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HomeMy WebLinkAboutEP23-170 . i ■ . f ■ Q ■ ■ rl HMV N W ■ a N N V h+l oo a VD �--t A Ln cn U O ' w = C1� n v -- a � � � �•1 . x w Lei ■ ce, o \ u x ow CR010 Q Cn = A � � F�--i W h' � r`'► 0 v�i, Z i C7 W "Socq V z G� V Z 0 00 CY a U z � � z z ■ '� V v q ,� �' o o � U oo W (,� O v w c z o � V x v w z � W � CA �I M. a a Vol � BUIL NG -E MENT TVIL E OF RYE OK JUL 2 8 2023 DD 938 KIN , ET RYE B NY 10573 VILLAGE OF RYE BROOK �. BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: c:;)3--I -70 Approval Date: '% r---Y--�Q/ Permit Fee: $ Approval Signature: Other: Application dated, 71 3 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. L Address: 1SaZ) wr i k setr--r D 44c6,-,,,, N j tos-]3 SBL: 13s, I5' j 3 . .t Zone: 2.Property Owner: R Ooe r s 3 0. ctc c y.+n i Address: 5o e- So -<r tD k e r� Phone#: qlq -X.]� - 7-77q Cell#: q14 - FA --7 77 y email: 1766rzo.GCWt�,j�—V a41auV,tcM 3.Master Electrician/Licensed Installer: < 0,be r-V 1 1ruckk ti Address: 933 Lic.#: p 7u Phone#: G y(G 13 r moult Cell#: C,-.b -.1 -ZI$ email: );Me kI-�i el"C e l CC ivi , een, Company Name: l�,', tky, Address: �33 Spt,;n rj YbAlne,s ,b`Y lu7/v 4.Proposed Electrical Work/Fixture Count: 'f- 6'td Su:kti*s C-' rem'lrs, ... .\�4rn Iw:�1,l,�a► ,"s0.wy., C-�r �Ja.►:....0 ouk��t t c1.w�.,ir+n OJT a,L FJIc� l:`Ilr.� $srk.,rn c.:�-w, ..�,...f w� :titil.ua�..� wF r'c:rJ« �c.\ (9 5.31 Party Electrical Inspection Agency 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 (prier name of indi%ideal signing as the applicant) state that(s)he is the B olo.ra p;a, %I i, for the legal owner and is duly authorized to make and file this application. (Master Electrician l 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 before me this 23r-4 Sworn to before me this Z-�' day of JUL ,20 Z 3 day of 7h ( ,20 ?,2-, Sigrlat6CoIrPnoperty Owner Signature of Applicant Print Name of Property Owner Print ame of Applicant :LICNA V.INTAIAQO Notary Publi ENOT ,STATE OF NEW YORK Notary lic atherine S Ahn D 1N QUEENS COUNTY Notary Public State of New York XPIRES MARCH 29.20� No.01 AH0004295 G 01IN0004398 Qualified in Westchester County Commission Expires 03/28W3 23 STATEWIDEw Service With IttlegritY 0•0 Main Street, SWIS • : APPLICATION0. aSWISTraining.corn Office Use Elect.Permit# ` —// 7 v� Date � `Y Bldg Permit# Utility ID#d Final Certificate# City/Village Pl GbP10o Zip 0 .� Township County WeO-CGe4cr gR Address Cross Street FS, on Block Lot C7 a s"� S} :r~ — . 7!" �. Owner Name/Address(If different than above) Contact Number ❑Basement ® 15t FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FL ❑Garage ❑Attic ❑Outside ®Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact u Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information E C IE �W l�l ID JUL 28 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 arty time of Inspection additional items have been installed,you art 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 vmh any other Inspection comparry.The applkantt,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name ,{rc4ir n,` Date ���$ Signature e Address . City/State Ya t4 Zip Cade /C)/O License# �U v Phone# 6 r 201 DL� State Wide Inspection Services C—ADII 1080 Main Street OCT 1 0 2023 Fishkill, NY 12524 R a 845 Phone I 914-2194-219-1062 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: Dimella Electric Corp Robert Borzacchini Robert Dimella 50 North Ridge Street, Unit D 233 Sprain Road Rye Brook, NY 10573 Yonkers, NY 10710 Located at: 50 North Ridge Street, Unit D, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-170 135.75 2 3.2 Certificate Number: 2023-7486 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: 50 North Ridge Street, Unit D, Rye Brook, NY 10573 The First Floor Livingroom 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 4th Day of October 2023. Name Quantity Rating Circuit Type Luminaires 10 AFCI 02 Receptacles 01 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.