RC-0009-2022 Office Use Only
PRINCIPLE STRUCTURE
PERMIT APPLICATION Permit#:
< Permit Fee: ,
Town of Queensbur} ��Q
7142 Bay Road,Queensbury, NY 12804 *Rec Fee:
P: 518-761-8256 www.queensburynet Invoice.#:
Flood Zone? Y N Reviewed By: r+�s
Project Location: " vA)ftf ,nr_ J7V i0_e_
Tax Map #: �53F Subdivision Name: �'i)uy ►.I_i� �t
*TOWN BD.RESOLUTION 385-2020:$1000 recreation fee for new dwelling units:single family,duplexes/two-family,
multiplefamily, apartments,condominiums, townhouses,and/or manufactured &modular homes,but not mobile
homes. This is in addition to the permit fee(s). D 2 l�t^N fz nn 2
15 L5 0 V l5
PROJECT INFORMATION: BAN 11 2022
_Y Residential Commercial, Proposed Use: TO OF QUEENSBURY
BUILDING&CODES
Single-Family: _Two-Family _Multi-Family(#of units:
1. Custom
2. _Modular(REQUIRED:NYS stamped engineered drawings of foundation plans)
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_Townhouse _Garage(#of cars_) _Business Office
_Retail _Hotel/Motel _Industrial
Heated Warehouse/Storage Building _Unheated Warehouse/Storage Building
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_Amusement Ride _Other(describe: )
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MAIN STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE:
1Tfloor: ]b( 1sT floor:
2nd floor: h
2"d;floor: ('�
3rd floor: Total square feet:
Basement(habitable space):
Total square feet: •%n i
Principle Structure Packet Revised August 2021
i. ADDITIONAL PROJECT INFORMATION:
1.1 Estimated Cost of Construction:$ 99.cM
2.! Proposed use of the building: L-L,w
3. 1 If Commercial or Industrial, indicate the name of the business:
4.1 Source of Heat: _Gas _Oil Propane Solar _Other:
(Fireplaces need a separate Fuel Burning Appliances&Chimney Application,one Per appliance)
S.i Are there any structures not shown on the plot plan? YES _NO Explain, if yes:
6.1 Are there any easements on the property? YES _y NO
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7. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? >5 ,(-Ic&?
b. Is this a corner lot? AYES NO
c. Will the grade be changed as a result of the construction? YES NO
d.What is the water source? PUBLIC _PRIVATE WELL
e. What type of wastewater system is on the parcel? SEWER PRIVATE SEPTIC
DECI-ORATION:
1. 1 acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be
completed within a 12 month period.Any changes to the approved plans prior to/during construction will require
the submittal of amended plans,additional reviews and re-approval.
2. If;for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of
Queensbury.After 1 year from the initial application date, 100%of the fee is retained.
3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or
description of the work proposed, that all work will be performed in accordance with the NYS Building
Codes,local building laws and ordinances, and in conformance with localzoning regulations.
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4. 1 acknowledge that prior to occupying the facilities proposed 1, or my agents, will obtain a certificate of
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occupancy.
5. 1 also understand that I/we are required to provide an as-built survey by a NYSlicensed land surveyor of all newly
constructed facilities prior to issuance of certificate of occupancy.
I have read and agree to the above:
PRINT NAME:.
SIGNATURE: DATE:. �alihlal
Principle Structure Packet Revised August 2021
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CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
Applicant:
Name(s):
Mailing Address, C/S/Z: e /
Cell Phone: ) L/bl )71 Land Line:*; �)
mail: afire CA &6&_i F Co 911
Primary Owner(s):
Name(s): CA WtP
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
❑ Check if all work will be performed by property owner only
Contractor(s): (List all additional contractors on the back of this form)
Contractor Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: �_) Land Line: �)
Email:
"Workers' Comp documentation must be submitted with this application"
C 9- D-W 1'70X01
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Architects)/Enaineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: f )
Email:
Contact Person for Compliance in regards to this project: IJAJIPVtid
Cell!Phone: ( 6 t b Wo)-17)3 Land Line: �)
Email: Due u 6r)Gz>� t_6 ffil
Principle Structure Packet Revised January 2021
CHECKLIST--SINGLE FAMILY Project Location: C-nL kV\Ap1&'5e, (�,y_
i REQUIRED—3 SETS
1. Building Permit application,completed YES NO N/A
2. Energy Code inspector's report from ResCheck, completed&signed
3. Septic alteration application, if applicable
4. Solid fuel burning or gas insert appliance form(s), if applicable
S. Driveway permit, if applicable
16. Structural drawings(3 SETS), including:
a. Floor plans
b. Foundation plans
i c. Cross sections
d. Elevations
e. Window&door schedule
i f. Natural light,ventilation &emergency egress
7. Plot plan:showing proposed structure(s)with setback dimensions from all
j surveyed property lines
8. Electrical inspection agency selected
9. Manual S&J
10. HRV or ERV
111. Kitchen Hood specs, if necessary
CHECKLIST— MULTI-DWELLING/COMMERCIAL Project Location:
REQUIRED-2 SETS
1. Building Permit application, completed YES NO N/A
2. Energy Code inspector's report from ComCheck,completed&signed
3. Septic alteration application,if applicable
4. Solid fuel burning or gas insert appliance form(s), if applicable
S. Driveway permit, if applicable
6. Structural drawings, including:
a. Floor plans
b. Foundation plans
c. Cross sections
d. Elevations
e. Design loads including floor,snow&wind load
f. Seismic design
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g. Plans signed and sealed by registered architect or engineer
h. Window&door schedule
7. Plot plan: showing proposed structure(s)with setback dimensions from all
surveyed property lines
8. Electrical inspection agency selected
�-9- FINAL AS-BUILT PLANS SUBMITTED ELECTRONICALLY
Principle Structure Packet Revised January 2021
Office Use Only
Permit#:
r°""ofQe`"`6°r} Permit Fee:$
742 Bay Road,Queensbury,NY 128M
P:�518-761-8256 www.oueensbury.net Invoice#:
Flood Zone? Y N Reviewed By:
SEPTIC DISPOSAL PERMIT APPLICATION
Project Location: i
Tax Map#:
RESIDENCE INFORMATION:
Year Built Gallons #of bedrooms: X gallons per =total daily flow
per day bedroom Garbage Grinder Yes
1990 or older 150 Installed? (circle one)
1981-1991 130 Spa or Hot Tub Yes o
Installed? (circle one)
1992-Present 110 1IL 33U
PARCEL INFORMATION:
Topography Flat Rolling Steep Slope %Slope
Soil Nature Sand _Loam _Clay _Other,explain:
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Groundwater At what depth? njjL-�
Bedrock/Impervious At what depth?
vlo&L eti4
material
Domestic Water Supply Imunicipal Well _Lake
(if well or lake,water.supply from any septic system absorption is ft.)
Percolation Test Rate: per minute per inch (test to be completed by a licensed
engineer/architect)
PROPOSED SYSTEM INFORMATION:
Tank size )CyLgallons(min.size 1,000 gallons,add 250 gallons for each garbage cylinder or spa/hot tub
System Absorption field w/#2 stone Total length ft.; Each Trench a ft.
Seepage Pit w/#3 stone How many: :Size:
Alternative System Bed or other type:
Holding Tank System Total required capacity? :tank size
#of tanks
NOTES: 1.Alarm system and associated electrical work must be inspected by a Town approved electrical
inspection agency; 2. We will no longer allow systems to be covered until such time as an as-built plan is
received and approved.The installed system must match the septic layout on file—no exceptions. 3.As-
built�drawings must be submitted prior to the inspection, if there has been a change to the submitted
plans.
Principle Structure Packet Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
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❑ Check if all work will be performed by property owner only
Contractor:
Contact Name(s): tlakleA Fj ie imh,n ,bicr,,arAlno
Contractor Trade:
Mailing Address, C/S/Z: Yl tlkll. !114 /411MLOA
CeIIIPhone:_( 612) Land Line:
r
Email:
*Workers' Comp documentation must be submitted with this application**
Eneineer(s):
Narne(s):
Mailing Address, C/S/Z:
Cell!Phone:_(�) Land Line: _(_)
Email:
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Contact Person for Compliance in regards to this project: _ J1111d 44AI202
Cell Phone: 1 5r � ) �/f�t- 1�1 '� Land Line: �)
Email: tried rp_ Cn n/1
Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material
representation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be
void! I have read the regulations and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordinance.
PRINT NAME: A1,.s1
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SIGNATURE: DATE: Jj—
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Principle Structure Packet Revised January 2021
Office Use Only
f
_�._�._`_ V Permit#•
Town of Queeusbury
Permit Fee:$
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.aueensbury.net Invoice#:
FUEL BURNING APPLIANCE &
CHIMNEY APPLICATION
**ONE APPLICATION PER APPLIANCE**
Project Location: r�)tJ k -_r,u!'L Oy Zoe Tax Map ID#: a ffi 1).)A
Room of Install: �-.Re,,+- kninn Planned Install Date: ft1rAV Ma:)_
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FUEL BURNING APPLIANCE INFORMATION:
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TYPE OF DEVICE:
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—Stove Fireplace Insert Fireplace
_Fuel Fired Equipment (Garage Only, 18"clearance per IMC 304.3)
Fireplace,factory built**
(**Manufacturer's name: d er..�-4- O U Model#: _'�)7 )
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SOURCE OF HEAT:
—Wood Coal Pellet Gas
CHIMNEY INFORMATION:
Masonry(require plans to be submitted):
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block —brick stone
Flue:
I tile steel size, in inches
j _Material*:
double-wall triple-wall insulated lI
(*Manufacturer's name: Model#: 1
Principle Structure Packet Revised January 2021
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CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
❑ Check if all work will be performed by property owner only
Installer/Builder: Workers'Comp documentation must be submitted with this application
Contact Name(s): 6n r,:J� E24AIrU- IP
Contractor Trade: onn)(A fJ• .T
Mailing Address, C/S/Z: 37 j�10 ✓- g__ SriY4 ✓11 I a
Cell Phone:_(_) Land Line: 9271,
Email:
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Contact Person for any questions regarding this project: Nye 6hxuau
Cell Phone: ( SIf }_ Vlhl-17)'� Land Line: g )
Email: ncs1,e P"' f 0,n
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ADDITIONAL INFORMATION:
1. Two (2) inspections are required. A rough-in inspection, prior to installation and a final inspection, after
1 installation.
2. Manufacturer's installation manual must be available at the time of inspection.
3. Masonry fireplaces&chimneys require plans to be submitted.
4. Twenty-four(24)hour notification is required for inspections.
S. Workers' Comp insurance information is required with this application.
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Declaration: Construction/installation must conform to NYS Fire Prevention &Building Code and/or
manufacturer requirements. The applicant or owner agrees to comply with all applicable laws,ordinances,
regulations and all conditions that are part of these requirements and also will allow the inspector to enter the
premises ises to perform the required inspections.
I have read and agree to the above:
PRINT NAME: Dat A-6a 1a
SIGNi4TURE: — DATE: 2 I (
Principle Structure Packet Revised January 2021
Town of Queensbury David Duell
;. Highway Superintendent
Highway 518-761-8212
Department p ''� � �. Mark Benware
742 Bay Road—Queensbury, NY ` �-J _ Deputy Highway Superintendent
12801 518-761-8210
Phone: (518)761-8211
Fax: (518)745-4466
DRIVEWAY PERMIT
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DATE: L2.I)I,I-1
APPLICANT NAME: ��x�
TELEPHONE NO.: y6)71-,5
ADDRESS TO BE INSPECTED: Q C401 9.
RETURN ADDRESS: Y I )ZLOLW- _ Qd
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Applicant must show exact location and width of driveway(s)to be connected to the highway
by placing stakes at the specified location.
j The Superintendent of Highways of the Town of Queensbury has reviewed this application.
The following action has been taken:
STEP 1: ( ) Preliminary Approval
NEED: O Slight swale
O Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
j ( ) 12" () 15" ( ) 18" ( ) 24" ( ) 36-
Preliminary inspection completed by: Date:
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Approval by Highway Supt: (or) Deputy Supt:
Upon completion, please resubmit this approved permit for a final approval.
STEP 2: ( ) Final Approval ( ).Rejected
Date:
David Duell, Highway Superintendent Mark Benware, Deputy Highway Superintendent
Principle Structure Packet Revised January 2021
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (1 of 2)
-�� Two (2) full sets of plans
Over 1,500 sq. ft. requires engineering stamp
Design loads on plans: 115 Wind Floor Loads 40 psf
(North of Rte. 149 60) 50 Ground Snow Load Sleeping Areas &Attics 30 psf
Calculations Decks 40 psf
Wind design for lake front properties
Window schedule with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for
windows/Tempered glass in bathrooms
Door schedule/Main entrance 36" door
Emergency Escape or Bedrooms & Habitable Space
r° Above-grade: 5.7 sq. ft.
Grade: 5.0 sq. ft.
24" (h)x 20" (w) minimum
44" maximum height above door
Window control devices 24" or less 2nd story or 72" above grade
LJV{S Egress window from basement 5.0 sq. ft.
Floor system sizing per table 502.3.1
Residential check ERI or Prescriptive method
Driveway length: 300' or more-12' width required/500' or more,turnaround required
,/ Foundation drainage on plans, if required
S 6" drop in 10' exterior grade
+65 Framing cross section for each roof line, vertical fire stopping every 10' where
required/joist spans pg. 127
Z Ice &snow shield —24"from exterior wall
-e-S Platforms at exterior doors
�'1 e S, Stairway headroom 6'8"; all stairs 36" width
-�S Stair run and rise
Winder run and rise
Spiral stairs meet requirements
�,8 Smoke detectors—battery backup & proper location, interconnected
r'l,-e—. S Bathroom fixtures—proper clearance
eS Hall width-36" width
�- Handrails more than four risers on open sides
Railing &guards >30"/basement stairs included/closed risers more than 4" in height
-r_S Safety glazing notes for required areas
Garage fire separation:%" gable end/5/8" under living space & %" on walls/20 min. door
�S and closer
-CS Garage floor sloped
Attic access: gasket seal & R-value equal to roof insulation
r Roof over 30" —22" x 30"/Crawl spaces 18" x 24" access
Continued on back 4 4
Residential Plan Review Revised October 2021
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (2 of 2)
l� Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected
within 15' of sleeping area
,/ P, Soil test results, if required JUOwJ 40 c-ch Co
Septic to well or water line separation 61
All paperwork signed
- Note on plans energy saving light bulbs 90%
-3 Blower door test agency paperwork
Floodplain Permit required —check map: 2 feet above flood elevation
�-� Hurricane clips required
i,J Floors less than 2 x 10 covered by%" gypsum or 5/8" wood panel
Manuals S &J required for heating system. Cold air return hard piped
Separate room for draft HVAC or hot water heater with fresh air
HRV shown and calculations
L,(/S Baffles at eaves for insulations and knee walls
Makeup air for range hood >400 cfm
Continuous header for garage doors to end wall
Chimney rain cap shown for fireplaces
Deck hold down shown not less than 4 lags and bolts per table 507.2
Residential Plan Review Revised October 2021
TOWN OF Q UEENSB URY
742 Bay Road, Queensbury, NY. 12804-5902
Septic System Checklist
Plan to scale
14ALReceived Deep hole perc test results from engineer/Architect if,applicable(Town Approved Engineers and 11
Architects;June 30 to April 15 Town Engineer for unapproved Engineers and Architects)o,rsA, L"vjo 4p 4 �h
►' olt,' All wells on property and adjacent properties shown— Al Uh IC/ We„4-r— (/f
-2-SWater line shown Municipal or well 10' separation to any part of system
�JASetback to property lines show 10'or more for any part of system
r� Septic tank and pump stations 10'from foundation 50'from any well/lake/wetland 10' from any waterline
r_/7XSeptic tank to foundation crawl space/slab on grade,grade in crawl space must be above top of septic tank
for 0',Separation required (field verification required)
Septic tank sized for number of bedrooms and add 250 gals for Jacuzzi tubs/garbage grinder each
Leech Field 20'from foundation 100'from any well 10' from water line
r� Seepage pit 150'from well 50'from septic tank
r/ Seepage Pits 3-times diameter apart
Septic tank and pump stations over 30 gallons 50' from watercourse or wetland
distance from bottom of trench or system 24"to bedrock or mottling 36"within 1000' of Lake George
arv� /CNawo 7?6 i.-e-
Leech field 100'from watercourse or wetland
WLToe of mound or bottom of retaining wall 10'from property line 100'from well 20'from
Foundation
(J 0 Provide Engineer/Architect stamp for bed or design systems
Department of Health Approval for all mobile home park new systems Flood Plain requirements
00 2' above established flood elevation to bottom of system
f!s!� All tanks anchored or 2' above flood elevation
Revised 4/15/2021
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BASEMENT
WINDOW
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I '� y Basement Egress Windows Made Easy!
L www.boman-ifemp.com
Boman Kemp 4040 Basement Window System Specification Sheet
Components Model # Notes
Easy-Buck 4040 (48"x 48") Pour in place frame
Easy-Well 5236-60" Corrugated well
Vinyl Window 4040 Insulated double pane
Safety Grate 5236 Sits atop the well for fall in protection
Grate Cover 5236 Keeps debris from entering well from top
Escape Ladder 4'-0" Permanently attaches for emergency escape
Code Compliance
Exceeds IRC-2006
Technical Information
Easy-Buck 18 Ga. White on galvanized steel
Easy-Well Provides 10.4 square feet (9 square feet required for IRC-2006)
Vinyl Window 14.055 square feet of light surface
Safety Grate Manufactured from steel and powder coated
Grate Cover Clear polycarbonate cover that affixes to grate
Escape Ladder Manufactured from 4 x 1 4"flat bar and#5 rebar
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5236 EASY WELL
4'-0„
NET WIDTH OF PATH = 21 3/4"
(20" MIN. REQUIRED FOR EGRESS)
NET HEIGHT = 45 3/8"
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FOUNDATION LINE
J o BOMAN KEMP 4040 "EASY-BUCK"
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AND DOUBLE INSULATED VINYL WINDOW
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/�BOMAN KEMP 5236-60 "EASY-WELL"
(GRATE AND LEXAN COVER NOT SHOWN FOR CLARITY)
52" WELL BOMAN KEMP 4'-0 ESCAPE LADDER
WIDTH
PLAN VIEW WINDOW WELL
36" PROJECTION REQUIRED FOR EGRESS
A
WINDOW ELEVATION WITH WELL
4''-0"
NET WIDTH OF PATH = 21 3/4"
(20" MIN. REQUIRED FOR EGRESS)
NET HEIGHT = 45 3/8"
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FOUNDATION LINE
J p BOMAN KEMP _4040 "EASY-B.U.CK"
L v AND DOUBLE INSULATED VINYL WINDOW
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(GRATE AND LEXAN COVER NOT SHOWN FOR CLARITY)
52" WELL ROMAN KEMP 4'-0 ESCAPE LADDER
WIDTH
- PLAN VIEW WINDOW WELL
36" PROJECTION REQUIRED FOR EGRESS
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BUILDING LINE
3 -0
BOMAN KEMP CLEAR- LEXAN GRATE COVER-
BOMAN KEMP 'STEEL 'SAFETY GRATE
BOMAN KEMP 4040 "EASY--:BUCK"
f FINISHED: GRADE LINE APPROX. 3" BELOW WELL
SLOPE. GRADE AWAY FROM WELL
BOMAN KEMP 4040
DOUBLE INSULATED VINYL WINDOW -- 7I1Ml III=Ill=III=Illy
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Specification Sheet
FLEX I 00H'& EID E V E �.
Heat Recovery VentilatOM C 'P"� BAN 11 2022
Product#: 44001 __
Faa TOWN OF QUEENS Y
DES
Two(2)fact"d rued blades.Motors come
w' ne y lubricated,sealed ball-bearings to guarantee long life
u and maintenance-free operation.
-kaa i. a a ''
ll, x�fi Heat ReC0Ye1y COIro
Aluminum heat 1
recovery core covered by a limited lifetime warranty.
Care
�;�'l�fi�,':I,'Y'ti�154aYJ:�-r7avrc'i t .,'F,'y':,.f.• '7 '
dimensions are 8.5"x 8.5"1216 x 216 mm)with a 12"(305 mm)depth.
' Our heat exchangers are designed and manufactured to withstand
x,.. extreme temperature variations.
WinteryuarilTm Defrost
The FLEX 100H incorporates a unique and quiet internal recirculation
defrost that does not depressurize the home during the defrost cycle.A
preset defrost sequence is activated when the outdoor temperature falls
below 230 F(-50 M and automatically adjusts itself based on operating
As Fantech's masterpiece of versatility,features and efficiency,the Flex conditions.The fan speed is also adjusted automatically to provide a
1 OOH is ideal for high-rise apartment applications, condominiums,single smooth and quiet transition between Ventilation&Defrost mode.
and multi family homes.With its compact top port design featuring 5 Soruiceability
inch oval collars and the included EZ-MountT"^wall bracket,the Flex Core,filters,fans and electronic panel can be accesses easily from the
100H can be installed in spaces as small as 24 inches, such as a closet access panel. Core conveniently slides out with only 14'1355 mm)
or maintenance room. clearance.
Unlike traditional HRVs that require excessive power to meet Butt Connections
supplemental ventilation needs,the compact,yet powerful Flex 100H 5'(125mm)Oval plastic duct connections with integrated balancing
allows for sizing based entirely on principal ventilation requirements, damper and airflow measurement ports.
With its exclusive TurboTouchTm feature,the Flex 10OH can deliver up to
50%more exhaust capacity to easily meet supplemental ventilation Case
needs whenever additional airflow is required. 24 gauge galvanized steel.Baked power-coated paint for a superior
adhesion and resistance.
features
• TurboTouch function boosts exhaust capacity by up to 5096 Insvfadon
• 5"(125mm)oval duct connections with integrated airflow Cabinet is fully insulated with 1"(25 mm)high density expanded
measurement polystyrene.
• Removable screw terminal for easy connection Firers
• Lightweight:only 39 Ibs 07.7 kg)including core Two(2)washable electrostatic panel type air filters 8.5"(216mm)x
• Super compact size 12.5"1318 mm)x 0.125"13mml.
• Top port design fits in tight spaces
• Includes EZ-Mount wall bracket Drain
• Aluminum heat recovery core 1/0113mm)DO[outside diameter)drain spout provided,entire bottom
• Multiple speed operation of unit covered by drain pan.
• Internal recirculation defrost
Optienaf Controls: Warranty
• ECO TOUCH®(a4as2s) — Programmable Touch Screen Wall Control Limited lifetime on aluminum core,7 year on motors,and 5 year on parts.
• EOF7 %"aw) — Electronic multi-function dehumidistat
• RTS2 w4air4) — 20 minute timer over-ride
• RTS5 mm794) — 20/40/60 minute timer
• MDEH1 (#4o)rar — Dehumidistat
Specffications
• Duct size — 5(125mm)oval
• Voltage/Phase — 120/1
4 Power rated — 158 W
• Amp — 1.4 A
• Average airflow — 105 cfm 150 Us)
0 0.4'P.(100Pal
fantech'
•'' a systemair company
-Almelititin 6 Akftw
E F
T r fresh air
to inside
fresh air
from outside
stale air
from inside
stale air
A B to outside
Flex I OOH 21 1/2 W 141/2 368 15 5/8 397 177/8 454 221/2 572 15 381
Dimensional infomiation is in inches.Clearance of 14*1356nimJ in front of the unit is recommended for removal
of core.All units feature three foot plug-in power card with 3-prong plug.
Ventilliadon Perfemance Airflow Us)
M==M=M= 1.2 1 12 135 1 47 59 71 11%,82 94 300
1.0 250
Net supply airflow 146169) 129(61) 116155) 105149) 96145) Be(411 80(38) 73134) E5
4
0.8 2002
A
Gross exhaust airflow 148(70) 133(63) 120(57) 197(51) 95(451 85(401 73(35) 63(2101
150
*Turbo Mode is an intermittent made only.It can be activated with the RT52.RT85 and the ECO-Touch for up to 60 minliteS. 0.6
Only the data of Elie normal speed are HO oertified. 0
A 1000
0.2
0 so
25 60 75 100 125 150 175 200
Airflow(clm
Energy perkmance
Sensilfle recouery :1 Apparent Sensible i Latent recoueqftoisiare
efficinq 1 Ofeciluellp5s traiisfer
32 0 52 24 46 70 80 -0.08
32 a 99 47 102 64 73 -0.04
RKMEMMM&MM RIM
Requirmenb and standards
• Complies with the UL 1812 requirements regulating the construction and installation of Heat Recovery Ventilators
• Complies with the CSA C22.2 no. 113 Standard applicable to ventilators
• Complies with the CSA F326 requirements regulating the installation of Heat Recovery Ventilators
• Technical data was obtained from published results of test relating to CSA C439 Standards
• HVI certified and ENERGY STAR®qualified*
This product earned the ENERGY STARO by Meeting strict efficiency guidelines set by Natural Resouvaes Canada and the US EPA.It meets ENERGY STAR(R)requirements only when used in
Canada.
cotacb Distributed by:
Submitted by Date:
Quantity: Model: Proiect
Comments:
Location:
Architect:
Enoineer: Contractor:
United States 1 OMB Industrial Blvd.*Lenexa,KS 66215.1.800.747.1762 s vmvit.fanumUipt
Canada 50 Kanalfiald Way e Bouctoucha.NB E45 3M5.1.800.565.3548-wwwAntech.nat
Systemair reserves the right to modify,at any time and without notice,any or all of its products features,designs,campo- f a n te ch
nents and specifications in inabitain their technological leadership position. rve a systemair company
f� Pro ect Summar Job:
�r�t : �r- � 7y Date: Feb 04,2020
Entire House By: Adirondack P&M,Inc.
Adirondack P&M
PO Box 562,Glens Falls,NY 12801 Phone:518-793-3883 Email:info@adirondackpm.00m
Proalact Information,
For: Monsour Large Ranch D
---- -----1 JAN 11 2022
�I� IVo es: TOWN OF QUEENSBURY
BUILDING X CODES
Design Information
Weather: Glens Falls AP, NY, US
Winter Design Conditions Summer Design Conditions
Outside db 14 OF Outside db 85 OF
Inside db 68 OF Inside db 75 OF
Design TD 72 OF Design TD 10 OF
Daily range M
Relative humidity 50 %
Moisture difference 26 gr/lb
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 29271 Btuh Structure 14377 Btuh
Ducts 0 Btuh Ducts 0 Btuh
Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh
(none) (none)
Humidification 0 Btuh Blower 0 Btuh
Piping 0 Btuh _
Equipment load 29271 Btuh Use manufacturer's data n
Rate/swing multiplier 0.90
Infiltration Equipment sensible load 12939 Btuh
Method Simplified Latent Cooling;Equipment Load Sizing
Construction quality Average 5980 Btuh
Fireplaces 1 (Average) Structure
Ducts 0 Btuh
Central vent(0 cfm) 0 Btuh
Heating Cooling (none)
Area(ft� 3745 3745 Equipment latent load 5980 Btuh
Volume(ft? 0 0
Air changes/hour 0.90 0.40 Equipment Total Load(Sen+Lat) 18919 Btuh
Equiv.AVF(cfm) 0 0 Req.total capacity at 0.70 SHR 1.5 ton
Heating Equipment Summary Cooling Equipment Summary
Make Amana Make Amana
Trade AMANA HEATING AND AIR CONDITIO... Trade AMANA
Model AMSS960402BN Cond ASX130181 D
AHRI ref 7368085 Coil ACNF180616D
AHRI ref 5996190 '
Efficiency 96.1 AFUE Efficiency 10.8 EER, 13 SEER
Heating input 40000 Btuh Sensible cooling 11760 Btuh
Heating output 38000 Btuh Latent cooling 5040 Btuh
Temperature rise 62 OF Total cooling 16800 Btuh
Actual air flow 560 cfm Actual air flow 560 cfm
Air flow factor 0.019 cfm/Btuh Air flow factor 0.039 cfm/Btuh
Static pressure 0 in H2O Static pressure 0 in H2O
Space thermostat Load sensible heat ratio 0.71
Calculations approved by ACCA to meet all requirements of Manual J 7th Ed.
- wrigF�tsoftw 2020-Feb-0410:33:27
......
-- --� Right-Suite®Universal 2019 19.0.08 RSU21843 Page 1
�� ...cuments\Wrightsoft HVACWonsourRanchSGF2019.rup Calc=MR Front Door faces: W
�1ZCan`b,l , Compliance Report Job:
Manual S Comp
I� p Date: Feb 04,2020
Entire House By: Adirondack P&M,Inc.
Adirondack P&M
PO Box 562,Glens Falls,NY 12801 Phone:518-793-3883 Email:info@adirondackpm.com
Project • •
For: Monsour Large Ranch
Cooling Equipment,
Design Conditions
Outdoor design DB: 85.0°F Sensible gain: 14377 Btuh Entering coil DB: 75.0°F
Outdoor design WB: 70.8°F Latent gain: 5980 Btuh Entering coil WB: 62.5°F
Indoor design DB: 75.0°F Total gain: 20357 Btuh
Indoor RH: 50% Estimated airflow: 622 cfm
Manufacturer's Performance Data at Actual Design Conditions
Equipment type: Split AC
Manufacturer: Amana Model: ASXC160241C
Actual airflow: 560 cfm
Sensible capacity: 11760 Btuh 82%of load
Latent capacity: 5040 Btuh 84%of load
Total capacity: 16800 Btuh 83%of load SHR: 70%
Heating Equipment
Design Conditions
Outdoor design DB: -3.5°F Heat loss: 29271 Btuh Entering coil DB: 68.0°F
Indoor design DB: 68.0°F
Manufacturer's Performance Data at Actual Design Conditions
Equipment type: Gas furnace
Manufacturer: Amana Model: AMVC960603BN
Actual airflow: 560 cfm
Output capacity: 58000 Btuh 130%of load Temp. rise: 50 OF
Meets all requirements of ACCA Manual S.
- - wrightsoft- 2020-Feb-0410:33:27
L RightSude®Universal 2019 19.0.08 RSU21843 Page 1
...cuments%Wdghtsoft HVACUonsourRanchSGF2019.nip Calc=MH Front Door faces: W
Generated by REScheck-Web Software
Compliance Certificate
F ECEOWE --��
Project Monsour- 2087S BAN 2022
Energy Code: 2018 IECC
10
Location: Warren County, New York TOWN OF QUEENSBURY
Construction Type: Single-family BUILDING&CODES
Project Type: New Construction
Conditioned Floor Area: 1,601 ft2 REVIEWED FOR
Glazing Area 9% ENERGY CODE COMPLIANCE
Climate Zone: 6 (8499 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
David Monsour Mchael Maney
Monsour Enterprises Valente Builders, Inc.
41 Revere Road 16 Helen;Dr
Queensbury, NY 12804 Queensbury, NY 12804
518-461-1713 5187448245
Dave@gocif.com maneymi@gmail.com
Compliance: Passes using UA trade-off
Compliance: 3.4%Better Than Code Maximum UA: 232 Your UA: 224 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.
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.
Perimeter
Ceiling: Raised or Energy Truss 1,604 49.0 0.0 0:020 0.026 32 42
Wall: Wood Frame, 16" o.c. 1,710 21.0 0.0 0.057 0.045 87 68
Door 1: Solid Door(under 50% glazing) 20 0:150 0.300 3 6
Door 2: Solid Door(under 50%glazing) 20 0.150 0.300 3 6
Door: Glass Door(over 50%glazing) 33 0:250 0.300 8 10
Window:Vinyl Frame 115 0.270 0.300 31 35
Basement: Solid Concrete or Masonry
Wall height: 8.0' 1,296 0.0 15.0 0:046 0.050 60 65
Depth below grade: 7.3'
Insulation depth: 7.7'
288.16-1-6 RC-0009-2022
Monsour Enterprises, LLC
4 Greenwood Dr, lot 11
SFD w/gas fp 1601 s.f., Gar 486 s.f.
Project Title: Monsour- 2087S Report date: 01/06/22
Data filename: Page 1 of10
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2018 IECC requirements in
REScheck Version : REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name-Title Signature Date
pF N�
w
y1A� KEIFh�YQ9�
01.
cc
�A� 6 7
S10
Project Title: Monsour- 2087S Report date: 01/06/22
Data filename: Page 2 of10
REScheck Software Version : REScheck-Web
Inspection •Checklist
Energy Code: 2018 IECC
Requirements: 0.0% were addressed directly in the REScheck software
Text in the,"Comments/Assumptions" column is provided by the user in the REScheckAequirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section Plans Verified Field Verified
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
& Req.ID
103.1, ;Construction drawings and ❑Comp lies.
103.21 :documentation demonstrate ❑DoesNot:
[PR1] energy code compliance for the
0 building envelope.Thermal 1❑Not Observable
;envelope represented on i ❑Not Applicable
construction documents.
103.1, ;Construction drawings and ;❑Complies',
103.2, ;documentation demonstrate ❑Does Not,
403.7 :energy code compliance for
[PR3]1 ;lighting and mechanical systems. _ ❑Not Observable
v 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,
403.7 ;sized per ACCA Manual S based Btu/hr Btu/hr :❑Does Not'
[PR2]2 :on loads calculated per ACCA Cooling: Cooling: :❑Not Observable
19) Manual J or other methods : Btu/hr Btu/hr
approved by the code official. ❑Not Applicable
;
i
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Monsour- 2087S Report date: 01/06/22
Data filename: Page 3 of10
Section Plans Verified Field Verified`
# Foundation Inspection Complies? Comments/Assumptions
& Req:ID Value Value
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.
u :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''
[FO5]1 insulation installed per ❑Does Not
v ;manufacturer's instructions.
❑Not Observable
❑Not Applicable
402.2.9 ;Conditioned basement wall ft ft ❑CompliesI ;See the Envelope Assemblies
[FO6]1 insulation depth of burial or ❑Does Not ;table for values.
U :distance from top of wall.
❑Not Observable ;
❑Not Applicable
303.2.1 ;A protective covering is installed ' ❑Complies!
[FO11]2 ;to protect exposed exterior ❑Does Not;
insulation and extends a
U ;minimum of 6 in. below grade. ! ;❑Not Observable
_ 1❑Not Applicable
403.9 jSnow-and ice-melting system v HlDoes
Complies
[FO12]2 "controls installed. Not'
lei
[]Not Observable
j IE]Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Monsour- 2087S Report date: 01/06/22
Data filename: Page 4 of10
Section
# Framing /Rough-in Inspection Plans Verified Field Verified Complies? Comments/Assumptions
q•
& Re ID Value Value
402.1.1, ;Door U-factor. ; U U- ;❑Complies. ;See the Envelope Assemblies
402.3.4 :❑Does Not table for values.
[FR1]1
J ;❑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.
402.3.3,402.5 ;❑Not Observable
[FR2]1 :❑Not Applicable
0
303.1.3 ;U-factors of fenestration products ❑Complies:
[FR4]1 .are determined in accordance ❑Does Note'
J :with the NFRC test procedure or ❑Not Observable
taken from the default table.
❑Not Applicable
402.4.1.1 ;Air barrier and thermal barrier ( J❑Complies
[FR23]1 installed per manufacturer's ;❑Does Not:
l� linstructions. 3
❑Not Observable j
I i❑Not Applicable
402.4.3 ;Fenestration that is not site built ❑Complies
[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 ;X-rated recessed lighting fixtures ❑Complies,
[FR16]z ,sealed at housing/interior finish ❑Does Not,
and labeled to indicate s2.0 cfm ❑Not Observable
;leakage at 75 Pa. ❑Not Applicable
403.3.1 Supply and return ducts in attics Y M S❑Complies"
[FR12]1 :insulated >= R-8 where duct is ii iE]Not
❑Does Not,
>= 3 inches in diameter and >= Observable
R-6 where < 3 inches. Supply and ]❑Not Applicable
erva
;return ducts in other portions of
the building insulated >= R-6 for
;diameter>= 3 inches and R-4.2
;for< 3 inches in diameter.
403.3.2 ;Ducts, air handlers and filter ❑Complies'
[FR13]1 boxes are sealed with ❑Does Not.
�� ;joints/seams compliant with ❑Not Observa j
International Mechanical Code or ❑Not Applicable
e. e
rvabl
International Residential Code, as
applicable.
403.3.5 ;Building cavities are not used as ❑Complies;
[FR15]3 ducts or plenums. IE]Does Not,
J []Not Observable
❑Not Applicable
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 13'1 Low Impact(Tier 3)
Project Title: Monsour- 20875 Report date: 01/06/22
Data filename: Page 5 of10
Section
Plans Verified Field berifietl
# Framing/Rough-in Inspection Value Value Complies? Comments/Assumptions
& Req.ID _
403.3.7 ;Ducts declared to be within the ❑Complies,
[FR28]3 iconditioned space are either 1) ❑Does Not
.O completely within the continuous ❑Not Observable
air barrier and within the building
ithermal envelope, 2) buried ❑Not Applicable
Rwithin ceiling insulation in
accordance with Section
R403.3.6 and the air handler is
located completely within the
;continuous air barrier and within
;the building thermal envelope
;and the duct leakage is <= 1.5
I cfm/100 square feet of
j conditioned floor area served by 1
the duct system, or 3)the ceiling
{insulation R-value installed
.against and above the insulated
duct>=to the proposed ceiling
;insulation R-value, less the R-
;value of the insulation on the
403.4 1HVAC piping conveying fluids R- R- ;❑Complies
[FR17]2 above 105 °F or chilled fluids ;❑Does Not
�J below 55 °F are insulated to >R-
❑Not Observable
3.
❑Not Applicable
403.4.1 :Protection of insulation on HVAC ❑Complies
[FR24]1 piping. ❑Does Not,
v ❑Not Observable
❑Not Applicable
403.5.3 ;Hot water pipes are insulated to R- R- ;❑Complies;
[FR18]2 1>_R-3. ElDoes Not,
U ; ;❑Not Observable
❑Not Applicable
403.6 i
Automatic or gravity dampers are( , �OComplies:
[FR19]2 installed on all outdoor air ❑Does Not'
,intakes and exhausts. I
i ❑Not Observable
i �❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Monsour- 2087S Report date: 01/06/22
Data filename: Page 6 of10
Section Plans Verified Field Verified
# Insulation Inspection Value Value ' Complies? Comments/Assumptions
& Req.l D _
303.1 ;All installed insulation is labeled ;❑Complies
[IN13]2 ;or the installed R-values L]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 1/2 of the ❑ Wood ;❑ Wood :❑Does Not' ;table for values.
402.2.E wall insulation on the wall
[IN3]1 ;exterior,the exterior insulation ❑ Mass ❑ Mass ;❑Not Observable
requirement applies (FR10). ❑ Steel ;❑ Steel ❑Not Applicable
303.2 ;Wall insulation is installed per ❑Complies'
[IN4]1 manufacturer's instructions. ❑Does Not!
❑Not Observable j
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Monsour- 2087S Report date: 01/06/22
Data filename: Page 7 of10
r
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.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 ❑Complies;
303.2 ;manufacturer's instructions. ❑Does Not,
[FI2]1 Blown insulation marked every
300 ft2. ❑Not Observable ;
❑Not Applicable
402.2.3 ;Vented attics with air permeable uu ^! ❑Complies,
[FI22]2 linsulation include baffle adjacent ❑Does Not,
3to soffit and eave vents that 1 iElNot Observable
;extends over insulation. II
1❑Not Applicable
402.2.4 ;Attic access hatch and door R- R- ;❑Complies
[FI3]1 insulation >-R-value of the :❑Does Not;
:adjacent assembly.
❑Not Observable
;
:❑Not Applicable
402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ;❑Complies
[FI17]1 ach in Climate Zones 1-2, and :❑Does Not
<=3 ach in Climate Zones 3-8. ❑Not Observable
❑Not Applicable
403.3.3 ;Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies
[FI27]' ;determine air leakage with ft2 ft2 T❑Does Not
either: Rough-in test:Total
;leakage measured with a ;❑Not Observable
;pressure differential of 0.1 inch ❑Not Applicable
�w.g. across the system including
;the manufacturer's air handler
;enclosure if installed at time of
;test. Postconstruction test:Total
leakage measured with a
pressure differential of 0.1 inch
,w.g. across the entire system
including the manufacturer's air
handler enclosure.
403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies
[FI4]1 ;cfm/100 ft2 across the system or ft2 ft2 ❑Does Not
<=3 cfm/100 ft2 without air ;❑Not Observable
handler @ 25 Pa. For rough-in
;tests, verification may need to :❑Not Applicable
!occur during Framing Inspection.
403.3.2.1 ;Air handler leakage designated ❑Complies
[FI24]1 ;by manufacturer at<=2%of ❑Does Not:
design air flow.
❑Not Observable j
_ I❑Not Applicable
403.1.1 Programmable thermostats ❑Complies
(FI9]z ;installed for control of primary l S❑Does Not
heating and cooling systems and I ❑Not Observable
;initially set by manufacturer to ❑Not A licable
code specifications. } PP
403.1.2 ;Heat pump thermostat installed ❑Complies
[F]10]2 ;on heat pumps. PDoes Not
1❑Not Observable '
EJNot Applicable
403.5.1 ;Circulating service hot water ❑Complies
[FI11]z systems have automatic or ❑Does Not
;accessible manual controls. ❑Not Observable
t ❑Not Applicable
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) -3 1 Low Impact(Tier 3)
Project Title: Monsour- 2087S Report date: 01/06/22
Data filename: Page 8 of10
Section
# Final Inspection Provisions Plans Verified Field Verified Complies? Comments/Assumptions
& Req.ID Value Value
403.6.1 ;All mechanical ventilation system ( ;❑Complies
[FI25]2 fans not part of tested and listed I i❑Does Not
HVAC equipment meet efficacy S
;and air flow limits per Table ;❑Not Observable
R403.6.1. I❑Not Applicable
403.2 ;Hot water boilers supplying heat ❑Complies
[F]26]2 through one-or two-pipe heating ❑Does Not
+systems have outdoor setback
control to lower boiler water f❑Not Observable
;temperature based on outdoor (❑Not Applicable
I temperature.
403.5.1.1 ;Heated water circulation systems ❑Complies'
[F128]2 have a circulation pump.The ❑Does Not
system return pipe is a dedicated
return pipe or a cold water supply ❑Not Observable
pipe. Gravity and thermos- 1❑Not Applicable
syphon circulation systems are 1 !
not present. Controls for i
circulating hot water system i {
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 1
is at set-point temperature and
no demand for hot water exists.
403.5.1.2 ;Electric heat trace systems ;❑Complies
[F[29]2 comply with IEEE 515.1 or UL I i❑Does Not
�515. Controls automatically
;adjust the energy input to the ❑Not Observable
'heat tracing to maintain the i ❑Not Applicable
!desired water temperature in the I ;
{piping.
403.5.2 ;Demand recirculation water j �V ❑Complies
[F130]z systems have controls that '� ;❑Does Not,
{manage operation of the pump ❑Not Observable j
and limit the temperature of the
water entering the cold water i❑Not Applicable
piping to <= 1049F. I
403.5.4 ;Drain water heat recovery units ❑Complies
[FI31]z (tested in accordance with CSA i PDoes Not
B55.1. Potable water-side
pressure loss of drain water heat #❑Not Observable
recovery units < 3 psi for ( �❑Not Applicable
individual units connected to one f }
:or two showers. Potable water- f
;side pressure loss of drain water I II
heat recovery units < 2 psi for I
individual units connected to {
;three or more showers.
404.1 ;90%or more of permanent T ;❑Complies
[F16]1 fixtures have high efficacy lamps.' �❑Does Not
❑Not Observable
;❑Not Applicable
404.1.1 ;Fuel gas lighting systems have ^` ^ ` i❑Complies
[F[23]3� no continuous pilot light. I ❑Does Not
4 9
�- ; ,❑Not Observable
j UNot Applicable
401.3 ;Compliance certificate posted. )❑Complies
[FI7]2 ❑Does Not
`❑Not Observable
I❑Not Applicable
1 I High Impact(Tier 1) 1 2 IMedium Impact(Tier 2) 3 Low Impact (Tier 3)
Project Title: Monsour- 2087S Report date: 01/06/22
Data filename: Page 9 of10
D
Section Plans Verified Field Verified
#k Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.iU _
303.3 'Manufacturer manuals for ; T '❑Complies,
[FI18]3 _ mechanical and water heating 111Does Not
;systems have been provided.
hNot I Observable�❑Not Applicable
Additional Comments/Assumptions:
i
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) [3 Low Impact(Tier 3)
Project Title: Monsour- 2087S Report date: 01/06/22
Data filename: Page 10 of10
2018 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 U-Factor SHGC
Window 0.27
Door 0.25
CoolingHeating &
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
fling sv �__i
• �e-�a�, . Zu�Z
4 GREENWOOD ROAD
ABSORPTION FIELD: THREE 45'. BEND.
ROWS OF ABSORPTION 45' BEND
TRENCH, EACH ROW
50-FEET IN LENGTH O 1,250 GALLON SEPTIC, TANK
4" TRIPLE WALL HDPE PIPE
_ - - - --- -- - --- - - 2-45' VERTICAL ,BENDS
- - - - - - - - - - - - -
DISTRIBUTION BOX
0
MO
N Lu C?
® !Y? !Li
4 _GREENWOOD ROAD ; r a 0
I Z 0Al
� J
N
\ Q
- - - - - - - - - - - - -
1.) THIS AS-BUILT HAS BEEN PREPARED WITHOUT THE J; =,
BENEFIT OF ACTUAL SURVEY INFORMATION. THE -
DIMENSIONS SHOWN, HEREON HAVE 'BEEN MADE WITH A ',• 'j�N� " `Al (; }
STEEL TAPE AND ACTUAL LENGTHS MAY VARY. r
2.) NO FUTURE ROOF DRAINS/GUTTERS, FOOTING
DRAINS, SUMP PUMPS, COOLING WATER, BACKWASH 67
DRAINS, ETC. SHALL BE CONNECTED TO, SEPTIC
SYSTEM.
3.) CONTRACTOR IS RESPONSIBLE FOR ADJUSTING
SPEED LEVELERS IN DISTRIBUTION BOX TO ENSURE
EQUAL DISTRIBUTION OF EFFLUENT.
PpOJ�cT N0, 2216.01
PM: MAY 31, 2022 .0 N-51 1�, WA5TMA1'FP\, b 15P 0 5AL 5Y51'F M
scAL�; No scAL� 4 6P\��NWOOb 1?OAb - A5-[�ULT
Warren A. �ongacker, K ,
NY5 06�686 TOWN OP-QVN5DUpY �A/APp�N COUNTY, NY