RC-0798-2018 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
— _ Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-0798-2018 Date Issued: Thursday, April 4, 2019
This is to certify that work requested to be done as shown by Permit Number RC-0798-2018
has been completed.
Tax Map Number: 308.11-1-21
Location: 5 HERALD DR
Owner: Aurie Montouri, STEVEN MONTUORI
Applicant: David Dufford
This structure may be occupied as a: Residential Alterations w/gas FP 512 s.f.
(converting covered porch to living space including bathroom) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
.0 4
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0798-2018
Tax Map No: 308.11-1-21
Permission is hereby granted to: Dufford Construction
For property located at: 5 HERALD DR
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: Aurie Montouri Single Family-Alteration $52,000.00
Owner Address: 5 HERALD DR Total Value $52,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Dufford Construction
218 Blackbird LN
Gansevoort,NY 12831
Plans&Specifications
Residential Alterations 512 s.f.
(converting covered porch to living space)
$ 200.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, January 7, 2020
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Monday,January 7,2019
/f
SIGNED BY: `f jV for the Town of Queensbury.
Director of Building&Code Enforcement
k
Office Use Only
ii7ADDITION/ALTERATION PERMIT Permit#: --Uf416 '12z
APPLICATION Permit Fee:$ 2bc�
linsu o((Zuccresbun
742 Bay Road,Queensbury,NY 12804 i
Invoice#: Ii. .�
P:518-761-8256 www.queensbury.net
Project Location: �� etc fl
Tax Map ID#: Subdivision Name: - 'icli
/1 k nor r- 5 tA0ci i 0 4-;61.-.
CONTACT INFORMATION:
• Applicant:
Name(s): VQ,.` P.- J 4 V
Mailing Address, C/S/Z: 2« /3/4,-4i,:-I L// c,-rn5t..‘z.---4- /V y /z r 3 /
Cell Phone: ( rig- ) 32 , 53 z 7 Land Line: ( )
Email: 7.,/ 4-..,(.1 C�..-,Jx...1t2 6,.,} AL.-.) . Cr,
• Primary Owner(s):
A
Name(s): ,4s_r,-e ' �4e-1e /0.0 Lao/—,
Mailing Address, C/S/Z: 5r ,r,,/d 7 r-"i
Cell Phone: ( Sty ) 9 i f 7 o r -. Land Line: ( g/ fr) 3 3 V2 s/
Email: A ,c-e \:� . J‘o.-k-k--04,c�: 1 r..,�.' , c'0,—
• Contractor(s):
Business Name: L...iccc.,4-1 Cc 54-�A r,r�
Contact Name(s): • Do,,2__ 'P-S•c\- k.
Mailing Address, C/S/Z: 21r 3/,._AL, d i jt./ sr,cr- A) Y / 2-S" 3 /
Cell Phone: ( 5'>s- ) 3 2% Cr 3 Z 7 Land Line: ( )
Email: . 4.Fg.4(Cr,S.I,-..0 I.1.-, VQ. �
• Architect(s)/Engineer(s): t] __.. ` -11
Business Name: s-._,,.\( le.Ae / DEC ) 9 2Utirl
Contact Name(s): ! , Ll , L
Mailing Address, C/S/Z:
TOWN OF ; : Y
Cell Phone: ( -/Ir ) 79 — S[r, ( k Land Line: ( BUILDING 0. ).-.1..
Email: c:se-N_..y ry co of , r'c . cad,-,-..
Contact Person for Building & Code Compliance: I J 4/
Cell Phone: ( ) Land Line: ( )
Email:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
•
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
Single-Family Two-Family Multi-Family (#of units
Townhouse Business Office Retail
Industrial/Warehouse Garage (#of cars ) _Other (describe
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: 3/ Z
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): _ Basement (habitable space):
Total square feet: Total square feet: .Sr% Z
ADDITIONAL PROJECT INFORMATION:
5-2,1. Estimated Cost of Construction: $
C
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): cas) 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 �O Explain:
5. Are there any easements on the property? YES (N_O
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel?
b. Is this a corner lot? YES
c. Will the grade be changed as a result of the construction? YES NO
d. What is the water source? PUBLIC PRIVATE WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system?
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. If the work is not completed 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 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all
newly constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: ,'d
SIGNATURE: DATE: /2//1/sf'
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
FUEL BURNING APPLIANCE & Office Use Only
CHIMNEY APPLICATION -c D4 '8- Z�
Permit#:_
Permit Fee:$ 125 —
town of(Zucensbury
742 Bay Road, Queensbury, NY 12804 Invoice:#: L 2_�O
P: 518-761-8256 www.queensbury.net
Project Location: � �C � i�, . Tax Map ID #:
Room of Install: )0 to-F, , Planned Install Date:
**ONE APPLICATION PER APPLIANCE**
CONTACT INFORMATION: FEB 13 2019
(1 Lo
• Applicant:
Name(s): b/- TOWN OP QUEBNSBURY
BUILDING& COi, s
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:
• Primary Owner(s):
Name(s): Maw \.kY
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: _(
Email:
• Installer/Builder:
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone:_( ) Land Line: _(
Email:
Contact Person for Building & Code Compliance:
Cell Phone: ( ) Land Line: (
Email:
Fuel Burning Appliance&Chimney Application Revised March 2017
RX Date/Time 04/26/2019 08:55 7981584
P.002
04/26/2019 11:04 7981584 RON MUMBLO PAGE 02
COMMONWEALTH ELECTRICAL INSPECTION SERVIL'It..JNt.:.
•
Main Office 176 Doe Run Road-Manheim.PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
A '
Permit No.f....S..c....9.7204.,Cert.N2 42432 Cnt.-in Card No
Owner f.S rall s..- .4QA47.c,A-1
Location $.' /7( 40-0 Q/1,, 4;:;1 Qc-
•:::::::.1:.:
Installation Consisting of„h?,..P./22!ft.t.i.e.?....414.1).4/4.(.4.Cr- --: /0 0 S0,c,-..4.
2- ../..., :
1(,-A / C.Cr.,. i 0 5.z....i, q ..‘.:.„!
.2. .S.tfrr.XV.q--d L;': 1 C:° 7'.'
' Installed By., D v .F.,,/-3..c) ca-•s 7ez-°GI;‘.1 4'1 Lie No. •,.:j.,''.i:'.!
The conditions following governed the issuance of this cenificatc,and any cercate previously issued is
cancelled:-
:....
This certificate only Covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made fer inspection. '
Inspectors of this Company shall have rho privilege of making inspections at any time. and if its i
, rules are violated,the Company shall have the right to revoke this certificate,
•Z,
Date Li--,2.,—/ 9
INSPECTOR........,*Q17--2--'4,1," —‘
Member Nr.r.r.A.,ILA.E.F-
.,„-------- r--...-,0 ---11
..............- --- rn
\\\ NH,9 \,,,J\
...a,.,..,...... . `I \1-0\Nr4 °Ftm°6,UatECt4090._____—'46
INSPECTION WORKSHEET (FMGAS-001738-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0798-2018 Case Module:Permit
Inspection Date:Mon Apr 1, 2019 Inspection Status:Passed
Inspector:Mike Palmer Inspection Type:Gas Fireplace/Stove
Job Address:Parcel Number:5 HERALD DR
Queensbury, NY 12804
308.11-1-21
Contact Type Company Name Name
Granted Permission Dufford Construction
Primary Owner Montouri, Aurie
Contractor Dufford Construction
Applicant Dufford, David
Primary Owner MONTUORI, STEVEN
Architect Jelley, Frank
Checklist Item Passed Comments
Fire Marshal Notes YES MENDOTA
SERIAL # WH-DXV45
MODEL # DXV-45
Building Inspector Notes YES INSTALLED IN NEW ADDITION REAR OF HOME
NOTE: REFER TO MANUAL FOR PROPER INSTALLATION
OF FACING MATERIALS ON FRONT OF FIREPLACE
Floor Protection YES
Clearances to Combustibles (all sides)YES
Apr 01, 2019 Page (1)
INSPECTION WORKSHEET (FMGAS-001738-2019)
Checklist Item Passed Comments
Firestop(s) - Vertical Chase YES RETURN TO VERIFY
2/28/19 - OK
Vent Clearance to Combustibles YES RETURN TO VERIFY - 1 inch side, 2 inch top (page 18)
2/28/19 -OK
Vent Chimney Termination YES RETURN TO VERIFY
2/28/19 ok
Gas Shut-off Valve YES
Combustion Air YES
Hearth Extension (if any)YES HEARTH PROTECTION NOT REQUIRED IF UNIT IS
ELEVATED 6 INCHES- EXCEEDS MANUAL SPEC
Mantel-height above fp opening YES RETURN TO VERIFY
Witness Operation YES RETURN TO VERIFY
2/28/19 -ok
CO Detection YES RETURN TO VERIFY
CSST Bonding YES N/A
Apr 01, 2019 Page (2)
Dave Palmer, Mike (Inspector)
INSPECTION WORKSHEET (BINS-000674-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0798-2018 Case Module:Permit
Inspection Date:Fri Feb 1, 2019 Inspection Status:Passed
Inspector:John O'Brien Inspection Type:Building Framing
Job Address:Parcel Number:5 HERALD DR
Queensbury, NY 12804
308.11-1-21
Contact Type Company Name Name
Granted Permission Dufford Construction
Primary Owner Montouri, Aurie
Primary Owner MONTUORI, STEVEN
Contractor Dufford Construction
Architect Jelley, Frank
Applicant Dufford, David
Checklist Item Passed Comments
Building Inspector Notes YES 2/1/19 Framing Approved
Framing YES 2/1/19 Framing Approved
Feb 01, 2019 Page (1)
O'Brien, John (Inspector)
INSPECTION WORKSHEET (FIST-000723-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0798-2018 Case Module:Permit
Inspection Date:Fri Feb 1, 2019 Inspection Status:Partial Pass
Inspector:John O'Brien Inspection Type:Firestopping
Job Address:Parcel Number:5 HERALD DR
Queensbury, NY 12804
308.11-1-21
Contact Type Company Name Name
Granted Permission Dufford Construction
Primary Owner Montouri, Aurie
Primary Owner MONTUORI, STEVEN
Contractor Dufford Construction
Architect Jelley, Frank
Applicant Dufford, David
Checklist Item Passed Comments
Building Inspector Notes YES 2/1/19 Firestopping Partial Approval
- Firestopping and Fireblocking Approved
Remaining Items:
- Garage Fire Separation
Garage Fire Separation NO
House side ½ inch or 58 inch Type X NO
Garage side 5/8 inch Type X NO
Ceilingwall NO
Feb 01, 2019 Page (1)
O'Brien, John (Inspector)
INSPECTION WORKSHEET (BINS-000772-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0798-2018 Case Module:Permit
Inspection Date:Wed Feb 6, 2019 Inspection Status:Partial Pass
Inspector:John O'Brien Inspection Type:Building Insulation
Job Address:Parcel Number:5 HERALD DR
Queensbury, NY 12804
308.11-1-21
Contact Type Company Name Name
Applicant Dufford, David
Architect Jelley, Frank
Primary Owner Montouri, Aurie
Primary Owner MONTUORI, STEVEN
Granted Permission Dufford Construction
Contractor Dufford Construction
Checklist Item Passed Comments
Building Inspector Notes NO R 38 in ceiling, R21 in walls
R 10 existing @foundation
U Factors = .3 cfm for windows, .5 cfm for doors YES .29 u factor
Insulation Residential Check Commercial Check YES Ceiling R38 walls R21 Foundation Existing R10
Tub Shower R-20 with Vapor Barrier NO
All Ductwork Sealed Return and Supply NO
All Return Air Hard Duct Work NO
Feb 06, 2019 Page (1)
O'Brien, John (Inspector)
FUEL BURNING APPLIANCE INFORMATION:
TYPE OF DEVICE:
_Stove "Fireplace Insert —Fireplace
_ Fuel Fired Equipment (Garage Only, 18" clearance per IMC 304.3)
Fireplace,factory built**
(**Manufacturer's name: Model#:
SOURCE OF HEAT:
Wood Coal Pellet '' Gas
CHIMNEY INFORMATION:
Masonry(require plans to be submitted):
block brick stone
Flue:
—tile _steel _size, in inches
Material*:
double-wall _triple-wall insulated
(*Manufacturer's name: Model#:
ADDITIONAL INFORMATION:
1. Two inspections are required. A rough-in inspection, prior to installation and a final inspection,after
installation.
2. Manufacturer's installation manual must be available at the time of inspection.
3. Masonry fireplaces & chimneys require plans to be submitted.
4. Twenty-four(24) hour notification is required for inspections.
Declaration:Construction/installation must conform to NYS Fire Prevention&Building Code and/or manufacturer
requirements. The applicant or owner agrees to comply with all applicable laws,ordinances, regulations and all
conditions that are part of these requirements and also will allow the inspector to enter the premises to perform the
required inspections.
I have read and agree to the above:
PRINT NAME: ir'4c f
SIGNATURE: DATE:
Fuel Burning Appliance&Chimney Application Revised March 2017
INSPECTION WORKSHEET (FMGAS-000945-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0798-2018 Case Module:Permit
Inspection Date:Tue Feb 19, 2019 Inspection Status:Partial Pass
Inspector:Gary Stillman Inspection Type:Gas Fireplace/Stove
Job Address:Parcel Number:5 HERALD DR
Queensbury, NY 12804
308.11-1-21
Contact Type Company Name Name
Granted Permission Dufford Construction
Contractor Dufford Construction
Architect Jelley, Frank
Primary Owner MONTUORI, STEVEN
Applicant Dufford, David
Primary Owner Montouri, Aurie
Checklist Item Passed Comments
Fire Marshal Notes YES MENDOTA
SERIAL # WH-DXV45
MODEL # DXV-45
Building Inspector Notes YES INSTALLED IN NEW ADDITION
Floor Protection YES
Clearances to Combustibles (all sides)YES
Firestop(s) - Vertical Chase NO RETURN TO VERIFY
Feb 19, 2019 Page (1)
INSPECTION WORKSHEET (FMGAS-000945-2019)
Checklist Item Passed Comments
Vent Clearance to Combustibles NO RETURN TO VERIFY
Vent Chimney Termination NO RETURN TO VERIFY
Gas Shut-off Valve YES
Combustion Air YES
Mantel-height above fp opening NO RETURN TO VERIFY
Witness Operation NO RETURN TO VERIFY
CO Detection NO RETURN TO VERIFY
CSST Bonding YES N/A
Feb 19, 2019 Page (2)
Stillman, Gary (Inspector)
A
:-{=- REScheck Software Version 4.6.4
r,
Compliance Certificate
Project Montuori Project 308.11-1-21 RC-0798-2018
Montouri, Steve &Aurie
Energy Code: 2015 IECC 5 Herald Dr
Location: Lake George, New York
Construction Type: Single-family Residential Alterations 512 s. .
Project Type: Addition
Climate Zone: 6 (7377 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
5 Herald Drive Steve&Aurie Montuori Frank jelley
Queensbury,NY 12804 NY Aura,L NY
518-796-5611
ompliance:Passes using UA trade-off __.
Compliance 2.0%Better Than Code Maximum UA: 150 Your UA: 147
The 75 Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area
Assembly or Cavity Cont. U-Factor UA
Perimeter R-Value R-Value
Ceiling 1:Cathedral Ceiling 512 38.0 0.0 0.027 14
Wall 1:Wood Frame,16"o.c. 576 21.0 0.0 0.057 19
Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 204 0.280 57
Door 1:Glass 40 0.320 13
Floor 1:Slab-On-Grade:Unheated 64 10.0 0.684 44
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 4.6.4 and to comply with the mandatory requirements liss i he heck Inspection Checklist.
Frank
'r Cical .k I� t / ' j
Name-Title Signature Da
--) E QC [LE U \V E -r,-)
Sri DEC 19 2018 Pi
1 O\AJN OF OUE NS U Y
I BUILDING&CODES
Project Title: Montuori Project Report date: 11/19/18
Data filename:C:\FJ\Arch Design\Aurie&Steve Montuon1Montouri Project.rck Page 1 of 9
REScheck Software Version 4.6.4
Inspection Checklist
Energy Code: 2015 IECC
Requirements: 100.0% 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.
SeCtioa P �f+ Field Verified
#, re-'Pre itt Review t ` Complies? Comments/Assumptions
&R' « � Value
103.1, Construction drawings and4. '' :'''�' { 4' :F�;, ,,�t..,❑Complies Requirement will be met.
103.2 documentation demonstrate 73 � 2 `"fix !, ❑Does Not
[PR1]1 energy code compliance for the k, ix r ❑Not Observable
U building envelope.Thermal '44° '^ -,? '" �,
envelope represented on ;' r= � 4�,£ a 6 F4 �t❑Not Applicable
construction documents. ,4 -` ,e ' „.,.. . "�`-"
103.1, Construction drawings and is „� � . 4 ��a.4 ❑Complies Requirement will be met.
103.2, documentation demonstrate �� dr ,1 �,, AjAt ❑Does Not
403.71 energy code compliance for ,� as t�m r� * :Not Observable
[PR3] lighting and mechanical systems ,Z ; ,$ a `�
+� F ❑Not Applicable
Systems serving multiple _''-1ai dwelling units must demonstrate , ,,ogl z
compliance with the IECC ; 4fr`r� -ate :
Commercial Provisions. • vn 4. < " ;v � y
302.1, Heating and cooling equipment is Heating: Heating: :❑Complies Requirement will be met.
403.7 sized per ACCA Manual 5 based Btu/hr Btu/hr ❑Does Not
(PR2]2 on loads calculated per ACCA Cooling: Cooling: ❑Not Observable
9 Manual J or other methods Btu/hr Btu/hr
approved by the code official :Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) ;2; Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Montuori Project Report date: 11/19/18
Data filename: C:\Fj\Arch Design\Aurie& Steve Montuori\Montouri Project.rck Page 2 of 9
A
•
Section Plans Verified Field Verified
# Foundation Inspection Value Value Complies? Comments/Assumptions
& Req.ID — --
—
402.1.2 Slab edge insulation R-value. R- R- ❑Complies See the Envelope Assemblies
[F01]1 ❑ Unheated ❑ Unheated ['Does Not table for values.
4 ❑ Heated ❑ Heated ❑Not Observable
❑Not Applicable
402.1.2 Slab edge insulation ft ft ❑Complies :See the Envelope Assemblies
[FO3]1 depth/length. :DDoes Not table for values.
❑Not Observable
❑Not Applicable
3Q32.1: A protective covering is installed ;r' ?, = ky x „ >❑Complies 'Exception:Requirement is
[F011]2. :to protect exposed exterior .: .; ,e :5 ❑Does Not not applicable.
insulation and extends a -', 4 .e� � *,, 4-❑Not Observable
minimum of 6 in.below grade / '-" 2` �'1.,,,
a
S t ; $ ,.❑Not Applicable
403.9 'Snow-and ice-melting system u � "' * ; i to ;- ❑Complies Exception:Requirement is
[F01212 controls installed. i � y h ��r x ❑Does Not not applicable.
" ;'A per ".i` Ir,❑Not Observable
[[ .a',0,: 4 _ ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Montuori Project Report date: 11/19/18
Data filename: C:\Fj\Arch Design\Aurie&Steve Montuori\Montouri Project.rck Page 3 of 9
,,
Section: Plans Verified Verified a
# Frioting/Rougn-in inspection , Complies? Comore tisfAssumptions
&RegaD Value' Value
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,
402.3.6, ❑Not Observable
402.5 ❑Not Applicable
[FR2]1
303.1.3 U-factors of fenestration products .DComplies Requirement will be met.
[FR4]1 are determined in accordanceif, #,; • t rr ❑Does Not
with the NFRC test procedure or Q °
V° ` "ri ,A❑NotObservable
taken from the default table. y�# ,
�a 4 `u ❑Not Applicable
402.4.1.1 Air barrier and thermal barrier �' ▪ � f` r ❑Complies Requirement will be met.
[FR23]1 installed per manufacturer's , ❑Does Not
instructions. ;fy,., � y', £ « ,�'�� ' ��
• s '❑Not Observable
' f 4; r• 4' ,, I �. - Y ONot Applicable
402.4.3 Fenestration that is not site built ▪ ` `_ f, s ❑Complies 'Requirement will be met.
(FR20]1 is listed and labeled as meetingr. % 5X:tt'P 4 !4, f q
• *� ❑Does Not
,41 AAMA/WDMA/CSA 101/I.5.2/A440,
or has infiltration rates per NFRC },4 y ,, • m k t.❑Not Observable
400 that do not exceed code ; 3 ' ❑Not Applicable
limits. zn s ;
402 45 IC-rated recessed lighting fixtures � ."` e:i ..DComplies Requirement will be met.
F 1612 sealed at housing/interior finish - . r ' ❑Does Not
and labeled to indicate s2.0 cfm � '
leakage at 75 Pa. � rP,/-, ❑Not Observable
�rr ,' v- w ❑Not Applicable
403.2.1 Supply and return ducts in attics r `"x `,oti<`£ ; Tp$ ,A , i',s `,4a f ❑Complies ;Exception:Ducts located
[FR12]1 insulated>=R-8 where duct is2. s Fk , ,,❑Does Not 'completely inside the
>=3 inches in diameter and >_ ;W , H. x .q z building envelope.
R-6 where<3 inches.Supply and m • a ❑Not Observable
'return ducts in other portions of fr;;:n
..f • �':Y▪ *s F x ❑Not Applicablethe building insulated>=R-6 for 4-, <,r ,t"diameter>=3 inches and R-4.2 . 4n 4r ; �, �'
5 J C�` U �5
for< 3 inches in diameter. � '` l�' '
403,3.3.5 Buildingcavities are not used as - f`? �, ' "r
r�*, � ,�,, a,,❑Complies Requirement will be met.
[FR1513 ducts or plenums. r,�:�tc`+ ``��$ ❑Does Not
.
_ ;❑Not Observable
, _
z ,;', , "-� 4. ' ; ❑Not Applicable. '4te. ', .', , . ,.wn a,,,,
40314 .HVAC piping conveying fluids ' R- ; R- ❑Complies 'Exception: Requirement is
[FR17]2 above 105 QF or chilled fluids ❑Does Not 'not applicable.
below 55 QF are insulated to aR-
3•
❑Not Observable
❑Not Applicable
403.4.1 Protection of insulation on HVAC w"k '` r d ❑Complies Exception:Requirement is
[FR2411 piping. s? � l ,4 V .� ❑Does Not not applicable.
' H ,' ,� i '• z z ,; K ONot Observable
�� .,,,,.-.t ^,1'1 ,,-, z ❑Not Applicable
403.5.3 1'Hot water pipes are insulated to , R- R- ❑Complies Requirement will be met.
[FR1812 zR-3. '❑Does Not
❑Not Observable
ONot Applicable
403.6 'Automatic or gravity dampers are▪ Y~ �e ❑Complies Requirement will be met.
[FR19J2 installed on all outdoor air ; CID es Not
intakes and exhausts. fi 'x i e' g� r�
' r ti �,-' A= side ❑Not Observable
' Sri
I '�i ��.k F,,n4� ,, y � a❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2' Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Montuori Project Report date: 11/19/18
Data filename:C:\Fj\Arch Design\Aurie&Steve Montuori\Montouri Project.rck Page 4 of 9
Section' Plans Verified Field Verified
# Insulation Inspection •Value Value Complies? Comments/Assumptions
&Req.ID
303.1 All installed insulation is labeled !}r t � � k�, -�❑Complies Requirement will be met.
[IN13]2 or the installed R-values ; ti z ❑Does Not
provided.
❑Not Observable
� ,.. ` ❑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 li5 of the ❑ Wood ❑ Wood ❑Does Not table for values.
402.2.6 wall insulation on the wall Mass ❑ Mass :❑Not Observable
[IN3]1 exterior,the exterior insulation Steel
requirement applies(FR10). Steel ❑Not Applicable
303.2 Wall insulation is installed per � s $ $ # DComplies Requirement will be met.
' manufacturers instructions. „ 5 �
[INC' - s ' �, . ❑Does Not
p`. r,p.-;7 "� ❑Not Observable
� f �� �'• , �=�t�4,1„;1� ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Montuori Project Report date: 11/19/18
Data filename: C:\FJ\Arch Design\Aurie&Steve Montuori\Montouri Project.rck Page 6 of 9
Section Plans Verified Field'Verified
# Final inspection Provisions Value Value Complies? Comments/Assumptions
&:Req.ID
402.1.1, Ceiling insulation R-value. R- R- DComplies See the Envelope Assemblies
402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values.
402.2.2, ❑ Steel ❑ Steel ['Not Observable
402.2.E[FIl]1 ❑Not Applicable
lation installed
303.2 303.1.1.1,
manufacturerlu instructions.per •. ,:. . a,� s ❑Complies Requirement will be met.
1s t.41, l i )4. ,„*s ❑Does Not
[FI2] Blown insulationmarked every L v - a..,❑Not Observable
300 ft2. ,„ 4-4 * ❑Not Applicable
402 2.3 'Vented attics with air permeable " '_ .it 11. . ,4 1 ❑Complies Requirement will be met.
[F#P21x' insulation include baffle adjacent 4 7�. 4..` 1f "',A• i� k ,'f;❑Does Not
to soffit and eave vents that # E fi`
;extends over insulation. � * ❑Not Observable
▪❑Not Applicable
402.2.4 :Attic access hatch and door R- R- ['Complies .Requirement will be met.
(F13]1 insulation R-value of the ❑Does Not
adjacent assembly.
[Not Observable
DNot Applicable
402.4.1.2 :Blower door test @ 50 Pa. <=5 ACH 50= ACH 50= i❑Complies Requirement will be met.
(F117]1 ach in Climate Zones 1-2,and ❑Does Not
<=3 ach in Climate Zones 3-8.
QNot Observable
ElNot Applicable
403.2.3 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies Exception:All ducts and air
[F14]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not handlers are located within
'<=3 cfm/100 ft2 without air conditioned space.
handler @ 25 Pa. For rough-in QNot Observable
tests,verification may need to ❑Not Applicable
occur during Framing Inspection.
403.3.2 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies Exception:All ducts and air
[FI27]1 'determine air leakage with I ft2 ft2 ,❑Does Not handlers are located within
either:Rough-in test:Total ['Not Observable conditioned space.
leakage measured with a
pressure differential of 0.1 inch ❑Not Applicable
w.g.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 Air handler leakage designated .z - t ,1,4 , .` '▪ ❑Complies :Exception:Requirement is
[FI24]1 by manufacturer at<=2%of , `� �x ❑Does Not not applicable.
design air flow. y �. 4 4 s ram"
g , s;t • ,• &' ,r� ❑Not Observable
•a ,>W 4 ,v_. .4``" t,.;.❑Not Applicable
403.1.1 Programmable thermostats t° - A s11� OComplies Requirement will be met.
[Fl9]2 installed for control of primary ` ' • , .. y t, .• ❑Does Not
heatingand coolingsystems and , � 1< ':
y `"M- . , t i`1F"iW' -4'Ti' .�, Not Observable
,initially set by manufacturer to N,��: r�Sx�, � � E �u , 4�.�
code specifications. ,�4 iitip 5t `� t ❑Not Applicable
403.1.2 Heat pump thermostat installed 4'Nr >- ., ❑Complies Exception: Requirement is
f FI10]2 on heat pumps. , , - f}T` a,, ,, r❑Does Not not applicable.
5 , 's fi „1ONot Observable
°` -, ti4, r �k,.+c r 4,," ,,_Not Applicable •
403.5.1 Circulating service hot water .� , ❑Complies Exception:Requirement is
fFi11]2 'systems have automatic or '. • d i ;''E0 , y �-, /❑Does Not not applicable.
accessible manual controls. It " ; h ..aV*- DNot Observable
'r '_., ,• ' t�_ ., ` , ?• `.ii❑Not Applicable ,
High Impact(Tier 1) -2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Montuori Project Report date: 11/19/18
Data filename: C:\FJ\Arch Design\Aurie&Steve Montuori\Montouri Project.rck Page 7 of 9
Section
Plans Verified Field Verified
# Final Inspection Provisions Complies? Comments/Assumptions
& Req.ID Value Value
403.6.1 All mechanical ventilation system ';ft; ❑Complies Exception: Requirement is
[F125]2 fans not part of tested and listed ❑Does Not not applicable.
HVAC equipment meet efficacy 4
t ['Not Observable
and air flow limits. , t
Y�' ❑Not Applicable
403.2 Hot water boilers supplying heat * "k 'A�`� 4, ❑Complies 'Exception: Requirement is
[F126]2 through one-or two-pipe heating � `zs .'jr ';❑Does Not not applicable.
systems have outdoor setback a-0,4,1 , 4 3: i Not Observable
control to lower boiler water y x ❑
temperature based on outdoor `�., s$ �r'� ▪ ONot Applicable
•temperature. ,-,4 . � < ` s ; y' r ;:
403.5.1.1 :Heated water circulation systems , ay : a `' a'} s ca ❑Complies Exception: Requirement is
[F128]2 ;have a circulation pump.The , , �` ❑Does Not ;not applicable.
'system return pipe is a dedicated xti
return pipe or a cold water supply ,'.Vtx . �` ❑Not Observable
pipe. Gravity and thermos- '� �z ❑Not Applicable
qN
syphon circulation systems are a 1 1r ,t'-. 4M 4r f
not present.Controls for 'x �5 �, ` 5t'a
circulating hot water system a rr' � , :: , ..
pumps start the pump with signal � ;y ft tK 1 r'�
for hot water demand within the -Y � �;"� `"r. ;
occupancy.Controls ��.: ;•� i f. Ka. ;.*r
automatically turn off the pump . , ,
when water is in circulation loop rF a 4'x "` ,s"'° , 3�`4r':�
is at set-point temperature and :F a-t rr M, • ,, .c7t k `a
no demand for hot water exists. 0R . # 3h
4P3 5.1.2 Electric heat trace systems=47 4- �`wr nr S, ' DComplies Exception:Requirement is
f comply with IEEE 515.1 or UL 'aw4 � 44 ly s `°,, ❑Does Not not applicable.
-'t515.Controls automatically N,� 'L �t� ��t'�a
4i 4 ]!u r ❑Not Observable
adjust the energy input to the *4# ;
heat tracing to maintain the s 0 j ` .. - e.„ 4, Not Applicable
'desired water temperature in the " � • � ',* " "=€
piping. 3cx. = -tom " -aa.=i'
3 5.2 Water distribution systems that -''" ,.;- Yik ; 4▪ , tz ❑Complies Exception: Requirement is
{Ff3O 2 have recirculation pumps that k � � ' f� " • a ' ❑goes Not not applicable.
pump water from a heated water j � � , ,, ,] , :
supply pipe back to the heated 7 ;❑Not Observable
PP Y P�P ,�� .k§# ,+� �,�se`��cY,"� ss€ ¢: x1r�t
water source through a cold _ y deiz. h '.:❑Not Applicable
water supply pipe have a yam`" ` ";'`
rz•
demand recirculation water c �,. � 1
}system. Pumps have controls i 1' ,. "``r x :e"
ythat manage operation of the w t.4 J v ,A A
um and limit the temperature ' � � ,,",
i , 4 �;pump P � ti �. �� > �5
�of the water enteringthe cold -�"� r $ ,: r • "k�
`water piping to 104 . 1� � 1; �'3* r
403:5.4 Drain water heat recovery units : ▪',ti tIt A ,y k`f n ❑Complies Exception: Requirement is
[F131)2 tested in accordance with CSA `r•,�° °' '1-" �. 1 `❑Does Not not applicable.
B55.1. Potable water-side � � .) " .'-e
,. r �, ❑Not Observable
pressure loss of drain water heat r , � fi r- ❑Not Applicable
recovery units< 3 psi fors
individual units connected to one E � 3� �' ,
or two showers. Potable water '9` �� : �ow
side pressure loss of drain water '"} �r rf",' ," '�• ,
heat recovery units<2 psi for .� , k ` Y°r,t PA f ZF�. "
individual units connected to 7 -tii 'ire r �ri" r� �* `�
three or more showers. f I f.,, 1,4,
F,'`�'' �.r �'`� .� .� _ Asa�«. , zh
404.1 75%of lamps in permanent • . z ; s, ❑Complies Requirement will be met.
[FI6]1 fixtures or 75%of permanent ,, 14' , , 2` 7V4k- -W `▪ � ,rT;❑Does Not
fixtures have high efficacy lamps z `;
Does not apply to low-voltage 1 ,, ty�a:„nth ^ e .+' ❑Not Observable
lighting. uks r y a, { ❑Not Applicable
404.13 Fuel gas lighting systems have ,t- .0 „❑Complies !Exception: Requirement is
tF123) no continuous pilot light. `'a" ` ,. ::,, '?❑Does Not not applicable.
:_, ❑Not Observable .
. ''1 _.. .:`_.... 10.7..
¢'h-'', r L - 4: n, .❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Montuori Project Report date: 11/19/18
Data filename: C:\FJ\Arch Design\Aurie&Steve Montuori\Montouri Project.rck Page 8 of 9
r
Final Inspection Provisions Plans Value
Verified FieldValue Verified
Complies? Comments/Assumptions
s l -1i1? '
�1 ' Compliance certificate posted. :4, >a p q
['Complies Requirement will be met.
: * -,' �a 4 x W ,❑Does Not
°1,.x r Vitt";DNot Observable
' y r " il;,;;,"'�, t- "''' ,,{]Not Applicable
303.3 Manufacturer manuals for ` Wit" z � � r ,'DComplies Requirement will be met.
[F118]3 mechanical and water heating
�R $ s ' "„- ❑
Does Not
systems have been provided. q ' :' ,mot , Not Observable
r -- , ypq" *YDNot Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Montuori Project Report date: 11/19/18
Data filename: C:\FJ\Arch Design\Aurie&Steve Montuori\Montouri Project.rck Page 9 of 9
i20 IE
C Efficie15ncyCC Energy Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 0.00
Floor 10.00
Ceiling /Roof 38.00
Ductwork (unconditioned spaces):
Glass& Door Rating U-Factor SHGC
Window 0.28
Door 0.32
Heating&Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments