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CC-000136-2015 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development - Building&. Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: CC-000136-2015 Date Issued: Friday, June 3, 2016 This is to certify that work requested to be done as shown by Permit Number CC-000136-2015 has been completed. Tax Map Number: 296.13-1-67 Location: 980 State Rte 9 Owner: ABD Sanctuary Holdings, LLC, Body Relief Spa Applicant: Body Relief Spa This structure may be occupied as a: Body Relief Spa Commerical Alterations By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy 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. tom`` TOWN OF QUEENSBURY r• -" 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 �- Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: CC-000136-2015 Tax Map No: 296.13-1-67 Permission is hereby granted to: Body Relief Spa For property located at: 980 State Rte 9 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 Tyne of Construction Owner Name: David Dawkins Business Office-Alteration $0.00 Owner Address: 39 Arbor DR Total Value Glens Falls,NY 12801 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Body Relief Spa Commerical Alterations $907.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,October 23,2016 (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 To sbury; F i er 23,2015 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUC'T'URE APPLiCATIQ � � 1 rff'T 1 9 Office Use Only Received Date: q 19 `. bL6 JTax Map ID 3 -l - '� _ Tax Map ID �i� _ � NrmitNoon l�(�_2a� Ct1V0lL�Q ' '-Perrnlit Fee Zone t?C7 Rec Fee Historic Site Yes ✓ No Site Plan# 50 a-7-.1�0�y AVVi Subdivision Name _ Lot# Subdivision## TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS - SINGLE FAMILY, DUPLEXES/TWO-FAMILY, MULTIPLE FAMILY, APARTMENTS, CONDOMINIMUMS, TOWNHOUSES,AND/OR MANUFACTURED&MODULAR HOMES,BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE. Applicant MV)kC o t AWe6& ow9ftner Address 41ofkVW `' AddressVol .�.- 00, Phone/E-mail C le- 110— Phone/E-mail rel i! q! •�.oren Contact Person for Building&Codes Compliance: VV GI�3V4 - rl„L 1 Phone LL TYPF,of CONSTRUCTION ,/Check all that apply New Addition Alteration I I floor sf 21 floor sf Total sf Height Single Family Two-Family Multi-Family (#of units Townhouse Business Office Retail -Mercantile Factory- Industrial Attached Garage Body Relief Spa CC-0001315-2015 (l, 2, 3, 4+) David & Alyssa Barber Dawkins Other 980 State Route 9 Com'I Interior Alterations Town of Queensbury Building&Codes Principal Structure Application Revised September 2014 If commercial or industrial please indicate of business Proposed use of building or addition Source of Heat(circle one) Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances&Chimneys �11� Are there structures not shown on plot plan? Are there easements on the property? Site Information a. Dimensions or acreage of lot O b. Is this a corner lot? ' C. Will the grade be changed as a result of construction Yes ©No d. Public water or Private well 014 e. Sewer or Private Septic System G Value of all work to be performed(labor or materials) $ ft DECLARATI©N. 1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. I certify that the application,plans and supporting materials are a true and complete statement I description of the work proposed,that all work will be performed in accordance with the NYS Building Codes,local building laws and ordinances,and in conformance with local zoning regulations 4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. 5. 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: PRINT NAME: H�'� U4+v"_ SIGNATURE: n:tee_ DATE: �y �?• „�f For office use only Operating Permit Issued: Yes No Occupancy Type Construction Classification Assembly Occupancy Limit Special Conditions Town of Queensbury Building&Codes Principal Structure Application Revised September 2014 COMtherk Software Version 4.0.0 Envelope Compliance Certificate Project Information Energy Code: 2014 New York Energy Conservation Construction Code Project Title: Body Relief Day Spa Location: Warren County, New York Climate Zone: 6a Project Type: Alteration Construction Site: Owner/Agent: Designer/Contractor. 980 Route 9 David &Alyssa Dawkins Ethan P. Hall Queensbury, NY 12804 Body Relief Day Spa Rucinski Hall Architecture 980 Route 9 627 Maple Ave Queensbury, NY 12804 Saratoga Springs, NY 12866 518-796-1412 518-580-1905 bodyreliefspa@gmaii.com rich@schermerhornconstruction.co M Building Area Floor Area 1-Office: Nonresidential 3458 Envelope Assemblies R-Value Proposed Max.Allowed Post-Alteration Assembly Cavity Cont. U-Factor SHGC U-Factor SHGC Roof 1:Insulation Entirely Above Deck,[Bldg.Use 1 -Office] — 30.0 0.032 — 0.048 — Exterior Wall 1:Concrete Block:8",Unreinforced,Cells Empty, 13.0 5.0 0.053 — 0.080 — Furring:Wood,[Bldg.Use 1 -Office] Window 1:Metal Frame with Thermal Break:Fixed,Clear,Fixed, — --- — — — Fixed,[Bldg.Use 1-Office],'e=xemption:Glazing replacement in existing sash or frame. Door 1:Insulated Metal,Swinging,[Bldg.Use 1 -Office] — --- 0.300 — 0,700 — Envelope Envelope Compliance Statement Compliance Statement: The proposed envelope alteration project represented in this document is consistent with the building plans,specifications, and other calculations submitted with this permit application.The proposed envelope systems have been designed to meet the 2014 New York Energy Conservation Construction Code requirements in COMcheck Version 4.0.0 and to comply with the mandatory requirements listed in the InspVAWn Che i t. Ethan P. Hall-Architect ,r9 l�CJ1� Name-Title Si ature Date U� FILE Copy 166 704N Ow Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: Y:IDawkins Spa-Queensbury\Const. Dwg's\Dawkins.cck Page 1 of 17 COMehetk Software Version 4.0.0 Interior Lighting Compliance Certificate Project Information Energy Code: 2014 New York Energy Conservation Construction Code Project Title: Body Relief Day Spa Project Type: Alteration Construction Site: Owner/Agent! Designer/Contractor. 980 Route 9 David&Alyssa Dawkins Ethan P. Hail Queensbury, NY 12804 Body Relief Day Spa Rucinski Hall Architecture 980 Route 9 627 Maple Ave Queensbury, NY 12804 Saratoga Springs, NY 12866 518-796-1412 518-580-190.5 bodyreliefspa@gmail.com rich@schermerhornconstruction.co m Allowed Interior Lighting Power A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Watts I ft2 (B X C) 1-Common Space Types:Office-Enclosed 1975 1 .10 2172 2-Common Space Types:Corridor 1 Transition 556 0.70 389 3-Common Space Types:Office-Open plan 627 1 627 Total Allowed Watts= 3189 Proposed Interior Lighting Power A B C D E Fixture ID : Description I Lamp I Wattage Per Lamp!Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. CommQu 9gar&Tynes:Office-Enclosed(1975 sg ft) LED 1:LED Linear 17W: 1 33 33 1089 Common Space Tynes:Corridor I Transition(556 sq.ft.) LED 2:LED Linear 17W: 1 10 33 330 Common Silage Tvpes:Office-OpenIp an(627 soft.) LED 3:LED Linear 17W: 1 8 33 264 Total Proposed Watts= 1683 Interior Lighting PASSES Interior Lighting Compliance Statement Compliance Statement; The proposed interior lighting alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed interior lighting systems have been designed to meet the 2014 New York Energy Conservation Construction Code requirements in COMcheck Version 4.0.0 and to comply with the mandatory requirem list�eln Checklist. Ethan P. Hail-Architect Name-Title Minature Date Project Title: Body Relief Day Spa Report date: 10116/15 Data filename: Y:1Dawkins Spa-Queensbury\Const. Dwg'slDawkins.cck Page 2 of 17 COMcheck Software Version 4.0.0 Exterior Lighting Compliance Certificate Project Information Energy Code: 2014 New York Energy Conservation Construction Code Project Title: Body Relief Day Spa Project Type: Alteration Exterior Lighting Zone 4(High activity metropolitan commercial district) Construction Site: Owner/Agent: Designer/Contractor: 980 Route 9 David &Alyssa Dawkins Ethan P. Hall Queensbury, NY 12804 Body Relief Day Spa Rucinski Hall Architecture 980 Route 9 627 Maple Ave Queensbury, NY 12804 Saratoga Springs, NY 12866 518-796-1412 518-580-1905 bodyreliefspa@gmaii.com rich@schermerhornconstruction.co m Allowed Exterior Lighting Power A B C D E Area/Surface Category Quantity Allowed Tradable Allowed Watts Watts 1 Unit Wattage (B X C) Entry canopy 2 fl2 0.4 Yes 1 Total Tradable Watts(a)= 1 Total Allowed Watts= 1 Total Allowed Supplemental Watts(b)= 1300 (a)Wattage tradeoffs are only allowed between tradable areastsurfaces. (b)A supplemental allowance equal to 1300 watts may be applied toward compliance of both non4radable and tradable areas/surfaces. Proposed Exterior Lighting Power A B C D E Fixture ID: Description/Lamp 1 Wattage Per Lamp 1 Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. Entfy_canopy(2 ft2):Tradable Wattage LED is LED Other Fixture Unit 25W: 1 4 38 152 Total Tradable Proposed Watts= 152 ,Exterior Lighting PASSES- Design better than code Exterior Lighting Compliance Statement Compliance Statement: The proposed exterior lighting alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed exterior lighting systems have been designed to meet the 2014 New York Energy Conservation C struction Code requirements in COMcheck Version 4.0.0 and to comply with the mandatory requiremen d in In io hecklist. Ethan P. Hall-Architect L! C✓G+!' Name-Title Sig u e Date Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: Y:1Dawkins Spa-Queensbury\Const. Owg`s\Dawkins.cck Page 3 of 17 COMcheck Software Version 4.0.0 Mechanical Compliance Certificate Project Information Energy Code: 2014 New York Energy Conservation Construction Code Project Title: Body Relief Day Spa Location: Warren County, New York Climate Zone: 6a Project Type: Alteration Construction Site: Owner/Agent: Designer/Contractor: 980 Route 9 David&Alyssa Dawkins Ethan P. Hall Queensbury, NY 12804 Body Relief Day Spa Rucinski Hall Architecture 980 Route 9 627 Maple Ave Queensbury, NY 12804 Saratoga Springs, NY 12866 518-796-1412 518-580-1905 bodyreliefspa@gmail.com rich@schermerhornconstruction.co m Mechanical Systems List Quantity System Type&Description 1 HVAC System 1 (Single Zone): Heating: 1 each-Central Furnace,Gas,Capacity=45 kBtulh Proposed Efficiency=91.00%Et,Required Efficiency=80.00%Et Cooling: 1 each-Field-Assembled DX System,Capacity=60 kBtulh,Air-Cooled Condenser,Air Economizer No minimum efficiency requirement applies Fan System: FAN SYSTEM 11 all—Compliance(Motor nameplate HP method):Passes Fans: FAN 1 Supply,Constant Volume, 150 CFM,0.5 motor nameplate hp Mechanical Compliance Statement Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2014 New York Energy Conservation Construction Code re irements in COMcheck Version 4.0.0 and to comply with the mandatory requirements listed in the lnspec ' Check Ethan P. Hall-Architect g/y+� 7r Name-Title Si ure Date Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: Y:IDawkins Spa-Queensbury\Const. Dwg's\Dawkins.cck Page 4 of 17 COMcheck Software Version 4.0.0 Inspection Checklist Energy Code: 2014 New York Energy Conservation Construction Code Requirements: 100.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.where compliance is itemized in a separate table, a reference to that table is provided. 2014 New York Plan Review Complies? Comments/Assumptions Energy 0103.2 Plans and/or specifications provide all ❑Complies Requirement will be met. [PR1)1 information with which compliance ❑Does Not can be determined for the building Location on plans/spec:A-1 envelope and document where Mot observable exceptions to the standard are ❑Not Applicable claimed. C103.2 Plans, specifications, and/or ❑Complies Requirement will be met. [PR2)1 calculations provide all information ❑Does Not with which compliance can be Location on plans/spec:A-1 determined for the mechanical ❑Not Observable systems and equipment and ❑Not Applicable document where exceptions to the standard are claimed. Load calculations per acceptable engineering standards and handbooks. C1012 Plans, specifications, and/or ❑Complies Requirement will be met. [PR4]1 calculations provide all information ❑Does Not with which compliance can be ❑Nat Observable Location on plans/spec:A-1 determined for the interior lighting and electrical systems and equipment ❑Not Applicable and document where exceptions to the standard are claimed. Information provided should include interior lighting power calculations, wattage of bulbs and ballasts,transformers and control devices. C103.2 Plans, specifications, and/or ❑Complies Requirement will be met. [PRB]1 calculations provide all information ❑Does Not with which compliance can be ❑Not Observable Location on plans/spec:A-1 determined for the exterior lighting and electrical systems and equipment ❑Not Applicable and document where exceptions to the standard are claimed. Information provided should include exterior lighting power calculations, wattage of bulbs and ballasts,transformers and control devices. C402.3.1 Vertical fenestration area <=30 ❑Complies Requirement will be met. [PR10)1 percent of the gross above-grade wall ❑Does Not area. ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable C402.3.1 Skylight area <= 3 percent of the ❑Complies Requirement will be met, [PR11]1 gross roof area. ❑Does Not ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: Y:IDawkins Spa-QueensburylConst. Dwg'slDawkins.cck Page 5 of 17 2014 New York Plan Review Complies? Comments/Assumptions Energy C402.3.2. Areas with obstructions that block ❑Complies Exception: Skylights designed to exclude direct sunlight 2 direct beam sunlight on >= 112 of the ❑Does Not entering the occupied space by the use of fixed or automated [PR1511 roof over the enclosed area for more []Not observablebaffles. than 1,500 daytime hours per year between 8 am and 4 pm. ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low impact(Tler3) Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: Y:1Dawkins Spa-Queensbury\Const. Dwg's\Dawkins.cck Page 6 of 17 2014 New YoricFooting 1 Foundation inspection Complies? Comments/Assumptions Energy C403.2.7, Exterior insulation protected against ❑Complies Requirement will be met. C408.2.8, damage,sunlight, moisture,wind, ❑Does Not 0404.5 landscaping and equipment [FO6]1 maintenance activities. ❑Not Observable ❑Nat Applicable C403.2.4. Freeze protection and snow/ice ❑Complies Exception: Requirement does not apply. 5 melting system sensors for future ❑Does Not [FO9]3 connection to controls. ❑Not Observable []Not Applicable Additional Comm ents/Assu rn ptio ns: 111 High Impact (Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Body Relief Day Spa Report date: 10/16115 Data Filename: Y:1Dawkins Spa-QueensburylConst. Dwg's\Dawkins.cck Page 7 of 17 Section pians Verified Field Verified #R Framing/Rough-in Inspection Value Value Complies? Comments/Assumptions Req.ID C402.4.1, The building envelope contains a ❑Complies Requirement will be met. C402.4.2 continuous air barrier that is ❑Does Not [FR16]1 sealed in an approved manner Location on plans/spec:A- and either constructed or tested ❑Nat Observable 1 in an approved manner.Air ❑Not Applicable barrier penetrations are sealed in an approved manner. 0402.4.3, Factory-built fenestration and ❑Complies Requirement will be met. C402.4.4 doors are labeled as meeting air ❑Does Not [FR18]3 leakage requirements. [-]Not Observable ❑Not Applicable C402.4.7 Vestibules are installed on all ❑Complies Requirement will be met. [FR17]3 building entrances. Doors have ❑Does Not self-closing devices. ❑Not Observable Location on plans/spec:A- ❑Not Applicable 1 C402.3.3, Vertical fenestration U-Factor. U- U- ❑Complies See the Envelope Assemblies C402.3.4 ❑Does Not table for values. [FR8]1 [-]Not Observable ❑Not Applicable C402.3.3 Vertical fenestration SHGC value. SHGC: SHGC: ❑Complies See the Envelope Assemblies [FR10]1 ❑Does Not table for values. ❑Not Observable El Not Applicable C303.1.3 Fenestration products rated in ❑Complies Requirement will be met. [FR12]2 accordance with NFRC. ❑Does Not ❑Not Observable Location on plans/spec: A- ❑Not Applicable 1 C303.1.3 Fenestration products are ❑Complies Requirement will be met. [FR13]1 certified as to performance labels ❑Does Not or certificates provided. ❑Not Observable Location on plans/spec: A- ❑Not Applicable 1 0402.2.7 U-factor of opaque doors U- U- ❑Complies See the Envelope Assemblies [FR14]2 associated with the building ❑ Swinging ❑ Swinging ❑Does Not table for values. thermal envelope meets ❑ Nonswinging ❑ Nonswinging ❑Not Observable requirements. ❑Nok Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: Y:1Dawkins Spa-Queensbury\Const. Dwg's\Dawkins.cck Page 8 of 17 Section Mechanical Rough-in Plans Verified Field Verified , # Inspection Value Value Complies. Comments/Assumptions & Req.ID C403.2.3 HVAC equipment efficiency 'Efficiency: Efficiency: ❑Complies See the Mechanical Systems list [ME55]2 verified. ❑Does Not for values. ❑Not Observable ❑Not Applicable C402.4.5. Stair and elevator shaft vents ❑Complies Exception: Requirement 1 have motorized dampers that ❑Does Not does not apply. [ME3]3 automatically close. ❑Not Observable ❑Not Applicable C402.4.5. Outdoor air and exhaust systems ❑Complies Requirement will be met. 2 have motorized dampers that ❑Does Not [ME58]3 automatically shut when not in ❑Not Observable Location on plans/spec:A- use and meet maximum leakage 1 rates.Check gravity dampers ❑Not Applicable where allowed, C403.2.5. Demand control ventilation ❑Complies Exception: Requirement 1 provided for spaces>500 ft2 and ❑Does Not does not apply. [ME5911 >25 people/1000 ft2 occupant density and served by systems ❑Not Observable with air side economizer, auto ❑Not Applicable modulating outside air damper control,or design airflow>3,000 cfm. C403.2.7 HVAC ducts and plenums R- R- ❑Complies Exception: Requirement [ME60]7 insulated.Where ducts or ❑Does Not does not apply. plenums are installed in or under a slab, verification may need to ❑Not Observable occur during Foundation ❑Not Applicable Inspection. C403.2.8 HVAC piping insulation thickness, in. in, [ Complies Requirement will be met. (ME61]2 Where piping is installed in or []Does Not under a slab, verification may Location on plans/spec: A- need to occur during Foundation ❑Not Observable 1 Inspection. []Not Applicable C403.2.8 Thermally ineffective panel ❑Complies Exception: Requirement [ME41]3 surfaces of sensible heating ❑Does Not does not apply. panels have insulation >= R-3.5. []Not Observable ❑Not Applicable C403.2.7 Ducts and plenums sealed based ❑Complies Requirement will be met. [ME10]2 on static pressure and location. ❑Does Not ❑Not Observable Location on plans/spec:A- ❑Not Applicable 1 C403.2.7. Ductwork operating >3 in.water ❑Complies Exception: Requirement 1.3 column requires air leakage ❑Does Not does not apply. [ME11]3 testing. []Not Observable ❑Not Applicable 0403.3.1, Air economizers provided where ❑Complies Requirement will be met. 0403.3.1. required, meet the requirements ❑Does Not 1for design capacity, control ❑Not Observable Location on plans/spec: A- [ME62]1 signal, ventilation controls, high- 1 limit shut-off, integrated ❑Not Applicable economizer control, and provide a means to relieve excess outside air during operation. C408.2.2. Air outlets and zone terminal ❑Complies Requirement will be met. 1 devices have means for air ❑Does Not [ME53]3 balancing. Location on plans/spec: A- ❑Not Observable 1 ❑Not Applicable 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: YADawkins Spa-Queensbury\Const. Dwg's\Dawkins.cck Page 9 of 17 Section Mechanical Rough-in Pians Verified Field Verified # Inspection Value Value Complies., Comments/Assumptions & Req.l[7 C403.4.2 VAV fan motors>=5.0 hp to be VSD VSD ❑Complies Exception: Requirement [ME6617 driven by variable speed drive, ❑ Vane axial ❑ Vane axial C]Does Not does not apply. have a vane-axial fan with fan fan variable pitch blades, or have ❑ Other ❑ Other ❑Not Observable controls to limit fan motor ❑Not Applicable demand. C403.2.6 Exhaust air energy recovery on ❑Complies [ME57]1 systems meeting Table C403.2.6 ❑Does Not EjNot Observable ❑Not Applicable C403.2.11 unenclosed spaces that are ❑Complies Exception: Requirement [ME71]$ heated use only radiant heat. ❑does Not does not apply. ❑Not Observable El Not Applicable 0403.4.7 Hot gas bypass limited to: <=240 ❑Complies Requirement will be met. [ME35]1 kBtu/h-50%>240 kBtu/h-25% ❑Does Not ❑Not Observable Location on p[ans/spec: A- ❑Not Applicable 1 C403.3.4 Sleeping rooms in Group R-1 ❑Complies Exception: null. [ME76]3 occupancies are provided with ❑Does Not dedicated system to automatically control HVAC ❑Not Observable systems and energy consumption ❑Not Applicable during unoccupied periods. Controls are designed to raise cooling and lower heating temperature set points by at least 4'F when room is unoccupied. Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: Y:IDawkins Spa-Queensbury\Const. Dwg's\Dawkins.cck Page 10 of 17 2014 New York Rough-In Electrical Inspection Complies? Comments/Assumptions Energy 0405.2.2. Automatic controls to shut off all ❑Complies Requirement will be met. �1 building lighting installed in all ❑Does Not (EI_2212 buildings. [:]Not Observable Location on plans/spec:A-1 ❑Not Applicable 0405.2.1. Independent lighting controls installed ❑Complies Requirement will be met. 1 per approved lighting plans and all ❑Does Not [EL23]2 manual controls readily accessible and ®Not Observable Location on plans/spec:A-1 visible to occupants. ❑Not Applicable C405.2.1. Lighting controls installed to uniformly ❑Complies Requirement will be met. 2 reduce the lighting load by at least ❑Does Not [EL15]1 50%. ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable C405.2.2. Daylight zones provided with ❑Complies Exception: Requirement does not apply. 3 individual controls that control the ❑Does Not [EL16]2 lights independent of general area lighting ❑Not Observable ❑Not Applicable C405.2.3 Sleeping units have at least one ❑Complies Exception: Requirement does not apply. [EL17]3 master switch at the main entry door ❑Does Not that controls wired luminaires and switched receptacles. ❑Not Observable ❑Not Applicable C405.2.2. Occupancy sensors installed in ❑Complies Requirement will be met. 2 required spaces. ❑Does Not [EL1811 ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable C405.2.2. Primary sidelighted areas are ❑Complies Exception: Requirement does not apply. 3 equipped with required lighting ❑Does Not [EL20]1 controls. ❑Not Observable ❑Not Applicable C405.2.2. Enclosed spaces with daylight area ❑Complies Exception: Requirement does not apply. 3 under skylights and rooftop monitors ❑Does Not [EL21]1 are equipped with required lighting ❑ controls. Nvt Observable QNot Applicable 0405.2.4 Automatic lighting controls for exterior ❑Complies Requirement will be met. [EL2512 lighting installed. ❑Does Not ❑Not Observable Location on plans/spec: A-1 ❑Not Applicable C405.2.3 Separate lighting control devices for ❑Complies Requirement will be met. [EL411 specific uses installed per approved ❑Does Not lighting plans. ❑Not Observable Location on plans/spec: A-1 ❑Not Applicable C405.4 Exit signs do not exceed 5 watts per ❑Complies Requirement will be met. [EL6]1 face. ❑Does Not ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable C405.2.3 Additional interior lighting power ❑Complies Requirement will be met. [EL811 allowed for special functions per the ❑Does Not approved lighting plans and is Location on plans/spec: A-1 automatically controlled and ❑Nvt Observable separated from general lighting. ❑Not Applicable Additional Comments/Assumptions: 1 I High impact (Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact{Tier3) Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: YADawkins Spa-QueensburylConst. Dwg'slDawkins.cck Page 11 of 17 I High Impact(Tier 1) 2 1 Medium Impact(Ter 2) 3 1 Low Impact(Tier 3) Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: Y:1Dawkins Spa-Queensbury\Const. Dwg's\Dawkins,cck Page 12 of 17 Section Plans Verified Field Verified # Insulation Inspection Value Value Complies? Comments/Assumptions & Req.ID C402.4.1. All sources of air leakage in the ❑Complies Requirement will be met. 1 building thermal envelope are ❑Does Not [IN1]1 sealed, caulked, gasketed, ❑Not Observable Location on plans/spec: A- weather stripped or wrapped with 1 moisture vapor-permeable ❑Nat Applicable wrapping material to minimize air leakage. C402.4.9 Vapor retarders on the interior ❑Complies Requirement will be met. [IN1811 side of framed walls,floors and ❑Does Not ceilings where the framed cavity Location on plans/spec: A- is not ventilated to allow ❑Not Observable 1 moisture to escape. Does not ❑Not Applicable include below-grade assemblies. 0402.4.2, Roof R-value. For some ceiling R- R- ❑Complies See the Envelope Assemblies 1 systems, verification may need to ❑ Above deck [] Above deck ❑Does Not table for values. [IN211 occur during Framing Inspection, ❑ Metal ❑ Metal ❑Not Observable ❑ Attic ❑ Attic ❑Not Applicable C303.2 Roof insulation installed per ❑Complies Requirement will be met. [1N3]1 manufacturer's instructions. ❑Does Not Blown or poured loose-fill Location on plans/spec:A- insulation is installed only where ❑Not Observable 1 the roof slope is<=3 in 12. ❑Not Applicable C303.2 Above-grade wall insulation ❑Complies Requirement will be met. [IN711 installed per manufacturer's ❑Does Not instructions. ❑Not Observable Location on plans/spec: A- ❑Not Applicable 1 C303.1 Building envelope insulation is ❑Complies Requirement will be met. [IN 10]2 labeled with R-value or insulation ❑Does Not certificate providing R-value and other relevant data. ❑Not Observable ❑Not Applicable C303.2.1 Exterior insulation is protected ❑Complies Requirement will be met. [IN14]2 from damage with a protective ❑Does Not material.Verification for exposed Location on plans/spec:A- foundation insulation may need ❑Not Observable 1 to occur during Foundation ❑Not Applicable Inspection. 0402.2.1 Insulation intended to meet the ❑Complies Requirement will be met. [IN17]3 roof insulation requirements ❑Does Not cannot be installed on top of a ❑Not Observable Location on plans/spec:A- suspended ceiling. Mark this 1 requirement compliant if ❑Not Applicable insulation is installed accordingly. Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Body Relief Day Spa Report date, 10/16/15 Data filename: Y:1Dawkins Spa-QueensburylConst. Dwg'slDawkins.cck Page 13 of 17 2014 New York Final Inspection Complies? Comments/Assumptions Energy C402.4.6 Weatherseals installed on all loading ❑Complies Exception: Requirement does not apply. [FI37]1 dock cargo doors. ❑Does Not ❑Not Observable ❑Not Applicable C403.2.4. Heating and cooling to each zone is ❑Complies Requirement will be met. 2 controlled by a thermostat control. ❑Does Not [F14713 Minimum one humidity control device ❑Not Observable Location on plans/spec:A-1 per installed hum idification/dehumidification ❑Not Applicable system. C403.2.4. Thermostatic controls have a 5 'F ❑Complies Requirement will be met, 2 deadband, ❑Does Not [F13813 ©Not Observable Location on plans/spec:A-1 ❑Nat Applicable 0403.2.4. temperature controls have setpoint ❑Complies Requirement will be met. 2 overlap restrictions. ❑Does Not [F120]3 ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable C403.2.4. Each zone equipped with setback ❑Complies Requirement will be met. 3 controls using automatic time clock or ❑floes Not [F139]3 programmable control system. ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable C403.2.4. Automatic Controls! Setback to 55*F ❑Complies Requirement will be met. 3 (heat)and 85°F (cool); 7-day clock, 2- ❑Does Not [F140]3 hour occupant override. 10-hour ❑Not Observable Location on plans/spec: A-1 backup ❑Not Applicable C408.2.5. Furnished HVAC as-built drawings ❑Complies Requirement will be met. 1 submitted within 90 days of system ❑Does Not [F17]3 acceptance, ❑Nat Observable ❑Not Applicable C303.3,C4 Furnished O&M manuals for HVAC ❑Complies Requirement will be met. 08.2.5.2 systems within 90 days of system ❑Does Not [F18]3 acceptance. ❑Not Observable ❑Not Applicable 0408.2.5, An air and/or hydronic system ❑Complies Requirement will be met. 3 balancing report is provided for HVAC ❑Does Not [F143]1 systems. ❑Not Observable Location on plans/spec: A-1 ❑Not Applicable C408.2.3. HVAC control systems have been ❑Complies Requirement will be met. 2 tested to ensure proper operation, ❑Does Not (F110]1 calibration and adjustment of controls. [-]Not Observable Location on plans/spec: A-1 ❑Not Applicable C402.4.8 Recessed luminaires in thermal ❑Complies Exception: Requirement does not apply. [F126]3 envelope to limit infiltration and be IC ❑Does Not rated and labeled.Seal between interior finish and luminaire housing. ❑Not Observable ❑Nat Applicable C403.2.2 HVAC systems and equipment ❑Complies Requirement will be met. (927]3 capacity does not exceed calculated ❑Does Not loads. ❑Not Observable Location on plans/spec: A-1 ❑Nat Applicable 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: Y:IDawkins Spa-QueensburylConst. Dwg'slDawkins.cck Page 14 of 17 2014 New York Final Inspection Complies? Comments/Assumptions Energy C408.2.5. Furnished as-built drawings for ❑Complies Requirement will be met. 1 electric power systems within 30 days ❑Does Not [FI16]3 of system acceptance. ❑Not Observable ❑Not Applicable C303.3,C4 Furnished O&M instructions for ❑Complies Requirement will be met. 08.2.5.2 systems and equipment to the ❑Does Not [FI17]3 building owner or designated representative. ❑Not Observable ❑Not Applicable C405.5.2 Interior installed lamp and fixture ❑Complies See the Interior Lighting fixture schedule for values. [FI1811 lighting power is consistent with what ❑Does Not is shown on the approved lighting plans, demonstrating proposed watts ❑Not Observable are less than or equal to allowed ❑Not Applicable watts. _ C405.6.2 Exterior lighting power is consistent ❑Complies See the Exterior Lighting fixture schedule for values. [F119]1 with what is shown on the approved ❑Does Not lighting plans, demonstrating proposed watts are less than or equal ❑Not Observable to allowed watts. ❑Not Applicable 0408.2.1 Commissioning plan developed by ❑Complies Requirement will be met. [FI2811 registered design professional or []Does Not approved agency. []Not Observable Location on plans/spec: A-1 ❑Not Applicable C408.2.4 Preliminary commissioning report ❑Complies Requirement will be met. [F129]1 completed and certified by registered ❑Does Not design professional or approved ❑Not Observable Location on plans/spec:A-1 agency. ❑Not Applicable C408.2.5. Final commissioning report due to ❑Complies Requirement will be met. 4 building owner within 90 days of ❑Does Not [F130]1 receipt of certificate of occupancy. ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable 0408.2.3. HVAC equipment has been tested to ❑Complies Requirement will be met. 1 ensure proper operation. ❑Does Not [F13111 ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable 0408.2.3. Economizers have been tested to ❑Complies Requirement will be met. 3 ensure proper operation. ❑Does Not [F132]1 ❑Not Observable Location on plans/spec: A-1 ❑Not Applicable 0408.3 Lighting systems have been tested to ❑Complies Requirement will be met. [Fi33]1 ensure proper calibration, adjustment, ❑Does Not programming, and operation. ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable C408.3 Lighting systems have been tested to ❑Complies Requirement will be met. [F148]1 ensure proper calibration, adjustment, ❑Does Not programming, and operation. ❑Not Observable Location on plans/spec:A-1 ❑Not Applicable C406 Efficient HVAC performance, efficient ❑Complies Requirement will be met. [F134]1 lighting system, or on-site supply of ❑Does Not renewable energy consistent with Location on plans/spec:A-1 what is shown the approved plans. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 1 Medium Impact(Tier 2) 3 Low impact(Tier 3) Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: Y:1Dawkins Spa-Queensbury\Const. Dwg'slDawkins.cck Page 15 of 17 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low impact(Tier 3) Project Title: Body Relief Day Spa Report date: 14/16/15 Data filename: YADawkins Spa-Queensbury\Const. Dwg's\Dawkins.cck Page 16 of 17 s � Project Title: Body Relief Day Spa Report date: 10/16/15 Data filename: YADawkins Spa-QueensburylConst.Dwg'slDawkins.cck Page 17 of 17 ANSON GEOLOGIC&ENVIRONMENTAL CONSULTANTS AN VLEET, LLC July 23,2015 Ms.Alyssa Dawkins 39 Arbor Drive Glens Falls,New York 12801 RE: Pre-Renovation Asbestos Survey 980 State Route 9 Queensbury,New York Dear Ms.Dawkins Hanson Van Vleet, LLC conducted an asbestos containing material (ACM) survey of the currently vacant commercial building at 980 State Route 9, in the Town of Queensbury,Warren County, New York. HVV is authorized by the New York State Department of Labor under license # 05-0220 to perform asbestos inspections, sample collection and surveys. Samples of each type of suspected asbestos containing material (SACH) were collected. All samples were collected by a NYSDOL licensed Class D Inspector, in accordance with 12 NYCRR Part 56 (referred to as Industrial Code Rule 56)and 29 CFR Part 1910. The sampling was conducted on July 6,2015. A copy of the NYSDOL Asbestos license is attached to this letter. Methods Prior to initiating sampling, an on-site walk through inspection of the building was performed in accordance with Subpart 56-5(e) of 12 NYCRR Part 56. Building plans were not available for review. Based on the site inspection, sampling of materials was performed to evaluate for suspect asbestos containing materials(SACM). Bulk samples were collected following standard sampling procedures. The samples were placed in double sealed sample bags and delivered by Federal Express to EMSL Analytical for analysis under formal chain of custody procedures. Friable type materials were analyzed by Polarized Light Microscopy (PLM) via the NY State ELAP 198.1 method. Non-organically bound(NOB)materials were analyzed by PLM via NYS method 198.6 NOB. If the NYS method 198.6 NOB was inconclusive,the NOB materials were then analyzed by transient electron microscopy(TEM)via NYS method 198.4 NOB. Inspection Results—980 State Route 9Queensbury-,NY The inspection revealed a single story commercial structure with a partial basement. The first floor level contains approximately 3432 square feet. The partial basement contains approximately 1144 square feet. The building was constructed in two phases. The older northern section was constructed on a concrete slab. The older, 2288 square foot section was 902 Route 146 (518}371-7940 Clifton Park,New York 12065 Fax(518)371-5885 Pre-Renovation ACM Survey 980 Route 9 Queensbury,NY Page 2 of 4 constructed in the 1970's. The more recent, 1144 square foot southern addition was constructed on a concrete block basement. The basement beneath the newer section was finished. The newer section was constructed in the 1980's. The building was of concrete block construction, with EPDM roofing. The interior construction consisted of vinyl floor tiles, drywall walls, and acoustic ceiling tiles. Windows throughout the building were of the modern non-glazed type construction. Suspect ACM materials identified in the building included sheet vinyl flooring,mastic associated with the flooring, floor leveling compound, drywall,joint compound, ceiling tiles, and EPDM roofing material. Bulk samples were collected of the sheet vinyl flooring,mastic associated with the flooring,floor leveling compound,drywall,joint compound,ceiling tiles,and EPDM roofing material. Asbestos Containing Material Sananline Results Forty-eight samples of suspected ACM were collected from the commercial building at 980 Route 9 in Queensbury, NY. The interior of the building was divided into three separate fiunctional spaces (sampling areas) based on probable date of construction. Samples S-1 through S-5 were collected from the new section of the building, samples S-6 through S-10 were collected in the .finished basement, and samples S-11 through S-16 were collected in the older portion of the building. Sample S-17 was the roofing material sample. The samples collected represented a minimum of three samples of each type of suspected asbestos containing materials. The results and sampling locations are summarized on Table 1. No asbestos was identified in any of the representative samples collected from the structure. Table 1 Asbestos Sampling Analytical Results 980 Route 9 Queensbury,NY SAMTLE TYPE OF MATERIAL LOCATION RESULT NUMBER S-IA FLOOR TILES NEW SECTION ND S-1B FLOOR TILES NEW SECTION ND S-1C FLOORTILES NEW SECTION ND S-2A FLOOR TILE MASTIC NEW SECTION ND S-2B FLOOR TILE MASTIC NEW SECTION ND S-2C FLOOR TILE MASTIC NEW SECTION NA* S-3A CEILING TILES NEW SECTION ND S-311 CEILING TILES NEW SECTION ND S-3C CEILING TILES NEW SECTION ND S-4A DRYWALL NEW SECTION ND 8413 DRYWALL NEW SECTION ND S-4C DRYWALL NEW SECTION ND S-5A JOINT COMPOUND NEW SECTION ND S-5B JOINT COMPOUND NEW SECTION ND S-5C I JOINT COMPOUND I NEW SECTION ND Pre-Renovation ACM Survey 980 Route 9 Queensbury,NY Page 3 of 4 S-6A FLOOR TILES BASEMENT ND S-6B FLOOR TILES BASEMENT ND S-6C FLOOR TILES BASEMENT ND S-7A FLOOR TILE MASTIC BASEMENT ND S-713 FLOOR TILE MASTIC BASEMENT ND S-7C FLOOR TILE MASTIC BASEMENT NA* S-8A CEILING TILES BASEMENT ND S-811 CEILING TILES BASEMENT ND S-8C CEILING TILES BASEMENT ND S-9A DRYWALL BASEMENT ND S-911 DRYWALL BASEMENT ND S-9C DRYWALL BASEMENT ND S-10A JOINT COMPOUND BASEMENT ND S-10B JOINT COMPOUND BASEMENT ND S-10C JOINT COMPOUND BASEMENT ND S-1 IA FLOOR LEVELER OLDER SECTION ND S-11B FLOOR LEVELER OLDER SECTION ND S-11C FLOOR LEVELER OLDER SECTION ND S-12A FLOOR TILES OLDER SECTION ND S-12B FLOOR TILES OLDER SECTION ND S-12C FLOOR TILES OLDER SECTION ND S-13A FLOOR TILE MASTIC OLDER SECTION NA* S-13B FLOOR TILE MASTIC OLDER SECTION ND S-13C I FLOOR TILE MASTIC OLDER SECTION ND S-14A CEILING TILES OLDER SECTION ND S-14B CEILING TILES OLDER SECTION ND S-14C CEILING TILES OLDER SECTION ND S-15A DRYWALL OLDER SECTION ND S-15B DRYWALL OLDER SECTION ND S-15C DRYWALL OLDER SECTION ND S-16A JOINT COMPOUND OLDER SECTION ND S-16B JOINT COMPOUND OLDER SECTION ND S-16C JOINT COMPOUND OLDER SECTION I ND S-17A EPDM ROOFING EXTERIOR ROOF ND S-17B EPDM ROOFING EXTERIOR ROOF ND S-17C EPDM ROOFING EXTERIOR ROOF ND *Insufficient mastic to analyze No asbestos containing materials were identified in the structure. The Analytical results and chain of custody are attached to this letter. If you have any questions regarding this survey,please contact us at(518)371-7940. Pre-Renovation ACM Survey 980 Route 9 Queensbury,NY Page 4 of 4 Very truly yours, Hanson Van Vleet,LLC P- 4'� 600'j'4' James Gironda Geologist/Enviromnental Scientist NYSDOL Class D Inspector Certificate#07-05263 Kirby Van Vleet Vice President/Partner NYSDOL Class D Inspector Certificate#92-04899 KV/kv Attachments CC: NYSDOL i k 11 r �— !✓-;� - I} b r00 1.�.ty,` Jrf � � .! j r���a U_,� -�'Y I..` ROAD a` F n f J' R o P.t•??di ♦,� ``' } r r n.d '� �%, \'. "P"~., �. ' '�\` � . r�Y111.�`(Il.,. gS .{M1 / •! , '.jr� .It�`�.�rra.:�--•4271 ,+✓ JL , r 7f+f ); ' ,j - L <� ✓I • • s +_/� )' - .,�4�! \S`S Goll C'o rSea'- a .,�.. e r�.. n I �47e 1�.II ♦ �\ + 7.. \,. . i" 1}�� �-' f M1 {4 '` .�«+ '� .i-.'ia .". +�9 M1 � ittl +rl �'gg 7•(I'� � t" C` � ��. � ^.4"�-y --mak... • -" � �7 1_ F •I� �..\.�.e I� l !15 I � _ �,1 ` .t I++ ,\ A , r "\` � uAli , `• �tir ,t! EI Pit C. , }�3 ,:� ` -_ '1,` I M1,`-+S,r-" Ri .. ♦ ` 'r l/ .. is( VCI {1 no �- -T �- am F 5 t ,� �� SP1 ;, P' — e �• / �� ,C �. y1.`�p` �,. o� �, jl M1 1 _.-_•ZI d +�11 ���;jNy�''�' -.F'.,� �. ��' qPM I' .�, ! . P 47.4g� :�•' ./S• l` '� ' {�, `- I , 4 �•��. i• `fie •L� 1� 02424 \ •r�+�T2 4�ucratslnlry `���`�4� :tii �f 1'�,i } � � ;p1 m \,i� ;Vr M1�pp�i• . J h I ! / '� . ueenshuey 4• •,, �. ' � �"� � I� High Jch j It1 j 1 74 11lk �f•: '�i: iM1M1 r f JI !l(3 ; `,y •�` f t�'F1, 73 r, 1 j-" � •• ♦ 1�-"" y -2.�f r rl:.7 ` 1. �,� 'f _ -� ro� 13 FIGURE 1: SITE LOCATION MAP FTG-1 H ANSON WA7ERSUpp1.Y s 980 STATE ROUTE 9 T ,� ENVIRONMENTAL CONSULTANTS QUEENSBURY, NY VANVLEET, LLC 02 ROUTE 118 CLIFTON PARK,NEW YORK 12065 (518)371.7990 FAX(510)371.5885 STATE OF NEW YORK - DEPAR rMENT' 01" I Alk( A ASBESTOS CERTIFICATE � AMES J GIRONDA CLASS(EXPIRES) D INSP(11/15) 63.. 8045 MUST BE CARRIED ON ASBESTOS PROJECTS t t. f ` Now York State--Reportment of,Labor Division of Safety dnd"idalth, Lloense and t ertlficate,Uh t' , State q�inpus,Buildling 12'_ Albany,W 12240 I ' ASBESTOS HANDLING LICENSE )'lanspn.Van Wei,LLC }''`��l. ;`'.'-= .FILE NUMBER: 05-0220. : LICENSE NUMBER: 28463 902'Routb 146 LICENSE CLASS: RESTRf&ED f 1 DATE OF ISSUE: 03109I2U15 ' Clifton Paik,-NY 12065. EXPIRATIkSf�DATE: 03/31/20'16 Duly Authorized Representative.--:'-'D Kirby Vah4leet: .. ; I •- ,, . , , This ltcense has been issued in acgoriia c ith a �liceble prgvision�s�of't nc�le'i30 of the Labor Law of New York State and of the New York State,Codes,Rules dad Ie do t ( IYC1tR Part5� 1t is�$u�bjsct tb suslpsion or revocation fora{1) ` serious violatiop of state,federal or lova a s with yegard to the c.Qnduct'of an asbesto prdject,or(2)demonstrated lack of responsibility ih the conduct of any job m olviri `asbesiO§or,�sbstos mater}al: ;cl This license is valid oily for 'e contractor n n j aho's and this�i6 n o phot'obop-ymustbo�j iio'mineritly�displayed'at.fbe asbss{os project worksite. T hi's`licepse vermes that ati persons emplokmd by,the lia%tee on of asbestos projbct in Nevi%Yfirk State have been issued ari Asbestos Certificate;appropriate foz<the.t�+pe ofwiyrlc tliperform,by the New York State Department of Labor. h ' .00 Eileen M.Franko, Director SH 432(8112) For the Commissioner of Labor I EMSL Analytical, Inc. EMSL Order: 041520075 20D Route 130 North,Cinnaminson,NJ 08077 CustomeflD: HANS22 Phone/Fax: (800)220-36751(856)786-5974 CustomerPO: httDJANww.EWLoo1a clnnasbloWEMSL.corn ProjectlD: I Attn: Kirby Van Vieet Phone: (518)371-7940 Hanson Van Meet, LLC Fax: (518)371-5885 902 Route 146 Received: 07/09/15 9:25 AM Clifton park, NY 12065 Analysis date: 7/1512015 Collected: 71612015 Project: 980 Route 9,Queensbury,NY Test Report-Asbestos Analysis of Bulls Material Analyzed Non Asbestos Test Date Color Fibrous Non-Fibrous Asbestos Sample ID SAA Description -Floor tiles 041520075-0001 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198,6 NOB 7/13/2015 Yellow Inconclusive:None Detected TEM NYS 198.4 NOB 7/15/2015 Yellow None Detected Sample ID S-113 Description -Floor tiles 041520076-0002 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2015 Yellow Inconclusive:None Detected TEM NYS 198.4 NOB 7/15/2015 Yellow None Detected Sample ID SAC Description -Floor tiles 041520075-0003 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOS 7/13/2015 Yellow Inconclusive:None Detected TEM NYS 198.4 NOB 7/15/2015 Yellow None Detected Sample ID S-2A Description -Mastic 041620075-0004 Homogeneity Homogeneous PLM NYS 198,1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2015 Yellow Inconclusive:None Detected f TEM NYS 198.4 NOB 71115/2015 Yellow None Detected Sample ID 5-2B Description -Mastic 041520075-0005 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2016 Black Inconclusive:None Detected TENT NY$198.4 NOB 7/15/2015 Black Mone Detected I initial Report From 07115/2015 18:00:41 "fest Report 198VCM-7.30.0 Printed:7/1512015 6:00:41 PM Page 1 EMSL Analytical, Inc. EMSL Order. 041520075 200 Route 130 North,Ctnnamfnson,NJ 08077 CustomerlD: HANS22 Phone/Fax (840)220.3675/(866)788-5974 CustomerPO: cinnasMAREMSL.mm ProjectlD: Test Report-Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Ftbrous Asbestos Sample ID S-2C Description -Mastic 041520075.0008 Homogeneity PLM NYS 198.1 Friable Not Analyzed PI.M NYS 198.8 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2015 Insufficient Material TEM NYS 198.4 NOB 711512015 Insufficient Material Sample ID S-3A Description -Calling tiles 041520075-0007 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/1312015 Gray 22.3% titin.Wool Inconclusive:None Detected TEM NYS 198.4 NOB 7/15/2015 Gray None Detected Sample ID S-3B Description -Celling tiles 041520075-OWS Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2015 Gray 24.4% Min.Wool Inconclusive:None Detected TEM NYS 198.4 NOB 7/15/2015 Gray None Detected Sample ID S-3C Description -Calling tiles 041520075.0008 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2015 Gray 15.2% Min.Wool Inconclusive:None Detected TEM NYS 198.4 NOB 7/15/2015 Gray None Detected Sample ID S-4A Description -Drywall 041620075-MO Homogeneity Homogeneous PLM NYS 198.1 Friable 7113/2015 Brown"Ite 20.00%Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.8 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample 10 S-4B Description -Drywall 041520075-00r1 Homogeneity Homogeneous PLM NYS 198.1 Friable 7113/2015 BrownlWhfte 20.00%Cellulose 80.00%Non-fibrous(otheo None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.8 NOB Not Analyzed TEM NYS 198A NOB Not Analyzed Inlfial Report From 07/15/2016 18:00:41 Test Report 198VCM-7.30.0 Printed:711512015 6:00:41 PM Page 2 EMSL Analytical, Inc. EMSL Order. 041520075 200 Route 130 North,Cinnaminson,NJ 08077 CUstomerlD: HANS22 Phonalftc (800)220-3876/(868)788-5974 CustomerPO: sbiab0EMSLxam ProjectlO: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-4C Description -Drywall 091620075-0012 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/13/2015 BrowMWhhe 20.00%Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-5A Description -Joint compound 041520075.0013 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/13/2016 White 100.00%Non-fibrous(other} None Detected PLM NY$198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-813 Description -Joint compound 041520076-0014 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/1312016 White 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB NotAnatyzed TEM NYS 198.4 NOB Not Analyzed Sample ID 8-5C Description -Joint compound 041520076-0015 Homogeneity Homogeneous PLM NYS 198.1 Friablo 7/1312016 White 100.00%Non-fibrous(other} None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID "A Description -Floor tiles 041520076-0016 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2016 Gray Inconclusive:None Detected TEM NYS 198A NOB 7/15/2015 Gray None Detected Sample ID S-88 Description -Floor tiles 041620076-0017 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2015 Gray Inconclusive:None Detected TEM NYS 198A NOB 7115/2015 Gray None Detected lniffal Report From 07/1612015 18:00.41 Test Report 198VCM-7.30.0 Printed:7/1512015 6:00:41 PM Page 3 EMSL Analytical, Inc. EMSL order: 041520075 200 Route 130 North,Cinnaminson,NJ 08077 CustomedD: HANS22 Phone/Fax: (800)220-3675/(856)766-5974 Cuslomei-PO: httoJAvww.EMSL.com clnnasb3a OEMSL.com ProjeetlD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-6C Description -Floor tiles 041520075-0018 Homogeneity Homogeneous PLM NYS 198.1 Friable _ Not Analyzed PLM NYS 998.6 VCM Not Analyzer! PLM NYS 198.6 Nob 7/13/2015 Gray Inconclusive,None Detected TEM NYS 198.4 Nob 7/15/2015 Gray None Detected Sample ID S-7A Description -Mastic 0415200750019 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 498.6 NOB 7/1312015 Yellow Inconclusive:None Detected TEM NYS 198.4 NOB 7/1512015 Yellow None Detected Sample ID S-713 Description -Mastic 041520075-0020 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7113/2015 Yellow Inconclusive:None Detected TEM NYS 198.4 NOB 7/15/2015 Yellow None Detected Sample ID S-7G Description -Mastic 041620076-0021 Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 19B.6 NOB 7/13/2015 Insufficient Material TEM NYS 198.4 NOB 7/15/2015 Insufficient Material Sample ID S-8A Description -Ceiling tiles 041520076-0022 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/1312015 Cray Inconclusive:None Detected TEM NYS 198.4 NOB 7/1512015 Gray None Detected Sample ID S-8B Description -Ceiling tiles 041520076-0023 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2015 Gray Inconclusive:None Detected TEM NYS 198.4 NOB 711512015 Gray None Detected Initial Report From 07/15/2015 18:00:41 Test Report 198VCM-7.30.0 Printed:711 51201 5 6:00:41 PM Page 4 EMSL Analytical, Inc. EMSL Order. 041620075 200 Route 150 North,Ctnnaminson,NJ 08077 Customedt). HANS22 PhoaWa)c (800)220-38781(858)788-5874 Custo merPO: hSbzffim .EMSt..com 0lnnRSb1Vb0EMSL&M ProjectlD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-8C Description -Ceiling tiles 041520076.0024 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.8 NOB 711312015 Gray Inconclusive:None Detected TEM NYS 198.4 NOB 711612015 Gray None Detected Sample ID S-9A Description -Drywall 041520075-26 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/13/2015 BrownlWhite 20.00%Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOS Not Analyzed Sample ID S-9B Description -Drywall 041520075-MO Homogeneity Homogeneous PLM NYS 198.1 Friable 7113/2015 Brom*Vh[te 20.00%Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-9C Description -Drywall 041520075-0027 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/13/2015 Brown/White 20.00%Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analysed PLM NYS 198.6 NOS Not Analyzed TEM NYS 198.4 NOS Not Analyzed Sample ID S-10A Description -Joint compound 041520076-0028 Homogeneity Homogeneous PLM NYS 198.1 Friable 711312015 White 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB NotAnaiyzed TEM NYS 198A NOS Not Analyzed Sample ID S-10B Description -Joint compound 041580075.0829 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/1312016 White 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB NotAnalyzed TEM NYS 198.4 NOB Not Analyzed Initial Report From 07/15/2016 18:00:41 Test Report 198VCM-7.30.0 Printed:7/1512015 6:00:41 PM Page 5 EMSL Analytical, Inc. EMSLOrder. 041520075 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax (800)220-3675/(866)786.5974 CustomerPO: ProjectlD: Test Report.Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-10C Description -Joint compound 041520075-0030 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/13/2015 White 100.0096 Non-fibrous(other) None Detected PLM NYS 198.8 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198A NOB Not Analyzed Sample ID S-1 1A Description -Floor leveler 041520075-Ml Homogeneity Homogeneous PLM NYS 198.1 Friable 7/13/2015 White 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB NotAnalyzed SamplolD S-1113 Description -Floor leveler 041520075.00142 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/1312015 White 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOS Not Analyzed TEM NYS 198.4 NOB Not Analyzed Samplo lD 8-11C Description -Floor leveler 041520076-0x33 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/13/2015 White 100,00%Norvfibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOS Not Analyzed TEM NYS 198.4 NOB Nat Analyzed Sample ID 8-12A Description -Floor tiles 0415200754084 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2015 Gray Inconclusive:None Detected TEM NYS 198.4 NOS 711512015 Gray None Detected Sample ID S-128 Description -Floor tiles 041520075.0035 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7113/2015 Gray Inconclusive:None Detected TEM NYS 198.4 NOB 7/1612015 Gray None Detected Initial Report From 07/15/2015 18:00:41 Test Report 198VCM-7.30.0 Printed:7/15/2015 6:00.41 PM Page 6 i EMSL Analytical, Inc. EMSL Order: 041520075 200 Route 130 North,Cinnaminson,NJ 08077 CUstomerfD: HANS22 Phone/F= (800)220-36751(856)706-5974 CustomerPO: httplAyww.EMSL.com cinnesblat@EMSL.com ProjectID: Test Report:Ashestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID 8-12C Description -Floor tiles 041620075-0036 homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7113120115 Gray Inconclusive;None Detected TEM NYS 198.4 NOS 7/15/2015 Gray None Detected Sample ID S-13A Description -Mastic 041620075-007 Homogeneity PLM NYS 198.1 Friable NotAnaiyzed PLM NYS 198.6 VCM NolAnalyzed PLM NYS 198.6 NOB 7113/2015 Insufficient Material TEM NYS 198.4 NOS 7/1512015 1nsufficlent Materlal Sample ID S-13B Description -Mastic 041520075-0038 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOS 7/13/2015 Black Inconclusive:None Detected TEM NYS 198.4 NOB 7115/2015 Black None Detected Sample ID S•13C Description -Mastic 041520075-00+9 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM _ Not Analyzed PLM NYS 198.6 NOS 7113/2415 Black Inconclusive:None Detected TEM NYS 198.4 NOS 711512015 Black None Detected Sample ID S-14A Description -Celling tiles 041520075-0040 Homogeneity Homogeneous PLM NYS 198,1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2015 Gray 11.2% Min.Wool Inconclusive:None Detected TEM NYS 198.4 NOS 711 512 01 5 Gray None Detected Sample 10 S-148 Description -Calling tiles 041520075-Ml Homogeneity Homogeneous PLMI NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/13/2015 Gray 14.3% Min.Wool Inconclusive:None Detected TEM NYS 198.4 NOS 711612015 Gray None Detected Initial Report From 07115/2015 18:00:41 Test Report 198VCM-7.30.0 Printed:7/15/20155:00:41 PM Page 7 I I EMSL Analytical, Inc. EMSL Order. 041520075 200 Route 130 North,Cinnaminson,NJ 08077 CustomeriD: HANS22 PhonelFax (800)220-36751(056)780.5974 CustomerPO: tStoJlnv.EMSLcom clnnasblalH�EMSI.com ProjectlD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-14C Description -Ceiling tiles 041520075-0042 Homogeneity Homogeneous PLM NYS 198.9 Friable NotAnalyzod PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.8 NOB 7113/2015 Gray 14.7% Mtn.Wool Inconclusive:Nona Detected TEM NYS 198.4 NOS 7111512015 Gray None Detected Sample ID 8-15A Description -Drywall 041520075-0043 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/13/2015 Brown/White 20.0011/6 Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOS Not Analyzed Sample ID S-15B Description -Drywall 04152007"044 Homogeneity Homogeneous FLM NYS 198.1 Friable 7/13/2015 White 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOS Not Analyzed Samplell) S-15C Description Drywall 041520075.0045 Homogeneity Homogeneous PLM NYS 198.1 Friable 7113/2015 White 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOS Not Analyzed TEM NYS 198.4 N013 Not Analyzed Sample ID S-16A Description -Joint compound 041520075-0046 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/13/2015 White 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB NotAnalyzod TEM NYS 198.4 NOS Not Analyzed Sample 1D S-16B Description -Joint compound 041520075-0447 Homogeneity Homogeneous j PLM NYS 198.1 Friable 7/13/2015 White 100.00%Non-fibrous(other) None Detected Limited material PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOS Not Analyzed TEM NYS 198.4 NOS Not Analyzed initial Report From 07115/2015 18:00:41 Test Report 198VCM-7.30.0 Printed:7/15/2015 6:00:41 PM Page 8 ' I EMSL Analytical, Inc. EMSL Order: 041520075 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 PhoneiFax: (800)220.3875/(856)788-6074 CustomerPO: httw1Awnv.EMSL.com dnnasbIabAEMSL.wm ProjectiD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Flbrous Asbestos Sample ID S-16C Description -Joint compound 041520075-008 Homogeneity Homogeneous PLM NYS 198.1 Friable 7/1312015 White 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-17A Description -Rubber roof 041520075-Doge Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 7/1312016 Black inconclusive:None Detected TEM NYS 198.4 NOB 7/1612015 Black None Detected Sample ID S-17B Description -Rubber roof 0415200750050 Homogeneity Homogeneous PLM NYS 198.1 Friable NotAnatyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOS 711312016 Black Inconclusive:None Detected TEM NYS 198.4 NOB 7/16/2016 Black None Detected Sample iD S-17C Description -Rubber roof 0415200754MI Homogeneity Homogeneous PLM NYS 198.1 Friable NotAnaiyzed PLM NYS 198.6 VCM NotAnaiyzad PLM NYS 198.6 NOB 7/1312015 Black Inconclusive:None Detected TEM NYS 198.4 NOB 7/16/2016 Black None Detected Analyst(s) ' CWS Clarissa Tinton Kelly Mulholland Benjamin Ellis,Laboratory Manager or other approved signatory NOB=Non Friable Organically Bound N/A=Not Applicable VCM a Vermiculite Containing Material -tin New York State,TEM Is cunently the only mstod that can be used to determine t NOB materials can be considered or treated as non-asbestos containing. All samples examined for the presence of vemticulite when analyzed via NYS 198.1. -NYS Guldellnes forVemlchdlte containing samples are available at h@o:tAvww.wadamdtLomfiebcerilelamadgormslVgnn -octetntedmGttWnnce Ray079913.edf EMSL maintalne liability limited to cost of analysts.This report relates only to the samples reported above and may not be reproduced,except In full,without wrEttan approval by EMSL EMSL bears no responsibility for sample collection actvltlas or analytical metol limitations. Interpretation and use of test results are the responsibility of the c1lent Samples were received in goad cowltion unless otherwise noted. This report must not be used by the client to dalm product certlitcatton,approval,or endorsement by NVLAP,NIST,or any agency of the federal government This report may contaln data that Is not covered by the NVLAP accreditation. Sa Rites analyzed by EMSL AndydwL Inc.C1nn&TUw%NJ NYS BAP 16872,PA ID188-0387 Initial Report From 07/1512015 18:00:41 Test Report 198VCM-7.30.0 Printed:7/15/2015 6:00.41 PM THIS IS THE LAST PAGE OF THE REPORT. Page 9 11 OrderID: 041520075 Asbestos Chain of Custody EIVISL Order Number tot,use onW- -� NONE: FAS{: [ZVI om an Name Hansen Van Meet EMSL Customer ID-. tr.aet.902RouW146 G ,Clifton Park St # fP [ • NY pfPostal Code 12w counft a38 Telephone# 5189717940I F ; 6103715885 R9 ort To pm". 101b t Van Most Please Provide Results Q Fax OEmall Email Address kvanvleot@han9onvanv1eet mm Purchase Order Project NamelNumber "O 9lckm"dw-ur Wal.Project ID Unteind Use n LI.S State samples Taken W CTSa es ommerciafti;'axabie Exempt EMSL-t310 to 1 Same 18 DBe Ol ertnt-It 8m b rent nate bainmam in Camp, 7nrrd Poo mrm Egitifflo Now dalhorl:etion rMM rfttrd pwty Turnaround Time TA tions'-Please Check Q_3_ffo_7u_r_FQ 6 f lour I Q 24 Hour 48 Hour 11 72 Hour 98 HourWeek— 2Wee 7W 7E MA1r8hrthwwh 6 hr.pleaso calf ahead to schad b.`71tem fs a pmalum charge far8ft it TEMAHEM arEPA Caret ff TAT,..You nfft t e asWto sto art eutltadzattorrform/orchis servloa` AmIals cam lath aga Wnw KM Af8tr Town and CmdAws located fn ft An P*G Guide. Check if antrtples are from NY l LJ444hr TAT Imimuontyf TEM-Du N108H 7400 AHERA 40 CFR.Part 763 Of t vwc-ASTM D 5766 ❑wJ OSHA 8hr.TWA ❑ NIOSH 7402 ©Wipe-ASTM 06480 PLM-Bulk trearmina limltl ❑ EPA Level 11 QCarpet Sordcation(EPA8MU-9311n ❑PLL EPA 60DlR 931116 j41 QA) LSO 10312 SallfRockNermfcutite" :6- ❑PLM EPA NOB(,ci%) TEM-Sul 0 PLM CARB 435-A(0 29i l Pant Court OTEM EPA N08 O PLM CARE 435-B(b i en _ C3400(<0 26%)L31 00(-f0.146} p NYS NOB 198.4(non fhab"Y) TEM QARB 435-8(a.1, so Point Count v/10rovhnetne QChatfield&{7P HMU GARB 435-C(0.0 ,e 040o(<o.2s%)131t10o(-o l 1771TEM Maes Ana els-EPA60D see 5 OTEM Quat wa Filtration Te o-C Q NYS 198,1(friable in NY) TEAA Wetter EPA 100.2 TEvia Drop-MON Te q EP NYS 106 6 NOB(non-friable-NY) Fibers>101rm OWaste C]Ddj*ing erM QL , ;= C] ❑NY8199.8 NIOSH 90022 j�196-09A A0 Fnw Sizes [3mme CUnwng .00 ) 21 Check For Positive g -ClearW Ident9V Hcm2gegMQrouo I Filter Pore Size Alt le - E1081im 11;.4 m Samplers Name ,lames Gironda 18amplem Signature k— VolumdAYea(Afr) DatelTime Sample 0 Sample Dasert tion HAS Bulk SaMPLOA 84A FLOOR TILES HA-1 84B FLOOR TILES HA4 S-1c FLOOR TILES HAA 8-2A MASTIC HA-1 8--213 MASTIC HA-1 8-2C MASTIC HA-1 GElont Sample 0 W: Total 0 of Sa les: Relinquished(CI ant):AM I trate "7161Is Time.I Received ab Date TMVL Cemmontslspecial tructtorls Uanoec+usma�untEraava Ct�l-0lrJpmimvt—ASLCt�ofOQa=RO-1600eCf� �� ! P848 1 of Loases Paqe 1 Of 4 I � OrderID: 041520075 Asbestos Chain of Custody EMSL Order Number w use oam: NONE. FAx: Addlllonal Pages of Me Chebt of Code dy ere aNy necessary if needed foradditional sample Infolmatron VotumelArea{Air} Datemme Sample $ant lB Etescn tion HA# idle sant left S-3A CEILING TILES HA-1 Ull S-313 CEILING TILES HA-1 S-3C CEILING TILES HA-1 SAA DRYWALL HA-1 S-413 DRYWALL HA-1 3-4C DRYWALL HA-1 S-5A JOINT COMPOUND HA-1 � S-BS JOINT COMPOUND HA-1 , 8-5C JOINT COMPOUND HA-1 �a �► r+r car UA FLOOR TILES HA-2 w c- S-68 FLOOR TILES HA-2 S-6C FLOOR TILES HA-2 S 7A MASTIC HA-2 8-7B MASTIC HA-2 S-7C MASTIC HA-2 S-8A CEILING TILES HA-2 S-813 CEILING TILES HA 2 S-8C CEILING TILES HA-2 MommenWSpWal Inalmetlow Pace—1—Of—�t—pages 'eacaaim om�ar_ caq=w,_to»aAm, ( Page 2 Of 4 OrderTD: 041520075 Asbestos Chain of Custody EMSL Order Number Let}Use OW. FAX: Additional Pages of the Chain of Custody art#only necessary!f needed for add khat sample Itfunrroftn Volumet,Mea(Ain DfkterftO Sam tett Sample DesS tion HA#t Btdtt spy" ,"A DRYWALL HA-2 1_ S-SB DRYWALL H4-2 S9C DRYWALL HA-2 S-10A JOINT COMPOUND HA-2 S-10S JOINT COMPOUND HA-2 3=10C JOINT COMPOUND HA-2 S-11 A FLOOR LEVELER HA-3 8-118 FLOOR LEVELER HA-3 �. 8_11C FLOOR LEVELER, HA-3 S-12A FLOOR TILES HA-3 ° r-< 8-12B FLOOR-TILES HA-3 3-12C FLOOR TILES HA-3 8-13A MASTIC HA-3 S-13B MASTIC HA-3 S43C MASTIC HA-3 S-14A CEILING TILES HA-3 8-14B CEILING TILES HA-3 8-14C 'CEILING TILES HA-3 •Cammen18t8pec�aI t��siCu0n8; •�v�cohccwsove aura�� Page 3 of 4 pages Cealmptd comment-AtnesOoaaQ60.R0..1GA10V2a11 Page 3 Of 4 r q OrderID: 041520075 Asbestos Chain of Custody ENISL Order lumber Gab use FAX: AddRionsl Pages of the Chain of Cudtody stye only ne+cessaiy if needed foraddftnal sampte Ambanedon VolumelAres(Alr) DateMmo Sam le# Sample Desch an HHA uBc Sampled S-15A DRYWALL HA-3 8-168 [DRYWALL HA-3 8-169 DRYWALL HA-3 S-16A JOINT COMPOUND HA-3 S-169 JOINT-COMPOUND HA-3 8460 JOINT COMPOUND HA-3 8-17A RUBBER ROOF HA-4 -S-17B RUBBER ROOF HA-4 S-17C RUBBER ROOF :HA-4 tgrg', C2 *oomma )Spactalln®tructtoes itcdAAJ�vcvl. Cyn TE�v►I t Nak� page 4 o1 If—pages c�aa�o�a,.-�uacoc-so-:asa�ou Page 4 Of 4 RUCINSKI HALL ARCHITECTURE Ronald Richard Rucinski Ethan Peter Half A 134 Dix Avenue �� Glens Falls NY 12801 Voice 518 741 0268 Fax 518 741 0274 Email ephall@nycap.rr.com Special Inspection Report To: John O'Brien - Town of Queensbury—Code Enforcement Officer From: Ethan Hall Date: 31 May, 2016 Re: Body Relief& Spa—980 Route 9— David &Alyssa Dawkins At the above referenced project location this office performed periodic on site observations of the construction. All items appear to be installed in accordance with the construction drawings. We have also reviewed the installation of the site and building lighting fixtures and find them to be in compliance with the requirements of the Com-Check that was submitted for the project. We are currently checking with the HVAC installer to determine who had performed the System Balancing and to get a report from them. This information will be provided as soon as we receive it. If there are any questions please contact our office. De Regards, ;, 1tET ,4 ,► IDRE Ethan P. Hall—Architect '' # MAY 3 1 2016 Rucinski Hall Architecture 14 'i 0VVN Cl= UEENSSJRY BUILDING & CODES �=G• 13►0M2c�4S ARF1A-PSlacad\Dawkins Spa-QueensburyTaperwork\Special Inspection Leacr-31 May 2016.doc 1 ,Serving the Greater- Construction Industry M the Tesang and Balancing of All-xid Fluid.Systems Adirondack Air Balance Co . , Inc . i _ _ 3 MAY 3 1 2016 I TOWN F QUBBNSBURY BUILDING & CODES 1ub ' ?.01 342 Clendon Brook Road Queensbury, New York 12804 Phone (518) 798-6186 Fax (518) 792-4052 "Providing expel ence and knowledge lbr the meclixiical systems of 2000 and beyond": t Adirondack Air Balance Co., Inc. I I Test and Balance Reports i Project: Bath Relief And Day Spa Address: 980 Route 9 Queensbury,New York Contractor: Hunt Companies Inc. Address: 515 Co. Rd.45 Argyle, New York Certification: The systems herein have been tested and balanced to within tolerances specified in the plans and specifications or to within the limitations of the equipment installed.All the Testing and Balancing has been performed in accordance with The Associated Air Balance Council and The National Environmental Balancing Bureau.The results of those tests are recorded herein. Date:5/27/2016 By: • G Ola�-- John C. Merry TESTING AND BALANCING AGENCY: ADIRONDACK AIR BALANCE CO.,INC. INSTRUMENT LIST For John C. Merry Instrument Manufacturer Model# Calibration Range Serial # _. Date Capture Hood Shortridge ADM 870 4/14/2016 0-2000 CFM M00210-~ Air Data Shortridge ADM 12/2/2015 0-2000 CFM M08668 Multimeter 860C Thermal TSI 9535-A 3/29/2016 0-6,000 FPM 9535A 131005 Anemometer Incline Dwyer 400 Not Required 0-12,000FPM Manometer 0-10" Required Magnehelics Dwyer 2002C Not Required 0-2.5" Not 2008 0-8" _ e uired _ Sling Taylor 1330 Not Required 32-1110F Not Ps chrometer _ Rec�uired�w_ PocketThermo- Taylor Not Required -40-180F Not meter TA16903 _ Required Water Meter Alnor HM680 4/4/2016 0-300 PSI 70651020 HVAC Clamp Fluke 902 12/2/2015 0-600V 7280202 _ Meter 0-600A Tachometer Shimpo DT-207L 4/13/2016 0-90,000 RPM D56B0073 Testing and Balancing Agency: Datc: 5/27/2016 Adirondack Air Balance Co.jnc. Page: I of'3 Project/ 3001 Project Name: Body Releif And Day Spa Address;1J�80 LIt.2O yLu�FEsbi!D _ ,_New York AIR MOVING EQUIPMENT TEST SHEET SYSTEM RTU.I F-I Equipment Location RoofMER Area Served 1st I'loor Basement Equipment Manufacturer H.C.I. Concord Model Number TGR60-3C-I 30K 95(31UI40,15B I —3A D A A IM F 379&17.53 1715J294Serial Number — S ceified Actual Specified M Actual Total CFM - Fan 1600 NA 1000 NA Total CFM-Outlet1495 1479 945 963 R/A CFM 100% 100% 100% 100% .......... O/A CFM 00,/0 0% 0% 0% Total Static Pressure_'total LEe!.) NS .69`notal NS .36 Ext. Inlet Pressure NS 0.43 NS 0.09 Discharge Pressure _ NS 0.1-6 NS 0.27 lFan RPM NS High NS Hi gh Specified Actual Specified Actual Motor Manufacturer NS NANS NA Motor HP/BHP NS 3/4 NS NA Phase NS sinoe NS single Voltage NS 208 NS 120 Amperage 5.4 3.2 3.4 ------ Motor RPM NS two speed NS NA Motor Service Factor NS 1.0 NS 1.0 Starter Heater Elements NS NS TP Motor Sheave&No. Grooves Direct Drive Direct Drive Fan Sheave&No.Grooves Belts Remarks: Testing and Balancing Agency: Date: 5127/2016 Adirondack Air Balance Co..lnc. Page: 2 of 3 Project#:3001 Project Name: Body Relief And Day Spa Address: 980 Route 9 Queensbury.New York AIR DISTRIBUTION TEST SHEET Terminal Room Terminal Design Test-FPM or CFM Final Number Number Type Size Factor FPM CFM Test I Test 2 Test 3 FPM CFM RTU-1(existing) Supplies 1 Rear Hal 1 CD-1 6"rd. 1.0 Hood 80 83 NR NR Hood 83 2 Rear Hall CD-1 6"rd. 1.0 Hood 80 76 NR NR Hood 76 3 Reception CD-1 6"rd. 1.0 Hood 90 93 NR NR Hood 93 4 Waiting CD-2 8"rd. 1.0 Hood 175 168 NR NR Hood 168 5 Room#1 CD-2 8"rd. 1.0 Hood 150 150 NR NR Hood 150 6 Room#2 CD-1 6"rd. 1.0 Hood 80 74 NR NR Hood 74 7 Room#3 CD-1 6"rd. 1.0 Hood 125 135 NR NR Hood 135 8 Room#4 CD-1 6"rd. 1.0 Hood 125 125 NR NR Hood 125 9 Room#5 CD-1 6"rd. 1.0 Hood 150 159 NR NR Hood 159 10 Room#6 CD-1 6"rd. 1.0 Hood 150 145 NR NR Hood 145 11 Room#7 CD-1 6"rd. 1.0 Hood 90 86 NR NR Hood 86 12 Waiting N. CD-2 8"rd. 1.0 Hood 200 185 NR NR Hood 185 1495 1479 Returns 1 Corridor RR-1 10"rd. 1.0 Hood 300 320 NR NR Hood 320 2 Corridor RR-1 10"rd. 1.0 Hood 300• 270 NR NR Hood 270 3 Corridor RR-1 10"rd. 1.0 Hood 445 426 NR NR Hood 426 4 Corridor RR-1 l0"rd. 1.0 Hood 450 458 NR NR Hood 458 1495 1468 Testing and Balancing Agency: Date: 5/27/2016 Adirondack Air Balance Co..Inc. Page: 3 of 3 Project#:3001 Project Name: Body Relief And Day Spa Address:980 Route 9 Queensbury. New York E AIR DISTRIBUTION TEST SHEET Terminal Room Terminal Design 'fest-FPM or CFM Final Number Number Type Size Factor FPM CFM Test 1 Test 2 Test 3 FPM CFM F-1 (new) Supplies 1 Men's CD-1 6"rd. 1.0 Hood 135 134 NR NR Hood 134 2 Women's CD-1 6"rd. 1.0 Hood 120 116 NR NR Hood 116 3 Women's CD-1 6"rd. 1.0 Hood 120 126 NR NR Hood 126 4 Basement T. CD-1 6"rd. 1.0 Hood 50 55 NR NR Hood 55 5 Side Rm. CD-1 6"rd. 1.0 Hood 110 114 NR NR Hood 114 6 Main Room CD-1 6"rd. 1.0 Hood 100 108 NR NR Hood 108 7 Main Room CD-1 6"rd. 1.0 Hood 100 101 NR NR Hood 101 8 Back Room CD-1 6"rd. 1.0 Hood 105 114 NR NR Hood 114 9 Back Room CD-1 6"rd, 1.0 Hood 105 95 NR NR Hood 95 945 963 EF-1 1 Men's ER-1 4"rd. 1.0 Hood 70 66 NR NR Hood 66 2 Men's ER-1 4"rd. 1.0 Hood 70. 66 NR NR Hood 166 3 Women's ER-1 4"rd. 1.0 Hood 90 93 NR NR Hood 93 4 Women's ER-1 4"rd. 1.0 Hood 90 90 NR NR Hood 90 320 315