RC-0186-2022 f 1
Office UseOnly
ADDITION/Al! f� 'Pi
r it#: �C_ 196' �a
APP T B A --- F
Town ofQueensbury ] :1rmit Fee: $ a��°dc'
742 Bay Road,Queensbury,NY 12804 A�� 2022 o ice#: 4So-s
P:518-761-8256 www.gueensbury.net
TOWN OF CUEi'iSF3Uf;YFIo d Zone? Y ,eN Reviewed B�✓��`�` I
BUILDING 8: CODES g �
Project Location: v-EG.a
I
Tax Map ID #: 3d$, l G -1'19 Subdivision Name.
i
PROJECT INFORMATION:
TYPE: X 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:
I
1st floor: 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement (habitable space):
Total sq ft: /��l�= r� Total sq ft:
Scope of work to be done:
Addition/Alteration Application Revised January 2021
I
i
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ d?OIC
2. Source of Heat (circle one): X-Gas _Oil _Propane _Solar_Other
Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application
3. Are there any structures not shown on the plot plan? YES Y NO ,Explain:
4. Are there any easements on the property? _YES NO
SITE INFORMATION:
• Is this a corner lot? _YES NO
• Will the grade be changed as a result of the construction? _YES -k—NO
• What is the water source? ,X PUBLIC _PRIVATE WELL
• What type of wastewater system is on the parcel? _SEWER PRIVATE SEPTIC
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be
completed within a 12 month period.Any changes to the approved plans prior;to/during construction will require
the submittal of amended plans, additional reviews and re-approval.
2. If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of
Queensbury.After 1 year from the initial application date, 100%of the fee is retained.
3. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4. 1 certify that the application, plans and supporting materials are atrue and a complete statement and/or description
of the work proposed,that all work will be performed in accordance with the NYS Building Codes, local building laws
and ordinances, and in conformance with local zoning regulations.
5. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
6. 1 also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: G-f e*1-20
12
SIGNATURE: �4XeDATE:
Addition/Alteration Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE ;INCLUDE AN EMAIL
• Applicant:
Name(s): c
Mailing Address, C/S/Z: '4' �� d c /c A- y ,Ml
Cell Phone: 019 Vd57 PX&A—1 Crl- ,9 Land Line: 57d 7��'-re,97
Email: `iy,-r ..�.�a� 9� �/e� c' g•� C C��
• Primary Owner s
Name(s): l 46-X o
Mailing Address, C/S/Z: y�' ��Ap
Cell Phone: 3( 7,9 ) �'�- Land Line: )
Email:
Check if all work will be performed by property ownerlonly
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 submittedlwith this application**
• Arch itect(s)/Eneineer(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:
Cell Phone:�_) Land Line:
Email:
Addition/Alteration Application 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
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 2"d story or 72" above grade
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' orlmore,turnaround required
jV3 Foundation drainage on plans, if required
6" drop in 10' exterior grade
�{ Framing cross section for each roof line, vertical fire stopping every 10' where
required/joist spans pg. 127
Ice & snow shield-24"from exterior wall
' Platforms at exterior doors
A- Stairway headroom 6'8"; all stairs 36" width
. Stair run and rise
Winder run and rise
Spiral stairs meet requirements
Smoke detectors—battery backup & proper location, interconnected
Bathroom fixtures—proper clearance
Hall width-36" width
Handrails more than four risers on open sides
(tk Railing & guards >30"/basement stairs included/closed risers more than 4" in height
X414, Safety glazing notes for required areas
Garage fire separation: %" gable end/5/8" under living space &%" on walls/20 min. door
and closer
Garage floor sloped
Attic access: gasket seal & R-value equal to roof insulation °Tim',- �t S,. i 4vr~
Roof over 30"-22" x 30"/Crawl spaces 18" x 24" access �l6 rr"L �'fZl f
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)
Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected
within 15' of sleeping area
1 Soil test results, if required
.it Septic to well or water line separation
i- All paperwork signed
Note on plans energy saving light bulbs 90%
Ik Blower door test agency paperwork
jN'0 Floodplain Permit required—check map: 2 feet above flood elevation
Hurricane clips required s �
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
P)jk- HRV shown and calculations
' Baffles at eaves for insulations and knee walls
W Makeup air for range hood >400 cfm /�jr3 �{c
�jj t r,i Continuous header for garage doors to end wall
IJJA 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
Generated by REScheck-Web Software
Compliance Certificate
EC PWE
Project Sauro Addition Q
� APR 14 ?029
Energy Code: 2018 IECC v �
Location: Glens Falls, New Y rk � TOWN OF QUEENSBURY
Construction Type: Single-family BUII._DING 0 C,aDES
Project Type: Addition
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
48 Pinewood Road Home Improvement Gallery, Inc. Ethan P. Hall
Queensbury, NY 12804 10 Saratoga Ave Rucinski Hall Architecture
South Glens Falls, NY 12803 134 Dix Ave
- 518-745-5097 Glens Falls, NY 12801
homeimprovementgallery@gmail.c 518-741-0268
om epHall@nycap.rr.com
Co'mpliance: Passes using UA trade-off
Compliance: 0.0%Better Than Code Maximum UA: 42 Your UA: 42
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-ialue and depth requirements.
Envelope Assemblies
Gross Area Cavity Cont. Prop. Req. Prop. Req.
Perimeter
Ceiling 1: Raised or Energy Truss 256 49.0 0.0 0.020 0.026 5 7
Wall 1:Wood Frame, 16"o.c. 384 21.0 0.0 0.057 0.045 20 16
Door 1: Solid 20 0.300 0.300 6 6
Window 1:Vinyl/Fiberglass Frame:Double Pane with 19 0.260 0.300 5 6
Low-E
Crawl 1: Solid Concrete or Masonry
Wall height:4.0' 180 0.0 19.0 0.046 0.055 6 7
Depth below grade: 3.0'
Insulation depth: 3.8'
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 beeo;de�sjgned to meet the 2018 IECC requirements in
n dr:d"'
REScheck Version : REScheck-Web and to comply with the mandatory re r `mP14- te. REScheck Inspection Checklist.
�Ethan P. Hall-Architect ., V, 9
Name-Title Signatu .;i�;"+ro 'ia 3 °>l't' Date
Project Title: Sauro Addition Report date: 04/09/22
Data filename: Page 1 of 9
REScheck Software Version : REScheck-Web
Inspection Checklist
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 �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 { ;❑Complies ;Requirement will be met.
103.2 ;documentation demonstrate ❑Does Not
[PR1]1 energy code compliance for the i :Location on plans/spec:A-
c) !building envelope.Thermal {❑Not Observable 1
;envelope represented on 1❑Not Applicable
construction documents.
103.1, ;Construction drawings and I ;❑Complies ;Requirement will be met.
103.2, ;documentation demonstrate :❑Does Not
403.7
!lighting
code compliance for ❑Not Observable �Location on plans/spec:A-
[PR3] ,lighting and mechanical systems. ;1
p) !Systems serving multiple UNot Applicable
1 dwelling units must demonstrate y i
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:A-
) Manual J or other methods Btu/hr Btu/hr ❑Not Observable 1
approved by the code official. UNot Applicable
l
Additional Comments/Assumptions:
i
I
I
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Sauro Addition Report date: 04/09/22
Data filename: Page 2 of 9
_ I
Section Plans Verified Field Verified
# Foundation Inspection Value Value Complies? Comments/Assumptions
& Req.ID
402.2.11 ;Unvented crawl space wall R- ; R- ;❑Complies ;See the Envelope Assemblies
1 ❑Does Not ;table for values.
[FO7J insulation R-value. ; ;
R- � R-
U' ; ;❑Not Observable
❑Not Applicable
303.2 ;Unvented crawl space wall ❑Co i plies ;,Requirement will be met.
[FO8]1 !insulation installed per ❑Does Not
1 manufacturer's instructions. ❑Not Observable :Location'on plans/spec:A-
i
j❑Not Applicable
402.2.11 ;Unvented crawl space continuous ❑Complies ;Requirement will be met.
[FO9]1 vapor retarder installed over ❑Does Not
exposed earth,joints overlapped :Location on plans/spec:A-
lBJ '
by 6 in. and sealed, extending at ❑Not Observable ;1
lleast 6 in. up and attached to the ❑Not Applicable
j wall.
402.2.11 ;Unvented crawl space wall in. ; in. ;❑Complies ;See the Envelope Assemblies
[FO10]1 :insulation depth of burial or ; ; 1❑Does Not ;table for values.
!distance from top of wall.
U ; ;❑Not Observable
❑Not Applicable
303.2.1 ;A protective covering is installed I &❑Complies ;Exception: Requirement is
[F011]z Ito protect exposed exterior HDoes Not :not applicable.
J insulation and extends a
1.e minimum of 6 in. below grade. I❑Not Observable
❑Not Applicable
403.9 Snow-and ice-melting system i❑Complies :Exception: Requirement is
[FO12]2 f controls installed. i❑Does Not ;not applicable.
:❑Not Observable
I❑Not Applicable
Additional Comments/Assumptions:
' I
i
I
I
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Sauro Addition Report date: 04/09/22
Data filename: Page 3 of 9
Section Plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.ID
402.1.11 'Door U-factor. U- ; U- !❑Complies ;See the Envelope Assemblies
402.3.4 ❑Does Not ;table for values.
[FRI]1
I I I I
❑Not Observable ;
❑Not Applicable
402.1.1, ;Glazing U-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies
402.3.1, !average). I❑DoesNot ;table for values.
402,3.3,
402.5 ! ;❑Not-Observable
[FR2]1 ; ;❑Not Applicable
le'`I I I I I I
`--� I I I I I
303.1.3 j U-factors of fenestration products' ;❑Complies ;Requirement will be met.
[FR4]1 :are determined in accordance
I ❑Does Not ;
*th the NFRC test procedure or 4 Location on plans/spec:A-
;taken from the default table. ! ;❑Not IObservable ;1
J ❑Not�Applicable
402.4.1.1 ;Air barrier and thermal barrier ;❑Complies ;Requirement will be met.
[FR23]1 !installed per manufacturer's !❑Does Not
;�. 1 instructions, j
�. i! ;❑NotlObservable ;1
j ;❑Not;Applicable
402.4.3 ;Fenestration that is not site built ; ❑Complies ;Requirement will be met.
[FR20]1 !is listed and labeled as meeting ! 1❑Does Not
1AAMA/WDMA/CSA 101/I.S.2/A440 1 I❑NotlObservable
or has infiltration rates per NFRC
1400 that do not exceed code I❑Not Applicable
limits. I
402.4.5 ;IC-rated recessed lighting fixtures fI ;❑Complies ;Exception: Requirement is
[FR16]2 !sealed at housing/interior finish I❑Does Not not applicable.
and labeled to indicate_<2.0 cfm !
leakage at 75 Pa. 3❑Not Observable ;
❑Not Applicable
403.3.1 ;Supply and return ducts in attics ;❑Complies ;Exception: Ducts located
[FR12]1 Nnsulated >= R-8 where duct is 1 1❑Does Not completely inside the
>= 3 inches in diameter and >= I 1 I building envelope.
gl R-6 where<3 inches.Supply and ;❑NotlObservable
!return ducts in other portions of ' !❑NotlApplicable ;Location on plans/spec:A-
;the building insulated >= R-6 for 1
!diameter>= 3 inches and R-4.2 f
!for< 3 inches in diameter.
403.3.2 ;Ducts,air handlers and filter ; ,❑Complies :Requirement will be met.
[FR13]1 :boxes are sealed with i I❑Does Not
rJ !joints/seams compliant with I Location on plans/spec:A-
International Mechanical Code or f ❑Not Observable ;1
International Residential Code,as! UNot Applicable
!applicable. j 1
403.3.5 ;Building cavities are not used as ;❑Complies ;Requirement will be met.
[FR15]3 !ducts or plenums. I❑Does Not
i Location on plans/spec:A-
❑Not Observable s 1 ,1
❑Not Applicable
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Sauro Addition Report date: 04/09/22
Data filename: Page 4 of 9
i
Section Plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.ID
403.3.7 (Ducts declared to be within the ;❑Complies ;Requirement will be met.
[FR28]3 ;conditioned space are either 1) ❑Does Not
completely within the continuous { :Location on plans/spec:A-
J 1 air barrier and within the building ❑Not Observable 1
f thermal envelope, 2) buried ❑NotlApplicable
1 within ceiling insulation in
accordance with Section
R403.3.6 and the air handler is I ;
located completely within the
!continuous air barrier and within
the building thermal envelope
and the duct leakage is <= 1.5
cfm/100 square feet of I
conditioned floor area served by
the duct system, or 3)the ceiling
insulation R-value installed i
against and above the insulated j
duct>=to the proposed ceiling ;
insulation R-value, less the R-
value of the insulation on the
403.4 HVAC piping conveying fluids R- R- ;❑Complies ;Exception: Requirement is
[FR17]2 above 105°F or chilled fluids ; :❑Does Not not applicable.
J below 55°F are insulated to zR- ; ;❑Not Observable
j !❑Note Applicable
403.4.1 ;Protection of insulation on HVAC ❑Complies ;Exception: Requirement is
[FR24]1 piping. ! J❑Does Not :not applicable.
(40) #� j❑Not Observable
j ;❑Note Applicable
403.5.3 ;Hot water pipes are insulated to R- R- ;❑Complies :Exception: Requirement is
[FR18]2 >_R-3. 1❑Does Not :not applicable.
U ;❑Not Observable
❑Note Applicable
403.6 Automatic or gravity dampers are j❑Complies !Requirement will be met.
[FR19]2 installed on all outdoor air 1❑Does Not
intakes and exhausts. R :Location on plans/spec:A-
❑Not Observable ;1
j❑NoC Applicable
Additional Comments/Assumptions:
i
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low impact( 3)
Project Title: Sauro Addition Report date: 04/09/22
Data filename: Page 5 of 9
I
Section Plans Verified Field Verified !
# Insulation Inspection Value Value Complies? Comments/Assumptions
& Req.ID
303.1 JAII installed insulation.is labeled ❑Complies ;Requirement will be met.
[IN13]2 or the installed R-values ❑Does Not
provided.
❑Not Observable
i❑Not l pplicable
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'h of the ❑ Wood ❑ Wood !❑Doe Not ;table for values.
402.2.6 !wall insulation on the wall ;❑ Mass 1❑ Mass ]Not Observable
[IN3]1 ;exterior,the exterior insulation Steel Steel '
ICU, I requirement applies(FR10). ;❑ ;❑ ;❑Not Applicable
i
i
303.2 !Wall insulation is installed per i❑Complies ;Requirement will be met.
[IN4]1 manufacturer's instructions. ❑Does Not
❑Not(Observable !Location on plans/spec:A-
i❑Not l�4pplicable
Additional Comments/Assumptions:
I
I
i
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) -3 1 Low Impact(Tier 3)
Project Title: Sauro Addition Report date: 04/09/22
Data filename: Page 6 of 9
Section Plans Verified Field Verified
& Re ID Final Inspection Provisions Value Value Ci mplies? Comments/Assumptions
q•
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
402.2.6 ; ❑Not Observable ,
[Fill' ; ;❑Not Applicable
;
303.1.1.1,;Ceiling insulation installed per ;❑Complies ;Requirement will be met.
303.2 !manufacturer's instructions. 4 i❑Does Not
[FI2)1 I Blown insulation marked every ;Location on plans/spec:A-
;300 ft2. ;❑Not Observable ;
,1
1 }❑Note Applicable
402.2.3 lVented attics with air permeable 1❑Complies :Requirement will be met.
[FI22]2 ;insulation include baffle adjacent ❑Does Not
to soffit and eave vents that i :Location on plans/spec:A-
extends over insulation. ;❑Not!Observable ;1
i❑Not Applicable
402.2.4 ;Attic access hatch and door R- R- ;❑Complies :Requirement will be met.
[FI3]' I insulation zR-value of the :❑Does Not
adjacent assembly. !Location on plans/spec:A-
❑Not Observable ;1
;❑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:A-
;❑Not:Observable ;1
j ❑NotjApplicable
403.3.3 ;Ducts are pressure tested to cfm/100 cfm/100 ❑Complies ;Exception:All ducts and air
[FI27]1 ;determine air leakage with ft2 ft2 ❑Does Not handlers are located within
!either: Rough-in test:Total ; ❑Note ;conditioned space.
;leakage measured with a Observable ,
;pressure differential of 0.1 inch :❑NotlApplicable
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 :Exception:All ducts and air
[FI4]1 ;cfm/100 ft2 across the system or ft2 ft2 :❑Does Not :handlers are located within
<=3 cfm/100 ft2 without air
;handler @ 25 Pa. For rough-in ;❑Not Observable ;conditioned space.
;tests,verification may need to ; ❑Not Applicable
!occur during Framing Inspection. ;
403.3.2.1 ;Air handler leakage designated ;❑Complies ;Requirement will be met.
[FI24]1 :by manufacturer at<=2%of I❑Does Not
design airflow. ;❑Not Observable Location on plans/spec:A-
j j j❑Not Applicable 1
403.1.1 Programmable thermostats ;❑Co i plies :Requirement will be met.
[Fig]2 !installed for control of primary i❑Does Not
heating and cooling systems and :Location on plans/spec:A-
initially set by manufacturer to 1❑Not Observable 1
code specifications. ❑Not Applicable
403.1.2Heat pump thermostat installed I f❑Complies ;Exception: Requirement is
[FI10]1 `on heat pumps. {DDoes Not ;not applicable.
I❑Not Observable
I❑NotiApplicable
403.5.1 Circulating service hot water ; ;❑Complies ;Exception: Requirement is
[FI11]2 !systems have automatic or i ;[:]Does Not ;not applicable.
!accessible manual controls. i
s 1❑Not:Observable
❑Not!Applicable
1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 1 3 1 Low Impact(Tier 3)
Project Title: Sauro Addition Report date: 04/09/22
Data filename: Page 7 of 9
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID 1
403.6.1 jAll mechanical ventilation system j❑Complies ;Exception: Requirement is
[FI25]2 :fans not part of tested and listed ❑Does Not :not applicable.
HVAC equipment meet efficacy i I
and air flow limits per Table j ;❑Not Observable
R403.6.1. i ❑Not Applicable
403.2 'Hot water boilers supplying heat ;❑Complies :Exception: Requirement is
[FI26]z (through one-or two-pipe heating I i❑Does Not :not applicable.
systems have outdoor setback I :
!control to lower boiler water { ❑Nof Observable ;
,temperature based on outdoor I ;❑Not!Applicable
temperature.
403.5.1.1 Heated water circulation systems ` ;❑Complies ;Exception: Requirement is
IF1213]2 have a circulation pump.The PDoes Not :not applicable.
i system return pipe is a dedicated
return pipe or a cold water supply li ;❑Noti Observable
;pipe. Gravity and thermos- ❑NotiApplicable
syphon circulation systems are
i not present. Controls for
circulating hot water system
pumps start the pump with signal ,
for hot water demand within the j
occupancy.Controls ;
1 automatically turn off the pump
!when water is in circulation loop I :
I is at set-point temperature and j 3
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.
1515.Controls automatically
adjust the energy input to the ![-]Not Observable
heat tracing to maintain the l❑Not Applicable
desired water temperature in the :
piping. :
403.5.2 ;Demand recirculation water ;❑Co plies ;Exception: Requirement is
[FI30]z !systems have controls that 1 ❑Does Not :not applicable.
manage operation of the pump :
and limit the temperature of the , i❑NotlObse Observable
:
,water entering the cold water pp
piping to <= 1049F.
403.5.4 `Drain water heat recovery units ; ;❑Complies ;Exception: Requirement is
[FI31]z tested in accordance with CSA : �❑Does Not :not applicable.
:B55.1. Potable water-side 1
pressure loss of drain water heat ❑Not1Observable
recovery units< 3 psi for ; I❑NotiApplicable :
individual units connected to one
or two showers. Potable water-
;side pressure loss of drain water j
heat recovery units <2 psi for
individual units connected to I
;three or more showers.
404.1 ;90%or more of permanent {❑Complies :Requirement will be met.
[FI6]i :fixtures have high efficacy lamps. tboe�l Not
' ;❑Not Observable :Location on plans/spec:A-
❑Not Applicable
404.1.1 Fuel gas lighting systems have ; i❑Complies ;Exception: Requirement is
[FI23]3 no continuous pilot light. I i❑Does Not :not applicable.
❑Not Observable
j❑Not Applicable :
401.3 ;Compliance certificate posted. '❑Complies Requirement will be met.
[FI7]2 i !❑Does Not
i ;❑Not Observable
j❑Not Applicable
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Sauro Addition Report date: 04/09/22
Data filename: Page 8 of 9
I
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID
303.3 ;Manufacturer manuals for I ❑Complies ;Requirement will be met.
[FI18]3 imechanical and water heating IODoel s Not
,systems have been provided. 1
i❑Not Observable
{❑Not Applicable
Additional Comments/Assumptions:
I�
I
I
I
I
I
�I
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Sauro Addition Report date: 04/09/22
Data filename: Page 9 of 9
i
i
I
= 2018 IECC Energy
Efficiency Certificate
Insulation
Above-Grade Wall 21.00
Below-Grade Wall 19.00
Floor 0.00
Ceiling / Roof 49.00
Ductwork(unconditioned spaces):
Glass & Door Rating U-Factor SHGC
I
Window 0.26
Door 0.30
CoolingHeating &
Heating System•
Cooling System•
Water Heater•
Name• Date•
Comments
I
I
I
i
I
i
I
i
05/24/2023 13 : 48 From : 15182209014 MAIA - Lathalm Pagel/1
MIDDLE DEPARTMENT INSPECTION, AGENCY, INC.
�•V
that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable gbvernmental, utility!and Agency rules in effect on the c� e
noted below and is issued subject to the following conditions.
Owner: Mike Sauro I Date: Osm8/2023
Occupant:Same i l.ocatio% Pinewood Rd.
Occupanc Queensbrl ry,Warren Co. NY
dingle Family Dwg.
Applicant:
Home Improvement Gallery { j
I
10 Saratoga Ave.
South Glenns Falls, NY 12803 ! . .
L J
�.C..._O ZQ 22—
Ray Novak Jr.
No. 146886172791-EL �-
Equipment: a
-Switches; 10-Receptacle$; 10-Fixtures;'1 -40A Ra666�: �tom`` r•��
. ..... .,.•. I is
This certificate appiles to the electrical wlrina to the electrical equipment listed i mediatety null and void. TF Is certificate applies only to the use,occupancy,_nd ?y
above and the installation inspected as.of-.the above.noted.date'6it6d,on:a visual wneiihip:as indicafed herein f UOph4:change in.'the.use,occupancy or awner::ip 3
inspection, Nd waRanty is expressed orfmplied,>�s to:tfie tttebftartical.safety:•eHi- f ttie'property:lridicated'above,this'cerfificate stall be:ltnmedately null and v,::d.
deny or Fitness of the equipmeoCfor any particular purigse.:This'certificate-shall 1Q the`everit that':this certificate becomes invalid lia d upon the above condiia s, '�?
be valid for a period of one'year from the above noted date,•Should tfie:efedtrieal this certificate,inay•6e fevalidafed upon,reinspectfon by Middle Departm::-u 35
system to which this:cerdticate ppiies be'.eltered in-any 4(ay including'but not limit t sgkb n Agen0y,-lnc. An application for irupectlon must be submitted to Micc:;e v�
ed to,the inttoductiori of additional electrical,
acement of. [epattrrfent'Inspectigrr Agency, lnc.fo 1nitiate:the inspection and revatidsr:n
any of the componeAts installed as-oi•the aboJi noted ifate;'tbis•certlfcate"shah be pirocess;:A feo,wll be ch'arged,for this seniice. ti4>
I
I
i
I I
i
I
i
I '
I