electrical inspection RX Date/Time 04/14/2022 11:08 15182731202 P,003
;Apr, 14, 20220A MDIA No, 9122 P. 3/8
MIDDLE DEPARTMENT INSPECTION AGENCY-, 1NC.
CG&W' 0,that the electrical wiring to the electrical equipment listed below has been examined and is 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: AGL Homes
Date: 03/30/2022
Occupant: Feeder to Home Location
80 Alpine Ave.
Occupancy Single Family Dwg. Queensbury, Warren Co. IVY
Applicant r �
Mr. Electric of Queensbury
Jeanne Dion 1 ,C— pp_)4�3_ 33 ZI
PO Box 4304 „
L Queensbury, NY 12804
J
Joseph A.Holmes
No. _ 147269158593E -
Equipment:
100 Amp. Feeder to Home - -
This certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void_ This certificate applies only to the use,occupenry and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein, Upon a change in the use,occupancy Or ownership
Inspection. No warranty is expressed or implied-to the mechanirJ safety,etfr- of the property indicated above,this certificate shall be Immediately null and vold-
ciency or fitness of the equipment for any particular purpose. This certificate 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 the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be.Itered in any way,including but not limit- Inspection agency,Inc. An application for inspecdon must be submitted to Middle
ad to,the introduction of additional electrical equipment sndlar the replacement of Department Inspection Agency, Inc.to inmate the inspection end ravalldation
any of Me components installed as of the above noted date,this certificate shall be process. A tee will be charged for this service.