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FMGAS-003552-2019 06132019INSPECTION WORKSHEET (FMGAS-003552-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:RC-000173-2017Case Module:Permit Inspection Date:Thu Jun 13, 2019Inspection Status:Partial Pass Inspector:Gary StillmanInspection Type:Gas Fireplace/Stove Job Address:42 GRAND VIEW DRParcel Number:289.16-1-14 Queensbury, NY 12804 Contact TypeCompany NameName ArchitectDonovan, Andrew Granted PermissionMichaels, J. Primary OwnerMichaels, J. ApplicantMichaels, J. ContractorMichaels, J. Checklist ItemPassedComments Fire Marshal NotesYESHEAT&GLO MODEL #6000C-IFT SERIAL# LC5024819 Building Inspector NotesYESINSTALLED IN SUN ROOM Floor ProtectionYES Clearances to Combustibles (all sides)YES Firestop(s) - Vertical ChaseYES Vent Clearance to CombustiblesYES Jun 13, 2019Page (1) INSPECTION WORKSHEET (FMGAS-003552-2019) Checklist ItemPassedComments Vent Chimney TerminationYESOk- ATTIC INSULATION SHIELD INSTALLED Gas Shut-off ValveYES Combustion AirYES Hearth Extension (if any)YESN/A Mantel-height above fp openingNORETURN TO VERIFY- REFER TO INSTALLATION MANUAL FOR MANTLE CLEARANCES Witness OperationNORETURN TO VERIFY CO DetectionYESRETURN TO VERIFY CSST BondingYES Stillman, Gary (Inspector) Jun 13, 2019Page (2)