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Home My WebLink AboutEP25-017 _ a h x 0 N W c LAN Ln A W H VCA a w a a�i w • M DP6�1 0 • v z s ' H w o _ A . zeq� Wor Ha �jz 0 00 ze- ram ' w V W 0 cn w W vi w 1900 o00 z H a\o O o �c°Dz U) z wOEM( W ee' A c " >+ o M V = �y w z04 DO zz u) a 0-4 wa �' L6 g H O o w z 6 ON A � w O : a BR BUIL E MENT D VIL E OF RYE OK 938 KfN ET RYE B ,NY 10573 JAN 2 4 2M ' Ov VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATION BUILDING DEPARTMENT Westchester County Master Electricians License Required J FOR OFFICE USE LY RP#: EP#: l Approval Date: Permit Fee: $ Approval Signature: 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 CO T OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, 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: 11 D09-�Q t (��4een5 Dp-we- (,�i✓s+ SBL: �r�lr f '�—� Zone:�u� 2.Property O err k S I Address: �(Q I e;1-4P6n5 o ml j Phone#: D ` Cell#: email: 5 t r 3.Master Electrician/Licensed Installer: SE IFT2alet r' , / Address:y Lic. #: Phone#: Cell #�: ,i,�� 'I9(0^�00 `AT�e�mail: � ,[ QrLC� i�1Y�lliCt�+/? Company Name: r`j ��}�1C��(�,n K+� / ddress; !V t�G[J?��j,l./1 fe 17� r,()P N`I�� t 4.Proposed Electrical Work/Fixture Count: -CO �� M 124!PQr\+ rn.A(A Cat &RAA 5.3'Party Electrical Inspection Agency: l �J *****n,►*********�*�xxxxxx��x��xxxx�,x„xxx,.x*,��**,�*xK, ;,�Rx,�xxx,xxxx, „xx, x, xxxx,nr:�xrrxrxxxnxnxxx,, ,riri*:�*�x 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 nante of individual si Wing as the apph tl state that(s)he is the L1ne IS V 44 for the 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. Sworn to before me this z Sworn to me this S"" day of r ti�v ,2 2 S ANA i MARTINS day of t t a Z Notary public-State of New York NO.OIMA6396946 ° Qualified in Westchester County Signature of. roperty Owner My Commission Expires Aug 26, 2027 '- g icant Print of Property Owner JENNIFER DUGAN Print Name of Applicant NOTARY PUBLIC,State of New York (,r No.O1 DU6130798 Notary Public Ouatified in Westchester County Notary Publfc Commission Expires,luly25,2 6/l/2024 STATE WIDE INSPECTION SERVICES, INC. Service Willi ljite.1�1-1�v 0:0 • • SWIS JOB APPLICATION1. • • Oifice Use Elect. Permit# �P � �r 7 Date 1/24/25 Bldg Permit # Sq Ft Plumbing Permit# Final Certificate# City/Village Rye Brook Zip 10573 Building Dept. County Address 9 Doral Green Drive W Cross Street Section Block Lot Owner Name J Address(If different than above Samual Smith Contact Number ❑Basement []1st FL ❑ 2nd FI. ❑3rd FI. ❑More Than 3 FL. ❑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 I Transfer Switch SERVICE Amperage »Panels IP 3P Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID#r []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 Scope of Work QN Q li ca P-, Ck LAI 2 4 2025 DD 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,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address frank.pselectric@gmail.com Name Frank Veltri License # E 118 Date 1/24/25 Signature )f . Address 4 New King St. Suite 150 City/State White Plains, NY ip Code 10604 Company PS Electric Phone # 914-455-8025 R 7;� � State Wide Inspection Services 1080 Main Street FEB 19 2025 Fishkill, NY 12524 TOW US 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPAR T IVIENT 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: P.S. Electrical Contracting Samual Smith 4 New King Street,Suite 150 9 Doral Green Drive W White Plains, NY 10604 Rye Brook, NY 10573 Located at:9 Doral Green Drive W, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-017 129.34 1 29 Certificate Number: 2025-1055 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: 9 Doral Green Drive W, Rye Brook, NY 10573 The Exterior 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 19"' Day of February 2025. Name Quantity Rating Circuit Type Meter Pan & Main Disconnect Switch Replacement Only. ot—.II14-Act,.....__ 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.