electrical inspection RX Date/Time 04129/2021 09:42 15182731202 P,003
Apr, 29, 2021LR 9:20A MD IA No, 6507 P, 3/3
MIDDLE DE�'AKITM NT INSPECTION AGENCY, INC.
W-q�&that the electrical wiring to the I ectrical equipment listed below has been examined and is approved as
being in accord with the National Electrica Cod(., applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the for owin conditions.
Owner_ Date:
Cerrone Builders 04/23/2021
Occupant: I Location:
Lot 11 26 Alessia Court
Occupancy:.Ingle Family Dwg. Queensbury,Warren Co. NY
Applicant: 7
Cerrone Builders
Gianni Cerrone
1589 Rt 9
L Fort Edward, NY,12828 J
• I
Joseph A,Holmes ('_ ..fl
No. 1�
ki
145314.14927E -
Equipment:
200 Amp.Service Equipments 4/0 Service C 'ridut;, , 38='Siivitches;'54=Receptacles;46- Fixtures; 1 -Air
Conditioner, 1 -Burner,Wiring &Controls; 1 ,�-Dis * asher, 1 - Dryer, 2-Vent Fans; 6-Smoke Detectors; 11 -Arc
Fault Breakers
:y : • • ... 0 U IE
1 APR 2 9 Z021
TOWN OF QUEENSBURY
BUILDING&CODES
This certificate applies to the electrical wiring to the electri al eqtjl r ient listed immediately null and void. This certificate applies only to the use,occupancy and
above and Cie installation inspected as of the above noted dE to base on a visual ownership as indicated herein_ Upon a change In the use,occupancy or ownership
Inspection. No warranty is expressed or implied as to the m1chanlcEafety.effi, of the property indicated above,this certificate shall be immediately null and void,
ciency or fitness of the equipment for any parcular purposeThis of -icate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be uttered in any way,iheluding not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the re z cement of Department Inspection Agency, Inc, to initiate the inspection and revalidation
any of the components installed as of the above noted date,this certi shall be process. A fee will be charged for this service.
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