CC-000442-2015 Ay TOWN OF Q UEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
r:
Community Development.-Building&Codes (518)761-8256
CERTIFICATE OY OCCUPANCY
Permit Number: CC-000442-2015 Date Issued: Thursday, March 24, 2016
This is to certify that work requested to be done as shown by Permit Number CC-000442-2015
has been completed:
Tax Map Number: 288.12-1-15
Location: 1498 State Rte 9
Owner: Gordon Development,Lake George Associates
Applicant: Burnham Nationwide
This structure may be occupied as a: Commercial Alterations 4720 s.f.
Destination XL 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 DirkteWf wilding&Code orceme
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)76.1-8256
BUILDING PERMIT
Permit Number: CC-000442-2015
Tax Map No: 288.12-145
Permission is hereby granted to: Gordon Development
For property located at: 1498 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
Type of Construction
Owner Name: Gordon Development Retail-Mercantile-Alteration $238,112.00
Owner Address: 50,State ST,6th floor Total Value $238,112.00
Albany,NY 12207,
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Commercial Alterations 4720 s.f.
Destination XL
PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 28,2016
(If a longer period is required,an application for ari extension muss t be made to the code Enforcement Officer
of the Town of Queensbury before the ex iration date.)
Dated at the Town Queens 4Tu
e er 29,2015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
PRIN%IPAiL STRUCTU C
,�[l v
1 v Office Use Only
AE
Received
Date: 9 8 2 01 Tax Map ID .12-1- S
Permit No. ZU15- Ir-�
Tax Map ID Permit Fee ` }
y Zone )F QUEENSBURY Rec Fee
DING & CODES
Historic Site Yes X
' B Site Plan#
i ,
I Subdivision Name The Outlets at Lake George Lot# Subdivision#
I Project Location JA 2 Route 9 Lake George, NY 12845
TOWN 1313. RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family, duplexes/two-family,
multiple family,apartments, condominiums,townhouses, and/or manufactured& modular homes, but not mobile
homes. This is in addition to the permit fee(s).
Gordon Development
Applicant Owner
Matt Murray David Ray
as ing on 50 State Street, 6t Floor
Address Address
Chicago, IL 60602 Albany, NY 12207
I
Phone/E-mail 312-2 9 6-15 7 7 Phone/E-mail 518-4 6 2-7 411
mmurray@burnhamnationwide.c m dray@gordondevelopment.net "
I
Contact Person for Building&Codes Compliance: Eric Broostin Phone 612-547-1300
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 1st floor sf 2"floor sf Total sf Height
Single Family
a
Two-Family
i
Multi-Family
(#of units
Townhouse
Business Office
Retail -Mercantile x X 4,720 15, s
i
Factory-Industrial j
i
Attached Garage
(1, 2, 3, 4+)
Other
3
If commercial or industrial please indicate of business Destination XL (retail clothing store)
F Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
i
s
i
Propdsed use of building or addition Retail (I'M")
r
Source of Heat(circle one) Gas Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances &Chimneys N/A
Are there structures not shown on plot plan? No i
Are there easements on the property? No
! Site Information j
a. Dimensions or acreage of lot N/A
b. Is this a corner lot? No.
f
c. Will the grade be changed as a result of construction Yes X No
d. Public water or Private well Public
i
e. Sewer or Private Septic System Sewer
Value of all work to be performed(labor or materials) $ $238,112
DECLARATION,•
{
P
1 1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed 9
within a 12 month period.
f
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
k
3. I certify that the application,plans and supporting materials are a true and complete statement/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 j
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
F
{
PRINT NAME: Matt Murray DATE: 9/8/2015
SIGNATURE: lill
� '` DATE: 9/s/2 o i 5
i
i
For office use only
Operating Pen-nit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
i
Special Conditions
i
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015.
Inspection Form
r
Town of Queensbury Fire Marshal CD Periodic Inspection. Date: //l� Time:-
742 Bay Road,Queensbury NY 12804 o nspection
518 761 8206/518 761 8205 CO Inspection Permit#:
Fire Marshals Representative 1
_ MJ Palmer Business Name:
Location: � ��
./GK Stillman Contact:
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2 `
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES: 't� o1z i0i�12
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan FC 404.2
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3
F.D.Si na e- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24"
EVAC SIGNS IN Rooms FC 404.6 111 &112
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 21 DAYS
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
Inspection Form ,
tj
Town of Queensbury Fire Marshal O Periodic Inspection Date: l Time:
742 Bay Road,Queensbury NY 12804 o Re-Inspection � � a� J
518 761 8206/518 761 8205 CO Inspection Permit#:62 5
Fire Marshals Representative
MJ Palmer Business Name:
Location: ° f
s a .
GK Stillman Contact: ,
Type of Inspection N/A Yes No �. '•, `
EXITS: Exit.Access FC 1014&FC1029 ", � .* r�
Exit Enclosure FC 1020&FC1029 Al . TES c'd/�y-?�t({m
Exit Discharge_: FC 1024&FC1029
Locks and latches FC1008& FC1029.2 .r
Si n:Normal 'FC 1011.&FC1029 I I , .i /
Si n:backu FC 1011.5.3&FC1029.7.5 "a, •"�'b f�'" Or
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 „ . `� • t a g A� J:pb- IT
FIRE EXTINGUISHER: -Hung FC 906 �"� • ""`�
Inspection of extinguisher FC 906
EVAC Plan FC 404:2 , g r y g
TRUSS ID SIGNAGE FC 505.3 '°
EMERGENCY LIGHTING: ' d f�'✓ '�' '_ ""^ �11�- .. ``
Interior FC 1006.3&FC1029.8 ��
Exterior FC 1006.3
Clearance to Electrical FC 605.3 ® -
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3
F.D.Si na e- FC 510 _
No Smoking Signs FC 310.3 °E �~
Storage FC 315.2 v �'6` l ✓� t 7
Compressed Gas FC 3003 "•'` ' ,
Vehicle Impact Protection FC 312.1 u
Interior Finishes FC 803-804.
Smoke Detectors FC 907 1
CO detectors FC 610 � v '°
Clearance to Sprinkler/Ceiling FC 315.2.1 "" (
18" / 24" d�
EVAC SIGNS IN Rooms FC 404.6(RI &112
Fuel Pump Warning Signs 'FC2205.6 y "'� / �
Fuel Station Emer Procedures FC2204.3.5
�.
Exterior Storage FC 315.3 j0 IdEINSPECTION D UE.APPROXIMATELY
Vacant Buildings FC 311 r
Emergency Disconnect FC 2203.2 '` 2.1 DAIS,
DATE: OK
Insp oK NC 1VC,
SYSTEMS: FC 901.6 Date
Generator Annual IA DATE: OK NC
Hood Installation 1
Elevator, Semi Annual
-FIRE ALARM Annual "�. DATE: OK NC
HVAC Shutdown
Sprinkler System Annual 1�
Sprinkler FDC
Kitchen Suppression Semi Annual ] r p�
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:'installed/checked FC506
Operating Permit, if required will be.issued after
Completion of Inspection
t -
COMcheck Software Version 4.0.1:
Lh H.O.. Lighting Compliance Certificate
Project Information
Energy Code: 2014 New York Energy Conservati C dEe V.
Project Title: DXL=The Outlets:
Project Type: Alteration D .
. SEP 4 9 Z015
Construction Site: Owner/Agent: Desi BURY,
The Outlets F409tp
5 ES. .
1492,Route 9 r® ii
Lake George, NY 12845 .
i
Allowed Interior Lighting.Power
. .A . . . B C D
Area Category Floor Area Allowed Allowed Watts
(M) Watts/_ft2: (B X C).
1-Retail:Sales area 5403 1 .60 8645
2-Common Space Types:Restroom 112 1 112
3-Co.mmon.Space Types:Storage, :.157. .0..80 126,
4-Common Space Types:Office Enclosed 124 1.:10 136
. . . _
Total Allowed Watts 9019:
Proposed Interior Lighting Power
A B . C D E. .
Fixture_ID.: Description/Lamp/Wattage Per.Lamp[Ballast Lamps/ #of Fixture (C X D):.
' Fixture Fixtures. ':Watt.
Retail:Sales area(5403 sq.ft.)
Track lighting 2:GI-B:,STOREFRONT: Wattage based on.current limiting device capacity 0 0 .360 360. .
Track.lighting 1:01/31713M Current Limiting panel: Wattage based on current limiting'device . 0 0 2880 2880.
capacity
Compact Fluorescent.t copy 2:.C:Twin Tube 55W:Electronic: 1 . 45. . 94 4230.
Common Space Types:Restroom(112 sq.ft:)
Linear Fluorescent 7:L:24"T8 17W:Electronic: 1 2 17 34'
Incandescent 1:K1:Incandescent 65W: 1 2 .74 1.48
Common Space Types:Storage((157 sgft:).
Linear Fluorescent 10:J2:48"T8 32W:Electronic: 2 4 .64 256
Common Space Types:Office-:Enclosed(124 sq.ft.)
Linear Fluorescent 10:copy.1::J4:48"T8 32W:Electronic: 3 1" 96. - 96 .
Total Proposed Watts= 8004
'Interior Lighting PASSES
Interior Lighting Compliance Statement .
Compliance Statement. The proposed interior lighting alteration project represented in this document is consistent with the
buildingplans,specificationsi and.other calculations submitted.with.this permit application.The ro osed interior lighting.
P PP. P, p 9 9
systems have been designed to meet the 2014 New York Energy Conservation Construction Code requirements in COMcheck
Version:4.0.1 and to:comply with.the mandatory requirements listed in the Inspection Checklist.'. -
Project Title: DXL-The Outlets Report datei 09/02/15
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..• .
Jay D.Rohkohl, PE. OU
..Name-Title Sig .t. Date . ..
_ ;.
r
Ljj
cP
�U
w,o 886 �
Project Title: DXL-The Outlets Report date: 09/02/15
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COMche'ck Software Version 4.0.1
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 vvilI be,met and how that is documented, or tfiatan exception: .
is'beingclaimed.Where'compliance is itemized in asepa.rate table, a'reference:to,that:table is provided..
2014 New
York Plan Review Complies? Comments/Assumptions
Energy
C103.2: I Plans,.specifications'and/or 1EICorriplies Requirement will be met.
[PR4]1 calculations provide all information " ❑Doe's.Not
'with which compliance can be
:. ;❑Not Observable forthe interiorlighting
❑Not Applicable
and.electrical systems and equipment pP
j and document where exceptions to
;the standard are claimed.Information
provided should incidde interior
;lighting.powercalculations;wattage of
i bulbs and ballasts-transformers,and. 1
control devices. .
1 .
-Additional Comments/Assumptions:
1. High Impact(Tier 1) 2 Medium.lmpact;(Tier 2) 3 Low Impact(Tier3)
Project Title: DXL=The Outlets Report date: 09/02/15
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2014 New =
York Rough-In Electrical Inspection Complies?' ' Comments/Assumptions
Energy
C405.2.2. ;Automatic controls to shutoff all. : ;❑Complies Requirement will be met..
1 building lighting installed in all ❑Does Not
[EL22]2 buildings.
I❑Not.Observable;.
.. ❑Not Applicable
C405.2.1. 'Independent lighting controls ins
tailed. ;Requirement will be met.
1 j per.approved.lighting plans and all El Does:Not
[EL23]2 ;manual controls readily accessible and,
;visible to occupants. . . ❑Not Observable;
❑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,
'
Not.Observable
❑ ;.
❑Not Applicable
C405.2.2. .Daylight zones provided with ZIComplies ;'Exception':'Requirerient.does not apply."
3' ;individual controls that control the. ;❑
._ Does.Not' :.
[EL16]2 lights independent of general area
;lighting.: ❑Not Observable.;-:.
;QNot Applicable..;
C405.2.3, ;Sleeping.units have at least one ;❑Complies Exception: Requirement does not apply.
[EL'17-]3: msterswitchat the main enta _
i ry.door. ,❑Does Not
that controls wired lumiriaires.and.
i ❑Not Observable
switched receptacles: ❑
3. Not'Applicable
C405.2:2'. Occupancy sensors installed in ;❑Complies' ;Requirement will be met..
2 ,required:spaces. ❑Does Not
[EL18]l
❑Not,Observable;,
L. Not Applicable
C405.:2 2., ;Primary sidelighted'areas.are ;❑Complies, . ;Requirement will be met:
3 . equipped with required lighting :❑Does Not.
[EL20]T :controls.
[-]Not Observable;.
❑Not-Applicable
C405.2.2. i 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. ❑Not.observable,,
❑Not Applicable
C405.2:3 ;Separate lighting control,.devices.for ;❑Complies .;Requirement will be met..
[EL4]1 ispecific uses installed per approved ❑Dooes Not .
- lighting.plans.
❑Not Observable
❑Not Applicable.,: '.
C405.4 ;Exit signs do not exceed 5 watts per ❑Complies. ;Requirement.will be met. . .'.
[EL6']l. . Mace. . : . ❑Does Not.:.
❑Not Observable
Not Applicable
C405.23 ;AdditionaI interior lighting power, : I❑Complies ;Requirement will be met.,
[EL8]1 I allowed for special functions per the ;❑Does Not.
;approved lighting plans and is .
;automatically controlled and ❑Not_Observable
separated from general lighting. ;[]Not Applicable
Additional Comments/Assumptions:
1 High.lfnpact(Tier.l) 2 Medium Impact. 2) p 3 Low Impact(Tier 3) .
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Final Inspection. Complies?• Comments/Assumptions
, . •.
G408.2:5. ;,Furnished as-built drawings for . : ❑Complies ;Requirement will be met.,.
1 Ielectric power systems within 30 days ❑Does Not
[F116]3; of system acceptance.
;❑Not Observable;
5 ❑Not Applicable
C303.3;C4Fumished 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
I. 1❑Not Observable
representative. .
❑Not Applicable.'
C405.5c2, ;Ihterior,installed lamp and fixture ;❑Complies ;See the InteriorLighting fixture schedule for values.
[F]18]1 :lighting power is consistent with what ❑Does Not .
i h the d fighting's s own on a approve . . .
plans,demonstrating proposed watts ❑Not Observable '
are less than or.equal to allowed ;ONot Applicable
watts.
C408.3 ;.Lighting.systems have been tested to: IE Complies Requirement.will be meta
[FM)I ;ensure proper calibration,adjustment, :❑Does Not
;.programming,and_operation:
;❑Not Observable
:❑ Applicable.
,
Not able.;
C406 Efficient:HVAC performance,efficient' ❑Complies. ;Requirement will be met.
[FI34]1; :lighting system, or on-site supply of ❑Does Not i
renewable energy.consistent with .
,what is shown the.approved plans. ; Not Observable
;❑Not Applicable.
Additional Comments/Assumptions:
1 High.lmpact(Tier 1) 2 Medium,lmpact.(Tier 2) •3 Low Impact(Tier3) .
Project Title: DXL-The Outlets Report date:'09/02/15
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Project Title: DXL The Outlets Report date: 09/02/15
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�;. . . 7
COMcheck Software Version 4.0.1:
Mechanical Compliance' Certificate :
Project Information
Energy Code: 2014 New York"Energy Conservation Construction Code
Project Title: DXL=The Outlets
Location: Albany County, New York t
Climate Zone: 5a:
Project Type: Alteration
Construction Site: Owner/Agent: Designer/Contractor:
:.The Outlets: 50 S.6th-St.
1492 Route 9 Minneapolis, MN 55402
Lake George, NY 12845 C 11 p
Mechanical Systems List . - .
Quantity System Type&Description �fy1C
1 RTU-1.(Single Zone): SEP iD. U J
Heating:1 each-Central,Furnace,Gas;Capacity=93 kBtu/h
Proposed Efficiency=82.00%Et,Required Efficiency=MOO,%.Et F QUEENSBURY
Cooling:leach-Single Package DX Unit,Capacity=72 kBtu/h,Air-Cooled Conde ser,PTiRG&CODES
Proposed Efficiency=11:00 EER,Required Efficiency=11.00.EER B
Fan System: FAN SYSTEM 1.=Compliance(Motor nameplate HP method):Passe '2A A�
Fans:.
FAN_1 Supply,Constant Volume,1925 CFM,.1.1 motor nameplate hp
2. . RTU-2•&3(Single Zone)'
Heating:1 each-Central Furnace,Gas;Capacity=56 kBtu/h .
Proposed Efficiency=82.00%Et,Required Efficiency='80.00%Et
Cooling:1 each r Single Package DX Unit,Capacity=.59 kBtu/h,Air-Cooled Condenser,Air Economizer
Proposed Efficiency=13.00 SEER,Required Efficiency=13.00 SEER
Fan System: FAN SYSTEM 2—Compliance.(Motor nameplate HP method):.Passes
Fans:,
FAN 2 Supply,Constant Volume,1600 CFM,0.7 rnotornameplate hp
1. Water Heater 1:
Electric.Storage Water Heater,Capacity:10 gallons
No minimum efficiency requirement applies
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 thi �RgAr*tieQ,qlication.The proposed mechanical systems have been.
designed to meet the 2014 New York Energy Conservation t Codtzfequirements in COMcheck Version 4.0.1 and.to
comply with the mandatory requirements listed in the In 'cYd'
g�P' M. .� t
Gregory.M.Steinmetz, PE
Name-Title. �i �f fl ; ��,• _ Date
Project Title: DXL-The Outlets Report date: 09/02/15
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COMcheck Software Version 4.0.1
Inspection. Checklist
Energy Code: 2014 New York,Energy Conservation Construction Code . .
Requirements: 1.00.0%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, o[that an.exception
is being claimed.Where compliance is itemize.d.in a.separate table, .a reference to that table is provided;
2014 New
York Plan Review Complies? Comments/Assumptions
Energ
C103:2: Plans,.specifications;and/or ;❑Compliies !Requirement will be met:
[PR2]1 : :calculations provide all information ❑Does:Not
,With which,compliance can be ;
determined for the mechanical
,❑Not Observable:
:. y G p ❑Not Applicable
s stems and a ui m' t and . ; pP
document where exceptions to the
.standard are claimed. Load .
calculations per acceptable
;engineering standards and
'handbooks...
C103.2 ;.Plans,:specifications, and/or ;❑Complies ;Requirement will be met.
[PR3]l. . . (calculations provide all information. ;F]Does Not
;with which compliance can be
;determined for the.service water :
❑Not Observable;'
:heating systems and equipment and :❑Not Applicable
;document where.exceptions to.the,
:standard are claimed: Hot water
:system sized per manufacturer's'':
sizing.guide.
Additional.Comments/Assumptions:.
g p 2 Medium.lm 3 Low Impact(Tier3)•.
1 Hi h.lm act(Tier,1) pact,(Tier,2)'
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2014 New
York Footing/Foundation Inspection Complies?. - Comments/Assumptions,
Energy
C403.2-A. ;-Freeze.protection and snow/ice ;❑complies ;Exception:.Requirement.does not'apply:
5 melting system sensors for future.. :❑Does Not
'connection to controls.
1. '❑Not Observable;.
❑Not Applicable .
Additional Comments/Assumptions:
1 High,lmpact(Tier.I) 2 Medium.lmpact(Tier 2) 3 Low'Impact(Ties 3) .
Project Title: DXL-The Outlets Report date: 09/02/15
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2014 New
.York Plumbing Rough4n Inspection, Complies?, Comments/Assumptions
Energy
C404.3: 1Terriperature controls installed on: ElComplies ;Requirement Will be met..
[PL5]3 ;service water heating,systems(110°F :❑Does Not
;for dwelling units and lavatories in
!,public restrooms and 90 o-F for other '❑Not Observable;.
.;
y occupancies.): ;❑Not Applicable
C404.2:, •I Heat traps installed on non-circulating ;❑Complies ;Requirement Will be met.
[PL4]3 ,storage water tanks. :❑Does:Not
E]Not Observable:
tlNot Applicable.
Additional Comments/Assumptions:
2 Medium Im 1 High,lmpact(Tier.1) pact(Tier 2) -3 ILdw Impact(Tier 3)
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Section Mechanical 'Rough-in Plans Verified Field Verified
# .Inspection Value Value Complies? Comments/Assumptions
& Re .ID
C403.2.3 1i HVAC equipment efficiency Efficie_ncy: . Efficiency: ❑Complies ;See the Mechanical Systems list
[ME55]2 verified. '❑Does Not . ;for values:,
' ;❑Not Observable '
❑Not Applicable
C403.2.5. 'Demand.control ventilation I❑Complies: ;Exception: Requirement
1 . i provided for spaces>500 ft2 and C❑Does Not. does not apply.
[ME59]1 >25.people/1000.fE2 occupant
!density and served by systems. UNot Observable
with air side econorriizer, auto # y❑Not Applicable j.
modulating outside air damper
control, or design airflow>3,000.
cfm: i.
C403.2J HVAC.ducts and plenums R- ; R ❑Complies ;Requirement will be meta
[ME60]2 I insulated'.Where ducts or UDoes Not
i plenums are installed in or under
UNot.Observable
a.slab,verification may need to f
L occur"during Foundation ❑Not Applicable .
Inspection:
C403:7:8. $Thermally ineffective'pan ;❑el Complies ;Exception: Requirement
[ME41]3; kurfaces,of sensible heating #, El
Does Not. . :does.hot"apply.
panels have insulation>= R-3,5.
s. UNot Observable ,
❑Not,Applicable
C403.2.7 ;Ducts and plenums sealed based ❑Complies ;Requirement will be met.
[ME10]2 ion static pressure and location: ❑Does Not:
i.
i❑Not Observable ;
I❑Not Applicable ;
C403.2.3. ,Ductwork operating, in:water ❑Complies: ,Exception: Requirement
1.3 s column requires air.leakage j❑Does Not i does not apply.
[ME11]. ;testing ❑Not Observable ;
#' ❑Not Applicable:.
C403..2:7. I Ductwork operating>3.in. water ❑Complies: ;Exception: Requirement
1.3 scolumn requires air leakage ' ❑Does Not: ;does not apply.
[ME11]3 ,testing:
❑Not Observable
f ,
❑Not Applicable ;.
C403.3.1, ;Air economizers.provided where ?' s❑Complies. ;Requirement will be met.
C403.3.1. required, meet the requirements ❑Does Not
1 ;for design capacity,control
[ME62]1 ',signal,ventilation.controls, high- i❑Not Observable ,
limit shut-off, integrated }. ❑Not Applicable
;.economizer control,and provide
a means to relieve excess i
outside air during operation. j
C403.3.1, ;Air economizers provided where ;[]Complies: ;Requirement will be met.
C403,11. required; meet the requirements 1EIDoes Not
1 for design capacity,control
[ME62]1 ;signal,ventilation controls, high ,❑Not Observable ,
limit shut-off; integrated ± ❑Not Applicable
economizer control,and provide
;a means to relieve excess
outside air during operation. .
C408.2;2: ?Airoutlets and zone terminal }. ❑Complies. ;Requirement will be met.
1. devices have means for air ;❑Does Not
[ME53]3.• balancing..
:. i .. I❑Not Observable.
4 i of Applicable
1 High,lmpact(Tier 1) 2 Medium Impact(Tier 2)" 3 JLdw Impact(Tier 3)
Project Title: DXL-The Outlets Report date: 09/02/15
Data filename: P:\2016\0416871-013-00 DXL Lake George, NY\03-Electrical\02-Lighting\DXL-Lake George,. Page. 5 of 10
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Section Mechanical Rough-In Plans Verified Field Verified 7
# Complies. Comments/Assumptions
&Re .ID Inspection Value Value"
C403.4.2 iVAV fan motors>=5.0 hp to be . ;❑ VSD ❑ VSD ❑Complies: ;Exception: Requirement
[ME66]2 ;driven.byvariable speed drive, ❑ Vane axial. ❑.Vane axial. ❑Does Not :does not apply. .
l have a vane-axial fan.with ; fan. j. . fan
;variable pitch blades, or have . ;❑ Other ❑ Other. ;❑Not Observable
controls to limit fan motor."
❑Not Applicable
i demand.
C403.4.2 SVAV fan motors>=5.0 hp to be ;❑.VSD ❑ VSD ❑Complies . . ;Exception: Requirement
[ME66]2 !driven by variable speed drive; ❑ Vane axial :'❑ Vane axial ;❑Does:Not does not apply.
;.have avane-axial fan with fan. " . fan r
;variable pitch blades;or have. I❑ Other ❑ Other ❑Not Observable
i controls to limit fan.rhotor 1. ❑Not Applicable ;
demand.. .
C403.4.2 S VAV fan motors>=5.0 hp.to be ;❑'VSD VSD ❑Complies: ;Exception: Requirement
[ME66] driven by variable speed drive,. y❑ Vane axial ;❑ Vane axial" . ❑Does Not; :does not apply.
z j
+have avane=axial fan with fan . fan I -
1 . . . . . . . 1. . . . . ;❑Not Observable i
variable pitch.blades;.'or have ;❑ Other ❑ other
icontrols,to limit fan motor ; ❑Not Applicable ;. .
j demand .
C403.2.6 ,Exhaust air energy recovery on f Complies "
[ME57]? systems.meeting Table C403.2.6,tk ;❑Does Not
[:]Not Observable ;
f. ❑NotApplicable
C403.2.11 Unenclosed spaces that are !. ❑Complies: ;Exception: Requirement
[ME71]2 heated use only radiant heat. j❑Does Not':. ;does:not apply.
• . )❑Not Observable i
'❑
Not Applicable,,
C403_.4.7" ;Hot•gas bypass limited to; <=24Oa- JElcornplies :Re uirement will be meta
[M,E35]? kBtu/h-50%,>240 kBtu/h,-25% j' ;❑Does Not
❑Not"Observable
i I❑N of Applicable.
C403.4.7 :Hot gas bypass limited to: <=240' j❑Complies." :Requirement will be met.
[ME35]1 kBtu/h-50%>240 kBtu/h-259/6 s❑Does Not
f Not Observable
i 1❑Not Applicable
C403.3:4• ;.Sleeping rooms in Group R-1 . . ;❑Complies {Exception: null.
IME76]3• " loccupancies are provided with f T❑Does Not
;.dedicated system to. y❑Not Obs
HVAC ervable
~automatically control
i,systems:and energy consumption ❑Not Applicable ;
.;during unoccupied periods.
;Controls are designed to raise ;
cooling and lowerheating
;temperature set points by.at
least 4°F when room is
iunoccupied.
C403.3A. ;Sleeping:rooms in Group R-1 ❑Complies ;Exception: null.
[ME76]3 occupancies are.provided with {" -J❑Does Not "
-2dedicated system.to ❑Not Observable
;automatically control HVAC
- I systems and energy consumption iONot Applicable ;
,during unoccupied periods.
i Controls are-design, d to raise
4cooling and lower heating
,.temperature set points by at. "
;least 47 when room is ;
;unoccupied." . f
1 High.lfnpact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: DXL-The Outlets- Report dater 09/02/15
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Section Mechanical Rough-In Plans Verified Field Verified
# Inspection. Value Value Complies? Comments/Assumptions
&.Re .ID .
C403.3.4 jSleeping rooms in Group.R-1. } ,❑Complies ;Exception: null.
[ME76P ioccupancies.are provided with I .❑Does Not
dedicated system to
o ❑Not Observable
automatically control HVAC . .
. . y '
systems and en ergy'consumption€ jON t Applicab e:.
o I
;during unoccupied periods. ;
yt Controls are designed to raise
l cooli.ng and lower heating
terriperature'set_points by at:
3least 4°F when room is ;
+ I!unoccupied. ti
Additional Comments/Assumptions:. .
1 High,Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: DXL-The Outlets Report date: 09/02/15
Data filename: PA2016\0416871-013-00 DXL Lake George, NY\03-Electrical\02-Lighting\DXL.-Lake George, Page_ 7 of 10 .
NY.cck
2014 New .
York Final Inspection Complies? Comments/Assumptions
Energy
t403.2..4: ;,Heating and cooling to-each zone is ;❑Complies. I Requirement will be-met...
2 controlled by a thermostat control.. ❑Does Not
[F147]3; i Minimum one humidity control device
per,installed ,❑Not Observable
. A
, •, humidification/dehumidification. ,❑Npt PPlicable
system. .
C403.2.4. ;Heating and cooling to each zone is ;❑Complies ;Requirement will be met. -
2.. s controlled by a thermostat control.. ❑Does Not. 1
[FI47]3 ;Minimum one.humidity control device
per installed -:❑Not Observable;
humidification/dehumidification {❑Not Applicable
i system,
C403.2.4. ;Thermostatic controls have a 5.°F ;❑Complies :: ` ;Requirement will be met.
2 " . " ideadband. ❑.
Does:Not.
[FI381 ;❑Not.Observable
❑Not Applicable,
C403.2.4. Temperature controls have setpoint ;❑Complies . ;Requirement will be met:
2 ;overlap restrictions. !❑Does.Not .
[FI20]3 : `
. ❑Not Observable;
;❑Not Applicable
C403.2A. Each zone equipped with setback ;❑Complies Requirement will be met.
3 controls using alltomatic.time clock or ElDoes Not
[17139]3.. programmable control system: -]Not Observable;
❑Not Applicable
C403.2.4. ;Automatic Controls: Setback to 55.7 ;❑Complies ,Requirement will be met.
3 ;(heat)and 85°F (cool); 7-day clock,2- !❑Does Not
[FI40]3 . i hour occupant override, 10-hour ❑Not Observable
;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
[FI7]3. ;acceptance. . ❑Not Observable;
[]Not able
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.
[F[8]3 ?acceptance.
f ;❑Not Observable,
,
❑Not Applicable
C408.2.5. ;An air and/orhydronic system ❑Complies ;Requirement will be met.
3 ;,balancing report is provided for HVAC, '❑Does Not
[F143]l. . . ;systems. . .
El
Not Observable
;. :❑Not Applicable.
C408.2:3. ;HVAC control systems have been . ;❑Complies ;Requirement will be met. .
2 tested to ensure o operation,.. :❑
proper P Does Not. ,
[F]10]1 ;calibration and adjustmenYof controls.
❑Not Observable;
❑Not Applicable
C404.3' Public lavatory faucet water ;❑Complies, ;Requirement will be met:
[FI11]3 temperature<=110°F. :❑Does:Not ;.
❑Not Observable;
❑Not.Applicable
C404.5 ;First 8 ft.of outlet piping is insulated ❑Complies :. ;Requirement will be.met.
[F145]2 ❑Does Not ;
I❑Not Observable.;
I s❑Not Applicable.
1 High Impact(Tier 1) 2 Medium,Impact(Tier.2) pact(Tier 3)-3 Low l m
Project Title: DXL-The Outlets Report date: 09/02/15
Data filename: P:\2016\0416871-013-00 DXL'Lake George, NY\03=Electrical\02-Lighting\DXL-Lake.George, Page 8 of. 10
NY.cck
2014 New -
York Final,Inspection Complies?, Comments/Assumptions
Energ
e met..t403.2. E Requirement.
[FI27]3 {capacity-does not,exceed calculated. ❑D.oes Not
loads..
�. '❑Not-Observable
i .
❑Not Applicable•
C408,2.1 . ;Conimissioni'ng plan developed by: lies',. ;Requirement will be meta
[F128]1 registered design professional or ❑No❑Does Not .
.approved agency. . . t Observable?.
; . . .
❑Not.Applicable,. e
C408.2.4 ;Preliminary commissioning report ;❑Complies ;Requirement will be met.
[FI29]1 I completed and certified by registered. U.Does Not
design professional or approved
f❑Not Observable
;agency..-
- - - ❑Not Applicable'.'..
C408:2.5.. ;Final commissioning,report due to ;❑Complies :;-Requirement will be met.
4 building owner within 90 days of ':E]156es.Not '
[FI30]?. ;receipt of certificate of occupancy: ;❑N ble of Observa ,
E]Not Applicable.
C408.2.3. ;HVAC equipment has been tested.to ;Complies ;Requirement will be met.
I erisure.properoperation.. ❑Does Not
[FI3111 . . . .
❑Not Observable
❑Not*Applicable
C408.2:3: Economizers have been tested to : ;❑Complies ;Requirement will be met.
3 -ensure proper operation. . ❑Does Not
[F132]l
.;❑Not.Observable;.
Not Applicable.
C406 ;Efficient HVAC performance, efficient .;❑Complies. Requirement will be met:
[FI34j1 lighting system,.or,on=site supply of ;❑DoesNot .
renewable energy consistent with
what is shown:the approved plans. . ;E]Not Observable;
.;❑Not.Applicable.
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium,lmpact:(Tier,2) 3 Low Impact(Tier 3)
Project Title: DXL-The Outlets Report date: 09/02/15
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Project Title: DXL-The Outlets Report date:'09/02/15
Data filename: P:\2016\0416871-013-00 DXL Lake George, NY\03-Electrical\02-Lighting\DXL-Lake George, Page. 10 of 10
NY.cck
1 ,
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Serving the. Greater Construction Industry m the
Testing and Balancing ofAir and Fluid Systems
p v
• MAR 2 3 2016
Adirondack
LUILDING& 0QEA
Balance
Co. Inc.
I WA_W
. . ...............
342 Clendon Brook Road
Queensbury, New York 12804
Phone (518) 798-6186
Fax (518) 792-4052
`Provrding expexrence and knowledge for the mechanical systems of
2000 and beyond':
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1 -
Adirondack Air Balance Co.,Inc.
Test and Balance Reports
'Project: DXL
Address: 1492 Route 9 Lake George,New York 12845
Contractor: Mr..Comfort Heating & Cooling
Address: 447 Mott Rd.Gansevoort,New York 12831
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.
f
I Date:3/18/2016 By: .6"ZVMr
i
John C.Merry
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TESTING AND BALANCING AGENCY: ADIRONDACK AIR BALANCE CO.,INC.
1
INSTRUMENT LIST For John C.Merry
Instrument Manufacturer Model# Calibration Range Serial# T
Date
Capture Hood Shortridge ADM 860 4/24/2015 0-2000 CFM M01224
Air Data Shortridge ADM 12/2/2015 0-2000 CFM M08668
Multimeter 860C
Thermal TSI "M430-A 4/27/2015 0-6,000 FPM ADM430916003
Anemometer
Incline .Dwyer 400 Not Required 0-12,OOOFPM Not
Manometer 040" Required
Magnehelics Dwyer 2002C Not Required 0-2.5" Not
� 2008 0-8" Required
j Sling. Taylor 1330 Not Required 32-10017 Not
Psychrometer Required
PocketThermo- Taylor Not Required 40-18OF Not
i meter, TA16903 Required
Water Meter Alnor HM680 4/27/2015 0-300 PSI 70651020
HVAC Clamp Fluke 902 12/2/2015 0-600V 7280202
Meter 0-600A
Tachometer Shimpo OT-207L 4/24/2015 0-90,000 RPM D56BOO73
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Testing and Balancing Agency: Date: 3/18/2016
Adirondack Air Balance Co.,Ine. Page: I of 5
Project# 2977
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Project Name: DXL Outlet Store Address: 1492 Route 9 Lake George,NY 12845
AIR MOVING EQUIPMENT TEST SHEET
SYSTEM RTU-1 RTU-2
Equipment Location Ad'ecent to Bldg. Ad'ecent to Bldg.
Area Served Front Central
Equipment Manufacturer Daiken Daiken
Model Number DGC072 DC0060
Serial Number 151369439 1511049465
Specified Actual Specified Actual
Total CFM-Fan 1925 NA 1600 NA
Total CFM-Outlet 1925 2038 1600 1653
R/A CFM 1435 1596 1200 1221
/A CFM 490 442 400 432
Total Static Pressure Total/Ext. .75 es .94 Total .75 es .99 Total
Inlet Pressure NS 0.72 NS 0.52
Discharge Pressure NS 0.22 NS 0.47
Fan RPM NS 1 1104 NS J 970
Specified Actual Specified Actual
iMotor Manufacturer NS US Motors NS US Motors
Motor HP/BHP NS 1.5 NS 1.0
Phase NS three NS three
Voltage NS 208 NS 208
Amperage 4.8 4..1 3.4 3.2
Motor RPM NS y. 1725 NS 1725
otgr Service Factor NS 1.15 NS 1.15
Starter Heater Elements NS TP NS TP
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IMotor Sheave&No. Grooves VL44x7/8 50%Closed VL44x7/8 50%Closed
Fan Sheave&No. Grooves AK59x1 I I AK6l xl
Belts 1-AX52 1-AX53
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Remarks:
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Testing and Balancing Agency: Date: 3l18/2016
Adirondack Air Balance Co.,Inc. Page: 2 of 5
Project# 2977
Project Name: DXL Outlet Store Address: 1492 Route 9 Lake George,NY 12845
AIR MOVING EQUIPMENT TEST SHEET
SYSTEM RTU-3
Equipment Location Ad'ecent to Bldg,
Area Served Front
Equipment Manufacturer Daiken
Model Number DCG060
Serial Number 1511049465
Specified Actual Specified Actual
Total CFM-Fan I600 NA
Total CFM-Outlet 1600 1662
A CFM 1200 1278
/A CFM 400. 384
Total Static Pressure Total/Ext. .75 esp 1.09 Total
Inlet Pressure NS 0.57
Discharge Pressure NS 0.52
Fan RPM NS 1 1112
Specified Actual Specified Actual
Motor Manufacturer NS US Motors
Motor HP/BHP NS 1.0
Phase NS three
Voltage NS 208
Ampmage 3.4 3.2
Motor RPM NS 1725
i Motor Service Factor NS 1.15
Starter Heater Elements NS TP
Motor Sheave&No.Grooves = VL44x7/8 80%Closed
Fan Sheave&No.Grooves AK61x1
Belts 1-AX52
Remarks:
Testing and Balancing Agency: Date: 3/19/2016
iAdirondack Air Balance CX.rnc. Page: 3 of 5
i Project#:2977
I
Project Name:DXL Address: 1492 Route 9.Lake George,New York 12834
z
i AIR DISTRIBUTION TEST SHEET
Terminal Room Terminal Design Test-FPM or CFM Final
I
Number Number Type Size Factor FPM CFKF Test l Test 2 Test 3 FPM CFM
RTU-1
1 Sales CD-A 10"rd. 1.0 Hood 240 224 235 NR .Hood 235
2 Cashier CD-A 10"rd. 1.0 Hood 240 310 255 NR Hood 255
3 Sales CD-A 10"rd. 1.0 Hood 245 267 256 NR Hood 256
4 Sales CD-A. 10"rd. 1.0 Hood 240 214 257 NR Hood 257
5 Sales CD-A 10"rd. 1.0 Hood 240 254 255 NR Hood 255
6 Sales CD-A 10"rd. 1.0 Hood 240 257 261 NR Hood 261
j 7 Sales CD-A 10"rd. 1.0 Hood 240 250 255 NR Hood 255
8 Sales CD-A 10"rd. 1.0 Hood 240 260 264 NR Hood 264
1925 2038
Outside Air
1 Unit WMS 23xl2 1.92 255 490 230 NR NR 230 442
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Testing and Balancing Agency: Date: 3/18/2016
Adirondack Air Balance Co..lnc. Page:4 of 5
Project#:2977
Project Name: DXL Address: 1492 Route 9 Lake George,New York 12834
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AIR DISTRIBUTION TEST SHEET
Terminal Room Terminal Design Test-FPM or CFM Final
Number Number Type Size Factor FPM CFM Test 1 Test 2 Test 3 FPM CFM
RTU-2
1 Office CD-A 8"rd. 1.0 Hood 195 212 203 NR Hood 203
2 Sales CD-A- 8"rd. 1.0 Hood 1210 280 199 NR Hood 199
3 Sales CD-A 8"rd. 1.0 Hood 210 249 201 NR Hood 201
4 Sales CD-A 8"rd: 1.0 Hood 165 255 178 NR Hood 178
5 Sales CD-A 8"rd. 1.0 Hood 210 255 230. NR Hood 230
6 Sales CD-A 8"rd. 1.0 Hood 200 103 220 NR Hood 220
7 Sales CD-A 8"rd. 1.0 Hood 210 229 219 NR Hood 219
8 Dressing Rm. CD-A 6"rd. 1.0 Hood 50 135 51 NR Hood 51
9 Dressing Rm. CD-A 6"rd. 1.0 Hood 50 121 52 NR Hood. 52
10 Ladies'Rm. CD-A 6"rd. 1.0 Hood 50 25 50 NR I Hood 50
11 Men's Rm. CD-A 6"rd. 1.0 Hood 50 78 50 NR Hood 50
1600 1653
Outside Air •
1 Unit WMS 23x 12 1.92 208 400 225 NR NR 225 432
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Testing and Balancing Agency: Date:3/18/2016
I Adirondack Air Balance Co..Ine. Page:5 of 5
Project#:2977
Project Name: DXL Address: 1492 Route 9 Lake George,New York 12834
AIR DISTRIBUTION TEST SHEET
Terminal Room Terminal Design Test-S PM or CFM Final
Number Number Type Size Factor FIRM CFM Test I Test 2 Test 3 FPM CFM
RTU-3
1 Stores CD-A 8"rd. 1.0 1 Hood 225 252 205 NR Hood 205
2 Corridor CD-A 8"rd. 1.0 Hood 135 210 138 NR Hood 138
3 Sales CD-A 8"rd. 1.0 Hood 210 225 219 NR Hood 219
4 Sales CD-A. 8"rd. 1.0 Hood 210 227 219 NR Hood 219
5 Sales CD-A 8"rd. 1.0 Hood 210 227 221 NR Hood 221
6 Sales CD-A 8"rd. 1.0 Hood 210 225 215 NR Hood 215
7 Sales CD-A 8"rd. 1.0 Hood 200 105 210 NR Hood 210
8 Sales CD-A 8"rd. 1.0 Hood 200 148 215 NR Hood 215
1600 1662
Outside Air
1 Unit WMS 23x12 1.92 208 400 200 NR NR 200 384
EF-1
1 Men's ER 12xl2 1.0 Hood 98 60 NR NR Hood 60
i EF-2
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1 Ladies' ER 12xl2 1.0 Hood 98 62 NR NR Hood 62
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Mar. I1, 1U10 111MIA IVIUTA No. UM V. 1
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
'eereA.d that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions,
Owner: DXL#9730 Date: 03/11/2016
Occupant: 1st Floor Location 492 RT 9
Queensbury,Warren Co. NY
OccupancyNon-Residential `
Applicant- �
JEC Electric
1118 County Rt 16
Fort Ann, NY 12827
L_ _J
Joseph A.Holmes
No. 032609198535EL w _
Equipment:
1 -100 Amp. Sub Panel; 1 -200 Amp. Sub Panel; 8-Switches; 31 -Receptacles; 68•-Fixtures; 1 -Water Heater, 2-
Vent Fans; 10-Emergency Lights, 4-Exit/Emergency Combos; 2-Hand Dryers; 2-HVAC Units; 400 Amp. Service
Equipment;500 MCM Service Conductor
This certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or Implied as to the mechanical safety.ef- of the property indicated above,this certificate shall be immediately null and void.
clency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a perloo of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspeeNon by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inepectlon must be submitted to Middle
ed fo,the introduction Of additional electriosl equipment and/or the repleoemB�I of Department Inspection Agency. Inc.to initiate the inspection ano revalidation
any of the COMponents installed as of the above noted date,this CQrtifitatA shall he process, A lee will be charged for this service.
cc.,x zy1 l - 7s\rD
Greg Steinmetz,PE
mechanical consulting engineer
03/10/2016
John O'Brien
Town of Queensbury
742 Bay Rd.
Queensbury, NY 12804
Comm. No.: 041 6871-01 3
Project: DXL-Lake George, NY
Re: Mechanical Final Inspection
Dear Mr.O'Brien:
To the best of our knowledge and belief and based on our onsite observations,the mechanical
system installation complies with our construction documents and meets current state and local
codes.
Regards,
Oig lly%hnj&Gf,GO 1.SteInmetz _
ate:i0j 1 fi�03 IT1029:31-06-00.
e qA
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Gregory M.Steinmetz, PE, LEED AP BD+C
Partner/Mechanical
RECEI"B"'.':
Cc- - OiDC) 2-.
Greg Steinmetz,PE,
50 South Sixth Street/Suite 1100
Minneapolis,Minnesota 55402-1540
PHONE 612.465.7550 FAx 612.465.7551
Jay. Rohkohl, PE
electrical consulting engineer
03/10/2016
John O'Brien
Town of Queensbury
742 Bay Rd.
Queensbury, NY 12804
Comm. No.: 041 6871-01 3
Project: DXL- Lake George, NY
Re: Electrical Final Inspection
Dear Mr. O'Brien:
To the best of our knowledge and belief and based on our onsite observations,the electrical system
installation complies with our construction documents and meets current state and local codes.
Regards,
D1g'da11 r3 gne y.Rohkoh1 .
05iek2MItO31,t1jt 1. 54'-0
:►'—
~ =R' }, ,
j F S
Jay D. Rohkohl, PE, LEED AP BD+C
President/CEO
RECEIVER....#
CC—
Jay Rohkohl,PE
11NF21%ject s120 1 6104 1 68 7 1-0 1 3-00 DXL Lake George,NY101-Genera1101-Correspondence 1201M0tMtiMMt/Suite 1100
Minneapolis,Minnesota 55402-1540
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