electrical inspection RX Date/Time 07/0312019 11:37 15182731202 P.003
tWJ u 1. 3. 2C 191 : 15A ,:�? .bi� :A%< <";;`,- ;���`->y , �y�-��- �L��.-yy�-�,.� No. 9542 P. 3;;
L DEPART r - <- ��. :�J.:,,
�;� MENT INSPECTION AGENCX, INC. ��.
(01
��;a nxt that the electrical wiring to the electrical equipment listed below has been examined and is approved as .1f1
Ors being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
G
r noted below and is issued subject to the following conditions.
•ra, Owner 0
Pi Mary McCoslin Date:
06/28/2019 (.
Occupant:
1st& 2nd Flrs/Basement/Rear Location
65 Rockhurst Road
`�` Occupancy C
1 r Single Family Dwg. Queensbury, Warren Co. NY
4, Applicant —I `�
j Cifone Construction
0,
I PO Box 684 _• • � i
�� Glens Falls, NY 12801... .. ..^ .. v(('�__2 �� ( --440
fvi
* I, :ic1L 3 2013 7$
rtr4,� No. Joseph A.Holmes • r ., • - TOWN OF OUEENSStJRY 9
r� •144005109385EL'. •-._: `:•;.- .BUaL DING& CODES >; '
sY
�%' Equipment: — ir. ,
fig%1 ..... • QC' 04`Zot ,h5
C�a 34 Switches; 35 - Receptacles; 40 - Fixtures; 1 :-30 Amp Water Heater: 1= Burner,`Wiring & Control For Gas; 1 - �
�,��Garbage Disposal; 1 -20 Amp Dishwasher; 1 - 30 Amp Dryer Receptacle; 2 -Vent Fans; 24 -Arc Fault Breakers >�
x. G;
611
10
•
04
��
ce
-64
s.t%� This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void This certificate applies only to the use,occupancy and '
`j, 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 `',<j inspection. No warranty is expressed or implied as to the mechanical safety,effr of the property indicated above,this cmrtsficate shall be immediately null and void. 45
'Z Clency 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• �,
p� 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
ti`9`G system to which this certificate applies be altered in any way including but not limit- Inspection Agency.Inc. Art application for inspection must be submitted to Middle (i
ed to.the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation v
d any of the components installed as of the above noted date,this certificate shall be process A fee will be charged for this service. Y
no
`y/•>(.'\4+V>✓ G'.\•ri:�:oV1y/.•�i. �rir�:��-`9' �.y�yi :�:.- '1^\. �, \ �.•.
Gv&v'��4\✓/,`✓ y�.k ar �wJ ysLA:k.' ,d��5`.4Y<�;l ar�;`J y'CVt,4:. YG:,��%�,e�C:; (�J�'"�4. •r:j•::?..R V*Ss4s.l�•,�•ri.�9;�•(��.,>i^�i.i1•k4:
'`�. �..� 4\ ��..\`���9V6\`!G\.�✓I.��!v/.�L'��\�.�,��i����"�✓.ti'��n�:�CJ.��u.'•�/.�%:�:�d�,�/:j