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IM Inspection Worksheet_17-11-2023_15-35-34
INSPECTION WORKSHEET (FMWOOD-028963-2023) RC-0389-2022Case Number:Case Module:Permit Management 11/17/2023 Partial PassInspection Status:Inspection Date: Factory Built Wood Burning FP/StoveInspection Type:Inspector:Charles Dyer Job Address:Parcel Number:104 Knox Rd Lake George, NY 12845 239.7-1-20 Company Name NameContact Type Applicant Antonio Civitella Architect Adirondack Designers & Builders Contractor Adirondack Designers & Builders Granted Permission Antonio Civitella Primary Owner Maria Civitella Antonio Civitella Checklist Item CommentsPassed Fire Marshal Notes True rough in for LP unit Floor Protection False Chimney height 3 ft above roof penetration False south gable Safety Strip Installation (fireplaces only)False N/A Triple wall True Factory built chimney False Chimney Clearances to Combustibles True Flue size True 8" Model True CAR-39 Masonry chimney False Hearth/Hearth Extension True see figure lll Fireplace Doors Screen (required)False Combustion Air True Manufacturer True kozy heat Mantel/Trim False see page 26 owner's manual Clearances to Combustibles (all sides)True Double wall False Firestop(s) - Vertical Chase True Carbon Monoxide Detectors:False rough in / verify at final 2 ft above any combustible const within 10 ft False N/A November 17, 2023 Page 1 of 1