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HomeMy WebLinkAboutEP24-149 a E a a = S n Q1 a N N W n N N a N � � I� A" ' . 40 v W '" rq O � a tn 4! x i-� en W $ Q 4 O ho W CV a w010 : V. O �+ w N W ,.., �, A w � Q4-4 mt : cs p 000 ] _ V Z � ZO � O E oho `� cn W z z !� M � Q-i/ � � � � W � A O4 � � 7� �i z � � W W w o V z ° x = c� o W Z w 0 A O � G4 x 1 a I Q I -1 41 w a E a n ¢� BiJILiY NT D VILLA GF OF RYE Li'_'Oo 938 K11vG S"1REl;T RYE BRUUK,NY 10573 J U L 15 2024 (912ty'939-0668 ww _ryebrooka%goy VILLAGE OF RYE BROOK ELECTRICAL PERMIT APFLICATION BUILDING DEPARTMENT Westchester County Master Electricians License Reanired�/ / L� Approval Date: 1 i Z-O Z Permit Fee:$ Approval Signature: 1-ta Other: ##�#tr+tr+r� rg:�:#ors###########################'#####t#•#d#d###xx#x###**#k#etc#*###t*#'###*##'�###### DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUF,D BY THE BUILDIN(; INSPECTOR. THE ADMINLSTRATIVE FEE FOIt WORK PROGRESSED Olt COMPLETED WITHOUT A PERMIT IS 12°/4 OF THF. TOTAL COST OF t"ONSTRUMON WITH A MININIt_INI FEE OF S750.t), Application dated, 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 t performed will be in conformance with all applicable Federal,State,County and Local Codes. L Address: 16 MILESTONE RD �ej/P C3rU0 MY 10573 SBL: 124.55- 1-73 Zone: 2.Property Owner: ROBERT LBO Address: 16 MILESTONE UD PORT CHESTER NY 10573 Phone#: 917-848-9790 Cell#: _ email: DX1DOC6i)YAHO0.COM 3.Master Electrician/Licensed Installer ANTONIO FERRAO Address: 3131.11GI oDOE CT PEEK SSE L NY 10%6 Lic.#: 780 Phone#: 347-595-0913 Cell#: 347-585-0913 email:FERRA.OANTON1001101MAIL.COM Coatp®ny Name: ANTONIO FERRAO ELECTRIC Address.313 HIGHRIDGE CT PT. S'I R;' 10°GL 4.Proposed Electrical woruFuftre Count:WIRE EV CHARGER 5.3'Patty Electrical Inspection Agency: STATE W)DE INSPECTION SERVICES M ++ais.,{f****f.•****9:t++t!k**vk**k*l�ti***$x•}a`+kF>k ak f.*:kt.?•#Rrtkt*]Fk1hR*f?elF+t:Ft,l••k'k kk�1F 7*�'.k**'k:F#�,-ir:t:twt xf.*kRi::k x•�h'k:;�S�i`. STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: _ANTONIO FERRAO ,being duly swom,deposes and states that hdshe is the applicant above named.and does further (print name ofindividual sienna as the anolieant° slat-that(s)hc is the MAC-STER EL ECTRICL N for the legal owner and is duly authorized to make and file this applicadou. (Master Electrician I Licensed Installer) The undersigned further states that al I statements contained herein are true to the best of hisiber Imowledge and belief,and that any wor tder performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this O v annlirRtittn..-no in arty accompany i:.g approved p,!:r;_A..r:_'�^��^^4,as well as in accordance with the New York State Uniform Fi Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. WPM Swath to this Sworn to me this 6 p0 ;3 6 C A fin day of ate._ day of ,20 G a z�. signatu t t Signature of Applt nt O ANTONIO FERRA ROBERT LIMB Print Name of Property Owner JACQUEL NE A VERE Print Name of Applic t NOTARY PUBLIC,STATE OF NEW YORK Chi egisttalion No.01 VEb370616 z Notary Publi Qualified in Dutchess County Notary Pa is fission Expires February S,2026 u°nrnn INSPECTIONSTATEWIDE Service With Iii1egrity 0•0 APPLICATIONSWIIJ JOB 0. Office Use Elect.Permit# Date Bldg Permit# Utility ID# Final Certificate# City/Village zip `© 15 -73 1-61 1) Couny/#7s/2 Address Vo L Cross Sectk Block fl r 3 Owner Name/Address(if different than above) rZD 6 ff'e—"T— Contact Number q C 7 , �V�, (i '7 ❑Basement st FL ❑2nd A. ❑3rd FI. ❑More Than 3 Fl. Garage ❑Attic ❑Outside esidential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Flood 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 17- & `✓ C � 2 LS� IE �W[E J U L 15 2024 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 forthe 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 140C oil 0 ' Qvk4o to Signature Addre{� t �"l[� i & C9 J p� City/Sta A,c 1 r L'L Zip Code License## J f Phone# �fJV 7�t (� State Wide Inspection Services cjkl) 1080 Main Street JUL 31 2024 Fishkill, NY 12524 s%V U� 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: officeCcbswisny.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: Antonio Ferrao Electric Robert Limb&Wendy Min 313 Highridge Court 16 Milestone Road Peekskill, NY 10566 Rye Brook, NY 10573 Located at: 16 Milestone Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-149 124.65 1 73 Certificate Number:2024-4796 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: 16 Milestone Road, Rye Brook, NY 10573 The Utility Room &Garage 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 30`h Day of July 2024. Name Quantity Rating Circuit Type EV Charger 01 Officer: Frank 1. 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.