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HomeMy WebLinkAboutEP25-058 _ 00 _ _ L _ C) N N w ■ W �+ O = N N u a W � z a � _ 110, Ln 00 W %,0 �j U z c°� z 1-11 CA o w 1104 � U O � � x Q V : p z a A z 7, OC z z _ : W O H H = a o U W 0 cn w v w o z x cn W p O 1 O ao = w U W z w i ocn 00 A w w P. �R , r� BUIL ANC DEPAR' 'MENT E C �� D VIL k4 OF RYE BROOK 938 Klly (tI T Rvl131zcx.lc,NY 10573 I FEB 2 4 2025 t94) 939-0668 W._!ycbrookny.wy VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATION--[3U--ILDING DEPARTMENT - Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: EP#: C-)`� r Approval Date: % Permit Fee: Approval Signature: Other: 4 ,50� `f 00e-k 0 lciae--�U 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, c) L 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: 18 Beacon Lane SBL: 1,3J (6 "'ll—CP� Zone: 2.Property Owner: a ealt LLC Address: PO Box 2 Purchase 1 577 Phone#: Cell#: email: dan desi nbldr.com 3.Master Electrician/Licensed Installer: I Khaled Mu attash I Address: Lie.#: ® Phone#: -476-1624 Cell#: 914-760-0663 email: file macintoshelectric.com Company Name: IMacintosh ectnc or Address: 1595 Nepperhan Ave Yonkers, NY 10703 4.Proposed Electrical Work/Fixture Count: fZemove the ilte al hook u`certifV that the main house panel is in proper working con Ilion&remove stop work order.Violations 1-2025&2-2025. 5.3'Party Electrical Inspection Agency: 'la% STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Khaled Mu attar ,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 Imaster Electrician I for the legal owner and is duly authorized to make and rile 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 bb in conformance-with the details 4f,set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance withthe New York State Uniform Fire Prevention&Building Code,the Code of the Villa ,ordinances,and regulations. IN U NotSworn before me this P •[-- - - - — SNofiilw Ytttlt Sw to 'fore me this �,�h day o 20',�iS t B1 7 da f 20 Qualified in WeistCheB r r i My Commission tixpires' Signature of Property Owner Applic nt c cr �„ o r Print Name of Property Owner NOTARY PUBLIC,ST,4TF OF` me f Applicant Registration. No.02CA001�2 � Qualified in u'estcbester County Rotary-Puloi V Commission Expires 10/28/2 t ry Pu is 6/l/2024 STATE WIDE INSPECTION SERVICES, INC. Service Willi Integrily 0•0 OFFICEea SWISNY.COM SWIS JOB APPLICATION • • Office Use Elect. Permit# �% % Date *4 Bldg Permit# Sq Ft `7 J Plumbing Permit# Final Certificate # City/Village Iq �r Zip Building Dept. County Address V Cross Street Section Block Lot Owner Name J Address(If different than above) /71� /f < Contact Nu r _ � _.``Z C' ❑Basement 1st Fl. ❑2nd FI. /❑3rd FL ❑More an 3 FI. ❑Garage ❑Attic ❑Outside I enttiial [:]commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer switch SERVICE Amperage #Panels I 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 Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑consultation i FEB 2 4 2025 9 L-____� VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one 01 year from the date received by 5WIS.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 r �` License# Date '2 -- fgnature Address / C� City J State ©� Zip Code �� J Company G �' Phone#