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2015-394 TOWN OFQ UEENSBURY torio A � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20150394 Date Issued: Monday, August 31, 2015 This is to certify that work requested to be done as shown by Permit Number P20150394 has been completed. Tax Map Number: 523400-302-018-0002-022-000-0000 Location: 3 RIPLEY P1 Owner: GARY& KATHERINE CANALE Applicant: GARY& KATHERINE CANALE This structure may be occupied as a: Fireplace By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the ( J 4 4't property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY •AOlitai 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150394 Application Number: A20150394 Tax Map No: 523400-302-018-0002-022-000-0000 Permission is hereby granted to: GARY&KATHERINE CANALE For property located at: 3 RIPLEY P1 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: GARY&KATHERINE CANALE 3 RIPLEY PI Fireplace QUEENSBURY NY 12804-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2015-394 Wood Fireplace Insert $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 31,2016 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbu before the ex.'ration date.) Dated at the Town f Qu s I u p F s f./ ugust 28,2015 SIGNED BY \ for the Town of Queensbury. Director of Building&Code Enforcement Fuel Burning Appliance & niierakiEpliaaoiE Office Use Only Received DATE: ./2-7/15 AUG 2 7 2015 J Tax Map ID TAX MAP ID: Permit No. TbWN OF QUEENSB RY Permit Fee r-) ZONE: RUII DING&CODES OWNER �O j J J�1 c PHONE/E-MAIL 7112/0Z gS � �uv,"j�q' �6ADDRESS fhtuu( INSTALLER/ I "'' PHONE/E-MAIL BUILDER 37-6- V CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: PHONE/E-MAIL BUILDING ADDRESS ROOM OF INSTALL: PLANNED INSTALL DATE: 6) 7 2 ( ; FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN& STOVE FINAL INSPECTION ARE • FIREPLACE INSERT REQUIRED. FIREPLACE,FACTORY BUILT* NOTE: MANUFACTURER'S FIREPLACE,MASONRY INSTALLATION MANUAL FURNACE(GARAGE ONLY) MUST BE AVAILABLE AT TIME OF INSPECTION *If factory built provide manufacturer name: ; Model #: Listed by: Number: CHIMNEY INFORMATION Masonry** (check one) 'BLOCK BRICK STONE Flue TIE STEEL Size in inches Material DOUBLE WALL TRIPLE WALL INSULATED ** If non-masonry provide manufacturer name: _ ; Model#: 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: �,L., C ' Ni L DATE: /S SIGNATURE: // / IVI DATE: i for - Town of Queensbury Building&Codes Principal Structure Application Revised September 2014 Town of Queensbury Fire Marshal !IIIIIK 742 Bay Road *IVO Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/ Stove Inspection Report -- ��T-- 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. _ �, of Permit# R5 . t�II Schedule Inspection 31201 -a. Time Iv am m anytime Inspector Name ea 1..101 L Address J R k191-17-4/ Rough In Final X Appliance Manufacturer �C.•>c-`I Model# –3100 il Masonry Chimney/( Factory Built Chimney Flue Size LP Double Wall Triple Wall Insulated_ I yll Eli Yes No N/A Comments Floor Protection ---- ma`'`y Clearances to Combustibles (all sides) '-t r.ci?LAC Ce AD Clot m 41_ Safety Strip Installation (fireplaces only) L — r Firestop(s) Vertical Chase \/ �C U' 1),J2Wall Penetration /J�, J J Chimney Clearances to Combustibles ll „ -y.n W env CS_S L1ru .� Chimney Termination �L��ti� 3 feet above roof penetration; 2 feet above any �'�h �� any combustible construction within 10 feet C orr44 TiuN OF v•-) YL Combustion Air "=-N viD� IL' it Hearth Extension lU,,�r`s aZ' RL-..--,c)..,1 +tc. ` Mantel (height above f/p opening) G4-1 ''�L �� 1 G Fireplace Doors / Screen (required) ?( ..."—‘,(NrN -- .......1.... p Carbon Monoxide Detection \-- White—Building Dept. Yellon—Customer Pink—Fire Marshal 1av,694n --m0JC(D (1 .,)