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HomeMy WebLinkAboutEP24-065 _ - N N � : M O a o CA y x M = Lei PLO _ O U ` H _ Z x �-+ 4 Q z W cv �,, $ H Z 0 O w z N w °1 p v Z00 o u o z w w o v z �z - 00 5 © °00 v = O k w z Z v z° Cl) o ,� M � � © W O N - - I1 a/ 4 Q V zj�1-4 00 cam'• w a W = ^ a GR oo W a "' cn w 0.0 z o w Q a � H A H W o z za w CA w W Cw7 0 0 ►fin A V p W z �` _ o w z w BUIL ��E v MENT [ CC [E�W F, VIL E OF RYE OK 938 KING ET RYE B ,NY 1057 2 [APR - 2024 i ar VILLAGE OF ISYE BROOK BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATiOIN Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: r_� 7 —Ozo'5_ Approval Date: ` Permit Fee: S 1 � Approval Signature: Other: DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF S750.00 Application dated, 3 19 -1 Y 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. I.Address: l 17�€�LIDO c it l v� e grrr-�_- SBL:l 3 T, 34 /-3a Zone: G 2.Property Owner: S ha�o,� f'�4 Address: ` ��477d 14/// RN At_rnaJt A/c/ /OSDj' Phone#: -5DF1-`I - 9 q J Cell#: email: SjK4ne-C."f'aho--,CO1�L 3.Master Electrician/Licensed Installer: IG SRN CL/�✓ Sf�•CAZ,5��2 Address: 1 6u1rtnx If-ye- HaWMarnc Ny 6 c'o Lic.#: / Phone#: Cell#: 9/`/'yG'/-14 3 S email:.ell ltu �053?-• h�@eLec�lt , n7 Company Name: C V O/u f7 D Z 'f�l e G "'"G In G Address:S If,"C 4.Proposed Electrical Work/Fixture Count: S e r yiCe- t p' rOa4!l= (zfr-,ade IiAam Jo0 1g01/0 -/-V adU 14/nfo elf C`77 C e, w/r/n 5 2/ rV c.e 55 d, F ou wz -ex-r 547n hu V S -t 5.3'Party Electrical Inspection Agency: =mot// STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: fXANK.U/V S"N y 2,4i"'7-- being duly sworn,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 1214S r -1&_6(- 1 e-f d- -for the legal owner and is duly authorized to make and file this application. (Master Electrician/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 .29 7h Sworn to efore me_this day of 1YJd1 V 20 M day of 20 Signature of Property Owner *natw-e-tfgiFpTi&ant Pr' Name of Property Owner Namt �d� .�,t"bfl to ew k rr, Notary Public NoWy?*imestchester County 11- • r,• isFon Expires January 29,20 3 023 STATE WIDE INSPECTION SERVICES, INC. 6A.) Service With Integrity 080 • swis JOB APPLICATION tel 845.202.7224 1 fax 0. Office Use Elect. Permit# c�_ � Date Bldg Permit# CCii�J Sq Ft -7 Plumbing Permit# Final Certificate# City/Villager Zip Building Dept. � '<1 County Address �� Cross Street Section Block Lot r r' Owner Name/A ress(Ifdrmrent than above)��ar� Contact Number® j,, _ e LJ asement E 1st H. []2nd FI. Q 3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside Residential [:]commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage *Panels 1P 3P tt Meters # Disconnect ❑Underground ❑New ❑ Reconnect ❑ Repair �2 Q 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 I�OC"SC� APR - 1 2024-77 i I l_ 1 This application is valid for one(t)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. Email Address C C Namur License# Date Signature Address 2 far j � de City/state �/� � 10 Zip el Company e.,,, � C �-7ri %!C Phone# ,y- � y- 46 ,15 IDState Wide Inspection Services 1080 Main Street MAY 2 8 2024 Fishkill, NY 12524 TbW U I __ 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPEC71ONSERVICES !` BIJIL_DING DEPARTMENT Email: office(d)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: Evolution Electric Inc. Sharon Kane Franklin Salazar 1 Edgewood Drive 132 Fairfax Avenue Rye Brook, NY 10573 Hawthorne, NY 10532 Located at: 1 Edgewood Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP24-065 135.36 1 30 Certificate Number:2024-3344 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: 1 Edgewood Drive, Rye Brook, NY 10573 The Basement, First Floor& 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 241h Day of May 2024. Name Quantity Rating Circuit Type Luminaires 21 Service 01 200 AMP Meter 01 Panel 01 Sub Panel 01 Disconnect 01 Grounding and Bonding of Service to Current Code. 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.