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HomeMy WebLinkAboutEP24-222 R S i S S R ` N x = O O z 4-4 4 OC Q L7 s ellv a w ►—► d' fL O a W O W E cq Z r7'� z N w °D _ F=-1 F-�i A N W � C Q a p Q �" U ^ F x Z I 04 A � ir/ w z z z oo z w zz O A V 0-4 / i w i z �� " o u w ` o d <� o �Jc } V w o z © H O U o W zui w W a �I a z BUIL �E E � MENT 2 F.C F v VIL E OF RYE OK JV NOV - 6 2024 DD 938 KIN 'ET RYE B ,NY 10573 VILLAGE OF RYE BROOK S BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION m Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: ` EP #: o �0 0 Approval Date: NOV Permit Fee: $ --PL Approval Signature: Other: DO NO l'S 1 AR'1 WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISS UED BY THE 111 I LDING 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,66, 29,' ,,A s 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 conformancewith all applicable Federal,State,County and Local Codes. y 1.Address:l l'� SBLA Z"1.��- "`Y Zone: 2.Property Owner: Address: 1�� Phone AI C11 'iL _Cell#: email: ` 3.Master Electrician/Licensed Installer: CI.V�� �k ny) _ Address:Eq Q M Lin#:6J Phone#&91 L1WV- C/ ell#: email'.i,!1a)eI ed)A I C& tL`Y'OA Company Name � (!L�y ,Y1 ddress: 0!3 IUC 0 1n ts� 4.Proposed Electrical Work/Fixture Count: 5.3'Party Electrical Inspection Agency: W� 9k 9r**Y**,t lF'Jf,F'k i['lF*ie,t is,F iF**,F eF**k�e,k k,F at,t**is i;i:'X�k�•1P*tk*k>r 9f'k x iM*]:,k tk*k*�`F,F,k,k:k*ie,k,k,k sr'k at,k,F*3c it rF'k at aF,F,k sk�*'X Yt'k'k Y iY r*,k it 9r tlf,k,4 is x*r. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly swum,deposes and states that he/she is the applicant above named,and does further print name 6findivid I ignin=as the app'cant) state that(s)he is the or a 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. la Sworn to before me this Sworn t before me this 1 !-" day of 120 day of ,20 Signature of Property Owner Signattirel6f Appl cant FELICITY FULLER U 1` Print Name of Property Owner Notary Public-State of New Yort Print Name of Applicant No.01FU6425939 Qualified in Westchester Coun Notary Public y Commission Expires 1112=11 Notary Public 6/1/2024 STATE WIDE INSPECTION SERVICES, INC. CAD Service With Integrity 0•0 OFFICE@SWISNY.COKu SWIS JOB APPLICATION tel 845.202.7224 1 fax 914.219.1062 1 SWISNYcoml SWISTRAINING.COa Office Use Elect. Permit# // 11 Datel b Sq Ft Plumbing Permit# Final Certificate # City/Villag Zip �1)- Building Dept. `� County. VVIC Address 1 1l, Ly 1 Cross Street Section Block / Lot L I Owner Name/Addr s(If different than above) 1 p , ` Contact Number 1 T ❑Basement ❑ 15t FL ❑ 2nd FI. ❑3rd Fl.\ ❑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 ]unction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation iD� NOV - 6 2024 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application Is valid for one(t)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 ` >>m Name License# n' Date /L Signature Address U City/State( Zip Code Company r Phone# I _ A DState Wide Inspection Services 1080 Main Street FAIR 2 2 2025 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES I BUILDING DEPARTMENT Email: office@swisny.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: Pinto Electrical Company, Inc Jonathan Harris& Dena Klein Mark Pinto 1 Holly Lane 109 Maple Avenue Rye Brook, NY 10573 Rye, NY 10573 Located at: 1 Holly Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-222 129.59 1 41 Certificate Number: 2024-8698 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: 1 Holly Lane, Rye Brook, NY 10573 The Basement 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 9th day of December 2024. Name Quantity Rating Circuit Type Panel 01 24 Inlet 01 30AMP Interlock 01 AFCI breakers 03 15AMP Receptacles 07 Luminaires it Switch 01 C/O Smoke Detectors 01 A Visual Inspection of existing conditions was performed on December 91h, 2024,of the Basement and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. 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. Y AFFIDAVIT IN SUPPORT OF FEE WAIVER RELATED TO HURRICANE IDA STATE OF N COUNTY OF _ (insert name), being duly sworn, deposes and says 1. 1 am the applicant for a Building Permit /Certificate of Occupancy / Demolition Permit - ec rival Permi Plumbing Permit/ Fence & Wall Permit Mechanical Permit % Pod Permit (circle all that apply) 2. I am the legal owner of property located at c A Co o� Rye Brook, New York (insert street address) OR 1 am the (Arc hitect/Contractor/Engineer/Attorney) (circle one) for the legal owner of property located at , Rye Brook, New York and I am duly authorized by property owner .q to make and file the accompanying application. 3. The following is a description of(1) the work to be performed under the permit for which 1 am applying; and (2) how the work arose as a direct result of Hurricane Ida: 4. The work described herein arose as a direct result of Hurricane Ida and does not include Work which was not caused by Hurricane Ida. Sworn to before me this '— ay o Notary Public r E l r�I SHARI rYIELILLO '—' Notary Public, State of New York No. 01 ME6160063 SEP 17 2021 J Oualified in Westchester County y� Commission Exoires J- iaary 29,20 VILLAGE OF RYE BROOK BUILDiNG DEPARTMENT