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HomeMy WebLinkAboutEP23-158 a a N N 00 �O � � r�-c a cn C4 � • p � �; W V x o '� A ■ O $I a N �, o ■ p ~ ~Ch W Lin.-� � JC17% ■ �,, w �` O ■ p4 � o W-4 t- o V ' �"'� w W 0 oa C- = N n cn Z U z ZM om a cf w A ;yak, wP-4 H (A N w W w offo �U w � z a Lei O DDBUILDING DEPARTMENT JUL , Z�23 VILLAGE OF RYE BROOK A 938 KTNo STFJ-FT RYE,BRooK,NY 10573 VILLAGE OF RYE BROOK c9la BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License.Required FOR OFFICE USE ONLY BP#: � E P 0: �_ re 3.1�W Approval Date: 'Permit Fee:S Z 7S-�.t� Approval Signature: Other: •str#r#stti*tt#tt*t*t #t###tit#itit###t#t # *it # ##**ti#;#i*it###»#r#########*#»*#####trt#ti Application dated, is hereby made to the Buildirg`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 8c property owner agree that all electrical work performed will be in conf an with all applicable Federal,State,County and Local Codes. ? J f 1.Address: 4 l b�GU, (l L14s/ _51 t'ee I SBL:�T / 'J ZfJ ZonP46 2.Property Owner:_/p y f t-(t(t 1 L� _- .. Address: t yl � Phone#: ( Cell#: email:_ IcE 13 3.Master Eleariciatr/Liceased Ins ler: Address: I � 73. Lic.#:6174 Phone#: Cell N: - a email f f Company Name: Address:/5�5 %nLj {fI&Lh � y 4.Proposed Electrical Work/Fixture Count: i 1O - �r 5.31 Party Electrical Inspection Agency: t Y###Y##MYttlfltiilY#ti#tiittttti•tYi##ttitit#t7ltii####iY#iiY##ii##iiikfiiii###iii#######lMtlWi#####ii#!# STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: f r ® being duly sworn,deposes and states that Wshe is the applicant above named,and does further print name f individuali in q• the Pcant� state that(s)he is the i for the legal owner and is duly authorized to make and file this application. IN 4er E.i-Iriclan r Licensed tisstalltr: 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 R Building Code,the Code of thc Village of Rye Brook and all other applicable laws,.ordinances,and rcguletia Sworn to be me this L 7 ' Sworn to be this f 20�-____ day o 2 Signature of Property Owner of Applicant Y1�L111� Q. �Cll1iC.�1 �/7774 G�2 Print N of Pro er rknt,! a of Ap carrt L O Notary Pklic DONALD GOLDSMITH tblic Notary Public,State of New York No.01 GO5021034 Qualified in Westchester County 3/312023 Commission Expires bec.6,20_1 USA MOCC10 NOrrY Ptr" . :'tate of New York No t819030 File In Westchester L 6ar lmi,sJQrl INSPECTIONSTATEWIDE Service With Inlegriq 0•0 Main Street,Fishkill, NY 12524 1 email: • SWIS JOBtel APPLICATION0. Elect.Permit# � _/ Date L13 �3 Bldg Permit# Utility ID# Final Certificate# City/Villag rOok Zip 5 Township County r Address Cross Street Section Block Lot Owner Name/Address cif different than above) On /-a/'n Contact Number ❑Basement ❑ 1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FL ❑Garage ❑Attic WfOutside &Illesidential []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 P 3P #Meters #Disconnect ❑underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information ` <2�re_�fX rSfi� P6u1�' t ® fir T� - '&� a�i' nit . C ) fo P �° D CCU JUL 19 M3 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 76,00V1 This apokatfon is valid for ane(1)year from the date received by SWIS.This appkwnon Gs intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you arr 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 Inspectton company.The applicant,owner or authorial agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name c�— Date 3 Signatur �. Address City/State Zip Code S/ �� License# ! Phone# - 0,26 State Wide Inspection Services — 1080 Main Street FSEP 5 2024 DDFishkill, NY 12524 TOW U Tb i 845 202-7224 Phone � 914-219-1062 Fax STATE WIDE INSPECTION SERVICES + VILLAGE OF RYE BROOK Email: officeCa�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: La Bella Electric Inc. Anthony Paniccia Jerry La Bella 496 West William Street 145 South Main Street Rye Brook, NY 10573 Port Chester, NY 10573 Located at: 496 West William Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-158 141.36 3 6 Certificate Number: 2024-6208 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: 496 West William Street, 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 26th day of July 2023. Name Quantity Rating Circuit Type GFCI Receptacles 02 Temporary Service 01 100AMP Meter 01 Panel 01 Grounding and bonding of service to current codes. 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 tivork performed on the date of inspection only.