final electrical inspection RX Date/Time 01111/2021 10:21 15182731202 P,005
'Jan. 11. 2021 lO:OIA — MDIA - No. 5669 P, 5/1
MTDDL,� DEPAI2TI�ENT INSPECT-ION A.GENCY, LNC.
girls that the electrical wiring to the electrical equipment listed below has been examined artd i approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Date:
Respite Care 12/21/2020
Occupant: Location:
Commercial 160 Aviation Rd.
Occupancy:on-Residential Queensbury,Warren Co.NY
I
Applicant: �
Hilltop Construction (D t Oi"ZD 2-0
Cindy Albrecht f
51 Crowley Rd.
[Hudson Falls, NY a283,9' ze
J - ~
No_ Joseph A.Holmes.
:�• •
':.145262133613EL:..'
Equipment: — . - - — — — -• — _ — — —
200 Amp, Service Equipments 310 Servit:e Conduct0"�42••-olru hes;89-Receptacles;:78-Factures; 1 -Ran e;3-
Burner,Wiring &Controls; 1 =Dishwasher, 2-Dryers; 1 -Time Clock; 2-200 Amp Stab Panels; 5-Pole Ugh ; 10-
Fault Breakers
4.
This certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void. This certiflcate applies only to the u se,occupancy and
above and the installation inspected as of the above noted date based on a visual oumershlp as indicated herein. Upon a change In the use,oce aney or ownership
inepeclon, No warranty is expressed or implied as to the mechanical safety,efi- of the property indicated above,this certificate shall be immedl tely null and void.
cieney or fitness of the equipment for any particular purpose. This certificate shall in Me event that this cerfifirste becomes invalld based upon th above conditions,
be valid for a period of one year from the above noted date, Should the electrical this certificate may be revalidated upon reinspectlon by IS iddfe Department
system to which this certifeate applies be altered in any way,including but not lima- Inspection Agency,Inc. An application for inspection must be submittea to Middle
ed to,the Introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the Inspection an0 revaridation
any of the components Installed as of the above rioted data,this certificate shall be process. A fee Will be charged for this service.