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CC-0309-2018TOWN 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-0309-2018 Date Issued: Friday, March 8, 2019 This is to certify that work requested to be done as shown by Permit Number has been completed. CC-0309-2018 Tax Map Number: Location: Owner: 302.8-1-3 289 BAY RD CR Bard Rozell Industries Inc.Applicant: This structure may be occupied as a: Commercial Interior Alterations 7300 s.f. Location: Main Building, new bathrooms 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 t, BUILDING PERMIT Permit Number: CC-0309-2018 Tax Map No: 302.8-1-3 Permission is hereby granted to: CR Bard For property located at: 289 BAY RD In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Name: CR Bard Business Office-Alteration $1,300,000.00 Owner Address: 289 Bay RD Total Value $1,300,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Rozell Industries Inc. 129 Park RD Queensbury,NY 12804 Plans& Specifications Commercial Interior Alterations 7300 s.£ Location: Main Building,new bathrooms $ 2,190.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, June 7, 2019 (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 tjje expiration 4ate Dated at the To of Que bury T une 7, 2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ADDITION/ALTERATION PERMIT Permit#: GC-02>09 • 2 %b APPLICATION Permit Fee:$_ 190 .0O Town uffjueensbury 742 Bay Road,Queensbury,NY 12804 Invoice#: O P:518-761-8256 www.gueensbury.net Project Location: CR 13arA ,. QwteanS61ACu !sNy �,,..,Y .._._ �•� Tax Ma ID #: 3 0 g! �'3 Subdivision Name u I p 2� � CONTACT INFORMATION: MAY 31 2018 TOWN • Applicant: 1 ,r � BUI€..I�NG �0M—_- Name(s): RoteU, IndwSTYiES Mowt,%S 0%%%0 Mailing Address, C/S/Z: 12.9 Pwrk Ronda Qu"%56ye4 . N`f 12S304 Cell Phone: SIS ) 321 -2695 Land Line: ( SIg) "793 • zbay Email: MVDUKQ 0Y0-ke q Iy,d . GoM • Primary Owner(s): Name(s): GR f5m 305e0k C'd%yi(_qY i Mailing Address, C/S/Z: Cell Phone: ( 91N ) H- -1,3DVOI Land Line: ( 516 ) fo2•' 221I Email: ioSeA0od►viC'AVI c,r(AYA &or^ • Contractor(s): Business Name: Ro.2�u, Wu4yieS Contact Name(s): Mgyows 46anr�' Mailing Address, C/S/Z: 129 PAYIt JZa&A . (2jA"K564AY1 !4 11W Cell Phone: (519 ) 321-2011r Land Line: ( ,rtg ) '►q3 2634 Email: IVIV O WIna tQ yp*#,t ,f y%A . L.VVA • Arch itect(s)/Engi nee r(s): Business Name: Vi Aaneh )✓n► h%eeyit,a , W4 Contact Name(s): Scot 1. A:ONaN 11 Mailing Address, C/S/Z: GkW" 6%&Yl 9 1 1 z is a q Cell Phone: ( TI$ ) ` 11- 9405 I Land Line: SIB ) '7g3-17444 Email: SA'A ia►Gh ; (Q C,• G0,0A Contact Person for Building & Code Compliance: fkly'llrrS `/eilom Cell Phone:_( SrI6 ) 32I - 2-015' Land Line: � ) Email: 01& ca;,,.` Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 PROJECT INFORMATION: TYPE: X Commercial Residential WORK CLASS: Single-Family _Two-Family _Multi-Family(#of units ) Townhouse _ Business Office Retail Industrial/Warehouse _Garage (#of cars ) Other(describe�YogWt, 101A AY40% ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: 1st floor: 13oo 2nd floor: 2nd floor: 3rd floor: 3rd floor: Basement (habitable space): Basement (habitable space): Total square feet: Total square feet: 1360 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ I•l W1ifi0b, 2. If Commercial project, what is the proposed use: M49i cAl pvec uvti pyeAte, 6% 3. Source of Heat (circle one): Gas Oil Propane Solar Other Fireplaces need a separate Fuel Burning Appliances & Chimney Application 4. Are there any structures not shown on the plot plan? YES NO Explain: 5. Are there any easements on the property? YES NO 6. SITE INFORMATION: a. What is the dimensions or acreage of the parcel? b. Is this a corner lot? YES NO c. Will the grade be changed as a result of the construction? YES NO d. What is the water source? UBLI PRIVATE WELL e. Is the parcel on SEWER or a PRIVATE SEPTIC system? Seww Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 DECLARATION: 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or 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. 1 acknowledge that prior to occupying the facilities proposed 1, 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 priorto issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: MAYCMS NOKV%!h SIGNATURE: IM a.-, DATE: 5*131I7,015 Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 INSPECTION WORKSHEET (BINS-006565-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number: Inspection Date: Inspector: Case Module: Inspection Status: Inspection Type: CC-0309-2018 09/12/2018 John O'Brien Permit Failed Commercial Final Inspection Job Address:Parcel Number:289 BAY RD Queensbury, NY 12804 302.8-1-3 Contact Type Company Name Name Primary Owner CR Bard [CR Bard ] , Applicant Rozell Industries Inc.[Rozell Industries Inc.] , Engineer Haanen Engineering [Haanen Engineering] , Contractor Rozell Industries Inc.[Rozell Industries Inc.] , Property Manager Hay, Billy Granted Permission CR Bard [CR Bard ] , Checklist Item Passed Comments Doors 36 inch wLever Hand Panic Hardware, if req YES Floor Bathroom Watertight Other Floors Okay YES Boiler/Furnace Enclosurer Fire Ext System NO Low Water Shut Off for Boilers NO Final Electrical / Flex Gas Piping Bonded NO Engineer or Architect Approval NO OK to Issue Temporary C/O NO OK to Issue C/O NO 9/12/18 Final Inspection Not Approved - Phase 1 Remaining Items: - Final Electrical for Phase 1 Area. - Fire Marshal's Approval for Phase 1 Area. - Provide Air Balancing Report for HVAC in Phase 1 Area. - Engineer's Sign Off on Phase 1 Area. Sep 12, 2018 Page (11) O'Brien, John (Inspector) INSPECTION WORKSHEET (BINS-001333-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:CC-0309-2018 Case Module:Permit Inspection Date:Fri Mar 8, 2019 Inspection Status:Passed Inspector:John O'Brien Inspection Type:Commercial Final Inspection Job Address:Parcel Number:289 BAY RD Queensbury, NY 12804 302.8-1-3 Contact Type Company Name Name Primary Owner CR Bard Property Manager Hay, Billy Applicant Rozell Industries Inc. Granted Permission CR Bard Engineer Haanen Engineering Contractor Rozell Industries Inc. Checklist Item Passed Comments Engineer or Architect Approval YES Received Engineer's Approval of Phase 2 Mar 08, 2019 Page (1) INSPECTION WORKSHEET (BINS-001333-2019) Checklist Item Passed Comments OK to Issue C/O YES 9/12/18 Final Inspection Not Approved - Phase 1 Remaining Items: - Final Electrical for Phase 1 Area. - Fire Marshal's Approval for Phase 1 Area. - Provide Air Balancing Report for HVAC in Phase 1 Area. - Engineer's Sign Off on Phase 1 Area. 11/19/18 Final Inspection Partial Pass - Phase 2 - Bathrooms, Washroom, Nursery Room & Locker Room Area. Remaining Items Phase 2 1) Lower 1 mirror to 40" Handicapped Height in each bathroom. 2) Downspout on hot water relief valve on existing HW Tank in Janitor's Closet. 3) Submit Engineer's Approval Letter for Phase 2. 11/20/18 Final Inspection Partial Approval - Phase 2 Remaining Item: - Completion of Phase 3 3/8/19 Final Inspection Approved-Ok to Issue CO! Mar 08, 2019 Page (2) O'Brien, John (Inspector) INSPECTION WORKSHEET (FM-001332-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:CC-0309-2018 Case Module:Permit Inspection Date:Fri Mar 8, 2019 Inspection Status:Passed Inspector:Mike Palmer Inspection Type:OCC-Inspections Job Address:Parcel Number:289 BAY RD Queensbury, NY 12804 302.8-1-3 Contact Type Company Name Name Granted Permission CR Bard Applicant Rozell Industries Inc. Engineer Haanen Engineering Property Manager Hay, Billy Primary Owner CR Bard Contractor Rozell Industries Inc. Checklist Item Passed Comments Fire Marshal YES Phase 1 only, new gowning room and washroom 11/18 - final for locker and transition area, and two bathrooms3/8/18 - Phase 4 hallway 127 complete Exit Access YES Exit Enclosure YES Exit Discharge YES Locks and Latches YES Mar 08, 2019 Page (1) INSPECTION WORKSHEET (FM-001332-2019) Checklist Item Passed Comments Sign: Normal YES Sign: Backup YES Main Aisle Width YES Secondary Aisle Width YES Fire Extinguisher Hung YES Inspection of Extinguisher YES Emergency Lighting Interior YES Clearance to Electrical YES Electrical Wiring Enclosed/Labeled YES Interior Finishes YES Clearance to Sprinkler/Ceiling YES FIRE ALARM Annual YES Letter of compliance received 11/18- new letter of compliance received and function test performed Sprinkler System Annual YES Letter of compliance received 11/18- new letter of compliance received Occupancy Cycle YES F Mar 08, 2019 Page (2) Joe Palmer, Mike (Inspector) _._ INSPECTION WORKSHEET (FM-006566-2018) . Town of Queensbury-Building and Codes-Fire Marshal 742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal Case Number: CC-0309-2018 Case Module: Permit Inspection Date: 09/14/2018 Inspection Status: Partial Pass Inspector: Mike Palmer Inspection Type: OCC-Inspections Job Address: 289 BAY RD Parcel Number: 302.8-1-3 Queensbury,NY 12804 Contact Type Company Name Name Primary Owner CR Bard Property Manager Hay,Billy Applicant Rozell Industries Inc. Granted Permission CR Bard Engineer Haanen Engineering Contractor Rozell Industries Inc. Checklist Item Passed Comments Fire Marshal YES Phase 1 only,new owning room and washroom Exit Access YES Exit Enclosure YES Exit Discharge YES Locks and Latches YES Sign:Normal YES Sign:Backup YES Main Aisle Width YES Secondary Aisle Width YES Fire Extinguisher Hung YES Inspection of Extinguisher YES Emergency Lighting Interior YES Clearance to Electrical YES Electrical Wiring Enclosed/Labeled YES Interior Finishes YES Clearance to Sprinkler/Ceiling YES FIRE ALARM Annual YES Letter of compliance received Sprinkler System Annual YES Lette4 of compliance recived Sep 14,2018 Page(1) Checklist Item Passed Comments Occupancy Cycle YES F Joe Palmer,Mike(Inspector) Sep 14,2018 Page(2) Town of Queensbury- Building and Codes- Fire Marshal 742 Bay Road-(518)761-8256 Building (518)761-8206 Fire Marshal Case Number: CC-0309-2018 Case Module: Permit Inspection Date: Mon Nov 19, 2018 Inspection Status: Partial Pass Inspector: Mike Palmer Inspection Type: OCC-Inspections Job Address: 289 BAY RD Parcel Number: 302.8-1-3 Queensbury, NY 12804 Contact Type Company Name Name Property Manager Hay, Billy Applicant Rozell Industries Inc. Granted Permission CR Bard Engineer Haanen Engineering Primary Owner CR Bard Contractor Rozell Industries Inc. Checklist Item Passed Comments Fire Marshal YES Phase 1 only, new gowning room and washroom 11/18-final for locker and transition area, and two bathrooms Exit Access YES Exit Enclosure YES Exit Discharge YES Locks and Latches YES Sign: Normal YES Nov 19,2018 Page(1) Checklist Item Passed Comments Sign: Backup YES Main Aisle Width YES Secondary Aisle Width YES Fire Extinguisher Hung YES Inspection of Extinguisher YES Emergency Lighting Interior YES Clearance to Electrical YES Electrical Wiring Enclosed/Labeled YES Interior Finishes YES Clearance to Sprinkler/Ceiling YES FIRE ALARM Annual YES Letter of compliance received 11/18-new letter of compliance received and function test performed Sprinkler System Annual YES Letter of compliance received 11/18- new letter of compliance received Occupancy Cycle YES F I \r? Joe Palmer, Mike (Inspector) Nov 19,2018 Page(2) INSPECTION WORKSHEET (RPLUM-007557-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:CC-0309-2018Case Module:Permit Inspection Date:10/24/2018Inspection Status:Failed Inspector:John O'BrienInspection Type:Rough Plumbing Job Address:289 BAY RDParcel Number:302.8-1-3 Queensbury, NY 12804 Contact TypeCompany NameName Primary OwnerCR Bard \[CR Bard \] , ContractorRozell Industries Inc.\[Rozell Industries Inc.\] , Granted PermissionCR Bard \[CR Bard \] , Property ManagerHay, Billy EngineerHaanen Engineering\[Haanen Engineering\] , ApplicantRozell Industries Inc.\[Rozell Industries Inc.\] , Checklist ItemPassedComments Building Inspector NotesNO10/24/18 Preliminary Inspection - Discussed with the Dan Monroe the plumber on how I want to test the plumbing in the Women's & Men's Washrooms and Standard Protocol H.W. Room 107. Plumbing Under SlabYES7/19/18. Underground for high protocol hand wash 10/24/18 Preliminary Inspection - Discussed with the Dan Monroe the plumber on how I want to test the plumbing in the Women's & Men's Washrooms and Standard Protocol H.W. Room 107. Rough Plumbing / Nail PlatesNO10/24/18 Preliminary Inspection - Discussed with the Dan Monroe the plumber on how I want to test the plumbing in the Women's & Men's Washrooms and Standard Protocol H.W. Room 107. Plumbing Vent Vents in PlaceNO 3" Vent Through RoofNO 1 ½ inch minimum Drain SizeNO Washing Machine Drain 2 inch minimumNO Washing Machine Trap: 18"-24" dischargeNO Cleanout every 100 feet change of directionNO Pressure TestYES7/19/18 underground high protocol handwash Pressure TestNO Drain VentNO Oct 24, 2018Page (4) INSPECTION WORKSHEET (RPLUM-007557-2018) Checklist ItemPassedComments 5 psi or 10 ft. above highest conn. for 15 minutesNO Water Supply PipingNO Air HeadNO Air HeadNO 50 P.S.I for 15 minutesNO Air Test Gas Piping 10 psi for 10 MinutesNO All Return Air Hard Duct WorkNO Duct Insulation - if required in unheated spacesNO Duct Testing Outside Conditioned SpaceNO Duct work sealed properlyNO O'Brien, John (Inspector) Oct 24, 2018Page (5) INSPECTION WORKSHEET (RPLUM-007562-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:CC-0309-2018Case Module:Permit Inspection Date:10/25/2018Inspection Status:Partial Pass Inspector:John O'BrienInspection Type:Rough Plumbing Job Address:289 BAY RDParcel Number:302.8-1-3 Queensbury, NY 12804 Contact TypeCompany NameName Property ManagerHay, Billy Primary OwnerCR Bard \[CR Bard \] , Granted PermissionCR Bard \[CR Bard \] , ContractorRozell Industries Inc.\[Rozell Industries Inc.\] , EngineerHaanen Engineering\[Haanen Engineering\] , ApplicantRozell Industries Inc.\[Rozell Industries Inc.\] , Checklist ItemPassedComments Building Inspector NotesNO10/24/18 Preliminary Inspection - Discussed with the Dan Monroe the plumber on how I want to test the plumbing in the Women's & Men's Washrooms and Standard Protocol H.W. Room 107. 10/25/18 Plumbing Under Slab Approved-Pressure Test OK! -Women's & Men's Washrooms and Standard Protocol H.W. Room 107. Plumbing Under SlabYES7/19/18. Underground for high protocol hand wash 10/24/18 Preliminary Inspection - Discussed with the Dan Monroe the plumber on how I want to test the plumbing in the Women's & Men's Washrooms and Standard Protocol H.W. Room 107. 10/25/18 Plumbing Under Slab Approved-Pressure Test OK! -Women's & Men's Washrooms and Standard Protocol H.W. Room 107. Rough Plumbing / Nail PlatesNO10/24/18 Preliminary Inspection - Discussed with the Dan Monroe the plumber on how I want to test the plumbing in the Women's & Men's Washrooms and Standard Protocol H.W. Room 107. Plumbing Vent Vents in PlaceNO 3" Vent Through RoofNO 1 ½ inch minimum Drain SizeNO Washing Machine Drain 2 inch minimumNO Oct 25, 2018Page (1) INSPECTION WORKSHEET (RPLUM-007562-2018) Checklist ItemPassedComments Washing Machine Trap: 18"-24" dischargeNO Cleanout every 100 feet change of directionYES Pressure TestYES7/19/18 underground high protocol hand-wash stations 10/25/18 Plumbing Under Slab Approved-Pressure Test OK! -Women's & Men's Washrooms and Standard Protocol H.W. Room 107. Pressure TestNO Drain VentNO 5 psi or 10 ft. above highest conn. for 15 minutesYES10/25/18 Plumbing Under Slab Approved-Pressure Test OK! -Women's & Men's Washrooms and Standard Protocol H.W. Room 107. Water Supply PipingNO Air HeadYESHead Test 10/25/18 Plumbing Under Slab Approved-Pressure Test OK! -Women's & Men's Washrooms and Standard Protocol H.W. Room 107. Air HeadNO 50 P.S.I for 15 minutesNO Air Test Gas Piping 10 psi for 10 MinutesNO All Return Air Hard Duct WorkNO Duct Insulation - if required in unheated spacesNO Duct Testing Outside Conditioned SpaceNO Duct work sealed properlyNO O'Brien, John (Inspector) Oct 25, 2018Page (2) ThisistocertifythatMechanicalTesting,Inc.hasbalancedthesystemsdescribedherein totheiroptimumperformancecapabilities.Thetestingandbalancinghasbeen performedinaccordancewiththestandardrequirementsoftheAssociatedAirBalance Councilandtheresultsofthesetestsarehereinrecorded. Terms and Abbreviations ACH- Air Changes per Hour In.- Inches AHU- Air Handling Unit In. w.g.- Inches of Water Gauge AK- Free Area of Duct ISDFT- Insufficient Straight Duct for Traverse AVG- Average Kfactor- Correction factor to the free area needed to calculate CFM. BHP- Brake Horsepower LAT- leaving Air Temperature BV- Ball Valve (Shut Off Valve) LWT- Leaving Water Temperature CB- Circuit Breaker MAU- Make Up Air Handling Unit CBV- Calibrated Balance Valve MAX- Maximum set point/flow CD-Ceiling Diffuser MIN- Minimum set point/flow CFM- Cubic Feet per Minute NI-Not Installed CHWS- Chilled Water System NIS-Not in Scope CRAC- Computer Room Air Conditioner O/A- Outside Air CS- Circuit Setter OBD- Opposed Blade Damper CUH- Cabinet Unit Heater OD- Outside Diameter Measurement of Sheave DAT- Discharge Air Temperature PH- Phase DD- Direct Drive (motor) PSI- Pounds per Square Inch Des.- Design RA- Return Air Disch.- Discharge RAT- Return Air Temperature DNE- Does Not Exist RF- Return Fan DP- Discharge Pressure of Pump/Pressure Drop RHC- Reheat Coil EA- Exhaust Air RPM- Revolutions per Minute EAV- Exhaust Air Valve RTU- Roof Top Unit EAT- Entering Air Temperature SA- Supply Air EF- Exhaust Fan SAV- Supply Air Valve EG- Exhaust Grille SAT- Supply Air Temperature ERU- Energy Recovery Unit S.F.- Service Factor E.S.P.- External Static Pressure SF- Supply Fan EWT- Entering Water Temperature SP- Suction Pressure of Pump/ Static Pressure FCU- Fan Coil Unit Sq. ft.- Square Feet FD- Fire Damper TAB- Test, Adjust and Balance FLA- Full Load Amperage TDV- Triple Duty Valve Flow Coeff. Correction Factor for Flow to VAV TP- Thermally Protected Flow Hood- Instrument that measure airflow TSP- Total Static Pressure FPM- Feet per Minute UH- Unit Heater GPM- Gallons Per Minute V- Volts HEPA- High Efficiency Particulate Arrestance VAV- Variable Air Volume Box HP- Horsepower VD- Volume Damper HVAC- Heating Ventilation and Air Conditioning VFD- Variable Frequency Drive HWS- Hot Water System VVT- Variable Volume Terminal HX- Heat Exchanger WC- Water Column Hz- Hertz SYSTEM RECORD OF COMPLETION This form is to be completed by the system installation contractor at the time of system acceptance and approval. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. 19 NOV 2018 N/A Form Completion Date: Supplemental Pages Attached: 1. PROPERTY INFORMATION C. R. Bard Name of property: 289 Bay Road, Queensbury, NY 12804 Address: Commercial Description of property: Rozelle Industries, Marcus Young Name of property representative: 129 Park Road, Queensbury, NY 12804 Address: 5183212095 N/A N/A Phone: Fax: E-mail: 2. INSTALLATION, SERVICE, TESTING, AND MONITORING INFORMATION New York Fire & Security Installation contractor: 4 Glens Falls Technical Park Glens Falls, NY 12801 Address: (518) 798-9551 (518) 792-5199 seawn.eggleston@nyfire.biz Phone: Fax: E-mail: New York Fire & Security Service organization: 4 Glens Falls Technical Park Glens Falls, NY 12801 Address: (518) 798-9551 (518) 792-5199 seawn.eggleston@nyfire.biz Phone: Fax: E-mail: New York Fire & Security Testing organization: 4 Glens Falls Technical Park Glens Falls, NY 12801 Address: (518) 798-9551 (518) 792-5199 seawn.eggleston@nyfire.biz Phone: Fax: E-mail: 11/19/2018 Effective date for test and inspection contract: Emergency 24 Monitoring organization: Chicago IL Address: 18008773624 N/A N/A Phone: Fax: E-mail: M54698 N/A N/A Account number: Phone line 1: Phone line 2: Plain Old Telephone Service (POTS/CONTACT ID FORMAT) Means of transmission: N/A N/A Entity to which alarms are retransmitted: Phone: 3. DOCUMENTATION N/A On-site location of the required record documents and site-specific software: 4. DESCRIPTION OF SYSTEM OR SERVICE N/A This is a: New system Modification to existing system Permit number: 2013 NFPA 72 edition: 4.1 Control Unit Silent Knight SK 5820XL Manufacturer: Model number: 4.2 Software and Firmware 3.64 Firmware revision number: 4.3 Alarm Verification This system does not incorporate alarm verification. N/A N/A Number of devices subject to alarm verification: Alarm verification set for seconds Copyright © 2012 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. (p. 1 of 3) SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power 119 6 Amps Input voltage of control panel: Control panel amps: Breaker 15 Amps Overcurrent protection: Type: Amps: Braker located Front Circuit 25 Branch circuit disconnecting means location: Number: Electrical Room 4-19 5.1.2 Secondary Power Lead Acid Battery Type of secondary power: N/A Location, if remote from the plant: Calculated capacity of secondary power to drive the system: 24 8 In standby mode (hours): In alarm mode (minutes): 5.2 Control Unit This system does not have power extender panels Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Pathway Type Dual Media Pathway Separate Pathway Class Survivability Level Signaling Line N/A N/A N/A N/A Device Power N/A N/A AC N/A Initiating Device N/A N/A N/A N/A Notification Appliance N/A N/A N/A N/A Other (specify): 7. REMOTE ANNUNCIATORS Type Location N/A N/A N/A N/A 8. INITIATING DEVICES Addressable or Type Quantity Conventional Alarm or Supervisory Sensing Technology Manual Pull Stations 0 N/A N/A N/A Smoke Detectors 0 N/A N/A N/Ac Duct Smoke Detectors 2 Addressable Alarm Photoelectric Heat Detectors 0 N/A N/A N/A Gas Detectors 2 CO Det Addressable N/A CO Detector Waterflow Switches 0 N/A N/A N/A Tamper Switches 0 N/A N/A N/A Copyright © 2012 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. (p. 2 of 3) SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible N/AN/A Visible 3 Strobe Horns (2 ceiling, 1 wall mount) Combination Audible and Visible N/A N/A 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices N/A HVAC Shutdown 2 Fire/Smoke Dampers N/A Door Unlocking N/A Elevator Recall N/A Elevator Shunt Trip N/A 11. INTERCONNECTED SYSTEMS This system does not have interconnected systems. Interconnected systems are listed on supplementary sheet . 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as specified herein has been installed according to all NFPA standards cited herein. Seawn Eggleston 11/19/2018 Signed: Printed name: Date: New York Fire & Security General Manager (518) 798-9551 Organization: Title: Phone: 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Seawn Eggleston 11/19/2018 Signed: Printed name: Date: New York Fire & Security General Manager (518) 798-9551 Organization: Title: Phone: 12.3 Acceptance Test Date and time of acceptance test: 0900, 11/19/2018 Installing contractor representative: Seawn Eggleston Testing contractor representative: Seawn Eggleston Property representative: Marcus Young AHJ representative: Mike Palmer Copyright © 2012 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. (p. 3 of 3) INSPECTION WORKSHEET (SEP-008207-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal RC-0467-2018Permit Case Number:Case Module: Tue Nov 20, 2018Failed Inspection Date:Inspection Status: John O'BrienSeptic Inspector:Inspection Type: 1232 WEST MOUNTAIN RD288.-1-65 Job Address:Parcel Number: Queensbury, NY 12804 Contact TypeCompany NameName ApplicantDwyer, Christopher Granted PermissionDwyer, Christopher Primary OwnerDwyer, Christopher Checklist ItemPassedComments Building Inspector NotesNO11/20/18 As per my site visit this morning I met with Mr. Dwyer and the rep from Rotor Rooter who will camera the septic system. The camera revealed that there was just one Infiltrator line approximately 25' long. I told Mr. Dwyer he needs to install a compliant septic system for a 2 bedroom dwelling. He said he will be contracting George Drellos to file for permit and install system. The dwelling unit has water saving fixtures so 92' of leach field will be needed based on the soils and 110 gallons per day. The septic tank will need to be pumped again to verify whether it is a 1000 gallon septic tank. George Drellos is not sure if it is because it was pumped at the same time as the main house. 11/20/18 As per my 2nd Site Inspection today I verified with George Drellos that the septic tank is only 500 gallon. The septic tank will also need to be replaced with a 1000 gallon tank. Public Sewer Sign-OffNO Nov 20, 2018Page (1) INSPECTION WORKSHEET (SEP-008207-2018) Checklist ItemPassedComments Soil Type: SandNO Soil Type: LoamNO Soil Type: ClayNO Type of Water: Municipal / Well WaterNO Waterline separation distanceNO Well separation distanceNO Well Casing Lengt: 50ft +/-NO Absorbtion Fields: Total LengthNO Septic system field above flood plainNO Septic tanks & pump station anchored in floodNO zone Length of Each TrenchNO Depth of TrenchesNO Size of StoneNO Seepage Pits: NumberNO Size:NO Nov 20, 2018Page (2) INSPECTION WORKSHEET (SEP-008207-2018) Checklist ItemPassedComments Stone Size:NO Building to TankNO Tank to Distribution BoxNO Distribution box to Field / PitNO Opening Sealed:NO End CapNO InletOutlet Pipes & BafflesNO Manholes 12 or less below gradeNO \[Provide extension collar if Yes\]NO Locations / SeparationsNO Foundation to TankNO Foundation to AbsorptionNO Separation of PitsNO Conforms as per Plot PlanNO Engineer Report and As-BuiltNO ETU Maintenance Contract providedNO Nov 20, 2018Page (3) INSPECTION WORKSHEET (SEP-008207-2018) Checklist ItemPassedComments Location of system on propertyNO System Use StatusNO11/20/18 As per my site visit this morning I met with Mr. Dwyer and the rep from Rotor Rooter who will camera the septic system. The camera revealed that there was just one Infiltrator line approximately 25' long. I told Mr. Dwyer he needs to install a compliant septic system for a 2 bedroom dwelling. He said he will be contracting George Drellos to file for permit and install system. The dwelling unit has water saving fixtures so 92' of leach field will be needed based on the soils and 110 gallons per day. The septic tank will need to be pumped again to verify whether it is a 1000 gallon septic tank. George Drellos is not sure if it is because it was pumped at the same time as the main house. 11/20/18 As per my 2nd Site Inspection today I verified with George Drellos that the septic tank is only 500 gallon. The septic tank will also need to be replaced with a 1000 gallon tank. O'Brien, John (Inspector) Nov 20, 2018Page (4) INSPECTION WORKSHEET (BINS-008174-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal CC-0309-2018Permit Case Number:Case Module: Tue Nov 20, 2018Partial Pass Inspection Date:Inspection Status: John O'BrienCommercial Final Inspection Inspector:Inspection Type: 289 BAY RD302.8-1-3 Job Address:Parcel Number: Queensbury, NY 12804 Contact TypeCompany NameName ContractorRozell Industries Inc. ApplicantRozell Industries Inc. Property ManagerHay, Billy EngineerHaanen Engineering Primary OwnerCR Bard Granted PermissionCR Bard Checklist ItemPassedComments Engineer or Architect ApprovalYESReceived Engineer's Approval of Phase 2 OK to Issue Temporary C/ONO Nov 20, 2018Page (1) INSPECTION WORKSHEET (BINS-008174-2018) Checklist ItemPassedComments OK to Issue C/ONO9/12/18 Final Inspection Not Approved - Phase 1 Remaining Items: - Final Electrical for Phase 1 Area. - Fire Marshal's Approval for Phase 1 Area. - Provide Air Balancing Report for HVAC in Phase 1 Area. - Engineer's Sign Off on Phase 1 Area. 11/19/18 Final Inspection Partial Pass - Phase 2 - Bathrooms, Washroom, Nursery Room & Locker Room Area. Remaining Items Phase 2 1) Lower 1 mirror to 40" Handicapped Height in each bathroom. 2) Downspout on hot water relief valve on existing HW Tank in Janitor's Closet. 3) Submit Engineer's Approval Letter for Phase 2. 11/20/18 Final Inspection Partial Approval - Phase 2 Remaining Item: - Completion of Phase 3 O'Brien, John (Inspector) Nov 20, 2018Page (2) INSPECTION WORKSHEET (BINS-007878-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:CC-0309-2018Case Module:Permit Inspection Date:11/19/2018Inspection Status:Partial Pass Inspector:John O'BrienInspection Type:Commercial Final Inspection Job Address:289 BAY RDParcel Number:302.8-1-3 Queensbury, NY 12804 Contact TypeCompany NameName EngineerHaanen Engineering\[Haanen Engineering\] , ContractorRozell Industries Inc.\[Rozell Industries Inc.\] , Granted PermissionCR Bard \[CR Bard \] , Primary OwnerCR Bard \[CR Bard \] , ApplicantRozell Industries Inc.\[Rozell Industries Inc.\] , Property ManagerHay, Billy Checklist ItemPassedComments Doors 36 inch wLever Hand Panic Hardware, if reqYES Floor Bathroom Watertight Other Floors OkayYES Final Electrical / Flex Gas Piping BondedYES Engineer or Architect ApprovalNO OK to Issue Temporary C/ONO OK to Issue C/ONO9/12/18 Final Inspection Not Approved - Phase 1 Remaining Items: - Final Electrical for Phase 1 Area. - Fire Marshal's Approval for Phase 1 Area. - Provide Air Balancing Report for HVAC in Phase 1 Area. - Engineer's Sign Off on Phase 1 Area. 11/19/18 Final Inspection Partial Pass - Phase 2 - Bathrooms, Washroom, Nursery Room & Locker Room Area. Remaining Items Phase 2 1) Lower 1 mirror to 40" Handicapped Height in each bathroom. 2) Downspout on hot water relief valve on existing HW Tank in Janitor's Closet. 3) Submit Engineer's Approval Letter for Phase 2. O'Brien, John (Inspector) Nov 19, 2018Page (3) g;; *1du I. iU. ZUIU 11 14A %a ;MUTA. .,,q s-. . . 4356 P. 2/6 ✓: i� itr 0' •�'=L =` q} ~' ' �ai � WjMIDDLE DEPARTMENT INSPECTION AG NCX, INC � ?�a> � Wpsi cgt,al that the electrical wiring to the electrical equipment listed below has been examined and is approved as %c beingIn accord with•the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date f ;�,. k: noted below and is issued subject to the following conditions. C�J • Owner: Bard Medical b <<21,1 r ate: 07/23/2018 t.). Occupant: Comm./Ind. -1St Fl West End Location�89 Bay Road '. 5 C j �� Occupancy ' Queensbur y,Non-Residential Warren Co_ NY. <<ti) Applicant:co Predileftov). cJ Electric <�? O 36 Beechwood Drive "l�. j Clifton Park, NY 12065.i' _ �;� • 11,:,:!.<1 a Joseph A.Holmes • No. _ •140285102601EL - - - t . a Equipment: . - - - . - - - - _C�� ;) to. .16-Switches; 62- Receptacles; 82 • `= 'i • P Fixtures; 6'='Eme' e'ncy Lights;2'=EXitlEmergenty Light Combos.; 3-500 KW ��>> %� Electric Heaters; 5-Power Poles;2 -,Hand Dryers; 2 -200 Amp Panels; 1 -50 Amp,Air Handler 1 -75 KVA >> ?). Transformer -,,. ci,) S .; _ I C<< f5 S 0.,i,Th This certificate applies to the electrical wiring to the electrical equipment hated immediately null and void. This certificate applies only to the use,occupancy and f,. .,) 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 �r? g inspection. No warranty is expressed or implied as to the mechanical safety,efli• of the property Indicated above,this certificate shall be immediately nut and void. % ' ,� eieney 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. ()4 be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspeotlon by Middle Department rt� -) system to which this certificate applies be altered in arty way,including but not limit. Inspection Agency,Inc. An application for inspection must be submitted to Middle BUJ ;. ad to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the inspection.and revalidation c(p ": any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for thls service. • S �•,r{�-T • •-.• •-.••--••S..,-.-,'•",�,'' " •,.'',`,r;oV `,....:F.�i:•;�-"r!.^,,-N:ri.:%�:%v>a,i�,i Zvi v•;-..-:N- .,'�. . 1f' .�„--...ti �.-�..z. -j �C Me'E:-:L��'4C��6gke,*'L'-t. eW :��\c: •:';�C'1 i 4v:S Lt.M..ors: kc ySi..: :L=` ,:s<`,C -.:MPr .)... ti C A<F.Jik✓:r&3% CG-it) 30q_ ZOtb ' cE llE . if'.'• „ AUG 01 2018 O E UR'iOWN OF UEiENSt . - HAANEN ENGINEERING , LLP September 13, 2018 Town of Queensbury 754 Bay Road Queensbury, New York 12804 Attn: Mr. John O'Brien Building Inspector Re: C. R. Bard Phase 1 Final Inspection Town Permit CC-0309-2018 Gentlemen: I visited the site on September 13, 2018 and completed a walkthrough of Phase 1 construction. The work was complete and constructed as per the plans and specifications developed by Haanen Engineering. If questions arise with the above information, please contact me at (518) 793-7444 extension 19. Very truly yours, HAANEN ENGINEERING, LLP ,- 4 ista6„../1 /72 MOO at/ _ % „:1 tli fir + No 1 +, / \Op Daniel A. De Nero, P. E.Principal - �apEsst0 , � if(l$ 254 Bay Road,Queensbury, NY 12804 Tel:518-793-7444 Fax:518-793-7061 Email:hjh@hjhllc.com d � C-�— D — \ , t \'\9 Waste Shipment Record ~ 14 99 /No._ I C&C UNLIMITED, Inc. 1. Work site name and mailing address: t �`1 s•C• 9 9 r e.�l _Owner's name: ' d s c o-S \(o v c> �` �a - 1:)rk ii h4\i ©`-k_ Telephone:l �� t ci5 5 2. Operator's name andkt�ddress:• C&C Unlimited, Inc. . ' 6 Simmons Lane Albany,N.Y. 12204 Telephone: 518-810-6614/518-810-2847 . Waste D ,, - 'DS): Circle One ...------- ro: ssiv:Waste Solu f Rap oad Landfill ' erva Enterprise 1422 Q�es ,. :::'\:\IESI-BFC = 525 Rap d. 9000 Roa GrXr&—Y0Orki 1 .�(a1786 Sa n Ro- Albany,N.Y 05 Waynesbu , 1V � t 3 erloo,NY 13165 Tel:' -453-8288 T 866-3435 Tel:315-539-5624 t�?) 22 P — v-1; •` a E 4. - . ,,,ress of responsible agency N US EPA,Region 2 R 290 Broadway, New York, NY 10007 A 5. Description of materials' - 6.Containers 7. Total quantity T o - No. Type Cubic yard R • viable asbestos,9, NA 2212,111 R E. VIL bP Non-friable C&D --�.n�1 s'n ( . 1►1.c 'z__l1-AesA-ic,. 'T.� iIS4 ACM with Building material(demolition) Il Lg rr,�.' rFnleE7v 8. Special handling instructions and additional information I U 1 Pre-wetted and double bagged or wrapped.Trailers are lined with poly. _ f 1 i AU6 i 0 2UlU I 9. Operator's Certification:I hereby declare that the contents of this consignment are ully and aeeucatellr — described above by proper shipping name and are classified,packed,marked,and labeled andeanll r sFp li- tion for transport by highway according to applicable international and government regulation . BUILDING&CODES 1 inted/ty ed am &title Si za e �J/V 1 Date cm-se .biNa\a,VC42,•,\AUSNA--10. TrGansporter 1-name and address (64cknowiedgment of receipt of materials) T A QA.\\ � Nis Signature: Date: 5 • JR � !&Tz1 ,C41 or./t< pe7 CfD P 0 11. Transporter 2 -name and address(Acknowledgement of receipt of materials) R T Signature: Date: E R Name&Title: Telephone: D 12. Discrepancy indication space • I $ 13. Waste disposal site owner or operator: Certification of receipt of materials covered by this manifest 4 p except as noted in item 12. s Printed/typed name&title Si nature Date" • AL th\icsick i cki....et i V it r- W-4 9_'lib - , . Distribution:White-Generator,Yellow-Operator,Pink-Transporter,Goldenrod-Disposal site Bel VA G.ta iixls? 4 a, f r, t a �k.�i .& ,i Waste Shipment Record NO. 1499 C&C UNLIMITED, Inc. 1. Work site name and mailing address: i< _ r& "- . - ' t , 'v -, —t Owner's name: y,,, ,«n r:`:`a?t'_,y `Sa'a ..`ac'h- tiio,,"�„_ Xr � vu. r-I.: ' k 4 Telephone:t.''1.)` .� .-"?`' `" .,,<, ' 2. Operator's name andaddress: C&C Unlimited; Inc. . 6 Simmons Lane Albany, N.Y. 12204 -Telephone: 518-810-6614/518-810-2847 '3: ,�„WasteDisposaLSite(WDS): Circle One && �Prog�essive Waste Solution ` . -, `'~ t j + 'gym 1i G Rapp.goad Landfill ,,/ Mina Enterprise ` ., -i" 1;'Z_z c"> -` ,� IESI BF Ltd ""•*"' ^ems a, 1786 Saic�n� 525 Rapp.t3d. �' 9000 Minersta Road >`' � b, �, A M 0 fin^" Albany,N.Y>2o5 Waynesbui rOH4468 `* p §i , viz .j • k, aterloo,NY 13165 `` �� t i Tel:518-453-8288 T94330=866-3435 G ""Tel:315-539-5624 ,,.. ' i 3 i . 'k 0 4..a """t7_. ,#, ( E 4:°"`^Narne.and adds of responsible agency '\. N US EPA,Region 2 \--, ...- F" R290 Broadway,New York, NY 10007 �� -°~�-- - -------�--�`°'""' - A 5. Description of materials' . 6.Containers 7. Total quantity T _ _ _ No. Type Cubic yard R t; Frsable asbestos,9, NA 2212,ill,RQ e. -17 ,`a't' ".• 'Non-friable C&D""" \ �r 4, ,r,e�.u "�"; r"`-% y. .; '�a:s ,c.w ' °Z il AC`IVI ifhi Building material(demolition) , 8. Special handling instructions and additional information °" Pre-Wetted and double bagged or wrapped.Trailers are lined with poly. 9. Operator's Certification:I hereby declare that the contents of this consignment are fully and accurately " described above by proper shipping name and are classified,packed,marked,and labeled,and are in all respects in proper condi- tion for transport by highway according to applicable international and government regulations. ("Printed/ ed'niame&title \r) t ' Si{{'a e " Date ° ° ( Ut..4 --'` t - \C4,:'-.4 _ itir Transporter 1-name and address ('Acknowledgment of receipt of materials) T ° A M1 Signature: Date.: N L p~, - ram` - }"s G"' , ef S Na'ine Title: i a.7.r ,r-. ..ft t!'s y'e�l ph e / C/r"'A` p � , •4 O 11. Transporter 2 -name and address(Acknowledgement of receipt of materials) ` R • • T - Signature: Date: - E a R ' Name&Title: - - Telephone: D 12. Discrepancy indication space - - - s 13. 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Gr 4,�/r 1 / a--� vioz,/ ✓/eincii rz3o&.0 64 ` II pin c tG 019- ' I C S'/e i(/ths-Like( Y y 1 • • • - attee45-6vr-ni Nit 6 V- U ,dl/'6/4-air '/ cieee, an/(511 r,() /l, /6 /moto - `70iv- i c M % 04Z1 44 7 02/=4 / � a(;-. ,Ws/� -r, ,ra7 Je�flo c jy/a4c./qe//Uri j fietne e Nef4 A(e. ,;Aro cvid pof Z-4117) -a I - a r • • • • t p 1 2-8c1 C' .. ed c1 rJl� 2O(8 5'304--a)n (An- Polner cared- c ecor) • a L v)J(skit, o',"der/` V Qi d a W aoa Oar-rlt, t- , l]aye ( J- Odt lope. a w.oi tD (bke-c-fc .Ws- Vl_e- J{� W o L 1) I A- - cam. C/V7- pass ©T i t ( 07) 5r Le__ -P S \1-eALow ` I U�. d aicf dr7 g--- @Fear T. dJAI to-2_U(8 rea is SATISFACTORY jj Area is NOT SATISFACTORY The asbestos abatement work area,defined below,has been inspected by the _ • undersigned representative of PSI for completeness in accordance with the requirements of Industrial code 56.This inspection was performed in Genera Accordance with ASTM 1368.PSI's inspection is for visible asbestos-eontainin5 1 materials only. By inspecting,PSI makes no warranties with regard to the , q results of clearance testing,nor does this inspection ensure that ACM is not. �---j - hidden behind surfaces or temporary barriers.There is a distinct possibility the _ E conditions exist which are unknown to PSI or which may not be reasonahll toreserehie. y„(4 /e 6`e4� E^,„„_ Wark Area: /( ��/>> / ! /�r��"6', 6 PSI Technician: K—I'( . ri '/cI Date: 1/6fin 1 Certificate No.: / J 33 76_n i ii • . r 05041 • zo t e) IMechanical Testing Inc. ac Testing Services Fo, Indoor Eovitonments AABC �"°° )— C.R. Bard Building 1 Transition Room- Queensbury FIRM: CUSTOMER: MTI- Mechanical Testing,Inc. Monahan Metals PROJECT#: 70 Lake Avenue 18-256 - Saratoga Springs NY 12866 PROJECT ADDRESS: PHONE: 289 Bay Road (518)450-7292 Queensbury NY 12804 MT1 FAX: DATE: (518)450-7295 2019-03-07 CONTACT: Chris Hart Sustainable Solutions for Efficient Environments c��yl Test nN B ,�% Wo" MEN . OWNED CERTIFIED BY I NATION WOMENLCOUNCILBUSINESS ENTERDpISE IJ.M°�• This is to certify that Mechanical Testing, Inc. has balanced the systems described herein to their optimum performance capabilities. The testing and balancing has been performed in accordance with the standard requirements of the Associated Air Balance Council and the results of these tests are herein recorded. r � ATI C11313 Sustainable Solutions for Efficient Environments 10 Lake Ave,Saratoga Springs,NY 12866 694 Colesville Rd,Binghamton,NY 13904 Phone:518-450-7292 Fax:518-450-7295 Design Review-Commissioning-Fire Life Safety-Test And Balance-ASHRAE 110 To: Rick Monahan Contractor: Monahan Metals From: Mike Morwin EIC:W Project Name: CR Bard-Transition Room Disposition: Final TAB Report MTI#: 18-256 Date: 3-7-19 The following is a summary of any of the HVAC Equipment tested for the C.R. Bard Building 1 Transition Room- Queensbury Project. Included in the summary are any details regarding any open issues or deficiencies witnessed during the Testing and Balancing of this project. 1-MTI did not find any deficiencies or issues during the balancing of this equipment. The Testing and Balancing has been performed in accordance with the standard requirements of the Associated Air Balance Council(AABC). The results of these tests are herein recorded. MTI has noted all other pertinent information in regards to the testing and balancing of this project within the TAB Report. If you have any questions or concerns, please contact us. r � ATI Q013 Sustainable Solutions for Efficient Environments 10 Lake Ave,Saratoga Springs,NY 12866 694 Colesville Rd,Binghamton,NY 13904 Phone:518-450-7292 Fax:518-450-7295 Design Review-Commissioning-Fire Life Safety-Test And Balance-ASHRAE 110 Terms and Abbreviations ACH-Air Changes per Hour In.- Inches AHU-Air Handling Unit In.w.g.- Inches of Water Gauge AK-Free Area of Duct ISDFT-Insufficient Straight Duct for Traverse AVG-Average Kfactor-Correction factor to the free area BHP-Brake Horsepower needed to calculate CFM. BV-Ball Valve(Shut Off Valve) LAT-leaving Air Temperature CB-Circuit Breaker LWT-Leaving Water Temperature CBV-Calibrated Balance Valve MAU-Make Up Air Handling Unit CD-Ceiling Diffuser MAX-Maximum set point/flow CFM-Cubic Feet per Minute MIN-Minimum set point/flow CHWS-Chilled Water System NI-Not Installed CRAC-Computer Room Air Conditioner NIS-Not in Scope CS-Circuit Setter O/A-Outside Air CUH-Cabinet Unit Heater OBD-Opposed Blade Damper DAT-Discharge Air Temperature OD-Outside Diameter Measurement of Sheave DD-Direct Drive(motor) PH-Phase Des.-Design PSI-Pounds per Square Inch Disch.-Discharge RA-Return Air DNE-Does Not Exist RAT-Return Air Temperature DP-Discharge Pressure of Pump/Pressure Drop RF-Return Fan EA-Exhaust Air RHC-Reheat Coil EAV-Exhaust Air Valve RPM-Revolutions per Minute EAT-Entering Air Temperature RTU-Roof Top Unit EF-Exhaust Fan SA- Supply Air EG-Exhaust Grille SAV- Supply Air Valve ERU-Energy Recovery Unit SAT- Supply Air Temperature E.S.P.-External Static Pressure S.F.-Service Factor EWT-Entering Water Temperature SF- Supply Fan FCU-Fan Coil Unit SP- Suction Pressure of Pump/Static Pressure FD-Fire Damper Sq. ft.- Square Feet FLA-Full Load Amperage TAB-Test,Adjust and Balance Flow Coeff.—Correction Factor for Flow to VAV TDV-Triple Duty Valve Flow Hood-Instrument that measure airflow TP-Thermally Protected FPM-Feet per Minute TSP-Total Static Pressure GPM-Gallons Per Minute UH-Unit Heater HEPA-High Efficiency Particulate Arrestance V-Volts HP-Horsepower VAV-Variable Air Volume Box HVAC-Heating Ventilation and Air Conditioning VD-Volume Damper HWS-Hot Water System VFD- Variable Frequency Drive HX-Heat Exchanger VVT- Variable Volume Terminal Hz- Hertz WC-Water Column MT1 Testina Services Fot Indoot Environmet?ts NW A A B Cm GrouMechanical Testing Inc. ' acLy LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 Table of Contents Instruments Used 3 Instruments Used 3 *AHU (HVA) 4 *HVA 152 4 *HVA 153 10 *HVA 154 15 *Exhaust Fans 20 *EF-1 20 *EF-2 22 Page 2 of 24 2019-03-07 MT1 Testing Setvices Fot Indoot EnvironmenLs Mechanical ac _Ly NABC_ A A B C CommissGroup LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 Instruments Used Instruments Used AIR Manufacturer Evergreen Telemetry Calibration Date 2126/18 Model No. PVF Tech Name Christopher Hart Serial No. 1500192 WATER Manufacturer Not Applicable Calibration Date Not Applicable Model No. Not Applicable Tech Name Not Applicable Serial No. Not Applicable Instruments Used Page 3 of 24 2019-03-07 Mechanical Testing Inc. a_c MT1 Testing -Services Fol, Indoot Envitonments �. AABC Ly Commission— LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 *AHU (HVA) *HVA 152 UNIT DATA Equipment Location Roof Filter Type Pleated Area Served Offices Filter Quantity 4 Unit Manufacturer Bryant Filter Size 16x16x2 in Unit Model No. 582JE06A115A2AOAA Performed By CH Unit Serial No. 0617C80298 PasslFail Pass TEST DATA Design Actual % Design Actual % Total Unit CFM 1690 CFM 1704 CFM 101 Fan RPM Not SRppecified 1714 RPM Outlet CFM 1690 CFM 1704 CFM 101 OIA Damper Position 12% Outside Air CFM 350 CFM 435 CFM 124 RIA Damper Position 88% Return Air CFM 1340 CFM 1269 CFM 95 Hertz at Design CFM 60 Hz MOTOR DATA Motor Manufacturer Marathon Volts T1 481 Volts Motor Frame 56HY Volts T2 484 Volts Motor RPM 1450 RPM Volts T3 481 Volts Motor Horsepower Not Listed HP Plate Amps 4.3 Amps Motor Phase 3 Amps T1 4.58 Amps Motor Hertz 60 Hz Amps T2 4.57 Amps Service Factor 1.0 Amps T3 4.64 Amps Efficiency 0.850 Starter Heater TP Power Factor 0.850 Brake Horsepower 3.691 Plate Volts 480 Volts DRIVE DATA Motor Sheave/OD Size 4 Fan Bore 5/8 in *HVA 152 Page 4 of 24 2019-03-07 AdNkk Mechanical Testing Inc. i � ..MT1 Testing Services For acLy Indoor , AABC AABC Commissi O P- LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 DRIVE DATA Motor Bore 1 in No.of Belts 1 Motor Sheave%Closed 100% Belt Size A40 Fan Sheave/OD Size AK49-5/8 Center Distance 13 1/4 in TEST PRESSURES Design Actual % Design Actual % Not Specified Not Specified 0.39 in.H2O Total Static Pressure 1.85 in.H2O Pre-Filter DP in.H2O in.H2O External Static Pressure Not Specified 1.46 in.H2O Pre-Heat Coil DP Not Specified See Note in. in.H2O in.H2O H2O Not Specified See Note in. Discharge Static 0.27 in.H2O Cooling Coil DP in.H2O H2O Suction Static 1.58 in.H2O Static at Furthest VAV 0.51 in.H2O Mix Box/Pre-Filter SP Not Specified 1.19 in.H2O Sys.Operational Static 0.51 in.H2O in.H2O IMAGES: Unit Data Motor Data r1 asAs-. BWANT 9LIBGt1{yylA/ NFFuinIGMM 9p1ynF alxanr I S1 5�=na ma1e hon' I�r� zz..o. .�,. M73 SbRF' - r.au.i�u� v+s• u cuhnr 111: E 'Op t. SU ai .� - - _. nIl•F,(- t:Qe,FMGF 1l IICY4�wM-:is-�_ > a u c.:-.V•�,' .z.. a.� � a.a n- '°a' --_._ \\ CNWIIFl91 - �---._. -,.,.__ NIF'.3..[.Jl1TM�'+nKtCS �+• ,�. 817J3pgJ7 NDSRF _ '^�� t ilmir�rmr®uririio R233 ` .sw.>w u 31EX:CC E/JQ 1 1.1 . t 0Rs C us uit[R s� n.1 ■ w 'HVA 152 Page 5 of 24 2019-03-07 Mechanical Testing Inc. .dAda"L MT1 _Testil?g Set vices For Indoor Envitonments ,ac AW_ AA B C t ommi Group LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 Vi so • • Fan �i Iters & Coils NOTES: Test Data Outside Air CFM HVA 152:OA is internally controlled by unit,unable to set a MIN position. Motor Data Efficiency HVA 152:Efficiency and power factor not listed on motor data tag.MTI utilized standard 0.85 and 0.85 respectively to approximate BHP. Test Pressures Pre-Heat Coil DP HVA 152:Filters and coils are adjacent MTI measured DP across both *HVA 152 Page 6 of 24 2019-03-07 Mechanical MzT1 Testing Services For Indoor Environments Testing = acLy C A A B C commisstAABG rrup LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 *HVA 1521 Traverse Summary TRAVERSE SUMMARY Name System Location Size Area Design FPM Design CFM Average FPM Actual CFM Static Pressure Main Traverse HVA 152 Roof See Note 1.000 1690 1690 1704 1704 0.270 Outside Air HVA 152 Roof 25x22 3.820 92 350 114 435 0.040 Totals 2040 2139 NOTES: Traverse Summary Main Traverse I System HVA 152:Insufficient duct for main traverse.MTI totaled outlets and recorded discharge side static. *HVA 1521 *VAV- 1 UNIT DATA Design Actual % Design Actual % Location 118 Inlet Size 5 in VAV address VAV-1 Flow Coeff. 50.400 Manufacturer Carrier Max CFM 225 225 100 Model No. 35J Min CFM Not Specified 62 *HVA 1521 *VAV- 11 Supply Outlet Summary SUPPLY OUTLET SUMMARY Name Room No. Type Size AK Factor Design FPM Design CFM Prelim CFM FPMICFM Final CFM %of Design Min CFM SO-001 118 SA 24x24 1.000 225 225 308 225 225 100 62 Totals 225 308 225 225 62 *HVA 1521 *VAV- 2 *HVA 152 Page 7 of 24 2019-03-07 Mechanical Testing Inclil ' ..' MT1 Testina Setvices F& Indoor Environments ac AABC AABC `om"�u P— LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 UNIT DATA Design Actual % Design Actual % Location 117 Inlet Size 5 in VAV address VAV-2 Flow Coeff. 61.330 Manufacturer Carder Max CFM 240 240 100 Model No. 35J Min CFM Not Specified 62 *HVA 1521 *VAV- 21 Supply Outlet Summary SUPPLY OUTLET SUMMARY Name Room No. Type Size AK Factor Design FPM Design CFM Prelim CFM FPMICFM Final CFM %of Design Min CFM SO-002 117 SA 24x24 1.000 240 240 148 240 240 100 62 Totals 240 148 240 240 62 *HVA 1521 *VAV- 3 UNIT DATA Design Actual % Design Actual % Location 116 Inlet Size 4 in VAV address VAV-3 Flow Coeff. 41.520 125 136 109 Manufacturer Carder Max CFM Model No. 35J Min CFM Not Specified 55 *HVA 1521 *VAV- 31 Supply Outlet Summary SUPPLY OUTLET SUMMARY Name Room No. Type Size AK Factor Design FPM Design CFM Prelim CFM FPMICFM Final CFM %of Design Min CFM SO-003 116 SA 24x24 1.000 125 125 106 136 136 109 55 Totals 125 106 136 136 55 *HVA 152 Page 8 of 24 2019-03-07 Mechanical Testing Inc. ac IndoorEnvironments AABC AABC Cm Groniiup LOCATION: PROJECT NUMBER: CONTACT: C,R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Han 289 Bay Road Queensbury NY 12804 *HVA 1521 Supply Outlet Summary SUPPLY OUTLET SUMMARY Name Room No. Type Size AK Factor Design FPM Design CFM Prelim CFM FPMICFM Final CFM %of Design Min CFM *Zone 1 135,133,122 Duct See Note 1.000 1100 1100 1103 1103 1103 100 Not Applicable Totals 1100 1103 1103 1103 0 NOTES: Supply Outlet Summary *Zone 11 Size HVA 152:Four constant volume outlets are not controlled by VAVs.MTI read,totaled and recorded flow at the outlets for this zone.When VAV's modulate throughout the course of the day, these values will rise.The readings were taken with the VAV's at their MAX flows. *HVA 1521 Return Inlet Summary RETURN INLET SUMMARY Name Room No. Type Size AK Factor Design FPM Design CFM Prelim FPMICFM Final Reading Final CFM %of Design Min CFM *RI-001 118 RA 24x24 1.100 Not Specified 39 39 43 Not Applicable *RI-002 117 RA 24x24 1.100 Not Specified 262 262 288 Not Applicable *RI-003 116 RA 24x24 1.100 Not Specified 135 135 149 Not Applicable Totals 0 436 480 0 *HVA 152 Page 9 of 24 2019-03-07 M,T I 7esting Setvices Fo,� Indoot Envitonments,Mechanical - = ac Ly AABC A A B C Comm'ss'C rup LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 *HVA 153 UNIT DATA Equipment Location Roof Filter Type Pleated Area Served Pre Gown/Toilets Filter Quantity 6 Unit Manufacturer Carrier Filter Size 16x24x2 in Unit Model No. 48LCRA2A5A2C1 Performed By CH Unit Serial No. 3018PO8446 Pass/Fail Pass TEST DATA Design Actual % Design Actual % Total Unit CFM 2410 CFM 2368 CFM 98 Fan RPM NotSRpe ified 778 RPM Outlet CFM 2410 CFM 2293 CFM 95 OIA Damper Position 25% Outside Air CFM 1000 CFM 1020 CFM 102 RIA Damper Position 75% Return Air CFM 1410 CFM 1348 CFM 96 Hertz at Design CFM 60 Hz MOTOR DATA Motor Manufacturer Marathon Volts T1 203 Volts Motor Frame 56HZ Volts T2 204 Volts Motor RPM 1670 RPM Volts T3 203 Volts Motor Horsepower 2.4 HP Plate Amps 6.7 Amps Motor Phase 3 Amps T1 5.60 Amps Motor Hertz 60 Hz Amps T2 5.70 Amps Service Factor 1.15 Amps T3 5.60 Amps Efficiency 0.850 Starter Heater VFD Power Factor 0.850 Brake Horsepower 1.905 Plate Volts 208 Volts DRIVE DATA Motor Sheave/OD Size VL40-5/8 Fan Bore 11/4 in Motor Bore 5/8 in No.of Belts 1 Motor Sheave%Closed 100% Belt Size AX56 *HVA 153 Page 10 of 24 2019-03-07 MT1 Mechanical Testing Inc. ac _Ly Testing Services For Indoor Environments Comn,isscroup A A B C _ LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 DRIVE DATA Fan SheavelOD Size AK84 Center Distance 19 V2 in TEST PRESSURES Design Actual % Design Actual % Not Specified Not Specified Total Static Pressure 2.24 in.H2O Pre-Filter DP 0.29 in.H2O in.H2O in.H2O Not Specified Not Specified See Note in. External Static Pressure 1.95 in.H2O Pre-Heat Coil DP in.H2O H2O in.H2O Discharge Static 1.47 in.H2O Cooling Coil DP Not Specified See Note in. in.H2O H2O Suction Static 0.77 in.H2O Static at Furthest VAV Not Applicable in.H2O Not Specified in.H2O 0.48 in.H2O Mix Box/Pre-Filter SP Sys.Operational Static Not Applicable in.H2O IMAGES: Unit DataMotor Data / av 2.4 rti"OTo« 00 marathons rilllainliliiN�llllllillliilil ......_- f M �rs�auw�+�'"5`+wrrnwr.x.s . } }} qq[[ ( }i� �ygonw•� iOUGrti yrNW�l7(06�9CI66 - ° TAGS ii Mea 5:6ti.a >w TgnEo'9aa rrt 117 �18pe �9ert�rt �{ � lu:r 2nv ',♦1,awie 1(1elut 112 t'',non, 111E lNE LINE�tEasr 'HVA 153 Page 11 of 24 2019-03-07 Mechanical Testing Inc .4111111100NEP,M�T I Testilia Services Vol, Indoor Envitonments ac ac A A B Cm AA Group LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 dh L Fan i "r d i Filters & Coils - NOTES: Test Data Total Unit CFM Total Flow has been determined by adding the MIN O/A flow to the return readings with unit set to its MIN O/A. Motor Data Efficiency Efficiency and Power Factor are not listed on the motor tag.MTI used the industry standard of 0.85 for each to determine an ESTIMATED BHP Test Pressures Pre-Heat Coil DP HVA 153:Filters and Coil are adjacent.MTI recorded DP across both. 'HVA 153 Page 12 of 24 2019-03-07 Mechanical Testing Inc. "' M�T I -Testino Sef vices Far Indooi Environments,, aC m xtg A A B C Group LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 *HVA 1531 Traverse Summary TRAVERSE SUMMARY Name System Location Size Area Design FPM Design CFM Average FPM Actual CFM Static Pressure Main Traverse HVA 153 Roof See Note 1.000 2410 2410 2368 2368 1.470 Outside Air HVA 153 Roof 50x26 9.028 ill 1000 113 1020 0.040 Totals 3410 3388 NOTES: Traverse Summary Main Traverse I Size Total Flow has been determined by adding the MIN O/A flow to the return readings with unit set to its MIN O/A.MA recorded outlet total and static from discharge side of fan. *HVA 1531 Supply Outlet Summary SUPPLY OUTLET SUMMARY Name Room No. Type Size AK Factor Design FPM Design CFM Reading 1 Reading 2 Final CFM %of Design SO-001 112 Duct 18x11 1.375 916 1260 744 913 1255 100 SO-002 112 SA 24x24 1.000 130 130 161 127 127 98 SO-003 120 SA 24x24 1.000 130 130 37 122 122 94 SO-004 123 SA 24x24 1.000 75 75 87 61 61 81 SO-005 108 SA 24x24 1.000 75 75 ill 56 56 75 SO-006 109 SA 24x24 1.000 130 130 113 115 115 88 SO-007 112 SA 24x24 1.000 130 130 77 133 133 102 SO-008 121 SA 24x24 1.000 175 175 77 154 154 88 SO-009 124 SA 24x24 1.000 175 175 77 158 158 90 SO-010 127 SA 24x24 1.000 130 130 88 112 112 86 Totals 2410 2293 *HVA 1531 Return Inlet Summary *HVA 153 Page 13 of 24 2019-03-07 Mechanical Testing Inc. aCLY IM-TI Testina Services For t:ommissionAABC AABC crop- LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 RETURN INLET SUMMARY Name Room No. Type Size AK Factor Design FPM Design CFM Reading 1 Reading 2 Final CFM %of Design RI-001 112 Duct 80 0.349 2579 900 2488 2488 868 96 RI-002 112 RA 24x24 1.000 100 100 208 93 93 93 RI-003 120 RA 24x24 1.000 70 70 169 68 68 97 RI-004 109 RA 24x24 1.000 100 100 155 94 94 94 RI-005 109 RA 24x24 1.000 100 100 127 92 92 92 RI-006 120 RA 24x24 1.000 70 70 132 68 68 97 RI-007 108 RA 24x24 1.000 0 0 Deleted Deleted RI-008 127 RA 24x24 1.000 70 70 198 65 65 93 Totals 1410 1348 *HVA 153 Page 14 of 24 2019-03-07 MrT I Mechanical Testing Inc. acLy Tiesting Set vices For Indoor Environments _ �mm :ABC AABC Grouupp- LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 *HVA 154 UNIT DATA Equipment Location Roof Filter Type Fiber Area Served Gowning/Handwash Filter Quantity 2 Unit Manufacturer Carrier Filter Size 24x24x2 in Unit Model No. 48LCRA04A2A5A1N2C1 Performed By CH Unit Serial No. 3018C87805 Pass/Fail Pass TEST DATA Design Actual % Design Actual % Total Unit CFM 1200 CFM 1128 CFM 94 Fan RPM Not Specified 1410 RPM RPM Outlet CFM 1200 CFM 1128 CFM 94 OIA Damper Position 20% Outside Air CFM 240 CFM 225 CFM 94 R/A Damper Position 8o% Return Air CFM 960 CFM 903 CFM 94 Hertz at Design CFM 60 Hz MOTOR DATA Motor Manufacturer Marathon Volts T1 208 Volts Motor Frame See Note Volts T2 208 Volts Motor RPM See Note RPM Volts T3 208 Volts Motor Horsepower See Note HP Plate Amps 5.8 Amps Motor Phase 3 Amps T1 3.45 Amps Motor Hertz 60 Hz Amps T2 3.45 Amps Service Factor 1.15 Amps T3 3.45 Amps Efficiency 0.850 Starter Heater VFD Power Factor 0.850 Brake Horsepower 1.202 Plate Volts 208 Volts DRIVE DATA Motor Sheave/OD Size 3.00 Fan Bore 5/8 in Motor Bore 5/8 in No.of Belts 1 Motor Sheave%Closed 100% Belt Size AX37 'HVA 154 Page 15 of 24 2019-03-07 MzT1 Mechanical Testing- Inc. ac Testing Services For ,oor Environments AAg_ BC AA BC CommissioningGroup LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 DRIVE DATA Fan SheavelOD Size AK30x5/8 Center Distance 14 3/4 in TEST PRESSURES Design Actual % Design Actual % Not Specified Not Specified Total Static Pressure 3.29 in.H2O Pre-Filter DP 0.35 in.H2O in.H2O in.H2O Not Specified Not Specified See Note in. External Static Pressure in.H2O 2.94 in.H2O Pre-Heat Coil DP in.H2O H2O Discharge Static Not Specified See Note in. 9 1.88 in.H2O Cooling Coil DP in.H2O H2O Suction Static 1.41 in.H2O Static at Furthest VAV Not Applicable in.H2O Not Specified in.H2O 1.06 in.H2O Mix Box/Pre-Filter SP Sys.Operational Static Not Applicable in.H2O IMAGES: Unit Data Motor Data i Mom' t *HVA 154 Page 16 of 24 2019-03-07 Mechanical Am'h, ac MTl 7esting Services Fo, iodoor Ermionments AABC `°°'m�P— LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 UPMan w .#� �- Filters & Coils. u *HVA 154 Page 17 of 24 2019-03-07 M�Tl MTestingechanical Inc. ... ac AABC A A B Cm Croup- LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 NOTES: Test Data Outside Air CFM CA is internally controlled by unit,unable to set a MIN position. Motor Data Motor Manufacturer HVA 154:Due to configuration of VFD and motor,motor data tag is inaccessible. Efficiency HVA 154:Efficiency and power factor not listed on motor data tag.MTI utilized standard 0.85 and 0.85 respectively to approximate BHP. Test Pressures Pre-Heat Coif DP HVA 154:Filter and Coil are adjacent MTI recorded DP across both *HVA 1541 Traverse Summary TRAVERSE SUMMARY Name System Location Size Area Design FPM Design CFM Average FPM Actual CFM Static Pressure Main Traverse HVA 154 Roof IDFT 1.000 1200 1200 1128 1128 0.930 Outside Air HVA 154 Roof 22x14 2.139 112 240 105 225 0.020 Totals 1440 1353 NOTES: Traverse Summary Main Traverse 1 Size MTI totaled and recorded outlets.Static is recorded from discharge side of fan. *HVA 1541 Supply Outlet Summary SUPPLY OUTLET SUMMARY Name Room No. Type Size AK Factor Design FPM Design CFM Reading 1 Reading 2 Final CFM %of Design SI-001 113 SA 24x24 1.000 110 110 102 112 112 102 SI-002 113 SA 24x24 1.000 110 110 138 100 100 91 SI-003 107 SA 24x24 1.000 175 175 55 158 158 90 SI-004 129 SA 24x24 1.000 115 115 187 118 118 103 SI-005 106 SA 24x24 1.000 120 120 83 116 116 97 *HVA 154 Page 18 of 24 2019-03-07 Mechanical Testing Inc. ! .. MT1 Testina Services For Indoor Envaoninents, = ac AASC A A B C Commisip- LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 SUPPLY OUTLET SUMMARY Name Room No. Type Size AK Factor Design FPM Design CFM Reading 1 Reading 2 Final CFM %of Design SI-006 106 SA 24x24 1.000 120 120 71 116 116 97 SI-007 106 SA 24x24 1.000 100 100 65 93 93 93 SI-008 114 SA 24x24 1.000 175 175 58 158 158 90 SI-009 114 SA 24x24 1.000 175 175 88 157 157 90 Totals 1200 1128 *HVA 154 1 Return Inlet Summary RETURN INLET SUMMARY Name Room No. Type Size AK Factor Design FPM Design CFM Reading 1 Reading 2 Final CFM %of Design RI-001 113 RA 24x24 1.100 182 200 251 171 188 94 RI-002 107 RA 24x24 1.100 145 160 65 142 156 98 RI-003 129 RA 24x24 1.100 91 100 47 80 88 88 RI-004 106 RA 24x24 1.100 182 200 142 168 185 93 RI-005 114 RA 24x24 1.100 273 300 49 255 281 94 Totals 960 898 *HVA 154 Page 19 of 24 2019-03-07 MT1 Mechanical Testing Inc. : .. ac Testing Services F6j, Indoor Enwrotltnents _ AABC A A B C Commisso P— LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 *Exhaust Fans *EF-1 UNIT DATA Equipment Location Ceiling Unit Serial No. 809 Area Served Women's Room Performed By CH Unit Manufacturer Panasonic Pass/Fail Pass Unit Model No. FV-30VQ3 TEST DATA Design Actual % Design Actual % Total Unit CFM 290 CFM 282 CFM 97 Operational Static Press. Not Applicable in.H2O Outlet CFM 290 CFM 282 CFM 97 Hertz at Design CFM 60 Hz Fan RPM Not SRpPeMcified 901 RPM MOTOR DATA Motor Manufacturer Panasonic Volts T1 121.7 Volts Motor Frame Not Available Volts T2 121.6 Volts Motor RPM Not Available RPM Volts T3 121.7 Volts Motor Horsepower Not Available HP Plate Amps 0.61 Amps Motor Phase 1 Hertz 1/60 Amps T1 0.59 Amps Service Factor 1.0 Amps T2 0.59 Amps Efficiency 0.850 Amps T3 0.59 Amps Power Factor 0.850 Starter Heater TP Plate Volts 120 Volts Brake Horsepower 0.120 DRIVE DATA Motor Sheave/OD Size Direct Drive Fan Bore Direct Drive in Motor Bore Direct Drive in No.of Belts Direct Drive Motor Sheave%Closed Direct Drive% Belt Size Direct Drive Fan Sheave/OD Size Direct Drive Center Distance Direct Drive in *EF-1 Page 20 of 24 2019-03-07 MechanicalM�Tl Testing Sef vices Fot Indoor Env;rontnents- ac AABC A A B C commissiC i p— LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 TEST PRESSURES Design Actual % Design Actual % Total Static Pressure Not Specified 0.23 in.H2O Discharge Static 0.16 in.H2O in.H2O Not Not Suction Static 0.07 in.H2O Filter DP(If Applicable) Applicable in. Applicable in. H2O H2O NOTES: Motor Data Motor Manufacturer EF-1:Motor data tag not available due to housing. Service Factor EF-1:Service factor,efficiency and power factor not listed on motor data tag.MTI utilized standard 1.0,0.85 and 0.85 respectively to approximate BHP. *EF-11 Traverse Summary TRAVERSE SUMMARY Name System Location Size Area Design FPM Design CFM Average FPM Actual CFM Static Pressure Main Traverse EF-1 Women's 80 0.349 831 290 808 282 0.160 Totals 290 282 *EF-1 Page 21 of 24 2019-03-07 MT1 Festina Setvices Fol, Indoor Erwironments i ,Mechanical = aCLY A A A B Cm ABC Group LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 *EF-2 UNIT DATA Equipment Location Ceiling Unit Serial No. 809 Area Served Men's Room Performed By CH Unit Manufacturer Panasonic Pass/Fail Pass Unit Model No. FV-30VQ3 TEST DATA Design Actual % Design Actual % Total Unit CFM 290 CFM 270 CFM 93 Operational Static Press. Not Applicable in.H2O Outlet CFM 290 CFM 270 CFM 93 Hertz at Design CFM 60 Hz Fan RPM Not Specified 965 RPM RPM MOTOR DATA Motor Manufacturer Panasonic Volts T1 121.5 Volts Motor Frame See Note Volts T2 121.6 Volts Motor RPM See Note RPM Volts T3 121.5 Volts Motor Horsepower See Note HP Plate Amps 0.61 Amps Motor Phase 1 Hertz 1160 Amps T1 0.58 Amps Service Factor 1.0 Amps T2 0.58 Amps Efficiency 0.850 Amps T3 0.58 Amps Power Factor 0.850 Starter Heater TP Plate Volts 120 Volts Brake Horsepower 0.118 DRIVE DATA Motor Sheave/OD Size Direct Drive Fan Bore Direct Drive in Motor Bore Direct Drive in No.of Belts Direct Drive Motor Sheave%Closed Direct Drive% Belt Size Direct Drive Fan SheavelOD Size Direct Drive Center Distance Direct Drive in *EF-2 Page 22 of 24 2019-03-07 Mechanical ac ...� M, T1 Testing Services For . AABC A A B C Commissioning LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Roorn-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 TEST PRESSURES Design Actual % Design Actual % Total Static Pressure Not Specified 0.20 in.H2O Discharge Static 0.13 in.H2O in.H2O Not Not Suction Static 0.07 in.H2O Filter DP(If Applicable) Applicable in. Applicable in. H2O H2O IMAGES: Unit Data I' NOTES: Test Data Outlet CFM EF-2:Ceiling not installed.MTI recorded volume by traverse. Motor Data Motor Manufacturer EF-2:Motor data tag inaccessible due to housing.See fan data tag. Service Factor EF-2:Service factor,efficiency and power factor not listed on motor data tag.MT]utilized standard 1.0,0.85 and 0.85 respectively to approximate BHP. *EF-21 Traverse Summary TRAVERSE SUMMARY Name System Location Size Area Design FPM Design CFM Average FPM Actual CFM Static Pressure Main Traverse EF-2 Men's 8 0 0.349 831 290 774 270 0.130 Totals 290 270 'EF-2 Page 23 of 24 2019-03-07 MechanicalMT1 Testing Setvices Fat Indoor Environments- ac= • AABC_ A A B C comm�ss'Group LOCATION: PROJECT NUMBER: CONTACT: C.R. Bard Building 1 Transition Room-Queensbury 18-256 Chris Hart 289 Bay Road Queensbury NY 12804 *EF-2 Page 24 of 24 2019-03-07