HomeMy WebLinkAboutEP22-302 a s a N O N s N � O r sa r^ z a u V) � a LO U ° •� _ LO h 00 CN tip H Q "' It x o A I•ij v cT mco d Q w oo z 44 cq En 00 �� �� i� V ►-a F 1-+-I off a cn of V 3 oz a z W ~ bycnU a lyl p � � W -' z w O r Cl) w w o z z d V � o o w z x w � H M z A A O � BUILDING DEPARTMENT DEC 12 2022 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914) 939-0668 BUILDING DEPARTMENT \%vo v%.ryebrook.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP #: EP #: Q Approval Date: DEC 1 3 2022 Permit Fee: S Approval Signature: Other: Application dated, ITlaZ-y 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/appplicaablle.�F�ede{r-a�l,State,County and Local Codes. 1.Address:��3 �f/y �1 I"[) ( I c tset 1C�_T�Y_Odk SBL: ���J r 7�0 �1r Zone: U 2.Property Owner: Qr4o�S`L,a/�PO/,G�/Xr S.SOC Address: Phone#: 9/#— /39-'Q-1140 Cell#: email: 3.Master`ElleGec``trician: Address: Lic.#: 1'J 0 Phone#: Cell#:q 14- "Q�Itp0 email: fie I�f IQ Q� �C�r(C.Cd�1 Company Name:1 W Lkc*(,C Q602. Address: t K 4.Proposed Electrical Work/Fixture Count: 1. 6k)tlf+ in Cju h hole± a . 5.3'Party Electrical Inspection Agency: 1 S STA OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,(v&/ inye'l f ,being duly swam,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. l Sworn to before me this f y Sworn to before me this 1 ^`-- day of e_ e,--,20 y>✓ day of_�Pr.P Al b e !; ,207— Signature of Property Owner Signa e o p icant /nzo Print a of Pr 2��fNotary Print a ofTlican LAURA J DELUCA o Public Public-State of New YorkrNo6taryNO. 01 DE4998586 ualified In Westchester Count omm. Expires June 29, ,�> 6/23/2022 STATE WIDE INSPECTION SERVICES, INC. Service With Integrity ••• • • SWIS JOB APPLICATION tel 845.202.7224 1 fax 0. • Office Use Elect. Permit# �� Date / ,Z // z Z Z Bldg Permit# Sq Ft Plumbing Permit# Final Certificate# Co/Village Iis Zip Building Dept. County Address -� 2 y V 141 t. oss Street Section Block Lot Owner Name/Address(if different than above) Contact Number ❑Basement �Ist FL ❑ 2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential [:]commercial Receptacles Special Recept GFCI AFCI witches Dimmers Smoke Alarms C/O Detector Hood Trash Compact 192 Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P -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 Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation j2 C-t )� C-C,N-c C\ C, pr� rDEC:1 C p2'�2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(I i year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,it at anytime of inspection additional items have been ostaNed,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. Email Address S (n %IJCt / O«j Name License# 15`6Q Date _ /�_ Signature f Addre_;s / 7 Cm V City/State /Vy Zip Code Company r Phone# L �eJ _� i eery or') v D E C E vE State Wide Inspection Services CA:) MAY - 5 2023 1080 Main Street Fishkill, NY 12524 --IFT-j 0 VILLAGE OF RYE BROOK 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES '. BUILDING DEPARTMENT Email: officeC&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: Lelia Electric Corp Arbors Homeowners Association Richard Zweig 173 1/2 Ivy Hill Crescent 47 Greenway Lane Rye Brook, NY 10573 Rye Brook, NY 10573 Located at: 173 1/2 Ivy Hill Crescent, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 22-302 129.76 Certificate Number: 2023-3016 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: 173 1/2 Ivy Hill Crescent, Rye Brook, NY 10573 The Basement, First Floor,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 27'day of April 2023. Name Quantity Rating Circuit Type Receptacles 02 G FCI 01 15AM P Switches 01 15AM P 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.