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HomeMy WebLinkAboutEP24-105 s z z z Ln m O O p W z N N a In ,n a v ' rA p A o0-4 to �j a 64 CN z a" O w x Ln = a� M a CA x 00 _ W �%o (A �_;qN CN o w AG w � cHn = " w x A CY V a w H o � F rTl o�j a W V v� U >+ O 0 C) s O v U o In w cn U 4 Cr1 O w W � �I a a 0 x w MAY 2 2 2024 DD VILLAGE BirtUOK BUILDING DEPARTMENT BUILD NG DEPA'RTMENT VILLAGE OF RYE BROOK 938 KING STREET RYC Bkoo;,NY 1057 (914)939-0668 ww .r r 0ki/rL ELECTRICAL PERMIT APPLICATI(M Weslchesler County blaster , ec clans[ Ice 'Required i� _ -��// c)R OF-1 R 1 -1 *1 ()\I 1 W �� / Apprtnal Date: y qq(� (Fce:S /J0�OL Approval Signature: MA 1 2 9 CU : N•■■UrN■.r.r•••Nr.• r.rNrrrriarrrN►rr11•grrrrrrrNgrr Il(1y i sr1kl \11711hr,r(uN1,Iyt( II(l�1 \111 11-11(ltll tl kh III I w I l I Il ill IIII IN II DiYlr IVhI'I( I/)K _.. -...— _- __L IIF 111\Ili\ItilItITIII I•t-I hl)fl1\I)E(h 1'Itl t(_Itl.��l is r/t(1 [7111'I( IiUYtltlltll 1 �1'I ItVl11"1'_ mlilt n111 LfltiE 117 (uhtilltll IIIWIII_III Itll-%llll NTIII ()1 -SnnO Application dated"5- 1)1,D—cz�is hereby made to the Building Inspector of flits Village Of Rye Brook NY,for the issuance of .r Perrim to install and/or remove electrical erluipmcnt,wiring,ftxturim or to perform other high or Cow vohagc elecuical work as per 11x detailed statelncnt described below.By signinf this document.the applicant& property owner agree That all electrical work pertutmed will he in confonstonet:with aalll upplieahke F dcral,Slow,Cutnty and Local Codes. 1.Address:-7� V 1 1'^v� � _SBL J�i t�7° ��� Zone L Property Owner t,'QL,-Y�r +"LCAtklrr s �DO T-,c a:t>Lrj Q-u o.a(t.ti* r' _ x -Stew`e� s a \1�— 1'honcR Tj�b .l R ° >GCXcll71 cttlod e-IaNIC% n�.1-Q�7�t'`=� o`_,vg'0bW. 3.Mauer Electrictan/Licensed lnxlaller ">� + `1 G�`^L�. 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Cell a (lam L)U�'1,tti cnlad:hcr-if Company Namc 4.Prupirwd Electrical Worwritrlure Count Lis i S.3i'Party Electrical Ingseclion Agency. .rr•r.r..r.••.r....r■err..•.rr►..rr•er.u....•.......•.hr.u............rr.............................. 51ATF QF NEW YORK,COUNIYOF WFST0 STER ] us being duly awom,dtposa end sm:es that hel6he is the epplicaru ebuvc noosed,and does further �rr.A uvir eel v4rv«Ir.sl egn«eg x.11k•applh..al oatc tka(.)he is ehe._____. fin die kgal owner and is duly Atldrorised to make and file this oppli:atinn. tll�.ur I Ic•strrc t.u:l.r.carxidhMalk�1 The undcrujp cd further stales Hied all sulentents contained hereda arc Inte to the best ofhw'her knowledge mid belief aril tbat any work periarmed,or use conducted at the above cxpuntlod property will be in eonromuncc wah the dc(ails at set forth Aral cunrmned in this application and in any ikwmpanying tspprnvcd plans and speci(ieanons,as well as in accordance with the New York Static Unifume Firs I'mi,"lion&Bus ding Code,the C.odc+rf lbe V Unge of Rye Brook And all other uppli�able laws.ordinance.and rcgttlatinm) Swo .fore this r1 S 1 Swom to before the this 0?/ _ V �p j�tJ d,r,.'(if I 20 2 y ure of Prope, owner` 9 'nutu cif Applicant Print A e y Owner Prsnl •me of A phcam u[a ubhc - \ µARLETI�'LflUtR'idre R1el1i3rds NOTARY PUSUCS'TATE OF NEW YORK ry30:g31 Notary u Ile, State of New York OuNoa InLputnam NC ny Reg. No. 01 R14912913 Commku on Erpiros MARCH 23,2M Qualified in Suffolk County Commission Expires 11/15/2025 STATE WIDE INSPECTION SERVICES, INC. Service With Integrity 080 • • SWIS JOB APPLICATION0, Office Use Elect. Permit# Date Bldg Permit# Scl Ft Plumbing Permit# Final Certificate # City/Village e 8�D \D Zip ,�� FwldingDept . -�� County Address Cf? C_ _`��S 's , Cross Street Section [Block Lot !! J J `� L Owner Name/Address(If different than above) Contact Number C�7 Basement ❑ 1st Fl. ❑ 2nd FI. ❑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 # Meters # Disconnect ❑Underground ❑New ❑ Reconnect ❑ Repair Overhead ❑Upgrade ❑ Disconnect Utility 1D# ❑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 MAY 2 2 2024 1 i D v OF RYE BROOK BIUILD NG D PART MENT This application is valid for one(t)year from the date received by SwlS.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 � �� V 'e � Name � . License# Date Signature Address `2,!'1 �� CA + C 1 City j State C; G � `l\ L 4 ip Code Company v V , fF 1 L— G c�J f Phone # C 1 mO L� 1 State Wide Inspection Services C � 1080 Main Street JUN — 3 2:024 Fishkill, NY 12524 SICK U S 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office@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: Healey Electric Service Inc Ridge Street Rye Brook LLC 30 Smalley Lane 93 South Ridge Road Stormville, NY 12582 Rye Brook, NY 10573 Located at: 93 South Ridge Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP24-105 iai.r7 � � iz Certificate Number: 2024-3500 Building Permit Number: A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 93 South Ridge Road, Rye Brook, NY 10573 The First Floor 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 31st day of May 2024. Name Quantity Rating Circuit Type LED Strip Lights 22 Strip Lights 06 Drop In Fixtures 03 2x2 Drop In Fixtures 04 2x4 Exterior Fixtures 14 81, 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.