IM Inspection Worksheet_27-10-2023_11-51-37INSPECTION WORKSHEET (FMWOOD-028580-2023)
RC-0900-2021Case Number:Case Module:Permit Management
10/27/2023 Partial PassInspection Status:Inspection Date:
Factory Built Wood Burning FP/StoveInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:25 Otter Track
Queensbury, NY 12804
316.14-1-9
Company Name NameContact Type
Applicant Mario Profita
Architect Blackbird Group Architect LLC
Contractor Superior Walls of Upstate NY
Wittig Construction
Granted Permission Wittig Construction
Primary Owner Mario Profita
Maria Lasala
Checklist Item CommentsPassed
Floor Protection False See manual pg 30
Chimney height 3 ft above roof penetration True
Safety Strip Installation (fireplaces only)True
Firestop(s) - Wall Penetration False
Triple wall True
Insulated False
Connected to flue: flue gases not mixing w/rm air False
Factory built chimney True
Chimney Clearances to Combustibles True
Flue size True 8-10"
Model True SB100 / manufactured date 8/3/22
Hearth/Hearth Extension False verify at final / see manual
Fireplace Doors Screen (required)True
Combustion Air True
Manufacturer True Majestic / serial 9226185
Mantel/Trim False verify at final
Clearances to Combustibles (all sides)True
Double wall False
Firestop(s) - Vertical Chase True
Chimney Termination True
Carbon Monoxide Detectors:False verify at final
2 ft above any combustible const within 10 ft False
October 27, 2023 Page 1 of 1