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HomeMy WebLinkAboutEP25-215 a e e x N N N o W o0 00 x F W Ln a v, a� CA ■ cn W 0 w �" O ■ W z P� 0-4 a O0.4 O w W F a � C F O w `n A � w 0 � A O V oo a! F a w "o Uz z P.(w o F , ao V � 0-4 ►W M--1 ra, A w H O z z , V H ° Z x W F o a ` V Uo Z z � z o GF v W U �'• o ' a � a N A � Z w z w x , 2 BUILPING DEPARTMENT VIL ' ' E OF RYE`BROOK A AUG 1 4 2025 938 KIN ET RYE B UK.NY 10573 VILLAGE OF RYE BROOK V19 g0VBUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master El tricians License Required � FOR OFFICE USE ONLY BP#: EP#:or �/ c Approval Date: � Permit Fee: S / � VT 13�___ 7_ Approval Signature: Other: DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSLIED BY THE BUILDING INSPECTOR. THE 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, 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: Z O8 lU r77 v y g id9 P DY SBL: 2�, r— Zone: 2.Property Owner: &nnd h AF1a Yl/ti e1 Address: Z Q CCu)i�k i d ff f D� Phone#: t �� -S?, 9 Cell#: email:3.Master Electrician/Licensed Installer: to k7o Address: dko Wle Lic. Phone#: l Cell 4: 'ski oemai, I' i/fvy Company Name: L�S��r �l� Y((, 5���/�[t� Address: ft) 4.Proposed Electrical WorkiTixture Count: Vc-vairs a 5.3'd Party Electrical Inspection Agency: f STATE OF NEW YORK,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 I 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 Sworn t fore me this day of �- ,20 day of — 0 Signature of Property Owner Signatur o App Ic KP„„ I-IM, Name of Prope Own r rin ame of Applicant Notary Pal MELILLO N Ijn.Nrilgic,State of New York otary NPublic,State of New York No.01ME6160063 No.O1ME6160063 6/l/2024 Qualified in Westchester County —J1 Qualified In Westchester County Commission Expires January 29,2Qz� Commission Expires January 29,20 ' STATE WIDE INSPECTION SERVICES, INC. r•r • • APPLICATIONSWIS JOB r2.7224 1 fax 914.219.1062 1 SWISNY.coml • Office Use Elect. Permit# � — �.� Date Bldg Permit# Sq Ft Plumbing Permit# Final Certificate # City/Village Q Zi `� Buildin De t. County g I jp e p i 9 P R � (. / Address O Cross Street Section Block Lot / Owner Name/Address(If different than above) Ke no Fyq,4 4e / Contact Number /�_s (o —53 2 3 ❑Basement ❑ 1st FI. ❑2nd FL ❑3rd FL ❑More Than 3 Fl. ❑Garage ❑Attic N Outside CgResidential ❑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 L_._l 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 Rc� pa W-S 0('M i,n f OuCaY7 ai t5 0 0 A C :4 �Ll , Di AUG 14 2025 VILLAGE OF RYE BROOK i BUILDING DEr''ARTMEN This application 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,fat 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 Lo I E JylL' L(C 7 cow Name License # I ✓ Date C) rq_ Signature Address [ City/State N "Ai A, zip Co Company �/ r I Phone# f'I — —^7 Z yJ _D State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 a 4S AUG 19 2025 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: officeCaOswisny.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: Laser Electric Services, LLC Kenneth & Fran Frankel Gustavo Aquino 208 Country Ridge Drive 137 Pelham Road Rye Brook, NY 10573 New Rochelle, NY 10805 Located at: 208 Country Ridge Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-215 129.75 1 1 Certificate Number: 2025-5555 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: 208 Country Ridge Drive, Rye Brook, NY 10573 The Exterior 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 181h day of August 2025. Name Quantity Rating Circuit Type *Replacement of Service Entrance Conductor and Meter Pan. Y. 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.