AST-000001-2018 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
�T Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: AST-000001-2018 Date Issued: Tuesday, April 3, 2018
This is to certify that work requested to be done as shown by Permit Number AST-000001-2018
has been completed.
Tax Map Number: 290.-1-30
Location: 71 CHESTNUT RIDGE RD
Owner: Thomas O'Neill
Applicant: Thomas O'Neill
This structure may be occupied as a: Wood stove and new chimney
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the (0 )0; 4 44t
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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
qqgj%w Community Development - Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: AST-000001-2018
Tax Map No: 290.-1-30
Permission is hereby granted to: Thomas O'Neill
For property located at: 71 CHESTNUT RIDGE RD
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: Thomas O'Neill Fuel Burning&Chimney $0.00
Owner Address: 71 Chestnut Ridge RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Thomas ONeill
71 Chestnut Ridge RD
Queensbury,NY 12804
Plans&Specifications
Wood stove and new chimney
$ 250.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,January 4,2019
(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 e hurs nuary 4,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
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FUEL BURNING APPLIANCE & office use only
CHIMNEY APPLICATION permit#:hS- /.Rots
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Permit Fee:$ o�
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742 Bay Road, Queensbury, NY 12804 Invoice°#rQov000 2
P: 518-761-8256 www.gueensbury.net
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Project Location: �1 Ny s4ii- VL
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Room of Install: ZC�,,.,4, &q,, Planned Install Date:
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**ONE APPLICATION PER APPLIANCE**r
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JAN 0 2 2018
CONTACT INFORMATION: TOWN OF'QUEEN'
• Applicant: COI\ail' UNiTv
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Name(s):
Mailing Address, C/S/Z: 7/ 5
Cell Phone: ) E 5// Land Line: (S/
Email:
• Primary Owner(s):
Name(s): 1�
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email:
• Installer/Builder:
Business Name: A-rvi-e
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email:
Contact Person for Building & Code Compliance: / 110041nS
Cell Phone: _( / ) fy�/ - !� >� Land Line: _( )
Email: 7en� .� J/, la ,� 55,"an*9 �. t- Cy.h
Fuel Burning Appliance & Chimney Application Revised March 2017
FUEL BURNING APPLIANCE INFORMATION:
TYPE OF DEVICE:
Stove —Fireplace Insert — Fireplace
— Fuel Fired Equipment (Garage Only, 18" clearance per IMC 304.3)
— Fireplace, factory built**
(**Manufacturer's name: 4 A x,,t,g:�, dn=J%4 Model #: Pet,i4dc 1 )
SOURCE OF HEAT:
,/L Wood Coal Pellet Gas
CHIMNEY INFORMATION:
— Masonry (require plans to be submitted):
block brick stone
Flue:
—the —steel —size, in inches
_Material*:
double-wall —triple-wall—insulated
(*Manufacturer's name: Model #: )
ADDITIONAL INFORMATION:
1. Two inspections are required. A rough-in inspection, prior to installation and a final inspection, after
installation.
2. Manufacturer's installation manual must be available at the time of inspection.
3. Masonry fireplaces & chimneys require plans to be submitted.
4. Twenty-four (24) hour notification is required for inspections.
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 the inspector to enter the premises to perform the
required inspections.
I have read and agree to the above:
� /
PRINT NAME: ! �LU�Jq-4 �y.C��L/
SIGNATURE: \ ! / DATE:
Fuel Burning Appliance &Chimney Application Revised March 2017
Cozy Cabin Stove & Fireplace Shop Estimate
217 State Rt 28 DATE ESTIMATE NO.
Warrensburg,NY 12885
(518)623-4349 (518)623-4351-Fax 12/30/2017 47358
sales@cozycabin.net
BILL TO:NAME/ "—' SHIP TO:NAME/ADDRESS
DE 'P' E0IC
JAN 0 2 2018
'OWN OF QUEENSBURY
BUILDING&CODES
Ph#1 Cell# Work# TE REP
DESCRIPTION QTY Unit Price Total 111
HERITAGE 2 POL STONE/SEAFOAM ENAMEL CAST-LEFT 3,568.95 3,568.95T
SIDE DOOR
Discount -450.00 450.00
Subtotal of above items 3,118.95
Chimney Pipe Adaptor-6in Double Wall Stove Pipe Selkirk 1 56.73 56.73T
Metalbestos
Roof Support Kit Universal 6"-10" (When sold out NLA) 1 77.75 77.75T
48"ULTRA TEMP LENGTH 1 292.86 292.86T
36"ULTRA TEMP LENGTH 1 232.36 232.36T
ADJUSTABLE ROOF FLASHING FOR 6/12 TO 12/12 PITCH 1 132.24 132.24T
Storm Collar Ultra Temp Platinum Series 1 17.99 17.99T
ROUND TOP 1 111.34 111.34T
HI TEMP CLEAR SILICONE 1 14.93 14.93T
6"Metal Chimney-Vertical Installation 936.20
6"X 38"TO 70"TELESCOPE"SECTION-HEAT FAB-22 109.65 109.65T
GAUGE
6"45 DEGREE NON ADJUSTABLE ELBOW-HEAT FAB-22 2 35.69 71.38T
GAUGE
6"X12"LENGTH-HEAT FAB-22 GAUGE 29.58 29.58T
6"X18"SLIP CONNECTOR-HEAT FAB-22 GAUGE 33.19 33.19T
6"X 36" LENGTH-HEAT FAB-22 GAUGE 53.64 53.64T
Subtotal of above items 1,233.64
20%Discount -20.00% -246.73
Subtotal $4,105.86
Estimates are valid for 10 days. Prices are subject to change after 10 days. Sales Tax(7.0%) $287.41
Total $4,393.27
290.-1-30 AST-000001-2018
O'Neill, Thomas
71 Chestnut Ridge Road
Wood stove w/new chimney
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JAN 0 2 2018 L-7
TOWN OF QUEENSBURY 290.-1-30 AST-000001
BUILDING&CODES O'Neill, Thomas -2018
71Chestnut Ridge Road
Wood stove w/new chimney
DECEarE
Classic Style with the Essentials � JAN o z � �
I OWN OF QUEENSBURY
CASTLETO
FINISH OPTIONS: N 8030
FEATURES AND BENEFITS
Mahe Blxlc
• Cast Iron Interior Impact Plates—Protect the soap-
stone when loading the stove
• Top Or Rear Flue Exit—Flexible installation
Brown Majolica Enamel
L 7� • Single Lever Stove Control—Easy operation,con-
sistent performance
Seafoam Enamel Secondary Burn Combustion System—Clean
burning,efficient,reduces creosote build-up
SPECIFICATIONS
Heats up to.....................................1,500 sq ft
Firebox Capacity.............................1.9 cu It
BTU................................................Up to 45,000
EPA Certified..................................2.7 g/hr
Castleton featured in
Matte Black. Efficient ...........78%LHV,72%HHV
Burn Time.......................................Up to 8 hours
HeatLife..........................................Up to 10 hours
Maximum Log Length.....................18"
Flue Exit&Diameter.......................Top or Rear-6"
Actual Weight.................................464 lbs.
I
Alcove Certified..............................Yes
Mobile Home Certified....................Yes
1
. ACCESSORIES
I Rear Heat Shield............................90-68300
Convection Blower..........................90-57210
4' Outside Air Adapter.........................90-53300
Spark Screen..................................90-69300
p
C L EARAN C E S TO COMBUSTIBLE MATERIALS
B C D
Minimum Hearth Protection US/Canada: E
Ember Protection only "
si^ ♦ From A
I From
21^�I �25%"� m
stone
I �
Single-wall pipe,no rear Double-wall pipe,with rear
heat shield heat shield
27%^ F!257.'^ r A 20" 15"
t
" B 18' 6"
From door s'!s^ C 23" 11"
opening From stone
L _I'- 10" 10"
i4 24" "
Ire 31!1F137/,----►I E 23 23"
Stove centered on pad
17