HomeMy WebLinkAboutEP23-175 a
s
r-
rl N N W
cV rq _
W 0 0 CA
00 00
F A w ZO
00
N o Cl) p W ao x
z
a � p � � QI 0 N w � � � •
OC
w U z Wo V
z
M S w O ° ° •
a O W
CY
1-4 ? q H � o � I/
F+i V E"
C) 0
Q4 w O
oQ
V o W z
in z w A o ;,
G4 a W 44 x
44144444444414t 4;4.; ^t i 4-; A J 4,z ti t _J C 449444144441406946666
ID
BUILDING DEPARTMENT AUG 10 2 223
VILLAGE OF RYE BROOK
938 KING 9TUET RYE BRC)E3tbC,NY 10573 VILLAGE OF RYE BROOK
(914)439-0668 BUILDING DEPARTMENT
ELECTRICAL PERMIT APPLICATION
Westchester County Master Electricians License Required �r
/�_FOR OFFICE USE ONLY HI'#• E•:P#: �3%/
Approval Date: Permit Fee: S 0— e2(L
Approval Signature: Other:
******************************* **************************************************************
Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of
a Permit to install or kernove 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.
1.Address: ( e C C g_qUWf IQ 3 SBL: /35, 7S —, `c:A;,3 1 4 Z o n e
2.Property Owner: I) LL4 _ M- J 1 ddreess k_AVOhl /. I CM
Phone#:3 1: -,A e l#: I 77 1 6 email: I�QS�R (A,MArJ AG NTQ YA+�OC
t
3.Master
`Ellectrician/LicensedInstaller AD 04 C. () -CIQ Address: 73S-2-I 9,OP6 �C.RO► )Lk• -
Lic. #: rl 9q Phone 0gIC4-1((00-$4QQ Cell#:9 14-1(d0-%40Q email: I� �� Or✓.COM ��4"�
Company Name: APj-T+}Ot -/ G - Q(CC(ri J"E_ Address:1,I 1 C EDPf-ST Nf=W ExAcq C l H. I( 01
4.Proposed Electrical Work/Fixture Count: FQ L.ACC C'.s f-CULT- ICER �PTJ Tam
�-O I
5.31 Party Electrical Inspection Agency:
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) asp
-SS (1Y A I-i ,being duly sworn,deposes and states that he/she is the applicant above named,and does further
Inrin/name of indt-d-4 cjp np- Ihrnh,vml
state that(s)he is the for the legal owner and is duly authorized to make and file this application.
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
eootfthe Village of Rye Brook and all other applicable laws•ordinances.and regulations.
Sworn to fore me this v Sworn to be re me this
ay of ,20 da of v)q 20 A,? _
L-
i pe er
Signaturre�ofAp licant
t 0 F'. n IF m )—Sc fQualffied
Uwner Print N me of App��n�cPUBLIC,STATE OF NEVY YORK Lfttat
cRegistration No,01 MA6371402 AN C TESTA
in WESTCHE R Co [48',StAte ni Nrw y�,f r
ty 1Tt�1thly,l
My Commission Expires f� wesrchm1pi +::1iir,ty�/ 13/2021
Expire%MSy`. to,71"
INSPECTIONSTATEWIDE
Service With Integriky
SWISCA— 1:1 Main Street,Fishkill, NY 12524 1 email:office@swisny.com
JOBAPPLICATION tel845.202.7224 I fax914.219.1062 I SWISNY.com SWISTralining.corn
Office Ilse Elect. Permit# j✓�' ^\3—J 7S Date /O
Bldg Permit# � Utility ID#
Final Certificate#
City/Village r /� Zip Township County
Address34!�_ p, 1G oo ct�",•, qp� Cross Street Section dock Lot
Owner Name/Address(if different than above) r 1' I Contact Number
❑Basement ❑ 1st FI. [22nd FI. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside Residential ❑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 0 Change
❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection
Additional Information
,�-VPCACC �'F'r*�Gl "D 2O AU P (-k CLL+ I r
C V/ s
iLUI
AUG 10 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 comparry.The applicant.owner
or authorized agent agrees to all the above terms and conditions as set forth for the application.
Inspector Date Finalized Inspector S
Company Name 0 7 C _ P F C I 0 Date 9 23 Signature t
Address I I I /' n1 5 T. �� C-(-)C, t—r L t City/State 99v 0 x �y i � � Zip Code j"l r
License 0 r L(yl� rim t'T y Phone# 4 l f _ �Gi ✓� GID v 1
Df r� 1/J State Wide Inspection Services
L� l� �J 1080 Main Street
Fishkill, NY 12524
To 0 AUG 2 5 2023 Do 845 202-7224 Phone
914-219-1062 Fax
STATE WIDE INSPECTION SERVICES Email: officeC@swisny.com
VILLAGE OF RYE BROOK
service With Integrity BUILDING DEPARTMENT Website: www.swisny.com
BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES
CERTIFIES THAT:
Upon the application of: Upon Premises Owned by:
Anthony E. Pircio,Jr. Jessica DiGiorgi
111 Cedar Street 35 Avon Circle Unit C
New Rochelle, NY 10801 Rye Brook, NY 10573
Located at: 35 Avon Circle Unit C, Rye Brook, NY 10573
Section: Block: Lot: Electrical Permit Number: EP 23-175
135.75 2 23.Z
Certificate Number: 2023-6193 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: 35 Avon Circle Unit C, Rye Brook, NY 10573
The Second Floor 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 25"'day of August 2023.
Name Quantity Rating Circuit Type
Sub Panel 01 100AMP
Washer 01
Circuit 01
Receptacle 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.