RC-0177-2023 ( '- Office Use Only
, ) ADDITION/ALTERATION PERMIT Permit#: RC-O nr- - 2-02;.:2-)
Town ofQuecn b APPLICATION Permit Fee:$ M 5
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.queensbury.net Invoice#: (90 i Lc)
Flood Zone? Y & Reviewed By:�
Project Location: JZ19' (A),t2.* P\Ouv ,\ Rd_ l quizer‘s-lovrti lUy
Tax Map ID#: IL't,b r 1- Subdivision Name:
PROJECT INFORMATION:
TYPE: .r Residential ❑ Commercial, Proposed Use:
Single-Family ❑ Two-Family ❑ Multi-Family(#of units_) ❑ Townhouse
❑ Business Office ❑ Retail ❑ Industrial/Warehouse ❑ Garage (#of cars )
❑ Other(describe )
ADDITION SQUARE FOOTAGE: - ALTERATION SQUARE FOOTAGE: •
1stfloor: i/6v 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement (habitable space):
Total sq ft: Total sq ft:
Scope of work to be done: S ' )ccj . c)csF ;nb_ 2c,,c-k15 e i10;Ce J
•
✓V e-v- Roc V v\'- (3,N
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•
Addition/Alteration Application Revised June 2022
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ oo 6 ^ 36 o vc
2. Source of Heat (circle one): ❑ Gas N"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 'N NO Explain:
4. Are there any easements on the property? ❑ YES ® NO
SITE INFORMATION: •
• Is this a corner lot? ❑ YES XI NO
• Will the grade be changed as a result of the construction? ❑ YES 4 NO
• What is the water source? In PUBLIC ❑ PRIVATE WELL
• What type of wastewater system is on the parcel? ❑ SEWER iI PRIVATE SEPTIC
DECLARATION:
1. I 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of •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. I 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
6. 'I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME:
SIGNATUR : DATE:
Addition/Alteration Application Revised June 2022
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
•' Applicant:
Name(s): % ti ,o/IN ;VIr . fe`. i cAr\
Mailing Address, C/S/Z: vJ•e-- 42 V11 r a et i qu-eer15/501
Cell Phone: ( ).3 cd''`':-2.z/ 3 Land Line: ( p
Email: Kjarva3 him re\a:k:, Q.c9 r
• Primary Owner(s):
Name(s): <C),.v\s? c) .S i\\000-
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:
XCheck if all work will be performed by property owner only
• Contractor(s): (List all additional contractors on the back of this form)
Contact Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:
**Workers' Comp documentation must be submitted with this application**
• Architect(s)/Engineer(s):
Business Name: '
Contact Name(s):
Mailing Address, C/S/Z:
• Cell Phone: ( ) Land Line: . ( )
Email:
Contact Person for Compliance in regards to this project: lA h \ k,,aS en
Cell Phone: (S% ) S2'I3 Land Line: (S15 ) 33 c6— (CZ q
Email: , .A. 3'‘, 5\c c'c'
Addition/Alteration Application Revised June 2022
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s): 5`1' u3ec ✓ fZc, C-;n
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
=T15: at_ \Jou r12._
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s): k)z-i\fv.-+K 5Ic 35�r�
Contractor Trade:
Mailing Address, C/S/Z: /Zl c'I r& + :11'1 o'11 aAv\ 12-v1 `
Cell Phone: 4i g 3 3S f 2y3 Land Line:
Email: ,'/..,mod 3 I,.c\'rre;. . r O rr
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor 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
Contractor Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line:
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
Addition/Alteration Application Revised June 2022
0Com,, i Generated by REScheek-Web Software
liance C FILE COPY
p ert�ficate _
Project Slawson Rebuild A ? P° }
a .� rh -. /fie
Energy Cade: 2018 IECC / U t•,r/o0
Location: Glens Falls, REVIEWED FOR i'ii� 7n JNewt �' vConstruction Type: Single-family ENERGY CODE COMP6 CE- 'Crl
Project Type: Alteration C ', ,,� r. r-s l/07Climate Zone: 6 (7635 HDD) �" ,•..� i{s% e- --a
u � �Permit Date: ." ' fir
Permit Number: ,
Construction Site: Owner/Agent: Designer/Contractor:
1219 W. Mtn Road Ken Slawson George Yasenchak
Queensbury, NY 1219 W. Mtn. Road Engineering America Company
Queensbury,NY 8 Fielding Street
Glens Falls,New York 12801
15184219245
georgeyas3@yahoo.com
Compliance: Passes using prescriptive requirements for alteration projects
Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab-on-grade
assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements.
Envelope Assemblies
Gross Area Cavity Cont. Prop. Req. Prop. Req.
Assembly or R-Value R-Value U-Factor U-Factor UA UA
Perimeter
Ceiling: Flat Ceiling or Scissor Truss 1,344 49.0 0.0 0.026 0.026 35 35
Wall:Wood Frame, 16"o.c.
Exemption: Framing cavity filled with insulation — -�
Door: Solid Door(under 50%glazing) 42 0.170 0.300 7 13
Window:Vinyl Frame 100 0.300 0.300 30 30
Basement Wall: Masonry Block w/Empty Cells
Wall height: 0.0'
Depth below grade: 0.0' --- --- -- -_ -_ --- ---
Insulation depth: 0.0'
Exemption: Framing cavity not exposed.
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 ibuild' �q{�pg9p.desi9ned to meet the 2018 IECC requirements in
REScheck Version : REScheck-Web and to comply with the mandat. ;°�611Fi. , ff ftetl i t e REScheck Inspection Checklist.
er f -.Sf,1'c�/AZ 41 . 4 q(d vy 4 4/23
Name-Titl� 1If4 sigga4,c Je n•G?'1 Dat
l-147 am ,—. ', �\ ft.
288.-1-71 RC-0177-2023 . r'- ='' ``�~
.,`r..'aM . Report date: 04/19/23
Slawson, Kenneth
1219 West Mountain Rd Page 1 of 9
Residentail Alterations 1100 s.f.
ciREScheck Software VersionChecklist: REScheck-Web
Energy Code: 2018 IECC
Requirements: 100.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
:Section
i .:_: i- ' Plans_Verified ;Field:verified,:. ,:::. :•::>; ' Comments/Assumptions,
',# Pre-Inspecton/Plan Revew Vl Vlu ?» Com lie Comme is/Assumption�
s.,
103.1, Construction drawings and ' 3,❑Complies Requirement; will be met.
103.2 documentation demonstrate i❑Does Not
[PR1]1 energy code compliance for the I -
r building envelope.Thermal il=INot Observable
envelope represented on - , : - ;❑Not Applicable
construction documents.
103.1, ;Construction drawings and i❑Complies ;Requirement will be met.
103.2, documentation demonstrate ❑Does Not
403.7 ;energy code compliance for I ,.
[PR3]1 I lighting and mechanical systems. E" ONot Observable
i4 j Systems serving multiple f ❑Not Applicable
,dwelling units must demonstrate
compliance with the IECC
Commercial Provisions. f
302.1, I Heating and cooling equipment is Heating: Heating: ipComplies :Requirement will be met.
403.7 ,sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
[PR2]2 ;on loads calculated per ACCA Cooling: Cooling: ;Location on plans/spec:
i Manual J or other methods ' Btu/hr Btu/hr ❑Not Observable :Not Applicable-using
!approved by the code official. ;❑Not Applicable ;existing
,
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) ,3 Low Impact(Tier 3)
Project Title: Slawson Rebuild Report date: 04/19/23
Data filename: Page 2 of 9
•
Section. ,.. . . -
# Foundat�on Ins ction plans Verified ;;.Field:Veriffed .```
P Value Value Complies , Comments/Assumptions
& Req.ID
402.1.1 Conditioned basement wall I R- ': R- ❑Complies See the Envelope Assemblies
[FO4]1 :insulation R-value.Where interior R- R- ❑Does Not table for values.
; ,insulation is used,verification
lJ may need to occur during ❑Not Observable
Insulation Inspection. Not ❑Not Applicable
required in warm-humid locations
in Climate Zone 3.
303.2 ;Conditioned basement wall 1 - ❑Complies Requirement will be met.
[FO5]1 'insulation installed per I 1
: ,� manufacturer's instructions. I❑Does Not Location on plans/spec:
❑Not Observable Not Applicable
❑Not Applicable
402.2.9 Conditioned basement wall ft ft i❑Complies See the Envelope Assemblies
[FO6]1 insulation depth of burial or ❑Does Not table for values.
`i. distance from top of wall.
❑Not Observable
❑Not Applicable
303.2.1 IA protective covering is installed ` -
[F01l]2 -to protect exposed exterior } ` -.= ❑Complies Exception: Requirement is
insulation and extends a ; • ❑Does Not not applicable.
(minimum of 6 in. below grade. j - , ,❑Not Observable
.- - ?❑Not Applicable
403.9 Snow-and ice-melting system ; • : - - (❑Complies ;Exception: Requirement is
[FO12]2 controls installed. I ❑Does Not not applicable.
I ,❑Not Observable
1❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2. Medium Impact(Tier 2) ,3 Low Impact(Tier 3)
Project Title: Slawson Rebuild Report date: 04/19/23
Data filename: Page 3 of 9
i---Field Venfted-,', ,,C,orpOljes3::.„ ,,cornnries/Asumptiorls:,
402.1.1, Door U-factor. U- U- OComplies See the Envelope Assemblies
402.3.4
10Does Not table for values.
[FR1P
1:Not Observable
4
il=INot Applicable
402.1.1, ;Glazing U-factor(area-weighted U- U- I:Complies ;See the Envelope Assemblies
402.3.1, average).
DDoes Not ;table for values.
402.3.3,
402 ClNot Observable
.5
[FR2]1 ilDNot Applicable
4 :
"
303.1.3 ;U-factors of fenestration products" r; -22 - - Li' :.-,--1.--iComplies Requirement will be met.
[FRO are determined in accordance ' _ , , ; - --- , -,`-. 10Does Not
with the NFRC test procedure or
--' ' -- .1 0Not Observable •
taken from the default table. , ,. -
j1=INot Applicable
402.4.1.1 Air barrier and thermal barrier _:'3 '::- ' ,:' ' 'L :iDComplies Requirement will be met.
[FR23]1 installed per manufacturer's
- '": -'--, '),, . ODoes Not
(-4 instructions.
,'.. ‘. ,,,,--f" ' , ' i I , --_:, : 11=1Not Observable
-, - . ; IONot Applicable
402.4.3 Fenestration that is not site built - ,-;, , ' _':- _ ', -, ADComplies Requirement will be met.
[FR2OP is listed and labeled as meeting -' - , ' - . fEl
' . . . . Does Not
. . ,
:.s..b ,
AAMA/WDMA/CSA 101/I.S.2/A440
or has infiltration rates per NFRC ; : ,
400 that do not exceed code . ',II:Not Observable
.: _ - -_,Lir-iNot Applicable
limits.
,
402.4.5 i IC-rated recessed lighting fixtures -.:,' - : ...%--e,', ' ',, .--11:Complies Exception: Requirement is
[FR16]2 ;sealed at housing/interior finish - - - - 1 •- ---10Does Not not applicable.
and labeled to indicate s2.0 cfm ,- - ,:- , '':,•-,i,—.
- - u, Not Observableleakage at 75 Pa.
CINot Applicable
, ,.- , -,
403.3.1 'Supply and return ducts in attics ''i ';-',-; : -' . , _-,';1=1Complies !Exception: Ducts located
[FR12]1- insulated >= R-8 where duct is - I"; . - ` "'' '' :.: ' ' , ',ICIDoes Not ;completely inside the
>= 3 inches in diameter and >= - ' -- .; • _ _1
, f:Not Observable building envelope.
R-6 where<3 inches.Supply and , :. „ ,- ,
return ducts in other portions of . , --;"'- .- 1:1Not Applicable
the building insulated >= R-6 for
diameter>=3 inches and R-4.2 - - .' .- ' , - 1
for<3 inches in diameter. -. .
403.3.2 Ducts, air handlers and filter , - - " ' Al:Complies Exception: Requirement is
[FR13]1 boxes are sealed with - - -': ' , 1:1Does Not not applicable.
'',..i...4) joints/seams compliant with
' ''" - ' - 2 International Mechanical Code or , '' , : -' EINot Observable
, ', ';,-,1
International Residential Code,as .-,-,. ::::-.-‘, , ;'.! ,•::, :;f:Not Applicable
applicable. ;
403.3.5 'i Building cavities are not used as ' ' -...,, : -- ' ' - 7 1:. Complies Requirement will be met.
[01115P':: ;ducts or plenums. ; , , . i , ,. ;DDoes Not
1:3Not Observable
,
, -- • it:Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) -3-: Low Impact(Tier 3)
Project Title: Slawson Rebuild• Report date: 04/19/23
Data filename:
Page 4 of 9
. , ,-f:- ;.• -, ;, - , : 1'•Nrailei-ified--..'.1,FielCI:Aferifiecr,, : :.,' '--,--%: — :-. .f,,::-' '--t -- -;•.:'• -
i '.-t l, -rta6i69 i KOO9h4111 !ilijitiOn f'::-'-':...-:v:-j '-'..::',-...,:':''.,' ':':rvalu -":
: iiikS?, .1i'7,;:_,Cornments/Apst*rnppon.s...,:.
&:Rect.ID :'';:ii:::;::s!,-.,.;-- :,_e.,.y.!:,.„.„!,-,:,,,-,-,.:::,_,,-, -,, :,-::::f,,,,i',,,,,:! 4!-'-.,:-:'!:::,:if:, :':i:,,,,,,;'";.:-..-,,,,...,,!:::: :,.-.--t.:57, ,,,-1, .;'::.;1,--±5:,: ,;:;:i,' :; ,--,--.--', ::.:":"';' '''':::.:;',,..", ';-E;'.,•.-,. ,-.-:,'„::',-
„_,
403.3:7: ;Ducts declared to be within the ,,,,,..: ;-,;-- ' - `": ,' y '.;:', is. : .`,'„ 2,:.- ::',:c ILJConnplies ;Exception: Requirement is
[FR2873 _ :conditioned space are either 1) i `,.-`,:'.::.. ' - ::--' :;' - ''':-' ,-', j1=1Does Not :not applicable.
" , -•._ Icompletely within the continuous 1 : .. :, ,," - -,-
• barrier • • buildingl' _- , ,-ADNot Observable
air and within the : : - ,...,
ithermal envelope,2) buried :. : ,.;:::.:, :: . . ,. . LJNot Applicable
. „
?within ceiling insulation in 1 '.".'.1: - .:' ,,I. .,'i f ' :.•.''---. . ' ' -:'''.:
accordance with Section
', ,,- •:-.‘ ' i R403.3.6 and the air handler is
", • -;located completely within the
,„.
continuous air barrier and within
!the building thermal envelope
land 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 and above the insulated
- duct>=to the proposed ceiling i :'linsulation R-value, less the R• - - -..„ „ - . ! ' -,.. , •,. .
''-' 'I,-• ' :-T,value of the insulation on the
403.4 iHVAC piping conveying fluids R- R- !ElConnplies :Exception: Requirement is
[FR17]2` i above 105 PF or chilled fluids ii2Does Not i not applicable.
below 55°F are insulated to R-
-',,c?) , ' 153. ;ONot Observable
i0Not Applicable
403.4.1 ;Protection of insulation on HVAC '' : -..' - f:-...;, Complies Exception: Requirement is
[FR2411 ;piping. ' - -"ODoes Not not applicable.
(4 1
: '",' : '" . ' f.' :- -, r'• lEINot Observable
•,11=1Not Applicable ,
403.5.3, i Hot water pipes are insulated to R- ' R- OComplies Exception: Requirement is
[FR18]2 l R-3. —
DDoes Not not applicable.
ONot Observable
1 ,
el:Not Applicable
403.6 '!Automatic or gravity dampers are f • . •,- . • • : I=1Complies Requirement will be met.
[FR19]2 i installed on all outdoor air , ,, , ,:, ..,„, ,, 1 Does Not
- !intakes and exhausts.
I ` ' '.-- :- •
' I=INot Observable
--: --,-, - IDNot Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) -2 Medium Impact(Tier 2) .,3';: Low Impact(Tier 3)
Project Title: Slawson Rebuild Report date: 04/19/23
Data filename: Page 5 of 9
Section:] ... '':„'::: _ Plans: -Verified .:,---:_Field if t.- cii., -: :-:,, '--.:.
# Insulation IriiPettibri..::'; `-::::;= - r.,-..•;: „ , eri..T ‘-:::...Cdmplies? :-.-2;:' CortiMerits/ASSiiMptiOns':
ue
303.1 :All installed insulation is labeled `, : ' • :. .- ' : ' " : -1=lConnplies Requirement will be met.
i '-•
UN1312 {or the installed R-values f .„ - -? = ' - 'i-TtLiDoes Not
;provided.
' ' Not Observable ;
. ;E
)17Not Applicable
402.1.1, ;Wall insulation R-value. If this is a R- R- ElComplies See the Envelope Assemblies
402.2.5, mass wall with at least 1/2 of the 0 Wood 0 Wood ODoes Not table for values.
402.2.6 !wall insulation on the wall D Mass D Mass ONot Observable
[IN3P- ;exterior,the exterior insulation
requirement applies(FR10). ,0 Steel 0 Steel CINot Applicable
303.2 ;Wall insulation is installed per - I=IComplies ;Requirement will be met.
. ,—,
[IN4P i manufacturer's instructions. - ': I-J' - , Does Not
I=INot Observable
I=INot Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) :3 Low Impact(Tier 3)
Project Title: Slawson Rebuild Report date: 04/19/23
Data filename: Page 6 of 9
'
`
^
�-
Section
ue
402.1.1, �Celling insulation R-value. R- R- []Complies :See the Envelope Assemblies
402.2.1, Wood Wood E]Does Not table for values.
[FI1] � L8xotApp|icable
. |
]O3.z.l� [eUinsulation
]O] 2 '' ~~'^~p~ -��� �` '���� /`'� Requ�ementwiUbeme�
. ".�"""`�.o ^/ns�ucnonu '� ^ '^
[FO� Blown insulation marked every
:300ft2. IE]Not 0bseObservableaObservable
T ( |
�mo Applicable �
402Jo venteU attics with � | ^� ' " / , �
[R22� ~ Requirement w0bempt
tE]Does Not
o soffit
mthat
! anueavevent
extendsover insu/ation ' '�� ` `` �� ` '.0]mo Observable� ' []Not Applicable
4oz.2�u (*tmcaccess hatch and door � n- n-_-_ -----,' nenuimmentvwxbome�
[ns]1 xnsu|auon -n'm,|"evf�e —
uDoesmot
adjacent assembly.
| []mutouspmau|e
� []wct Applicable
*oz�.1�2 Blower door tes (�sn Pa. «=s i Acnso~ xcnsu ~ []compUes Requirement wiUbeme�
[p|z7]^ !ac»in Climate Zones z'a' and ---- ---- []ooesm,t
)
'<~sachincxmateZonesa'u. / []Not Observable Location mnpnaos/spec:
! � � []mvtApp|icab|e }Not Applicable
403.3. Ducts are pressure tested m chn/ no c��lou []connp|ies �Exception; Requirement is
[p/2711 /u,te,mineair/eauaoe�ith n� �2-- []oveswvt not app'icab|e
`e|theneouoh'intest:Tota| �
|
|eaxauemeasured with a LJmvtousemab|e
pressure differential oru.z inch LJmot Applicable
|w.o.across the system including
Ahe manufacturer's air handler
;enclosure if installed at time of
-tes . postconstmctivn test:Total
Aeakane measured with a
pressure differential ufo.zinch
w.g.across the entire
including the manufacturer's air
handler enclosure.
4oss4 ouc�ti tightness test result � ! hn '
.�. s s resu �� c /zoo c�n/zoo []comp|ies �s���m�i�m: nequinemen�is
[pw] chn/zuo�aacmss the system o, f2-- ftr— []ooesmot :not anp|icab|e
<~achn/zoo�zw/moutair
�
handler @asPa. Formuon'in ! []Not Observable �
tests,verification may need u, []mutxpp|icab|e /
occur during Framing Inspection, |
403.3- �z Air handler leakage uesWnnted '�� -�� � ` � ��� �� . []compUes |encep�om: Requirement�
[F124]1 manufacturer at<=Z96of �� .�/`� '� � �.� `�/r� �� ^���� Does Not not applicable.
design"" flow. ` . . ��' .' '
iLJmotoboemable
r� �
`.r~No Applicable
403JL1 � ' ',
. . ' � ' ^� �^ ' '� Requirement w0Ueme�
[R�P �s�Ued�vcontm/of ' � `� �` "
'^' ' ^_ ��
'heating and cooling -'--'—
|initially set by manufacturerto jE]Not Observable` 'code specifications. �' '�' `� �� ���,,'��/ ^� ' ��`IOwutxppicable
403.1.2 |Heat pump thermostat installed !Exception:Requirement is
[nJn]2 'on heat pumps � ' '�� ''�r� ^ �� �
! ! �^ '~^~p,"`""=.
Observable
�.~.
�[]NotAppUcable
*03.5.1 �'
--_--_~_----_'---- �
Q���� svv�,ns�aveaummadco, ' `� �� '� �' �����. '� ` Requirement"
accessiblemanua|contmb not applicable.
�E]Not o»oemaWe
][]NotApp|icable �
z High impact(Tie z) z Medium Impact(Tie z) 3. Low Impact(Tier s)
Project Title: S|awsonRebuild Report date: 04/19/23
Data filename:� Page 7of 9
$ection: ., ;,,, Plans'r '
Field'-'1ieii-fi'eCi '-' 'iiet4fieCi '' -;...i ''' '• ;':':'-'"' '--''':::.: '1.f-:': ' '-''.-
:#'..- : ' Final Inspection Provisions r, i:'!::,::: :,:v i • . ' .:',..-:., comPliep?,---.':-:: :: cOninjentp'somptiens;-
403.6.1 All mechanical ventilation system - ' ••l:-.; -• ' -•, ' . 1:1Complies Exception: Requirement is
[F125]2 fans not part of tested and listed ..„ , •--.. _ . '; ' , ' -- , . ,,,:IDDoes Not not applicable.
HVAC equipment meet efficacy -:',„. ••." ' - .?,•' ' ': . 1
and air flow limits per Table ENot Observable
;R403.6.1. .„ ; :,, .. •- , " . : . , r I,' , , IONot Applicable
403.2 l Hot water boilers supplying heat „, 5 ' •:, l''• -, . i.- - l=1Complies Exception: Requirement is
[F126j2 !through one-or two-pipe heating " : = ' l •• .:'" ' il2Does Not not applicable.
isystems have outdoor setback . --
• • ri
•
;control to lower boiler water „ „,• . - I ONot Observable
. ,
;temperature based on outdoor -,- . .r : -_ • :il_INot Applicable
temperature.
403.5.1.1 ;Heated water circulation systems ,: -- : : - ..• : !1=IComplies Exception: Requirement is
[F128]2 have a circulation pump.The ' - l -- .-.01Does Not not applicable.
system return pipe is a dedicated ' -•
;
;return pipe or a cold water supply l, • .: " „ - i0Not Observable
!pipe.Gravity and thermos- . " ; , -.--: ,..-. =•_. ,„ :..l-„-il=INot Applicable
;syphon circulation systems are ,
not present.Controls for
1 -, . ,„: •
circulating hot water system .
. Ipumps start the pump with signal -; --
Ifor hot water demand within the • `!'. -
!occupancy.Controls , . , ._ ..
. , I automatically turn off the pump .2 _ r --1
1
,when water is in circulation loop - -
is at set-point temperature and . ' .,- -•; • • - - ,: = ,
-
no demand for hot water exists. _ :: - ,
403.5.1.2 Electric heat trace systems - 2' ' ' ; II:Complies Exception: Requirement is
[F12912 i comply with IEEE 515.1 or UL l. - • - : ' = 1=IDoes Not not applicable.
'i515. Controls automatically . . ,-_ • .,
- !• 'adjust the energy input to the Not Observable
;heat tracing to maintain the - s - ;1=INot Applicable
'desired water temperature in the ' ::- :. • - : , . ' ; : ' 1
piping.
,_
403.5.2 I Demand recirculation water ' - : : , ILIComplies Exception: Requirement is
[F13012 ;systems have controls that 1=11Does Not not applicable.
manage operation of the pump H - ' :,H. .:_
land limit the temperature of the :Not Observable
. /water entering the cold water , ' -: ..-, - - ,, .:'-• il=1Not Applicable
piping to<= 1049-F.
403.5.4 'Drain water heat recovery units :-. -••-•,- : II:Complies l Exception: Requirement is
[ 131]2 tested in accordance with CSA . - = •' - ' il=IDoes Not ;not applicable.
B55.1. Potable water-side
,- • r . ' --'1]Not pressure loss of drain water heat ' - . .- Observable;•-• _ . ' ,._,
recovery units<3 psi for . . r 'ft...INot Applicable
individual units connected to one '' l-- - "l:' ' '`,„ _
or two showers. Potable water- " .,
side pressure loss of drain water '„,•-• -. ; , . .
heat recovery units<2 psi for
;individual units connected to . -, - .,„ ; . ,. •
. i three or more showers. , ,
404.1 '90%or more of permanent , - •_. =, ••-: -' - . -:. • il=IComplies Requirement will be met.
[F161' fixtures have high efficacy lamps. .. • _ : :' CIDoe s Not
•:'• , ; :-: ' , ;•"•' I=INot Observable
,EINot Applicable
404:1.1'-•:;Fuel gas lighting systems have l:, ._ .:- ' ''.- ; -: --. l' ';EIComplies Requirement will be met.
.,_,
[F123]3 ,-..•• no continuous pilot light. , S. • ' ;..,- . „. 1--.1. . Does Not
IONot Observable
,- , '_ = '• :.. 11=lNot Applicable
401.3 !Compliance certificate posted. _ - : ..: :-. . •-. • l-5,10Complies Requirement will be met.
[F1712 ; - . . -,
•". ... . ,,, 1--IDoes Not
,
- • ;- • . : . IDNot Observable
. r „:,' :: . '' ' ,,,P-', • .. I. . .',1=1Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3. Low Impact(Tier 3)
Project Title: Slawson Rebuild Report date: 04/19/23
Data filename: Page 8 of 9
:--parrOljes?-: cppieneriitp/AqurnOtiori
•
303.3 Manufacturer manuals for • • - I=1Complies ;Requirement will be met.
[F118]3 _ mechanical and water heating . iODoes Not
,.
systems have been provided. ;
10Not Observable
. • • ;-: • ' • ENot Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3' Low Impact(Tier 3)
Project Title: Slawson Rebuild Report date: 04/19/23
Data filename: Page 9 of 9
201 IEcc Energy
Efficiency Certificate
Insulation Rating R-Value,
Above-Grade Wall 0.00
Below-Grade Wall 0.00
Floor 0.00
Ceiling/Roof 49.00
Ductwork (unconditioned spaces):
Glass & Door Rating U-Factor SHGC
Window 0.30
Door 0.17
Heating & Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments