ComCheck REVIEWED FOR
ENERGY CODE COMPLIANCE
COMcheck Software Version 4.1.1.0
yN Interior Lighting Com . Iianc - icate
EC El E
Project Information ^.i
EnergyCode: MAR 0 4 2019 ..
2015IECC L (�
Project Title: Adirondack Urgent Care - - ,�
Project Type: Alteration TOWN OF QUEENSBURY
BUILDING&CODES
Construction Site: Owner/Agent: Designer/Contractor:
959 U.S. 9 Saratoga Hospital Friedman Fisher Associates
Queensbury, NY 12804 211 Church Street 22 Aviation Rd.
Saratoga Springs, NY 12866 Albany, NY 12205
518-458-7040
Allowed Interior Lighting Power
A B C D
Area Category Floor Area Allowed Allowed Watts
(ft2) Watts/ft2 (B X C)
1-Corridor(Healthcare Facility:Corridor/Transition<8 ft wide):Exempt
2-9 Exam/treatment Rooms(Healthcare Facility:Exam/Treatment):Exempt -
3-X-ray room(Healthcare Facility:lmaging):Exempt FILE
COPY
`
4-Nurse Station/Registration(Healthcare Facility:Nurses Station):Exempt Y
5-Break Room(Healthcare Facility:Lounge/Breakroom):Exempt
6-Clean/Soiled(Healthcare Facility:Medical Supply):Exempt
7-Phlebotomy(Common Space Types:Laboratory For Medical/Industrial/Research):
Exempt
8-Shared Office(Common Space Types:Office-Enclosed):Exempt
9-Staff Toilet(Common Space Types:Restrocros):Exempt
10-Waiting Area/Foyer(Common Space Types:Lobby-General) 835 0.90 752
11-IS/Elec(Common Space Types:Electrical/Mechanical) 91 0.95 86
12-Patient Toilets(Common Space Types:Restrooms) 110 0.98 108
13-Multi-Purpose(Common Space Types:Conference/Meeting/Multipurpose):Exempt
14-Housekeeping Closet(Common Space Types:Electrical/Mechanical):Exempt
Total Allowed Watts= 946
Area Category Exemption Qualifications
#Fixtures Total#Watts
Activity Area
Pre-Alt. Repl./Added Pre-Alt. Post-Alt.
Corridor(Healthcare Facility:Corridor/Transition<8 ft wide 1536.000 1536.000
918 sq.ft.)
Exemption:Replacement of bulbs and ballasts only.
9 Exam/treatment Rooms(Healthcare 2048.000 2048.000
Facility:Exam/Treatment 900 sq.ft.)
Exemption:Replacement of bulbs and ballasts only.
X-ray room ( Healthcare Facility:Imaging 300 sq.ft.) 474.000 474.000
Exemption:Replacement of bulbs and ballasts only.
Nurse Station/Registration(Healthcare Facility:Nurses 768.000 768.000
Station 440 sq.ft.)
Exemption:Replacement of bulbs and ballasts only.
Project Title: Adirondack Urgent Care Report date: 03/04/19
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#Fixtures Total#Watts
Activity Area .
Pre-Alt. Repl./Added Pre-Alt. Post-Alt.
Break Room(Healthcare Facility:Lounge/Breakroom 250 384.000 384.000
sq.ft.1
Exemption:Replacement of bulbs and ballasts only.
Clean/Soiled (Healthcare Facility:Medical Supply 150 sq.ft.) 256.000 256.000
Exemption:Replacement of bulbs and ballasts only.
Phlebotomy(Common Space Types:Laboratory For 256.000 256.000
Medical/Industrial/Research 150 sq.ft.)
Exemption:Replacement of bulbs and ballasts only.
Shared Office(Common Space Types:Office-Enclosed 256.000 256.000
170 sq.ft.)
Exemption:Replacement of bulbs and ballasts only.
Staff Toilet(Common Space Types:Restrooms 55 sq.ft.) 50.000 50.000
Exemption:Replacement of bulbs and ballasts only.
Multi-Purpose(Common Space 128.000 128.000
Types:Conference/Meeting/Multipurpose 78 sq.ft.)
Exemption:Replacement of bulbs and ballasts only.
Housekeeping Closet(Common Space 128.000 128.000
Types:Electrical/Mechanical 53 sq.ft.)
Exemption:Replacement of bulbs and ballasts only.
Proposed Interior Lighting Power
A B C D E
Fixture ID :Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
Corridor(Healthcare Facility:Corridor(Transition<8 ft wide 91 sq.ft.):Exempt
9 Exam/treatment Rooms(Healthcare Facility:Exam/Treatment 900 sq.ft.):Exempt
X-ray room(Healthcare Facility:Imaging 300 sq.ft.):Exempt
Nurse Station/Registration(Healthcare Facility:Nurses Station 440 sq.ft.): Exempt
Break Room(Healthcare Facility:Lounge/Breakroom 250 sq.ft.):Exempt
Clean/Soiled(Healthcare Facility:Medical Supply 150 sq.ft.): Exempt
Phlebotomy(Common Space Types:Laboratory For Medical/Industrial/Research 150 sq.ft.): Exempt
Shared Office(Common Space Types:Office-Enclosed 170 sq.ft.): Exempt
Staff Toilet(Common Space Types:Restrooms 55 sq.ft.): Exempt
Waiting Area/Foyer(Common Space Types:Lobby-General 835 saft.)
LED 2:A:2X4 LENSED 3000 LUMENS:Other: 1 10 27 270
Linear Fluorescent 1:Existing:48"T8 32W:Electronic: 4 1 130 130
IS/Elec(Common Space Types:Electrical/Mechanical 91 sq.ft.)
LED 1:A:4'STRIP LIGHT 5000 LUMENS:Other: 1 1 34 34
Patient Toilets(Common Space Types:Restrooms 110 sq.ft.)
LED 3:Other: 1 2 13 26
LED 4:Other: 1 2 15 30
Multi-Purpose(Common Space Types:Conference/Meeting/Multipurpose 78 sa.ft.): Exempt
Housekeeping Closet(Common Space Types:Electrical/Mechanical 53 sq.ft.): Exempt
Total Proposed Watts= 490
Interior Lighting PASSES
Interior Lighting Compliance Statement
Compliance Statement: The proposed interior lighting alteration project represented in this document is consistent with the
building plans,specifications,and other calculations submitted with this permit application.The proposed interior lighting
systems have been designed to meet the 2015 IECC requirements in COMcheck Version 4.1.1.0 and to comply with any
applicable mandatory requirements listed in the Inspection Checklist.
Project Title: Adirondack Urgent Care Report date: 03/04/19
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Project Title: Adirondack Urgent Care Report date: 03/04/19
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COMcheck Software Version 4.1.1.0
Mechanical Compliance Certificate
Project Information
Energy Code: 2015 IECC
Project Title: Adirondack Urgent Care
Location: Saratoga Springs, New York
Climate Zone: 5a
Project Type: Alteration
Construction Site: Owner/Agent: Designer/Contractor:
959 U.S. 9 Saratoga Hospital Friedman Fisher Associates
Queensbury, NY 12804 211 Church Street 22 Aviation Rd.
Saratoga Springs, NY 12866 Albany, NY 12205
518-458-7040
Mechanical Systems List
Quantity System Type& Description
1 HVAC System 1 (Single Zone):
Heating:1 each-Central Furnace,Gas,Capacity=97 kBtu/h
Proposed Efficiency=95.00%Et,Required Efficiency: 80.00%Et or 78%AFUE
Cooling:1 each-Split System,Capacity=36 kBtu/h,Air-Cooled Condenser,Air Economizer
Proposed Efficiency= 16.00 SEER,Required Efficiency: 13.00 SEER
Fan System: AHU 1 I Waiting Area and Existing Registration--Compliance(Motor nameplate HP method):Passes
Fans:
AHU1 Supply Supply,Constant Volume, 1615 CFM, 1.0 motor nameplate hp,0.0 fan efficiency grade
ERV1 Supply Supply,Constant Volume,323 CFM,0.3 motor nameplate hp,0.0 fan efficiency grade
ERV1 Exhaust Exhaust,Constant Volume,365 CFM,0.3 motor nameplate hp,0.0 fan efficiency grade
1 HVAC System 2(Single Zone):
Heating:1 each-Central Furnace,Gas,Capacity=58 kBtu/h
Proposed Efficiency=95.00%Et,Required Efficiency: 80.00%Et or 78%AFUE
Cooling:1 each-Split System,Capacity=29 kBtu/h,Air-Cooled Condenser,Air Economizer
Proposed Efficiency=14.00 SEER,Required Efficiency: 13.00 SEER
Fan System: AHU 2 I Exam Rooms,Nurse Station,Shared Office--Compliance(Motor nameplate HP method):Passes
Fans:
AHU2 Supply Supply,Constant Volume, 1450 CFM, 1.0 motor nameplate hp,0.0 fan efficiency grade
ERV1 Supply Supply,Constant Volume,290 CFM,0.3 motor nameplate hp,0.0 fan efficiency grade
ERV1 Exhaust Exhaust,Constant Volume,365 CFM,0.3 motor nameplate hp,0.0 fan efficiency grade
1 HVAC System 3(Single Zone):
Heating:1 each-Central Furnace,Gas,Capacity=58 kBtu/h
Proposed Efficiency=95.00%Et,Required Efficiency: 80.00%Et or 78%AFUE
Cooling:1 each-Split System,Capacity=30 kBtu/h,Air-Cooled Condenser,Air Economizer
Proposed Efficiency= 14.00 SEER,Required Efficiency: 13.00 SEER
Fan System: AHU 31 Exam Rooms,X-Ray,Point of Care Testing--Compliance(Motor nameplate HP method):Passes
Fans:
AHU3 Supply Supply,Constant Volume,1310 CFM,1.0 motor nameplate hp,0.0 fan efficiency grade
ERV2 Supply Supply,Constant Volume,266 CFM,0.3 motor nameplate hp,0.0 fan efficiency grade
ERV2 Exhaust Exhaust,Constant Volume,285 CFM,0.3 motor nameplate hp,0.0 fan efficiency grade
1 HVAC System 4(Single Zone):
Heating:1 each-Central Furnace,Gas,Capacity=58 kBtu/h
Proposed Efficiency=95.00%Et,Required Efficiency: 80.00%Et or 78%AFUE
Project Title: Adirondack Urgent Care Report date: 03/04/19
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Quantity System Type&Description
Cooling:1 each-Split System,Capacity=27 kBtu/h,Air-Cooled Condenser,Air Economizer
Proposed Efficiency=14.00 SEER,Required Efficiency: 13.00 SEER
Fan System: AHU 4 I Exam Room,Soiled Holding,Staff Areas--Compliance(Motor nameplate HP method):Passes
Fans:
AHU4 Supply Supply,Constant Volume, 1145 CFM,1.0 motor nameplate hp,0.0 fan efficiency grade
ERV2 Supply Supply,Constart Volume,410 CFM,0.3 motor nameplate hp,0.0 fan efficiency grade
ERV2 Exhaust Exhaust,Constant Volume,285 CFM,0.3 motor nameplate hp,0.0 fan efficiency grade
1 Water Heater 4:
Gas Storage Water Heater,Capacity:75 gallons,Input Rating:80 kB1u/h w/Circulation Pump
Proposed Efficiency:80.00%Et,Required Efficiency:80.00%Et
Mechanical Compliance Statement
Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building
plans,specifications, and other calculations submitted with this permit application.The proposed mechanical systems have been
designed to meet the 2015 IECC requirements in COMcheck Version 4.1.1.0 and to comply with any applicable mandatory
requirements listed in the Inspection Checklist.
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COMcheck Software Version 4.1.1.0
(111
Inspection Checklist
Energy Code: 2015 IECC
Requirements: 100.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section
# Plan Review Complies? Comments/Assumptions
&Req.ID
C103.2 Plans, specifications, and/or OComplies Requirement will be met.
[PR2]1 calculations provide all information !ODoes Not
with which compliance can be
determined for the mechanical ONot Observable
systems and equipment and ONot Applicable
document where exceptions to the
standard are claimed. Load
calculations per acceptable
engineering standards and
handbooks.
C103.2 Plans, specifications,and/or !OComplies Requirement will be met.
[PR3]1 calculations provide all information ODoes Not
with which compliance can be
determined for the service water :Not Observable
heating systems and equipment and ONot Applicable
document where exceptions to the
standard are claimed. Hot water
system sized per manufacturer's
sizing guide.
C103.2 Plans, specifications,and/or ['Complies Requirement will be met.
[PR4]1 calculations provide all information ElDoes Not
with which compliance can be
determined for the interior lighting ❑Not Observable
and electrical systems and equipment :Not Applicable
and document where exceptions to
the standard are claimed. Information
provided should include interior
lighting power calculations,wattage of
bulbs and ballasts, transformers and
control devices.
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
Footing/Foundation Inspection Complies? Comments/Assumptions
&Req.ID
C403.2.4. l Snow/ice melting system sensors for ❑Complies Exception: Requirement does not apply.
5, future connection to controls. Freeze ❑Does Not
C403.2.4. protection systems have automatic
6 controls installed. ❑Not Observable
(F09l3 ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
Plumbing Rough-In Inspection Complies? Comments/Assumptions
& Req.ID
C404.5, :Heated water supply piping conforms ❑Complies Exception: Requirement does not apply.
C404.5.1, to pipe length and volume ODoes Not
C404.5.2 requirements. Refer to section details.
[PL6]3 [Not Observable
❑Not Applicable
C404.5, Heated water supply piping conforms !❑Complies Exception: Requirement does not apply.
C404.5.1, to pipe length and volume ❑Does Not
C404.5.2 requirements. Refer to section details.
[P16]3 ❑Not Observable
❑Not Applicable
C404.5, Heated water supply piping conforms ❑Complies Exception: Requirement does not apply.
C404.5.1, to pipe length and volume ❑Does Not
C404.5.2 requirements. Refer to section details.
[PL6]3 ❑Not Observable
❑Not Applicable
C404.5, Heated water supply piping conforms ❑Complies Exception: Requirement does not apply.
C404.5.1, to pipe length and volume ❑Does Not
C404.5.2 requirements. Refer to section details.
[PL6]3 ENot Observable
❑Not Applicable
C404.5, Heated water supply piping conforms ❑Complies Requirement will be met.
C404.5.1, to pipe length and volume ❑Does Not
C404.5.2 requirements. Refer to section details.
[PL6]3 :Not Observable
❑Not Applicable
C404.6.1, Automatic time switches installed to ❑Complies Requirement will be met.
C404.6.2 automatically switch off the ❑Does Not
[PL3]1 recirculating hot-water system or heat
trace. :Not Observable
❑Not Applicable
C404.6.3 Pumps that circulate water between a OComplies Exception: Requirement does not apply.
[PL7]3 heater and storage tank have controls ElDoes Not
that limit operation from startup to ❑Not Observable
<= 5 minutes after end of heating
cycle. ❑Not Applicable
C404.6.3 Pumps that circulate water between a ❑Complies Exception: Requirement does not apply.
[PL7]3 heater and storage tank have controls ❑Does Not
that limit operation from startup to
<= 5 minutes after end of heating ❑Not Observable
cycle. Observable,_.,
Applicable
C404.6.3 Pumps that circulate water between a ❑Complies Exception: Requirement does not apply.
[PL7]3 heater and storage tank have controls ❑Does Not
that limit operation from startup to ONot Observable
<= 5 minutes after end of heating
cycle. ❑Not Applicable
C404.6.3 Pumps that circulate water between a ❑Complies Exception: Requirement does not apply.
[PL7]3 heater and storage tank have controls ❑Does Not
that limit operation from startup to
<= 5 minutes after end of heating ❑Not Observable
cycle. ❑Not Applicable
C404.6.3 Pumps that circulate water between a ❑Complies Exception: Requirement does not apply.
[PL7]3 heater and storage tank have controls DDoes Not
that limit operation from startup to ❑Not Observable
<= 5 minutes after end of heating
cycle. ❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
Plumbing Rough-In Inspection Complies? Comments/Assumptions
& Req.ID
C404.7 Water distribution system that pumps 'OComplies Exception: Requirement does not apply.
[PL8J3 water from a heated-water supply ODoes Not
pipe back to the heated-water source :Not Observable
through a cold-water supply pipe is a
demand recirculation water system. :Not Applicable
Pumps within this system have
controls that start the pump upon
receiving a signal from the action of a
user of a fixture or appliance and
limits the temperature of the water
entering the cold-water piping to
104°F. •
C404.7 Water distribution system that pumps OComplies Exception: Requirement does not apply.
[PL8J3 water from a heated-water supply E1 oes Not
pipe back to the heated-water source
through a cold-water supply pipe is a ',[]Not Observable
demand recirculation water system. ONot Applicable
Pumps within this system have
controls that start the pump upon
receiving a signal from the action of a
user of a fixture or appliance and
limits the temperature of the water
entering the cold-water piping to
104°F.
C404.7 Water distribution system that pumps 'OComplies Exception: Requirement does not apply.
[PL813 water from a heated-water supply ODoes Not
pipe back to the heated-water source ONot Observable'
through a cold-water supply pipe is a
demand recirculation water system. ONot Applicable
Pumps within this system have
controls that start the pump upon
receiving a signal from the action of a
user of a fixture or appliance and
limits the temperature of the water
entering the cold-water piping to
104°F.
C404.7 Water distribution system that pumps ❑Complies Exception: Requirement does not apply.
[PL813 water from a heated-water supply ['Does Not
pipe back to the heated-water source ONot Observable
through a cold-water supply pipe is a
demand recirculation water system. ONot Applicable
Pumps within this system have
controls that start the pump upon
receiving a signal from the action of a
user of a fixture or appliance and
limits the temperature of the water
entering the cold-water piping to
104°F.
C404.7 Water distribution system that pumps ,OComplies Requirement will be met.
[PL8]3 water from a heated-water supply 'ODoes Not
pipe back to the heated-water source , Not Observable
through a cold-water supply pipe is a
demand recirculation water system. [Not Applicable
Pumps within this system have
controls that start the pump upon
receiving a signal from the action of a •
user of a fixture or appliance and
limits the temperature of the water
entering the cold-water piping to
104°F.
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
# Mechanical Rough-In Inspection Complies? Comments/Assumptions
& Req.ID
C402.2.6 Thermally ineffective panel surfaces of OComplies Exception: Requirement does not apply.
[ME41)3 sensible heating panels have ODoes Not
insulation >= R-3.5.
ONot Observable
ONot Applicable
C403.2.13 Unenclosed spaces that are heated []Complies Exception: Requirement does not apply.
IME71]2 use only radiant heat. ❑Does Not
[::)Not Observable
ONot Applicable
C403.2.3 HVAC equipment efficiency verified. OComplies See the Mechanical Systems list for values.
[ME55)2 ElDoes Not
[]Not Observable
ONot Applicable
C403.2.6. Demand control ventilation provided OComplies Exception: Requirement does not apply.
1 for spaces >500 ft2 and >25 ['Does Not
[ME59]1 people/1000 ft2 occupant density and ONot Observable
served by systems with air side
economizer, auto modulating outside :ONot Applicable
air damper control,or design airflow
>3,000 cfm.
C403.2.6. Enclosed parking garage ventilation OComplies Exception: Requirement does not apply.
2 has automatic contaminant detection ODoes Not
[ME115]3 and capacity to stage or modulate ONot Observable
fans to 50%or less of design capacity.
ONot Applicable
C403.2.7 Exhaust air energy recovery on OComplies Requirement will be met.
[ME5711 systems meeting Table C403.2.7(1) ODoes Not
and C403.2.7(2). [ Not Observable
ONot Applicable
C403.2.8 Kitchen exhaust systems comply with OComplies Exception: Requirement does not apply.
[ME116]3 replacement air and conditioned ODoes Not
supply air limitations, and satisfy hood
rating requirements and maximum ONot Observable
exhaust rate criteria. ONot Applicable
C403.2.9 HVAC ducts and plenums insulated. OComplies Requirement will be met.
[ME6O]2 Where ducts or plenums are installed 'Oboes Not
in or under a slab,verification may []Not Observable
need to occur during Foundation
Inspection. ONot Applicable
C403.2.9 Ducts and plenums sealed based on OComplies :Requirement will be met.
[ME10]2 static pressure and location. ElDoes Not
ONot Observable
ONot Applicable
C403.2.9. Ductwork operating >3 in. water OComplies Exception: Requirement does not apply.
1.3 column requires air leakage testing. '[]Does Not
[ME11]3 []Not Observable
ONot Applicable
C403.2.9. Ductwork operating >3 in.water OComplies Exception: Requirement does not apply.
1.3 column requires air leakage testing. ODoes Not
[ME11I3 ONot Observable
ONot Applicable
C403.2,9. Ductwork operating >3 in.water :[]Complies Exception: Requirement does not apply.
1,3 column requires air leakage testing. Oboes Not
[ME11]3 ONot Observable
ONot Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
Mechanical Rough-In Inspection Complies? Comments/Assumptions
& Req.ID
C403.2.9. Ductwork operating >3 in.water :OComplies Exception: Requirement does not apply.
1.3 column requires air leakage testing. ODoes Not
[ME11)3 ONot Observable
ONot Applicable
C403.4.4. Multiple zone VAV systems with DDC 'OComplies Exception: Requirement does not apply.
6 of individual zone boxes have statictDoes Not
[ME110]3 pressure setpoint reset controls. See the Mechanical Systems list for values.
ONot Observable
ONot Applicable
C403.4.4. Multiple zone VAV systems with DDC ❑Complies Exception: Requirement does not apply.
6 of individual zone boxes have static ODoes Not
[ME110)3 pressure setpoint reset controls. See the Mechanical Systems list for values.
❑Not Observable
ONot Applicable
C403.4.4. Multiple zone VAV systems with DDC ❑Complies Exception: Requirement does not apply.
6 of individual zone boxes have static ODoes Not
(ME110]3 pressure setpoint reset controls. See the Mechanical Systems list for values.
ONot Observable
(ONot Applicable
C403.4.4. Multiple zone VAV systems with DDC OComplies Exception: Requirement does not apply.
6 of individual zone boxes have static ODoes Not
[ME110)3 pressure setpoint reset controls. []Not Observable See the Mechanical Systems list for values.
ONot Applicable
C404.2.1 Gas-fired water-heating equipment 'OComplies Exception: Requirement does not apply.
[ME111]2 installed in new buildings: where a ODoes Not
singular piece of water-heating
equipment>= 1,000 kBtu/h serves ONot Observable
the entire building,thermal efficiency ONot Applicable
>=90 Et.Where multiple pieces of
water-heating equipment serve the
building with combined rating >_
1,000 kBtu/h, the combined input-
capacity-weighted-average thermal
efficiency>= 90 Et. Exclude input
rating of equipment in individual
dwelling units and equipment<= 100
kBtu/h.
C408.2.2. Air outlets and zone terminal devices ;OComplies Requirement will be met.
1 have means for air balancing. ODoes Not
[ME53]3 :Not Observable
ONot Applicable
C403.5, Refrigerated display cases,walk-in ❑Complies .Exception: Requirement does not apply.
C403.5.1, coolers or walk-in freezers served by ODoes Not
C403.5.2 remote compressors and remote
[ME123]3 condensers not located in a ONot Observable
condensing unit, have fan-powered ONot Applicable
condensers that comply with Sections
C403.5.1 and refrigeration compressor
systems that comply with C403.5.2..
Additional Comments/Assumptions:
1 (High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
# Rough-In Electrical Inspection Complies? Comments/Assumptions
& Req,ID
C405.2.1 Lighting controls installed to uniformly DComplies Exception: Lighting that is related to means of egress in
[EL15]1 reduce the lighting load by at least ❑Does Not stairways, ramps, corridors,or emergency routes.
50%. ['Not Observable'
DNot Applicable
C405.2.1 Occupancy sensors installed in DComplies Exception: Lighting that is related to means of egress in
[EL18]1 required spaces. ❑Does Not stairways, ramps, corridorsRequirement does not apply.
ONot Observable
ONot Applicable
C405.2.1, Independent lighting controls installed 'DComplies Requirement will be met.
C405.2.2. :per approved lighting plans and all ❑Does Not
3 manual controls readily accessible and
[EL2312 visible to occupants. ONot Observable
DNot Applicable
C405.2.2. Automatic controls to shut off all ❑Complies Exception: Lighting controlled by occupancy sensors.
1 building lighting installed in all ❑Does Not
[EL22)2 buildings. ONot Observable'
ONot Applicable
C405.2.3 Daylight zones provided with ❑Complies Exception: Requirement does not apply.
[EL1612 individual controls that control the ❑Does Not
lights independent of general area ONot Observable
lighting.
ONot Applicable
C405.2.3, Primary sidelighted areas are DComplies Exception: Requirement does not apply.
C405.2.3. equipped with required lighting DDoes Not
1, controls. ONot Observable
C405.2.3.
2 DNot Applicable
[EL2011
C405.2.3, Enclosed spaces with daylight area ❑Complies Exception: Requirement does not apply.
C405.2.3. under skylights and rooftop monitors ❑Does Not
1, are equipped with required lighting ONot Observable
C405.2.3. controls.3 [Not Applicable
[EL21]1
C405.2.4 Separate lighting control devices for DComplies Requirement will be met.
[EL4]1 'specific uses installed per approved ❑Does Not
lighting plans.
ONot Observable
ONot Applicable
C405.2.4 Additional interior lighting power DComplies Requirement will be met.
[EL811 allowed for special functions per the ❑Does Not
approved lighting plans and is ❑Not Observable
automatically controlled and
separated from general lighting. .DNot Applicable
C405.3 Exit signs do not exceed 5 watts per ['Complies Requirement will be met.
[EL6]1 'face. ❑Does Not
ONot Observable
ONot Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
Final Inspection Complies? Comments/Assumptions
& Req.ID
C303.3, Furnished O&M instructions for OComplies Requirement will be met.
C408.2.5. systems and equipment to the Oboes Not
2 building owner or designated
[FI17]3 representative. ONot Observable
ONot Applicable
C303.3, Furnished O&M manuals for HVAC OComplies Requirement will be met.
C408.2.5. systems within 90 days of system ODoes Not
3 3 acceptance.
[F18] ONot Observable
ONot Applicable
C403.2.2 HVAC systems and equipment OComplies Requirement will be met.
[FI27)3 capacity does not exceed calculated Oboes Not
loads.
ONot Observable
ONot Applicable
C403.2.4. Heating and cooling to each zone is OComplies Requirement will be met.
1 controlled by a thermostat control. ODoes Not
[FI47)3 Minimum one humidity control device ONot Observable
per installed
humidification/dehumidification ONot Applicable
system.
C403.2.4. Heating and cooling to each zone is OComplies Requirement will be met.
1 controlled by a thermostat control. ODoes Not
[FI47]3 Minimum one humidity control device ONot Observable
per installed
humidification/dehumidification ONot Applicable
system.
C403.2.4. Heating and cooling to each zone is OComplies Requirement will be met.
1 controlled by a thermostat control. ODoes Not
[F147]3 Minimum one humidity control device ONot Observable
per installed
humidification/dehumidification ONot Applicable
system.
C403.2.4. Heating and cooling to each zone is OComplies Requirement will be met.
1 controlled by a thermostat control. ODoes Not
[FI47)3 Minimum one humidity control device []Not Observable
per installed
humidification/dehumidification IONot Applicable
system.
C403.2.4. Thermostatic controls have a 5 °F OComplies Requirement will be met.
1.2 deadband. Oboes Not
[F138)3 ONot Observable
ONot Applicable
C403.2.4. 'Temperature controls have setpoint 'OComplies Requirement will be met.
1.3 overlap restrictions. ODoes Not
[F12013 ,ONot Observable
ONot Applicable
C403.2.4. Each zone equipped with setback OComplies Requirement will be met.
2 controls using automatic time clock or Oboes Not
[F139)3 programmable control system. :Not Observable
ONot Applicable
C403.2.4. Automatic Controls:Setback to 55°F OComplies Requirement will be met.
2.1, (heat)and 85°F(cool); 7-day clock, 2- ODoes Not
C403.2.4. hour occupant override, 10-hour ONot Observable
2.2 backup
[FI40]3 ONot Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Adirondack Urgent Care Report date: 03/04/19
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Section
# Final Inspection Complies? Comments/Assumptions
& Req.ID
C403.2.4. Systems include optimum start :❑Complies Exception: Requirement does not apply.
2.3 controls. ODoes Not
(F141]3
:Not Observable
❑Not Applicable
C403.2.4. Systems include optimum start ❑Complies Exception: Requirement does not apply.
2.3 controls. ODoes Not
[FI41]3
❑Not Observable
❑Not Applicable
C403.2.4. Systems include optimum start •❑Complies Exception: Requirement does not apply.
2.3 controls. ODoes Not
[FI41]3
❑Not Observable
❑Not Applicable
C403.2.4. Systems include optimum start ❑Complies Exception: Requirement does not apply.
2.3 controls. ODoes Not
[FI41]3
❑Not Observable
❑Not Applicable
C404.3 Heat traps installed on supply and ❑Complies Exception: Requirement does not apply.
[FI11]3 discharge piping of non-circulating ODoes Not
systems.
:Not Observable
❑Not Applicable
C404.4 All piping insulated in accordance with ❑Complies Requirement will be met.
[F125]2 section details and Table C403.2.10. ODoes Not
❑Not Observable
❑Not Applicable
C404.6.1 Controls are installed that limit the ❑Complies Requirement will be met.
[FI12]3 operation of a recirculation pump ODoes Not
installed to maintain temperature of a
storage tank. System return pipe is a ['Not Observable
dedicated return pipe or a cold water ❑Not Applicable
supply pipe.
C405.4.1 Interior installed lamp and fixture ❑Complies See the Interior Lighting fixture schedule for values.
[Fll8]1 lighting power is consistent with what ODoes Not
is shown on the approved lighting ❑Not Observable
plans,demonstrating proposed watts
are less than or equal to allowed ❑Not Applicable
watts.
C408.2.1 Commissioning plan developed by :❑Complies Requirement will be met.
[F128]1 registered design professional or ❑Does Not
approved agency.
❑Not Observable
❑Not Applicable
C408.2.3. HVAC equipment has been tested to ❑Complies Requirement will be met.
1 ensure proper operation. ODoes Not
[F131)1
❑Not Observable
❑Not Applicable
C408.2.3. HVAC control systems have been ❑Complies Requirement will be met.
2 tested to ensure proper operation, ❑Does Not
[FI10]1 calibration and adjustment of controls.
❑Not Observable
❑Not Applicable
C408.2.4 Preliminary commissioning report ❑Complies Requirement will be met.
[F129]1 completed and certified by registered ODoes Not
design professional or approved
agency. ❑Not Observable
❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
Final Inspection Complies? Comments/Assumptions
& Req.ID
C408.2.5. Furnished HVAC as-built drawings OComplies Requirement will be met.
1 submitted within 90 days of system ODoes Not
[FI7J3 acceptance.
['Not Observable
ONot Applicable
C408.2.5. Furnished as-built drawings for OComplies Requirement will be met.
1 electric power systems within 90 days ElDoes Not
[FI16]3 of system acceptance.
ONot Observable
ONot Applicable
C408,2.5. .An air and/or hydronic system OComplies Requirement will be met.
3 balancing report is provided for HVAC ODoes Not
[FI43]1 systems. ONot Observable
;ONot Applicable
C408.2.5. Final commissioning report due to OComplies Requirement will be met.
4 building owner within 90 days of ODoes Not
[F130]1 receipt of certificate of occupancy. []Not Observable
ONot Applicable
C408.3 Lighting systems have been tested to OComplies Requirement will be met.
[FI33]1 ensure proper calibration, adjustment, ODoes Not
programming, and operation.
ONot Observable
ONot Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Adirondack Urgent Care Report date: 03/04/19
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