HomeMy WebLinkAboutEP25-076 s
�D
O
N N
N � �
En
93 v
R+ Iz ci [i
N i-r rA p
M�-1 �► �, Ln
U q
- �-I r \p
en
r1--1 00
zLn
�r, a
ON
Cl) =
00
e.'00
o
� W O U w z p O PLO
CA
ro Z H w u' w w z Z =
�
U Z 04
A o
a z °
M
x
1-4
►� w o x H x
o 0 0
w
Ud
V O W z
~
•• 0. W w
FF,1
13t!li.ui�lr, l�r�,l'r11t�i'MM:Iv•r� MA 1 2025
ol; Iry i,: Itl{(F(m
938 KINORTA1 I T HYI; Illts)(w,NY 10573 VILLAGE OF RYE BROOK
(�14)93r)'tlt'6!� BUILDING DEPARTMENT
E,i.I;C� lti(;A1, 1'I�,It,1111' AI'I'i,ICA7'iOV
Westchrster Couttly Nl9ster N: ctrlclani Lkenie Required
k`(?12(11> Fl('b:USE clNl.Y It('a; .77
Approval Date: �2� 2 G Permlt Fee:S r
Approval Signature: Other: .S�i(-
•••r•r•rr►rrrssrasrr#•sssssssssssrsssrsrsssrss!!r rslrrsrsssssssirrersssNsssssssssssssrssssrsrss!
Ili)\t)T�1 �kl 11Ok!i car('(1ti11 k1'(:l IO,N 1'N F Ii..% pt R\II1 11 kS ll .EN ISSI Ell IiY TIIF "I111 r)IN(, INSPI'(.. r(lR,
lltt t,p�11\IS1 K�111 F h!k 1�Olt NC)kK PKO(;RF SS}U(lit( u111,I4.I LU w I I II(ll f ,% PF:K\II i t5 12' OF ftlF.
1411.�1.(()til (ll ( (155Ik1( I1(lN Nt1l1 ,1 \IININlt \11+1.01- 750-Oil
Application dated, 3 � Z5 is hereby made to the Building Inspector of the Village of Rye Brook NY. for the issuance of
a Pcmm to mctall and or remove cicctrical equipment,wiring, fixtures,or to rcrfonn olhef high or low vohagc electrical work as per
the dc*,3d l statement dcsetihcd below. By shining this. docuincnt, the applicant & property owner agree that all ciectrieal work
ped'Ortned will br in confomance with all applicable Fedcral,Slate,County and Local Co(ka.
1.Address. C 8 K M 10513 SBL: Tone:
2.ProNrry owner'
Phone a:2 -5?q� } cell a: email._
3.Master Clectrictan.Licensed Installer: It 11)�� P1I Il' 1 1 Jltldress:
Lie.N 117 r�l _Phone s: --tt�Ca11#: e�vm�llajil:�
Company Name:M�'.k_ ..1_T{,C} Address:
4.Proposed Electrical Work/Fixture Count: b mr Ty _ a Fy r
S.31 Patty Electrical Inspection Agency: 6emces
♦!!#i!!!!ltiNlr!#titiititaiilifAt!#!##RiiffY#ififlii#i►!af#aa#►Rtaafai t#tall#4ttfi#iilrii►i•fi•filiififf
STATE O((FN EW YORK,COUNTY OF WESTCI IESTER ) as:
h7ftj)f)k1 —'I)tYU .bring duly swom,deposes and states that heishe is the applicant above named,and does 14trther
1pnntnameofin nrduxl,IIt asthca�S6�cam1
state that Oft is the 'tl1 kY)�1 V I lt'Q,it) Ci ®r rite Icgal owner and is duly authori.,ed to make and file this application.
tl taws Livom ma,L,cenwd Inua!l<ri
The undersigned further states that all staicincnts contained herein are true to the best ofhisihcr knowledge and belief.and that any work
performed,or use conducted at the above captioned property%dl be in conformance with the details as set forth and contained on this
application and in any accompanying approved plans and specifications,as well as is accordance with the New York Start Uniform Fire
Prevcntion&Building Code,rite Cyde of the Village of Rye Brook aria all other applicable laws,ordinanm.and rrgulations.
f�
Swom to before roc this 1 Sworn to before me this
day o�1 ), I f L 1 20 day of
st *of PropC Owner Signature of Applicant .
m C fPiOpCtty O ✓ Pr atne f A licant
1 —Lw A013ERT L CIMMINO
Ro
Public NOTARY PUBLIC-STATE OF NEti'V re
4118ARA F.EW No.01 C16360697 b'1^_v2a
Notaaryry uhhc,State of New York Qualified itiWeatchoster County
RE^!31,S TRATION NO.lr01 L F6192102
OUALIFtEQ IN WESTCHESTER COUNTY My Commission Expires 06.25-2026
COMMISSION EXPIRES 0612012U?
C.
STATE WIDE INSPECTION SERVICES, IN
CAD Service Willi Integrily
r:r •
JOB APPLICATIONr2,7224 1 fax 914.219.1062 1 SWISNY.coml SWISTRAINING COM
SWIS
Ottice Use Elect.Permit# Date
Bldg Permit# Sq Ft
Plumbing Permit#
Final Certificate#
City/Vitlage t am
Zip Building Dept. County
Address Jr1� p �Ic,,/- Cross Street Section Block Lot
Owner Na 1 L� l thin 1 l r' Contact Number
ow
❑Basement ❑Ist FI. ❑2nd FI. ❑3rd FL ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial
Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact
Amt Amps
Range(s) Cocktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator I Transfer Switch
SERVICE
Amperage #Panels IP 3P #Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑Repair
El 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
Scope of Work
3 C'01� b I WWO hnCS , hod V*"N In mina �
r� ICE t e f'►�c tv� �5 -
P C `�
MAR 21 2025
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
This application is valid for one(1 i year from the date received by S%AnS.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 appfcant declares that there is no open applicatlons 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 Vfnd f Name
License# 5 Date Signatur
Address 3 City/State Zip Code
Company 1 �� Phone #
State Wide Inspection Services
Main
MAR 2 5 2025 1 ���J . F1 80 hkill, NY 152524
845 202-7224 Phone
� VILLAGE OF f� YE �irl?C_OK 914-219-1062 Fax
STATE WIDE INSPECTION SERVICES i BUILDING L'�^ .i-,1 .TP;"�V I 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:
Totally Wired Inc. Gretchen Blackwood
Anthony Piliero 6 Dorchester Drive
PO Box 403 Rye Brook, NY 10573
Tuckahoe, NY 10707
Located at: 6 Dorchester Drive, Rye Brook, NY 10573
Section: Block: Lot: Electrical Permit Number: EP25-076
129.67 1 25
Certificate Number:2025-1772 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: 6 Dorchester Drive, Rye Brook, NY 10573
The Basement, First Floor& Exterior were 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 25T" Day of
March 2025.
Name Quantity Rating Circuit Type
Cat 6 02
HDMI 02
Ceiling Mounted Fixtures 04
J_
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.
1 r
i
4 UJ��■
+�
C
4
�{-
ir
Ix
Yir` i f
CL
0 � , x
w
t-
LL
ice
! r
' uJ
MORE
koui
uj
- f
je
r
.ev
■ 1 r -
a M1�
L
r
f .
6
s
{ a
•lath •.X..F ��,..T 4'A! 3 __
c