final electrical inspection �� A=Nov. 2U. 2 U 1 /§1U: 2/A = MUTA .; y , ;:, ;\::. No, 1064 _ N. 4/h
.\i/ ,, J..i.,\-/.✓:`%:o,` .1, i: Yom. •\\,)A'� s�.•��.
�/� MIDDLE' J:� %: /\J.,..,moi,z,,, ce\ .
DEPARTMENT INSPECTION AG
> NCY, IN c;�
•''6 that the electrical wiring to the electrical equipment listed below has been examined and is approved as •/
4( j being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date ti-'-,'„,,'
noted below and is issued subject to the following conditions.
Owner: ('
;a) Bryan & Robin Benak Date: 11/03/2017 <<%J
Occupant 1 )
Same Location-0Alexy Drive_%�, Occupancy. . Queensbury, Warren
Co. NY ''S' Single Family Dwg.
I—
%j Applicant: —1 ".;
%; Cifone Construction
�, PO Box 684
.! :\
Falls,``;) Glens F , NY 12801.•;•-•.".,- --- - '•
Joseph / .._.._ - - Ss
A.Holmes
No. /
%- - - - - - - - - - - •-1_440052,p,6083EL �' .I- .,. . y
Equipment: ''
\•. • •• \
<%'200-Am • • • ?:
p- Service Equipment Transfer Sviitt ; 470=-Service'CondUcfo-r,`fi 200 Am''VSub Panel; 66 -Switches; 88- >.;
`` Receptacles; 95- Fixtures; 1 -20 Amp'Air Conditioner; 1 -Burner, Wiring &Control For Gas; 1,-Well Pump; 1 -30
Amp Hardwired Oven; 1-,20 Amp•l�ardtlirit ed Dishwasher; 1 -30 Am Receptacle--. .Vent
•6-
-,,t
�.. p ptacle;3r.Vent Fans 35-Arc Fault
Breakers; 1 -22 KW Generator • %,�
;„,•• _ - '
.. i fir, J I ),
—. %..
v
‘1
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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 .)-:
'iabove 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 •s•,;11
Jinspection. No warranty is expressed Or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void. :F�`
,'.4 deny 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. ( ..
,'Z be valid for a period of.one year from the above noted date. Should the electrical this certificate may be revalidated upon relnspection by Middle Department y;.
`� 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 additional electrical equipment and/or the replacement of Department inspection Agency, Inc.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. ;:
gECEOVE
NOV 2 0 2017
0
TOWN OF QUEENSBURY
BUILDING&CODES
2201 - �(0 1