IM Inspection Worksheet_15-11-2023_15-41-13INSPECTION WORKSHEET (FMGI-028892-2023)
RC-0458-2023Case Number:Case Module:Permit Management
11/15/2023 Partial PassInspection Status:Inspection Date:
Gas InsertInspection Type:Inspector:Tyson Converse
Job Address:Parcel Number:29 Revere Rd
Queensbury, NY 12804
308.18-1-45.2
Company Name NameContact Type
Applicant Cerrone Builders Inc
Contractor Cerrone Builders Inc
Engineer Vision Engineering
Granted Permission Cerrone Builders Inc
Primary Owner BRIAN LITTLE
Checklist Item CommentsPassed
Installed per manual False
CO Detection False verify on final
Rigid Liner True
Damper clip - permanently open False
CSST Bonding True
Connected to flue: flue gases not mixing w/rm air True
Gas Shut-off Valve True
Tank Placement (if LP)True Natural Gas
Model False DV3732-B
Weather cap installed True
Dual Liner True
Liner termination extends abv chimney False
Manufacturer False Hearth+Home Ser#LCG378185
Witness Operation False On final
Clearances to Combustibles (all sides)False Verify mantel Height on Final. See page 53 of owners manual for
spec's
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