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HomeMy WebLinkAboutEP23-215 a a a pl ++ CV N N W _ F=1 M M +4 W . W o o a u GG a 09 ~ O y W � 8 O In ^ \ `CN 0.ii O A A a Ln �1 z � © Zo w w H W W0 W N a © M+•I � W � w z � L w A w z � z � � x � � 0 w ° V o o Z \ � � z OC L 1� U O ALA H � � a �i tti (� E o I"� • A p a �4 z w A _l3R(1v� BUILDi ll I�EP TMENT SEP 2 2 2023 VE LLAPE OF RYE ROOK 938 KING StAFET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONIX BP#: EP#: 03-3I S Approval Date: OCT 0 _2 -- '�Permit Fee: $ /SCE Approval Signature: Other: Application dated, Vis��`� 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. r p 1.Address: L- W�+(�(�l"n SBL: �o�9r �! `I Zone: 2.Property Owner: JS-` -)0VIn Address: Phone#: Cell#: 9 H 400 5M7, email: �Ct-`Gq,d, S��61V) Q 01I VM"l C�ffl 3.Master Electrician/Licensed Installer: <3 rX*1 C— Cj(kA f Address:.-')'I Lic.#: \'?-)q Phone#: Cell#: 911 3S2 '�-*J( email:�40-1ccr 0—�;0'C.S.:.'Q'1yrfA, O•Y-q Company Name: y- C:k9-rJS(; l rc. Address: 3 q 'I UuS+i� L , 1Gtnop c/- 09, l( SzLt� 4.Proposed Electrical Work/Fixture Count: MS 641 ZC A MQ 5.31 Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly swom,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 I 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 tR before me this Sworn to before me this day of 0 day of ,20 Gr G Signature of Prope weer t 'ame of Property O er Print � of Applicant �7` ✓ �� No Public Not ary tary Puylic SHARI MELILLo GREGORY M.RIVERA Notary Public,State of New York No.01ME6160063 No"Public,State of New York Qualified in Westchester County. No.CIR16441.396 /3rs/aos3 Commission Expires January 29.20 Z OuAfled In Westchester County Commivs Expires September 26,20 INSPECTIONSTATEWIDE (A.) Service With bitegritY 1:1 Main Street, Fishkill, NY 12524 1 email:r SWIS JOBAPPLICATION1 • • 1•21 SWISNY.com I SWISTraining.com Office Use Elect.Permit#60c��3— / Date0112,ZI )3Bldg Permit# / Utility ID# Final Certificate# City/Village � Zip toy-43 Township County uks�";(k* Iv Address !� ' `1 ` (�_1 h 1 Cross Street Section Block Lott Owner Name/Address of different than above) Jam` f J�_ 761,11 Contact Number Q14 �w t) qZ ❑Basem ❑ent 1st FI. ❑2nd FL ❑3rd FL ❑More Than 3 FI. Garage ❑Attic ❑Outside ` �fiesidentialcJ [:]commercial Receptacles Special Recept GFC1 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 SEP 2 2 2023 DD VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one It)year from the date received by SMS.This application is Intended to cover the above listed items to be Inspected,if at any time of inspection addownai ttums wave 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 wth arty other inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name 5aka1CA( date Oy/Z 2/ Z3 Si attire Address 3 U r City/State r-�Oo c'c "ems( Zip Code ;QS I.t License# !8c, b Phone# 9 l i`-i 38 Z 3�3 1 11 State Wide Inspection Services CA-Z) OCT 3 1 2023 1080 Main Street Fishkill, NY 12524 Tb "J U as VILLAGE OF RYE BROOK 845 202-7224 Phone BUILDING DEPARTMENT 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: of ICe(Q swisny.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: Salazar Electric, Inc Maggie&Jason St.John Juan Salazar 2 Winding Wood Road 34 Mayfair Lane Rye Brook, NY 10573 Mahopac, NY 10541 Located at: 2 Winding Wood Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP-23-215 129.83 1 1 Certificate Number: 2023-7577 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 Winding Wood Road, Rye Brook, NY 10573 The Garage 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 13th Day of October 2023. Name Quantity Rating Circuit Type Panel 01 200 Amp 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.