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HomeMy WebLinkAboutEP24-102 m s ■ a e a e N ■ ■ O Lin N W • m N N ■ N � � aCDN o a m 7Ln P: U LLW a A 0-0 m GIN m C1i O • C) A e cn h+i h'1 V � �i w �, ■ W w w w E* 1 O I--r e z O. 00 O � \ w U a O W `� cn z vz Wz Ur) U, O 00 cn [—{ ug wGN w W C� a3 A W w m /1 O d a m Zo � W I e N A 0 A 0 >4 a = a a � w x ( B E MENT MAY 2 0 VIL .E OF RI'EOK I VILLAO'c' OF RYE -- OK 938KIN8� ET RYE ,NY10573 BUILDING DEPARTMENT 4 1'�1cV .Oio ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required / FOR OFFICE USE OiwLY\ B #: _-- EP#: Approval Date: ` Permit Fee: Approval Sigttaturet Other: Application dated, S V 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. LAddress C K� } 5 SBL: Zone: ■ 2.Property Owner. Address: Phone 9: l'4y 1 0 Cell#: email: 3.Master Electrician/Licensed Installer:.PyYtt { n Address: � v—+�' , e Lic.#:o_Phone#:Ej Ic{�q;� - D 5D Cell#i 91 t — ©$ email:C �r r Company Name: ' l�c� '{C r Address: 145 '�,vwt �� - 4.Proposed Electrical Work/Fixture Count: Q S 5.3'Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name findividaa€s'enin as tiie scant state that(s)he is the IG�C y i t,M 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 Stntc Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and al!other applicable laws,ordinances,and regulations. Sworn to r me this f � ZJ Sworn to before me this n-Ek 20 day o 20L i e of operry E)wm 4tvut- e o Applicant P ' N, a of r[Y Print Name of Applicant Not EN A NAKANdIN r o Public NOTARY PUBLIC STATE OF NEW YM OICIOCI;b Repistrntion No.OINAD013645 rPtd* SWO of New" - Ouixllfied in Westchester county My Committian Expires 911912021 �www.lw wl���aalrw MM19030� dInOV =COn f■ 3/3/2023 INSPECTIONSTATEWIDE Service With firitegritY 180 Main Street,Fishki 11, NY 12524 1 email:office@swisny.com SWIS JOBAPPLICATION tel 845.202.7224 1 fax 914.219.10621 SWISNY.com I SWISTraining.corn Elect. Permit# � ^ 1 � Date Bldg Permit# Utility ID# Final Certificate# City Villa e Zip O5 Township County eheSt�►- Address .� ; _1 e `� Cross Street Section Block Lot Owner Name/Address(if different than aboveY ' ,� Contact Number (4 WW ❑Basement 1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FL ❑Garage ❑Attic ❑Outside ❑Residential XCommercial 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 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information L-,e_�y>,,}1S e>& e S J 01rirJ O ` OoA C.'f-t i �lS EQC' 1� �W F I MAY 2 0 I'll VILLAGE OF RYE BROOK BUILDING DEPARTMENT 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 dectares that them 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 p Company Name —Be�Ao' e_r_trLe: Date isl-1- Signature Address 14; 'S ]u—iiiIiii, A �- City/Stater &J4 Zip Code License# G ,i U Phone# '! 3 --I0 DState Wide Inspection Services 1080 Main Street JUN 13 2024 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE' BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: officeCd)swisny.com _.._.____._.._-_.__.._._.-__.___.__....__._,. Website: www.swisnv.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: La Bella Electric Inc. WinRidge Realty Jerry La Bella 172 South Ridge Street 145 South Main Street Rye Brook, NY 10573 Port Chester, NY 10573 Located at: 172 South Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP24-102 141.35 2 36 Certificate Number:2024-3750 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: 172 South Ridge Street, Rye Brook, NY 10573 The Kitchen 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 12th of June 2024. Name Quantity Rating Circuit Type Wiring of Hood Fans &Controls 01 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.