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HomeMy WebLinkAboutEP19-322 a N : N 0 0 41 s. � !fi ►f) W N a P4 W U s rl eel C'i N ZM 96 MID r 'C :� � �4 CJ M••d � � Crl w . � 0-0 3 z ~ 0000 f = V1 Q. ►� � � � a a U a � W z � a00 O O > F M.. 00 W W " w z 07 © w c rr a �, o i BUIL DEP MENT r VILIOE OF RYE OK ' Nov Z 1 mg938 KING S't RE T RYE BRO> NY 10573 j (914)93.9-0668 F\X(91, 939-5801 VILLAG OFAYP BROOK { wy r v l oe .org EUILDINQ IMPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: 19_32� Approval Date: Nov 2 5 2W Permit Fee: $ I fC 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,FFederal, State,County and Local Codes. t C� 1.Address: [�(�' � A* - - - SBL: 1+1,2 7 hR�__Zone: 2.Property Owner:My ltYlOt- 1-6 Le-a- Address:"1 ,t`tp 7�` � to�r'5 (�tJ'►t-3ko _01Phone#:Rl y, oZ'l -XdIn - Cell# 1�___email:4RBCIi f([ O�_• (cmn 3.Master Electrician: L) nLA Po y d y n, Address: t l9 q QaS� .—A Lic. g:-409 Phone#114.72_ fL Ce1]#:�I'-� " �jCj3V emailt0loItE_IP L tCf Mn� [°pyt,I Company Name: CA t C_x_,C�r E uw` �t "� Address: t0q t a 4.Proposed Electrical Work/Fixture Count: 141 ST&LL Z ovTLF-ts -roP rLpok STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: p uCA[ dL 11z -,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of indivtdual signing as the applicant) r 1 state that(s)he is the legsl owner of the property to which this application pertains,or that(s)he is the � o Li for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,,g nt,attorney,etc.) 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. Q4 — Sworn to for me this 1 S� Sworn to before me this day of 20� of PV O cJ 20 1 � - Signature of Property Owner Stgn re o Ap scant 1 ln y64t;j. //,4 Lw Print ame f Property Owner of Irppliean N to Public Se_ PAULJ eA7�Prt, ary va�.-ubiio.State d W of ublic No.OIPA6171212 GLENN R.TAR-, QualffW In Westchester Cout NOT r PUBLIC,STATE OF NEW YORK Commisalm Ewes July 23,2 ri1 a tF"L N WESTCHESTER COUNTY ht:? G TA485333'i � a e'(tiCNM010N EVIRES FEB. ��3/Z111 Westchester Rockland Electrical Inspection Services, Inc. Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43-NOrth Lawn Avenue Fax:. 914-347-3596 Elmsford, NY 10523 BUILDING MIT NO. 7EMf'B DATE EP 14-3 CITY OR VILLAGG—� F. _ ZIP CODE TOWNSHIP COUNTY by Q.UG'K 0 STREET AND NO ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED7 SE ION SLO K LOT OCCU S NAME BUILDING OCCUPANCY //�� Cam,C1 q—I ►Y\ i11 M M e Ct` OWNER .L'�E AND ADDRESS ME TELEP O UMBE L� � - 1070 CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED FNUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LAMP RECEMACLES ONLY SIDEWALL SWITCH I CARE FLUORE NO. H.P.EACH NO, WATTS EACH INSPECTION BASEMENT 1=FL I I C 3'FL. V i Lr�e Q i— f C REMARKS:LIST OTHER ELECTRICAL DEVICES HOT SET FORTH ABOVE: GTHIS APPLICATKNI 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 AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY YIFREIS,INC.IS NOT LISTING.LABELING,UNDERWRITING OR CERTIFYING ANY£OUIPMENT, MATERIALS OR DEVICES WHICH ARE PER"MEV 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❑ ADDITIONAL U EXPOSED O CONCEALED 0 MUST ENTER APPLICANTS IDENTWICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD ni UNDERGROUND- —1—L I I I I AVOID DELAYS BY GIVM FULL AND ACCURATE YWORM Aft ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, NAME OF COMPANY DATE OF APPLICATION SIG RE O ICANT C,c•c� -� Er�Ec 2>G ((-2 w x STREET ADDRESS TELEPHONE NO. 4-49-7r d 3-7 CTTY�BR P06f OFFICE �� ^ Z �,O LICENSE NO.WHEN APPLICABLE 4 C� -- WESTCNESTER ROCKLAND ELECTRICAL INSPECTION MREIIDSERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Caiola Electric Sound Shore Properties LLC 1199 Post Road Scarsdale NY 10583 Located at: 62 Bowman Ave, Rye Brook, NY 10573 Certificate Number: 652065 Section: 141.27 Block: 1 Lot: 23 BDC: Permit Number: EP:19-322 BP:O A visual inspection of the electrical system at this premise described as a Commercial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 62 Bowman Ave, Rye Brook, NY 10573 ❑Basement 01st Floor 02nd Floor 03rd Floor ❑Garage ❑Attic ❑Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation, as set forth below, was found to be in compliance therewith on 12/9/2019 Name Quantity Rating Circuit Type Receptacle 1 Convenience This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. This certificate is valid for work Derformed b fore date of ins ection onl . YYY