BOTH-000195-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000195-2015 Date Issued: Thursday, August 30, 2018
This is to certify that work requested to be done as shown by Permit Number BOTH-000195-2015
has been completed.
Tax Map Number: 296.9-2-59
Location: 5 OAK WOOD DR
Owner: Adam Round
Applicant: Adam Round
This structure may be occupied as a: Wood stove
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 4i,,m0 4
4,
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
J•
= Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000195-2015
Tax Map No: 296.9-2-59
Permission is hereby granted to: Adam Round
For property located at: 5 OAKWOOD DR
in the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Address: Fuel Burning&Chimney $0.00
Total Value $0.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Adam Round
Plans&Specifications
Wood stove
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town offil ridgy, I ct y r 23 2015
SIGNED BY: r5T3
\ for the Town of Queensbury.
Director of Building&Code Enforcement
✓JtCe /do,
57
Fuel Burning Appliance & Chimney A, p1jca IE a � [ ice Use Onl
:'ved -Ft; //..A. I'-2 (.57
DATE: / //5—IbI23 OCT 23 2015 tv1ap ID
TAX MAP ID: it No. BOT(-t C /95406
TOWN EENSBURIPe it Fee �`Zj°` {��
ZONE: — BUILDING & CODES
OWNER 1P-JvtAAL` PHONE/E-MAIL 5( _ 36, c1 3�
ADDRESS 5 !1_ kW,30 , -f) I
INSTALLER/ '�' (jam-; me_cl \(�,1(�l C� ` PHONE/E-MAIL - g ( -02A Z..
BUILDER
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE:
PHONE/E-MAIL BUILDING ADDRESS
ROOM OF INSTALL: Opp)M4-5 N,c,raoVI-, PLANNED INSTALL DATE: (A) MN-,N- 2 \e2 k-5
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
STOVE FINAL INSPECTION ARE
FIREPLACE INSERT REQUIRED.
FIREPLACE,FACTORY BUILT* NOTE:
MANUFACTURER'S
FIREPLACE,MASONRY
INSTALLATION MANUAL
FURNACE(GARAGE ONLY) MUST BE AVAILABLE AT
TIME OF INSPECTION
*If factory built provide manufacturer name: i/ern-"-‘ ce,cii`r" ; Model #:
Listed by: Number:
CHIMNEY INFORMATION
Masonry** (check one) BLOCK BRICK STONE
Flue TIE STEEL Size in inches
Material DOUBLE WALL TRIPLE WALL INSULATED
** If non-masonry provide manufacturer name: ; Model #:
•
DECLARATION: Construction/installation must conform to NYS Fire Prevention & Building Code and/or
manufacturer requirements. The applicant or owner agrees *„ ,.,,r"'1" s4+1' nil "*""^"1— 1—
regulations,
.-.regulations,and all conditions that are part of these requiremen BOTH-000195-2015
to perform required inspections.
Adam Round
I HAVE READ AND AGREE TO THE ABOVE: 5 Oakwood Drive
Wood Stove
PRINT NAME: NACLAAA DATE: ♦ 2`� ( S
SIGNATURE: a DATE:
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
INSPECTION WORKSHEET (FMWOOD-006250-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:
Inspection Date:
Inspector:
Case Module:
Inspection Status:
Inspection Type:
BOTH-000195-2015
08/30/2018
Gary Stillman
Permit
Passed
Wood Burning Fireplace/Stove
Job Address:Parcel Number:5 OAKWOOD DR
Queensbury, NY 12804
296.9-2-59
Contact Type Company Name Name
Granted Permission Round, Adam
Primary Owner Round, Adam
Applicant Round, Adam
Checklist Item Passed Comments
YES Vermont casting, model - Merrimack
Floor Protection YES Installed an existing masonry raised fireplace
YES
Clearances to Combustibles (all sides)YES Required clearance from center of stove 31-1/4", heat
shield must be installed using 1 inch spacers to provide
for airflow between shield and wall (NFPA 211)
1/25/18 no progress
5/24/18 heat shield fabricated by homeowner, needs to
be attached
7/13/18 no progress
8/16/18 no progress
8/30/18 OK
Firestop(s) - Vertical Chase YES Pre-existing masonry chimney
Chimney Termination YES Chimney cleaned and inspected by JH mechanical,
damper removed. Stainless steel liner installed.
Combustion Air YES
Hearth Extension YES 18 inch hearth required, only 13 inches available.
Provide hearth pad or rug in front of stove
8/30/18 Always have hearth pad or rug in place when in
use
Mantel-height above fp opening YES Noncombustible mantle
Fireplace Doors Screen (required)YES
Aug 30, 2018 Page (3)
Stillman, Gary (Inspector)
TURN YOUR OLD, DRAFTY FIREPLACE INTO AN ENERGY EFFICIENT SHOWPIECE.
1§
MERRIMACK MONTPELIER
DIMENSIONS
27"W x 211/4"H x 171/"D x 221"W(rear)
Minimum Fireplace Opening 293/4"W x 233/4"H x 1812"D x 25"W(rear)
141/2"D when installing with 3" projection kit
Actual Size 311/2"W x 265/,6"H x 253/4"D 30'h"W x 22'/4"H x 171/4"D
Glass Viewing Area 330 sq.in. 272 sq.in.
Flue Size 6" 6"
Firebox Capacity Up to 40 lbs. Up to 30 lbs.
Log Size Up to 22" Up to 22"
HEATING CAPACITY
Burn Time Up to 12 hours Up to 10 hours
Approx.Heating Area' Up to 2,000 sq.ft. Up to 1,500 sq.ft.
Maximum Heat Output2 55,000 BTU/hour 40,000 BTU/hour
Heat Distribution 150 cfm twin cylindrical blowers included 150 cfm twin cylindrical blowers included
TECHNICAL SPECIFICATIONS �xu
Efficiency 75% 75%
Emission(Grams/Hr.) 3.6 grams/hour 3.0 grams/hour
CLEARANCES
to Side Trim(max.projection 11/2") 223/4" (from center of insert) 21" (from center of insert)
to Side Trim(projection> 11/2")/ 311/4" 261/2"
to Side Wall
to Mantel(12" projection) 43" 471/2" (flush mount),441/2" (with 3" projection kit)
•
to Top Trim(max.projection 11/2") 41" 4712" (flush mount),361/2"(with 3" projection kit)
extend 8" on either side(4612"total) extend 8" on either side(443/x"total)
Floor Protection(11/2" min.thickness) extend 18"from front of insert'
extend 18"from front of insert(25" total
)3
with optional 3" projection kit- 16" from front of insert
ACCESSORIES
Georgian cast iron square in Classic Black or Majolica Brown
Northfield cast iron in Classic Black Mead cast iron traditional in Classic Black or Majolica Brown
Surrounds
Exeter steel in Classic Black Caprice cast iron profile in Classic Black
Steel surround in 2 sizes
Projection Kit — M3PKCB 3" projection kit in Classic Black
Base Risers — Trim kit base riser in 3 sizes,Classic Black
'These values are based on operation in building-code conforming homes under typical winter climate conditions.If your home is of nonstandard construction(e.g.unusually well insulated,not insulated,built
underground,etc.)orf you live in a more severe or more temperate climate,these figures may not apply.Since so many variables affect performance,consult your Vermont Castings authorized dealer to
determine realistic expectations for your home.
'These values can also vary depending on how the unit is operated,and the type and moisture Your Vermont Castings Dealer
content of the fuel used.These values are based on maximum fuel consumption obtained under
laboratory conditions and on average efficiencies.
'In the US,if the insert is elevated 2W or more,no thermal or ember protection is
necessary beyond 16'.
'In the US,if the insert is elevated 21/2"or more,no thermal or ember protection is
necessary beyond 16".
VEIN
CASTINGS
Ma
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the USA
THE ART OF WARMING YOUR HOME
149 Cleveland Drive warning:Hot glass will cause
Paris, Kentucky40361 NF's UL O 0-TL ^`ted HpB #WPBAC AMBER burns.Do not touch glass
�L K•M-- - A •. .•.o MME M•B E R until cooled.Never allow
vermontcastings.com JICNOCATI LISTED " children to touch glass.
To avoid personal injury or property damage,the product described by this brochure must be installed,operated and maintained in strict compliance with the instructions packaged with the product and all
applicable building or fire codes.Contact local building or fire officials about restrictions and installation inspection requirements.All photographs and drawings in this brochure are for illustrative purposes
only and are not intended for,nor should they be used as a substitute for the instructions packaged with the unit.Appearance and specifications of the product are subject to change without notice.
02014 Vermont Castings Group