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Home My WebLink AboutEP23-122 N F+4 N N 4-4W \ N O L� W to ►n au z > a. (A W vWi � z w x" A z a ci a W O F-4 P< H , OLn F� O � .0 � O o W o ooco w � cn � z w � � o U 0-0 : zuz cn Z = 00 � pq P. as A x A co s 04 oo U W z wo w o z o V w z W , x H q O A a �n c� A 0 >4 w � � z W o � �I a a 04 w x � ��E..DRn�`- �� is� V BUILDING DEPARTMENT D VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 1057 MAY 2 4 2023 (914)939-0668 www.Eyebrook.org VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICAVO BUILDING DEPARTMENT Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: 6?3 a Approval Date: MAYgj Permit Fee: $ Approval Signature: Other: ************************************************************************************************** Application dated, Z is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install an or r move 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: 7 j IV �N• j tU,C�Q( np 1 J E5— SBL: I Z�, �6 L — ' t! Zone: 2.Property Owner: 110v A S_';OC4 4ag�5 Address: q11�1 T�i2ti1�111d,VpL (�/ZL J�3 Phone#: q l q (9 N I o io Cell#: email: 3.Master Electrician/Licensed Installer: T-02H C_4411 L S Address:4N O SgQW tF!' j� t. Lic.#: Phone#: Cell#: �) (o 3liS_email: 14'/-jVAw <�,44L,cjr� Company Name: 14Y 6L4�(flWCl-L GutiT" i,L.C— Address: 4) 4.Proposed Electrical Work/Fixture Count: R .Q J/LS �2 A2tZE L6 q-*r 5 5.3'a Party Electrical Inspection Agency:Tl�i l 5 EW YORK,COUNTY OF WESTCHESTER ) as: ,being duly swom,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 M.45jL�? Q jC7YZI G 474-1 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 before me this Sworn to before me this ':) 1 day of ,20 day of ,20 Signature of Property Owner Signature of Applicant Print Name of Property Owner Maine-of Applicant Notary Public N0*A**i9JLL0 Notary Public,State of New York No.01ME6160063 Qualified In Westchester Count-1 Commission Expires January 29,2 1 3/3/2023 STATEWIDE • Service With IntegritY 1:1 Main Street,Fishkill, NY 12524 1 email:• • Swits JOB APPLICATION tel845.202.7224 I fax 914.219.1062 SWISNY.com I SWISTraining.com Office Use Elect.Permit# � � ] Dat Bldg Permit# - Utility ID# Final Certificate# City/Village r/ Zip Township County Ad ess Y 'q— 6ZI� Cross Street Section 2 Block Lot v�erl�lamR A,dd�P$sr(If ejprrhan A., t�1t�Nu / / / ow ❑Basement ❑ 1st Fl. JJ ❑2nd FI. ❑3rd Fl. ❑More Than 3 FI. ❑Garage ❑Attic�/E�Outside (.r❑Residential QCommercial 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 1P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information L 1 r'`j nCA-41 n 2 2? f or / f` X/C, -f 6&w6 Pul.c-- O wacK'Aj c" ,�11 D IE C IE ME MAY 2 4 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 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,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name -n Date Z Z Signature Address O 2` C / to Zip Code License# Phone# Z 7 1 State Wide Inspection Services 1080 Main Street AUG - 4 2023 Fishkill, NY 12524 845 202-7224 Phone _ 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: office@swisny.com BUILDING DEPARTMENT _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: M4 Electric 1100 King Associates LLC Thomas Charles 4 International Drive 41 Osborne Hill Road Rye Brook, NY 10573 Sandy Hook, CT 06482 Located at: 2 International Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: 23-122 124.82 Certificate Number: 2023-5673 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: 2 International Drive, 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 4tn day of August 2023. Name Quantity Rating Circuit Type *Repairs to Existing Light Poles Only State Wide Inspection Services did not perform a Rough inspection(Rough Performed by WREIS). A Visual inspection and Final inspection were conducted only. 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. i i IVlAA. i W + N CO H < CPA O N M oC cn it '~ M s C w F., iJ.ii � r LL Z O O G. co 00 W � � �T hr•r W 10 V) z it i 00 -OVA( ~ F �= U w z s c �- �•r � � G C A d � z W F � < U Q O D R EC� ENE BUILDING DEPARTMENT VILLAGE OF RYE BROOK SEP 2 6 2018 938 KING STREET RYE BROOK,NY 1057 (914)939-0668 FAX(914)939-5801 VILLAGE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT ELECTRICAL PP&MIT APPLICATION Westchester Cou Electricians License Required Q FOR OFFICE USE ONLY BP#: EP#: Approval Date: SEP Z 7 2018 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) ************************************************************************************************** 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 remove electrical equipment, wiring, fixtures ,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all�(/ applicable Federal, State,County and Local Codes. C� 1.Address: c� 1n- �v]�.o�i a n—"�I 1 r)I� SBL: /, � , 2S.) — Zone: 2.Property Owner: //00 �_)6nr, a6, L ('Address: Phone#: / l �/ I ��'3Y—��j� y Cell #:9�y=]�,C/ -�UU 3 email:��(,fh,�l.l�lG� Cr(°�1��ZQ'�CC4 3.Master Electrician: �1lofTAS 1), e DDA &&& Address: L{/ 09'4o2�0E 1411,L Q� Lic.#: 1716- Phone#: Cell#:q<<{ (o2S 341� email: Hlli( OHI-4 11V C;Y-41L •6,41 Company Name: IS14 61CG. Gc2A_)7- LL(i Address: K/ C, &IZNE 14ILL 6 SA•yQY j4wy cr c(.141Q n 4.Proposed Electrical Work/Fixture Count: ,G EPAI AU !U ibf� L(GN TS /ll9�r C� /� �� 2 20 ' / " PJ 4- -0 'K 7- 14IJ -i►-h, GUNNt�L,' DEA 6 IJQLE L 1 GN; -rO l,.,Aucn,0tj)AJC Poc.-C 0A N6J cv,v� ��fi w✓2t� STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: iA*5 -P. G14ML&3 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 legal owner of the property to which this application pertains,or that(s)he is the C0AJJ✓14CW-b1L for the legal owner and is duly authorized to make and file this application. (indicate architect.contractor.agent.attorne%.etc I 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 efo a m�/this a(lr Sworn to Wore me his ay of UL 20 day of �("ICI, ,20 1 Signature of P operty Owner ture o Applicant Print Name of Property Own r fip►un e of Applicant 6 Notary Public P lic COMM.EXF 6/1/18 Westchester Rockland Electrical Inspection Services, Inc. _ Phone: 914-3 --59h DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fa : 91 Elmsford, NY 10523 BUI I E TEMP# DATE City R LLA d,` ZIP CODE TOWNSHIP NTY K I I -3 ( ��J�/ STREET�'1,AND 1�ROACD ✓ `/`�`\ l�• a/I ( V POLE NUMBER BETWWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? `J t SECTION BLOCK LOT 12 it.8Z OCCUPANT'S E BUILDING OCCUPANCY 100 ,� s+ Ass'c- �- l OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER G1K //,trC .;4,,J /►aL? �/. S. Ltd �.ep FZ. CURRENT SUPPLIED BY FROM THEIR OFFICE qR TE�HO NUMBER 1 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT 1"FL. 2'O FL. 4U 10 F 3-FL. VIL GE OF YE BROOK NU U REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: t'n�^/� I�/ vF PvL A-4 t`�1J Pow 'its j4ej�(,/b /-bLC c0&e't fU 0-5 r fLii 1A /b 1,r Po<< - THIS APPLICATION IS INTENDED TO COVER THE ABOVE USTED 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 AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW O ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND❑ AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION SIQN �A rC NT IA-4 Et Cloc'a>! mow%. LL G sue. ZG, 'W 4 STREET ADDRESS TELEPHONE NO. .=IJ l !i U W I 3l+ ?2- LICENSE NO.WHEN APPLICABLE 7E