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HomeMy WebLinkAboutEP23-226 _ �O ■ - �k Oy . ice., A ��y `'i i"� � � F+•{ . r-i CIA M � z cn za E 00 r 'I -eel a V U W G fly PQ CA 4.1 co 00 o z (> fn u') 0� U a Qo • w V fziGO W H w o Z z � a V � V O W z ( oa 0-4 z ° Q o w � ■ yE AN BBumEL I Mi VIL E OF RYE OK OCT 16 2M I DD 938 KiN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT .or ' ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP : EP#: �� OCT 1 7 202 Approval Date: Permit Fee:. $ Approval Signature: Other: Application dated, 08/3012023 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. ff`` 7 1.Address: 2 Rockridge Or SBL:_13J, 7 r�� / Zone:e IO 2.Property Owner: Matt Vogt Address: 2 Rockridge Dr Phone#: 516-680-0302 Cell#: email: 3.Master Electrician/Licensed Installer: Brandon Hall Address: 64 Main St. Irvington, NY 10533 Lic.#: 1640 Phone It: 914-591-0100 Cell#: 914-960-4063 email: admin@eonhudelectrie.eom Company Name: Consolidated Hudson Electric Corp,Address: 64 Main St. Irvington, NY 10533 4.Proposed Electrical Work/Fixture Count: Installation of Wall Mounted EV Tesla Charger(In Garage) 40a 2-pole Breaker 5.31 Party Electrical Inspection Agency: SWIS STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Brandon Hall ,being duly swom,deposes and stales 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 Master Elacftian for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Instailerl 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 aay 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. h y � Sworn to before me this 13 Sworn to fore me this V day o t f 1 [r 20 day of ,20 cy--_ Signature of Property Owner,'- Si of Xpplicant ,—,a r " ),-e kl l y_ V,9 l Ar117C4l L Print Name of Property Owner Itil f Applicant / ONotary Public /� OD MELANIE COOPED ATE OFCKWONEW YORK Notary Pubk-State of Neva Yuric .01 L06210592No.01CO499d818 stchester CountyQualified in Nassau Cvc my Expire 3/3/2023 My Commission Expires c^nI.t 3028- STATE WIDE INSPECTION SERVICES, INC. CAD Sen,ice With Integy1ty -0 • • SWIS JOB APPLICATION tel •2.7224 1 fax 914.219.1062 1 SWISNY.coml SWISTRAINING.COM Office Use Elect. Permit# 3 __ Date / I LI �L Zug Bldg Permit # Sq Ft Plumbing Permit# Final Certificate# City/Village ({_ }. Zip ' 7-7, Building Dept. -e- County sr - Address z rh (� Cross Street Section Block Lot Owner Name/Address(If different than above) �! � �.} Contact Number -1 4_ 54J-- STO ❑Basement ❑ Ist FI. ❑ 2nd Fi. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage Attic ❑Outside ❑Residential ❑� rCommercial Receptacles Special Recept GFCI A.FCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact Amt Amps Range(s) Cocktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization © Safety Inspection ❑Consultation dV 'FP�� OCT 16 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(I I year from the date received by SWIS.This application is Intended to cover the above listed items to be 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 with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms andeondilions asset forth for the application. 2 1 Email Address R @ co,k d Cie' �r , co—.-. Name /7r,,w J Jar1 License# If ill Date JU r Z Z Signature Address ,,, City/State 1�°� /V10.. � �' 1r v< /l/ zt/i�pcodeG GS 3� Company_ Ciu-5-a t0 �+5� ��re i t Phone# tT r S-1 —�?rU 0 D 1 E- � -" `= jD 4 State Wide Inspection Services 1080 Main Street DEC 12 2023 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES I BUILDING DEPARTMENT Email: officeCabswisnv.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: Consolidated Hudson Electric Matthew Vogt &Alanna Romeo 64 Main St. 2 Rock Ridge Drive Irvington, N.Y. 10533 Rye Brook, NY 10573 Located at: 2 Rock Ridge Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-226 135.43 1 � 37 Certificate Number:2023-8579 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 Rock Ridge Drive, 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 22nd day of November 2023. Name Quantity Rating Circuit Type Car Charger 01 40AMP 2 Pole 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.