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Home My WebLink AboutEP22-313 x a ■ � N M O ■ xx O w W r,P-4 Cs 3 v ti . a W 00 W J� � a'•, e� � W °b y h� wOc A w a W P- h C {J Pp a44 O d O x 00 fn a ` D n o U [� w w � �I as a a z 441 = � yE BR U E BUIL ING EP MENT VIL GE OF RYE OK DEC 2 1 2022 938 KIN STREET RYE B ,NY 10573 VILLAGE OF RYE BROOK or�06 BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP EP#: Approval Date: DEC 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 rem ve 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: f 12—1 ? SBL: l T! , ;)-7 —�` C P Zone: 2.Property Owner: lt�A 916 90filt I I j'_ +A'ddress: l!6 P Phone#' l j-� �� Cell#:��rQ �r 1�7J email: - 3.Master Electrician: ELF L of y Address: Pe-) l? 32)f j2t-) Lic.#: Phone#:, Cell#: IT email: Company Name-, & C_T�t( ') - Address:T 3 Al--1 lu 4.Proposed Electrical Work/Fixture Count: LpMa, � �€ 4%1i (..e./1 �� 'A G I� D±Y 5.31 Party Electrical Inspection Agency: �l STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: —t •./c �`� �— //Cl.t`{ ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing asithe 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 finther 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 Z I s Sworn to before me this day of ,20 Z,-Z- day of d ,20 . attue of#joperty Owner - Sign lure of Applicant Print Name of,Property r Print Name of Appli t , "1 o Pub c 96iwy blic 'w York GREGORY M.RIVERA Not"public,State of New York r_,n, t No.01 R16441398 9i u 6! ;2022 I L-.p ; 2�D Qif4d in Westchester Coun ' Commission Expires September 26,2a INSPECTIONSTATEWIDE Service Willi Ititegriql 0:0 aswlas JOB APPLICATION ;. 914.219.1062r r r Elect. Permit# ,. �+ � Dates Bldg Permit# - Utility ID# Final Certificate# City/Village J�� Zlp Township �f County(� TC �f7 Address 1-7 /1 I1))(t -y Cross Street 1 Section Block Lot Owner Name/Address(if different than above) �I I/[J�C y�,/ Contact Number ❑Basement CZ1 st FL ❑2nd Fl. ❑3rd FI. [—]Mo/ree Thh/a`n''3 Ft. ❑Garage ❑Attic ❑Outside ❑tResidential lVColmmercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cool(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage t P 3P #Meters #Disconnect ❑Underground ®New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information P DEC 2 1 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one M year from the date received by StMS.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 inspected.The applicant declares that there Is no open applications for the above address with any other inspection company.The applicant,owne, or authorized agent agrees to all the above terns and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Nam I Dater /2,Z Signature Address City/State Zip Code J License# Phone# D �, State Wide Inspection Services cv:kD111 1080 Main Street Fishkill, NY 12524 R TO' MAR 2 4 2023 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: office@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: Tilley Electric Co. Inc. Win Ridge Realty LLC Jeff L.Tilley 17 Rye Ridge Plaza P.O. Box 325 Rye Brook, NY 10573 Irvington, NY 10533 Located at: 17 Rye Ridge Plaza, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 22-313 141.27 Certificate Number: 2023-1945 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: 17 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 24th day of March 2023. Name Quantity Rating Circuit Type Sub Panel 01 100AMP 1_ 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.