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HomeMy WebLinkAboutEP21-314 s r4 K1 a ' W-1 s QI r, ' � a F c e � WfYr. •��r U � w a ■ a. W O r+ ae � � ■ 00 J U ' C 'Q a tf ■ � � O Q � U N o � � • U) ■ Q -cc) a � Q d Q = e w j rwn � o 'nc a • O F" z M w C ■ � Q � `Y' r--� W a -- U � � c � ■ n" F � rn a w > o aWa 00 E- a o a � N Ia1 064 04 M.O.G% x � yC BRC�v BUIL E MENT DD VEL E OF RYE OK NOV 3 0 2021 938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK (914)9 939-5801 BUILDING DEPARTMENT .or _ _ ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: —,3 /I 4 r Approval Date: DEC — 2 2021 Approval Signature: N Permit Fee: S Z� Disapproved: Other: (fees are non-refundable) Application dated,// ,3 D Q1 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install an or remove electrical equipment, wiring, fixtures ,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. I.Address: Z�R 1el[A 1,r 1�,r0c d, lW, CxC4 SBL:1 21�4,'45-- I Zone /duV 2.Property Owner: f 60 no a. Address: T_Lo &--tW-4C(t r oad, +(,r� _ Grocl)'' Phone#; �{(fir , � `Stil( Cell#: email:f73 q 3.Master Electrician: eri i Address: Lie.4:6 Phone#: Cell#:J I�� 77--n email: Company Name: f t EQQ1J etC Address: Sh 4.Proposed Electrical Work/Fixture Count: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Qk ,,:�p Ieju a ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name otindividual signing as the applicant) p state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the F(,(n� c� cNl for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) 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 Wu Sworn to befor me this mb y day f 20 day of Z 20 Z- StgnatufF of Property Owner S' ature plicanyl Print l me o roperty Owner Prin,Y a o�ra►pplicant O he / No i9opher M.Bova Christopher M.Bova {� lotary Public,State of New York Notary Public,State of New York ho.01 B06383345 01 B06383345 ! ed in Westchester County ii.ed ig)Westchester County _.Jn Expires November 13,2022 November 13,2022 1/5/16 STATEWIDE INSPECTION SERVICES, INC. Service With Ittlegrity 0•0 SWIS JOBAPPLICATION0. Office Use Elect. Permit# Data! --30 Bldg Permit# Llility ID # Final Certificate If City/Village Zip Townshi - Cou t Address j l �t �p Cros tr t c o Block Lo Owner Name/Address of different than above) &U'+ Contact Numb qii, 2 h? ❑Basement ❑1st FL ❑2nd FL ❑3rd FL ❑More Than 3 FL [:]Garage ❑Attic ❑Outside idential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cocktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage t P 13P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information G .� trsic:., C0yyT6Q 0rn{� NOV 3 0 2021 I --_ 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 declares that.there is no open applications for the above address with any other inspection company.The applicant,avmer or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name ( ` e '� G Date Signature Address y nnn I o City/State j� Zip Code License# s k a Phone# L/� _ZI y) State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone 914-2194-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: officeAswisny.com W Service With /ntegNty ebsite: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Spirelli Electric Inc. Amand & Ravi Jha Patsy F.Spirelli 26 Bellefair Road 990 East Main Street Rye Brook, NY 10573 Shrub Oak, NY 1OS88 Located at:26 Bellefair Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP21-314 124.73 � 59 Certificate Number: 2022-0057 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:26 Bellefair Road, Rye Brook, NY 10573 The Garage 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 7th day of January 2022. Name Quantity Rating Circuit Type Tesla Wall Connector 01 50AMP 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.