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RC-0275-2023
Lake Placid, NY 12946 PO. Box 767— 15 Cooper St. (518) 523-1600 Glens Falls, NY 12801 Mahoney Fax(518) 793-9602 (518) 793-7788 Notff7-plus' k1c. Plattsburgh, NY 12901 Fax (518) 793-0602 Alarms (518) 566-9147 �^.r aho e al'arrns r� Fax (518) 793-0602 April 18,2024 Tarn Moynihan 81 Assembly Paint Road Lake George,New York 12845 To Whom It May Concern: This letter will certify testing of the fire alarm system have been tested and found funs Tonal as of April 17,2024.At the time of the inspection all fire devices were found to be 100%operational. The syst m was installed and operational in accordance to NFPA72. Should you have any questions,please do not hesitate to contact our office. Sin .rely, Sherry Stoddard Inspection Manager Envelope Leakage Test Testing Company: Technician: Name: LoCascio Energy Solutions Name: Anthony LoCascio Address: 20 Ogden Rd. Credentials: HERS Rater#4242961 Queensbury ,, NEW YORK 12804 Phone: 5188573144 Email: tony@locascioenergysolutions.com www.locascioenergysolutions.com Building Information: Customer Information: Project ID: 81 Assembly Name: J Clarke Construction Address: 81 Assembly Pt. Rd Address: Lake George , NY 12845 Geo-Tag Data: Latitude: 43.456062 Longitude: -73.651626 Tim estam p: 2024-04-18 11:47:03 Measured Leakage: 1,250.7 CFM50 Test ID: 81 Purpose of Test: 50 Pa Env. Leakage Measured ACH50: 1.62 Effective Leakage Area: 68.8 in Building Volume: 46,264.0 ft3 Enclosure Surface Area: 5,544.0 ft2 Coefficient (C): 98.4 Exponent (n): 0.650 (assumed) Test Standard: RESNET 380 One-Point Test Mode: Depressurize Test Characteristics: Indoor Temp: 68 °F Outdoor Temp: 48 °F Altitude: 339.0 ft Time Average Period: 10 seconds Test Date and Time: 2024-04-18 12:05:56 2000 Depressuirize eu 180 800 700 600 500 400 300 200 4 5 6 7 8 9110 20 30 40 50 60 Building Pressure(Pa) Envelope Leakage Test Test Readings: Target (Pa) Bldg_(Pa) Adj Bldg (Pa) Fan (Pa) Flow (cfm) Config Baseline 0.8 -50.0 -51.6 -52.4 -54.2 1,331.3 Ring A Test Equipment: Flow Device: Model 3 110V Fan Serial #: 3173 Custom Calibration Date: 2023-02-28 Pressure Gauge: DG1000 Serial #: 3172 Calibration Date: 2023-11-20 Deviations from Standard: • None Comments: None Report by TEC Auto Test 1.9.1 (8), ©2023 The Energy Conservatory, Inc. Page 2 of 2 Mahoney Eire Afar In oIII,,,,PI,i,u; lu s. spe Ian and �e tln _Form arms lens Falls (518)793-7788 P.O.Box 767 lattsburgh (51'8)566-9147 15 Cooper Street coo ake Placid (518)523-1600 Glens Falls,NY 12801r2-300 oll Free (800)794-6277 Custorner ax (518)793-0602 Control Unit Name: Manufacturer: Address: � ,.. Model: Voltage: ... Last Service mate: Owner/Contact: Phone Number: dialer Manufacturer: M Today's Late. Start Time: End Time : Dialer Model: Voltage: Notificationsr ricer bo: any est ng Monitoring Entity ra yes No Time: Building Occupants/Manager Yes No Time.: Communication Type f7, DID FkNetwork F- Radio F Reverse Polarity Cellular Backup Communication Yes " No Type: Db 'NetworkRadio Reverse Polarity Cellular Backup Communicator Battery Ptislr Fail Device nCircuit 11'>hfor a io Quantity Tested Class T st Type Result A, -' B Manual FweAlarm Boxes Visual' Functional Pass Fall - A 8 Visual Functional Pass F Fail A g Photo Detectors " Visual Functional Pass Fail A B Duct.Detectors ' "Visual Functional ' Pass r7 Fall A B Neat Detectors F- Visual Functional Pass Fail '". A B waterflow Switches �` Visual Functional r7, Pass Fail' A B Fire Doors � Visual Functional r-� Pass F°"' Fail F- A B Bells+Morns ` Visual Functional Pass Fall A F7 B Horn,/Strobes F Visual Functional f7 Pass Fail A B Strobes Visual Functional Pass Fail --Notification devices have 2MR fire-rated cable assembly Yes F No B Speakers Visual " Functional Pass f—" Fail kl A B Sprinkler Valve Supervisory — � �`"` Visual Functional f— Pass Fail A OK B w (" Visual j F, Functional' Pass r-" Fall r, B ( Visual Functional I—, Pass Fall A - B Beam Detectors Visual Functional µ' Pass ( Fail A �. B, Sprinkler Low Temip Visual f7 Functional Pass Fail A r7 B Sprinkler Low Air Visual' 17 Functional ' Pass Fall A B Fire Pump Visual Functional C— Pass f""", Fail I ---ty—stem Tesft and—in—spections L Device Test Type Device Test Type Control Unit Visual Functional Audible Notification D vices Visual Functional Larrill Fl� Visual Functional Visible Notification Devices Visual Trouble Signals Functional F-1 Visual Functional Telephone Lines)/Network Visual Functional ystem Dedicated Circuit S Power upply S Yes No Unknown Panelboard and Circuit Breaker Designation Yes No Unknown Circuit Number is Labeled on Fire Alarm Control Unit Yes No F- Unknown Disconnecting Means is Secured , Yes Disconnecting Means is Clearly Labeled Na Unknowl Yes No Unknown A Batteries Type: Qtv:--L Type: Qty: Date of Install: 14 Date of Install: 2-00 — or,Unknown F or Unknown f7 Charger,Test Pass F Fail Unknown Charger Test Pass, Fail [7 Unknown Load Voltage Pass f- Fail' Unknown Load Voltage Pass Fail Unknown Discharge Test Pass F- Fail Unknown Discharge Test Pass Fail Unknown Battery Condition P(Pass r- Fail Unknown Battery Condition f-- Pass Fail Unknown Have any devices been added since the last inspection? F- Yes No Is the fire alarm control: unit protected by a smoke detector? -4 Yes No Was the transmission of alarm events to the Central Station confirmed? Yes [7 No Dispatcher's ID Have the following been notified that testing is complete? Monitoring Agency g Yes No Building Occupants/Management Yes No Is the system functioning normally? IX Yes No c-C) Comments: h I�st eg� ell. ....... brilliviiiiiiiij jw—ixc wt tFpA 7;z e fName of Inspecting Technician: Name of Owner or Represen:ative Technician's signature: Signature of Owner or Rep: Date: Time: Date: Time: 14111 5109 RL - 02-1-5- 2023 SERVICE CONTRACT FOR THE FUJI CLEAN TREATMENT TECHNOLOGY Ellsworth & Son Excavating, Inc. has been contracted by Fuji Clean USA and their Authorized Distributor to provide you with the first two years of service,maintenance,and operation as well as any warranty service should it be required. This contract has been paid in full on your behalf. This contract is provided in accordance with applicable state and local regulations. This contract, entered into between Ellsworth&Son Excavating, Inc. and G.Thomas Moynihan, Jr. &Joan Moynihan shall be binding upon both parties in accordance with the conditions and terms set forth below: Contract Date: April 23,2024 Term of Contract: 2 years Location of Technology: property address: 81 Assembly Point Road, Lake George, NY 12845 Model: Fujiclean CE7 Maintenance and Other Services shall consist of: a. Inspection, Maintenance, and Operation: Service Provider agrees to inspect, maintain and operate the Fuji Clean treatment system per the TN DEC and manufacturer's requirements.This includes but is not limited to the following: - two service visits per year (6-month intervals). Service visits will include performance of operation and maintenance activities detailed in the Operation and Maintenance manual; - check the sludge depth to determine the need for pumping; - inspection of the final effluent to determine proper operational performance;and - test the process parameters including but not limited to DO, pH, and turbidity to maintain proper operation; b. Service Calls: Service Provider will provide services calls within.two business days. Service Provider will apply a charge for labor, travel time and shipping for any necessary replacement parts unless covered by the manufacturer's warranty. c. Completed inspection form will be submitted to local and state authorities as required. d. Contract is transferable in the event of sale of the home. The owner of the system agrees to use the system as outlined in the owner's manual.The owner also understands that any abuse of the system may void the manufacturer's warranty. Owner acknowledges that the following items can overtax the biological process of the system and shall avoid introducing dental floss, disposable diapers, kitty litter, sanitary napkins, tampons, cigarette butts, condoms and other items of similar nature. Owner acknowledges that the following can destroy the biological process and agrees to not introduce chemicals such as paints, varnishes, thinners,waste oils, photographic solutions, pesticides and excessive amounts of household chemicals into the system. The owner acknowledges that violation of these terms will void the manufacturer's warranty and may be in violation of state law. Homeowner Date / Service Provider: ��'L Date'04-23-2024 (Authorized Agent) Please sign and return to the Service Provider whose name and address appear below: Ellsworth & Son Excavating, Inc 10302 State Route 149 Fort Ann, NY 12827