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HomeMy WebLinkAboutEP25-206 o N N s N N _ N >C 00 r x N Tt r e U a a �. o y x L cn c � re) Z O C!) L s z � W u � H y cn © A 0-4 .o ' N V �' � z a : A x z H z o W� _ Q W � �' Q z a a H A 0 � z u z U, CIA 00 1-4 o o 0-4 w W x x Z n a c ° Q 1.4 a oV) C z U .. v) x F a Q U44 w � F F'04i � Z W 0 udi • yE DRCw _ a, Bum E ayTMENT , VIL E OF RYE OK 938 KIN ET RYE B ,NY 10573 AUG - l 2025 n VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATION BI.I!R_.DING DEPARTMENT Westchester County Master Electricians License Required FOR OFFICE USE ONLY RP#: EP#: �—� cD �- Approval Date: AUG 1Permit Fee: $ Q100 PD) 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 IS 12%OF THE �j TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, O` 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: 7 1^C Ct SBL:! 3�i ?l�+ � � Zone: 2.Property Owner: Qa ll r 2 Q vt6 5104,11 e 1-; C r^Address: If P,'n e R, dI f &t4 Phone#: Cell#: 30 5- �� — Sf 31 email: SI okn 5,'ekr Son vnR;l.tcrrl 3.Master Electrician/Licensed Installer: Mi t 6e 1 Z.G M krvw t A' Address: Lic.#: 01�0 I q Phone#: Cell#: II t!- ki- P6y email: C harm efe(�y. to (-� 5hta,'�,to.,t Company Name:(k kw\ f! r 1ecj-f,_ , 1 lit✓. Address: 7o yr5+ 4+• Ae+ III/ 1}crr.Ya�1 �, Ix ge 4.Proposed Electrical Work/Fixture Count: U jpy rtt !�5 e t S �'�+( l Utz f�t►n,p I P L+`f I CG SP✓` ytt Le t2 9,00 " rM 12 .0 'lireW IMe4ee 1�U✓t . I°r�nt'1 b�^t°�h�x G�nCI I�pttnCl,l��S�-Pm L1 W �Q�'"� cl�' . 5.31 Party Electrical Inspection Agency: A e 4 fer l-6~5 wwwwwwwwwwwwwwwww*wxwwwww:�wwww�rww*wxwwirw*wxwwwww*w:�*wwwwww+*ww**www**ww*:t:�:�**w*:t:twww*r**ww*;r**w�;**wxww**w STATE OF NEW YORKIl,COUNTY OF WESTCHESTER ) as: G� ^n bPife I Z2 ,,C�t ,being duly sworn,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 On e I PC it 1 c.'4!q 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 1111C this `° Sworn to before me this day f ,20 1,> day of Signature of Property Owner Signature of Applicant 0 i t n Z,-n S1(1 (V'-- rA ikLh.�,e I. 2u,,�6er-n A r 1, Print Name-of Property Owner Name of Applicant h `/✓� )M11kRI.=�&_"Q_L Notary Public ' ry MotanPublic,StateoFliY. o E61150063 No.elLAE' 242 QuaW In mnlc.asw (p Qualified In Westchester County 024 crr""�` .Feb,23 Commission Expires January 29,20 5 Buckout Road BETTER HOMESA*.. West Harrison, 90 10604 A� Phone:914906-0443 ELECTRICAL INSPECTION SERVICES INC. �� Email:betterhomes252@gmail.com NAME: PaV, t.����f1� DATE: ELECT.PERMIT NO. — CITYMLLAGE ,(} ZIPCOtD�E BLDG PERMIT NO. ILC� k s ADDRESS. Poo BUILDING DEPT 1 fiele- YR t`� c Poo dbe ofAyeC&K PHONE# I UTILITY fi _ 3 � I Coy r � EMAIL ADDRESS: Residential Ni Commercial ❑ OWNER'S NAME AND ADDRESS ice_ Y I i4 f;V\ 04LY1 ?7 NN(v l n IJ WORK LOCATION: I [,Outside ❑Basement NGarage ❑Attic ❑Porch i I Floor: 1 st floor 2nd floor 3rd floor 4th floor Other floor VILLAGE OF RYE BROOK ❑ ❑ ❑ ❑ ❑ r)FFARTM NT ❑Reinspection ❑Renovation ❑Generator ❑New home 0 Other ecv l tt e 14 b e- Comments: UrMr4c P eX�f loo Amwo �.efvhw- `f-o eL-.- 'a-0o AVK IVCV crop', Pc,^e I ta �4 LAN gfe 9r�uk� : 5y�fIP41\ -for -aw A^p? SERVICE AMPS CASE NO. SERVICE ENTERS BUILDING: CON EDISON Overhead K Underground ❑ COMPANY NAME: DATE OF APPLICATION: LICENSE#WHEN APPLICABLE: 0 Vh�0 r- 0,�'/'/ / I q STREET ADDRESS: CITY: STATE: ZIPCODE: �We [ 1 TELEPHONE: CELL PHONE: EMAIL: 1 69 SIGNATURE OF APPLICANT: X L The application is intended to cover the above liste o e inspected_If at any time of inspection additional items have been installed,we are authorized to make the inspection and adjust the fee for the additional items inspected as provided by the applicant.The applicant declares that there are no open applications for the above with any other inspection company.Application only good one year after filing date. BY THIS CERTIFICATE OF COMPLIANCE Better Homes Electrical Inspection Services Inc. 5 Buckout Road, West Harrison, NY 10604 914-906-0443 CERTIFIES THAT Upon the application of: -- - Upon premises owned by: Champ Electric David & Sloan Zinstein 70 West Street JAN 2 1 2026 19 Pine Ridge Road Harrison, NY 10538 Rye Brook, NY 10573 VILLAGE OF RYE BROOK Certificate Number: 4633 BUILDING DEPARTMENT Certificate Date: 9/17/25 Located at: 19 Pine Ridge Road Occupancy Type: Residential Rye Brook, NY 10573 Permit Number: EP-25-206 Section: 135.41 Building Permit Number: Block: 1 Lot: 40 A visual inspection of the electrical system at this premise described above, wherein the premises electrical system consisting of electrical devices and wiring, described herein. All inspections are in accordance with the National Electrical Code and the details of the installation, as set forth below, was found to be in compliance therewith on the date of the inspection. Name Quantity Rating Circuit Type 200 amp service upgrade 1 240v 200a Meter pan outdoor 1 240v 200a Main breaker panel 42 circuit \\\\\ \tai insp� This certificate may not be altered in any way. SEAL r 3 This certificate is valid for work performed = 2022 : CD ji before the date of inspection only. ;,may'?�v vow.. . Licensed Inspector