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HomeMy WebLinkAboutEP25-255 E L = II � s a � = N N W = 4-4 a F A W o a k z � _ i 91 i _ G4 ' i i W qt 000Ln x i 00 tr CN � p r � V J% M oa A-, a CN z V Ln a z 11* 00 Q � Q O �wo © a oo W T O �. 4 o cn _ W4 �. o 1-4 E-+ N o w z _: z © Q a � z z w x L RBUILDING DEPARTMENT CC� f���]lENOV 10 2025 VILLAGE OF RYE BROOK 938 KfNG STREET RYE.BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-066&&Ax(914) 939-5801 BUILDING DEPARTMENT www.tyrstrook,or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY Bl' #: FP#: Approval Date: rL —- Permit Fee: S oa—oj Approval Signature: VOther: Disapproved: (fees are non-refundable) 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. The applicant & property owner, by signing this document agree that all electrical work pe ormed will be in conformance with all applicable Federal, State,County and Local Codes. 1.AdcFress 5�677 J 9t (Y SBL: Zone: 2.Property Owner: WAS F 4'k f jq- t I Address: 2%7,'� l`t e-,4- S� Phone#: 914- q 1 q - 31bb Cell#: 11 Y`Y t cf• 11 (r(+ email: 3.Master Electrician: r-1•A L Cw 4 119 h c. Address: 7 $ Lie.#:Phone#: TLYw63b-2,fMell#: ql y -ft)-OTa email: vow k +-C Company Name: F. Cco-r d lauf ti, C j 6 c— Address:$ ®rdCe[�t.y a / ✓✓i U v+i�1l�'tt / Z� 4.Proposed Electrical Work/Fixture Count: :;rm. #f 11 G F S O 04- 1 a+7 6 H Some @ 1 s4 t✓1 y- itn Q .-oint * -r S ✓� -(G r G k e. 1 S.4 has !. 2 4 4-f w:rw*w*w,r�r*:s,tww*it**www,sw*ww�:s,rwwwwwwwwwwwww�r*x:r,r*.r*w x*w**w*xw**w:�***�,t�:r:r***�*www*ww*wwwwww*;�**ww*;r�r*�::��*+ STATE OFF NEW YPRK,COUNTY OF WESTCHESTER ) as: 644; 144V ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of usdn idual signing as the applicant) r stair that(s)hc is the legal owner of the property to which this application pertains,or that(s)he is the��tD `1r'✓'�4` 'D '� for the legal owner and is duly authorized to make and file this application. (indicate architect.contractor.agent,allarney,etc.) The undersigned further states that all statements contained hcrein are trite 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 ail other applicable laws,ordinances and regulations. Sworn to 0�00re me this - Sworn t before me this day of 20� day of l J(;20 Signature of Pro arty O er Signature of Ap licant P r� ame Proper + caner � t--/y, fr l,Ll(o Pri ame of App cant Notary Public ota ub c ROBBIN GERBER GREGORY M.RIVERA NOTARY RaIC STATE OF N%yW Notary Public,State of New York RegistrationWo.p1GEM 152 No.OIR16441398 QuOMM1 in n Expire 0111er Qualified In Westchester County 3/2119 n� Commission tx Ires 01l24J 8 Commission Expires September 26,2 STATEWIDE • Service With Intili 1:1 Main Street, Fishkill, NY 12524 1 email:• • SWIS JOBAPPLICATION tel845.202.7224 I fax914.219.1062 I SWISNY.conn I SWISTraining.com Office Use Elect.Permit# Date Bldg Permit# Utility ID# Final Certificate# City/Village t �a ZIP 1 d�C- Township � [ County W yr► . Address';I- � �^ Cross Street Section Block Lot Owner Name/!Add ress(if different than above) )G �Y PI—c(Liq LLc Contact Number Q I q„q J j q _ '7 1 ❑Basement ❑ 1 st FI ❑2nd Fl. ❑3rd FI. ❑More Than 3 FI ❑Garage ❑Attic Itslde f❑Residentlall ❑Commercial Receptacles Special Recept GFCI I AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps I Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑ Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information � ��� Z,n� � � T` D � sp✓" 'f�-evl 4,s ,� rS7_ 1-1+9 This application is valid for one(1)year from the date received by SWIS.This appkatton is intended to cover the above listed items to be Inspected,if at any time of inspection additional items have been lnstalled,you ere authorized to make the inspection and ad)ust the fee for the additional items inspected,The applicant d"lares that there is no open applications for the atxwe address with anv other inspection company The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name F. G aS InIreL Date ti Z Signature ` Address a City/State 0V�,I" a N�, lip Code License# Phone# 114 — 4 0_0 L 7 ji State Wide Inspection Services 1080 Main Street D Fishkill, NY 12524 ;AM 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: officeCabswisny.com Service With Integrity BUILDING, DEPARTMFNT Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: F.Castellano Electric Inc Washington Park Plaza LLC 58 Broadway 275 South Ridge Street Harrison, NY 10528 Rye Brook, 10573 Located at: 275 South Ridge Street, Rye Brook, 10573 Section: Block: Lot: Electrical Permit Number: EP-25-255 141.35 2 1 51 Certificate Number: 2025-8764 Building Permit Number: A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 275 South Ridge Street, Rye Brook, 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 15th day of December 2025. Name Quantity Rating Circuit Type GFCI 09 0 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.