ��� `�` / Zone:/""�C�:V F
2.Property Owner: 5ALP Address:
gel_ Cell#: email: n ,/
3.Master Electrician: rO TJGCa o1aO ,r� Address: `� /n��' A��
Lic.#-. Phone - 40l l`3 Cell#: �"7 '9a& email: /�
Company Name: 2&;'CA/y✓� o �Z7 _° Address: �� 11� 96� 12JA--- `L
4.Proposed Electrical Work/Fixture Count:
ATE`OF W YORK,COUNTY OF WESTCFIESTER ) as:
lAf (U 0 ,being duly swom,deposes and states that he/she is the applicant above named,and does further
(pr' t Arne 6findividual signing s the applicanq
state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the who �GL
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 regulatiionnss.
Sworn to bef e e �s �rt't✓ Swots to bef re me this J Y
day of ZZ day o ,20,Z Z
L
Si a of Property O er Sign e
�j Ai'y2/v -L-' r�
P t Namlt a A�yj Print N me of Applicant
NOtAlnf ON NEW PORK rs>v�s G.AG-00"
Notary Pules. •s/c 0 3A t Ni'E'W VOOK
gmoliHe n h stir Cs+ t, �p 14 0238
µy Cornmiwon Expires octo"r %4, 20�.- GuQllf l 9t RaSt COtasrly
My comrnistlon tttptre Qcloper 14, =p_�3
STATEWIDE •
0•0 Main Street,Fishkill, NY 12524 1 email. ,
SWIS JOBAPPLICATION0. , . ,
Office Use Elect.Permit#f � � pate / 21 1 j 2•ff'
Bldg Permit# f'- Utility ID(p# ( `
Final Certificate# ( /
City/Village Zip Q r 7 3 Township Co*ES
Address n Cros %�e /� / Section Block Lot
Owner Name/Addre flf different than above)�]/M,�5�� p Contact Number
❑Basement ❑ tst FI. ❑2nd FI. •❑3rd FL ❑More Than 3 FI. ❑Garage ❑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 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect
❑Overhead ❑Change
❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection
Additional Information 60
,r/ -
MAY 3 0 2022
VfLLAGE OF RYE BROOK
BUILDING DEPARTMENT
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
authodzed 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 Date Finali ed I ector#
Company N - (G G. Date�j -a3 r
Address �y �L �rG City/ tate Zip C 6
License# aS Phone 111 I- a