Loading...
HomeMy WebLinkAboutEP25-025 �4449449c9t 4 4 4� 44441A04-;u4i4A41494 All f Q46-1441 4&444611 a s s Ln a N Q Ln o N w N N OO = N N N O N N Ln h a ^ W H w w � Q �1 0-4 _ o z a " w H o o x Ln H s � z z w �i W � � w •A � n z a Woo C% a U © v ` U Za cn 0-0 00 U _ MC\ CY Gard zo W xU IwoCA n o w z w � o � ° p H z w 4 EDR R IEC 11 BUIL EI MENT BAH 2 8 2025 VIL E OF RYE BROOK I ] 938 KIN ET RYE B ) i- ,NY 10573 VILLAGE OF RYE BROOK �0 BUILDING DEPARTMENT �`- V ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required /� \ FOR OFFICE USE ONLY BP#: EP#: 0 5-r D dT Approval Date: Z Permit Fee: $ Approval Signatur • 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, 7/ Z 5' 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 performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: IS o IIS ���,�,t"dlC,,fpp,�,�W PqgbVC'-�d S�3 SBeL: iip qy ,,,//��Z7 - 1 (o Zone: 2.Property Owner:I"Nye F-I;t q Lif, Address: � be Fes► E E" z Phone#:IA-IVI-4%u5 Cell#: email: K-RALr-VJP A1b6F, UM 3.Master Electrician/Licensed Installer: f 0C G U 11 cri Address: 111►3,()y 41. 151 OAL c t 1 17 t/ Lic.#: 7-)c Phone#:&*- ell#:-'�/(, - 3r7 --7CS � email:��CC.w�1GnerJ7CufaCrtlrCt'f�t+e+ t. Mail Company Namc: S j-A t (C rl + a l 5 t v (x r Inl • Address: Sf,t.,- (, 4 C. xV C ' 4.Proposed Electrical Work/Fixture Count: C i.m S' I t! lry --) j f ca 5Lou oC1t a �<<�t`t j• 5.31 Party Electrical Inspection Agency: STATE OF=0UNTY OF WETER ) as: S being duly sworn,deposes and states that he/she is the applicant above named,and does further (pri t)rnindividual si ling as the a�m , state at co(sJhe is the c�y�Sl if '111C1�r�for the legal owner and is duly authorized to make and file this application. ( ast r 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. I Sworn to efore me this 2tj1% Sworn to b9fore me this '�7 day o ,20 -9-C _ day of )CI 'A 20 Z Si ature of Pr perty owik A00iT t atu pplic Print N Pr rty j Prink Ninne of Applicant r1 ublic RXIIARD I Notary Public.State o1 New York 611=4 NOT RY P IC,STATE OF No.O1 B0 Suffolk 1 I Qualified In Suffokit County Registration No.01YA0013323 M Comm.Expires July 5,2026 Qualified in Westchester County STATE WIDE INSPECTION SERVICES, INC. swisJOB APPLICATIONf 0. Office Use Elect.Permit# ���' U�s Date Bldg Permit# Sy Ft Temp# Utility ID# Final Certificate# City/Village , - zip �, 7 Township u Moss p _Cf ss Stree Se1c(f{t. -� Block Lot Owner Name/Addres c �tCtt�a a r, (r}I� Cuntdcl Nunlber c` _ 0 8asement �st FI. ❑`12nd FI C]3rd FI. E]More Than 3 FI 0 Garage Attic 0 Outside (Q Residential `Din-mmercjal Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Anil Amps Range Isi Cooktop Isl Oven(0 Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage t P 3P #Meters #Disconnect Underground New Reconnect ®Overhead ❑Change Visual Re-Inspection Safety Re-Inspection ❑ Re-Inspection Additional Information V li 5 4 G Ccv e S. I co tx�x S L� ��% �I JAN 2 8 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT I This appheat cm is valid for tine Iq yea,ftom the date received by SMS This application is intended to covet the above listed items robe inspected,J 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,nspected.The applicant declares that there is no open apphcatmns lot the above address with any other mriection company The apsaticantowner or authorized agent agrees to all the above terms and conditions as set forth for the applwatton. Inspector El Date Finalized Inspector* %` 111 Elcc I cai �( lrl u-, oc Date /I ZZ.-kf 2S 5 ure��` ---- A r �r ' C lty/State r a Zip Code 7 f ! License# � ID# Phone#KaSI - -7 c (4,SS -7 R IEC IEW DState Wide Inspection Services 1080 Main Street C-A�111MAR — 6 2025 Fishkill, NY 12524 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPE(7TION SE11VICES 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: SRM Electrical Service, Inc Chase Bank Raymond McQuillan 150 South Ridge Street 111 Bridge Road, Ste. 101 Rye Brook, NY 10573 Islandia, NY 11749 Located at: 150 South Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-025 141.27 11 1 6 Certificate Number:2025-0877 Building Permit Number: A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 150 South Ridge Street, Rye Brook, NY 10573 The First Floor 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 11`h Day of February 2025. Name Quantity Rating Circuit Type Receptacles 10 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.