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Angelo Zaccagnino --
D.O.B: 12111119M 13RGv,� I �
MENT I n ; ` 5 2024
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Zaccagnino Electric + .
.:. , NY 10573 VILLAGE rz`( bi�00K
81 Maple Avenue �,_,,,
Rye, NY 10580
BUILD ING DEPARTMENT
or
,RMIT APPLICATION
-icense No. 755 ster Electricians License Required
Expires on:12/3112024 Peter Borducci -ate
FOR OFFICE USE ON% d 7 BP#: EP#: /
Approval Date: Permit Fee: S / �L 1
Approval Signature: Other:
Application dated, 1131/24 is hereby mad 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: 188 Country Ridge Dr SBL: 129.82-1-32 Zone:
2,Property Owner: Rich Franciosa Address: 188 Country Ridge Dr, Rye Brook
Phone#:9.14-384-7498 Cell#: email: RichardM.Franciosa@gmail.com
3.Master Electrician: Angelo Zaccagnino Address: 81 Maple Ave, Rye NY 10580
Lic.#: 755 Phone#: 914-921-3244 Cell#: email: _Office@zaccagnino.net
Company Name: Zacca,gn o Electric Address:
4.Proposed Electrical Work/Fixture Count: Wiring of 200amp overhead service upgrade -- MC-718063
5.31d Party Electrical Inspection Agency: SW1S
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
Angelo Zaccagnino _ 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 legal owner of the property to which this application pertains,or that(s)he is the Electrician
for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.)
The undersigned fiuther 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.
Swo efore me this 3 1 A Sworn to before me this 31st
day o ,20_24_ day of ,202_
0
Si a re o perry Owner Signa
Ri h Franciosa An elo=S ON
Print Name" T v e ?4 R K Prith#1,Tti}t�cR1[B B f NEW YO R K
NOTARY PU No. O1G 0238
Nota&Pu Pll$ctl '1 r ^sic) ester County No n e sler ount
j� My Comn-Ission Ex p es O lober 14, 20 _
My CornnYwon Expires October 14. 20�1
TTTTT 6/23/2022
INSPECTIONSTATEWIDE
Service With Integrity
0:0
SWIS JOBAPPLICATIONi 0.
Office Use Elect.Permit#ze�OQ�1_ � Date J /3 )
Bldg Permit# Utility ID#
Final Certificate#
City/Village Zip 4�"t 7� Township County e4&
Address �� � i"1 % �r4 Cross SltrCeJet ! Section 1}q'4 Block 1 `cif of �_j
Owner Name/Address(if different than above) I \y ck I'�U�1G"0r Contact Nd-umbeOr �z/ _58q ` l�l.
0 Basement ❑ 1st Fl_ ❑2nd Ff. ❑3rd R ❑More Than 3 FI. g Garage ❑Attic IQ Outside[Residential 0 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 1P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect
&00 1
Overhead 59 Change
❑visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection L U
Additional Information
M�,, '71 e6 06
FEB - 5 2024
This application is valid for one(1)year from the date received by SWIS.This application 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.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 as set forth for the application.
Inspector Date Finalized Inspector#
Company Name �i� r` gate /3� d Signat re
Address City/State r f q7ep
License# Phone#
R
DState Wide Inspection Services
CAC)
FEB 15 20249 1080 Main Street
Fishkill, NY 12524
SWUSVILLAGE OF RYE BROOK 845 202-7224 Phone
BUILDING DEPARTMENT 914-219-1062 Fax
STATE WIDE INSPECTION SERVICES Email: office(c 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:
Zaccagnino Electric Richard Franciosa
Angelo P. Zaccagnino Mannsi Johri
81 Maple Avenue 188 Country Ridge Drive
Rye, NY 10580 Rye Brook,NY 10573
Located at: 188 Country Ridge Drive,Rye Brook, NY 10573
Section: Block: Lot: Electrical Permit Number: EP24-028
129.82 1 32
Certificate Number:2024-0919 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: 188 Country Ridge Drive,Rye Brook, NY 10573
The Garage &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 14"day of February 2024.
Name Quantity Rating Circuit Type
Service 01 200 AMP
Meter 01
Panel 01
Disconnect 01
Grounding and Bonding of Service to Current Code.
7
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.