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TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150063 Application Number: A20150063
Tax Map No: 523400-301-008-0002-041-000-0000
Permission is hereby granted to: RODERICK ZWIRZ
For property located at: 8 PROSPECT Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: RODERICK ZWIRZ Miscellaneous Structure
53 FORT PUTNAM St Total Value
HIGHLAND FALLS NY 10928-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-063
Woodstove installation
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 26,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before expiration e.)
Dated at the T wn of e n r sday,March 26,2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
FUEL BURNING APPLIANCE & CHIMNEY Office Use Only
APPLICATION _
DATE 3/.�00/5 D
�+ Permit v , !!!
TAX MAP ID 5Z 3q ' �i i/, O-7-AV �it`�ii 2 5 ITiesMIt 1'e{j�
ZONING � � TOWN OF QUEENSBURY
BUILDING & CODES
OWNER: 1( h..—, /< �c.- / � PHONE/E-MAI(/S>5TK`-$j7/
ADDRESS � /ZP7
_
INSTALLER/BUILDE - _ PHONE/E-MAIL _ __-__—___
d�— of
ADDRESS: - .fs C`r -77 74/7`p
/7_6907
sd�
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: ��� Z���r�,�/��� s PHONE 7P-/-45-76?
BUILDING ADDRESS: / /,, • A"- / L.1.._€,-7 _ A.✓
Fuel Burning Appliance Information Wood Coal Pellet Gas Oil NOTE: ROUGH-IN & FINAL
Stove INSPECTIONS ARE REQUIRED.
Fireplace Insert
Fireplace, Factory built*
Fireplace, Masonry
Furnace (Garage Only)
*If Factory built provide manufacturer name:v,5 </e7// (.,p, ; model#: 7c/evAxG/t'�
Listed by: Number: GG/a2 e>noj b'tC --5-622
Chimney Information
Masonry**(check one) Block Brick Stone
Flue Tie Steel Size in inches
Material Double wall Triple wall V Insulated /Direct Vent Chimney Liner
*klf Non-masonry provide manufacturer name: s'f'/CZ'/2/ model#: T—cL/i'
DECLARATION: Construction / installation must conform to NYS Fire Prevention & Building Code and / or
manufacturer requirements. The applicant or owner agrees to comply with all applicable laws, ordinances,
regulations, and all conditions that are part of these requirements and also will allow inspector's to enter premises to
perform required inspections.
i have read and agree to the above: Print Name: Ag_ • Z< Date: <%/r
_ 3 �3 Z
ti
Signature: AFAIL_, ` . Date: 7/20(7/1-
5/�0r7/1-
5
Town of Queensbury Building& Codes Principal Structure Application July 2014
Town of Queensbury Fire Marshal
`4ItI„� 742 Bay Road
wo '� Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Wood Burning Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
Permit# /57—PE '�-- Schedule Inspection '�1Z� Time /O' pm anytime Inspector
Name , def',4 L%r)lr`z Address e Pros-0-„0,2, Rough In Final
Appliance Manufacturer C2011:"1„ /'tom' ti-c-, Model# acs- �
Or`ti SSS
Masonry Chimney Factory Built Chimney Flue Size ir Double Wall/Triple Wall_Insulated_
Yes No N/A Comments
Floor Protection r'e.iC [- 'C —Ch,
X
Clearances to Combustibles (all sides) G .</4_,
Safety Strip Installation (fireplaces only)
/r"\K
Firestop(s) Vertical Chase i
Wall Penetration__
Chimney Clearances to Combustibles • 2.25 / ,SL
,a)C- y(
q5Gh�wt hii /4 &t&u ' -
Chimney Termination / (�' v/Neell
3 feet above roof penetration;2 feet above A
any combustible construction within 10 feet
Combustion Air
-)(:)\„/
Hearth Extension
Mantel(height above f/p opening)
/Fireplace Doors/ Screen (required)
Carbon Monoxide Detection
White—Building Dept. Yellow—Cushmer Pink—Fire Marshal
CLEARANCES TO COMBUSTIBLES
It is of utmost importance that the clearances to combustible materials be strictly adhered to during installation
of the stove. Refer to the tables below:
A
C
Ili
d� F
B lirill
111,!i
E - E
/illitmlusimmismsmm/
D maimsommEmomm
Single Wall Pipe (Double Wall Pipe
Model A B , C _ D E F
2000 20(14) 22(20) 22.5(16.5) 32(30) 12 11 22(21)
(508mm(356mm)) (559mm(508mm)) (572mm(419mm)) (813mm(762mm)) (305mm(279mm)) (559mm(533mm))
2500 12 20
16 30 10.5 20
(305mm)
(508mm) (406mm) (762mm) (267mm) (508mm)
• Floor to ceiling height must be at least 7' (2.13m) in all cases.
• Do not place any combustible material within 4' (1.2m) of the front of the unit.
• The clearance between the flue pipe and a wall are valid only for vertical walls and for vertical flue pipe.
• The chimney connector must not pass through an attic or roof space, closet or similar concealed space, a
floor, or a ceiling.
• For Canadian installations,where passage through a wall,or partition of combustible construction is desired,
the installation must conform to CAN/CSA-B365.
• A flue pipe crossing a combustible wall must have a minimum clearance of 18" (457.2mm).
• To reduce flue clearances from combustible materials, contact your local safety department.
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All-Fuel Chimney
Installation Guidere Er
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