RC-000704-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000704-2017
Tax Map No: 308.19-1-14
Permission is hereby granted to: Honey-Do Man LLC
For property located at: 3 MORNINGSIDE CIR
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Cindy Blake Single Family-Addition $34,500.00
Owner Address: 3 MORNINGSIDE CIR Total Value $34,500.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Honey-Do Man LLC
442 CORINTH RD
Queensbury,NY 12804
Plans&Specifications
Residential Addition 380 s.f.
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 21,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensb efore the exw*ation date.)
Dated at the Town o Queens )j;, W21,2017
Tue
P,
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
office i;se ui,;Iy
-
ADDITION/ALTERATION pERIlfllT �
APPLICATION Per.-nit Fee: $ 100 .00
742 Bay Road,Queensbury, NY 12804 ;ilvoice 4:
P:18-761-8256 www.gueensburV.net
Tax map 9® #o ? �.l� - . �t� - Subdivision N
CONTACT INFORMATION' T�BLIILD N D&C�DtSRY
Applicant /
Name(s): KE-,j li..t /1 i.kC.Y_Q.
Mailing Address, C/S/Z: 4yZ. 1"
Cell Phone: ( 51& ) 21yo -LA10 Land
Email: hone." - &*j�� t .1. Ca
Primary Owner(s):
Name(s): 'letAOkAilk 4w 1�1 -1
Mailing Address, C/S/Z: 3 ) S1de C%2.6(-
Cell
t t.Cell Phone: Land Line: ( SIPS ) 79Z-5/9G
Email:
® Contractor(s):
Business dame:
Contact Name(s): J�F_v li v► <xucsk_
Mailing Address, C/S/Z: 144Z 0cqy4,, /\IyZ
Cell Phone: ( 5(8 ) 2(,00 .y610 Land Line: � )
Email: horle�A- d6!4a^ 6.dlr^&%k.C6!A
® Architect(s)/Engineedsh
Business Name:
Contact Name(s):
Mailing Address, C/S/Z: t ► p Q GIS 1`a11S WN 12,001
Cell Phone: Land Line: ( 51f
Email: e_JQ6llbVnuCA.a.rr.C�A
Contact Person for Building & Code Compliance: 4&J%" /lu�,KG2r
Cell Phone: ( Sob ) 2uo • q&O Land Line:
Email: h&AA.. Cko MOL A CO,,,•.
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
t
PROJECT INFORMATION,
TYPE: Commercial y Residential
WORT( CLASS:
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:
1st floor: !'�00 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
4th floor: 4th floor:
Total square feet: 1560 Total square feet:
ADDITIONAL PROJECT INFORMATION.
1. Estimated Cost of Construction: $
2. If Commercial project, what is the proposed use: t4 IA
3. Source of Heat (circle one): Ga Oil Propane Solar Other
Fireplaces need a separate Fuel Burning Appliances & Chimney Application
4. Are there any structures not shown on the plot plan? YES Explain:
5. Are there any easements on the property? YES NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? �qs x Z1FJ
b. Is this a corner lot? YE NO
c. Will the grade be changed as a r construction? YES NO
d. What is the water source? PUBLIC PRIVATE WELL
e. Is the parcel on SEWER or a PRI DTIC system? sAiAlC,
IF
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
r
DECLAR FICO:
1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If thework is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
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 local zoning 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 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: rA 1�av�
SIGNATURE: DATE:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
REScheck Software Version 4.6.3
Compliance Certificate
Project New Addition 308.19-1-14 RC-000704-2017
Blake, Cindy & Timothy
Energy Code: 2015 IECC 3 Morningside Circle
Location: Glens Falls, New York
Construction Type: Single-family Residential Addition 380 s.f.
Project Type: Addition
Orientation: Unspecified
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Morningside Circle Kevin Tucker Ethan Peter Hall
Queensbury, NY 12804 The Honey-Do Man Rucinski Hall Architecture
Corinth Road 134 Dix Ave
Queensbury, NY 12804 Glens Falls, NY 12801
518-741-0268
ephall@nycap.rr.com
Compliance: Passes using UA trade-off
Compliance: 2.5%Better Than Code Maximum UA: 79 Your UA: 77
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.
Assembly or U-Factor UA
Perimeter
Ceiling 1: Raised or Energy Truss 380 49.0 0.0 0.020 8
Wall 1:Wood Frame, 16" D.C. 178 21.0 0.0 0.057 9
Orientation: Front
Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 16 0.270 4
Orientation: Unspecified
Wall 2:Wood Frame, 16"D.C. 169 21.0 0.0 0.057 8
Orientation: Right side
Window 2:Vinyl/Fiberglass Frame:Double Pane with Low-E 28 0.270 8
Orientation: Unspecified
Wall 3: Wood Frame, 16" o.c. 178 21.0 0.0 0.057 8
Orientation: Back
Window 3: Vinyl/Fiberglass Frame:Double Pane with Lo%A T 0.270 5
Orientation: Unspecified D E C E OVl
Door 1: Solid v u v �r 0.300 6
Orientation: Unspecified
Basement Wall 1: Solid Concrete or Masonry NOV 0 7 2017 1 0.0 15.0 0.044 7
Orientation: Front
Wall height: 7.9'
Depth below grade: 6.9' TOWN OF QUEENSBURY
Insulation depth: 7.5' BUILDING&CODES
Project Title: New Addition Report date: 11/06/17
Data filename: Y:\Honey-Do Man\Blake Addition\Blake.rck Page 1 of10
Gross Area
Cavity Cont.
Perimeter
Basement Wall 2:Solid Concrete or Masonry 150 0.0 15.0 0.044 7
Orientation: Right side
Wall height: 7.9'
Depth below grade: 6.9'
Insulation depth: 7.5'
Basement Wall 3: Solid Concrete or Masonry 158 0.0 15.0 0.044 7
Orientation: Back
Wall height: 7.9'
Depth below grade: 6.9'
Insulation depth: 7.5'
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 2015 IECC requirements in
REScheck Version 4.6.3 and to comply with the mandatory requiremen ed i RE eck Inspection Checklist.
Ethan Peter Hall-Architect
Name-Title Sign _�iymo 8r .: Date
J
Project Title: New Addition Report date: 11/06/17
Data filename: Y:\Honey-Do Man\Blake Addition\Blake.rck Page 2 of 10
REScheck Software Version 4.6.3
Inspection Checklist
Energy Code: 2015 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 Plans Verified Field Verified
Plan
# Pre-Inspection/ Review Value Value Complies? Comments/Assumptions
& Req.ID
j 103.1, Construction drawings and ❑Complies Requirement will be met.
103.2 documentation demonstrate ❑Does Not
[PR1]1 energy code compliance for the Location on plans/spec:
building envelope.Thermal ❑Not Observable One
envelope represented on []Not Applicable
construction documents.
103.1, Construction drawings and ❑Complies Requirement will be met.
103.2, documentation demonstrate ❑Does Not
403.7 energy code compliance for Location on plans/spec:
[PR3]1 lighting and mechanical systems. []Not Observable One
Systems serving multiple ❑Not Applicable
dwelling units must demonstrate
compliance with the IECC
Commercial Provisions.
302.1, Heating and cooling equipment is Heating: Heating: ❑Complies 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:
Manual J or other methods Btu/hr Btu/hr ❑Not Observable One
approved by the code official. ❑Not Applicable
Additional Comments/Assumptions:
j
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Addition Report date: 11/06/17
Data filename: Y:\Honey-Do Man\Blake Addition\Blake.rck Page 3 of 10
Section Plans Verified Field Verified
# Foundation Inspection Value Value Complies? Comments/Assumptions
& Req.iD
402.1.1 Conditioned basement wall 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
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 ❑Complies Requirement will be met.
[FO5]1 insulation installed per ❑Does Not
manufacturer's instructions. []Not Observable Location on plans/spec:
One
[]Not Applicable
402.2.9 Conditioned basement wall ft ft []Complies See the Envelope Assemblies
[FO6]1 insulation depth of burial or []Does Not table for values.
�1 distance from top of wall.
❑Not Observable
[:]Not Applicable
303.2.1 A protective covering is installed ❑Complies Exception: Requirement is
[FO11]2 to protect exposed exterior ❑Does Not not applicable.
insulation and extends a
minimum of 6 in. below grade. ❑Not Observable
❑Not Applicable
403.9 Snow-and ice-melting system ❑Complies Exception: Requirement is
[FO12]2 controls installed. ❑Does Not not applicable.
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Addition Report date: 11/06/17
Data filename: Y:\Honey-Do Man\Blake Addition\Blake.rck Page 4 of 10
LSection Plans Verified Field Verified
# Framing/Rough-in Inspection Value Value Complies? Comments/Assumptions
& Req.ID _
'402.1.1, Door U-factor. U- U- ❑Complies See the Envelope Assemblies
1 402.3.4 ❑Does Not table for values.
I[FR1]1
[]Not Observable
❑Not Applicable
402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies
402.3.1, average). ❑Does Not table for values.
402.3.3,
402.3.6, ❑Not Observable
402.5 ❑Not Applicable
[FR2]1
303.1.3 U-factors of fenestration products ❑Complies Requirement will be met.
[FR4]1 are determined in accordance ❑Does Not
with the NFRC test procedure or ❑Not Observable Location on plans/spec:
taken from the default table. One
❑Not Applicable
402.4.1.1 Air barrier and thermal barrier ❑Complies Requirement will be met.
[FR23]1 installed per manufacturer's ❑Does Not
instructions. Location on plans/spec:
❑Not Observable One
❑Not Applicable
402.4.3 Fenestration that is not site built ❑Complies Requirement will be met.
[FR20]1 is listed and labeled as meeting ❑Does Not
AAMA/WDMA/CSA 101/I.S.2/A440
or has infiltration rates per NFRC []Not Observable
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures ❑Complies Exception: Requirement is
[FR16]2 sealed at housing/interior finish ❑Does Not not applicable.
and labeled to indicate<_2.0 cfm
leakage at 75 Pa. ❑Not Observable
❑Not Applicable
403.2.1 Supply and return ducts in attics ❑Complies Exception: Ducts located
[FR12]1 insulated >= R-8 where duct is ❑Does Not completely inside the
>=3 inches in diameter and >= ❑Not Observable building envelope.
R-6 where < 3 inches.Supply and
return ducts in other portions of ❑Not Applicable
the building insulated>= R-6 for
diameter>= 3 inches and R-4.2
for<3 inches in diameter.
403.3.3.5 Building cavities are not used as ❑Complies Requirement will be met.
[FR15]3 ducts or plenums. ❑Does Not
❑Not Observable Location on plans/spec:
One
_ ❑Not Applicable
403.4 HVAC piping conveying fluids R- R- ❑Complies Exception: Requirement is
[FR17]2 above 105 QF or chilled fluids ❑Does Not not applicable.
below 55 QF are insulated to >_R-
3 ❑Not Observable
❑Not Applicable
403.4.1 Protection of insulation on HVAC ❑Complies Exception: Requirement is
[FR24]1 piping. ❑Does Not not applicable.
❑Not Observable
❑Not Applicable
403.5.3 Hot water pipes are insulated to R- R- ❑Complies Requirement will be met.
[FR18]2 >R-3. []Does Not
[]Not Observable Location on plans/spec:
❑Not Applicable One
403.6 Automatic or gravity dampers are ❑Complies Requirement will be met.
[FR19]2 installed on all outdoor air ❑Does Not
intakes and exhausts. Location on plans/spec:
❑Not Observable One
❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: New Addition Report date: 11/06/17
Data filename: Y:\Honey-Do Man\Blake Addition\Blake.rck Page 5 of 10
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Addition Report date: 11/06/17
Data filename: Y:\Honey-Do Man\Blake Addition\Blake.rck Page 6 of 10
Section Plans Verified Field Verified
# Insulation Inspection Value Value Complies? Comments/Assumptions
& Req.ID
303.1 All installed insulation is labeled ❑Complies Requirement will be met.
[IN13]2 or the installed R-values ❑Does Not
provided.
❑Not Observable
❑Not Applicable
402.1.1, Wall insulation R-value. If this is a R- R- ❑Complies See the Envelope Assemblies
402.2.5, mass wall with at least 1/Z of the ❑ Wood ❑ Wood []Does Not table for values.
402.2.6 wall insulation on the wall ❑ Mass ❑ Mass
[IN3]1 exterior,the exterior insulation ❑Not Observable
❑ Steel Steel
requirement applies(FR10). ee ❑ ❑Not Applicable
303.2 Wall insulation is installed per ❑Complies Requirement will be met.
[IN4]1 manufacturer's instructions. ❑Does Not
❑Not Observable Location on plans/spec:
❑Not Applicable One
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: New Addition Report date: 11/06/17
Data filename:Y:\Honey-Do Man\Blake Addition\Blake.rck Page 7 of10
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Recl.ID
402.1.1, Ceiling insulation R-value. R- R- ❑Complies 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 per T ❑Complies Requirement will be met.
303.2 manufacturer's instructions. ❑Does Not
[FI2]1 Blown insulation marked every ❑Not Observable Location on plans/spec:
300 2
One
❑Not Applicable
402.2.3 Vented attics with air permeable ❑Complies Requirement will be met.
[FI22]2 insulation include baffle adjacent ❑Does Not
to soffit and eave vents that ❑Nt Observable Location on plans/spec:
oservae
extends over insulation. One
❑Not Applicable
402.2.4 Attic access hatch and door R- R- ❑Complies Requirement will be met.
[F13]1 insulation>_R-value of the ❑Does Not
adjacent assembly. []Not Observable Location on plans/spec:
One
❑Not Applicable
402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ❑Complies Requirement will be met.
[FI17]1 ach in Climate Zones 1-2, and ❑Does Not
<=3 ach in Climate Zones 3-8. Location on plans/spec:
❑Not Observable One
❑Not Applicable
403.2.3 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies Exception:All ducts and air
[1714]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not handlers are located within
<=3 cfm/100 ft2 without air conditioned space.
handier @ 25 Pa. For rough-in ❑Not Observable
tests,verification may need to ❑Not Applicable
_occur during Framing Inspection.
403.3.2 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies Exception:All ducts and air
[F127]1 determine air leakage with ft2 ft2 ❑Does Not handlers are located within
either: Rough-in test:Total conditioned space.
leakage measured with a ❑Not Observable
pressure differential of 0.1 inch ❑Not Applicable
w.g. across the system including
the manufacturer's air handier
enclosure if installed at time of
test. Postconstruction test:Total
leakage measured with a
pressure differential of 0.1 inch
w.g.across the entire system
including the manufacturer's air
handier enclosure.
403.3.2.1 Air handler leakage designated ❑Complies Requirement will be met.
[F124]1 by manufacturer at<=2%of ❑Does Not
design air flow. ❑Not Observable Location on plans/spec:
- One
❑Not Applicable
403.1.1 Programmable thermostats ❑Complies Requirement will be met.
[F19]2 installed for control of primary ❑Does Not
heating and cooling systems and Location on plans/spec:
initially set by manufacturer to ❑Not Observable One
code specifications. ❑Not Applicable
403.1.2 Heat pump thermostat installed ❑Complies Exception: Requirement is
[FI10]2 on heat pumps. ❑Does Not not applicable.
❑Not Observable
❑Not Applicable
403.5.1 Circulating service hot water ❑Complies Exception: Requirement is
[F11112 systems have automatic or ❑Does Not not applicable.
accessible manual controls.
[]Not Observable
❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: New Addition Report date: 11/06/17
Data filename: Y:\Honey-Do Man\Blake Addition\Blake.rck Page 8 of 10
Section Plans Verified Field Verified
# Final Inspection Provisions Value ValueComplies? Comments/Assumptions
& Req.ID
403.6.1 All mechanical ventilation system ❑Complies Requirement will be met.
[F125]2 fans not part of tested and listed ❑Does Not
t HVAC equipment meet efficacy Location on plans/spec:
i and air flow limits. ❑Not Observable
❑ One
s Not Applicable
`403.2 Hot water boilers supplying heat ❑Complies Exception: Requirement is
[FI26]2 through one-or two-pipe heating ❑Does Not not applicable.
systems have outdoor setback ❑Not Observable
control to lower boiler water
temperature based on outdoor []Not Applicable
temperature.
403.5.1.1 Heated water circulation systems ❑Complies Exception: Requirement is
(F128]2 have a circulation pump.The ❑Does Not not applicable.
system return pipe is a dedicated
return pipe or a cold water supply ❑Not Observable
pipe. Gravity and thermos- ❑Not Applicable
syphon circulation systems are
not present.Controls for
circulating hot water system
pumps start the pump with signal
for hot water demand within the
occupancy.Controls
automatically turn off the pump
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 ❑Complies Exception: Requirement is
[FI29]2 comply with IEEE 515.1 or UL ❑Does Not not applicable.
515.Controls automatically
adjust the energy input to the ❑Not Observable
heat tracing to maintain the ❑Not Applicable
desired water temperature in the
piping.
403.5.2 Water distribution systems that ❑Complies Exception: Requirement is
[F130]2 have recirculation pumps that ❑Does Not not applicable.
pump water from a heated water
supply pipe back to the heated ❑Not Observable
water source through a cold ❑Not Applicable
water supply pipe have a
demand recirculation water
system. Pumps have controls
that manage operation of the
pump and limit the temperature
of the water entering the cold
water piping to 1049F.
403.5.4 Drain water heat recovery units ❑Complies Requirement will be met.
[FI31]2 tested in accordance with CSA []Does Not
855.1. Potable water-side ❑Not Observable Location on plans/spec:
pressure loss of drain water heat One
recovery units < 3 psi for ❑Not Applicable
individual units connected to one
or two showers.Potable water-
side pressure loss of drain water
heat recovery units< 2 psi for
individual units connected to
three or more showers.
404.1 75%of lamps in permanent ❑Complies Requirement will be met.
[FI6]1 fixtures or 75%of permanent ❑Does Not
fixtures have high efficacy lamps. (:]Not Observable Location on plans/spec:
Does not apply to low-voltage One
lighting. ❑Not Applicable
404.1.1 Fuel gas lighting systems have ❑Complies Requirement will be met.
[FI23]3 no continuous pilot light. ❑Does Not
❑Not Observable
❑Not Applicable
1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Addition Report date: 11/06/17
Data filename: Y:\Honey-Do Man\Blake Addition\Blake.rck Page 9 of 10
Section Pians Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.iD
401.3 Compliance certificate posted. ❑Complies Requirement will be met.
[F17]2 ❑Does Not
❑Not Observable
❑Not Applicable
303.3 Manufacturer manuals for ❑Complies Requirement will be met.
[FI1B]3 mechanical and water heating ❑Does Not
systems have been provided.
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 TLow Impact(Tier 3)
Project Title: New Addition Report date: 11/06/17
Data filename:Y:\Honey-Do Man\Blake Addition\Blake.rck Page 10 of 10
2015 IECC Energy
Efficiency Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 15.00
Floor 0.00
Ceiling / Roof 49.00
Ductwork(unconditioned spaces):
Glass&Door Rating .
Window 0.27
Door 0.30
CoolingHeating&
Heating System:
Cooling System:
Water Heater:
Name: Date•
Comments