electrical inspection —Oct, 13, 2022112:26PN(MMDIA No, 0300 P. 3/3
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
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: Abele Date:
09/27/2022
Occupant. Same Location-
3 Polk Dr.
OccupancySingle Family Dwg. Queensbury,Warren Co. NY
Applicant F 7
Central New York Electrical
Contractors, Inc.
19 Solar Dr
L Clifton Park, NY 12065' Permit 221052
Joseph A,Holmes —O5�"k_2-0 2.No. 1403201.56627EL
Equipment:
200 Amp. Service Equipment;4/0 SerAce'Conductor, 59-Switches;'81--Receptacles;.24-Fixtures; 1 -Range; 2-
Air Conditioners; 2- Bumer, Wiring &'Controls for Gas; 1 -Well Pump; 1 -Dishwasher, 1 -Dryer, 8-Smoke
Detectors; 1 -EV Charger, 1 -1-00 Amp.;Sub Panel;27-Arc Fault Breake
OS u �'�
OCT 13 2022
_ . '....TOVVN••OF QUEENSBURY
BUILDiNO& CODES
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. i his certificate applies only to the use,occupancy and
above and the installation Inspected as of tree above noted data based 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 mechanical safety.effl- of the property indicated above,this certificate shall be immediately null and void.
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 varid for a period of one year from the above noted date. should the eiectricai this car ificato may be revalidated upon reinspection Dy Middle Department
system to which this certifleat*applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introdudlon of additional slectrticQl equipment and/or the rsplecemeni of Department Inspection Agency, Inc. to Initiate 2hs inspeodon and revzlid>^tion
any of the components lns�l[ed as of the above noted date,this certificate stall be process. A fee will tie cft2rged for Mis seNice.