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Home My WebLink AboutEP23-130 !1 R s t Q PLO \ Ln n p L�,, ■ v C Cn 00 toLn O a+ N W w ti v 10, H - O ° p " A r H 0 P a ' W w c64 o c H oq � N ' O 00 w j W y" 'n � F-� Cl� �►..r c� w H z x W Q+ w W w z co 00 H w 0 5 O wo V O W Q O W H o o Z N Z v, z Qz 04*4 c� ~ W r a z cWn , V 1-0W M `' C7 O 4 = C7 Az ¢ w it � A w xOR a. m V W o w � �� . z z � o1-4 W p a ¢ a .- W x ' z $ V U � WO x z F OC zw c� z o v� 3 rah ¢ L V P8 � z T' a w w op �I a a � w xch BUILDING DEPARTMENTRVILLAGE OF RYE BROOK I JUN - 1 2023 938 KiNci SJ1111.f RYc i3IUM.NY 10573 (9),1039-0669 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ELECTRICAL PERmrr APPLICATION Westchester Counly Mnster Flectricians License Requiretl I OR ( [ICF t `I ON I , I1t, :I III Q 3--/ Approval Date: _ fermil Fee: S Approval Signature: Other. Application dated. 05 26/2023 is herclr)/made to the ilding inspectrrr of the Village of Rye Brook NY, for the issuance of a Permit to install and-'or remove electrical equipment.wiring.lixturcs,or to perfo ran other high or law 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: 134 BRUSH HOLLOW CRESCENT SBL: IQ 2,7 `/" c) /.anc:&A 2,Property Owner: AMY&HILL i.AWRENCE Address: 13413RUS1I HOLLOW CRESCENT Phone#: Coll#: SI&S79-9245 email:IME. r F.1112 ran GMAILLOM 3.Master Electrician/i.icensed Installer: ANTONIO F RRAO Address: 313 1uGIIRIDGF Cf PLLKSKILL NY 10366 Lic.#: 780 Phone#:347-585-0913 Cell#: email: FERRAOANTUNfOraIIO'FMAII..CO)M Company Name: ANTONIO FERRAO ELECTRIC Ads. 313 IfIGHRIDGE CI-PEEKSKILL NY 10566 4.Proposed Electrical Work/Fixture Count: 200-AMP SERVICE NEMA 14-50 OUTLET 5.31"t Party Electrical Inspection Agency. SWIS t*rrtt*•ttttittittttttttfttttttttttttt,rtttitt**,r+fit,rt,rt*tttttttt*ttttttttttt++***+�+++*trttttttttttttttt STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ANTONIO F'ERRAO ,being duly svom,deposes and states that helshe is the applicant above named,and does further +prim named mdnidu:d sn.mnE a,the applic:mU state that(s)he is the MASTER ELECTRICIAN for the legal owner and is duly authorized to make and file this application. (Master I'ledmion I i,en,cd Installer) The undersigned further states that all statements contained herein are true to the best of hislher 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 aceordanec 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 f e t is Sworn to f e is of 20 day of 20 Slgnalufl of ooMy(hMner Si turn pp - alit n� o TO city Owner atn ul pplict ILI- ry Public I'trblic JACQUELINE A VERE 1ACQUELME A VERE NOTARY PUBLIC,STATE OF NEW YORK NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 VE6370616 Registration No.01 VE6370616 Qualified in Dutchas County (�Wi6ed in Dutchess County Comamisslon Expires Febnrary 5.2026 Commission Expires February S,2026 INSPECTIONSTATEWIDE Service With lifirteqriq 0:0 SWIS • : APPLICATION0, Office Use Elect.Permit# � "1�3 / Date Bldg Permit# �L r Utility ID# Final Certificate# City/Village rZo Zip T.42LHrLrU� County ll; Address fS L4 r, �Sl- / r�,U� o e�� Section Block Lot Owner N 1 cif+ren#tr,anrt,d 1 C L C�✓l /1. f :-_. 4 Contact Number ❑Basement 1st FI. :]2ndl.F-I. ❑3`rddFl..W❑M000rre'TThan 3 FI. Garage ❑Attic ❑Outside t❑v Residential ❑commercial 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 VoltageVoolltage 1 P ,r 3P #Meters #Disconnect ❑U rground ❑ New ❑Reconnect _) �� v/L_ Overhead Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information IE�C� � � JUN - 1 2023 VILLAGE 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 or 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,owner or authorized agent agrees to all the above terms and conditions asset forth for the application. Inspector Date Finaliz d Inspector# Company Nam �� 'r /2P� r �C Date � 2* Z 3 Signature Address < I� 10� License# Phone#Vf>� City/St kle �� Zip Code rt� Vf '� L 1 �1 CCCN [ DD State Wide Inspection Services 1080 Main Street JUN 2 2 2023 Fishkill, NY 12524 _ 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@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: Antonio Ferrao Electric William &Amy Lawrence 313 Highridge Court 134 Brush Hollow Crescent Peekskill, NY 10566 Rye Brook, NY 10573 Located at: 134 Brush Hollow Crescent, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-130 129.76 126 Certificate Number: 2023-4325 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: 134 Brush Hollow Crescent, Rye Brook, NY 10573 The Exterior 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 121h Day of June 2023. Name Quantity Rating Circuit Type Service 01 200 Amp Meter 01 Disconnect 01 Panel 01 Grounding and Bonding of Service to Current Code. `—`- 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.