electrical inspection RX Date/Time 07/30/2020 12:18 15182731202 P,002
Jul, 30. 2020_11 : 59AM MDIA No. 4271 P. 2/5
r✓'_.,.. ✓. .••d'.,,,f l,.,,„. :',;,'1•.%, r /:Q:C.�?v'.4. "''I�.:'�'r"•: �,,VS AN"\:"��... •4 / .r^ �� cc.%.:,,,�.•'s� .
MIDDLE DEPARTMENT INSPECTION AGENCY, INC. t ,
•<: cceytr that the electrical wiring to the electrical equipment listed below has been examined and is approved as %a,
�� beingin accord with the National Electrical Code,I?) applicable governmental, uti ity and Agency rules in effect on the date c't
noted below and is issued subject to the following conditions.
`� Owner, Cerrone Bldrs Date; 07/21/2020 )
_� Occupant: Services Location;
C'
n'z7 A essia Drive • y;
G�5
>� Occupancy Single Family Dwg. •
Queerlsbury, Warren Co- NY
`� Applicant: 7 ���)
Cerrone Builders s��
Gianni Cerrone
le 1589 Rt 9 q'
Fort Edward, NY 12828 �'?)
��J L _I
14
••; Joseph A.Holmes
NVJ
No. 145314118510EL ;�•
�? Equipment: l
200-Amp. Service Equipment 4/0 Service Conductor; 58-Switches; 65- Rec:ptacles; 62 - Fixtures; 1 -30 Amp ;�.
.;,Air Conditioner; 1 -Burner, Wiring & Control For Gas; 1 -20 Amp. Dishwasher Receptacle; 1 -30 Amp Dryer
Receptacle; 3-Vent Fans; 7-Smoke Detectors; 11 -Arc Fault Break i.
3 0 2Q2
SAMYBULV 1 ;/ 0 !D7
a?aiwa a
•Z This certificate applies to the electrical wiring to the electrical equipment listed immediately null and%oil, This certificate applies only to the use,occupancy and :
L above and the Installation inspected as of the above noted date based on a visual ownership as indicatec herein. Upon a change In the use,occupancy or ownership rJi
•. inspection. No warranty is expressed or implied as to the mechanical safety.effi• of the property Indicated above,this certificate shall be Immediately null and void. \cy.
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this cer ificate becomes invalid based upon the above conditions, ,�.c
M be valid for a period of one year from the above noted date. Should the electrical this certificate may t a revalidated upon reinspection by Middle Department
^� system to which this certificate applies be altered In any way,including but not limit- Inspection Agency.Inc. An application for inspection must be submitted to Middle (y
' ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation- ':�
� any of the components installed as of the above noted date,this certificatefee w
shall be process. A ill be charged for this service. �(•
ti=15=,5!�°;!,�'!'n•.ice.!,✓ a ✓ y •✓.✓'.3. .. ., .r / / !"-!�=