RC-0447-2022 op
A- 00—4%k I
Office Use Only
ADDITION/ALTERATION PERMIT Permit#: 0AV:"0 22-,
ta APPLICATION Permit Fee:$
Town of Oucenshur if
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.gueensburv.net Flood Zone? Y DN Reviewed BycA—,JD
Project Location: Vnr ,li -210-2,1
Tax Map ID#: 1-
Subdivision Name-,
E C r
PROJECT INFORMATION:
JUL 15 2022
TYPE: XResidential El Commercial, Proposed Use: TOVVN OF it ipf--Nicoi pnw
n, '0- L_ .::s
—BUILDING 8, CobDL��
�—L;D 6
Single-Family 1:1 Two-Family El Multi-Family (#of units_) El Townhouse
El Business Office 0 Retail El Industrial/Warehouse El Garage (#of cars
El Other(describe
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: ir 1st floor: 6
2n,floor: 2 2 L/ 2n,floor:
31 floor: — 3r,floor:
Basement (habitable space): Basement (habitable space): 0
Total sq ft: 2 Total sq ft: 2-
Scope of work to be done: k.rul co 6 .I
P)-Al-rl 00, iA I C'
Addition/Alteration Application Revised March 2022
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Nam e(s): lk
Mailing Address, C/S/Z: A. �;e F4/
Cell Phone: ) ZZ — 1 6 Land Line:
Email: C 1 , lh
Primary O ner s :
Name(s): C- e -6
Mailing Address, C/S/Z: L/
Cell Phone: ® ) G Land Line:
Email: {
❑ Check if all work will be performed by property owner only
• Contractor(s): (List all additional co tractors on the back of this form)
Contact Name(s): k c�/ � 'r
Contractor Trade:
Mailing Address, C%S/Z: P-J acl
Cell Phone: ) Land Line: )
Email: `a �
**Workers' Comp documentation must be submitted with this application**
• Architects En ineer s
Business Name: r t I tf S
.Contact Name(s): m.1• 1
Mailing Address, C/S/Z: Oq �h
Cell Phone: ( `— ) Land Line: ? 9 JL
Email: , t y,,� n :, t oug, r J Q L' r9 ►�
Contact Person for Compliance in regards to this project:
Cell Phone: ) -- 'T Land Line: ( )
Email: m
Addition/Alteration Application Revised March 2022
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ � �f n
2. Source of Heat(circle one): ❑ Gas ❑ Oil Wpropane ❑ Solar ❑ Other:
Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application
3. Are there any structures not shown on the plot plan? ❑ YES ❑ NO Explain:
4. Are there any easements on the property? ❑ YES ❑ NO
SITE INFORMATION:
• Is this a corner lot? BYES ❑ NO
• Will the grade be changed as a result of the construction? ❑ YES V NO
• What is the water source? ❑ 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.
J. 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 a true and a complete statement and/or description
of the work proposed,that all work will be performed in accordance with the NYS Building Codes, local building laws
and ordinances, and in conformance with local zoning regulations.
5. 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 certificate of occupancy.
I have read and agree to the above:
PRINT NAME: C/G��' `
SIGNATURE: DATE:
Addition/Alteration Application Revised March 2022
ALI
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.
I6� 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
GN -Egress window from basement 5.0 sq.ft.
Floor system sizing per table 502.3.1
Residential check ERI or Prescriptive method
riveway length: 300' or more-12' width required/500' or more,turnaround required
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. 12T
Ice &snow shield—24"from exterior wall
Platforms at exterior doors
Stairway headroom 6'8"; all stairs 36" width
9 Stair run and rise
Winder run and rise
)L)JA 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
Railing&guards >30"/basement stairs included/closed risers more than 4" in height
Safety glazing notes for required areas
Garage fire separation:%" gable end/5/8" under living space &%" on walls/20 min. door
and closer Lt
Garage floor sloped
Attic access: gasket seal & R-value equal to roof insulation 9
nj 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)
VCarbon Monoxide detector outside lowest sleeping area, on every level & interconnected
l within 15' of sleeping area
Soil test results, if required
' Septic to well or waterline separation
All paperwork signed
1. Note on plans energy saving light bulbs 90%
Blower door test agency paperwork
Floodplain Permit required-check map: 2 feet above flood elevation
y� Hurricane clips required
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
l:J Separate room for draft HVAC or hot water heater with fresh air
HRV shown and calculations
Baffles at eaves for insulations and knee walls
Ye�Makeup air for range hood >400 cfm
W�AContinuous header for garage doors to end wall
API Chimney rain cap shown for fireplaces
Y Deck hold down shown not less than 4 lags and bolts per table 507.2
Residential Plan Review Revised October 2021
70WWN
(D N N N
t U) 2 01
QTGenerates! by REScheck-Web Software
Compliance Certificate n
FILE COPY
Project PLAN NO 091120 Ul
*+ 70
Energy Code: 2018 IECC D �� ��7 Cam, ! D A
Location: Lake George, New York �/ jL p
Construction Type: Single-family JULroject Type: Addition
,d 15 �022 I V
Climate Zone: 6 (7377 HDD) I N
Permit Date: TOWN Or OI-j�:EN"SUIR", �' N Permit Number: BUILDING Cot CODES N
Construction Site: Owner/Agent: Designer/Contractor:
32 NORTH LANE STEVE McDEVITT ELLEN WILLIAMS&WILLIAMS DESIGNERS
QUEENSBURY, NY 12804 WHETHERBY 509 GLEN ST
32 NORTH LANE GLENS FALLS,NY 12801
QUEENSBURY, NY 12804 518-798-4687
�Compliance: Passes Using UA trade-off
Compliance: 0.0%Better Than Code Maximum UA: 97 Your UA: 97
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: Flat Ceiling or Scissor Truss 135 49.0 0.0 0.026 0.026 4 4
Ceiling 1:Cathedral Ceiling 274 38.0 0.0 0.027 0.026 7 7
Wall 1:Wood Frame, 16"o.c. 142 21.0 0.0 0.057 0.045 7 5
Window:Wood Frame 27 0.300 0.300 8 8
Wall 2:Wood Frame, 16"o.c. 179 21.0 5.0 0.043 0.045 6 6
Window 1:Wood Frame 41 0.300 0.300 12 12
Wall 3:Wood Frame, 16"o.c. 142 21.0 5.0 0.043 0.045 3 3
Door:Glass Door(over 50%glazing) 80 0.300 0.300 24 24
Wall 1S:Wood Frame, 16" o.c. 150 21.0 5.0 0.043 0.045 5 6
Window 2:Wood Frame 27 0.300 0.300 8 8
Wall:Wood Frame, 16"o.c. 92 21.0 0.0 0.057 0.045 5 4
Floor:All-Wood joistITruss 23 30.0 0.0 0.033 0.033 1 1
Crawl 1:Solid Concrete or Masonry
Wall height: 5.0' 79 0.0 19.0 0.046 0.055 2 3
Depth below grade:4.0'
Insulation depth: 5.0'
Project Title: PLAN NO 091120 Report date: 05/17/22
Data filename: Page 1 of10
Gross Area Cavity Cont. Prop. Req. Prop. Req.
Perimeter
Crawl 2:Solid Concrete or Masonry
Wall height: 5.0'
Depth below grade:4.0' 98 0.0 19.0 0.046 0.055 3 3
Insulation depth: 5.0'
Crawl 3:Solid Concrete or Masonry
Wall height: 5.0' 79 0.0 19.0 0.046 0.055 2 3
Depth below grade:4.0'
Insulation depth: 5.0'
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.
Jessica Chenier Bulman 05/17/22
Name-Title ,44gnature Date
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Project Title: PLAN NO 091120 Report date: 05/17/22
Data filename: Page 2 of10
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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 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
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
&Re .ID
103.1, ;Construction drawings and Complies
103.2 documentation demonstrate ❑Does Not
[PRl]1 energy code compliance for the
j :building envelope.Thermal []Not Observable
envelope represented on ❑Not Applicable
construction documents.
103.1, !Construction drawings and MComplies
103.2, documentation demonstrate IE]Does Not
403.7 I energy code compliance for t
[PR3]1 :,lighting and mechanical systems. i❑Not Observable
IN !Systems serving multiple ❑Not Applicable
dwelling units must demonstrate
compliance with the IECC
;Commercial Provisions. I
302.1, Heating and cooling equipment is; Heating: Heating: ;❑Complies
403.7 1 sized per ACCA Manual S based Btu/hr Btu/hr :❑Does Not
[PR2]2 on loads calculated per ACCA Cooling: Cooling: 1E] t Observable
1j Manual]or other methods Btu/hr Btu/hr
I approved by the code official. Not Applicable
y !
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: PLAN NO 091120 Report date: 05/17/22
Data filename: Page 3 of10
i
77
Section Plans Verified . `Field Verified
# Foundation Inspection omplies? Comments/Assumptions
&Req.ID Value_ Value,-
402.2.11 ;Unvented crawl space wall R- R- ; Complies ;See the Envelope Assemblies
[F07]1 :insulation R-value. R- R- ❑Does Not ;table for values.
:[:]Not Observable
❑Not Applicable '
303.2 ;Unvented crawl space wall I ❑Complies ;
[F08]1 !insulation installed per ❑Does Not
!manufacturer's instructions. ❑Not Observable
IE]Not Applicable
402.2.11 ;Unvented crawl space continuous ❑Complies
[F09]1 ;vapor retarder installed over ❑Does Not
,� iexposed earth,joints overlapped
by 6 in.and sealed,extending at -]Not Observable
least 6 in.up and attached to the ;❑Not Applicable
'wall. t
402.2.11 ;Unvented crawl space wall in. ; in. ;❑Complies ;See the Envelope Assemblies
[FO10]1 :insulation depth of burial or ; T❑Does Not ;table for values.
:distance from top of wall.
;❑Not Observable '
❑Not Applicable '
303.2.1 IA protective covering is installed IE]Complies
[F011]Z Ito protect exposed exterior r ❑Does Not
Omsulation and extends a I
minimum of 6 in.below grade. } ❑Not Observable
I ; ❑Not Applicable
403.9 Snow-and ice-melting system ❑Complies
[F012]2 #controls installed. ❑Does Not
❑Not Observable
;
$ ❑Not Applicable
Additional Comments/Assumptions:
------------
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: PLAN NO 091120 Report date: 05/17/22
Data filename: Page 4 of10
Section Plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
&Req.ID ,
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
303.1.3 ;U-factors of fenestration products} ❑Complies
[FR4]1 :are determined in accordance ❑Does Not
U ;with the NFRC test procedure or
;taken from the default table. ( []Not Observable
t IE]Not Applicable
402.4.1.1 ;Air barrier and thermal barrier ❑Complies
[FR23]1 !installed per manufacturer's ❑Does Not
instructions.
❑Not Observable
❑Not Applicable
402.4.3 ,'Fenestration that is not site built (( ❑Complies ;
[FR20]1 ;is listed and labeled as meeting i ❑Does Not
AAMA/WDMA/CSA 101/i.S.2/A440 ❑Not Observable
;or has infiltration rates per NFRC
;400 that do not exceed code ❑Not Applicable
limits.
402.4.5 j IC-rated recessed lighting fixtures ❑Complies
[FR16]2 J sealed at housing/interior finish ❑Does Not
11 and labeled to indicate s2.0 cfm
leakage at 75 Pa. ❑Not Observable ;
❑Not Applicable
403.3.1 ;Supply and return ducts in attics ❑Complies
[FR12]1 ;insulated>=R-8 where duct is ❑Does Not
>=3 inches in diameter and>=
v ;R-6 where<3 inches.Supply and ❑Not Observable
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.
403.3.2 ;Ducts,air handlers and filter I❑Complies
[FR13]1 :boxes are sealed with )❑Does Not
;joints/seams compliant with
lj ❑Not Observable
International Mechanical Code or
International Residential Code, as ❑Not Applicable
:applicable.
403.3.5 Building cavities are not used as ❑Complies ;
[FR15]3 "ducts or plenums. I ❑Does Not
�+} ❑Not Observable
r ❑Not Applicable
403.3.3 �Ducts declared to be within the � ❑Complies
[FR28] conditioned space are either 1) ❑Does Not
J :completely within the continuous []Not Observable
air barrier and within the building ❑Not Applicable
,thermal envelope,2)buried pp
!within ceiling insulation in
I accordance with Section
I R403.3.6 and the air handier is
i located completely within the
continuous air barrier and within
1the building thermal envelope t}
';and the duct leakage is<=1.5 I
I cfm/100 square feet of ( !
conditioned floor area served by
Ithe 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-
I value of the insulation on the I
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: PLAN NO 091120 Report date: 05/17/22
Data filename: Page 5 of10
Section Plans Verified . ' Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
&Req.ID
403.4 HVAC piping conveying fluids R- R- ;❑Complies
[FR17]2 1 above 105 9F or chilled fluids �❑Does Not
below 55 9F are insulated to>_R- j
e tlNot Observable ;
13' ❑Not Applicable
403.4.1 ;Protection of insulation on HVAC } ❑Complies
[FR24]1 ;piping. ❑Does Not
p ❑Not Observable
( ❑Not Applicable
403.5.3 }Hot water pipes are insulated to R- ; R- ;❑Complies
[FR18]2 >_]1-3. I ;❑Does Not
sr ;❑Not Observable
;❑Not Applicable
403.6 !Automatic or gravity dampers are ❑Complies
[FR19]2 4installed on all outdoor air ❑Does Not
i intakes and exhausts.
11S ❑Not Observable ;
❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: PLAN NO 091120 Report date: 05/17/22
Data filename: Page 6 of10
Section Plans Verified - Field Verified
# Insulation Inspection Value Value Complies? Comments/Assumptions
&Req.ID
303.1 ;AII installed insulation is labeled I ❑Complies
[IN13]2 or the installed R-values ❑Does Not
provided. ❑Not Observable
❑Not Applicable
402.1.1, :Floor insulation R-value. ; R- R- ;❑Complies ;See the Envelope Assemblies
402.2.6 1 ❑ Wood ;❑ Wood ;❑Does Not ;table for values.
[IN1]1 ❑ Steel ❑ Steel ;❑Not Observable
} :❑Not Applicable
I
1
303.2, ;Floor insulation installed per ❑Complies
402.2.8 'manufacturer's instructions and ❑Does Not
[IN2]1 ;in substantial contact with the
;j :underside of the subfloor,or floor ❑Not Observable ;
;framing cavity insulation is in ❑Not Applicable
contact with the top side of I
;sheathing,or continuous
;insulation is installed on the 4�4
,underside of floor framing and i
extends from the bottom to the
stop of all perimeter floor framing
members.
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 Y2 of the ❑ Wood ❑ Wood ❑Does Not ;table for values.
402.2.6 ;wall insulation on the wall ;❑ Mass ❑ Mass ❑Not Observable
[IN3]1 :,exterior,the exterior insulation
requirement applies(FR10). ❑ Steel ;❑ Steel ❑Not Applicable
303.2 ;Wall insulation is installed per } ❑Complies
[IN4]1 manufacturer's instructions. ❑Does Not
t ❑Not Observable
t ❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: PLAN NO 091120 Report date: 05/17/22
Data filename: Page 7 of10
Section - plans Verified Field Verified .
# Final Inspection provisions Complies? Comments/Assumptions
&Req.ID Value Value.
402.1.1, ;Ceiling insulation R-value. R- ; R- ;❑Complies ;See the Envelope Assemblies
402.2.1, ❑ Wood ❑ Wood ❑Does Not ;table lbrvalues.
402.2.2, ❑ Steel ❑ Steel tlNot Observable
402.2.6
[Fill' ;❑Not Applicable
303.1.1.1,;Ceiling insulation installed per ❑Complies
303.2 manufacturer's instructions. 1 '❑Does Not
[FI211 !Blown insulation marked every
;300 ft2. ❑Not Observable ;
❑Not Applicable
402.2.3 JVented attics with air permeable ❑Complies
[F122]2 ;insulation include baffle adjacent ❑Does Not
Ito soffit and eave vents that
extends over insulation. -]Not Observable
j - #❑Not Applicable
402.2.4 ;Attic access hatch and door ; R- R- ;❑Complies
[FI3]1 I insulation >_R-value of the : PDoes 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 toI cfm/100 ; cfm/100 ;❑Complies
[FI27]1 :determine air leakage with ft2 ft2 !❑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
handler @ 25 Pa. For rough-in :.❑Not Observable
;tests,verification may need to j C❑Not Applicable :
occur during Framing Inspection.
403.3.2.1 ;Air handler leakage designated I ❑Complies
[FI24]1 :by manufacturer at<=2%of ❑Does Not :
design air flow. ❑Not Observable
❑Not Applicable
403.1.1 Programmable thermostats ❑Complies
[FI912 !installed for control of primary ❑Does Not
heating and cooling systems and
initially set by manufacturer to [-]Not Observable
code specifications. ❑Not Applicable :
403.1.2 Heat pump thermostat installed ❑Complies ;
[1`I10]2 Ion heat pumps. ppp ❑Does Not
❑Not Observable
J❑Not Applicable
403.5.1 ;Circulating service hot water ❑Complies
[FI11]2 systems have automatic or ❑Does Not
accessible manual controls.
t ❑Not Observable ;
4 : ❑Not Applicable :
111 High Impact(Tier 1) 12 1 Medium Impact(Tier 2) 3, Low Impact(Tier 3)
Project Title: PLAN NO 091120 Report date: 05/17/22
Data filename: Page 8 of10
Section Plans Verified Field Verified
# Final Inspection Provisions _Value Value I I Complies? Comments/Assumptions
&Req.ID
403.6.1 All mechanical ventilation system �❑Complies
[F125]2 !fans not part of tested and listed ❑Does Not
HVAC equipment meet efficacy
and air flow limits per Table ❑Not Observable
1 R403.6.1. ❑Not Applicable
403.2 ;Hot water boilers supplying heat ❑Complies ;
[FI26]2 {through one-or two-pipe heating ❑Does Not
!systems have outdoor setback
}control to lower boiler water ❑Not Observable
}temperature based on outdoor } ❑Not Applicable
!temperature. I
403.5.1.1 1 Heated water circulation systems UComplies
[F128]2 )have a circulation pump.The ❑Does Not
;system return pipe is a dedicated} ❑Not Observable
return pipe or a cold water supply I
pipe.Gravity and thermos- ❑Not Applicable
,syphon circulation systems are
not present.Controls for j
circulating hot water system }
E 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
R no demand for hot water exists. I
403.5.1.2 )Electric heat trace systems ]❑Complies
[FI29]2 comply with IEEE 515.1 or UL ❑Does Not
515.Controls automatically
adjust the energy input to the ❑Not Observable
heat tracing to maintain the ❑Not Applicable
desired water temperature in the
E piping.
403.5.2 }Demand recirculation water ❑Complies
[F130]2 systems have controls that ❑Does Not
manage operation of the pump I
and limit the temperature of the 44 ❑Not Observable
water entering the cold water a ❑Not Applicable
piping to<= 104°F. y
403.5.4 ;Drain water heat recovery units ❑Complies
[FI31]2 !tested in accordance with CSA ❑Does 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
'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 ;90%or more of permanent ; ❑Complies
[FI6]1 fixtures have high efficacy lamps.! ❑Does Not
❑Not Observable
❑Not Applicable
404.1.1 ;Fuel gas lighting systems have ❑Complies
[F123]3 no continuous pilot light. []Does Not
❑Not Observable
❑Not Applicable
401.3 Compliance certificate posted. i ❑Complies ;
[FI7]2 I ❑Does Not
❑Not Observable
IE]Not Applicable ,
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: PLAN NO 091120 Report date: 05/17/22
Data filename: Page 9 of10
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies7 Comments/Assumptions
&Req.ID
303.3 j Manufacturer manuals for ❑Complies
[FI18]3 !mechanical and water heating I ❑Does Not
systems have been provided.
I❑Not Observable
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Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: PLAN NO 091120 Report date: 05/17/22
Data filename: Page 10 of10
2018 IECC Energy
Efficiency Certificate
Above-Grade Wall 26.00
Below-Grade Wall 19.00
Floor 30.00
Ceiling/Roof 38.00
Ductwork(unconditioned spaces):
Door Rating U-Factor SHGC
Window 0.30
Door 0.30
Cooling,Heating &
Heating System:
Cooling System:
Water Heater•
Name: Date:
Comments
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