inspectionsINSPECTION WORKSHEET (FMGAS-000836-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0497-2018 Case Module:Permit
Inspection Date:Fri Feb 8, 2019 Inspection Status:Passed
Inspector:Mike Palmer Inspection Type:Gas Fireplace/Stove
Job Address:Parcel Number:10 APRES CIR
Queensbury, NY 12804
315.10-1-60
Contact Type Company Name Name
Granted Permission CERRONE BUILDERS, INC.
Applicant CERRONE BUILDERS, INC.
Contractor CERRONE BUILDERS, INC.
Primary Owner CERRONE BUILDERS, INC.
Checklist Item Passed Comments
Fire Marshal Notes YES Hearth and Home DV 3732
Floor Protection YES
Clearances to Combustibles (all sides)YES
Firestop(s) - Wall Penetration YES No access
Vent Clearance to Combustibles YES
Vent Chimney Termination YES
Gas Shut-off Valve YES
Feb 08, 2019 Page (1)
INSPECTION WORKSHEET (FMGAS-000836-2019)
Checklist Item Passed Comments
Combustion Air YES
Mantel-height above fp opening YES See page 53
Witness Operation YES
CO Detection YES
CSST Bonding YES ICC Trac pipe
Feb 08, 2019 Page (2)
Palmer, Mike (Inspector)
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DEPARTMENT INSPECTION AGENCY INC. `:'
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: ce t that the electrical wiring to the electrical equipment listed below has been examined and is approved as `o,
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions. d
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,e. Owner: ,3
. Cerrone Bldrs Date: �r.,�5
,1 01/31/2019 h
r,, Occupant: 5 '.
Same Location 4 Apres Circle G�
Occupancy. Queensbury, Warren Co- NY <<
Single Family Dwg,
�`-.1 Applicant: LV
• Cerrone Builders t:.7
Gianni Cerrone )
1589 Rt 9 ....E, CEEIVE5
Fort Edward, NY 12828 �,
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Joseph A.Holmes rye
No' 145314106457EL � TOWN OF QUEENSBURY e
;�a - BUILDING&CODES
s. Equipment ..,_ _«� 4d
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x 200 -Amp. Service Equipment; 4/0 -Service-Conductor, 51 Switches; 72 - Receptacles; 50 - Fixtures; 1 - 30 Amp ?
WAir Conditioner; 1 - Burner, Wiring & Control For Gas; 1 -20 Amp Dishwasher, 1 - 30•Amp Dryer Receptacle; 3 -Vent 1.;)i
� Fans; 9 -Smoke Detectors; 18-Arc Fault Breakers :,�
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This •certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void. This certificate applies only to the use,occupancy and M
"1 above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change In the use,occupancy or Ownership
inspection. No warranty is expressed or implied as to the mechanical safety. eft- of the property indicated above,ells certificate shall be immediately null end void- `eza
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.1 ct. iency or fitness of the equipment for any particular purpose, This certificate shall In the event that this certificate becomes invalid based upon the above conditions, v
�1 be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department b5
System to which this certificate applies be altered in any way,including but not limit- Inspection Agency.Inc. An application for inspection must be submitted to Middle tJ
ed to,the introduction of additional electrical equipment and/or the replacement of Department inspection Agency, Inc. to Initiate the inspection and revalidation 0
h, any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. f �
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