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HomeMy WebLinkAboutEP23-197 ~t eerrg� N N W � N N \ i CIO Ln ye Z 0-4 o z RT eq w � o �., Ln ono O � Q z ►-a , ■ A P 00 c/� w ■ W O w O oo W z CY*4 ■ ■ o V p Z M--� � P� N W) z Cn ' 4 � � o G1 W0 Uwo ■ w � w � x • � 00 o z o ° ►� w o z z 2 CA U w z w �+ Nz A 0 A o � N w w w a op dil Volx � yE 1RR P, BUIL MENT SEP 13 2023 V1L E OF RYE OK VILLAGE OF RYE BROOK 938 KIN TRYA ,NY 10573 BUILDING DEPARTMENT .or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required / C �,l FOR OFFICE USE ONLY BP#: EP#: ��`/ ! / SEP a /'50-lam' Approval Date: Permit Fee: $ 2S Approval Signature: Other: Application dated, `����-�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. 1.Address: aa-S CUu'i�YZ.y Ztd�g� P�\�C- SBL: e)! �c� / -�l�p�� Zone:tells 2.Property Owner: Ut Address: Phone#: Cell#: ���"�j��,'�1 O\ email: VVIt Ci V-C'V%C.CL,ao\•Cck- 0 3.Master Electrician/Licensed Installer: NC.c2_Va\n--\ Address: Lic.#: 1�Phone#: Cell#: q,--I -77 t"> 50 9 5 email: �o yylc fge�r c�e.trYz t� t� y Ghc c L-o—� Company Name: Address: 4.Proposed Electrical Work/Fixturc Count: Ckck'r—c-�c5, W �c 5 C^"'c-1 )� �s �\� 5.31 Party Electrical Inspection Agency: �w( S 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 (print name of individual si��g as the applicant) state that(s)he is the ;!(1 />444/ 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 V� Sworn to before me s 3 day of ,20 day of ,20 l Signature of Property Owner Signature qf Applicantsn ame of Property t e of Applicant aa k,. \-�-\lj_�' Notary PublicSHARI MELILLO No Publi Notary Public,State of New York bARI W Notary Public,Stateate of �1 New Paris No.OJLME6160063 No.01ME6160063 Qualified in Westchester County Qualified In Westchester County/ 3 Commission Expires January 29.20 l Commission Ezplres Janus 29,20 L� ►Y D), BUILINGMPO�A/_i T M E N T 1 SEP 15 2023 VELLAGE OF RYE BROOK VILLAGE RYE 938 KINd PET RYE B ` ,NY 10573 BUILDING DEPARTMENT (914)939-066$ www:ad 1'ook.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: Approval Date: Permit Fee:$ 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 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,S ,County and Local Codes. 1.Address: 7 ✓/�e SBL: Zone: 2.Property Owner: Address: Phone#: Cell#: email: 3.Master Electrician/Licensed Installer: Address: Lic.#: Phone#: Cell#: email: Company Name: Address: 4.Proposed Electrical Work/Fixture Count: 5.31 Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly swum,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 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 efore me this O Sworn to before me this day of ,20 a, day of 120 SignaFffe of pe I wrier Signature of Applicant Py Name of Property w7 er Print Name of Applicant f Notary.AlubW Notary Public GREGORY K RIYEU Notary Public,State of Now York No,01 R*"1 M 3/3/2023 QuiMfied In Westchester County ! Commission Expires September ti,20 STATEWIDE INSPECTION Service With Integrit-y 0:0 SWIS JOBAPPLICATION0. • Elect. Permit#�f� `>� i � � Date j'Cy Bldg Permit# Utility ID# Final Certificate# City/Village � Zip Township County Address 2 ^2 S_` ('O�r� /`� Cross Street Section Block Lot GG Owner Name/Address of different than above} Contact Number asement ❑ 1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FL ❑Garage ❑Attic ❑Outside Idential ❑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 afety Re-Inspection ❑ Re-Inspection Additional Information`3 (7 D + � I SEP t 3 2023 _ VILLAGE OF RYE BROOK BIJU)7 NG DEPARTMENT This application is valid for one{II year from the date received by SWIS.This application is intended to cover the above listed items lobe inspected,if at anytime 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 wish any other inspection company.The applicant.owner or authorized agent agrees to all the above terms and conditions asset forth for the application. Inspector Date Finalized Inspector# -509 Company Name �eesPr PCT!'1 Date /3 Z 3 Signature Address F. D Q��C 3-7 Z City/State0Q ` r�G� Zip Code Ucense#I /sz Phone# 2' `7 7 `' C BRcb O Z� BUILDING DEPARTMENT •'u BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www aebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTIONREPORT - - - - - - - - - - - - - - - - - - - - r ` > > ADDRESS:- Z� .? BATE: PERMIT# ISSUED: SECT: BLOCK:* J Q LOT: LOCATION: ` �""-` � OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK �r ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER ; -7 ) l 1 r l }(f x.� State Wide Inspection Services r 1080 Main Street C � MAR 12 2024 �) Fishkill, NY 12524 L.__ _ __ f 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPCC71ON SERVICES BUILDING ^' DARTMENT Email: ofFiceCcbswisny.com ~' ^� 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: SOMERSET ELECTRIC Howard &Barbara Eisenberg MARK DOLAN 225 Country Ridge Drive P.O. BOX 372 Rye Brook, NY 10573 MAHOPAC FALLS, NY 10542 Located at: 225 Country Ridge Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-197 129.82 1 15 Certificate Number: 2024-1474 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: 225 Country Ridge Drive, Rye Brook, NY 10573 The First 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 12th day of March 2024. Name Quantity Rating Circuit Type Repair Damaged Wires & Install (3) New Wall Switches Only Officer: Frank 1. 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.