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BOTH-000394-2016 TOWN OF QUEENSBURY OL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000394-2016 Date Issued: Tuesday, July 12, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000394-2016 has been completed. Tax Map Number: 296.50-1-30 Location: 20 BAYBRIDGE DR Owner: Francis Wiedman Applicant: Francis Wiedman This structure may be occupied as a: Gas Fireplace Insert By Order of Town Board TOWN OF QQUEENSBBURY�J Issuance of this Certificate of Compliance DOES NOT relieve the 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 QUEEN SB U RY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: BOTH-000394-2016 Tax Map No: 296.50-1-30 Permission is hereby granted to: Francis Wiedman For property located at: 20 BAYBRIDGE 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 Owner Name: Francis Wiedman Fuel Burning&Chimney $0.00 Owner Address: 20 Baybridge DR Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency The Fireplace Company 2951 Lake Shore DR Lake George,NY 12845 Plans&Specifications Gas Fireplace Insert $ 50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, June 22, 2017 (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 the expiration date,) Dated at the Town of sbury;six 52016 SIGNED BY: for the Town of QLieensbury. Director of Building&Code Enforcement Fuel Burning Appliance & Chimney Application Office Use Only Received DATE: 1 Tax Map ID TAx MAP ID: �2 �.�1-13 Permit No. V,4v,-& SONE; JI IN 2 4 2016 Permit Fee 133 OWNER AL 1 ifD Al PHONE/E-MAIL ADDRESS � k i d Qu INSTALLER/ t,. rl i'e a 6e_ �J�h y PFlONE/E-MAIL BUILDER 57 �.k iP S CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: PHONE/E-MAIL BUILDING ADDRESS ROOM OF INSTALL: 41 V1 oonj PLANNED INSTALL DATE: /M ��� 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: Vtt !an ; Model#: -rL 9R 760 1 y/ 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 laves, 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: Ynlz q I G '7-)/I 1q,(_J DATE: �Iacl A 6 SIGNATURE: j AR DATE: d /, Town of Queensbury Building&Codes Revised September 2014 RAIDIANT PLUS TMGas Inserts RELIABLE PERFORMANCE The Radiant Plus' standing pilot gas inserts feature a quick, easy start-up and require NO POWER to run or operate, making them reliable heat sources for any home, even during power outages! These inserts are excellent heaters and can provide warmth to living spaces as little as 500 square feet, all the way up to 1,250 square feet (small model) or 1,650 square feet (large model), without the need for a fan. With flame turndown rates of 52% (small model) and 49% (large model), the Radiant Plus'"° inserts can be used all year-round as they allow you to control the heat level to exactly how you'd like, The Dancing-Pyre"burner and Classic Log while still showcasing a beautiful, glowing fire. Set are incredibly realistic and mimic an STREAMLINED actual wood burning fire, right down to HEATED AIR NATURAL CONVEMON the flame pattern and highly detailed logs and ember bed. RADIANTr Radiant heat combined with streamlined HEATT airflow around the convection chamber `�`� allows for the maximum transfer of 40 J heated air into your home. Roor° R REASONABLY PRICED With a Radiant PIusTM insert, you get MORE FOR LESS. The Radiant PlusT"` Remote is easy-to- Both Radiant PIusT"' models offer more standard features than any use and features three convenient other value-priced inserts available in their class. No other inserts operation modes. can compare to the heavy duty 16 and 18 gauge steel, high quality - Manual On/Off construction, massive viewing areas and the impressive heating -Thermostat Control capabilities of the Radiant Plus'" — not to mention their incredibly -AM and PM Programmable realistic display of fire. Temperature Control FACE OPTIONS One-Piece Surround Panels are available for all three faces. All faces feature a nearly invisible -Radiant Plus Small Panels: Small 38"W x 25" H Large 40"W x 28-1/2" H ANSI compliant safety screen. -Radiant Plus Large Panels: Small 42"W X 30-1/2" H barge 44"W X" 34 H -Custom Fit Panels are also available through your Avalono retailer, Small 37" W x 25" H Small Small Large 31-7/8" W x 23-5/8" H 32-1/2" W x 21-5/8" H 40" W x 30-1/2" H Large Large 35-1/2" W x27-3/4" H 36-3/8" W x 25-5/8" H Universal Face & Panel Times SquareTM DesignerTM ADDITIONAL OPTIONS • Ceramic Brick Fireback adds a more realistic fireplace look to the firebox. • Simple 75 CFM "Set It and Forget It" Fan; automatically turns on and off to heat your room at your preferred speed and thermostat setting. • Insert Wiring Kit allows you to hard-wire the optional fan within the fireplace. COVER-Large Radiant Plus shown with Designer Face RADIANT PLUSTrV Large Cans Insert ; ' R FIREPLACES, STOVES&INSERTS . 1. Now gg 45 1, --'--�---- - ---�' --- --_--"""-.mow e.� I r _`� The Fireplace Company,Inc. TH E Sales Order 29M-EM Shore Drive Lake George,NY-12845 ��p �� A COMPANY MPANY Date S.O. No. Phone: (518) 668-9300 �'Q 6/23/2016 4712 Fax: (518) 668-9380 "We KeepThe Home fires Burning" Name/Address Ship To Frank Wiedman 20 Bavbridge Drive 20 Baybridge Drive Queensbury,NY 12804 Queensbury,NY 12804 ,E �d Alor-�t"I ' w �N Site Bin QTY Item Description Description 2 Attr Size Amount 1 77-98700141 Avalon Radiant PLUS Small Gas 1,722.00T Insert **Battery Operated Standing Pilot,Dancing-Fyne Burner", 6-Piece Log Set,Programmable Thermostat Remote Control,and Ceramic Glass** 1 TT-99000192 Fan,75 CFM for Radiant PLUS 189.00T Small Gas Insert "Not Necessary for Installation** TFCMFP 95200266 Designer with Barrier 278.00T screen 1 TI-.96100553 Panels,One-Piece Large, 28-1/... 144.00T 1 SDVA6DVA-CL33 Aluminum Liner Kit,3"x 3" 350.00T TFCGE Gas Line&Electric(For Insert) 125.00T **Taken from 3/4"Near Furnace in Crawl** **Electric Plug to.Right`M. TFCIAL Installation Labor of Gas Insert 595.60T TFCGE Additional Gas Line for Gas 150.00T Range Special orders,stoves,fireplaces,BBQs,stone&electrical parts are non-returnable& non-refimdable.There is a 25%restocking fee on all other returned items with no refund after 30 Subtotal $3,553.00 days Sales Tax (7.0%) $248.71 50%Deposit Total $3,801.71