INSPECTION WORKSHEET 05072024
INSPECTION WORKSHEET
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number: RC-0108-2022 Case Module: Permit
Inspection Date: May 07, 2024 Inspection Status: Passed
Inspector: Tyson Converse Inspection Type: Gas Insert
Job Address: 211 ASSEMBLY POINT RD
, Parcel Number: 226.19-2-18
Contact Type Company Name Name
Architect AJA Architecture & Planning null null
Contractor Larmon House Movers Inc
Owner N/A Erin Steinbach
Owner N/A Francis Steinbach
Checklist Item
Status
Fire Marshal notes
PASS
Manufacturer
Hearth & Home
PASS
Model
Pier-DV36in/ST-DV 36in
PASS
Flex liner
PASS
Rigid liner
PASS
Liner size
PASS
Dual liner
PASS
Installed per manual
PASS
Clearances to combustibles on all sides
Floor: 0"
Side: 1/2"
Ceiling: 31"
12” clearance for mantle
PASSN/O
Connected to flue, flue gases not mixing
with room air
PASS
Liner termination extends above chimney
Must extend 18" above Stone work
PASS
Weather cap installed
Verify on Final
PASS
Gas shut off valve
Need to see on final, Below floor or at Unit
PASS
Witness operation
PASS
Tank placement (if LP)
done and inspected by FM Palmer
PASS
Carbon monoxide detection or notification
device, required
verify on Final
PASS
CSST bonding, if required
verify on final
PASS
Tyson Converse
Deputy Fire Marshal