RC-0585-2021 c
r f
Office Use Only
PRINCIPLE STRUCTURE .
PERMIT APPLICATION Permit#: P O�JVJ- 2021
Permit Fee:$
�5
Town of Qucensbury
JCM
742 Bay Road, Queensbury, NY 12804 *Rec Fee: $
P: 518-761-8256 www.queensbury.net Invoice#:
Flood Zone? Y bN Reviewed By:
Project Location:- �P
Tax Map #: Subdivision Name: N� VJ -r
M.
*RECREATION FEE $1000;0 for n�welling units: single family, duplexes/two-family, multiplefamily,
apartments,condominiums, townhouses,cr NYS Building Standards 8, Codes approved manufactured home.
This is in addition to the permit fee(s).
PROJECT INFORMATION:
Residential ❑ Commercial, Proposed Use:
® Single-Family: ❑Two-Family ❑ Multi-Family (#of units: )
1. ❑ Custom
-2. ❑Modular(REQUIRED:NYS stamped engineered drawings of foundation plans)
❑Townhouse Garage (#of cars ) ❑ Business Office
❑ Retail ❑ Hotel/Motel ❑ Industrial
❑ Heated Warehouse/Storage Building ❑ Unheated Warehouse/Storage Building
❑ Amusement Ride ❑ Other (describe: )
MAIN STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE:
1ST floor:
1ST floor: 1JLx
j � � S�
2"d floor:
2"d floor:
3rd floor: Total square feet: �'V
Basement(habitable space):
Total square feet:
Principle Structure Packet Revised March 2021
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ Y
2. Proposed use of the building: X'sw IF EL)» It,
3. If Commercial or Industrial, indicate the name of the business:
4. Source of Heat: Gas _Oil _Propane _Solar _Other:
(Fireplaces need a separate Fuel Burning Appliances&Chimney Application, one per appliance)
S. Are there any structures not shown on the plot plan?_YES +/NO Explain, if yes:
6. Are there any easements on the property?_YES NO.
7. SITE INFORMATION:
a. What is the dimensions or acreage of the.parcel? I A CI?e t a
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? ✓PUBLIC _PRIVATE _WELL
e.What type of wastewater system is on the parcel? _SEWER ✓PRIVATE SEPTIC
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be
completed within a 12 month period.Any changes to the approved plans prior to/during construction will require
the submittal of amended plans,additional reviews and re-approval.
2. If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of
Queensbury.After 1 year from the initial application date, 100%of the fee is retained.
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 localzoning regulations.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
5. 1 also understand that I/we are required to provide an as-built survey by a NYSlicensed 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: a ( � >//1-. 1.
SIGNATURE: � e DATE: WbLal
-�
Principle Structure Packet Revised December 2020
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Ile, C�>w' i 'ib,�
Mailing Address, C/S/Z: 3 9 6 //P./f 1-00 /U ILL
Cell Phone: '/R ) 3 6 5- Land Line: � )
Email: d;V C' Co /A?/f Co,usrp
• Primary Owner(s):
Name(s): ' j,�enl Ce//, _
Mailing Address, C/S/Z: 3 S /`lzva ur S) I-Ake &eUri21
Cell Phone: �_) Land Line:
Email: S ,d,,,)e.
® Check if all work will be performed by property owner only
• Contractor(s): (List all additional contractors on the back of this form)
Contractor Name(s): / 11,, tt-P
Contractor Trade: 6 C
Mailing Address, C/S/Z: 3 2
Cell Phone: 5`8 2 a- Land Line:
Email:
**Workers' Comp documentation must be submitted with this application**
• Arch itect(s)/Engineer(s):
Business Name: Vy) drJ 9 t J Q
Contact Name(s): D Ai V
Mailing Address, C/S/Z:
Cell.Phone: I Land Line:
Email:
Contact Person for Compliance in regards to this project: K-e N Co /I�/-j(;:V
Cell Phone: (z�'/ k ) 3 d S 5 3' Land Line:
Email:
Principle Structure Packet Revised December 2020
e ,
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contact Name(s): Tr=ltzift C I v �
Contractor Trade: Flees a)�i
Mailing Address, C/S/Z:
Cell Phone:�_) Land Line:
Email:
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contact Name(s): j e FF MA eA
Contractor Trade: plumK"Ii; v, _j4p-.4 t
Mailing Address, C/S/Z:
Cell Phone:�_) Land Line: � )
Email:
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contact Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone:�_) Land Line:
Email:
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contact Name(s):
Contractor Trade:
Mailing Address,'C/S/Z:
Cell Phone: �_) Land Line: � )
Email:
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contact Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: �_) Land Line: � )
Email:
Principle Structure Packet Revised December 2020
' Office Use Only
Permit#:
Town dQueensbury Permit Fee:$
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbury.net Invoice#:
Flood Zone? Y N Reviewed By:
SEPTIC DISPOSAL PERMIT APPLICATION
Project Location: 4(8do- uee -R Ave
Tax Map #:
RESIDENCE INFORMATION:
Year Built Gallons #of bedrooms: X gallons per =total daily flow
per day bedroom Garbage Grinder Yes No
1980 or older 150 Installed? (circle one) I/
1981-1991 130 Spa or Hot Tub Yes No
Installed? (circle one)
1992-Present 110 3 //0 U
PARCEL INFORMATION:
Topography Flat Rolling Steep Slope % Slope
Soil Nature Sand _Loam _Clay _Other, explain:
Groundwater At what depth? f
Bedrock/Impervious At what depth?
material "J
Domestic Water Supply Municipal —Well _Lake
(if well or lake, water supply from any septic system absorption is ft.)
Percolation Test Rate: f—fi' per minute per inch (test to be completed by a licensed
engineer/architect)
PROPOSED SYSTEM INFORMATION:
Tank size /060 gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or spa/hot tub
System Absorption field w/#2 stone Total length D-a ft.; Each Trench 5 ft.
Seepage Pit w/#3 stone How many: ; Size:
Alternative System Bed or other type:
Holding Tank System Total required capacity? :tank size
#of tanks
NOTES: 1. Alarm system and associated electrical work must be inspected by a Town approved electrical
inspection agency; 2. We will no longer allow systems to be covered until such time as an as-built plan is
received and approved.The installed system must match the septic layout on file—no exceptions. 3. As-
built drawings must be submitted prior to the inspection, if there has been a change to the submitted
plans.
Principle Structure Packet Revised December 2020
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
❑ Check if all work will be performed by property owner only
• Contractor:
Contact Name(s): 4/4,7f Con,�I�ye,8A-
Contractor Trade: 9c
Mailing Address, C/S/Z:
Cell Phone:_( ) Land Line: _( )
Em a i l: .1 A J 2b"A 4 //e, 1 n+J Z�8-1-1 ® C",rrn
**Workers' Comp documentation must be submitted with this application**
• Engineer(s):
Name(s): V) .Si 8n1 0,4 ti 2yA-,V
Mailing Address, C/S/Z:
Cell Phone:_( ) Land Line: _( )
Email:
Contact Person for Compliance in regards to this project:
Cell Phone: Land Line:
Email:
Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material
representation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be
void. I have read the regulations and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordinance.
PRINT NAME: IXZIe AJ
SIGNATURE: I� DATE:
Principle Structure Packet Revised December 2020
Office Use Only
Permit#:
Town of Queensbury
Permit Fee:$
742 Bay Road,Queensbury, NY 12804
P:518-761-8256 www.gueensbury.net Invoice#:
FUEL BURNING APPLIANCE &
CHIMNEY APPLICATION
**ONE APPLICATION PER APPLIANCE**
Project Location: �� (JaPeR Sh L> mQnMu Tax Map ID#:
Room of Install: 6A'i L Planned Install Date: //LaL
FUEL BURNING APPLIANCE INFORMATION:
TYPE OF DEVICE:
Stove _ Fireplace Insert ✓ Fireplace
_ Fuel Fired Equipment (Garage Only, 18" clearance per IMC 304.3)
LFireplace,factory built**
(**Manufacturer's name: A2Ar.1 6 I Q S 2 Er,I ye Model#: 3 6 d V )
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: D )o Model#: )
Principle Structure Packet Revised December 2020
' C
Town ofQueensbury R .>,,-; David Duell
Highway Superintendent
Highway 518-761-8212
Department Mark Benware
742 Bay Road—Queensbury, NY Deputy Highway Superintendent
12801 518-761-8210
Phone: (518)761-8211
Fax: (518)745-4466
DRIVEWAY PERMIT
DATE: p f y ( 9-1
APPLICANT NAME:
TELEPHONE NO.:
ADDRESS TO BE INSPECTED: S g trJ2 p-10R— s17
RETURN ADDRESS:
Applicant must show exact location and width of driveway(s) to be connected to the highway
by placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application.
The following action has been taken:
STEP 1: ( ) Preliminary Approval
NEED: ( ) Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12•, ( ) 15" ( ) 18" ( ) 24„ ( ) 36-
Preliminary inspection completed by: Date:
Approval by Highway Supt: (or) Deputy Supt:
Upon completion, please resubmit this approved permit for a final approval.
STEP 2: ( ) Final Approval ( ) Rejected
Date:
David Duell, Highway Superintendent Mark Benware, Deputy Highway Superintendent
Principle Structure Packet Revised December 2020
(awTOWN OF O UEENSB URY
742 Bay Road, Queensbury, NY. 12804-5902
Septic System Checklist
AIV Plan to scale
10 Received Deep hole perc test results from engineer/Architect if applicable(Town Approved Engineers and
Architects;June 30 to April 15 Town Engineer for unapproved Engineers and Architects)
�AII wells on property and adjacent properties shownM
water line shown Municipal or well 10'separation to any part of system
Setback to property lines show 10'or more for any part of system
Septic tank and pump stations 10'from foundation 50'from any well/lake/wetland 10'from any waterline
N/*Septic tank to foundation crawl space/slab on grade,grade in crawl space must be above top of septic tank
for 0',Separation required (field verification required)
&Septic tank sized for number of bedrooms and add 250 gals for Jacuzzi tubs/garbage grinder each
Leech Field 20'from foundation 100'from any well 10'from water line
PIPIrSeepage pit 150'from well 50'from septic tank
44 Seepage Pits 3-times diameter apart
IkSeptic tank and pump stations over 30 gallons 50'from watercourse or wetland
tdistance from bottom of trench or system 24"to bedrock or mottling 36" within 1000' of Lake George
16ILeech field 100'from watercourse or wetland
/v IAToe of mound or bottom of retaining wall 10'from property line 100'from well 20'from
Foundation
Provide Engineer/Architect stamp for bed or design systems
Department of Health Approval for all mobile home park new systems Flood Plain requirements
hb2' above established flood elevation to bottom of system
Av All tanks anchored or 2' above flood elevation
Revised 4/15/2021
-201\
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (1 of 2)
Two )full sets of plans
Over 1,500 sq. ft. requires engineering stamp
Design loads*on plans: 115 Wind Floor Loads 40 psf
(North of Rte. 149 60) 50 Ground Snow Load Sleeping Areas &Attics 30 psf
Calculations Decks 40 psf
Wind design for lake front properties
Window schedule with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for
1 windows/Tempered glass in bathrooms
Door schedule/Main entrance 36" door
�_ Emergency Escape or Bedrooms & Habitable Space
Above-grade: 5.7 sq. ft.
Grade: 5.0 sq. ft.
' 24" (h)x 20" (w) minimum
44" maximum height above door
Window control devices 24" or less 2nd story or 72" above grade
Egress window from basement 5.0 sq. ft.
Floor system sizing per table 502.3.1
Residential check ERI or Prescriptive method
Driveway length: 300' or more-12' width required/500' or more, turnaround required
Foundation drainage on plans, if required
6" drop in 10' exterior grade
Framing cross section for each roof line, vertical fire stopping every 10' where
required/joist spans pg. 127
Ice &snow shield —24" from exterior wall
Platforms at exterior doors
Stairway headroom 6'8"; all stairs 36" width
Stair run and rise �.rt�
MA Winder run and rise
v Spiral stairs meet requirements
Smoke detectors—battery backup & proper location, interconnected
Bathroom fixtures—proper clearance
Hall width-36" width
Handrails more than four risers on open sides
Railing&guards >30"/basement stairs included/closed risers more than 4" in height
Safety glazing notes for required areas
Garage fire separation: %" gable end/5/8" under living space &%" on walls/20 min. door
and closer
Garage floor sloped
Attic access: gasket seal & R-value equal to roof insulation
Roof over 30"—22"x 30"/Crawl spaces 18" x 24" access
Residential Plan Review Revised March 2018
t
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (2 of 2)
Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected
within 15' of sleeping area
Soil test results, if required
Septic to well or water line separation
All paperwork signed
Note on plans energy saving light bulbs 9%
Blower door test agency paperwork
Floodplain Permit required —check map: 2 feet above flood elevation
Hurricane clips required
Floors less than 2 x 10 covered by%" gypsum or 5/8" wood panel
Manuals S &J required for heating system. Cold air return hard piped
Separate room for draft HVAC or hot water heater with fresh air
HRV shown and calculations
Baffles at eaves for insulations and knee walls 0-4�)
Makeup air for range hood >400 cfm
Continuous header for garage doors to end wall
/gyp Chimney rain cap shown for fireplaces
Deck hold down shown not less than 4 lags and bolts per table 507.2
Residential Plan Review Revised March 2018
Generated by REScheck-Web Software FILE COP`
Compliance Certificate
Project Collette ConstructionL16
E 0
Energy Code: 2018 IECC Location: Hudson.Falls, New York 10 2021
Construction Type: Single-family
Project Type: New.ConstructionF OHEENSSURY
Conditioned Floor Area:'1,583 ft2 ING&CODES
Glazing Area 12%
Climate Zone: 5 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Ranch House Daniel-W. Ryan P.E.
Kingsbury, NY PO Box 596
Glens Falls, NY 12801
dryan@dwrpe.com
Compliance: trade-off
.-Compliance: .1.5%Better Than Code Maximum UA: 270 Your UA: 266
The%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 Cavity Cont.
Perimeter
Ceiling 1: Raised or Energy Truss 1,583 49.0 0.0 0.020 32
Wall 1:Wood Frame,.16" D.C. 1,656 21.0 - 0.0 0.057. 82
-Door 1: Solid 20 0.140 3. .
Door 3: Solid 20 0.240 5
Door 2: Glass 40 0.290 -12
Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 135 -0.290 39
Basement Wall 1:Solid Concrete or Masonry 1,435 13.0 0.0 0.060 85
Wall height: 7.8'
Depth below grade: 6.8'
Insulation depth: 7.8'
Window 3:Vinyl/Fiberglass Frame:Double Pane with Low-E 16 0.290 5
Window 4:Vinyl/Fiberglass Frame:Double Pane with Low-E 7 0.400 3
301.17-3-52 RC-0585-2021
Kelaco LLC
882 Sherman Ave
SFD w/gas FP 1585 s.f., Gar. 550 s.f.
Project Title: Collette Construction Report date: 11/03/20
Data filenarrie: Page 1 of10
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 2018 IECC-requirements in
REScheck Version : REScheck-Web and to comply with the mand7��uir es listed in the REScheck Inspection Checklist.
Daniel W. Ryan P.E. �G 11/3/20
Name-Title Signature Date .
ENGINEERS STAMP:
QE NEty
I";� i3' �L+ L �.t.fir+`�,' ,%ii 4llh••' -
.0 07 p:
v
R�FEssl
Project Title: Collette Construction Report date: 11/03/20
Data filename: Page 2 of10
REScheck Software Version : REScheck-Web
Inspection Checklist
Energy Code: 2018 IECC
Requirements: 0.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is_provided by the user in the REScheck Requirements screen. For each
requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. .
Section Plans Verified,,:,:.Field Verified;., .
# Pre-Inspection/Plan Review ::Complies?`? `Comments/Assumptions
&Req.ID .`Value Value
:.
103.1, ;Construction drawings and ;❑Complies ;
103.2 documentation demonstrate I❑Does Not
[PR1]1 ;energy code compliance for the
gj !building envelope.Thermal ; I❑Not Observable
!envelope represented on i i❑Not Applicable ;
;construction documents, i
103.1, ;Construction drawings and I❑Complies
103.2, documentation demonstrate !❑Does Not
403:7 ;energy code compliance for ; i
[PR3]1 ;lighting and mechanical systems. ! ❑Not Observable !.
!Systems serving multiple 1 k1k❑Not Applicable ;
;dwelling units must demonstrate j
;compliance with the IECC {
;Commercial Provisions.
302.1, ;Heating and cooling equipment is; .Heating: Heating: ;❑Complies_
403.7 sized per ACCA Manual S based Btu/hr Btu/hr ;❑Does Not
[PR2]2 ion loads calculated per ACCA Cooling: Cooling: ;❑Not Observable
u. I Manual J-or other methods ; Btu/hr ; Btu/hr
!approved by the code official. ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 12 Medium Impact(Tier 2) 3 ILow Impact(Tier 3)
Project Title: Collette Construction Report date: 11/03/20
Data.filename: Page 3 of10
Section- Plans Verifi
# Foundation ins 'ecti n_ ''. ed_ ;°,Field Verified ...;`�,
p o Complies. . 'Comments/Assumptions'
&Req.ID .Value Value
402.1.1 ;Conditioned basement wall ; R- R- ❑Complies ;See the Envelope Assemblies
[FO411 ;insulation R-value.Where interior: R R_ ;❑Does Not table for values.
:insulation-is used,verification
:may need to occur during 1❑Not Observable
Insulation Inspection. Not ; ;❑Not Applicable
required in warm-humid locations
:in Climate Zone 3. ;
- 303.2 ;Conditioned basement wall '3❑Complies
[FO5]1 :insulation installed per ?❑Does Not
:manufacturer's instructions.
i![-]Not Observable ;
❑Not Applicable
402.2.9 ;Conditioned basement wall ft ft ;❑Complies ;See the Envelope Assemblies
[FO6]1 :insulation depth of burial or ElDoes Not ;table for values.
distance from top of wall.
.:[]Not Observable ;
❑Not Applicable
. 303:2.1 ;A protective covering is installed ; ,OComplies
[F011]2 Yto protect exposed exterior I❑Does Not'
Vinsulation and extends a
® ;minimum of 6 in. below grade. i ,❑Not Observable
j❑Not Applicable. ;
4019 }Snow-and ice-melting system ;❑Complies
[FO12]2 }controls installed. ❑Does Not
❑Not Observable
❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier-1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Collette Construction Report date: 11/03/20
Data filename: Page 4 of10
section
Plans Verd. :Field Verifiedt,
#' Framing/Roughrin'InspectPon Complies? -,,,Comments/Assumptions
&"Re A:ID' Value :« ?„Value
402.1.1, ,Door U-factor. _. U-,..., ;U_ ❑Co,_.
' mplies ,See the Envelope Assemblies
❑Does Not table for values.
402.3.4 ;
[FRl]l
.l ; ;❑Not Observable
Q ;
❑Not Applicable
402.1.1, ;GlazingU-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies
402.3.1, average). ;❑Does Not table for values.
402.3.3,
402.5. ;❑Not Observable ;
[FR2]1 ; ; ;❑Not Applicable
303.1.3 ;U-factors of fenestration products 10Complies .
[FR4]1 '.are determined in accordance p ❑Does Not
U ;with the NFRC test procedure or I I
;taken from the default table. !❑Not Observable
❑Not Applicable ;
402.4.1.1 ;Air barrier and thermal barrier ;❑Complies
[FR23]1 ;installed per manufacturer's )❑Does Not
v ; ;
J❑Not Observable
instructions. ;
I❑Not Applicable
402.4.3 ;Fenestration that is not site built J❑Complies ;
[FR20]1 ;is listed and labeled as meeting i ;❑Does Not
v IAAMA/WDMA/CSA101/I.S.2/A440
:or has infiltration rates per NFRC ![]Not Observable ;
;400 that'do not exceed.code ;❑NotApplicable ;
;limits.
402:4.5 I IC-rated recessed lighting fixtures; '❑Complies ;
[FR1'6]z• -;sealed at housing/interior finish i I❑Does Not
and labeled to indicate <_2.0 cfm i 1
leakage at 75 Pa. ❑Not Observable ;
i, ❑Not Applicable
4.03.3.1 ;Supply and return ducts in attics #❑Complies
[FR12]1 ,.insulated >= R-8 where duct is 10Does Not
V >=3 inches in diameter and >_ ❑Not Observable '
R-6 where< 3 inches.Supply and; ; '
return_ducts in other portions of f ,❑Not Applicable
;the building insulated >= R-6 for I
I diameter>=3 inches and R-4.2 I ;
for< 3 inches in diameter. i
403.3.2 :Ducts, air handlers and:filter f ]EIComplies 1
[FR13I1 ;boxes are sealed with i ❑Does Not
V ;joints/seams compliant with i ❑Not Observable '
International Mechanical Code or ; ;
I International Residential Code, as ❑Not Applicable ;
applicable. I
403.3.5 -Building cavities are not used as I❑Complies '
[FR15]3 ducts or plenums. ❑Does Not
❑Not Observable
J❑Not Applicable
1 High Impact(Tier 1) '2 Medium Impact(Tier 2) 13 j Low Impact(Tier 3)
Project Title: Collette Construction Report date: 11/03/20
Data filename: Page 5 of10
S a _ectlon _
i,
Plans:Verified:' h V e ri
# Framin ' Rou h=1n Inction
Field e f,",",
g'./. g p :r.•, Complies?;:'l Comments/Assumptions
&R D
Valde: s; r 'Value'
e .1
4
403.3.7 Ducts declared to be within.the ;❑Complies
[1`1128]3 conditioned space are either 1) I ❑Does Not
j.completely within the continuous
air barrier and within the building , J❑Not Observable
❑Not Applicable
!thermal envelope,2) buried I PP
iwithin ceiling insulation in
,accordance with Section
,R403.3.6 and the air handler is ;
i located completely within the s
continuous air barrier and within
the building thermal envelope '
and the duct leakage is<= 1.5
cfm/100 square feet of ;
conditioned floor area served by
the duct system, or 3)the ceiling
insulation R-value installed ;
against andabove the insulated
'-duct>=to the proposed ceiling.
insulation R-value, less the R- . t
Value of the insulation on the
403.4,- HVAC piping conveying fluids R- ; R- ;❑Complies
[FR1792 s'above 105°F or chilled fluids ;❑Does Not
(below 55°F are insulated to>_R- ;
t®J. 13. ;❑Not Observable
❑Not Applicable
403.4.1 ;Protection of insulation on HVAC ( ;❑Complies
[FR2411 piping. } ❑Does Not
Al ; ]❑Not Observable
j❑Not Applicable--
403:53 ;. Hot water pipes are insulated to R- - R= ;❑Complies
[FR18)2,_ >_R-3. ;❑Does Not ;
❑Not Observable
I ;❑Not Applicable
403.6 -;Automatic or gravity dampers are; ;❑Complies
[FRIV ;installed on all outdoor air j❑Does Not
intakes and exhausts. ;❑Not Observable
I i ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier.1) 2 Medium Impact(Tier 2) . 3 Low impact(Tier 3)
Project Title: Collette Construction Report date: 11/03/20
Data filename: Page 6 of10
Section
%Plans=Vered FieldV
#, :Insulation Ins echo"
erlfied,`i
p„ n;' Complies. Comments/Assumptions
&Req:ID
3011 Al installed insulation is labeled i❑Complies
[IN13]2 or the installed R-values ❑Does Not
provided.
i❑Not Observable ;
❑Not Applicable
402.1.1, ;Wall insulation R-value.'If this is a;, R- R- ;❑Complies ;See the'EnvelopeAssemblies
402.2.5, �mass wall.with at least 1/2 of the ❑ Wood ;❑ Wood ❑Does Not ;table for values.
402.2.6 ;-wall insulation on the wall
[IN311 ;exterior,the exterior insulation ❑ Mass ;❑ Mass ❑Not Observable
gj requirement applies(FR10). ❑ Steel ;❑ Steel ;❑Not Applicable-
requirement
303.2 ;Wall insulation is installed per I❑Complies ;
[IN411 :manufacturer's instructions. I I❑Does Not
;❑Not Observable '
i❑Not Applicable .;
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) :3 1 Low Impact.(Tier 3)
Project Title: Collette Construction Report date: 11/03/20
Data filename: Page 7 of10
Section f?leiis lierified ;Field Verifiedt;
#, Final Inspection Provisions' Compties?';: Comments/!Assumptions
& Req.ID .Value. Value::
402.1.1, ;Ceiling insulation R-value. R- R- ;❑Complies y ;See the Envelope Assemblies
402.2.1, ;❑ Wood ;❑ Wood ;❑Does Not :table for values.
402.2.2, ❑ Steel ❑ Steel :❑Not Observable
402.2.6 ;
[Fill' ;❑Not Applicable
303.1.1.1,;Ceiling insulation installed perI ;❑Complies
303.2 !manufacturer's instructions. ;❑Does Not
[FI2]1 :Blown insulation marked every
300 ft2. 9❑Not Observable ;
❑Not Applicable
402.2.3 ,Vented attics with air permeable ;❑Complies
[FI22]2 insulation include baffle adjacent ; i❑Does Not
to soffit and eave vents that
:extends over insulation. UNot Observable ;
i❑Not Applicable
402.2.4 ;Attic access hatch and door R- R- ;❑Complies ;
[FI3]1 :insulation ?R-value of the ;❑Does Not
;adjacent assembly.
;❑Not Observable ;
❑Not Applicable
402.4.1.2 ;Blower door test @ 50 Pa. <=5 ; ACH 50 = ACH 50 = ;❑Complies
[FI17]1 ach in Climate Zones 1-2, and ;❑Does Not
i<=3 ach in Climate Zones 3-8. ;❑Not Observable
❑Not Applicable
403.3.3 ;Ducts are pressure tested to ; cfm/100 cfm/100 ;❑Complies
[FI27]1 !determine air leakage with ft2 ft2 ;❑Does Not
either: Rough-in test:Total ;❑Not Observable
leakage measured with a ❑Not Applicable
licable ;
pressure differential of 0.1 inch
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 ! 1
;w.g,across the entire system
;including the manufacturer's air
handler enclosure.
403.3.4 ;,Duct tightness test result of<=4 ; cfm/100 cfm/100 ❑Corriplies
[FI4]1 1cfm/100 ft2 across the system or ; ft2 ft2 ❑Does Not
<=3 cfm/100 ft2 without air i
handler @ 25 Pa. For rough-in ❑Not Observable
.tests,verification may.need to ;❑Not Applicable
;occur during Framing Inspection. j
403.3.2.1 ;Air handler leakage designated i ,❑Complies
[FI24]1 !by manufacturer at<=2%of i❑Does Not
design air flow. I
;❑Not Observable
❑Not Applicable
403:1.1 ;Programmable thermostats ; 1❑Complies
(FI9]2 installed for control of primary I❑Does Not
heating and cooling systems and I
:initially set by manufacturer to ❑Nat Observable ;
code specifications. ;❑Not Applicable
403.1.2 'Heat pump thermostat installed ! ;❑Complies
[F110]2 on heat pumps. ❑Does Not
:❑Not Observable '
;,[]Not Applicable
403.5.1 ;Circulating service hot water I❑Complies
[FIl'1]2 lsystems�have automatic or ❑Does Not
!accessible manual controls. ;
I F ❑; Not Observable
t
I❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low impact-(Tier 3)
Project Title: Collette Construction Report date: 11/03/20
Data filename: Page 8 of10
Section ,: .,,...,•; f _
ka'n_s Verified. 'Field 2,
�0
# FInaI Inspection,Provi'sions:.' Complies? '; -Comments/Assumptions
& Req.ID value . Value
403:6.1 ;All.mechanical ventilation system? ❑Complies ..,
[FI25]2 Mans not part of tested and lid Not
HVAC equipment meet efficacy
;
_ and airflow limits per Table ❑Not Observable ,
'R403.6.1. 1❑Not Applicable ;
403:2 Hot water boilers supplying heat ❑Complies -
1FI26.]2 i-through one-or two-pipe heating ❑Does Not .
(systems have outdoor setback ?
;control to lower boiler water ❑Not Observable
(temperature based on outdoor i❑Not Applicable ;
'temperature.
403.5.1.1 ?Heated water circulation systems; ;❑Complies
[FI28]2 R have a circulation pump.The ❑Does Not
}system return pipe is a dedicated
return pipe or a cold water supply; ❑Not Observable
5 pipe. Gravity and thermos- ❑Not Applicable ;
syphon circulation systems are ;
1 not present.Controls for
circulating hot water system ` 1
pumps start the pump with signal 1 i.
(for hot water demand within the
t'occupancy. Controls
;-automatically turn off the pump
when water is in circulation loop { ;
is at set-point temperature and i
?no demand for hot water exists.
403:5.1.2 .t Electric heat trace systems ; ;❑Complies-
[FI29]2 comply with IEEE 515.1 or UL j ❑Does Not
515.Controls automatically
adjust the energy input to the ; r❑Not Observable ,
;heat tracing to maintain the I 1❑Not Applicable-
desired water temperature in the j
piping.
403:5.2 ' )'Demand recirculation water i❑Complies ;
[F130]2 I systems have controls that } ❑Does Not
manage operation of the pump ; -
1❑Not Observable
and limit the temperature of the } ,
1 water entering the cold water ❑Not Applicable
;:piping to<= 1049F.- .
401SA Drain water heat recovery units f ;!❑Complies ;
[F131]2 tested'in accordance with CSA i❑Does Not
B55.1. Potable water-side
pressure loss of drain water heat ❑Not Observable ;
l recovery units<3 psi.for #❑Not Applicable ;
individual units connected to one j
or two showers. Potable water- I
side pressure loss of drain water I
heat recovery units<2 psi for {
}individual units connected to
!three or-more showers,
404.1 ;90%or more of permanent ;❑Complies
[FI6]1 Mixtures have high efficacy lamps. j❑Does Not
M I❑Not Observable
j i❑Not Applicable
404.1.1 I-Fuel gas lighting systems have t❑Complies ;
[FI23]3 no continuous pilot light. ,I 14[]Does Not ;
i❑Not Observable
t
1 J❑Not Applicable
401.3 ;Compliance certificate posted. ; ;❑Complies ;
[F17]2 i j�❑Does Not
} r y❑Not Observable
❑Not Applicable ;
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Collette Construction Report date: 11/03/20
Data filename: Page 9 of10
Section
Plans'Verified:_ •'Field Verified._: ..
# Final inspection Provisions Complies?, -;. Comments/Assumptions
&Req.ID =,Value Value ,
303,3 'Manufacturer manuals for '❑Complies)
[FI18]3 ;mechanical and water heating k 1❑Does'14ot
systems have been provided.
! i❑Not Observable ;
j ❑Not Applicable
Additional Comments/Assumptions:
1 JHigh Impact(Tier.1) 12 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Collette Construction Report date:. 11/03/20
Data.filenarrie: Page 10 of10
j
2018 IECC energy
Efficiency Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 13.00
Floor 0.00
Ceiling/Roof . 49.00
Ductwork (unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.29
Door - 0.29 Cooling -
Heating&
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
Specification
FLE](° 100H • AUG , o 202'
TOWN OF QUEENSBURY �A• I vi
Heat Recovery Ventilator . BUILDING&CODES ,cws
Product#: 463333
Fans
Two(2)factory-balanced.fans with backward curved blades. Motors come
with permanently lubricated, sealed ball-bearings to guarantee long life
, - and maintenance-free operation.
Heat Recovery Core
Aluminum heat recovery core covered by a limited lifetime warranty.Core
} dimensions are 8.5"x 8.5"(216 x 216 mm]with a 12"(305 mm) depth.
.;;•.;u:a;!:;>; ;-:,,:�;,,,.,.,;,;;�;;;;,t•, Our heat exchangers are designed and manufactured to withstand
extreme temperature variations.
I IN
WinterguardT"".Defrost
The FLEX 1O0H incorporates a unique and quiet internal recirculation
defrost that does not depressurize the home during the defrost cycle.A
preset defrost sequence is activated when the outdoor temperature falls
below 23'F(-5°C)and automatically adjusts itself based on operating
As Fantech's-masterpiece of versatility, features and efficiency,the conditions.The fan speed is also adjusted automatically to provide a
FLEX 1 DOH is ideal for high-rise.apartment applications, condominiums, smooth and quiet transition between Ventilation 6 Defrost mode.
single and multifamily homes.With its compact top port design Serviceability
featuring 5 inch oval collars and the included EZ-Mount wall bracket, the Core, filters, fans and electronic panel can be accesses easily from the
FLEX 100H, can be installed in spaces as small as 24 inches, such as a access panel. Core conveniently slides out with only 14"(356 mm)
closet or maintenance'room. clearance.
Unlike traditional HRVs that require'excessive power to meet Duct Connections -
supplemental ventilation needs, the compact,.yet powerful FLEX 100H. 5"(125mm1 Oval plastic duct connections with integrated balancing
allows for sizing based entirely on principal ventilation requirements. damper and airflow measurement ports.
With its exclusive TurboTauch feature,the FLEX 1 OOH can deliver up to
5O%more exhaust capacity to easily meet supplemental ventilation Case
needs whenever additional airflow is required. 24 gauge galvanized pre-painted steel corrosion resistant
Features Insulation
• TurboTouch function boosts exhaust capacity by up to 50% Cabinet is fully insulated with 1"(25 mm)high density expanded
• 5" (125mm) oval duct connections,with integrated airflow polystyrene.
measurement
• Removable screw terminal for easy connection Filters
• Lightweight: only 39 Ibs(17.7 kg) including core Two(2)washable electrostatic panel type air filters 8.5"(216mm)x
• Super compact size 12.5"(318 mml x 0.125"(3mm).
• Top port design fits in tight spaces Drain
• Includes EZ-Mount wall bracket 1/2"(13mm) 00(outside diameter]drain spout provided,entire bottom
• Aluminum heat recovery core• Multiple speed operation of unit covered by drain pan.
• Internal recirculation defrost Warranty
Optional Controls: Limited lifetime on aluminum core,7 year on motors,and 5 year on parts.
• ECO-TOUCH"° - Programmable Touch Screen Well Control
• ECO-Feel - Automatic IAQ Control
• EDF7 - Electronic multi-function dehumidistat.
• RTS-W - Wireless 20/40/60 minute timer RC_0585-2021
i•RTS2 - 20 minute timer over-ride 30117-3-52
-
• RTS5 - 20/40/60 minute timer � f(e1aC0 �-�-C
• MOEH1 - Dehumidistat
Specifications 882 Sherman Ave
Duct size - 5-(125mm)oval rj$5 S.f., Gar. 550 s•f•
• Voltage/Phase - 120/1
SFD W/gas FP 1
• Power rated - 168 W
• Amp - 1.4 A •'• . fantech
• Average airflow - 104 cfm[49 Vs] '
a systemair company
Dimensions li Airflow
E F
fresh air
to inside
D C fresh air
from outside
stale air
from inside
stale L q to outside
FLEX 100H 21 1/2 545 141/2 .368 15% 397 17 7/e 454 22 112 572 15 381
Ounensional information is In Inches.Clearance of 14'1356mm)in Iront of the unit is recommended for removal
of core.All units feature three foot plug-in power cord with 3-prong plug,
I►entilation Performance Airflow IL/s]
®I I 0 12 24 35 47 59 71 82 94
"VIM
r I® I® f®® I®
1.0 250
®®®®®®®® 1 Reduced Speed
2 Med Speed
Net supply airflow 130(621 1221581 113(531 104(49) 95(45) 86(401 76(36) 65(31) EEL Os 3 Normal,Speed zoo
= 4 Turbo
Gross supply airflow 135164) -127(60) 118(551 i 108 1511 99(471" •89(421' . 79-(371 68(3121. o.6 Mo a
Gross exhaust airflow 134(631 1221581 112(53) 102(481 93(44) 84 140) 75(351 63(30) 1
N
'Turbu Mode is all imermim it made only.It can he ac:tivaced with the RTS2.RTS5 and the ECO-Touch for up to 60 minutes, a OA O 100
Only tt.e data of the normal speed are HVA certified. 3
Balancing Ronge:70 cfnl(33 Us)to 110 cfin(52 Us) 5 oz so
in
If a balanced flow outside the above range is required,please revisit Our product offerings to ensure a properly sized unit N
is selected
0.00 25 50 75 100 125 150 175 2080
Airflow(cfm)
Energy performance
MAP—Parent sensible Lallent recauery/maisture.
effectivenrSs' transfer
32 0 63 30 64 61 71
32- 0. 7B 37 60 so 70- -
32 0 100 47 96 59 68
13 -25. '•. 66 31, 77 5B 80.
'Not an HVI certified value
Requirements and standards
• Complies with the UL 1812 requirements regulating the construction and installation of Heat Recovery Ventilators
• Complies with the CSA 022.2 no.113 Standard applicable to ventilators
• Complies with the CSA F326 requirements regulating the installation of Heat Recovery Ventilators
• Technical data was obtained from published results of test relating to CSA C439 Standards
Contacts Distributed by:
Submitted by: Date:
Quantity: Model: Proiect#:
Comments:
Location:
Architect:
Engineer: Contractor:
United States 10048 Industrial Blvd.-Lenexa,KS 66215•1.800.747.1762•www.fanterh.net m rirs . O
Canada 50 Kanalflakt Way.-Bouctouche,NS E4S 3M5�1.800.565M48•wvvw.fantech.net •0 fantech
R
Systeao-rese the right to modiPl.at any Lime and vnthour notice,any or all of Its products'leacures,designs,compo- ••:•,.
rlonts and specifications to maintain their terhnological leadership position. :�•.•
•'• a systemair company
Your Company Here... collette sherman ave
Your Address Here...-City Here...,State Here..Zip Here...
Phone Here.....-Email Here...
Sales Consultant:
Job#: R
L5 LS RY En
Date: 08/05/2021
U U I
Equipment Selection TOWN OF QUEENSBURY
BUILDING&CODAS
Design Conditions
Design Location: Glens Falls AP, New York Relative Humidity: 50%
Elevation: 335 ft Summer Outdoor Design: 92
Latitude: 43* N Winter Outdoor Design: -17
Daily Range: Medium Summer Indoor Design: 72
Design Grains 26 Winter Indoor Design: 70
Heating Equipment
Mfg: YORK BY JOHNSON CONTROLS Altitude Correction Factor: 0
Model: TM9E660I312MP11 Heating Input(btuh): 60000
AHRI Ref#: 7117949 Heating Output(btuh): 67000
Efficiency (AFUE): 95 Calculated HeatPump 0
Output @ Design (btuh):
Cooling Equipment
Mfg: CHAMPION BY JOHNSON Altitude Correction Factor: 0
Oudoor Unit Model: TC3132421 Rated Total Cooling (btuh): 23400
Coil: FC/MC1PC36B+TXV Sensible Cooling (btuh): 19000
Furnace: TM9E060B12MP11 Latent Cooling (btuh): 5850
AHRI Ref M. 8535380 SEER - EER@95:
Heat Pump HSPF:
Summary
MJ8 Calculations Status Equipment Capacities
Sensible Gain (btuh): 17682 Sufficient Sensible Capacity (btuh): 19000
Latent Gain (btuh): 1545 Sufficient Latent Capacity(btuh): 5850
Total Heat Gain (btuh): 19227 Sufficient Total Capacity (btuh): 23400
Heat Loss (tituh): 32179 Sufficient Heating Capacity(btuh): 57000
Adtek AccuLoad Report Version 17.3.5 Page 2
Your Company here... collette sherman ave
Your Address Here...-City Here..., State Here..Zip Here...
Phone Here..... -Email Here...
Sales Consultant:
Job#:
Date: 08/05/2021
Expanded Manual S (ACCA Guidelines)
MJ8 Design Calculations
Sensible Gain (btuh): 17682 Design TD for Airflow: 17
Latent Gain (btuh): 1545 Design CFM: 946
Total Heat Gain (btuh): 19227 SHR: 0.92
Heat Loss(btuh): 32179
Manufacturers Performance Data(A)
Entering Coil Temperature=75 (F db) Lower Return Air Total Sensible Latent SHR
CFM (F wb) BTUH BTUH BTUH
Rated CFN @ Rated RA Temperature: 0 0 0 0
Rated CFN @ Design RA Temperature: 0 63 0 0 0
Rated CFN @ Rated RA Temperature: 0 0 0 0
Manufacturers Performance Data (B)
Entering Coil Temperature=75 (F db) Higher Return Air Total Sensible Latent
CFM (F wb) BTUH BTUH BTUH SHR
Rated CFN @ Rated RA Temperature: 0 0 0 0
Rated CFN @ Design RA Temperature: 0 63 0 0 0
Rated CFN @ Rated RA Temperature: 0 0 0 0
Equipment Performance Data
Entering Coil Temperature=75 (F db) Design Return Air. Total Sensible Latent
CFM (F wb) BTUH BTUH BTUH SHR
Iritopolated Equipment Capaciy 0 0 0
Excess Latent Capacity Calculation 0 0 0 0 0
Capacity @ Design CFM/RA (F wb) 0 0 0
Equipment Capacity as a % of Design
Equipment Performance Data
Ca pa Thermal Supplemental
Entering Coil Temperature=75(F db) Capacity ciBalance Heat Required
@ 47 F db @17 F db Point
Heat Pump Data N/A N/A 0 0
Input Output AFUE Temperature
Desired Calculated
Capacity Capacity Rise Airflow
Furnace Datal NIA N/A I N/A I N/A 1 0
Adtek AccuLoad Report Version 17.3.5 Page 11
Your Company Here... collette sherman ave
Your Address Here...-City Here..., State Here..Zip Here...
Phone Here..... -Email Here...
Sales Consultant:
Job#:
Date: 08/06/2021
System I .(Average Load Procedure)
Design Conditions
Location: Glens Falls AP, New York Elevation: 335 ft Daily Range: Medium
Input Data: Outdoor Dry Bulb Indoor Dry Bulb Latitude: 43' N Design Grains: 26
Summer: 92 72 Heated Area 1428 Sq.Ft.
Winter: -17 70 Cooled Area 1428 Sq.Ft.
Heat/Loss Summary (July Heat Load Calculations)
Gross Sensible Latent
Area Loss Gain Gain
Walls 1585.5 7728 1803 . 0
Windows. 177 7055 6556 0
Doors 42 2192 782 0
Ceilings-' 1428 3603 1115 0
Skylights 0 0 0 0
Floors 1428 1627 386. 0 .
Room Internal Loads 0 3400 0
Blower Load 1707 0
Hot-Water Piping Load 0 0 0
Winter Humidification Load 0 0 0_
Infiltration 9974 1172 942 - ----
Approved ACCA
Ventilation 0 0 0 MJ8 Calculations
Duct Loss/Gain EHLF=O ESGF=O 0 761 603
AED Excursion. n/a 0 n/a
Subtotal 32179 17682 1546
Total Heating 32179 Btuh
Total Cooling 19227 Btuh 64 Linear ft.of Hydronic Baseboard
*Calculations are based on the-ACCA Manual J 8th Edition and are approved by ACCA.All computed calculations are
estimates based on building use,weather data,and inputted values such as R-Values,window types,duct loss, etc.
Equipment selection should meet both the latent and sensible gain as well as building heat loss.
Adtek Accul-oad Report Version 17.3.5 Page 1
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TOWN OF QUEENSBURY
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JLT S'uildircg Services,LLC
700 Indian Road l
Fort Plain,NY 13339
519-925-7719
jitbuildiniservices@InnaiLcom
Blower Door Test Results Report
Test Date: April 12,2022
Client Name; Collette Construction Inc.
Client Address: 38 Collette Lane }
Hudson Falls,NY
Test Site Address: 882 Upper Sherman Ave
Queensbury,NY
t
4
Test Data Area Tested[cult]: 31,636 cult
t
I
Infiltration Rate Results[CFM@50pa]: 2,327 cfm50 4
ACH50#as tested at 50 Pascal: 2.52 ach
t
*2018 Code NU02AI-2 requires<_3ach
Based on our test results your building......... PASSED
*Air Infiltration Testing for 2018 IECC Residential Cade Provisions and 2020 NYS Energy Code R402.4.1.2
t certify the above information as performed in accordance with Resnet/ICC380,ANSI E779 or ASTM E1827 protocols,and BPI
standards using up to date calibrated Retrotec equipment models#5101 and#DM32 as required.
Thank You for choosing XT Building Services LLC j
Jim Telfer
BPI ID#5058106
i
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