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HomeMy WebLinkAboutEP23-185 a c : s : ■ � s � N w e cp N a W x u �--� ■ Ln cq ■ a �, r; �T W ;14 w , A4 W ■ Im P on a cn ■ on (J 00 y z O p O A W N 1 H O a V V W o to ■. a >4 - � u Ln co T w � o00 U Z © w H 9 0 rT� 7 w o � C, zO A ( 7 ■ 0-4 P4 1-4 z s—� H U a wu � .. zo V v oo u � ■ p w Z c r ° H H � W o Q o V) to U O W Z -4 z � w � z _ 0 a w a � �' a Z w o [ECENED $UIL Ei9' MENT VIL E OF RYE OK AUG 3 1 2023 938 KIN , ET RYE B ,NY 10573 VIL OK or BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY LAP-# EP#€: ! Approval Date: Permit Fee: $ J Approval Signature: Other: Application dated, t7 �/-c�� 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. p 1.Address: 2 Vt.!1��'L-n Ctit1zG SBL: i7g '. (� - R - Zone:�C,r1 C 2.Property Owner: Address: Phone#: Cell . 'R - L+q 4- u,*'F�- email: nela,3 AD A.D`,COM 3.Master Electrician/Licensed Installer: b Address: lhq ICI, w- tj OnLr.- Lie.#: Phone#: la qka- Ce Q I - -2.4r$lid email: 4& Ckpl•COM Company Name; MG !n T�Ct�^Y1 G per ��.r~ Address: (e 3f 4.Proposed Electrical Work/Fixture Count: ( 1e,l - V-- U p 5.31 Party Electrical Inspection Agency: _C �W t[��� =atpn.-Ai or) + STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: :ME being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of indivi al s" in g as the applicant) state that(s)he is the 4 AC4:0M _tom for the legal owner and is duly authorized to make and file this application_ (Master Electrician/Licensed Installer) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. c� Sworn to before me this ZO Sworn to before me this 1$liq day of 1 ,20 23 day o Z,20 3 ignature of Prope Owner Signature of Applicant GvC-� Anoimq PrintTame of Property Owner Print Name of A Notary Public RLtNG ALDANA =ARLrk,ANANotary Public-State of New Yprk e ew YorkNo.otAL6425946 25 6 countq Qualified in Westchester Coun restIMy s 11l2912t7 es ,/3.2ov3 STATE WIDE INSPECTION SERVICES, INC. Service With Integrity ••• • • SWIS JOB APPLICATION tel 845.202.72240. • Office Use Elect. Permit# � _ � Date Sq Ft Plumbing Permit# Final Certificate# City/Village _ Zip �r Building Dept. County t Address VU i Cross Street Section, Block i Lot t Owner Name/Address(If different than above) C Contact Number l 1 ❑Basement ❑ 1st Fl. ❑2nd A. ❑3rd Fl. ❑More Than 3 Fl. Garage ❑Attic ❑Outside 6sidential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) ; Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch I SERVICE Amperage #Panels 1P 3P # Meters #Disconnect ❑Underground ❑ New El Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect ]unction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection n ❑Consultation RIC boc 7 FS P 04:;j Pce P"—" if AVI� V I �U ca <�--q U i i I AUG 3 1 2023 VILLAGE OF i yc BROOK i BUILDING DEPARTMENT I 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 cdjust 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. ;%wrier or authorised agent agrees to aU the above terms and condrh.-r s-set forth for the application. Email Address Name - '`� �=5 _ --- ----z3 1-1 rev License ft Date ` SignabJre i 3 Address r City State QZIP—Code� Company y ; Ph ne# CAC) State Wide Inspection Services D 1080 Main Street Fishkill, NY 12524 a NOV ' 7 2024[E D 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office@swisny.com VILIAGE OF RYE BROOK Website: www.swisny.com Service With Integrity BUILDING DEPARTMENT BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Mecca Electric of Rye, Inc. Chad & Brittany Charney Anthony Nostro 2 Wilton Circle 109 Maple Avenue Rye Brook, NY 10573 Rye, NY 10580 Located at: 2 Wilton Circle, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-185 135.66 F1 J 1 45 71 Certificate Number: 2023-7512 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: 2 Wilton Circle, 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 16th day of October 2023. Name Quantity Rating Circuit Type Twist Lock Receptacle 01 20AMP GFCI Breaker 01 20AMP 220V GFCI Receptacle 01 Exterior Timer 01 Exterior Panel 01 12 16 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.