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RC-000102-2017TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-000102-2017 Date Issued: Tuesday, April 30, 2019 This is to certify that work requested to be done as shown by Permit Number has been completed. RC-000102-2017 Tax Map Number: Location: Owner: 288.16-1-29 138 EQUINOX RD William Bergman, Michelle Bergman Trademark Builders & Remodeling LLCApplicant: This structure may be occupied as a: Heated Pool House 493 s.f. w/kichenette & bathroom (exclusive septic system) Deck 528 s.f. Cross Ref. Area Variance PZ 268-2016 approved by ZBA December 21, 2016 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 Planning Board or Zoning Board of Appeals. Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000102-2017 Tax Map No: 288.16-1-29 Permission is hereby granted to: Trademark Builders&Remodeling LLC For property located at: 138 EQUINOX RD In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Tyne of Construction Owner Name: William Bergman Single Family-New $140,000.00 Owner Address: 158 Equinox DR Total Value $140,000.00 Lake George,NY 12845 Contractor or Builder's Name/Address Electrical Inspection Agency Trademark Builders&Remodeling LLC 205 South ST Glens Falls,NY 12801 Plans&Specifications Heated Pool House 493 s.f.w/kichenette&bathroom(exclusive septic system) Deck 528 s.f. Crass Ref. Area Variance PZ 268-2016 approved by ZBA December 21,2016 $151.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 10,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Obiter of the Town of Queensbury before the expiration date.) Dated at the Town of / 1 Mond !� A 17 SIGNED BY: (�A,v_�"{V/ /al for the Town of Queensbury. Director of Building&Code Enforcement WI•NCIPAL STRUCTURE APPLICATION Office Use Onlv /ate: .3 � 1.1 Permit No. RG_. -)0 2- 2m)q- I'ax Map ID 2 d'. —�- 2 Permit Fee Zone Historic? _Yes _kNo BAG-F�ffO �n VC)i t Q Subdivision Name Lot# Site Plan# �^ Subdivision# Project Location 17A( `ekcC�o�,z� M TOWN BD.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 feels). Primary Owner(s) Address �7� uo7ot !jt')f_- LE.�Gce ,�_, /dy /2W5 Phone/Email Applicant Address 1!337 u, 70W 0";Ve Z Ole—C-x,-e Phone/Email �7!`X � .9 Contractor Address 4W4415s Phone/Email (A,b-It(-t4ud W3w• d•Yaf.cx)•� Contact Person for Building & Codes Compliance: Phone,98 .301-I q&g TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration 1s'floor sf 2'floor sf Total sf Height Single Family 1 . . Two-Family Multi-Family (#of units Townhouse cull Business Office "7 Retail-Mercantile Factory-Industrial Attached Garage { (1' 2, 3, 4+) U �hlao V to - - FJ Other elt5e r797'3 Town of Queensbury Building&Codes Principal Structure Application revised January 2016 / If commercial or industrial please indicate name of business 'Proposed use of building or addition /20e) SE 94-r 46 km Source of Heat(circle one) M Oil Propane Solar` Other Fireplace: Complete a separate application for Fuel Burning Appliances & Chimneys Are there structures not shown on plot plan? Are there easements on the property? 416 Site Information: a. Dimensions or acreage of lot 17f44cn b. Is this a corner lot? _Yes >C No c. Will the grade be changed as a result of construction aK Yes No d. Public water or Private well (circle one) (naiB> Private e. Sewer or Private Septic System (circle one) Sewer Value of all work to be performed (labor or materials) $ 0 a049.� DECLARATION. 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 / 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. 1 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: JIn1//i///Gt wI /K �'7 DATE: SIGNATURE: !/4 DATE: 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 January 2016 rmm44SEPTIC DISPOSAL PERMIT APPLICATION Office Use only � —i0Z ^ 201�- 742 Bay Road,Queensbury,NY 12804 ,y P: 518-761-8256 www.aueensburv.m Permit#: Tax Map ID#: 2%- , I— f— Z 9 Permit Fee:$ ; Invoice#: Project Location: /3 8 "Gf//LAX Septic Variance? Yes No Primary Owner(s) Mailing Address Phone & Email Installer/Builder � Mailing Address MAR 3 0 2017 Phone & Email V/ /468 Engineer GfTCfj//f/S �/f/If//T/��" � BUILDING&CODES Mailing Address Phone & Email 750 7 Contact Person for Building&Code Compliance: �� IK�J(��C/><�i� Phone:__3AI 1W 0 4 RESIDENCE INFORMATION: Year Built #of bedrooms X gallons per bedroom =total daily flow Garbage Grinder Yes o 1980 or older Installed? (circle one) 1981-1991 Spa or Hot Tub Yes 0 Installed? (circle one) 1992-Present PARCEL INFORMATION: Topography Flat Rolling _Steep Sloe _%Slope Soil Nature C Sand _Loam _Clay _Other Groundwater At what depth? ,[ Bedrock/Impervious material At what depth? L —G Domestic Water Supply XMunicipal _Well (if well,water supply from any septic system absorption is_ft.) Percolation Test Rate: per minute per inch (test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION: Tank size 1000 gallons (min. size 1,000 gallons,add 250 gallons for each garbage cylinder or spa/hot tub System Absorption field with#2 stone Total length ft.; Each Trench�$_ft. Seepage Pit with#3 stone How many: Size: Alternative System Bed or other type: Holding Tank System Total required capacity? : tank size ;#of tanks NOTES: 1.Alarm system &associated electrical work must be inspected by a Town approved electrical inspection agency; 2.We will no longer allow systems to be covered until such time as an as-built plan is received and approved. The installed system must match the septic layout on file—no exceptions. Declaration:Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. 'I / PRINT NAME: ,�. �iL z iL-- DATE: '7///3//1 r/1 SIGNATURE:__Z _ DATE: �✓� / Town of queens ry Building&Code Enforcement Revised February 2017 SrEPTIC DISPOSAL APPLICATION Office Use Onlv Received DATE: ��3�/�J Tax Map ID TAX MAP ID: 2950, Permit No. G — to z, — Xc ZONE: Permit Fee APPLICANT i�/� W&-4, 4 �S �� PHONE/E-MAIL 5�� -3i5 ADDRESS INSTALLER/ PHO/NNE/yE-MAIL° BUILDER r�nu�i✓I/Y1G� �iALOf•LQS (S/�iaCl/-/yv AiJEY•v�c F/2aK(�tt1/OCi OWNER ✓tlI'iT�lL ADDRESS ZfIS SJJt>i Srrr � GLta Aj4 l O CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: MVIe—0041644,W PHONE/E-MAIL 301 -14U9 FZOS O y�jpl�.ra:Q� RESIDENCE INFORMATION Year Built #of bedrooms X gallons per bedroom =total Daily flow 1980 or older Garbage grinder installed _Yes _No 1981-1991 Spa or Hot Tub installed —Yes _No 1992-Present PARCEL INFORMATION Topography Flat rolling _Steep slope %Slope Soil Nature Sand Loam Clay Other Groundwater At what depth: Bedrock/Impervious material At what depth: Domestic Water Supply _Municipal _Well(if well,water supply from any septic system absorption is_ft.) Percolation Test Rate: _Jo_per minute per inch(test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank size �gallons(min.size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub System Absorption field with4e smm; Total length ft.;Each Trench 2— Seepage Pit with#3 stone How many: ;Size Alternative System Bed or other type: Holding Tank System Total required capacity? Tank size #of tanks Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the septic system layout on file—no exceptions. Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. PRINT NAME: pkxal 00,/a zo— DATE: 318 l/'l SIGNATURE: DATE: j/ /�/ Town of Queensbury Building&Codes Principal Structure Application Revised January 2016 REScheck Software Version 4.6.3 0 Compliance Certificate o NXN M 00 Project Bergman Poolhouse o CD N Energy Code: 2015 IECC (� �n ' Location: Lake George, New York D IEC E O V E �Q0 E Construction Type: Single-family D Q;. Lu -6 ' Project Type: New Construction f — IY Q Conditioned Floor Area: 493 ft2 MAR 3 0 2017 a) o Glazing Area 11% N C C 0 Climate Zone: 6 (7377 HDD) TOWN OF QUEENSBURY 71 W Permit Date: BUILDING&CODES to E W u) Permit Number. 00 DO > co d W Construction Site: Owner/Agent: Designer/Contractor: N 00 138 Equinox Dr. Lake George,NY trade-offCompliance: Passes using UA Compliance: 1.9%Better Than Code Maximum UA: 161 Your UA: 158 The%setter or worse Than Code Index rends how close to compliance the house Is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. U-Factor UA Assembly or R-Value R-Value Perimeter Ceiling 1: Raised or Energy Truss 493 38.0 0.0 0.025 12 Wall 1:Wood Frame,24"o.c. 862 24.0 0.0 0.052 36 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 6 0.290 2 folding door:Glass 90 0.300 27 solid door:Solid 40 0.140 6 rolling shutter:Solid 40 0.300 12 Floor 1:Slab-On-Grade:Heated 92 10.0 0.684 63 Insulation depth:4.0' Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in REScheck Version 4.6.3 andtocomply with the mandatory requiremen listed in the REScheck Inspection Checklist. J; Z7 12PI7 Name-Titlees�,r.EzT Signature Dat Project Title: Bergman Poolhouse Report date: 03/27/17 Data filename: C:\Users\bnassivera.HCPDESIGN\My Projects\Bergman Page 1 of 9 Residence\Berg man_poolhouse.rck REScheck Software Version 4.6.3 Inspection Checklist Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck 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. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.1, ;Construction drawings and ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 ;energy code compliance for the , ❑Not Observable 0 :building envelope.Thermal ;envelope represented on ❑Not Applicable j construction documents. 103.1, ;Construction drawings and ❑Complies 103.2, 1documentation demonstrate ❑Does Not 403.7 !energy code compliance for [1311311 ;lighting and mechanical systems. ❑Not Observable V, :Systems serving multiple ❑Not Applicable ;dwelling units must demonstrate :.compliance with the IECC 'Commercial Provisions. 302.1, Heating and cooling equipment is; Heating: Heating: ❑Complies 403.7 sized per ACCA Manual S based Btu/hr I Btu/hr ❑Does Not [PR2]1 on loads calculated per ACCA I Cooling: Cooling: -, Manual j or other methods Btu/hr Btu/hr ❑Not Observable I approved by the code official. ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact Crier 3) Project Title: Bergman Pooihouse Report date: 03/25/17 Data filename: C:\Users\bnassivera.HCPDESIGN\My Projects\Bergman Page 2 of 9 Residence\Berg man_poolhouse.rck Section Plans Verified Field Verified # Foundation Inspection Value Value Complies? Comments/Assumptions & Req.ID 402.1.2 ;Slab edge insulation R-value. iR- R- ❑complies !See the Envelope Assemblies [F0l]1 ❑ Unheated ❑ Unheated ❑Does Not table for values. $ ; ❑ Heated ❑ Heated ;❑Not Observable ❑Not Applicable 402.1.2 ;Slab edge insulation ft ft I❑Complies ;See the Envelope Assemblies [F0311 idepth/length. ❑Does Not ;table for values. $ ;❑Not Observable ❑Not Applicable 303.2.1 :A protective covering is installed ❑Complies [F011]1 to protect exposed exterior ': j❑Does Not insulation and extends a minimum of 6 in.below grade. ❑Not Observable r S❑Not Applicable 403.9 Snow-and ice-melting system "-]❑Complies [F012)2 -,controls installed. - I❑Does Not u '[]Not Observable f ;❑Not Applicable Additional Comments/Assumptions: 111 High Impact(Ter 1) 1,2 1 Medium Impact(Tier 2) 3 Low Impact(tier 3) Project Title: Bergman Poolhouse Report date: 03/25/17 Data filename: C:\Users\bnassivera.HCPDE5IGN\My Projects\Bergman Page 3 of 9 Residence\Bergma n_pool house.rck Section Plans Verified Field Verified # Framing/ Rough-In Inspection Value Value Complies? Comments/Assumptions & Recl 402.1.1, Door U-factor. U- U- .❑Complies See the Envelope Assemblies 402.3.4ODoes Not table for values. [FR1]1 ;❑Not Observable ;❑Not Applicable 402.1.1, ;Glazing U-factor(area-weighted U_ U-_ ;[]Complies ;See the Envelope assemblies 402.3.1, :average). ❑Does Not ;table for values. 402.3.3, ',❑Not Observable 402.3.6, 402.5 ;❑Not Applicable [FR211 303.1.3 ;U-factors of fenestration products ❑Complies [FR4]1 !are determined in accordance ❑Does Not ;with the NFRC test procedure or j ❑Not Observable (taken from the default table. ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies [FR2311 :installed per manufacturer's []Does Not ;instructions. ❑Not Observable ❑Not Applicable 402.4.3 I Fenestration that is not site built ❑Complies [FR2011 .is listed and labeled as meeting ❑Does Not ;AAMA/WDMA/CSA 101)].S.2/A440 ❑Not Observable or has infiltration rates per NFRC .400 that do not exceed code []Not Applicable ;limits. 402.4.5 ,I IC-rated recessed lighting fixtures! ❑Complies [FR16]2 sealed at housing(nterior finish ,,❑Does Not and labeled to indicate<_2.0 cfm ❑Not Observable leakage at 75 Pa. ❑Not Applicable j I 403.2.1 ;Supply and return ducts in attics :❑Complies [FR12]1 1 insulated>=R-8 where duct is ❑Does Not ;>=3 inches in diameter and>_ - ❑Not Observable !return where<3 inches.Supply and'. ❑Not Applicable return ducts in other portions of !the building insulated >=R-6 for ;diameter>=3 inches and R-4.2 -, 'for<3 inches in diameter. 403.3.3.5 Building cavities are not used as []Complies [FR15]3 ducts or plenums. ':.[]Does Not .e: ❑Not Observable j❑Nat Applicable 403.4 HVAC piping conveying fluids ! R- 1 R-_ .❑Complies [FR17]1 I above 105 OF or chilled fluids Does Not below 55 OF are insulated to aR- ❑Not Observable 3' ;❑Not Applicable 403.4.1 'Protection of insulation on HVAC []Complies [FR24]1 :piping. !❑Does Not .g. []Not Observable ❑Not Applicable j 403.5.3 Hot water pipes are insulated to 1 R-_ R-_ ❑Complies [FR1811 '>R-3. :❑Does Not V, I❑Not Observable ;❑Not Applicable 403.6 Automatic or gravity dampers are ❑Complies [FR19]1 :installed on all outdoor air ❑Does Not ;intakes and exhausts. ❑Not Observable ❑Not Applicable 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Bergman Poolhouse Report date: 0325/17 Data filename: C:\Users\bnassivera.HCPDESIGN\My Projects\Bergman Page 4 of 9 Residence\Bergman_loolhouse.rck Additional Comments/Assumptions: 1 I High Impact(Tier 1) Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Bergman Poolhouse Report date: 03/25/17 Data filename: C:\Users\bnassivera.HCPDESIGN\My Projects\Bergman Page 5 of 9 Residence\Berg ma n_poolhouse.rck Section Plans Verified Field Verified # Insulation InspectionValue Value Complies? Comments/Assumptions & Req.ID 303.1 ,All installed insulation is labeled ❑Complies [IN13]2 for the installed R-values '. j❑Does Not V; ;provided. ;❑Not Observable I ❑Not Applicable 402.1.1, Wall insulation R-value.If this is a R- R-_ ❑Complies ;See the Envelope Assemblies 402.2.5, mass wall with at least 1/2 of the [] i❑ Wood ❑Does Not !table for values. 402.2.6 !wall insulation on the wall I❑ Mass El mass ;❑Nat Observable [IN3]1 .exterior,the exterior insulation E] Steel !❑ Steel j❑Not Applicable y, :requirement applies(FR10). 303.2 ;Wall insulation is installed per ❑Complies [IN411 manufacturer's instructions. []Does Not ❑Not Observable ❑Not Applicable j Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 Medium Impact(Ter 2) 3 1 Low Impact(Tier 3) Project Title: Bergman Poolhouse Report date: 0325/17 Data filename: C:\Users\bnassivera.HCPDESIGN\My Projects\Bergman Page 6 of 9 Residence\Berg ma n_pool ho use.rck Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions &Req.ID 402.1.1, ;Ceiling insulation R-value. IR- R- ;❑Complies ;See the Envelope Assemblies 402.2.1, El-Wood ;❑ Wood ;❑Does Not ;table for values. 402'2'2• Steel ' 402.2.6 �❑ ; Steel ;❑Not Observable ; [Fill' ;❑NotAppticable ; 303.1.1.1,'Ceiling insulation installed per ❑Complies 303.2 (manufacturer's instructions. ❑Does Not [FI211 ;Blown insulation marked every 300 ft'. ❑Not Observable ❑Not Applicable 402.2.3 Nented attics with air permeable ❑Complies [F122]2 i insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. ❑Not Observable ❑Not Applicable 402.2.4 ;Attic access hatch and door R- R-_ !❑Complies [F1311 ;insulation>_R-value of the i ;❑Does Not :adjacent assembly. ❑Not Observable ;❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50=_ ACH 50=_ ;❑Complies [F[17]1 lach in Climate Zones 1-2,and ODoes Not <=3 ach in Climate Zones 3-8. I ;❑Not Observable ;❑Not Applicable 403.2.3 'Duct tightness test result of<=4 cfm/100 cfm/100 ;❑Complies [1`I411 I cfm/100 ft2 across the system or ftz ftz Does Not <=3 cm/100 ft2 without air I handler @ 25 Pa. For rough-in ;❑Not Observable ; !tests,verification may need to ;❑Not Applicable ;occur during Framing Inspection. 403.3.2 ;Ducts are pressure tested to cfm/100 cfm/10o ;❑Complies [F12711 determine air leakage with ; ft� ; ft2 ;❑Does Not ;either: Rough-in test:Total (leakage measured with a I❑Not Observable pressure differential of 0.1 inch ;❑Not Applicable !W.9.across the system including ;the manufacturer's air handler ;enclosure if installed at time of ;test.Postconstruction test:Total ;leakage measured with a !pressure differential of 0.1 inch ;w.g.across the entire system ;Including the manufacturer's air ;handler enclosure. 403.3.2.1 Ar handler leakage designated ❑Complies [F12411 ;by manufacturer at<=2%of ❑Does Not ;design air flow. ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats DComplies [Fl9]2 installed for control of primary ❑Does Not ;heating and cooling systems and initially set by manufacturer to ❑Not Observable code specifications. ❑Not Applicable 403.1.2 ;Heat pump thermostat installed ❑Complies [F110]2 ;on heat pumps. ❑Does Not E]Not Observable ❑Not Applicable 403.5.1 ;Circulating service hot water ❑Complies [FI1112 ;systems have automatic or ❑Does Not ;accessible manual controls. ❑Not Observable ❑Not Applicable 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2)= 3 Low Impact(Tier 3) Project Title: Bergman Poolhouse Report date: 0325/17 Data filename: C:\Users\bnassivera.HCPDESIGN\My Projects\Bergman Page 7 of 9 Residence\Bergman_poolhouse.rck Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 403.6.1 ;All mechanical ventilation system ❑Complies [F[25]2 :fans not part of tested and listed -❑Does Not ;HVAC equipment meet efficacy ;and air flow limits. -❑Not Observable ❑Not Applicable 403.2 Hot water boilers supplying heat ❑Complies [F12612 through one-or two-pipe heating []Does Not systems have outdoor setback ❑Not Observable control to lower boiler water .temperature based on outdoor ❑Not Applicable j ;temperature. 403.5.1.1 :Heated water circulation systems ❑Complies [F128]2 have a circulation pump.The ❑Does Not system return pipe is a dedicated return pipe or a cold water supply ❑Not Observable j pipe.Gravity and thermos- ❑Not Applicable ;syphon circulation systems are not present.Controls for circulating hot water system pumps start the pump with signal; - ;for hot water demand within the occupancy.Controls automatically turn off the pump - when water is in circulation loop '.. is at set-point temperature and j no demand for hot water exists. 403.5.1.2 Electric heat trace systems ❑Complies [F[29]2 1 comply with IEEE 515.1 or UL ❑Does Not 515.Controls automatically ❑Not Observable adjust the energy input to the ;heat tracing to maintain the ❑Not Applicable ;desired water temperature in the ;piping. 403.5.2 Water distribution systems that ❑complies [F130]2 :have recirculation pumps that ❑Does Not pump water from a heated water ❑Not Observable 1 supply pipe back to the heated water source through a cold ❑Not Applicable ,watersupply pipe have a demand recirculation water system.Pumps have controls that manage operation of the pump and limit the temperature of the water entering the cold water piping to 1044F. 403.5.4 ;Drain water heat recovery units ! '❑Complies [F131)2 tested in accordance with CSA ❑Does Not j 855.1.Potable water-side - ❑Not Observable pressure loss of drain water heat !❑Not Applicable I recovery units<3 psi for individual units connected to one ;or two showers.Potable water- side pressure loss of drain water heat recovery units<2 psi for individual units connected to ;three or more showers. 404.1 175%of lamps in permanent ❑Complies IFI611 fixtures or 75%of permanent ❑Does Not :fixtures have high efficacy lamps. ❑Not Observable ;Does not apply to low-voltage ;lighting. ❑Not Applicable 404.1.1 ;Fuel gas lighting systems have ❑Complies ' [F123]3 :no continuous pilot light. ❑Does Not .y, ❑Not Observable ❑Not Applicable 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Bergman Poolhouse Report date: 03/25/17 Data filename: C:\Users\bnassivera.HCPDESIGN\My Projects\Bergman Page 8 of 9 Residence\Berg ma n_pool h ouse.rck Section Plans Verified Field Verified # Final Inspection Provisions & Req.ID I I Value Value Complies? Comments/Assumptions 401.3 ;Compliance certificate posted. !❑Complies [FI7]2 ❑Does Not j❑Not Observable ❑Not Applicable 303.3 IManufacturer manuals for !❑Complies [FI18]3 mechanical and water heating I ❑Does Not ;systems have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) jf2tj Medium Impact Mer2) 3 1 Low Impact(Tier 3) Project Title: Bergman Poolhouse Report date: 03/25/17 Data filename: C:\Users\bnassivera.HCPDE5IGN\My Projects\Bergman Page 9 of 9 Residence\Berg ma n_pool house.rck �( 2015 IECC Energy j Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 29.00 Below-Grade Wall 0.00 Floor 10.00 Ceiling / Roof 49.00 Ductwork (unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.29 Door 0.35 Heating&Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: Date: Comments �( 2015 IECC Energy j Efficiency Certificate Above-Grade Wall 29.00 Below-Grade Wall 0.00 Floor 10.00 Ceiling / Roof 49.00 Ductwork (unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.29 Door 0.35 Heating&Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name, Date: Comments