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HomeMy WebLinkAboutEP23-220 O N M _ � N N e 00rj) W a a � Tt w W �y A M ao Cam-` Q w v o � z � it u o o ,r e OMB? �4 U w ■ l fTl a w 0 °2 w 0 � BUILD DEP 'I;MENT VILLAf;E OF RYE OK OCT 10 2023 938 KrNci S-r ET RYE B ,NY 10573 VILLAGE OF RYE BROOK w�v' _ orz a_ BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY Bl'#: F.1'#: D Approval Date: OCT 1 0 20 Permit Fee: S V Approval Signature: Other: Application dated,/b /O-cc. 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 Coders. ^� j, 1.Address: ©0 Dr T h A 1 4 t c7 f t4 SBL: J 3 J� � I—1+�y Zone: 2.Property Owner:_L�a t�5ken �1 Address: Phone#: Cell#: �qS 3 4 email- �S�t,4�1`ya� ►Com 3 aster i��Phone icensed Installer: !ekSAddress: Lic.#: #: Cell 9: — Company Name: CWAIIA EICIRM • Address: g 4.Proposed Electrical Work/Fixture Count: wki Por a ok r lE; enGr i-�(' ' 12-4,.0 C eJ o 5.3rd Party Electrical Inspection Agency:_S 1, STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: (:AJ being duly swom,deposes and states that he/she is the applicant above named,and does further aan as the appli-an() • state that(s)he is the_TM y0��((�+!`IGI4+n1 for the legal owner and is duly authorized to make and file this application. i' +ter Pt.•�. e./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 Zb Sworn to before me this day of 20 day of 20 SLWat6re of oper Owner gnat re of Applicant Print N me of Pr 10 r Print Name of plica Notary Pub is LINH Notary Public State of New York No.01 TR6165467 3COTT W.CRAIG Qualified in Westchester County Nowy Pt�flc of Nkm York Mty Commission Expires Nay 7, 2027 3131202 REG NO. OICR6390567 COMMISSION EXPIRES 04115/2027 STATE WIDE INSPECTION SERVICES, INC. Service With Integrity 0.0 • • swis JOB APPLICATION0. . • Office Use Elect. Permit# C -- r�[ Dater /0 /G7� 1 Bldg Permit# Sq Fit Plumbing Permit# Final Certificate# City/Village Park � zip j Q5�3 Building Dept. Q grook County � /e S f . Address /00 . Q•` C Cross Street 1` Section j� l Block /W Lot 6 Owner Name/Address(if different than above) Contact Num Ibe7r 1q-391 9 539 Vasement ❑ list FL ❑2nd A. ❑3rd FL ❑More Than 3 A. ❑Garage ❑Attic E outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch Por/bra ,1,64&/ixk SERVICE Amperage #Panels I 3P # Meters # Disconnect ❑Underground Q New ❑ 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 ❑Consultation 0-x4erloci 5wa'4-� far, a p4 able gervere,or OCT 10 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one ill year from the date received by SWIS.This application{s 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 and conditions asset forth for the application. Email Address 5QC e (o� o f d c,� �J Z. Name �-IL V License# Date I If Signature 3g �qa3 Address �y L 1 /'� City;State ma� ' Zip Code `'v5 I Company-C.un 4'4_��ec4-r1 C, Phone # Z/— !a, O Dtate Wide Inspection Services CAC) 1080 Main Street OCT 17 2023 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@swisny.com Service With Integrity Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: County Electric and Lighting Michael Sylvester& Lori Speckenbach 18 Cheryl Court 100 North Ridge Street Mahopac, NY 10541 Rye Brook, NY 10573 Located at: 100 North Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-220 135.67 46 Certificate Number: 2023-7601 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: 100 North Ridge Street, Rye Brook, NY 10573 The Basement&Exterior were 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 16"' Day of October 2023. Name Quantity Rating Circuit Type Interlock 01 30 Amp Inlet 01 30 Amp J .7 17t_ 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.