inspection 02142019INSPECTION WORKSHEET (FMGAS-000946-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-000719-2017 Case Module:Permit
Inspection Date:Thu Feb 14, 2019 Inspection Status:Partial Pass
Inspector:Mike Palmer Inspection Type:Gas Fireplace/Stove
Job Address:Parcel Number:40 Sunnyside E
Queensbury, NY 12804
290.6-1-62.2
Contact Type Company Name Name
Architect Northern Design & Building Associates
Primary Owner Callahan, Paul
Granted Permission Callahan, Paul
Applicant Callahan, Paul
Checklist Item Passed Comments
Fire Marshal Notes YES Mendota Model DXV35DT4LX. S\ N 2374
Floor Protection YES
Clearances to Combustibles (all sides)YES
Firestop(s) - Wall Penetration YES
Vent Clearance to Combustibles YES 1"
Vent Chimney Termination YES
Gas Shut-off Valve YES
Feb 14, 2019 Page (1)
INSPECTION WORKSHEET (FMGAS-000946-2019)
Checklist Item Passed Comments
Combustion Air YES
Hearth Extension (if any)NO Verify requires 2" non combustible
Mantel-height above fp opening NO Verify
Witness Operation NO Verify
CO Detection NO Verify
CSST Bonding YES ICC ok
Feb 14, 2019 Page (2)
PJ Palmer, Mike (Inspector)