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HomeMy WebLinkAboutEP24-127 . _ ,- a o o m o v NN N a N N = A U f f bA I-1 = w Z orq od act O ° � N W p $ pi Q : 'Itt go © w o OZ '.116 V x U w w z O cO _� z _ w z o w " ; O W WQ V = � � z a o z � H U � �' V W A © � ad . W = v8 '� Z M z 4. 0 p z W a w z 403, W `� ° a oM ' a a" w W. 0-4 xP a = BUIL ING DE MENT VIL `.A.E:E OF RYE OK p E C IE I� V IF 938 KIN;STR FFT RYE B NY 10573 -4 g JINN 14 2024 ELECTRICAL PERMIT APPLICATION VILLAGE OF RYE BROOK BUILDING DEPARTMENT Westchester County Master Electricians License Require FOR OFFICE USE ONLY BP#: EP#: c;), J C�) 7 Approval Date: 'h- 22 1 -1 Zr O Z y Permit Fee: S_ 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$750.00 Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install /or remove electrical equipment,wiring, fixtures, or to perform other high or low volta and ge 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 wiitrth all applicable Federal,State,County and Local Codes. I.Address: 1.(2(2 KING t`�T. SBL: /��1.Ala-/' zone: 2.Property Owner:s'r✓1_-__FjBiZA L ajjTt66jEsTcg:gi5iP 2Address: II Ki Llq"5;5 'P-v a� Phone#: (fi 1�1 } `�- as no Cell#:Aw'1�Cb ;� Y'�c email: ,� 3.Master Electrician/Licensed Installer: G&NZA4' - Address: q0 r -AN-M y1 Lic.#: 170 Phone#:(q14�-4 a-01 O Cell#: email: .17yn=A� 2�� r . Cn Company Name: Cn F_UF'r-_z is r al.C<. Address: qa La c 1. NY wn? 4.Proposed Electrical Work/Fixture Count: Rdlt511 Aare -t�15T1`ILt.- ( 7? l\ $(b aG S (n, 5.3'Party Electrical Inspection Agency: L'5 W.l 6 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: AnAes (--;o.-t-e a k z .being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the M.A$r6e ECECTiPl C Xde 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 Sworn to before meis day of ,20 CLARA RW0U � day of ,20 TARY Pusuc,STATE OF NEW YORK Registration No.01MA0024523 ` Signature of Property Owner alter in ter CountySignatur of pplicant Commission 9,20 Print Name of Property Owner Print Name o pp t .... 4 U;JA" Notary Public Notaif lc 6n/2o24 STATE WIDE INSPECTION SERVICES, INC. CA0 Service Witit Integrity 0 • • • SWIS . : APPLICATION tel 845.202.7224 1 fax 914.219.1062 • Office Use Elect. Permit# / Date G1 I3 12azti Bldg Permit# Sq Ft Plumbing Permit# Final Certificate# Ci /Village / Zip Building Dept. Cou e —GNP Addres Cross Street Section! y Block Lot3 Owner Name J Address(if different than above} Contact Number �S or" c's y Z92-0 I FO ❑Basement ❑ 1st FI. ❑2nd Fl. ❑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 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 - III,tArA ls� 119 +CL- I �MI.rf �nC� ( 0."l � �O-C-+K-S irl �aceVie rill, t IECE �V/ E J U N 14 2024 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application Is valid for one 11)year from the date received by SWIS.This application is 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 as set forth for the application. Email Address S' TO Lr=C.-rp.kc—N Name Allinxce, Q NzA LZ--'— License# — Date 6l13 e f Signature Address l�r� N City/State ; [A Zip Code 110 q Company `l V G Q# �N Phone # 2 -1 (,„� ((_� (I - I� State Wide Inspection Services CAC) �� �_;l'`!j I_ C \�� L 1080 Main Street r�� I Fishkill, NY 12524 44�U a JUL 15 2024 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office(c swisny.com VILLAGE OF RYE BROOK Website: www.swisny.com service With /ntegrlty BUILDING DEPARTMENT BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: AG Electric Inc Cerebral Palsy of Westchester Andres Gonzalez 1186 King Street 40 Rutland Street Rye Brook, NY 10573 Mount Kisco, NY 10549 Located at: 1186 King Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP24-127 124.48 1 Certificate Number: 2024-4351 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: 1186 King Street, Rye Brook, NY 10573 The Storage Room 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 loth day of July 2024. Name Quantity Rating Circuit Type Emergency Wall Packs 04 ;I 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.