2008-456 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20080456 Date issued: Thursday, August 20, 2009
This is to certify that work requested to be done as shown b -Permit Number P20080456
has been completed.
Location: 92 TUTHILL Rd
Tax Map Number. 523400-300-000-0001-039-002-0000
Owner. CARRIE J. MYLOTT
Applicant: CARRIE J. MYLOTT
This structure maybe occupied as a:
Fireplace
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the r
property owner of the responsibility for compliance with Site Plan, r Variance, or 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 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080456 Application Number. A20080456
Tax Map No: 523400-300-000-0001-039-002-0000
Permission is hereby granted to: CARRIE J. MYLOTT
For property located at: 92 TUTHILL 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 Value
Owner Address: CARRIE J. MYLOTT
3A BAYBROOK Dr Fireplace
QUEENSBURY,NY 12804-0000 Single Family Dwelling $365,000.00
Total Value $365,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-456
2448 sq ft single family dwelling& I fireplace
$293.76 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 09, 2009
(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 own TP
b; , sda September 09, 2008
SIGNED BY for the Town of Queens
bury.
ury.
Director of Building&Code Enforcement
For an EPA homeowner's guide: http://www.epa.gov/npdes,'pubs/homeowber abide long customize.1Ddf
__ ____1__^_________ _-_i __________________ _ _____________
OFFICE USE ONLY _
TAX MAP NO. PERMIT NO. � /J PERMIT FEES ;
M
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.
OWNER: Ryan and Carrie Mylott INSTALLER: Kruger Concrete
ADDRESS: 3A BaYbrook Drive, QBY, NY ADDRESS: 3 Osprey View,QBY,NY
PHONE NOS. 518-944-4365 or 944-4365 PHONE Nos. 518-793-5707 (fax)792-8096
LOCATION OF INSTALLATION: 92 Tuthill Road
NO.OF RESIDENCE
YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW INFORMATION:
1980 or older Q X 150 gallon per bedroom = 0 GARBAGE GRINDER
1981-1991 Q X 130 gallon per bedroom = 0 INSTALLED?
1992-present ® X 110 gallon per bedroom = 330 SPA OR HOT TUB
INSTALLED?
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING ✓ STEEP SLOPE SLOPE %
✓ SOIL NATURE: SAND LOAM ✓ CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? 42 in. BEDROCKIIMPERVIOUS MATERIAL: AT WHAT DEPTHS >7 ft.
✓ DOMESTIC WATER SUPLY:
MUNICIPAL WELL 3/ ,_(If well:water supply from any septic system absorption is: 1( 00 ft)
✓ PERCOLATION TEST: RATE IS 15min 4seC PER MIINUTE PER I CH(TES To BE O PLETE,�B^Y A LICENSED-
PROFESSIONAL ENGINEER OR ARCHITECTrNQMl(1 �C•�L� � , `�1C—C— C► `( %f\CCT 1('\C
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All indivi t must be designed by a licensed
professional engineer or architect(unless nstalled in a Planning Board approved subdivision).
TANK SIZE: 1250 GALLON(MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for
each garbage grinder, spa or whirlpool tub.
SYSTEM TYPE-
0 ABSORPTION FIELD(WITH NO. 2 STONE) Total length ft. Each trench x
—�N2L(
❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size?
❑ALTERNATIVE SYSTEM Bed or other type?
❑HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL
INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval
granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
1 have read the regulations with respect to this application and agree QUESTIONS? CALL 761-8256 OR EMAIL
to abide by these and all requirements of the Town of Queensbury codes(cbgueensbury.net
Sanitary Sewage Disposal Ordinance.
VISIT OUR WEBSITE FOR MORE INFORMATION
www.gueensbury.net
Signature of Person ponsible )— Date
Town of Queensbury • Community Dcuclopment Office • 742 Bay Road, Queensbury, NY 12804
s �c71 Blz .` Q�'#�ice
APPLICATION FOR FUEL BURNING APPLIAW£ & CHIMNEYS
Application is hereby made to the Building &Codes Office for the issuance of a Building & Use Permit
pursuant to the New York State Fire Prevention &Building Code. 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 all inspectors to enter premises to perform required inspections.
IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.
OWNER:6rlPr1Li 4-9411 1 O&W-f INSTALLER/BUILDER:
ADDRESS:'&Jkf ouo 2� �jN�� ADDRESS:
PHONE NOS.5l$' -1qL+_ 4 JLS -1' � PHONE NOS.
LOCATION OF PROPERTY: T�+L.11 _ SUBDIVISION NAME: ,, 1
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: -1 T� 1 I A
3'e`CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: ` 17H1400 PHONE:
✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL
INFORMATION
STOVE
FIREPLACE INSERT
FIREPLACE,FACTORY BUILT* !r
FIREPLACE,MASONRY
FURNACE(GARAGE ONLY) /�J
*IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: �'i'�c,e e k&0b,''tk MODEL NO. S
LISTED BY: NUMBER:
QUESTIONS?
CALL 7614205 or 7614206
CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL:
fremarshafqueensbury.net
MASONRY"* CHECK ONE ✓ VISIT OUR WEBSITE
TILE STEEL SIZE IN FOR MORE INFORMATION
INCHES ,rww.aueensbury.net
FLUE CHECK ONE ✓
DOUBLE CHIMNEY
WALL TRIPLE WALL INSULATED DIRECT VENT LINER
CHIMNEY MATERIAL CHECK ONE ✓
**IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: 00V A146a MODEL NO. V 7k&
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.
�f0K)fn �'/.... ........... ..
_ .� FFICE USE ONLY .....,.....�,f..... _._.._..., �.. . .......%
TAX MAP N0. PERMIT N0. '
i
FEES: PERMIT_ �_ RECREATION ' '`"" ENGINEERING 1
a (If applicable) ;
0...........................................�'�'��_...............,_.,__ .. ...,_. ............. .. ..._:
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: L�� G� s/ / r�f/�L�jT OWNER: /g
ADDRESS:J/20- SIC- ADDRESS: _stt&V�k - �
PHONE NOS. -' S/`�' PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: PHONE:
LOCATION OF PROPERTY:
SUBDIVISION NAME:
PLEASE INDICATE ME UREMENTS WREQUIRED BELOW:
CHECK ALL THAT 0 W_ G a w „ N
APPLY TO YOUR t- p 0 U) cn W w
PROJECT r O H OJ LL w ¢ CL = r=j
z Q ¢ :- (n N � Oti � U_ a = as
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL- '
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CON TRUCTION COST: FUEL TYPE: �GO E
/rvHEAT TYPE: /�!� 'HOW MANY FIREPLACE(S): l AND/OR WOODSTOVES(S):
ZONING CATEGORY: ' ARE THERE WETLANDS ON THIS SITE? /lam
IS THIS A HISTORIC SITE? e
PROPOSED USE OF BUILDING OR ADDITION:*Please complete complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05
Town of Queensbury ■ Communitu Develonment nffiry ■ 742 Rmi Rnnd nijoovichl,", XTV '1 )Q()d
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? tt�U
ARE THERE EASEMENTS ON PROPERTY?Y A1P)
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete state me nt/d escri ptio n of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoninq Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
01
i i
1 A b^ &l 0
BUI CDES A P VAL ZONING APPROVAL 01
o
DATV DATE
:..................... ..... .........................
QUESTIONS? CALL 761.8256 OR EMAIL
codeslagueensbu y.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Office Use Only www.gueensbury.net
Operating Permit Issued: Yes No
Occupancy Type: ( Construction Classification:
Assembly Occupancy Limit: Special Conditions:
, Town of Queensburyj ■ Community Development Office ■ 742 Bay Road, Queensburyj, NY 12804
Check Residential Plan Review: One& Two Family Dwellings
Y/N/WIA
(2)Full sets of plans
Over 1,500 sq. ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
50 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq. ft.
Grade,5.0 sq. ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10' Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8' All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From 2 Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
Handrails More Than Four Risers On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
Garage Floor Sloped
--Attic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Ll-
Carbon Monoxide Detector Outside Lowest Sleeping Area,On Every Level&
Interconnected
oil Test Results,if required
S tic To Well Or Water Line Separation
All Paperwork Signed
Queensbu Building & Code Enforcement - Residential Final Inspection
/
� 9 e p
Office No. (518)761-$256 Arrive: amlgm Depart: am/pm
Date Insertion request`received:VH _ Inspects s Initials: 'l Q
NAME: �- � PERMIT#: G8
LOCATION: I Vf k, :- ,_�_ DATE:
TYPE OF STRUCTURE:
Comments:
Yes No NIA
4° Building Number Address visible from road
Chimney Height/W Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers _
Guards at stairs decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen waterti ht
Safety glazing/Window in rwells safety glazing
Interior Smoke Detectors/C on Monoxide Detecto
Every level: Every Be
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access,1 sq.ft:150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency ress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetroo k Underside minimum'/:"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fire roofin /%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bon din
As Built Septic System/Sewer Dept. inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
4—
Okay to issue C/C or C 10 Temporary/Permanent
LABuilding&Codes Forms\Building&Codes\Inspection Fonns\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: a T (R!prt: am/pm
Date Inspection request received: Inspecto s Initials:
NAME: WkiL_O 7,1 PERMIT#: 0 -7 AT
LOCATION: t-2 DATE:
TYPE OF STRUCTURE:
Comments:
Y2d No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake l
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co late/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks atios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more RAi L-
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors!main entrance 366 inches
Bathroom/Kitchen watertight
Safety glazing_/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom: l�l�j��4LL C1V �{S
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents
Bathroom Fans,if no window ►VAUL
Plumbing fixtures p
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency ress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/2"G sumeL���.
Basement stairs dosed rise>4 inches !\
Gara a Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed ro rl �i�Pk LAA5 Al 6-&E)&D
Gas Logo in Sealed Rr Rl s Enclosure
Final Electrical ol
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bon din �✓���LC, g� b w/�C'-'
As Built Se tic System i Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C 10 Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Final Survey Inspection
Dept. of Community Development
Town nr hv
74213 aE
Q
AUG 1 9 1009
Dater eirq
BUILpIN & CODES
NAME: W YLQ(/
LOCATION: 7Q-rk t CL 40
PERMIT M
Final Survey Plot Plan
ADDroved Denied
The attached final
survey has been
received by the J�
Dept.of
Community
Development.
Upon review the
survey has
Cr ' wn,Zoning Administrator
Notes:
L:%ueHemingway\Build ng.Codes.lnspmtion-FORMSTina1 Survey
Zoning Administratordoc
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FROM AN ACTUAL FIELD 5RVEY-
TH5 GERTFICATION SHALL " ONLY TO THE PERSONS
Fqt WHOM TMR
THE SURVEY WAS PREPARED. ��AGENCY
DEW TO THE TITLE GOhPAtdY. GOVERN"ENT � 0
AND L04MG INSTITUTION LISTED HEREON. ADDITIONAL. O"
CEOMATIONS ARE NOT TRANSFERABLE q
INgm fflo"S OR 5UB5EGlll W OWPERS. l
GECTFED TO• RYAN P. I'IYLOTT
F�
GARRIE J. MYLOTT.
TRU5TG0 QR5 AND/OR A55iGN5
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MATTH
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MAP REFERENCE., pA�p. 14OVEMOCTOBER 30. 2
NOVEhBER 18. 2 FO �u135
MAP OF A SURVEY MADE FOR AUGUST 3. 2009 LA /vJ WILLIAM K. &LISA C. GEREAU S
DATED:APRIL 21, 1998
LAST REVISED:NOVEMBER 19, 1998
BY: VAN SURVEYORS,US &SLLCS SST 1 OF 1
LAN
INGLEE D744
MAP OF A
SUj3DIVISION
INGLE MADE FOR DWG. NO. oo2o6D
jEFFREYDATED:MAY 2003
LAST REVISED:SEPTEMBER 1, 2005
BY: VAN DUSEN&SrtfVES
300-1-39.2
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
...�:....t�� rt. N D 1118 4 Cut-in Card No.....................................Permit No.......-25
Owner.............. ........ ....... .. ....................................
Location..... � L!!✓!...„....Z.. f2Q... . ...........
Installation Consisting 24�Z.Z.P..............�..... ..
j... ..3 ..................................................
....................................................................................................................................................................................
InstalledBy...f.... .e G. ............................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of m inspections at any time, and if its
rules are violated,the Company shall have the right t e ke his ce tificate.
�C.�1 ........................
Date...�:...(.......c.6. ..................... INSPECTOR.. .. . ....`:. ..........:............
Mnmhu�N F P A r d F l
2-Z i 111110r6k�-,-
Rough Plumbing / Insulation lnsp ion Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Lfu
NAME: h'4 /C" PERMIT #:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rough Piumbin /Nail Plates f 1 Q
nt/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum � i_e Ca
�
Cleanout eve 100 feet/change of direction l'�
Pressure Test !M ee f y0 0
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes V �-
Pressure Test
Water Supply Piping V/
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent C
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Th 6,)Z z
Rough Plumbing / Insulation Inspection port
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building & Code Enforcement Arrive: am/pm Depart: .- _1 I zy) am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: l T
NAME:
PERMIT #.
LOCATION: Z r INSPECT ON: - -�
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
d
0 P I r 15 minutes
(Rti
i Residential Check/Commercial Check
Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated Races
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
Once No. (518)761-8256 Date I U Z (J
Queensbury Building&Code Enforcement Arrive: an-dpm part: am
pm
742 Bay Road, Queensbury, NY 12804 Inspector's initials.
NAME: ` U T T PERMIT#: _0 �' S
LOCATION: L-1I I Ic9 INSPECT ON: c- Z ►�
TYPE OF STRUCTURE:
f
Y N NIA COMMENTSttic raming Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly �, ��
17 O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D nags each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping �y2 �- —
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 518 inch Type X
Garage side 518 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuiiding&Codes Forrns4)LD16ui1dit&Codes4rapection FomnsTraminp Fvedoppft inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report "
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: Ipm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 4 tu .
r
NAME: u PERMIT#: �
LOCATION: INSPECT ON: 3 �
TYPE OF STRUCTURE: Y`
y.-
Y N NIA COMMENTS:
!2
Alk-Xccess 27 x 30" minimum
Jack Studs/Headers / j �"� �3�.� L---
Bracing,Bridging V c�"�I`�
Joist hangers
Jack Posts/Main Beams ""-
Exterior sheeting nailed properly
12"O.C. ��Z�.. �E -�.�/1Z- \t (kPj �%
Headroom 6 ft. 8 in.
Stairwells 36 in. or more �-
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/ w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavq min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 518 inch Type X
CeilingNTII
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (M
5.7 sf above/below grade
5.0 sf grade
LABuiiding&Codes Forms-OLDNBuilding&CodesUspedion Fo mslFraming Fmmftpping Inspedion Report.doc Revised January 7,2008
Foundation Inspection Report
Office No.(5 18)761-8256 Date Inspection st e iv
Queensbury Building&Code Enforcement Arrive: Depart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi
M L c),
NAME: Inspection
LOCATION: -T -i' 1A LLJ) INSPECT ON: 1 11-71Qom_
TYPE OF STRUCTURE:
Comments
N N/A
ootings 56v, ®a L"
Piers `
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing C—
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under stab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forrns\Building&CDdes\Inspection Forms\Foundabon inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: % am/psn part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .42!
NAME: V Lor( PERMIT#:
LOCATION: ;� 44 f �� INSPECT ON: 1 0
TYPE OF STRUCTURE:
Framing Y N WA COMMENTS
Attic Access 220 x 3W minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Alchor Botts 6 ft. or less on center
ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. ("
5.7 sf above/below grade
5.0 sf grade
LABuiiding&Codes Forms-OLD\Buiid ft&CodesYnspedion FormsTrarning Firestopping Inspection Rsportdoc Revised January 7,2008
ul�
Septic Inspection Report
Office No. (518) 761-8256 Date Ins i n request received:
Queensbury Building &Code Enforcement Arrive: S am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY�12804 Inspector's I itials: .M7 _
NAME: //0 - PERMIT NO..
LOCATION: INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand C a
Type of water: Municipal/ ell W
Waterline se ration distance ft.
Well separation distance i U"2 ft.
Other wells: z ft.
Well Casing Length 50' + - Y N N A
Absorption Field: Total length ft. -- - --�
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size, Type j
Building to tank 44d ;KO
Tank to Distribution Box
Distribution Box to Field Pit l i 8+
Opening Sealed: v N
End Ca N
Inlet/Outlet Pipes&Baffles Y N
Location Separations
Foundation to tank ft.
Foundation to absorption
Separation of Pits
Conforms as per Plot Plan Y N 9,
Engineer Report and As-Built Y N
Locatio tern on Property:
Fro Rear Left Side Right Side Middle Front Middle Rear
System s
pproved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/
� Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: v b-L / PERMIT#: ` 0 s�
LOCATION: UT INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Fo dation Dampproofmg
oundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
b inches above footing
6 mil poly for wet areas under slab
B kfill Approval
g Under Slab
PVC Cast/Copper �)G
oundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Rough Plumbing / Insulation Inspection/Report
Office No. (518) 761-8256 Date Inspectiop request received:
Queensbury Building & Code Enforcement Arrive: '') ti�" am/pRm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initialsm—
NAME: APERMIT #: 4z
LOCATION: 221 :2 INSPECT ON: .— �-
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing416
/N it Plates
KIViin—di—iiiinimurn
lumbin Vent ents in Place
Drain Size
Washing Machine Drain 2 inch minimum
Cloanout every 100 feet/change of direction
ure Test
rai /Vent
Air/ ead
5 .
or 10 ft. above highest connection for 15 minutes
ressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation /Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If r ired unheated aces
Co ustion Air Su for Furnace
ct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection "t receeiyeq
Queensbury Building&Code Enforcement Arrive: ` -F ` -'depart: G:� m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Im '
NAME: / /U (PERMIT#:
LOCATION: INSPECT ON: —
TYPE OF STRUCTURE: U
Comments
Y N N/A /
10 o1� i 5
Footings
le ► --R
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
1
Foundation Waterproofing +1��
12 inch wi&h
hove footing
6 mil po1 or wet areas under slab ✓` -�
nder Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundaiion Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Septic Inspection Report
Office No. (518) 761-8256 Date InWIN
uest received:
Queensbury Building &Code Enforcement Arrive: /p �� epart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspect "- `�
NAME: ail 1 GO r� PERMIT NO.: L-D
LOCATION: jar-'�fl6c INSPECT ON: / 0
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam / Clay
Type of Water: Municipal Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + - Y VN —N/A
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed: Y N
End Ca Y N
Inlet/Outlet Pipes&Baffles Y N
Location Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Engineer Report and As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use M
proved
artial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection i
Queensbury Building&Code Enforcement Arrive: - m part: L._'�/
742 Bay Rd.,Queensbury,NY 12804 Inspector's In
.
r
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comment
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concre
Materi or& se on site.
Foundati n/Wallpour
Reinforcee
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspecdon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Ins lion request received:
Queensbury Building&Code Enforcement Arrive: ' am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: /0-1/ /D PERMIT#:
LOCATION: INSPECT ON: 7 v
TYPE OF STRUCTURE:
f
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofng
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
,42 inch width-
6
' ove footing
6 mil for t areas under slab
Bac it pproval
bih Unde
/PVC/Cast/Copper
Foundation sulatio Interior/ xterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
JB3 Consulting
• Joseph Biss III
553 State Route 149 -Suite B
Lake George,New York 12845-3515
Phone/Fax (518) 761-9888
JBISS3(a AOL.COM
NYSDOH Lab ID# 11637 NOV 2 0 2008
Rosick's Well Drilling
1175 Farley Road
Hudson Fails, NY 12839
Phone: (519) 741-017Q Fa . , ^•n{ O I-- .� t
i . ��ili f-T s i� nl ii: jai�� atcl`.Cd<'iCiCahi t.C(7t1-
Client:
Mylott
#92 Tuthill Road
Queensbury,New York 12804
Results: Well Head
Sample DatetThue Date Date/Tinie Analysis Method Result NYSD01r
Collection Received Analysis Drinking Water
Number Limit
081021COI 10/21/08 10/21/08 10/21/08 Total SM <1 CFU/100 <I CFLI/100
• 1:30 P 5:00 P Coliform 9222B ml ml
The results retate only to the sample(s) as received by the laboratory. The sample received was
analyzed in compliance with NYSDOH and NELAP approved methods and within their accepted
holding times. The result(s) is (are) equal to or lower than the StatCs limits therefore it(they)
meets the requirements for NYSDOH Part 5 Drinking Water Regulations.
JB3 Consult' 's liability for any work performed is limited to the amount billed to the
customer I nf
the claim of the customer.
f
Joseph Bi 1 _
Analyst/Dir c or
Sunday, Octo er 26, 2008
This is an original Certificate of Analysis, do not duplicate
This is page i of 1
ROSICK WELL DRILLING L.L.C.
1175 FARLEY ROAD
HUDSON FALLS, NEW YORK 12839
(518)746-0173
.ate /b -
(� GOCustomer 1"Ipt,{LC�t'►+� (1�1�rt�T Site Q . 1 y n+ 1
Sl Al }rN i JVt
GPS# � f�'' /,2 4
2164c:y ef
of
� V
Remarks
u lic+, Jac . '
l L!? 8c)
• Static Level
Gals per min. `C..
o Well Depth
i
s Drillerues�C�
y
Helper
z Sample Taken
Remarks
Four Hour draw down at 5 Gallons per minute. Sufficient water supply.
•
Testing report provided by:
• Owner: Rosick Well Drilling
T ocatiow�'� `��.,� \�.1� e� t�v.G a ��v _ 1175 Farley Road
Page#: Hudson Falls,NY 12839
Yeild Test Record
--'�-, \ :
Date, Weather&Sample Time(Hr.Min) Tape Measurment PM
(In well from top of casing)
2 �
IS
ro
• � 3` 3 3.
v)' �1 33
t t � & a .
LI a
a �5
y, 1
� o '3
y3 -
^ar 1 y
3
r ,3 3
) f L1
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Am(1)COUNTY (3)DEC Well Nurnher
�(2)
TOWN k
WATER WELL COMPLETION REPORT
(4)OWNER
(43
LOG
(5)ADDRESS
Depth to Bedrock (ft.below
ground surface)
(6)LOCATION OF WELL(See Instructions On Reverse) (Check here r-1 if same as address above,also provide Lat t Long below) Ground Elev. (ft.above S.L.)
Show Lat/Long if available
and method used Top of Casing I. (ft-,abov6
GPS n Map interpolation or below(-)ground surface)
(7)DEPTH OF WELL BELOW (8)DEPTH TO GROUNDWATER DATE MEASURED TOP OF WELL
LAND SURFACE(feet)
—TBELOW LAND SURFACE(feet)
CASINGS
(9)DIAMETER P� I
in. in. in. in.
(10)LENGTH
in,
(11)GROUT TYPE 1 SEALING (12)GROUT i SEALING INTERVAL
(feet) FROM TO
(13)MAKE&MATERIAL (14)OPENINGS
(15)DIAMETER
in. in. in. in.
(16)LENGTH
in,
• (17)DEPTH TO TOP OF SCREEN,FROM TOP OF CASING(Feet)
YIELD 77
TEST
(18)DATE (19)DURATION OF TEST iv
(20)LIFT METHOD (21)STABILIZED DISCHARGE(GPM)
❑Pump ❑Air Lift ❑ Bail
(22)STATIC LEVEL PRIOR TO TEST (23)MAXIMUM DRAWDOWN(Stabilized)
(feetJinchft below top of casing) (feethnGtres below top of casing)
(24)RECOVERY(Time in hours/minutes) (25)Was the water produced during the test
discharged away from immediate area? Yes No
PIS:INSTALLAMIN
(26)PUMP INSTALLED? (27)DATE (28)PUMP INSTALLER
YES NO
(29)TYPE (30)MAKE (31)MODEL
(32)MAXIMUM CAPACITY(GPM) (33)PUMP INSTALLATION LEVEL
FROM TOP OF CASING(Feet)
C7,
77 7-77
(34)METHOD OF DRILLING (35)USE OF WATER
Rotary E] Cable Tool n Other (See instructions for choices),
(36)DATE DRILLING WORK STARTED (37)DATE DRILLING WORK COMPLETED
(38)DATE REPORT FILED (39)REGISTER SIG* L E:�9!I-L.1 N G (40)DEC REGISTRATION NO.
1175 FA!�LFZY ROAD
HUDS011 FALLS, NY 12339 NYRD
• (41)CERTIFIED DRILLER(Print name) (42)CERTIFIED DRILLER SIGNATURE
By signing this document I hereby affirm that: (1)1 am certified to supervise water well diming activities as
BOTTOM OF HOLE
defined by Environmental Conservation Law§15-1502; (2)this water well was constructed in accordance with
water well standards promulgated by the New York State Department of Health; (3)under the penalty of
perjury the information provided in this Well Completion Report is true,accurate and complete,and OWNER COPY
iindpirstand that anv fakp ,tatemprif marlp herpin iq nuniqhahlp as a rlAc.-,A Mi.qdpmpannr lindpr Pprial I aw I
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection st r iv
Queensbury Building&Code Enforcement Arrive: � m Depart: _ m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi s.
NAME: RMIT#:
LOCATION: C INSPECT ON: -- —
TYPE OF STRUCTURE:
CD— Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Fonms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
1 '
R EScheck Software Version 4.1.0 `///�
Compliance Certificate
Project Title: MYLOTT RERSIDENCE
Report Date:08/10/08
Data filename:C:\Program Files\Check\REScheck\MYLOTT RERSIDENCE.rck'
Energy Code: New York State Energy Conservation
Construction Code
Location: Warren County,New York
Construction Type: Detached 1 or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage: 140/.
Heating Degree Days: 7635
Construction Site: Owner/Agent: Designer/Contractor:
QUEENSBURY,NY 12804 RYAN MYLOTT JAMES PERKINS
QUEENSBURY,NY 12804 GLENS FALLS
(518)944-4365 12801
rmylott@roadrunner.com
Compha-1ce Passes
Maximum UA:581 Your Home UA:575=1.0%Better Than Code
Gross Cavitv Cont. Glazing UA
Assembly Area or R-Value R-Value or D..
Perimeter U-Factor
Ceiling 1:Cathedral Ceiling(no attic) 320 38.0 0.0 9
Ceiling 2:Cathedral Ceiling(no attic) 320 38.0 0.0 9
Ceiling 3:Cathedral Ceiling(no attic) 105 38.0 0.0 3
Ceiling 4:Cathedral Ceiling(no attic) 105 38.0 0.0 3
Ceiling 5:Cathedral Ceiling(no attic) 380 38.0 0.0 10
Ceiling 6:Cathedral Ceiling(no attic) 380 38.0 0.0 10
Ceiling 7:Cathedral Ceiling(no attic) 100 38.0 0.0 3
Ceiling 8:Cathedral Ceiling(no attic) 100 38.0 0.0 3
Wall 1:Wood Frame,16"o.c. 340 11.0 0.0 17
Window 4:Wood Frame:Double Pane with Low-E 11 0.350 4
Window 5:Wood Frame:Double Pane with Low-E 17 0.350 6
Window 6:Wood Frame:Double Pane with Low-E 23 0.350 8
Window 7:Wood Frame:Double Pane with Low-E 11 0.350 4
Window 8:Wood Frame:Double Pane with Low-E 23 0.350 8
Window 9:Wood Frame:Double Pane with Low-E 23 0.350 8
Window 10:Wood Frame:Double Pane with Low-E 18 0.350 6
Window 11:Wood Frame:Double Pane with Low-E 18 0.350 6
Wall 2:Wood Frame,16"o.c. 108 11.0 0.0 7
Window 12:Wood Frame:Double Pane with Low-E 29 0.350 10
Wall 3:Wood Frame,16"o.c. 108 11.0 0.0 7
Window 13:Wood Frame:Double Pane with Low-E 29 0.350 10
Wall 4:Wood Frame,16"o.c. 78 11.0 0.0 7
Wall 5:Wood Frame,16"o.c. 78 11.0 0.0 7
Wall 6:Wood Frame,16"o.c. 56 11.0 0.0 3
Window 14:Wood Frame:Double Pane with Low-E 17 0.350 6
Wall 7:Wood Frame,16"o.c. 49 11.0 0.0 4
Wall 8:Wood Frame,16"o.c. 49 11.0 0.0 4
Wall 9:Wood Frame,16"o.c. 56 11.0 0.0 3
Window 15:Wood Frame:Double Pane with Low-E 17 0.350 6
Wall 10:Wood Frame,16"o.c. 49 11.0 0.0 4
MYLOTT RERSIDENCE Page 1 of 8
Wall 11:Wood Frame,16"o.c. 49 11.0 0.0 4
Wall 12:Wood Frame,16"o.c. 647 11.0 0.0 56
Door 2:Solid 21 0.240 5
Wall 13:Wood Frame,16"o.c. 770 11.0 0.0 59
Window 16:Wood Frame:Double Pane with Low-E 9 0.350 3
Window 17:Wood Frame:Double Pane with Low-E 9 0.350 3
Window 18:Wood Frame:Double Pane with Low-E 17 0.350 6
Window 19:Wood Frame:Double Pane with Low-E 17 0.350 6
Window 20:Wood Frame:Double Pane with Low-E 17 0.350 6
Door 3:Glass 35 0.240 8
Wall 14:Wood Frame,16"o.c. 674 11.0 0.0 56
Door 4:Glass 42 0.240 10
Basement Wall 1:Solid Concrete or Masonry 352 7.0 0.0 39
Wall height:8.0'
Depth below grade:4.0'
Insulation depth:7.5'
Window 1:Wood Frame:Double Pane with Low-E 9 0.350 3
Window 2:Wood Frame:Double Pane with Low-E 9 0.350 3
Basement Wall 2:Solid Concrete or Masonry 240 7.0 0.0 28
Wall height:8.0'
Depth below grade:4.0'
Insulation depth:7.5'
Basement Wall 3:Solid Concrete or Masonry 352 7.0 0.0 41
Wall height:8.0'
Depth below grade:4.0'
Insulation depth:7.5'
Basement Wall 4:Solid Concrete or Masonry 240 7.0 0.0 31
Wall height:8.0'
Depth below grade:0.0'
Insulation depth:7.5'
Window 3:Wood Frame:Double Pane with Low-E 9 0.350 3
Door 1:Glass 40 0.240 10
Furnace 1:Forced Hot Air90 AFUE
The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted
with this permit application.The proposed systems have been designed to meet the New York State Energy Conservation Construction
Code requirements.When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of
his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code.
Name-Title Signature Date
MYLOTT RERSIDENCE Page 2 of 8
CREScheck Software Version 4.1.0
NJ( Inspection Checklist
Date:08/10/08
Ceilings:
❑ Ceiling 1:Cathedral Ceiling(no attic),R-38.0 cavity insulation
Comments:
❑ Ceiling 2:Cathedral Ceiling(no attic),R-38.0 cavity insulation
Comments:
❑ Ceiling 3:Cathedral Ceiling(no attic),R-38.0 cavity insulation
Comments:
❑ Ceiling 4:Cathedral Ceiling(no attic),R-38.0 cavity insulation
Comments:
❑ Ceiling 5:Cathedral Ceiling(no attic),R-38.0 cavity insulation
Comments:
❑ Ceiling 6:Cathedral Ceiling(no attic),R-38.0 cavity insulation
Comments:
❑ Ceiling 7:Cathedral Ceiling(no attic),R-38.0 cavity insulation
Comments:
❑ Ceiling 8:Cathedral Ceiling(no attic),R-38.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame,16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 2:Wood Frame,16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 3:Wood Frame, 16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 4:Wood Frame,16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 5:Wood Frame,16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 6:Wood Frame,16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 7:Wood Frame, 16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 8:Wood Frame,16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 9:Wood Frame,16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 10:Wood Frame, 16"o.c.,R-11.0 cavity insulation
Comments:
MYLOTT RERSIDENCE Page 3 of 8
❑ Wall 11:Wood Frame,16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 12:Wood Frame, 16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 13:Wood Frame, 16"o.c.,R-11.0 cavity insulation
Comments:
❑ Wall 14:Wood Frame, 16"o.c.,R-11.0 cavity insulation
Comments:
Basement Walls:
❑ Basement Wall 1:Solid Concrete or Masonry,8.0'ht/4.0'bg/7.5'insul,R-7.0 cavity insulation
Comments:
❑ Basement Wall 2:Solid Concrete or Masonry,8.0'ht/4.0'bg/7.5'insul,R-7.0 cavity insulation
Comments:
❑ Basement Wall 3:Solid Concrete or Masonry,8.0'ht/4.0'bg/7.5'insul,R-7.0 cavity insulation
Comments:
❑ Basement Wall 4:Solid Concrete or Masonry,8.0'ht/0.0'bg/7.5'insul,R-7.0 cavity insulation
Comments:
Windows:
❑ Window 4:Wood Frame:Double Pane with Low-E,U-factor.0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 5:Wood Frame:Double Pane with Low-E,U-factor.0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 6:Wood Frame:Double Pane with Low-E,U-factor.0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 7:Wood Frame:Double Pane with Low-E,U-factor.0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 8:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 9:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 10:Wood Frame:Double Pane with Low-E,U-factor.0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 11:Wood Frame:Double Pane with Low-E,U-factor:0.350
MYLOTT RERSIDENCE Page 4 of 8
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 12:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
Vanes Frame Type Thermal Break? Yes No
Comments:
❑ Window 13:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 14:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 15:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 16:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 17:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 18:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 19:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 20:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor.0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.350
MYLOTT RERSIDENCE Page 5 of 8
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 2:Solid,U-factor:0.240
Comments:
❑ Door 3:Glass,U-factor:0.240
Comments:
❑ Door 4:Glass,U-factor:0.240
Comments:
❑ Door 1:Glass,U-factor:0.240
Comments:
Heating and Cooling Equipment:
❑ Furnace 1:Forced Hot Air:90 AFUE or higher
Make and Model Number.
Air Leakage:
❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed.
❑ Recessed lights are 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from
combustible materials.If non-IC rated,fixtures are installed with a 3"clearance from insulation.
Vapor Retarder:
❑ Installed on the wane-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions.
❑ Materials and equipment are identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications.
❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a
manner that achieves the rated R-value without compressing the insulation.
Duct Insulation:
❑ Supply ducts in unconditioned attics or outside the building are insulated to R-11.
❑ Return ducts in unconditioned attics or outside the building are insulated to R-6.
❑ Supply ducts in unconditioned spaces are insulated to R-11.
❑ Return ducts in unconditioned spaces(except basements)are insulated to R-2.Insulation is not required on return ducts in
basements.
Duct Construction:
❑ All joints,seams,and connections are securely fastened with welds,gaskets,mastics(adhesives),mastic-plus-embedded-fabric,
or tapes.Tapes and mastics are rated UL 181A or UL 181 B.
Exceptions:
Continuously welded and locking-type longitudinal joints and seams on duds operating at less than 2 in.w.g.(500 Pa).
❑ The HVAC system provides a means for balancing air and water systems.
Temperature Controls:
❑ Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest
zone.
Electric Systems:
❑ Separate electric meters exist for each dwelling unit.
Fireplaces:
❑ Fireplaces are installed with tight fitting non-combustible fireplace doors.
MYLOTT RERSIDENCE Page 6 of 8
Lj Fireplaces have a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York
State,the Residential Code of New York State or the New York City Building Code,as applicable.
Service Water Heating:
Lj Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat
trap or is part of a circulating system.
Lj Circulating hot water pipes are insulated to the levels in Table 1.
Circulating Hot Water Systems:
Circulating hot water pipes are insulated to the levels in Table 1.
Swimming Pools:
Lj All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable
sources.Pool pumps have a time clock.
Heating and Cooling Piping Insulation:
Lj HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2.
MYLOTT RERSIDENCE Page 7 of 8
1
• t
s
i Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-169 0.5 0.5 1.0 1.5
100-139 0.5 0.5 0.5 1.0
Table 2:Minimum Insulation Thickness for HVAC Pipes
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
MYLOTT RERSIDENCE Page 8 of 8
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