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CC-0042-2023 Office Use Only ADDITION/ALTERATION PERMIT Permit#: CC - 004 Z" 20 22---,,, Town ofQneensbury APPLICATION Permit Fee:$ 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensbury.net Invoice#: r�) Tqlt> Flood Zone? Y N Reviewed By: PD Project Location: 21 Baywood Drive h Tax Map ID#: 296.11-1-37 Subdivisi n N IV F Q(J BUlL®ING coO��RY PROJECT INFORMATION: TYPE: ❑ Residential 42 Commercial, Proposed Use: Dental Office ❑ Single-Family ❑ Two-Family ❑ Multi-Family(#of units_) ❑ Townhouse ❑ Business Office ❑ Retail ❑ Industrial/Warehouse ❑ Garage (#of cars ) 2 Other(describe Dental Office ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: 1st floor: 525 SF 2nd floor: 2nd floor: 780 SF 3rd floor: 3rd floor: Basement(habitable space): Basement (habitable space): Total sq ft: Total sq ft: 1,305 SF Scope of work to be done: Project includes interior alteration of first floor space to rearrange patient space and to finish existing second floor office space (currently attic storage) - New exterior windows from second floor space will be added. No other exterior alterations will be made, all work to be done within the bounds of the existing building. Addition/Alteration Application Revised June 2022 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 50,000 2. Source of Heat(circle one): 42 Gas ❑ Oil ❑ Propane ❑ Solar ❑ Other: Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application 3. Are there any structures not shown on the plot plan? ❑ YES 2 NO Explain: 4. Are there any easements on the property? ❑ YES 2 NO SITE INFORMATION: • Is this a corner lot? ❑ YES ONO • Will the grade be changed as a result of the construction? ❑ YES 2 NO • What is the water source? 2 PUBLIC ❑ PRIVATE WELL • What type of wastewater system is on the parcel? ❑ SEWER 2 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100% of the fee is retained.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. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. 1 certify that the application, plans and supporting materials are a true and a 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. 5. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 6. 1 also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of certificate of occupancy. I have read and agree to the above: PRINT NAME: Ethan P. Hall -Architect\Agent for the Applicant SIGNATURE: �� DATE: 2 Feb 2023 Addition/Alteration Application Revised June 2022 V CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL e Applicant: Name(s): 21 Baywood Drive LLC-Dr. Diana Sandu Mailing Address, C/S/Z: 21 Baywood Drive, Queensbury NY 12804 Cell Phone: ( Land Line: ( S1S )792-6756 Email: diana@sandudental.com Primary Owner(s): Name(s): 21 Baywood Drive LLC-Dr. Diana Sandu Mailing Address, C/S/Z: 21 Baywood Drive, Queensbury NY 12804 Cell Phone: ( Land Line: 518 )792-6756 Email: diana@sandudental.com ❑ Check if all work will be performed by property owner only e Contractor(s): (List all additional contractors on the back of this form) Contact Name(s): Corhouse Construction-Scott Corhouse Contractor Trade: General Construction Mailing Address, C/S/Z: 25 Jacobie Road, South Glens Falls NY 12803 Cell Phone: 518 )744-2585 Land Line: 518 )793-0416 Email: corhouseca-)roadrunner.com **Workers' Comp documentation must be submitted with this application** e Arch itect(sVEnei nee r(s): Business Name: Rucinski Hall Architecture Contact Name(s): Ethan P. Hall Mailing Address, C/S/Z: 134 Dix Ave, Glens Falls NY 12801 Cell Phone: 518 )260-2888 Land Line: 518 )741-0268 Email:ephall@nycap.rr.com Contact Person for Compliance in regards to this project: Ethan P. Hall Cell Phone: 518 )260-2888 Land Line: ( 51a )741-0268 Email: ephall(Wnycap.mcom s Addition/Alteration Application Revised June 2022 COMcheck Software Version 4.1.5.0 M u._ Envelope Compliance Certificate N Ln N M Project Information EF1 E7r0PY O c Energy Code: 2018 IECC V O Project Title: Dr.Diana Sandu Dental Office Renovations V Location: Glens Falls, New York Climate Zone: 6a ` Q Project Type: Alteration FOVP AAw`Cj` ^ C in C Vertical Glazing/Wall Area: 4% �A A M M t--t Construction Site: Owne ® Designer/Contractor: N 21 Baybrook Drive Dr. Q Ethan P. Hall r-I .M Queensbury, NY 12804 2 i rive Rucinski Hall Architecture a E ury, NY 12804 134 Dix Ave 01 L ,-q 0O 792-6756 Glens Falls, NY 12801 N N U diana@sandudental.com 518-741-0274 ephall@nycap.rr.com _ Building Area Floor Area 1-Office: Nonresidential 1076 Envelope Assemblies R-Value Proposed Max.Allowed Post-Alteration Assembly Cavity Cont. U-Factor SHGC U-Factor SHGC Roof 1:Attic Roof with Wood Joists,[Bldg.Use 1 -Office], -- -- -- -- — -- Exemption:Framing cavity filled with insulation. Exterior Wall 1:Wood-Framed,16"o.c.,[Bldg.Use 1 -Office], -- -- -- -- -- -- Exemption:Framing cavity filled with insulation. Window 1:Wood Frame:Fixed,Other,Fixed,Fixed,[Bldg.Use 1 - — -- 0.290 0.330 0.360 0.400 Office] Floor 1:Wood-Framed,[Bldg.Use 1 -Office],Exemption: -- -- -- -- -- -- Framing cavity not exposed. (a)Fenestration product performance must be certified in accordance with NFRC and requires supporting documentation. Envelope Envelope Compliance Statement Compliance Statement. The proposed envelope alteration project represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application.-The proposed envelope systems have been designed to meet the 2018 IECC requirements in COMcheck Ver ' n'4.A-5- and `comply with any applicable mandatory requirements listed in the Inspection Checklist. �r s� Ethan P. Hall-Architect _ `'t�k, ,.�•c "•�:,. ;� sa;';; Name- itle—®^ "— Date rnvvt� OF Project Tit!Ie:-.-••-Dr.DiaTfa"Saridu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 1 of 14 • COMcheck Software Version 4.1.5.0 Interior Lighting Compliance Certificate Project Information Energy Code: 2018 IECC Project Title: Dr. Diana Sandu Dental Office Renovations Project Type: Alteration Construction Site: Owner/Agent: Designer/Contractor: 21 Baybrook Drive Dr. Diana Sandu Ethan P. Hall Queensbury, NY 12804 21 Baybrook Drive Rucinski Hall Architecture Queensbury, NY 12804 134 Dix Ave (518) 792-6756 Glens Falls, NY 12801 diana@sandudental.com 518-741-0274 ephall@nycap.rr.com Allowed Interior Lighting Power A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Wafts/ft2 (B X C) 1-Common Space Types:Office-Enclosed 289 0.93 269 2-Common Space Types:Office-Open Plan 787 0.81 637 Total Allowed Watts= 906 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. Common Space Types:Office-Enclosed (289 sq.ft.) LED 1:LED Linear 17W: 1 4 34 136 Common Space Types:Office-Open Plan(787 sq.ft.) LED 2:LED Linear 17W: 1 12 34 408 LED 3:LED A Lamp 13W: 1 6 28 168 Total Proposed Watts= 712 ,in te rior 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 2018 IECC requiremen in COMc ck Ve ion .1.5.0 and to comply with any applicable mandatory requirements listed in the Inspection Ch k st. /�� /n,/ Ethan P.Hall-Architect !�! .i�//- Name-Title Sign a Date Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 2 of 14 COMcheck Software Version 4.1.5.0 Exterior Lighting Compliance Certificate Project Information Energy Code: 2018 IECC Project Title: Dr. Diana Sandu Dental Office Renovations Project Type: Alteration Exterior Lighting Zone 2(Neighborhood business district) Construction Site: Owner/Agent: Designer/Contractor: 21 Baybrook Drive Dr. Diana Sandu Ethan P. Hall Queensbury, NY 12804 21 Baybrook Drive Rucinski Hall Architecture Queensbury, NY 12804 134 Dix Ave (518) 792-6756 Glens Falls, NY 12801 diana@sandudental.com 518-741-0274 ephall@nycap.rr.com Allowed Exterior Lighting Power A B C D E Area/Surface Category Quantity Allowed Tradable Allowed Watts Watts/Unit Wattage (B X C) Entry canopy 2 ft2 0.25 Yes 0 Total Tradable Watts(a)= 0 Total Allowed Watts= 0 Total Allowed Supplemental Watts(b)= 400 (a)Wattage tradeoffs are only allowed between tradable areas/surfaces. (b)A supplemental allowance equal to 400 watts may be applied toward compliance of both non-tradable and tradable areas/surfaces. Proposed Exterior Lighting Power A B C D E Fixture ID : Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. Entry canopy(2 ft2):Tradable Wattage LED 1:LED A Lamp 13W: 1 4 32 128 Total Tradable Proposed Watts= 128 Exterior Lighting PASSES Exterior Lighting Compliance Statement Compliance Statement: The proposed exterior lighting alteration project represented in this document is consistent with the building plans,specifications, and other calculations submitted with this permit application.The proposed exterior lighting systems have been designed to meet the 2018 IECC requirement ' CO Mc 5.0 and to comply with any applicable mandatory requirements listed in the Inspection Che 1'. ' t. �//1A Ethan P. Hall-Architect 94 DV • `vl� Name-Title Signat& Date Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 3 of 14 COMcheck Software Version 4.1.5.0 Mechanical Compliance Certificate Project Information Energy Code: 2018 IECC Project Title: Dr. Diana Sandu Dental Office Renovations Location: Glens Falls, New York Climate Zone: 6a Project Type: Alteration Construction Site: Owner/Agent: Designer/Contractor: 21 Baybrook Drive Dr.Diana Sandu Ethan P. Hall Queensbury, NY 12804 21 Baybrook Drive Rucinski Hall Architecture Queensbury, NY 12804 134 Dix Ave (518) 792-6756 Glens Falls, NY 12801 diana@sandudental.com 518-741-0274 ephall@nycap.rr.com Mechanical Systems List Quantity System Type&Description 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 2018 IECC requirements in COMcheckAe .5.0il to ly ' h any applicable mandatory requirements listed in the Inspection Checklist. AV—. /f�Ethan P. Hall-Architect �99 Name-Title Signat Date Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 4 of 14 COMcheck Software Version 4.1.5.0 Inspection Checklist Energy Code: 2018 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 & Re .ID C103.2 Plans and/or specifications provide all ;❑Complies ;Requirement will be met. [PR1]1 :information with which compliance !❑Does Not ;can be determined for the building ❑Not Observable; Location on plans/spec:A-1 ;envelope and document where exceptions to the standard are ;❑Not Applicable j ;claimed. C103.2 ;Plans,specifications, and/or I❑Complies ;Requirement will be met. [PR4]1 :calculations provide all information :❑Does Not ;with which compliance can be 'Location on plans/spec:A-1 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. C103.2 !Plans,specifications, and/or ClComplies ;Requirement will be met. [PR8]1 calculations provide all information ;❑Does Not with which compliance can be ;❑Not Observable:Location on plans/spec:A-1 determined for the exterior lighting ,and electrical systems and equipment ;❑Not Applicable ;and document where exceptions to ;the standard are claimed.Information provided should include exterior ;lighting power calculations,wattage of :bulbs and ballasts,transformers and control devices. C402.4.1 ;The vertical fenestration area <=30 ;❑Complies ;Requirement will be met. [PR10]1 :percent of the gross above-grade wall ❑Does Not area. :Location on plans/spec:A-1 ❑Not Observable ❑Not Applicable C402.4.1 ;The skylight area <= 3 percent of the ;❑Complies ;Requirement will be met. [PR11]1 :gross roof area. ;❑Does Not '❑Not Observable:Location on plans/spec:A-1 ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 5 of 14 Section # Footing/Foundation Inspection Complies? Comments/Assumptions & Req.ID C303.2.1 Exterior insulation protected against {❑Complies ;Requirement will be met. [FO6]1 damage,sunlight, moisture,wind, ElDoes Not ;landscaping and equipment ; maintenance activities. :❑Not Observable ;❑Not Applicable C402.2.6 ;Radiant heating systems panels ;❑Complies ;Exception: Requirement does not apply. [FO12]3 :insulated to>=R-3.5 on face opposite :❑Does Not space being heated. See the Envelope Assemblies table for values. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 6 of 14 Section # Framing/Rough-In Inspection Complies? Comments/Assumptions & Req.ID C303.1.3 Fenestration products rated in ;❑Complies ;Requirement will be met. [FR12]2 I accordance with NFRC. ;❑Does Not I ;❑Not Observable:Location on plans/spec:A-1 I ;❑Not Applicable C303.1.3 !Fenestration products are certified as ;❑Complies !Requirement will be met. [FR13]1 :to performance labels or certificates :❑Does Not provided. Location on plans/spec:A-1 ;❑Not Observable; ❑Not Applicable C402.4.3 ;Vertical fenestration SHGC value. ;❑Complies ;See the Envelope Assemblies table for values. [FR10]1 !❑Does Not ; ❑Not Observable ❑Not Applicable C402.4.3, ;Vertical fenestration U-Factor. ;❑Complies ;See the Envelope Assemblies table for values. C402.4.3. ;❑Does Not 4 [FR8]1 I ;❑Not Observable; ❑Not Applicable C402.5.1 ;The building envelope contains a ❑Complies ;Requirement will be met. [FR16]1 :continuous air barrier that is sealed in T❑Does Not ,an approved manner and either :Location on plans/spec:A-1 ,,an constructed or tested in an approved ;❑Not Observable manner.Air barrier penetrations are ;❑Not Applicable ;sealed in an approved manner. C402.5.2, ;Factory-built fenestration and doors ;❑Complies ;Requirement will be met. C402.5.4 are labeled as meeting air leakage :,❑Does Not [FR18]3 requirements. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const.Dwg's\Sandu Dental Renovations.cck Page 7 of 14 Section # Mechanical Rough-In Inspection Complies? Comments/Assumptions & Re .ID C402.5.5, Stair and elevator shaft vents have ;❑Complies ;Exception: Requirement does not apply. C403.2.4. i motorized dampers that automatically :,❑Does Not 3 ;close. Refernece section C403.7.7 for [ME3]3 ;operational details. ,❑Not Observable ;❑Not Applicable C403.7.7 ;Outdoor air and exhaust systems have;❑Complies ;Requirement will be met. [ME58]3 (motorized dampers that automatically :❑Does Not shut when not in use and meet Location on plans/spec:A-1 maximum leakage rates.Check ❑Not Observable i gravity dampers where allowed. :❑Not Applicable Reference section language for operational details. Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 8 of 14 Section # Rough-In Electrical Inspection Complies? Comments/Assumptions & Req.ID C405.2.2. ;Spaces required to have light- ;❑Complies ;Requirement will be met. 2 :reduction controls have a manual ;❑Does Not [EL22]1 :control that allows the occupant to ; ,reduce the connected lighting load in ;❑Not Observable a reasonably uniform illumination :❑Not Applicable ; pattern >= 50 percent. C405.2.1, ;Occupancy sensors installed in ;❑Complies ;Requirement will be met. C405.2.1, classrooms/lecture/training rooms, ❑Does Not 1 conference/meeting/multipurpose :Location on plans/spec:A-1 [EL18]1 rooms, copy/print rooms, :❑Not Observable j lounges/breakrooms,enclosed offices, .❑Not Applicable ; ;open plan office areas, restrooms, ;storage rooms, locker rooms, warehouse storage areas,and other spaces<=300 sgft that are enclosed by floor-to-ceiling height partitions. ; Reference section language C405.2.1.2 for control function in ;warehouses and section C405.2.1.3 ;for open plan office spaces. C405.2.1. ;Occupancy sensors control function in ;❑Complies ;Exception: Requirement does not apply. 2 'warehouses: In warehouses,the ;❑Does Not [EL19]1 ;lighting in aisleways and open areas is; ;controlled with occupant sensors that ;❑Not Observable: automatically reduce lighting power ;❑Not Applicable by 50%or more when the areas are unoccupied.The occupant sensors ; control lighting in each aisleway independently and do not control lighting beyond the aisleway being ; controlled by the sensor. C405.2.1. ;Occupant sensor control function in ;❑Complies ;Requirement will be met. 3 open plan office areas: Occupant ;❑Does Not [EL20]1 ;sensor controls in open office spaces ❑Not Observable: Location on plans/spec:A-1 >=300 sq.ft. have controls 1) configured so that general lighting can i❑Not Applicable be controlled separately in control ; zones with floor areas<=600 sq.ft. ; within the space, 2) automatically turn off general lighting in all control zones (within 20 minutes after all occupants have left the space, 3) are configured :so that general lighting power in each control zone is reduced by>=80%of ; ;the full zone general lighting power ;within 20 minutes of all occupants leaving that control zone, and 4)are ; configured such that any daylight ,responsive control will activate space general lighting or control zone ;general lighting only when occupancy ;for the same area is detected. ; C405.2.2, i Each area not served by occupancy ;❑Complies ;Requirement will be met. C405.2.2. (sensors(per C405.2.1)have time- ;❑Does Not 1, !switch controls and functions detailed ; :Location on plans/spec:A-1 C405.2.2. in sections C405.2.2.1 and C405.2.2.2.;❑Not Observable 2 ;❑Not Applicable ; [EL21]2 ; 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const.Dwg's\Sandu Dental Renovations.cck Page 9 of 14 Section # Rough-In Electrical Inspection Complies? Comments/Assumptions & Re .ID C405.2.3, ;Daylight zones provided with ;❑Complies ;Exception: Requirement does not apply. C405.2.3. ;individual controls that control the ;❑Does Not 1, ;lights independent of general area i❑Not Observable C405.2.3. ;lighting.See code section C405.2.3 2 ;Daylight-responsive controls for ;❑Not Applicable [EL23]2 ;applicable spaces, C405.2.3.1 Daylight; responsive control function and ; !section C405.2.3.2 Sidelit zone. C405.2.4 ;,Separate lighting control devices for ;❑Complies ;Requirement will be met. [EL26]1 !specific uses installed per approved :❑Does Not ;lighting plans. Location on plans/spec:A-1 ❑Not Observable ❑Not Applicable C405.2.4 ;Additional interior lighting power ;❑Complies ;Requirement will be met. [EL27]1 :allowed for special functions per the ElDoes Not approved lighting plans and is ;[:]Not Observable;Location on plans/spec:A-1 ;automatically controlled and , separated from general lighting. ;❑Not Applicable C405.2.5 ;Automatic lighting controls for exterior;❑Complies :Requirement will be met. [EL28]"°° :lighting installed.Controls will be ;❑Does Not ;daylight controlled,set based on I :Location on plans/spec:A-1 :business operation time-of-day,or ;❑Not Observable reduce connected lighting >30%. !❑Not Applicable C405.3 Exit signs do not exceed 5 watts per ;❑Complies ;Requirement will be met. [EL6]1 face. ;❑Does Not ❑Not Observable;Location on plans/spec:A-1 ❑Not Applicable C405.6 ;Low-voltage dry-type distribution ;❑Complies ;Exception: Requirement does not apply. [EL26]2 electric transformers meet the ;❑Does Not minimum efficiency requirements of 'Table C405.6. !❑Not Observable; ❑Not Applicable C405.7 ;Electric motors meet the minimum ;❑Complies ;Exception: Requirement does not apply. [EL27]2 ;efficiency requirements of Tables :❑Does Not �C405.7(1)through C405.7(4). ❑Not Observable; Efficiency verified through certification; under an approved certification ;❑Not Applicable ; program or the equipment efficiency ratings shall be provided by motor manufacturer(where certification ! programs do not exist). C405.8.2, !Escalators and moving walks comply ;❑Complies :Exception: Requirement does not apply. C405.8.2. with ASME A17.1/CSA B44 and have ;❑Does Not 1 ;automatic controls configured to [EL28]2 reduce speed to the minimum :❑Not Observable permitted speed in accordance with !❑Not Applicable ASME A17.1/CSA B44 or applicable ;local code when not conveying passengers. C405.9 ;Total voltage drop across the ;❑Complies ;Exception: Requirement does not apply. [EL29]2 �combination of feeders and branch Z Does Not circuits<=5%. UNot Observable ❑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: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 10 of 14 Section # Insulation Inspection Complies? Comments/Assumptions & Req.ID C303.1 ;,Roof insulation installed per ElComplies ;Requirement will be met. [IN3]1 manufacturer's instructions. Blown or :❑Does Not ;poured loose-fill insulation is installed ❑Not Observable;Location on plans/spec:A-1 only where the roof slope is<=3 in 12. ;❑Not Applicable C402.2.1 ;.Insulation installed on a suspended ElComplies ;Exception: Requirement does not apply. [IN20]1 :ceiling having ceiling tiles is not being :❑Does Not ;specified for roor/ceiling assemblies. Continuous insulation board installed ;❑Not Observable in 2 or more layers with edge joints ;❑Not Applicable :.offset between layers. C303.1 ;Building envelope insulation is labeled ;❑Complies ;Requirement will be met. [IN10]2 ;with R-value or insulation certificate ;❑Does Not providing R-value and other relevant ; data. ❑Not Observable ❑Not Applicable C303.2 ;Above-grade wall insulation installed ElComplies ;Requirement will be met. [IN7]1 :per manufacturer's instructions. ;❑Does Not ❑Not Observable;Location on plans/spec:A-1 ;❑Not Applicable C303.2, ;Floor insulation installed per ElComplies ;Exception: Requirement does not apply. C402.2.4 ;manufacturer's instructions. Cavity or 1❑Does Not [IN9]2 structural slab insulation installed in permanent contact with underside of ❑Not Observable decking or structural slabs. ;❑Not Applicable ; C303.2.1 ;Exterior insulation is protected from ;❑Complies ;Exception: Requirement does not apply. [IN14]2 ,damage with a protective material. :❑Does Not Verification for exposed foundation insulation may need to occur during ;❑Not Observable Foundation Inspection. :[]Not Applicable C105 Installed above-grade wall insulation ;❑Complies ;See the Envelope Assemblies table for values. [IN6]1 type and R-value consistent with :❑Does Not insulation specifications reported in plans and COMcheck reports. ❑Not Observable ❑Not Applicable ; C402.2.3 Installed floor insulation type and R- ElComplies ;See the Envelope Assemblies table for values. [IN8]2 !value consistent with insulation ;❑Does Not ;specifications reported in plans and j COMcheck reports. �❑Not Observable j❑Not Applicable C402.2.6 ;Radiant panels and associated ;❑Complies ;Exception: Requirement does not apply. [IN18]3 components, designed for heat ;❑Does Not ;transferfrom the panel surfaces to the; occupants or indoor space are :❑Not Observable insulated with a minimum of R-3.5. ;❑Not Applicable C105 :Installed roof insulation type and R- ;❑Complies ;See the Envelope Assemblies table for values. [IN2]1 value consistent with insulation ;❑Does Not :specifications reported in plans and COMcheck reports. For some ceiling ;❑Not Observable systems,verification may need to ;❑Not Applicable ; occur during Framing Inspection. C402.5.1. :All sources of air leakage in the ;❑Complies !Requirement will be met. 1 building thermal envelope are sealed, :❑Does Not [IN1]1 :caulked, gasketed,weather stripped ❑Not Observable;Location on plans/spec:A-1 or wrapped with moisture vapor- permeable wrapping material to ;❑Not Applicable j minimize air leakage. Additional Comments/Assumptions: 1 I High Impact(Tier 1) 12 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 11 of 14 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 12 of 14 Section # Final Inspection Complies? Comments/Assumptions & Re .ID C303.3, i Furnished O&M instructions for !❑Complies ;Requirement will be met. C408.2.5. 1 systems and equipment to the ;❑Does Not 2 ;building owner or designated ; [FI17]3 ;representative. ;❑Not Observable ❑Not Applicable ; C402.5.8 !Recessed luminaires in thermal ;❑Complies ;Exception: Requirement does not apply. [FI26]3 ;envelope to limit infiltration and be IC :,❑Does Not rated and labeled.Seal between interior finish and luminaire housing. ;❑Not Observable 1,❑Not Applicable ; C405.4.1 Interior installed lamp and fixture ;❑Complies ;See the Interior Lighting fixture schedule for values. [FI18]1 lighting power is consistent with what :❑Does Not is shown on the approved lighting ❑Not Observable plans, demonstrating proposed watts are less than or equal to allowed ;❑Not Applicable watts. C405.5.1 ;Exterior lighting power is consistent ;❑Complies ;See the Exterior Lighting fixture schedule for values. [FI19]1 with what is shown on the approved ;❑Does Not ;lighting plans,demonstrating proposed watts are less than or equal ;❑Not Observable to allowed watts. ;❑Not Applicable ; C408.1.1 ;Building operations and maintenance ;❑Complies :Requirement will be met. [FI57]1 !documents will be provided to the ;❑Does Not owner. Documents will cover manufacturers' information, ,❑Not Observable specifications, programming ;❑Not Applicable :procedures and means of illustrating to owner how building,equipment and ;systems are intended to be installed, maintained,and operated. C408.2.5. ;Furnished as-built drawings for ;❑Complies !Requirement will be met. 1 electric power systems within 90 days 1❑Does Not i [F[16]3 ;of system acceptance. ❑Not Observable; ❑Not Applicable C408.3 Lighting systems have been tested to ;❑Complies ;Requirement will be met. [F133]1 ensure proper calibration,adjustment, I❑Does Not programming,and operation. !Location on plans/spec:A-1 ❑Not Observable, ❑Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 13 of 14 Project Title: Dr. Diana Sandu Dental Office Renovations Report date: 11/29/22 Data filename: Y:\Dr.Sandu Dental Office-21 Baywood Drive\Const. Dwg's\Sandu Dental Renovations.cck Page 14 of 14 LIFEEraQ I=-== m Model 155MAX ®THE-ULTIMATE AIR EXCHANGER ENGINEERING DATA THERMALLY CONDUCTIVE,PATENTED ALUMINUM CORE The cross-flow heat recovery core transfers heat between the two airstreams.It is easily removed Performance((HVI certified) for cleaning or service. Net supply air flow in.T (tls)against ertema!sttnlc pressure MOTORS AND BLOWERS -E.S.P Each air stream has one centrifugal blower driven by a common PSC motor.5 speed fan operation. (extemgl stallc pressure) (cfm(USH FILTERS @ 0.1'(25 Pa) 144(68) Washable air filters in exhaust and supply air streams. @ 0.2'(50 Pa) 134(63) MOUNTING THE kRV Four threaded inserts at comers of the cabinet designed to accept the"S"hooks and hanging straps ®0.3'(75 Pa) 125(59) supplied with the unit @ 0.4'(100 Pa) 113(53) DEFROST Recirculating damper defrost system 0 0.5'(125 Pa) 92(43) CASE @ 0.6'(150 Pa) 73(34) Twenty gauge prepainted galvanized steel(G60)for superior corrosion resistance.Insulated to Max.Temperature Recovery 78 prevent exterior condensation.Drain connections 2- 1/2 (12 met)OD.Balancing ports are located in the door. Sensible Effectiveness WEIGHT 71 Ibs•(32.3 kg) SHIPPING WEIGHT 73 lbs.(33.2 kg) ®65 cfm(31 Us) 32°F(0°C) 73% CONTROLS&ELECTRONICS `Sensible Efficiency The Lifestyle MAX Digital Control(included with unit)can he wall mounted in a central location ®65 cfm(31 Us) 32°F(0°C) 64% of the home. (3 wire)20 gauge wire(min.)100'length 'Sensible Efficiency Electronic features include: 0 68 cfm(32 Us) -13'F(-25°C) 66%_ - •5 Speed Operation on each mode VAC @ 60HZ 120 •4 user selectable operational modes:Continuous Ventil o , WATTS l Lowspeed. 84 20 ON/40 Recirculation,Continuous Recirculation WATTS/HI h Bed 117 •Humidity Control through dehumidistat IL g— •Adjustable Dehumidistat function built into the main all contra P y Amp rating 1.4 Built-in Relay for Interfacing to furnace Sensibie EAtclency-Owmat ~Latent Ef olency-moisture OPTIONAL PROGRAMMABLE CONTROL Note:Effectiverim-bwedon temp dii ferentlal betty du 2 air=b = 99LLS-01 Lifestyle MAX Programmable Control-contains all the features of the Lifestyle Efuiency—take+6rto actor Ball power inputs MAX Digital Control with 7/24 programmable ventilation,(3 wire)20 gauge wire (min.)100'length 160 s-Hier,speea OPTIONAL TIMERS 5 •4-Medwn High Speed 99-DETOI Lifestyle 20/40/60 Minute Timer-Initiates high speed ventilation for 20,40,or 60 140 3-Harsco"saeea '2-Melbum Low SVwd minutes,(3 wire)20 gauge wire(min.)1Q0'length 12n •1-Lox sp-d 99-20MOl Lifestyle 20 Minute Timer-Initiates high speed ventilation for 20 minutes, _ MH"'at'°e'S°nca (3 wite)20 gauge wire(min.)100'length. 1 too - 99-101 Mechanical Timer-Initiates high speed ventilation for up to 60 minutes, a a (2 wire)20 gauge wire(min.)100'length 60 2 OPTIONAL ACCESSORIES60 99-DH-01 Lifestyle Dehamldistat-Initiates high speed ventilation when the indoor humidity 1 level is above the set point.(3 wire)20 gauge wire(min.)I W length 99-163 Duct Heater w/Electronic SCR Thermostat,I Kw,6"(150 mm) 20 99-186 Weatherhoods,Two-6"(150 Thin)e/w 1/4"(6 met)mesh screen o 0.1 (12 0.3 0.4 0.5 0.6 0_7 DIMENSIONS 155MAX inches(mm) settle Pres®rre On w.g.) FRESH AIR BTALEAIR -NOTE.R=1,aim vf2514dn fe95mm) NO, [/�1f�g FROM OUTSIDE `y FROM INSIDE le recrommeiMNedkrsnlwcing unit. "- �� ®� RECIRCULATING FI LTERS BALANCINGDAMPER .rMllwrtMc4r DEFROST All units conform to CSA and UL standards. DAMPER CORE..`� _ I —BLOWERS /MOTOR WARRANTY 0' Units a LIFETRYIE w the heat recovery ore and a 5 .:•• warranty very year replacement parts warranty. on c STALE JURTO INS INs AIR , To oursIDme TO as s1e• w. Jesamm BALANCING DAMPER CONDENSATE DRAINS ( l is aa• •AN Duct Connections 6'(150mm) (375) Date: Contractor: Tag. City: Supplier: Project: Quote#: Engineer: Submitted by: Iti A11UA Lo McCormick Blvd. Da Regency Ridge,Suite 210ISO,London,Ontario NSW 4C8 Dayton,Ohio 45459 T(519)457-1904 T(937)439-6676 1 F(519)457-1676 F(937)439-6686 9 Email:info®nfebreath.com Websits:wwwJ!Mbmam.com 10 Downloaded from.www.Manwlslib.com manuals search engine --r MA SUBMITTAL AR12TSFABWKNCV/AR12TSFABWKXCV Page t of 4 SUNU Samsung'Wind-FreeTm2Z,wall mounted evaporator, split system Job Name Location Purchaser Engineer Submitted to Reference = Approval Construction 0 Unit Designation Schedule# Specifications [indoor Unit RNS12ABT <- gllysaBo US Code [outdoor Unit RXS12AST �f%may Model [indoor Unit ARI2TSFABWKNCV � -^ Y 011odel Number Y _ ;Outdoor Unit ARI2TSFABWKKCV Nominal Capacity Coolin /Heatin (Btulh 12,000/12,000 Capacity Range Cooling_(Btum) _ ._ _ .._.._ 3,00D-15,000 {Heating(Btulh) 2,600-21,500 Performance SEER/EER 23113.6 fi COP Nominal Heating I 4.25 -d _ �HSPF 12.5 (actual equipment appearance may vary) AHRI Reference Number 205132629 _ [Voltage 0/V!Hz 1./208-230/60 __ General Information Working Voltage Range(VAC) - 176-254 -The indoor unit shall feature"Wind-Free'-"mode'. In cooling mode,as room Power 'Operating Current Cooling_(A) 1.014.2/6.3 temperature nears set temperature,the unit will dose its louver and will :(Min./Std./Max.) Heating A 1.1/3.8/9.8 disperse air into the space through thousands of micro-holes on the front of i Max.Breaker Amps_ 20 the indoor unit preventing cold air drafts on occupants. [Min.Circuit Ampa city(A) _ 12,5 •The indoor unit shall have Wi-Fi capability as standard Indoor Unit Outdoor unit shall provide 208/230V power to indoor unit via 14 AWG X 3 W X H X D(in.) - -[ Outdoor Unit _ 311_/8_X 2_1 9/16 X 11 114 interconnect power cable _ Dimensions I Indoor Unit 23.4 Construction Weight(Ibs.) Outdoor Unit 1 70.8 -indoor unit chassis shall be UL94 VO with a galvanized steel mounting [Condensate Connection 11/16"OD Sound Pressure Indoor Unit ILow/Hi h d8 22/39 bracket I __ �( ) — ----- -The indoor unit shall have easy-access to wire,pipe,and drain connections Level Outdoor Unit iHigh dB _ _ 46 __ - _- 1_) As access pane{on the bottom of the unit for simple installation and service Outdoor 'Cooling_____-_ 14°-115°F(-10°-46.1°C) -The outdoor unit shall be galvanized steel with a baked an powder coated Operating I ,Heating_ _ -5°-75°F(-20.5'-23.9°C_)_ finish for durability Temperatures Indoor Cooling 61°-90°F 16°-32°C 'Heating 81°F 27°C or less _ HeatExehanger indoor&Outdoor [High side(flare) 114" -The heat exchangers shall be mechanically bonded fin to copper tube Pie Connections !Low side(flare) 3/8" P Maximum/Minimum Line Set Length(fL)_ 66/9.6 Refrigerant System _ Maximum Vertical Separation ft) J 49 The compressor shall be hermetically sealed,inverter controlled,BLDC Rotary {Type R410A •Refrigerant flow shall be controlled by an electronic expansion valve at the outdoor [Control Method Electronic Expansion Valve unit Refrigerant ]Factory Charge ]oz. 40.6 Indoor Fan Charged for 25 feet •The indoor fan shall be a single,antibacterial cross-flow type Additional Refrigerant _ _ 0.16 oz./ft ovee 25 ft •Three fan speed settings and auto setting i Manufacturer Samsung -Automatic(motorized)vertical swing(up/down)and horizontal swing OeWright) Type-- Compressor r 1BLDC Rotary louvers IA _.- -- iA 9.2 Type BLDC motor with cross-flow fan Controls Air Volume [Cooling(CFM) 1 251/321/3741427 •The system shall have a built in Wi-Fi adapter as standard to allow control Evaporator Fan (UM/H/Turbo) Heafing.(CFM)_ 286/357/410/463 and monitoring using the Samsung SmarfThings app(Android,IDS) �Consumption I Watts _ 27 X 1 •Du a]set temperature support when connected to MWR-WG000N FLA _____Amps 0.12 Advanced Wired Controller. 'Motor BLDC motor with axial fan(1) 'The indoor unit shall have a simple connection for overflow detection 1 Output 1 Watts 4D _ devices or any other normally dosed contact for simple unit shutdown Condenser Fen I Out !'Amps 0.0 •The indoor unit shall ship with a wireless controller,holder,and batteries ;FLA'Air Volume !AmpCFM max.L 1,589 •Wired controller options available lAir Certifications ETL(UL 1995) •Samsung central control compatible(MIM-R10UN aecessoryrequin� Interconnect control wire between outdoor and indoor unit shall be 16AWG X 2 Safety 'PCB fuses,Indoor unit terminal block thermal fuse,current . Devices transformer,over-voltage protection,crankcase healing,temperature f limit protection logic,compressor overload sensing Convenience System energy consumption can be viewed using the Samsung SmartThings Certified In accordance with the AHRI Unitary Small Air-Source Heat Pumps(USHP)Certification Program which Is mobile app or on the indoor unit display using the included wireless controller- based on the latest edition of AHRI Standard 2101240. -Al(artificial intelligence)Auto Mode technology monitors factors such as indoor temperature,outdoor temperature,set temperature,and operating time to learn the patterns within your home to automatically adjust system operation to Proper sizing and installation of equipment is critical to achieve optimal performance.Split system air conditioners and .maximize occupant comfort and efficiency(Wi-FI connection required) heat pumps(excluding ductless systems)must be matched with appropriate coil components to meet ENERGY STAR .Eco Mode to reduce energy consumption during low demand operation criteria.Ask your contractor for details or visit www.energystar.gov. -Smart install mode-startup system diagnostics operation to ensure system 'The Wnd-Free-unit delivers an air current that is under 0.15 m/s while in Wind-Free-mode. Air velocity that Is readiness during initial operation below 0.15 mis is considered"still air'as defined by ASHRAE(American Society of Heating,Refrigerating,and Air- :Auto restart Conditioning Engineers). •Auto Clean Function •7segment digital display on front of unit to display temperature and unit status Samsung HVAC maintains a policy of ongoing development,specifications are subject to change without notice. Refer -"Fast'made to quickly reach set temperature to wrww.AliRldIrectory.org for current reference numbers. •Auto*changeover •Good sleep mode •Quiet mode -Dry mode -Simple ON/OFF time function-Using the wireless controller specify the ON FILE �� and/or OFF times O •Electrostatic,washable,main filter as standard accessible from the top of unit i• cON lb •Filter cleaning reminder ®2020 Samsung HA RAG12282ti20AC Intertek wmrw.SamsungHVAC.com . r S A M S U N G SUBMITTAL AR12TSFABWKNCV/AR12TSFABVMCV Page 2of4 Its. Samsung"Wind-FreeTm2.0",wall mounted evaporator, split system Optional Accessories Optional Accessories Condensate pump Aspen Mini Orange 0 ASP-M0 UNIV 110-250 Blue Diamond BD-BLUE-230 Advanced MWR-WGOOUN (Wired controller' i Simple Touch MWR-SH11 UN Wired controller sub-PCB j MIM-A000N :24 VAC thermostat adapter _ _ I r 1 MIM-A60UN External temperature sensor MRW-TA Central control interface module 0 MIM-R10UN External contact control interface module 1 MIM-814 Line sets-insulated and flared,interconnect cables included -- 25'-ILS2506 0 50'-ILS5006 Wall bracket(for outdoor unit) CKN-250 Wind Baffle/Guard Front I WBF-3M Back I WBB-51V! 'Sub-PCB model MIM-A000N is required when connecting optional wired controllers 'When applying MIM-B14 external contact control interface module.MIM-A000N wired controller sub-PCB is required. 888-699-6067 www.SamsungHVAC.com r Page 3ot4 ,��VI U SUBMITTALAR12TSFABWKNCV/AR12TSFABWKXCV .1I! Samsung'Wind-FreeTm2.0", wall mounted evaporator,split system Indoor unit dimensional drawing Unit:inches I' 35 r 8 7/16 m M I or Ni N If ll'o J 35 r m' Imo_ 18 3/8__ 16 518 n �loaetao�_:s=_'; <;o tap m loc to o,l.o m2g1 !•, „ o Via• Sat 1 r� II•o aril "�o;, �. L 1 1 �12 95/8 112 2 1/2 3 5116 MOUNTING PLATE 888-699-6067 www.SamsungHVAC.com SUBMITTAL AR1 2TSFABWKNCV/AR12TSFABWKXCV Paje 4 of 4 1 SAMSUNG Samsung"Wind-FreeTm2.0",wall mounted evaporator, split systemI Outdoor unit dimensional drawing 311/8 Unit:inches 23 11/16 .3 1/2. C.4 LO TOP (pictured without'valve/wire cover on right side) 111/4 201/16 4� Co r Y, 0 7 -Z 57 FRONT RIGHT (pictured without valve/wire cover on right side) (pictured without valve/wire co For reference only.Always refer to installation manual for complete detalls. Minimum clearance from walls and ceiling Basic power and communication wiring' I Z�� between indoor and outdoor units I 4'dnimum Indoor UnUnitS'minimum I __5,minhum L1 L2 F1 F2 Ll L2 Fl F2 T_ 24minimufn l -- - --- - — — —— — — ——— — ————— 12,minimum 1.__JTm1Mimum F1 F2 24'minmm 1 Li L2 Communication Main Power Knimum clearance fromnearby ntyobstructions 888-699-6067 (See installation manual for full details.Be vixe ofnabanal,state,and beat codes) V4WW.SamsungHVAC.com Outdoor Unit FIRE MARSHAL'S OFFICE Toum of Queensbury 742 Bay Road, Queensbury, NY 12804 "Hone of Natural Beauty ... A Good Place to Live " PLAN REVIEW Dr Diana Sandu 21 Baywood Drive CC-0042-2023 2/3/2023 The following comments are based on a review of submittals: • Verify fire extinguisher location and inspection • Verify paths of egress • CO detection is required • Locks /Latches to comply with Chapter 10 of IFC • Provide Knox Box and entry key for FD • Function test exit/El lighting • Provide NFPA 72 letter of compliance for any modifications to fire alarm system. Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 -firemarshal@queensbury.net Fi r e M a r s h a l 's Off i c e P h o.n e: 518-761-8206 F a x: 518-745-4437 hrentarshal@queensbicnl.net zu UMqueensbunimet Y:\Dr. Sandu Dental Office - 21 Baywood Drive\Paperwork\Transmittal -25 July 2023.doc 1 RUCINSKI HALL ARCHITECTURE Ronald Richard Rucinski Ethan Peter Hall 134 Dix Avenue Glens Falls NY 12801 Voice 518 741-0268 Fax 518 741-0274 Email ephall@nycap.rr.com Transmittal To: Mark Smith – Town of Queensbury – Code Enforcement Office From: Ethan Hall Date: 25 July, 2023 Re: Dr. Diana Sandu – Dental Office renovations – as-built Mark, At the above referenced project location this office has made periodic observations of the work during construction and we find the completed work to be in compliance with the approved construction drawings and this work is acceptable to this office. We are providing electronic as-built copies of the construction drawings for the Town files. We understand that the final interior alterations to the sterilization lab space will be completed in the next couple of weeks and if there are any additional revisions to the plans based on the construction of that space we will further update the as-built plans however I see no reason why that space should not be constructed as drawn. If there are any questions please let me know. Regards, Ethan P. Hall Architect