electrical inspection p ea 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
rioted below and is issued subject to the following conditions.
Owner: Date;
Cerrone Builders 12/13/2023
Occupant: Location:
Same 11 Pershing Rd.
Occupancy: . Queensbury, Warren Co. NY
Ingle Family Dwg,
Applicant:
Cerrone guilders
Gianni Cerrone
1589 Rt 9
L Fort Edward, NY 12828
No-
Michael Adams
'145314183'1T3EL,_.
Equipment:
39 - Switches; 72- Receptacles; 54 Fixtures; 1 56A Range, 1 30A Air Conditioner,.i - Burner, Wiring &Controls
for Gas; 1 -20A Dishwasher 1<-30A.Dryer; 3-Vent Fans; 9-Smoke Detectors
This certificate applies to the electrical wiring to tha electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy 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 Imphed as to the mechanical safety,effi- 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 valid for a per#ad of one year from the above noted date, should the elecit;cal this certificate may be revalidated upon reinspaction 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
ed to,the introduction of addifionai electrical equipment and/or the replacement of Department Inspection Agency, fnc.to initiate the Inspection and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.