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Home My WebLink AboutEP23-104 s CC CU! x N \ C4 _ w va Lin a w n r- 00 M W N ° r oo a p4A lLn PLO � pC z a W "o U A W a w ? , W � EaR� 1,:� BUILDING DEPARTMENT APR 2 8 2023 VILLAGE OF RYE BROOK 938 KING STREET RYE BRbM,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT wj w. ebroo#.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: c J� Approval Date: Permit Fee: $ Approval Signature: Other: Application dated, V-771 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. y 1.Address: �74 V, 62 i -e 54yre�� 'Z ru, '(- c� !SBL: � s., &Q —1`3 7 Zone: 2.Property Owner: Akx 5Mektl Address: e v t rva k 1J 1CX5 73 Phone#: Cell#: �� —��{ 6 2 email: S c-� t14G 3.Master Electrician/Licensed Installer: i Lh eA Address: &TY.- 5.1)( v/C. �•,f LA� Lic.#: 56-6 Phone#: 203 •7 Z7— ell#: email: Company Name: ZI1a LleGY—tC Address: 77 n�—d )-'ry— Rib 13rack- 4.Proposed Electrical Work/Fixture Count: \ec , c o,.� a V r N 051; J Ulf G rru."+n t ze, 5.3'd Party Electrical Inspection Agency: :5w 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 signing as the applicant) state that(s)he is the 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 efore me this Sworn to fore me this day of ,20 day of 20 �_)� Signature of Property Owner Signature of Ap lic t gl_X Sidel-ev / ter eM ' Name of Property Owner NWoflic t . M ti'OT& Notaly Public Not M.RIVERA SHARI MELILLO No"Public,Sbfe of New York Notary Public,State of New York No.CIR16"1396 No.o1ME6160063 Qum In Westchester County I/ Qualified In Westchester County) 3/3/2023 Cornmiscion Wires January 29,2 ComrMseion Expires September 26,20 STATEWIDE • Service With haegriq 1:1 Main Street,Fishkill, NY 12524 1 email:officeCoswisny.com SWIS JOBAPPLICATION tel845.202.7224 I fax9l4.219.1062 SWISNY.com I SWISTraining.com Qifirr,U,h Elect.Permit# � �� Date c Bldg Permit# Utility ID# Final Certificate# City/Village e roo Y<_ Zip 10513 Township G County Address Cross Street Sectl , �Q Block / Lot % Owner Name/Address(If different than above) I Q k Contact Number I! q/O—k 1 1 ❑Basement C] 1st FL ❑2nd Fl. 3rd FI. ❑More Than 3 FI_ C Garage Attic ®Outside 5?�esiclenttiial ❑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 F 3P #Meters #Disconnect 0 Underground ❑New Reconnect 00verhead JNrchange Visual Re-Inspection Safety Re-Inspection Re-Inspection Additional Information APR 2 $ 2023 VILLAGE OF RYc BROOK BUILDING DEPART!ENT This application is valid for one(7)year from the dale 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 rto open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to ail the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name ` r Date 7 2'� Signature �,7 Address r License# Y / Phone# / e�L�, — sf-7 —7 DState Wide Inspection Services 1080 Main Street MAY 12 2023 Fishkill, NY 12524 a� 845 202-7224 Phone VILLAGE OF RYE BROOK 9114-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT , Email: officeL@swisny.com ceswisny.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 Alex Sidelev&Galit Sidelev Richard Zweig 476 North Ridge Street 47 Greenway Lane Rye Brook, NY 10573 Rye Brook, NY 10573 Located at:476 North Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP-23-104 129.60 37 Certificate Number: 2023-3473 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:476 North Ridge Street, Rye Brook, NY 10573 The Garage 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 12' Day of May 2023. Name Quantity Rating Circuit Type Service 01 200 Amp Meter 01 Panel 01 Grounding and Bonding of Service to Current Code. 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.