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Home My WebLink AboutEP24-211 : Un N s w W CL U CJ - p., bA W = ■ ��// 00 00 O m ■ W N 6 spc� cn W � oa ■ _ ■ F-� o > W o v p N = WW+ Z Q z o w w U F� = w N w O 4 W 00En d � z w w W Cl) w w o � �n c A x z z N po rr FFyy oo 1-4 dr w H a U z7 ~ U ZryV ��j C�" Cn w F- p O H en x O � cN oo A � cn w z w ] > w x 0-4x w z w °�' ° o a N _ W z H w p �, _ w � 04 o x H _ z H A may, ° oo U V w p 0-4 V, w U C p ' x u © w z = W I ■ N z - N A w a a � �I a z w 0n B1111,I)ING DFTI ly'mrrn. OCT 2 3 2024 1'l 1.1�ttt�1;�1r litF; '1kut�tc 918K1\rAl1 1 Ittl 1313 '0� NY I0573 VILLAGE OF RYE BROOK (0i tol„ Ord BUILDING DEPARTMENT +ttti�• �1,l+ tsl�tt, y s E.LLL I RIC 11 Pf,10111 AI'1'IACA t_I_UN t\oichectct (mitil) Mnstct N lectrician4 I iceme Requires! /0� '- � 1j Approval Date: OCT 2 I'ernril I ee:S YC<D 1ppruval*';tlznattisra. Other; - — .•••r••►••r.•.••rr••r••t1r•rlrtr•rr• rrrN•••fr•rr•r•r•••••Ir•••♦1.1••N•/r•If rr•••••fe••If••�1• • ti L LQ 11 \ I hl__il�-1 Pt R'1t 1 11AS 101N ISSI 1.1)BY_TI-IF fit II_UI_ (, Iti _OF TH �11t t�E� 4 1,• F !; %"if IR�:_I�RO(` tSCt U OR CO\IPI.t l f It%t IT110 1"'1 PL0111 1 12 UP"rHi'. �I. f`(l�'f t}F Q,�S'TRII("1'IO\H'fTII A AIINI!\tII,V FFt.4F 37SO.t){; `kpplscaaon dat s hereby made to the Building Inspector of the Village of Rye Brook NY, for the'ssuancc of a Permit to in: I and/or o ec cal equipment,wiring,fixtures,or to perform other high or low voltage electrical w rk as per the d=led sraIMMI described below By signing this document, the applicant & property owner agee that all clectrical work povormed will be to conformance with all applicable Federal,State,County and Local Codes Q l.,�ddrec, T'^t`c�C�-�� }, SBL �a d — — 3 Zone/e_.N_1 _ 1 Propem Owner / �� I t / ►�'!/�f/-� Address: 2� � 1*t6 l r. tp email L h^L "��o r 3.A4asier©ecdrici /Licensed I n staller. ddress lic r�hone Company Name- 2/2 ` ddress -2 !� d.Proposed Ellectrical Work/Fixture d.nl. S.3'!Parry Electrical Inspection Agency,_ l✓C J� S •r.•:u•u.•.rru..........u.u•r.uu•uu...•...*as ee•..•lease sales a••*Sam .eeea•u Reseal r...•.e.■see STATE OF NEW Y�O,RK,COUNTY OF WESTCMTER ) as G-�- Z'4 h�iJ �/t mfof-besng duh sitiom,depmcs and states that IrJshe is the applicant above named,and does furth:r s fCi.,e.K of iodr�•�dc>,]si�y ga�'•e,pt�t�+ey�� st brat(s)hc is the 77Cr�tli7�u �N` ��or the legal owner and is duly authorized to makc and file this application (Amster li �c'a � the undcrst&scd further stairs dial all surcments contained herein are true to the bat of his/her knowledge and belief,and that mrty«or performed.or use conduc"at the above captioned property will be in conformanec with the details as set forth and contained in this application and in am accompanying rpproved plans and specifications,as well as in accordance itiith the New York State Uniform Ftrc Ptetcnuon&Building Code,the Code of the Village of Ryc Brook and all other applicable latirs,ordinances,and regulations. Sworn to before;m is :1;3q Sworn to before me this day of 20 day ooff ,20 ` Signature of Prope O v ter �• •.• GwId" 'ignature of Applicant m� Pant\. 1 Pr . +, .�f ''•e•�'%�f �°�� Print NanteofA !leant ' Notaq Pub l JOHN DEDUFOUR Notary Public,State of Connecticut ------�- My Commission Expires February 28,2027 STATE WIDE INSPECTION SERVICES, INC. Service Willi liilegri�v 1:1 i i SWIS JOB APPLICATIONF 914.219.1062i Office Use Elect. Permit# � Dater Bldg Permit# Sq Ft Plumbing Permit# Final Certificate# City/Village ?�/ Zip j� Building Dept.Z County J � Address / �� i Cross Street Section Block Lot Owner Name J Address(If different than above) Contact Number ❑Basement ❑ 1st FI, ❑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 1:1 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 W-5 Q EdW/ r-0 OCT 23 2024J V _ I VILLAGE OF RYE BI;UGK BUILDING DEPA.R;lt9-NT I This application is valid for one tt j 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 asset forth for the application. " Email Address � � Name License# Date �� Signatu Address �� ' City/s4ite ),. Zip Code (� Company Phone# .