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Home My WebLink AboutEP25-069 O� d n � s. ►r � PG � H � CxT ~ (� s y M V oo W LO z Fq N vCl) dV 00 w z r•Ll A �; 00 W ci W a O O = z w w a W : 00 W U U ~ cn V W a w x o zz c �D FH-+ H O CA W WZ W V W o z x W U O w z � a O A av [�] w o >w a cn z W ° � NM w Faj+ rT r�r a : yE BRnv BUIL E MENT VIL E OF RYE OK DD 938 KING ET xYE ,NY 10573 MAR 14 2025 VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATION BUILDING DEPARTMENT Westchester County Master Electricians License Required / FOR OFFICE USE ONLY BP#: �"%! F:P#: Q -C� �D �] Approval Date: MAR $ 2 Permit Fee: $ Approval Signature: Other: DO NO START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BV THE: BUILDING INSPECTOR 7 HE: 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, 3-/4-4am 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: 15.lennifar I ana_Eyg Rrnnk NYC 10573 SBL: 135,58-1-19 Zone: R 10 2.Property Owner: Lon Sh,,A Address: 15 Jennifer Lane. Rye Brook, NY. 10573 Phone#: gj4_m:)-5g5R Cell#: email: 3.Master Electrician/Licensed Installer: Antnnny tarn: fin Address: Llc.#:LlC4187,5 Phone#: Cell#: email: n.Ir,1a Fr;TRicQ(;MAiL c:nM Company Name:QJC Electric. Inc Address: _7 Wharton drive Cortlandt Manor NY 105b7 4.Proposed Electrical Work/Fixture Count: subpanel in the garage.Run 100'of PVC 1"1A along the outside of the home to the garage.Install 11.5 kW car charger in the garage. 5.Yd Party Electrical Inspection Agency: 3rd party underwriter-Statewide inspection services STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Lon Shoe ,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 Anthony Cerniglio_ 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 (0 Sworn to before me this tZ day of M"tjl( ,20 La day o ,20—_SS Rtcttaro C Signature of r erty Owner o alttsd P`to »,tear cau Si atur�o App[cant Quain_. Fat), �.�- jov _ Le k Print Name of Property r Print N e of ph an �•� AN K. RADZILOWICZ Notary Kblic N bl TAHY , PORK Registration No.01 PA4957294 Qualified in Westchggt0j(&unty Commission Expires October 16,20 g STATE WIDE INSPECTION SERVICES, INC. Service With Inlegritv 080 • • swis • B APPLICATION tel 845.202.7224 1 fax 914.219.1062 1 SWISNYcoml SWISTRAINING.COM Office Use Elect. Permit# S Date Bldg Permit# Sq Ft Plumbing Permit# Final Certificate # City/Village Zip I;✓ Building Dept. County Address ,,,r Cross Street Section Block Lot Owner Name/Address cif different than above) Contact Number ❑Basement ❑ 1st FI. ❑2nd FL ❑3rd FI. ❑More Than 3 Fl. Garage ❑Attic ❑Outside ❑Residential ❑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 1P 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 Cl r? , -Meier ,pC1i� Ctn d i,ns t�i l l fiw o 0-P �+t�r 3(?sra!i 11fw )Go amtq blCPUW it k-ed (A r1ei,) 1OG' Ciup main 1U C-u r-5uo ttci cf- Put_ 1 'f'1y 0 1006 tVfydL,, Uf +he ha if ft) 4-h-e 6 rage . r,-�sru !I 1. 5 kk) Cf'r 6J-6rty' r ii� gGrq � p _ISC-� 0 L I MAR 14 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This applitation 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 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 Lf l � Gytn Name , t' License# Date 3-�(�_ Signature Address -) I City/State ur-061A� pal Zip Code ICJ Company -. Phone ---- State Wide Inspection Services 1 1080 Main Street APR ' 7 2025 Fishkill, NY 12524 845 202-7224 Phone Sw VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES 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: OJC Electric, Inc. Lon Shue 7 Wharton Drive 15 Jennifer Lane Cortland Manor, NY 10567 Rye Brook, NY 10573 Located at: 15 Jennifer Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 25-069 135.58 1 19 Certificate Number: 2025-2091 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: 15 Jennifer Lane, Rye Brook, NY 10573 The Garage 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 41h Day of April 2025. Name Quantity Rating Circuit Type EV Charger 01 Disconnects 02 Meters 02 Panels 02 Sub Panel 01 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.