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HomeMy WebLinkAboutEP25-156 _ 6 _ c w a all 140 - � n � R W C; W a ci7 c� a s 'CO) > l �j- W A w n F �• c O H � o N N pp rl W O �j t W 2 CA a � w � s a M W z Q ~ .-+ w to cn H W H z ~ o L W4 � a BUILI�I)G DEPARTMENT D VILEI,GE OF RYE BROOK 938 KING,S'TREET RYE BROOK,NY 10573 SUN 16 2025 ,1114j" 0669 olnv_ VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATIO BUILDING DEPARTMENT Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP JUN N7 20 Approval Date: Permit Fee: S Approval Signature: Other: DO NOT START WORK or CONs'rRt`C"'CION UNTIL A PERMIT HAS BEEN ISSI E D BY THIE BUILDING INSPECTOR. 1.THE. ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12% OF THE TOTAL COST OF CoNSTRUCTI©N WITH A MINIMUM FV F,OF$1-43,00 Application dated, r I is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or reinove 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 applicableFederal,State,County and Local Codes. I.Address: 5 ►Cc.lr �- t C-t.: SBL: /a9• &y-1` �_ Zone: 2.Property Owner:: 't-67 e f1 Address: r(q , ' ,r Phone#: — (3 Cell it: _- - - email: ;{, h/rt OX(cp 2 G��t c r,( ' � T 3,Master Electrician/Licensed Installer: I yw/�c /de v Address: Lic.#: 0 - Phone#: qly 7t/7' `IalYCell #: email: Company Name: k t!&h r 0eZ'frC'(_ _ Address: If �IutJ 1W_U i_'I 4.Proposed Electrical Work/Fixture Count: _ r l U - — 5,3111 Party Electrical Inspection Agency: C'_Tt,>rir I� STATE OF N A4_44K, COUNTY OF ) as: h o d!A) V/IA U ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print narne of individual o},3in�-'%the�3npFC40!1 state that(s)he is the Ma/ �-f- e/NC-f ri " it-" rot the;,'+'.-.owner and is duly authorized to make and file this application. (MasterFlecuician Ue nsedtnstallrr) 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 die 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.i1 Sworn to before me this Sworn to before me this Z� day of _,20 -- day o a Signature �Prroperty Ow er Signature of Applicant Print Name of Property Owner PriAName of Applicant KIRK A MULLEN ` Nolary Public Notary Public 1 iotary Pub O N LIBERATI Connecticut NOTARY PUBLIC:,STATE OF NEW YOZ-Inr My Commission Ex0res Oct 31, 2027 Registration No.01L1618142%1r Oualified in Westchester County Commission Expires Janua 213j-POM STATE WIDE INSPECTION SERVICES, 11i Service Willi litlegrilY I r•r • • APPLICATIONSWIS JOB r2.7224 1 fax 914.219.1062 1 SWISNY.coml • Office Use Elect. Permit# a -/ Date Bldg Permit# Sq Ft Plumbing Permit# Final Certificate # ity/Village C, �C��� -�/ , , �E,din Zip /��-] g Dept. County _ Address ✓ h Cross Street / Section/ Block Lot / /. Owner Name/, dress(If different than above) /`�(,�11 Contact Number'�" _ Vh- I�13 ❑Basement 1st Fl. ❑ 2nd FI. ❑3`rld FI. ❑More Than 3 FL ❑VGarage ❑Attic ❑Outside Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cocktop(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 rL-,CEu W E JU N 16 2025 VILLAGE OF RYE BROOK ! BUILDING DEPAR T M E N T f This application Is valid for one(I}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 snake 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 - 7AJ C ( ( r;. Name License# Dat /� Signat Address City/Stat Zip Code Company 1 � `C` Phoi# . Y-7- 2— - OD U \J L� State Wide Inspection Services 1080 Main Street TOW JUN 3 0 2025 Fishkill, NY 12524 a S 845 4-219 1 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVKES ( VILLAGE OF RYE BROOK Email: office@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: Keating Electric and Technology Maksym Terentiev&Olena Serdyuk 190 Saw Mill River Rd. 5 Fairlawn Parkway Hawthorne, NY 10532 Rye Brook, NY 10573 Located at: 5 Fairlawn Parkway, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-156 129.60 1 1 Certificate Number: 2025-4364 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: 5 Fairlawn Parkway, Rye Brook, NY 10573 The First Floor Kitchen 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 27th day of June 2025. Name Quantity Rating Circuit Type Cooktop 01 40AMP (/ � . ow Officer: Frank). 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.