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HomeMy WebLinkAboutEP25-118 9 M W _ ►tJ N N N N N s \ 94 ' 4 L as W z o v) 1 i'n- = O O L � C A d M ono' z a O W Zo O O w w z ° ° • cv v� ON w o w ¢ O ` V O a w w W w «> H W ACY _ = Q w z © ° _ w H � w o _ _ _ BUILDING'16E MENT ------ VELL AGE OF RYE BOOK 938 KING STREET RYE BROOK,NY 10573 MAY 5 2025 (914) 939-0668; VILLAGE OF RYE BROOK wwwayeTkny.goy BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION — Westchester County Master Electricians License Required FOR OFFICE USE ONLY RP#: EP#: / Approval Date: MAY - 4 Permit Fee: S - 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 1S 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, _6(3�,S_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 r?applicable Federal,State,County and Local Codes. ) 1.Address:✓1 t J11%1Q IA),r,WOo�C1 0,4P A&,,Lj� SBL: /3Si 36 Zone:�P-/S 2.Property OwnerM k-r M A-V 600l'C Address: Phone#: 96�—.557- 6 a7S'_ Cell#: email: 3.Master Electrician/Licensed Installer.?4 u ' Address: Lie.#: Phone#:9 /O 0 Cell#: t/ 50 4779 email:Pj IJi A �`�`` � Z-/L C� 41 r41 t Company Name: r� < L—_LeZ7lQ-1 G j�J C_ Address: •O., Rs� 3�5 YUr���<siS7GS � /d7o SI 4.Proposed Electrical Work/Fixture Count: . y's iL-Ci' J-J 2.0© -A- /' TL--W_►i+C C 5.3te Party Electrical Inspection Agency: s'j7 1 L w! L/tl fP�G(7a+•J l]ezu i cc STATE OF NEW YOM 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 duly authorized to make and file this application. (Master Electrician J 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 1t`[- Sworn to before me this day of ,20 `1 5 day of 20._�S Si ture of Property Owner tgnature Applic nt )4- Print Name of Property Owner Print Name of Applicant Notar3i�ltlilidE• `A nc7ommin E A C IDOMIZ wti i Alit ''E BLIC.STATE OF NEW YORK N4IC.STATE OF NE Registration No.01DI492$118 K tion iVo,OID1�4281 I�� Qualified in westchetser County in Westchetser County Commission Expires April 25.202E n Expires April 26,2026 STATE WIDE INSPECTION SERVICES, INC., Service With Integrity 0:0 • • SWIS JOB APPLICATION tel 845.202.7224 1 fax 914.219.1062 1 SWISNYcoml SWISTRAINING.COM Office Use Elect. Permit# — Date Bldg Permit# Sg Ft Plumbing Permit# Final Certificate# City/Village p Zip Building Dept, County Address-7 1` C ss Street n Section Block Lot Owner Name/Address(If different than above) Contact Number El"Basement ❑ 1st FI. ❑2nd FI. ❑3rd FL ❑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 IEC � V � MAY - 5 2025 VILLAGE OF RYE BROOK s BUILDING DEPARTMENT , This application is valid for one I]I 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 Name / lv, f L- I License# - Date 5ignatur, Address City J State ��/(,, Zip Code / `7 U ' Company -y? il Phone # DECENED State Wide Inspection Services 1080 Main Street MAY - 2025 Fishkill, NY 12524 8 845 202-7224 Phone TOa 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: officeCd)swisny.com BUILDING DEPARTMENT 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: PNA Electric Inc Paul & Elizabeth Bookbinder PO Box 315 31 Winding Wood Road Yonkers, NY 10704 Rye Brook, NY 10573 Located at:31 Winding Wood Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 25-118 135.26 1 6 Certificate Number:2025-3070 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:31 Winding Wood Road, Rye Brook, NY 10573 The Service 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 8th day of May 2025. Name Quantity Rating Circuit Type Service 01 200AMP Meter 01 Panel 01 Disconnect 01 Grounding and bonding of service to current codes. 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.