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HomeMy WebLinkAboutEP25-023 x M : O :n � 6d N W QI N N M C it / 14 O It W Iz 00 wLn00 eq A � � N fu- o00 v C!� F \ a � 3a U Z ■ CA z , � © ■ r h Mai {rJ cn � as �-.� 0.' � � ■ CN 00 1d C7 c� � � °� � �'j � y A V ■ 1� V p a a 3 C) zz go v C� V CA z a � Le; H ►-1 v o w z � A c� A a � o � A a z o � BUIL DE MENT VR, E OF RYE OK BAN 2 7 2025 938 KING ET RYE B ,NY 10573 014) VILLAGE OF RYE BROOK wvviv ny.gov BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: C�) D Approval Date: 1 n\ Permit Fee: S Approval Signature: Other: DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED By 'rHE 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,J—a7-cS 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: / SBLi/, Zone:/<7-0 � 2.Property Owner: / J?A01 Aly vjm e 60 R 16CG we0Q r( Phone#: 4114 709 02. (.S Cell#: email: ./3' R,%an d bouf dlE s nc'Vmlogo 3.Master Electrician/Licensed Ins llcr: Ifs jl l noT0 n ontQl! �Address: S 1l VA psr4 Lic.#:*20 41 Pho #: /?I f�.56 3 Cell#: email: n ff L GJWd A V6: 'COS Company Name: ljS W 111f V 66117-0 CEr 1141 L Address: 3 0 t; ( A l- gu D2A Ivy 4.Proposed Electrica Work/Fix a Count: 5.31 Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the for the legal owner and is duty 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. Sworn to-before me this 471 Sworn to before me this d of b ,20,alS day of 20 Signature of Property Owner Signature of icant � Itil,nt ame of Pro erty OT Prin lame of Applicant EI 1 t il N �"61%atOOf New T09KNotary No.0jME6160063 '512Y M.RIVERA Quallfled In Westchester County —7 Netary Public,State of New York 6/l/2024 Commission Expires la nary 29.20 Z / No.01RIG44139B Qualified in Westchester County Commission Expires September 26,2 STATE WIDE INSPECTION Service With liirlegri�y 1.1 • • SWIS JOB APPLICATION12.7224 1 fax 914.219.1062 1 SWISNY.coml • Office Use Elect. Permit# C.� 1 C- Date Bldg Permit# Sq Ft Plumbing Permit# Final Certificate# City/Village YX6 eaclo le Zip Building Dept. County Address 666A OjXC 161 Cross Street Section Block Lot Owner Name/Address(If different than above)✓8 &A 9 LOA !E FUE ��F �LC JQ Contact Number d'// �7 ©2- !I- Basement ❑ 1st Fl. ❑ 2nd FI. ❑/13rrdFl. ❑More Than 3 FI. [:]Garage ❑Attic ❑Outside Residential ❑Commercial yn Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Over(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer switch SERVICE Amperagc "Panels 1P 3P # Meters It Disconnect ❑Underground ❑New ❑ Reconnect ❑ Repair ❑Overhead ❑Upgrade ❑ 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 e7 v tUE2C �b ��cr2�c;,�n , r -- _ ID JAN 2 7 2025 ' t VILLAGE OF RYE BROOK BUILDING DEPART MENT This application rs valid for one(1)year from the date recelveci 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 ar_ authorized to make the inspection and adyust 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 agree;to all the above terms and ondiittionstas stet forth for the application. ,�1 Email Address 1�v r� �!i P W kJ R�h�"� • Name ��ll, 0 h r�il),'� Lir_ense it 2 4041 Date 0 2 Signature ii Address —3 1- F �C A�� 1 City/State QWv2�E ^/ Zi Code '(' 3 Z Company W_[p ;n RI/1'�c�` T�f G Phone# Q — 1k QyE BRC��, cu � 1982 BUILDING DEPARTMENT UILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: `�] C A-\ DATE: L1 Z'7 PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: � .1� t"l - U}� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED b/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS L-5 CLkC A I ❑ L.P. GAS \ I (� ❑ FUEL TANK V . G ❑ FIRE SPRINKLER ❑ FINAL PLUMBING c ❑ CROSS CONNECTION �^ OTHER [ �, State Wide Inspection Services cjk--:) 1h 1080 Main Street I ' Fishkill, NY 12524 a Qr FEB 2 0 2025 845 202 7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYc BROOK Email: officeCa�swisny.com Service With Integrity BUILDING DEPARTMENT Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: JPS Wiring Services Lorrie& Brian Funtletder Jose Silva 17 Beechwood Boulevard 313 Elmwood Avenue Rye Brook, NY 10573 Hawthorne, NY 10532 Located at: 17 Beechwood Boulevard, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-023 136.21 1 38 Certificate Number: 2025-0913 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: 17 Beechwood Boulevard, Rye Brook, NY 10573 The Basement: Utility Room 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 12`h day of February 2025. Name Quantity Rating Circuit Type Argo Box for Air Handler Pumps 01 A Visual Inspection of existing conditions was performed on February 12, 2025,of the Basement: Utility Room and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. 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.