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2014-101 TOWN OF QUEENSBURY `�c:.y � 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140101 Date Issued: Tuesday, June 23, 2015 This is to certify that work requested to be done as shown by Permit Number P20140101 has been completed. Location: 797 STATE ROUTE 9 Tax Map Number: 523400-302-006-0001-043-000-0000 Owner: NORTHGATE ENTERPRISES INC Applicant: KENTUCKY FRIED CHICKEN This structure may be ocgagagiePSZKO, FA Commercial / Industrial By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property (D� /� 417st owner of the responsibility for compliance with Site Plan, Variance, or /{� other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140101 Application Number. A20140101 Tax Map No: 523400-302-006-0001-043-000-0000 Permission is hereby granted to: PETER GLUSZKO, FA KENTUCKY FRIED CHICKEN For property located at: 797 STATE ROU 1'E 9 in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: NORTHGATE ENTERPRISES INC Commercial/Industrial $739,470.00 PO BOX 4514 Total Value 5739,470.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2014-101 Kentucky Fried Chicken Comm. New Build- 3,503 sq ft $805.69 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,July 07,2015 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town f Que sbu / 41M t t .a/ • 07,2014 SIGNED BY \ for the Town of Queensbury. Director of Building&Code Enforcement rMCeu; sTrnur 9 ik-r a : 2vAt'R orPc---- il Office Use Only 1 Town of Queensbury B 1 • eodesAr� - D ` . ceived: PRINCIPAL STRUCTUR t 'LIC. tO �t Ii •Jrmit No.: J.. —/O/ A permit must be obtained befor iWnint 'i? .t .. . • p rmit Fee: g i 9Y * ec Fee: /� /a Please read: 'TB resolution 86-2013(1-28-2013) tw.o e i ���eq���j * Si e Plan No.SP II 'ADPL units,including single-family dwellings,duplexes rv+e1r_Ngs,rnr��arrnLY7 dwellings, apartments, condominiums, townhouses, and/or manufactured and modularon-N-6: 4V i 3-.M t 4 homes,but not including mobile homes. This is in addition to the permit fee. ,✓ Pe—361 Date 1 1“1'4-n- 14 Applicant rE Tfl GLu5z-t'Ci P-A Tax Map ID 3o'L- . Co - 1 - +3 Address tg(,G H-64-S55hoe Ft1'E, Suim I Zoning Cl ?AL-MYF,1/4 pA 1-/ a-/°o Phone/E-mail 7(7 - 2332) -9o$0 . \ t74:1-Li 5 7.14-70 e Ci-Lv5ZIGOACLCt{,TCc.:`}.ce 1 Property Owner t-1 .1A/ Fowl" Inlc . Contractor/Agent W/A- Address 222 Lo 5r CaVE P-9• Address coLGHESrail-, Vt as 4# -7726 Phone/E-mail k-F-C.t2-PEY Co AOL . G a rfr Phone/E-mail Contact Person for Building&Code Compliance: 'PE T CY+- C11-MS-A'-c t EA Day Phone: Z 1`7- t 36- Building Street Address: 797 STATE tzoUrt 9 Subdivision Name: Lot#: Historic Site: _Yes K No Estimated cost of construction: $ 739 r 4-V V . a0 Type of Construction: Check all that apply Please indicate measurements as required below: C o %v d 1st Floor 2nd Floor Other Total Height F a Ni Single Family Two-Family Multi-Family(#of units_) Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garages(#_) 2Jir „ Other RESTAt$-P N s X --1 2 x Z — — 3 2'5 03 S.F. 2 - toN 5'3 - s ` Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 c03 a 323 - 4305�� e If commercial or industrial indicate name of business 2 C-31 A ti S-A Proposed use of building or addition 0-EST/t J 12_/< T Source of heat(circle one) Ga Oil Propane Solar Other Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes No Are there structures not shown on plot plan? N O Are their easements on the property? hl//6, Site Information a. Dimensions or acreage of lot . ( % ASGC2-E5 b. Is this a corner lot? '/ES c. Will the grade be changed as a result of construction: _Yes X No d. Public water or Private well P if (3 L I C W h r Ey_ e. Sewer or Private Septic System SEW E Value of all work to be performed(labor and materials) $ -7 3 9r 4 7 0. 0 O Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed,that all work will be performed in accordance with the NY State Building Codes,local building laws and ordinances,and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. Print Name: PE rain_ Q-Lv SZ t`O 't-p` Signature: Date: -7 pP f"' ( FOR OFFICE USE ONLY: Operating Permit Issued: _Yes _No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Checklist - Single family dwelling or Multiple dwelling / Commercial project SINGLE FAMILY DWELLING PROJECT CHECKLIST PROJECT NAME: ).<PC QUEEt`1SPwRY Please include two(2)sets of the following documentation: Yes No NIA 1. Building Permit Application Completed 2. Energy Code Inspector's Report from ResCheck 3. Septic application(if applicable) 4. Solid Fuel Burning or Gas Appliance Form(if applicable) 5. Driveway Permit 6. Structural Drawings Floor plan(s) Foundation plan Cross Sections Elevations Window and door schedule Natural Light,Ventilation and Emergency Egress Requirements Plans signed and sealed by registered architect or engineer 7. Plot Plans-Indicate proposed structure,showing setback dimensions from all surveyed property lines; Show location of all existing structures on the property; Show location of water supply(well or water lines); Show location and configuration of septic disposal system or sewer line 8. Electrical Inspection agency selected MULTIPLE DWELLING OR COMMERCIAL PROJECT CHECKLIST PROJECT NAME: Please include two(2)sets of the following documentation: Yes No NIA 1. Building Permit Application Completed 2. Energy Code ComCheck and Inspector's Report Form • 3. Septic application completely filled out(if applicable) S` 4. Solid Fuel Burning or Gas Appliance Form(if applicable) - 5. Driveway Permit 6. Structural Drawings Floor plan(s) Foundation plan Cross Sections Elevations Design loads including floor,snow load and wind load Seismic design(required after January 2003) Plans signed and sealed by registered architect or engineer X Window and door schedule 7. Plot plan: Indicate proposed structure,showing setback dimensions from all surveyed property lines >c Show location of all existing structures on the property Show location of water supply(well or water lines) Show location and configuration of septic disposal system or sewer line 8. Electrical inspection agency selected Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Please include two (2) sets of the following documentation with the submission of a Completed application for a Building&Zoning Permit 1. Principal Structure Application 2. Plot plan drawn to scale with the use of a survey map, if possible[40 scale-1 inch=40 feet[engineering scale]: • Indicate proposed structure, showing setback dimensions from all surveyed property lines • Show location of all existing structures on the property • Show location of water supply(well or water lines) • Show location and configuration of septic disposal system or sewer line 3. Structural Drawings to include: • Floor Plan • Foundation Plan • Cross Sections • Elevations • Window and Door Schedule—see attachment • Calculation Sheet for Natural Light, Ventilation&Emergency Egress—see attachment 4. Registered Architect or Engineer's Stamp(signed &sealed) under the following circumstances: • Residential addition or alterations with construction costs over$20,000 • Single Family Dwelling 1,500 sq.ft. or greater • Any commercial construction 5. Checklist for single family or multiple dwelling or commercial project 6. REScheck or COMcheck signed &stamped: Downloadable version-www.energycodes.gov. 7. Fireplace and/or woodstove solid fuel burning application (if applicable) 8. Septic Disposal Permit(if applicable) 9. Electrical Inspection Agency- Please see"Certified Electrical Form"on the Town's website 10. Driveway permit(if applicable) 11. Fee Notes: Certificate of Occupancy: Before a certificate of occupancy is issued for a new residential or commercial structure, an as- built survey[plot plan]certified NYS licensed surveyor must be Med with our office. Changes to Plan: Any changes prior to or during construction will require submittal of amended plans[review and re- approval are necessary]. Withdrawn Permits: 20%of the initial fee is retainable by the Town of Queensbury. No fee is refundable after 1 year from initial application date. Additional Review: All Applications are subject to Zoning Administrator, Code Compliance, and Structural plan review Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Inspection Form Town of Queensbury Fire Marshal 0 Periodic Inspection Date: I2{I1�/ r`'i Ame/ '5''"/ 742 Bay Road,Queensbury NY 12804 "Tee-Inspection r7l�_�� 518 761 8206/518 761 8205 CO Inspection Permit#: !�0 / Fire Marshals Representative . MJ Palmer Business Name: Location: 14K Stillman Contact: c1795/7&) 31-at) Type of Inspection N/A Yes No EXITS. Exit Access FC 1014&FC1029 / NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign' Normal FC 1011 &FC1029 Sign. backup FC 1011.5.3&FC1029.7.5 AISLES: ' Main Aisle Width FC 1024/1025&FC1029.11 ./'- Secondary Aisle Width FC 1025&FC1029.11 _..,C.FIRE EXTINGUISHER: Hung FC 906 ` ' Inspection of extinguisher FC 906 ...01".-/ .. EVAC Plan FC 404.2 ! _ TRUSS ID SIGNAGE FC 505.3 A arf —� 'PIC EMERGENCY LIGHTING: to FC 1006.3&FC1029.8 ...."1". / � �- ."v Exterior /r�cI— FC 1006.3 Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 ....--"e- No Smoking Signs FC 310.3 ._...-••"".St / opFCC / Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 Interior Finishes FC 803-804 Smoke Detectors FC 907 CO detectors FC 610 Clearance tod5jorkTear/Ceiling FC 315.2.1 v HMOC `16i a/v. e- EVAC SIGNS IN Rooms FC 404.6(R1 &R2) Fuel Pump Warning Signs FC2205.6 / Fuel Station Emer Procedures FC2204.3.5 .� ✓✓ Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 / 21 DAYS Emergency Disconnect FC 2203.2 / Insp OK NC DATE: OK NC SYSTEMS: FC 901.6 Date Generator Annual DATE: OK NC Hood Installation Elevator Semi AnnualDATE: OK NC FIRE ALARM Annual `�X HVAC Shutdown Sprinkler System Annual /�6665� , SprinklerFDC � Kitchen Suppression Semi Annual Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual I Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection Town sbury Building&Code Enforcement _pO(�M Of c 1 .'(5'18)761-8256 e-� Commercial Final Inspection Report Inspection request received: l - Name: �Gaq��1CY1 \ C41f Inspected on: - an ,t Location: 79c) (2.)-yv-F_ ; '9 Arrive: e 'C a AdM,•m• Permit No.: \ 1 -`D\ Inspector's Initials: _ lir I OF COMMENTS Y_ N NA Ili Chimney!"B"Vent/Direct Vent Location TEMP co "- Plumbing Vent Through Roof 6"/Roof Complete nn�� Exterior Finish/Grade Complete 6"in 10'or Equivalent @ Co M?t_EN-E Rt._ Interior/Exterior Guardrails 42 inch Platform!Decks L \ �� �p��/ �� p Interior/Exterior Balusters 4 inch Spacing Platform/Decks CJ f F� - Stair Handrail 34 inch-38 inch/Step Risers 7"/Treads 11" cs \y2bJES) .hy"CE Vestibules For Exit doors>3000 sq.ft. n All Doors 36 inch wlLever Handles I Panic Hardware,if required O \ t�1 c R� QcNtott. Exits At Grade Or Platform 36"(w)x 44"(I)!Canopy or Equiv. ,ll PR�,�-\ O� Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Okay . E■■ f,,u_"l 11 ,.,, , Relief Valve,Heat Trap!Water Temperature 110 Degrees Maximum Lt_ C-0►�L'Z~ 6 Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System CO v"��G�\Dt3 -rem- Fresh ,�s Fresh Air Supply for Occupancy/Ventilation Combustion R t^�b Low Water Shut Off For Boilers O EFC7 C3l1�uJE� Gas Furnace Shut Off Within 30 ft.or Within Line Of Site III Oil Furnace Shut Off at Entrance to Furnace Area \ Ss" PFS-FOP--.Me Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 1/2 doors > 10%> 1000 sq.ft. „li IAeJ'0 g_EPos~\.i1$tvtirl %Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour,3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping,3,000 sq.ft.Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" dor)F to F'7'5 / Smoke Vents Or Fan,if required ..Elevator Operation and Signage I Shaft Sealed Handicapped Bathroom Grab Bars I Sinks I Toilets/Mirrors tJGCO Handicapped Bath/Parking Lot Signage ��■ \00 -�� Public Toilet Room Handicapped Accessible FE--a p Handicapped Service Counters,34 inch, Checkout 36 inch ��� e 1° Foz_ Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides] ��Q GQ Active Listening System and Signage Assembly Space e Final Electrical/Flex Gas Piping Bonded Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File , // -U)F EK , ll Building Number or Tenant Address on Building or Driveway 4? Water Fountain or Cooler —'ra Building Access All Sides by 20'/Drivable Surface 20'wide pg, Special Inspections/Em ineer or Architect Approval Okay To Issu:. emporary .r Permanent CIO Okay To Issue C/C Commercial Final Inspection_11 2712 THE Special FINAL REPORT OF SPECIAL INSPECTION Inspector, LLC Construction Testing and Special Inspections December 11, 2014 Ray Aley KFC Queensbury M&W Foods, Inc. 222 Lost Cove Colchester, VT 05446-7786 Re: KFC Queensbury NY—Special Inspection/Testing To the best of my information, knowledge, and belief, the Special Inspections required for this project, as itemized in the Statement of Special Inspections provided to our office for the project, have been performed and any discovered discrepancies have been reported and resolved. All interim reports submitted prior to this final report form the basis for and are to be considered an integral part of this final report. Respectfully submitted, Daniel W. Ryan, P.E. Special Inspector ENGINEERS STAMP: Digitally signed by Daniel W.Ryan P.E. of NE/// Date:2014.12.15 08:14:49-0500' 12/11/14 #ct \, R Y� Date re pP4 Signature I it ,Ir: .! V 7 j 9. 6'I 11 IC M 4 .470S, Pti 6€C)A . 07 •/90 Pearl Street•Suite 200•Glens Falls,NY•12801 •P:518.636.3177•F: 518.792.9282 You get what you inspect, not what you expect! .4 THE Special Inspector, LLC DAILY SPECIAL INSPECTION REPORT Construction Testing and Special Inspections LIGHT FRAME WOOD CONSTRUCTION Project Name: KFC - Queensbury Report Date:December 15, 2014 Project Number: 918 Report No. 918-LFC-SI-2 Inspector: Daniel W. Ryan P.E. Temp: 40°F Distribution: Dave Hatin, TOQ Weather: Partly Sunny Jason Shaw, Contractor Peter Gluszko, Architect Area Inspected: Rough carpentry/framing, re-inspect stud post below truss and SW sheathing o U 0 0 w -Q 2 2 W W W m 17 Wee 20M WN 0- 00_ d 2 wa 2O ¢0 26 a 0 U. 0 0 a 0 0 0 0 1. Wood roof sheathing and panels installed/nailed in ❑ ❑ ❑ ❑ El accordance with plans and specifications 2. Roof trusses installed in accordance with design, ❑ ❑ ❑ ❑ shop drawings, and manufacturer specifications 3. Truss bracing and hold-downs installed 0 ❑ 0 0 El 4. Exterior bearing walls installed in accordance with ❑ ❑ ❑ ❑ plans and specifications 5. Shear wall components installed in accordance with plans and specifications(sheathing, nailing, hold- 0 ❑ ❑ 0 ❑ down anchors) 6. Beams, headers, posts, infill studs, and columns ® ❑ ❑ ❑ ❑ installed in accordance with plans and specifications 7. Other framing components and gravity or lateral load resisting elements installed in accordance with plans ❑ ❑ 0 ❑ and specifications 8. Other 0 0 ❑ 0 SEE FOLLOWING PAGE FOR COMMENTS/NON-CONFORMACE ITEMS. 16 Pearl Street, Suite 200•Glens Falls, New York 12801 •p 518.636.3177 •f 518.792.9282 www thesoecialmspector.com THE Special Inspector, LLC DAILY SPECIAL INSPECTION REPORT Contraction Testing and Special Inspections LIGHT FRAME WOOD CONSTRUCTION Comments/Non-Conformance Items: 0� Fw aw a= >tu p - 'a W 6 W YR a6C C re z z 1. DODO 2. DODD The Contractor and RDP are responsible for resolving non-conformance items(NCRs) noted above. If addition information, testing or inspections are required, notify the Special Inspector (SI). RDP dispositions of NCRs shall be forwarded to the Special Inspector. Comments pertaining to this report shall be brought to the attention of the SI within 5 business days of receipt of the report. DANIEL W. RYAN P.E. Inspector Digitally signed by Daniel W.Ryan P.E. Date:2014.12.15 10:06:39-05'00' 16 Pearl Street, Suite 200•Glens Falls, New York 12801 •p 518.636.3177 •f 518.792.9282 www thespecialinspector corn Inspection Form f�/J Town of Queensbury Fire Marshal O Periodic Inspection Date: ! �_ ime:` n� 742 Bay Road,Queensbury NY 12804 O nspection 0 518 761 8206/518 761 8205 CO Inspection Permit#: /f l Fire Marshals Representative �� XMJ Palmer Business Name: Location: 75`4 `rFa R'fc. g / GK Stillman Contact:_ y Type of Inspection N/A Yes .No EXITS: Exit Access FC 1014&FC1029 -� NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 �� Locks and latches FC1008& FC1029.2 - ' a Sign:NormalckuFC 1011 &FC1029& ✓ )i -17a % x_s /11 f„/� ew .r..,/t Sign backup FC 1011.5.3&FC1029.7.5 I ��'' ! /' yj//'� AISLES: Main Aisle Width FC 1024/1025&FC1029.11 / _...:....A Secondary Aisle Width FC 1025&FC1029.11 S 1 .'� h� x 'fig FIRE EXTINGUISHER: Hung FC 906 J Inspection of extinguisher FC 906 p,,..._ ,�'/t��/<� `� EVAC Plan FC 404.2 7� 7 / l r� TRUSS ID SIGNAGE FC 505.3 �" rr.// ( ' — r. ,��2tt EMERGENCY LIGHTING: - -? Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 t. Clearance to Electrical FC 605.3Si /1' , in 7re. M ^v� Electric Wiring Enclosed/Labeled FC 605.3.1 �s ,"I Combustibles in Equipment Rooms FC315.2.3 —" s' �A/ -- i° F.D.Signage- FC 510 Z ` i /"1nfr�. No Smoking Signs FC 310.3 1 C� Storage FC 315.2 /, ,I Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 _/ Interior Finishes FC 803-804 Smoke Detectors FC 907 ,/ CO detectors FC 610 , Clearance to Sprinkler/Ceiling FC 315.2.1 18" �I `f 18" / 24" / f4-IY- -'r1lvN /0Cj -_ ` e-C EVAC SIGNS IN Rooms FC 404.6(R1 &R2) . ' j / hk� ).� C Fuel Pump Warning Signs FC2205.6 / 6� Ll Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 Emergency Disconnect FC 2203.2 ./ 21 DAYS Insp OK NC DATE: OK NC SYSTEMS: FC 901.6 Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual ,,/'P FIRE ALARM Annual /2/it' X DATE: OK NC HVAC Shutdown Sprinkler System Annual 1�2?} X Sprinkler FDC Kitchen Suppression Semi Annual i- ii Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual /2,40- Knox 0- Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection lhflof Queensbury Building&Code Enforcement -1 r) , a p in Office No. (518)761-8256 Commercial Final Inspection Report Inspection request received: Name: K Fe. — Inspected on: — .,i)/ Location: 977 p� Arrive: ��. a.m pm Permit No.: It"— hDI Inspector's Initials: _ • if- COMMENTS y N NA Chimney/"B"Vent/Direct Vent Location \ Plumbing Vent Through Roof 6"/Roof Complete 1JE \DPs Rp Exterior Finish/Grade Complete 6"in 10'or Equivalent J _ �\) nJ 3?-0 PR sn-J o 5 Interior/Exterior Guardrails 42 inch Platform/Decks ✓/ 6\6tJ of F Interior/Exterior Balusters 4 inch Spacing Platform/Decks ✓� NSC v �t1 C =\�t Stair Handrail 34 inch-38 inch/Step Risers 7"/Treads 11° / / A"-- CDt-Wn—�\LpJ \ rjcb ✓ Vestibules For Exit doors>3000 sq.ft. F1 tif�1_ v)g-ilE All Doors 36 inch w/Lever Handles/Panic Hardware, if required ii Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv. J — aVVE- C ei .-\-\F\CfkxS Gas Valve Shut-off Exposed&Regulator(18")Above Grade ,./, F e to t-o� \� �\�� Floor Bathroom Watertight/Other Floors Okay Relief Valve,Heat Trap 1 Water Temperature 110 Degrees Maximum / — \�y-cQ j .c c�V CSA Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System Y / �y��T\T\ctJ5 Fresh Air Supply for Occupancy/Ventilation Combustion i r/ Low Water Shut Off For Boilers / �� Gas Furnace Shut Off Within 30 ft.or Within Line Of Site V/ EE� 1 tJUN\e b Ftp Oil Furnace Shut Off at Entrance to Furnace Area b vcs� FQ'bo�� Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors > 10%>1000 sq.ft. .v/ ii Hour Corridor Doors&Closers ✓ °:1/4 te,�ay . • FiFirewalls/Fire Separation,2 Hour,3 Hour Complete/Fire Dampers/Fire Doors 'i i!��LCeiling Fire Stopping,3,000 sq.ft.Wood Frame / Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" of Rc.CE517 d/ Smoke Vents Or Fan, if required ✓ — V M m,^ , Elevator Operation and Signage/Shaft Sealed l ��x t\-`) Handicapped Bathroom Grab Bars/Si Toilets/Mirrors \-1-E11\E1 / „ Handicapp•r Bath '.rking : ignage J/ V Public Toilet=oom Handicapper accessible Handicapped Service Counters,34 inch,Checkout 36 inch 7 — \-kg__- L2 VG, Handicapped Ramp I Handrails Continuous/12 inch Beyond[Both sides) Active Listening System and Signage Assembly Space // VCR---Wic Final Electrical/Flex Gas Piping Bonded Site Plan/Variance required `// Final Survey,New Structure/Flood Plain certification, if req. As-built Septic System Layout Required or On File / - �r NW Building Number or Tenant Address on Building or Driveway 4" �� Water Fountain or Cooler Building Access All Sides by 20'/Drivable Surface 20'wide / / \-7 Cite-- Special Inspections/Engineer or Architect Approval � Okay To Issue Temporary or Permanent C/0 ✓ \ Okay To Issue C/C Commercial Final Inspection_11 2712 Inspection Form L Town of Queensbury Fire Marshal 0 Periodic Inspection Date:�2��r7 Time:��S 742 Bay Road,Queensbury NY 12804 0 Re-Inspection O j 518 761 8206/518 761 8205 n CO Inspection Permit#: Fire Marshals Representative MJ Palmer Business Name: a Location: _- ar 'r— _ GK Stillman Contact: \,W650 in Type of Inspection N/A Yes No EXITS Exit Access FC 1014&FC1029 Exit Enclosure FC 1020&FC1029 % \ NOT S Exit Discharge FC 1024&FC1029 / 1) RS-et ra //tae_ 622 s Locks and latches FC1008& FC1029.2 .'" tfr1.05} Vasa. µa.ha (1 Sign. Normal FC 1011 &FC1029 ^^^���/ �( Sign• backup FC 1011.5.3&FC1029.7.5 .....--"°. !®`Z .eP41� GSarken � P11?G AISLES: t Main Aisle Width FC 1024/1025&FC1029.11 IN �415 1 Secondary Aisle Width FC 1025&FC1029.11 .:4) .SP2113IG itne-dllh . (r) K FIRE EXTINGUISHER: Hung FC 906 // 4) C' osc, op AN Fiecinlc4c Inspection of extinguisher FC 906 r, !� EVAC Plan FC 404.2 ! �[.ix�,�.Lx. k ' ,.U!14e1FT5/ TRUSS ID SIGNAGE FC 505.3 1 cSa' e67 EMERGENCY LIGHTING: .1 Interior FC 1006.3&FC1029.8 - • A.O $3I rV4 1$ i=on pialb n Exterior FC 1006.3 Clearance tn ElectricalnoFC 605. l> ,� � V f=og+ `7L 1In Electric Wiring Enclosed/Labeled FC 605.3.1 l LO � Combustibles in Equipment Rooms FC315.2.3 1Yt1#1 LOA F.D.Signage- FC 510 No Smoking Signs FC 310.3 /( —_ c U/f10.4.3 Storage FC 315.2 r 5 d15C0 Compressed Gas FC 3003 Z #y )ele �t PL Ad Vehicle Impact Protection FC 312.1 �,t/ G"V Interior Finishes FC 803-804 P45 et 1 .42 -0.° c# Smoke Detectors FC 907 f _�4 1•r.. } 11,055 I 0 ✓,r?h S CO detectors FC 610 Clearance to Sprinkler/Ceiling FC 315 .2.1 / -15 Aye-. S-, 610 18" / 24" ✓ >• EVAC SIGNS IN Rooms FC 404.6(R1 &R2) '� S 7 "`I '� Fuel Pump Warning Signs FC2205.6 --10L1rL)1de, .1+ g5)o/) Fuel Station Emer Procedures FC2204.3.5 % me on Came) Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 Emergency Disconnect FC 2203.2 21 DAYS SYSTEMS: FC 901.6 Imp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual Of--FIRE ALARM Annual ;I< DATE: OK NC HVAC Shutdown 4 Sprinkler System Annual 1`4ek Sprinkler FDC -Kitchen Suppression Semi Annual O/ /ey/S a /__. _. I) Et a Fuel Island Suppression Semi Annual ' / / her 23 fol 5# nQ�'r Hood Cleaning 3-6-Annual .i Per Knox Box:installed/checked FC506 141 lei X 3 ) , orkr.ii-et, 07 Operating Permit, if required will be issued after Completion of Inspection Rough Plumbing / Insulation Inspection Report IkUs Ni�(, '.i5� Office No. (518) 761-8256 Date Ins'ection r 1 est r •- ' r. 11 Queensbury Building & Code Enforcement Arrive:• a 3 - • t,,1 742 Bay Road, Queensbury, NY 12804 Inspector's Initi. . ar- t/ ` NAME: PCPERMIT � j y — tp1 LOCATION: 797 C6TRTCDR VL- 1 INSPECT ON: 1 Z-1 2_-1y TYPE OF STRUCTURE: 6 1 – U Y N N/A Plumbing under slab Rough Plumbing /Nail Plates 1 Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction — Pressure Test Drain /Vent Air/ Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping r/ Head 50 P.S.I. for for 15 minutes / Insulation / Residential Chec /Commercial Check v/ Window Sealing Tyvek or Similar Exterior Sealant roper Vent, Attic Vent Door/Window Sealed (NIo Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces f Combustion Air Supply for Furnace Duct work sealed properly/No duct tape ‘2 Blower Door Test Air Sealing COMMENTS: Rough Plumbing_nsulation Inspection_02 0513 1 Town of Queensbury Building &Code Enforcement Office No. (518) 761-8256 Framing / Firestopping Inspection Report Inspection request received: rf� f Name: \KEe`snn,a*`t FV FO C ..t\�e\ E s Inspected on: — ww`��1 Location: `71'1 ,5-reT-E .t vcE \ Arrive: aS a.m. S Permit No.: \ y—NO\ Inspector's Initials: drAr TYPE OF STRUCTURE: Y N NIA COMMENTS: Framing 4 Q)Q 3r. CE IL1`AC_ Attic Access 22"x 30"minimum Jack Studs/Headers Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft.8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/2(w) 16 gauge(8)16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side''/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.0 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required ?' PJ Etc 3 Tax) Et\GA,,w• e 5 6\613 of Framing/Firestopping Inspection Report Rough Plumbing / Insulation Inspection Report ' Office No. (518) 761-8256 Date Inspection request rr 31 . Queensbury Building & Code Enforcement Arrive: : 3Pt a m 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ECS PERMIT#: / 'y—IOI LOCATION: R1-9 INSPECT ON: % \tZc-4I�A TYPE OF STRUCTURE: a,�„r. 4 Y N N/A Plumbing under slab 1 _Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place ae V.C;Cc-- 11 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test \ // 40:i . •r , i ply Piping V ead / 50 P.S.I. for for 15 minutes i/ Insulation /Residential Check/Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 /a—/a, Rough Plumbing / Insulation Inspection Report C.12 Office No. (518) 761-8256 Date Inspection mgr.>: f� Queensbury Building & Code Enforcement Arrive: 7.9-2b .�{{W�►;��ir n tt, 742 Bay Road, Queensbury, NY 12804 Inspector's Initial �' �Age .111 ) NAME: 1K Fd PERMIT /'y-lb 1 LOCATION: 8-1-9 INSPEC : : I/— J--/1 TYPE OF STRUCTURE: Y N N/A Plumbing under slab l iRoughPlumbing/Nail Plates KI- oic Plumbing Vent/Vents in Place DO 11/2 inch minimum Drain Size ✓ Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test / Drain /Vent ,/ d P . _:_tar-iil"ft. above highest connection for 15 minutes / ressure Test 1/ pead Supply Piping y.for for 15 minutes 7l ation /Residential Check/Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 05 13 Rough Plumbing / Insulation Inspection • • port FR\ Office No. (518) 761-8256 Date Ins'ection requ= t rfc• : 1: (LIDO /1(' Queensbury Building & Code Enforcement Arrive: &P m/' 742 Bay Road, Queensbury, NY 12804 Inspect'es Initial i, •. W NAME: �;♦ PERMIT#: _O l �, LOCATION: s'� INSPECT i : (( a eUl TYPE OF STRUCTURE: ► � Ward ) /D, 11p Y N N/A � Plumbing under slab Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping — Air/Head :•w . 'r for 15 minutes k % nsulation • -sidential Check/Commercial Check ea• r 'ow Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) etp tvt,k Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 Town of Queensbury Building & Code Enforcement Office No. (5184 761-8256 Framing / Firestopping Inspection Report Inspection request received: Name: K FC /� Inspected on: //— .09-it Location: f -1-9 Arrive: a.m.I p.m. iif //�� Permit No.: i P ' i Inspector's Initials: tc74f. TYPE OF STRUCTURE: Y N i NIA COMMENTS: Framing I/ Attic Access 22"x 30"minimum Jack Studs/Headers Truss Specification Provided Bracing/Bridging L(t°vef Joist hangers Ayer ori Jack Posts/Main Beams r/ � Exterior sheeting nailed properly /✓del pi) reC/edt ! .nc'/ 12"O.C. Headroom 6 ft.8 in. cs-4 — 01 4ttil- •Q \5/ater- Stairwells r - G Stairwells 36 in.or more cJ Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 1/2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing/Firestopping Inspection Report THE Special Inspector, LLC DAILY SPECIAL INSPECTION REPORT Construction Testing and Special Inspections LIGHT FRAME WOOD CONSTRUCTION Project Name: KFC - Queensbury Date: J- 0, 2014 Project Number: 918 Report No. 918-LFC-SI-1 Inspector: Daniel W. Ryan P.E. Temp: 40°F Distribution: Dave Hatin, TOQ Weather: Partly Cloudy _ Jason Shaw, Contractor Peter Gluszko, Architect Area Inspected: Rough carpentry/framing, structural elements, steel beams, roof trusses O 0 U 0 p O W J2 Z '0 m cc a w - =. `ilaw 0W wt' ..1 ._`1.1 52 zO d,z z` 2. 00 0 UO U 0 a. 4 0 0 1. Wood roof sheathing and panels installed/nailed in ® ❑ ❑ ❑ ❑ accordance with plans and specifications 2. Roof trusses installed in accordance with design, ® ❑ ❑ ❑ ❑ shop drawings, and manufacturer specifications 3. Truss bracing and hold-downs installed 0 ❑ ❑ ❑ ❑ 4. Exterior bearing walls installed in accordance with ® ❑ ❑ ❑ ❑ plans and specifications 5. Shear wall components installed in accordance with plans and specifications(sheathing, nailing, hold- 0 0 0 0 0 down anchors) 6. Beams, headers, posts, infill studs, and columns ❑ ® ❑ ❑ ❑ installed in accordance with plans and specifications 7. Other framing components and gravity or lateral load resisting elements installed in accordance with plans 0 0 0 0 0 and specifications 8. Other 0 0 0 0 SEE FOLLOWING PAGE FOR COMMENTS/NON-CONFORMACE ITEMS. 16 Pearl Street,Suite 200•Glens Falls, New York 12801 •p 518.636.3177 •f 518.792.9282 www thespecialinspector.coin THE Special Inspector, LLC DAILY SPECIAL INSPECTION REPORT Construction Testing and Special Inspections LIGHT FRAME WOOD CONSTRUCTION Comments/Non-Conformance Items: 2 0 Fw 3'<w 6o >g5 m c0 W Q K 2 Lll Ell Z >- Z Infill studs required (one location)below double truss bearing at exterior west 1. wall(rear) ® ❑ 0 2 Shear walls with plywood sheathing on interior face require sheathing to be ZOOM installed after mechanical,electrical,and plumbing rough-in,and insulated The Contractor and RDP are responsible for resolving non-conformance items (NCRs) noted above. If addition information, testing or inspections are required, notify the Special Inspector (SI). RDP dispositions of NCRs shall be forwarded to the Special Inspector. Comments pertaining to this report shall be brought to the attention of the SI within 5 business days of receipt of the report. DANIEL W. RYAN P.E. Inspector 16 Pearl Street, Suite 200• Glens Falls, New York 12801 • p 518.636.3177•f 518.792.9282 www.thespecla li nspector.com 1 -3 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection req Oueensbury Building & Code Enforcement Arrive: •` 0 4 742 Bay Road, Oueenshury, NY 12804 Inspector's Initial - lee NAME: /C FC PERM/40V P1—/e2 LOCATION: R-1- 9 INSPECT ON: t TYPE OF STRUCTURE: COMM. BLOC. Y N N/A Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I. for for 15 minutes 3 iIhsulation/Residential Chec Commercial Checka-n R—VA Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent 11/4)67E= KRRF Door/Window Sealed (No Insulation) SSR k w RI_Lb Duct/ Hot Water Piping Insulation °a(e\)E A6 If required unheated spaces "S TP blovic R SEA Combustion Air Supply for Furnace t- l BE c-O‘\EQES) F�� �}� Duct work sealed properly/No duct tape 1 Z5 c6IN Blower Door Test Air Sealing COMMENTS: RE_C-\'`ECS` Lf\t,}CE OF u \LL k 65U' \\foA Rough Plumbing_Insulation Inspection_02 0513 • Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: / l NAME: /'\ re- PERMIT#: 1/ — /0/ LOCATION: INSPECT ON: q TYPE OF STRUCTURE: Comments /fry- N N/A Footings fr Piers Monolithic Slab Reinforcement in Place GeQ CEJ/sur- 444 The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM THE Special CONCRETE TEST REPORT Inspector, LLC Constructior. Testing and Speciai Inspections PROJECT: KFC QUEENSBURY INSPECTION Plastic Concrete CATEGORY: CLASS/LOCATION: Foundation Wall Concrete SI PROJECT#: 918 DATE: 10/9/14 YARDS POURED: 20 FIELD TECHNICIAN: Ian Robison-ACI Field Technician REPORT NUMBER: 918-CT-3 SUPPLIER: Clemente Latham AIR TEMPERATURE: 65 DESCRIPTION OF TESTING SERVICES The SI performed field testing of plastic concrete for the Southern half of the frost wall. PROPERTIES OF FRESH CONCRETE TRUCK TICKET SLUMP AIR CONC. DENSITY TEST TIME NO. NO. IN. CON/ENT TEMP.°F LB(FT' CYLINDERS 1:30 4559 9212 5 1/4 6.6 70 0 NO I]YES 2:15 4589 9216 4 3/4 5.8 66 ❑E NO ❑YES ElNO ❑YES 0 NO ❑YES ❑U NO ❑YES ❑ NO ❑YES COMPREHENSIVE STRENGTH TEST RESULTS CYLINDER TEST AGE MAX COMPREHENSIVE TYPE OF NO. DATE (DAYS) LOAD(LB) STRENGTH (PSI) FRACTURE 918-CT-1 10/16/14 7 53530 4260 5 918-CT-2 10/16/14 7 56060 4460 5 918-CT-3 10/16/14 7 55140 4390 5 918-CT-4 11/6/14 28 67400 5370 3 918-CT-5 11/6/14 28 68090 5420 5 918-CT-6 11/6/14 28 67820 5400 5 See Test Results Continuation Sheet ❑� NO E YES NG••-Cylinder exceeded tolerance requirements and was not tested. REPORT DISTRIBUTION I certify to the best of my knowledge; the accuracy of the above OWNER/CLIENT report information,and that all inspection and testing noted above CONTRACTOR was completed in general conformance with standards and ROP specifications applicable to each. BUILDING CODE Daniel W. Ryan, P.E. OFFICIAL Special Inspector/Lab Technician •••Note:4-day cylinders were field cured 16 Pearl Street•Suite 200•Glens Falls,NY• 12801 •P: 518.636.3177•F:518.792.9282 You get what you inspect,not what you expect! THE Special SOIL COMPACTION TEST REPORT Inspector, LLC Construction Testing and Special Inspections PROJECT: KFC Queensbury INSPECTION CATEGORY Soils/Fill/Excavation MATERIAL TYPE: Backfill SIPROJECT#: 918 FIELD TECHNICIAN: Mike Santerre DATE TESTED: 10/10/2014 REPORT NUMBER: 918-ET-16 WEATHER. Fair 65 degrees DESCRIPTION OF TESTING SERVICES/COMMENTS Compaction testing was conducted on the material used to backfill the foundation wall. SAMPLE ID: SA#1 TESTING STANDARDS: ASTM D1556/D4944 MAX. DRY DENSITY: 139.0 PCF DENSITY STANDARD: ASTM D1557 MOD PROCT Test Number - `' %Location Description Compaction of Max. Dry Recommendation - - -_- Density _ 13 North Foundation Wall 95.5 14 North Foundation Wall 96 9 15 Outside South Foundation Wall 96.2 16 Outside South Foundation Wall 96.4 17 Outside East Foundation Wall 95.8 18 West Foundation Wall 95.2 19 West Foundation Wall 97.4 20 West Foundation Wall 96.5 21 North Foundation Wall 96.2 Comments 1. 2. 3. I certify to the best of my knowledge;the accuracy of the above report information, and that all sampling and testing noted above was completed in general conformance with standards and specifications applicable to such. Daniel W. Ryan, P.E. Special Inspector/Lab Technician ij THE Special CONCRETE TEST REPORT Inspector, LLC Construction Testing and Special Inspections PROJECT: KFC QUEENSBURY INSPECTION Plastic Concrete CATEGORY: CLASS/LOCATION: Foundation Wall Concrete SI PROJECT#: 918 DATE: 10/8/14 YARDS POURED: 20 FIELD TECHNICIAN: Ian Robison-ACI Field Technician REPORT NUMBER: 918-CT-2 SUPPLIER: Clemente Latham AIR TEMPERATURE: 70 DESCRIPTION OF TESTING SERVICES • The SI performed field testing of plastic concrete for the Northern half of the frost wall. PROPERTIES OF FRESH CONCRETE TRUCK TICKET SLUMP AIR CONC. DENSITY TEST TIME NO. NO. IN. CONSENT TEMP.°F LB/FT' CYLINDERS 2:15 4565 9170 5.5 6.6 75 NO ❑YES 2:50 4589 9173 5.75 7.2 74 152.3 ❑NO El YES ❑� NO ❑YES I] NO ❑YES © NO ❑YES ❑NO ❑YES COMPREHENSIVE STRENGTH TEST RESULTS CYLINDER TEST AGE MAX COMPREHENSIVE TYPE OF NO. DATE (DAYS) LOAD(LB) STRENGTH(PSI) FRACTURE 918-CT-2-4 11/5/14 28 72640 5780 3 918-CT-2-5 11/5/14 28 71820 5720 5 918-CT-2f 11/5/14 28 72950 5810 5 See Test Results Continuation Sheet 0 NO 0 YES NG**-Cylinder exceeded tolerance requirements and was not tested. REPORT DISTRIBUTION I certify to the best of my knowledge; the accuracy of the above OWNER/CLIENT report information,and that all inspection and testing noted above CONTRACTOR was completed in general conformance with standards and RDP specifications applicable to each. BUILDING CODE OFFICIAL Daniel W. Ryan, P.E. Special Inspector/Lab Technician •••Note:4-day cylinders were field cured 16 Pearl Street•Suite 200•Glens Falls,NY•12801 •P:518.636.3177•F:518.792.9282 You get what you inspect,not what you expect! THE Special SOIL COMPACTION TEST REPORT Inspector, LLC Construction Testing and Special Inspections PROJECT: KFC Queensbury INSPECTION CATEGORY: Soils/Fill/Excavation MATERIAL TYPE Backfill SI PROJECT#: 918 FIELD TECHNICIAN Mike Santerre DATE TESTED. 10/10/2014 REPORT NUMBER: 918-ET-1A WEATHER: Fair65degrees DESCRIPTION OF TESTING SERVICES/COMMENTS Compaction testing was conducted on the material used to backfill the foundation wall SAMPLE ID: SA#1 TESTING STANDARDS. ASTM D1556/D4944 MAX. DRY DENSITY: 139.0 PCF DENSITY STANDARD: ASTM D1557 MOD PROCT Test Number - Location Description %Compaction of Max. Dry Recommendation -_ Density 1 East Foundation Wall 84.1 Re-compact/Re-test 2 East Foundation Wall 95.4 3 South Foundation Wall 81.5 Re-compact/Re-test 4 South Foundation Wall 96.4 5 East Foundation Wall 97.1 6 South Foundation Wall 95.3 7 East Foundation Wall 96.7 8 South Foundation Wall 95.5 9 East Foundation Wall 96.2 10 South Foundation Wall 96.6 11 Outside East Foundation Wall _ 82.6 Re-compact/Re-test 12 Outside East Foundation Wall 96.4 Comments 1. 2. 3. I certify to the best of my knowledge; the accuracy of the above report information, and that all sampling and testing noted above was completed in general conformance with standards and specifications applicable to such. Daniel W.Ryan, P.E. Special Inspector/Lab Technician THE Special CONCRETE TEST REPORT Inspector, LLC Construction Testing and Special inspections PROJECT: KFC QUEENSBURY INSPECTION Plastic Concrete CATEGORY: CLASS/LOCATION: Slab on Grade SI PROJECT#: 918 DATE: 10/21/14 YARDS POURED: —40 FIELD TECHNICIAN Ian Robison-ACI Field Technician REPORT NUMBER: 918-CT-4 SUPPLIER: Clemente Latham AIR TEMPERATURE: 50 deg F DESCRIPTION OF TESTING SERVICES The SI performed field testing of plastic concrete for the slab on grade. ' Pour was moved up and The SI was not notified.As a result the first truck discharged without being tested. PROPERTIES OF FRESH CONCRETE TRUCK TICKET SLUMP AIR CONC. DENSITY TEST TIME NO. NO. IN. CON�ENT TEMP.°F LB/FT3 CYLINDERS - - - - - - ❑� NO ❑YES 7:30 4585 9418 6 1/2 1.7 622 0 NO 0 YES 7:50 4584 9419 7 2.0 59.0 It NO ❑YES 8:20 5 1/4 2.0 62.6 ❑ NO ID YES IN NO ❑YES— El NO ❑YES COMPREHENSIVE STRENGTH TEST RESULTS CYLINDER TEST AGE MAX COMPREHENSIVE TYPE OF NO. DATE (DAYS) LOAD(LB) STRENGTH(PSI) FRACTURE 918-CT-4-1 10/28/14 7 918-CT-4-2 10/28/14 7 918-CT-4-3 10/28/14 7 918-CT-4-4 11/18/14 28 918-CT-4-5 11/18/14 28 918-CT-4-6 11/18/14 28 See Test Results Continuation Sheet LINO 0 YES NG"-Cylinder exceeded tolerance requirements and was not tested. REPORT DISTRIBUTION I certify to the best of my knowledge; the accuracy of the above OWNER/CLIENT report information,and that all inspection and testing noted above CONTRACTOR was completed in general conformance with standards and RDP specifications applicable to each. BUILDING CODE OFFICIAL Daniel W. Ryan, P.E. Special Inspector/Lab Technician "•Note:4-day cylinders were field cured 16 Pearl Street•Suite 200•Glens Falls, NY•12801 •P: 518.636.3177• F: 518.792.9282 You get what you inspect, not what you expect! THE Special SOIL COMPACTION TEST REPORT Inspector, LLC Construction Testing and Special Inspections PROJECT: KFC Queensbury INSPECTION CATEGORY: Soils/Fill/Excavation MATERIAL TYPE: Subbase SI PROJECT#: 918 FIELD TECHNICIAN: Ian Robison DATE TESTED: 10/20/2014 REPORT NUMBER: 918-ET-2 WEATHER: Fair 50 degrees DESCRIPTION OF TESTING SERVICES/COMMENTS Compaction testing was conducted on the material used for slab subbase. SAMPLE ID: SA#1 TESTING STANDARDS: ASTM D1556/D4944 MAX. DRY DENSITY: 139.0 PCF DENSITY STANDARD: ASTM D1557 MOD PROCT Test Number --- - - Location Description %Compaction of Max. Dry Recommendation - .. Density 1 North/middle Section 95.1 2 South West Section 99.4 3 South East Section 95.2 • • Comments 1. 2. 3. I certify to the best of my knowledge;the accuracy of the above report information,and that all sampling and testing noted above was completed in general conformance with standards and specifications applicable to such. Daniel W.Ryan, P.E. Special Inspector/Lab Technician Rough Plumbing / Insulation Inspection Report &c)e A loam Office No. (518) 761-8256 Date Insp/ ction request received: Queensbury Building & Code Enforcement Arrive: Or/)'3� am/pm 742 Bay Road, Queensbury, NY 12804 Inspect s Imtials�- NAME: K f=a PERMIT#: LOCATION: INSPECT ON: ---� At /1 TYPE OF STRUCTURE: 19nt-"sv, Y N N/A Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place �jjj� C hJZ. 11/2 inch minimum Drain Size14 Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head it '.St r for 15 minutes nsulafion esidential Check/Commercial Check nci,ins-u4L7 IT• 'ow Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape Blower Door Test Air Sealing COMMENTS: -4 2JL' , LncrW5 C ,c - l - ki IK- '2, - Rough Plumbing_Insolation Inspeclion_02 0513 Town of Queensbury Building &Code Enforcement ALM —1? Office No. (518) 761-8256 Framing 1 Firestopping Inspection Report Inspection request received: Name: '< fa— Inspected on: II- 1 Location: ��h +9 Arrive: . s a.m.1 p.m. Permit No.: I''/-io I Inspector's Initials: TYPE OF STRUCTURE: (T Y / �\ NIA COMMENTS: Framing a Attic Access 22"x 30"minimum Jack Studs/Headers Truss SpecificationiProvided Bracing Bridging ` Joist hangers Jack Posts/Main Beams /,/, .l Exterior 12"0.C.sheeting nailed properly Vc(��L���N_ 12"0.C. Headroom 6 ft.8 in. _ 3 �t�7y,Vf�) Stairwells 36 in.or more =�yq C4�`' ``\k" / Exterior Deck Bracing 7 S Headroom 6 ft.8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/2(w) 16 gauge(8)16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2, 3,4 hour Firestopping64P Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side''%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing/ Firestopping Inspection Report Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Framing I Firestopping Inspection Report Inspection request received: Name: K EC— Inspected on: (/ (i(`7 Location: Arrive: a.m./p.m. Permit No.: I`'I-1 D I Inspector's Initials: TYPE OF STRUCTURE: 3.b$,O•cS \Ma° Y N NIA 9 ' a— �4N--a g'g<] COMMENTS: Framing Attic Access 22'x 30"minimum Jack Studs/Headers Truss Specification Provided Bracing I Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft.8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches 1 Holes I Bearing Walls Metal Strapping for Notches Top Plate 1 Ys(w)16 gauge(8)16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2,3,4 hour Firestopping / felt Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side''%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off, if required Framing/Firestopping Inspection Report Town of Queensbury Building &Code Enforcement Office No. (518)761-8256 Framing / Firestopping Inspection Report Inspection request received: /� Name: 1/y �V Inspected on: nn Location: vC1 Arrive: /6u'y� a.m.l p.m. Permit No.: I Y- L6 / 1b / Inspector's Initials: TYPE OF STRUCTURE: Ales.) Y N /f�lA COMMENTS: Framing a/ � /� Attic Access 22"x 30"minimum (l°"L //� �� Jack Studs/Headers cL �'' Truss Specification Provided a•- 47 Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min Garage Fire Separation House side 1/2 inch or 518 inch Type X Garage side 518 inch Type X • Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing / Firestopping Inspection Report Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Framing I Firestopping Inspection Report Inspection request received: // Name: L Inspected on: //Y/2I £4 Location: rcL 5 Arrive: 4�,,�1l a.m.l p.m. Permit No.: /`7 /0/ Inspector's Initials: s�/A- TYPE OF STRUCTURE: v_ NNSA COMMENTS: Framing 4/ Attic Access 22"x 30°minimum Jack Studs I Headers Truss Specification Provided 1 Bracing/Bridging eta] �� s c t" Jackt hangPosts l �N'r /J 1 cirri 14 7 Jack Posts/Main Beams y �J7� �'� `� ! u� Exterior sheeting nailed properly 12"O.C. Headroom 6 ft.8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches I Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 Y:(w)16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing /Firestopping Inspection Report Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspction request received: Queensbury Building & Code Enforcement Arrive: 1,/T am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:1Di)- NAME: K FFc! PERMIT#: /1- 101 4 /01 LOCATION: '7 aI ' �+9 INSPECT ON: / /—/'Y"l y TYPE OF STRUCTURE: Y N N/A Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 11/ inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/ Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check 1/ 3 ,4�/ J« '— Window Window Sealing Bte Tyvek or Similar Exterior Sealant s~ 4-4- Proper Vent, Attic Vent or. f‘is Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: 7'3" am/1m 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �r NAME: �C PERMIT It: V—/0 LOCATION: #II-/ INSPECT ON: AT TYPE OF STRUCTURE: Y N N/A Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I. for for 15 minutes Insulation / Residential Check/ Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 Town of Queensbury Building & Code Enforcement Office No. (518)761-8256 Framing I Firestopping Inspection Report Inspection request received: Name: GCC ` Inspected on: 7/ /'7/Y Location: Arrive: ,312° a.m./p.m. Permit No.: /V io) Inspector's Initials: 0/2 TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs I Headers Truss Specification Provided Bracing 1 Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft.8 in. Stairwells 36 in,or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %I(w)16 gauge(8)16D nails each side Draft nch stopping ft.or00 es.ft.o floor ersses Anchor Bolts 6 ft. less on center Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 inch or 518 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above I below grade 5.0 sf grade Design Professional Sign-off,if required Framing/ Firestopping Inspection Report Foundation Inspection Report Office No. (518) 761-8256 Date Inspectigp request received: Queensbury Building&Code Enforcement Arrive: (7( 7J am/p71 Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: v NAME: K r-C-- PERMIT#: I<JoJ/ LOCATION: 767) R�-9 INSPECT ON: lb 'off/'Y TYPE OF STRUCTURE: ,�-r.c � Z/ Comments Y N N/A Footings Piers / ono rtfiia,Srab T Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing ,t Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM Foundation Inspection Report Office No. (518) 761-8256 Date Inspecction request received: Queensbury Building& Code Enforcement Arrive: 4<7; am/9414 Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's InitialsO NAME: i'-` F C PERMIT#: —/ --IC> LOCATION: 1 Q 7 A-�--�` INSPECT ON: /C) rh—/ �f TYPE OF STRUCTURE: Comments Y N N/A Footings Piers M Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing v/ for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM esi- Rough Plumbing / Insulation Inspection Report° Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: 02S0 a /pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: K FO p PERMIT#: rpm/ /m LOCATION: "-2 7 R+-9 INSPECT ON: /d-/5-/y TYPE OF STRUCTURE: 0 Y/ N N/A >�elumbing,under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pr Nest Drai ent Ir /Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 Rough Plumbing / Insulation Inspection Report 2- Office No. (518) 761-8256 Date Inspection request received: 10/W/?O1,L Queensbury Building & Code Enforcement Arrive: tThto am/p 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: r NAME: KE,c, #: — 1 U I LOCATION: -7-(-7-7-(-7k Z FC 1 p, ` INSPECT ON: TYPE OF STRUCTURE: Cern" IJC4.3 l JLtj_ 6", Y1 Y N N/A Qct-_ a05 Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent L/_ Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes a'' 7 Pressure Test Water Supply Piping Air/ Head 50 P.S.I. for for 15 minutes Insulation / Residential Check/Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 rric(4.5 J /4 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection reques Queensbury Building & Code Enforcement Arrive: Pit;V7�vp. 'Depart: 12.27D am/ 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia •�e NAME: k Ft ' RMIT#: / y—J/) LOCATION: —7 9) .P 4- INSPECT ON: lb -10-11 TYPE OF STRUCTURE: ZComments Y N N/A\ Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for - providing protection from freezing _ for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 mil es above footing f 6 mil poly for wet areas under slab I -Backfill Approval. • Plumbing Under Slab oil 'VC/Cast/Copper /1,2,. Foundation'Insulati- - o /Exterior / Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM el Lutus, ( 1- I Foundation Inspection Report (iv ' Office No. (518) 761-8256 Date Ins ection re. . :d: Queensbury Building &Code Enforcement Arrive: 1. a p 1 Depart: _ p 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial"VI NAME: K F e„ PERMIT#: /'yl /O/ LOCATION: q 2 R+ Gj INSPECT ON: /O / - 1<1 TYPE OF STRUCTURE: -, C.:1122-_�1\—c .C�\�/, Comments t-o __ _ N/A Y 1 �Footings�.. -.1V Piers Monolithic Slab / Reinforcement in Place V/ The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. I ___Materials for this purpose on site. / _ ti. tr �undation'/_ _ •_st 1 \//� Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM ( ea /1- / Foundation Inspection Report M?J Office No. (518) 761-8256 Date Inspection requ 0, }:j 'd: / Queensbury Building &Code Enforcement Arrive: IV$D . :p>/Jf Depart: I V,.7. pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial "2/1 NAME: 4K Fe, P '1 IT#: LOCATION: —7 47 EH-.. (1 INSPECT ON: / — TYPE OF STRUCTURE: C Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. i ( .Foundation/Wallpout `A` 15 + O F 33tM3T � taRl‘ •Reinforcement in Place F f2—,Lm‘ ea Footing Dowels or Keyway in place P&L Foundation Dampproofing _ Foundation Waterproofing LONA_ c Footing Drain Daylight or Sump — (P C> Footing Drain Stone: (2-64AN)u3 cA 4) 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM Foundation Inspection Report Office No. (518) 761-8256 Date Inspection r • .es - - t: /0/10 PI Queensbury Building& Code Enforcement Arrive: 0'- :a r,. / Depart: tV a is I I 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: S NAME: K ER IT#: 'ler/ LOCATION: a7 Snr€ (zti✓+f q INSPECT ON: Si TYPE OF STRUCTURE: Comments Y N N/A Footings (it poi- NSA \L`_ Monolithic Slab �( / 7- Reinforcement in Place �/C-�` `�^' �/ V The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM K tes j1 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection eque .. Queensbury Building& Code Enforcement Arrive:2°k5 a 401 Depart: 71 ?j. am/e 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: A. -- NAME: '< F e /� p PERMIT#: I /"/6/ � LOCATION: 74' / R+ I INSPECT ON: /d I/` /y TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM THE Special CONCRETE TEST REPORT Inspector, LLC Construction Testing and Special inspections PROJECT: KFC QUEENSBURY INSPECTION Plastic Concrete CATEGORY: CLASS/LOCATION: Footings SI PROJECT#: 918 DATE: 10/7/14 YARDS POURED: 15 FIELD TECHNICIAN: Daniel W. Ryan ACI Field Technician/PE REPORT NUMBER: 918-CT-1 SUPPLIER: Clemente Latham AIR TEMPERATURE: 70 DESCRIPTION OF TESTING SERVICES The SI performed field testing of plastic concrete for footings. PROPERTIES OF FRESH CONCRETE TRUCK TICKET SLUMP AIR CONC. DENSITY TEST TIME NO. NO. IN. CONS ENT TEMP.°F LB/Fr CYLINDERS o 1:50 4598 9151 3.5 5.5 76.4 - IONO ❑YES 3:10 4589 9155 4 5.4 77.1 151.7 El NO ❑� YES ❑� NO ❑YES ❑� NO ❑YES ❑� NO ❑YES ❑NO ❑YES COMPREHENSIVE STRENGTH TEST RESULTS CYLINDER TEST AGE MAX COMPREHENSIVE TYPE OF NO. DATE (DAYS) LOAD(LB) STRENGTH (PSI) FRACTURE 918-CT-1-1 10/14/14 7 55130 4390 5 918-CT-1-2 10/14/14 7 52410 4170 5 918-CT-1-3 10/14/14 7 53820 4290 5 918-CT-1-4 11/4/14 28 73490 5850 3 918-CT-1-5 11/4/14 28 76800 6110 5 918-CT-1-6 11/4/14 28 74560 5940 5 See Test Results Continuation Sheet ❑� NO ❑YES NG**-Cylinder exceeded tolerance requirements and was not tested. REPORT DISTRIBUTION I certify to the best of my knowledge; the accuracy of the above OWNER/CLIENT report information,and that all inspection and testing noted above CONTRACTOR was completed in general conformance with standards and RDP specifications applicable to each. BUILDING CODE Daniel W. Ryan, P.E. OFFICIAL Special Inspector/Lab Technician '••Note:4-day cylinders were field cured 16 Pearl Street•Suite 200•Glens Falls,NY•12801 •P:518.636.3177•F. 518.792.9282 You get what you inspect,not what you expect! c Town of QJeensbury Building&Code Enforcement Office No. (518) 761-8256 Commercial Final Inspection Report Inspection request received: \ Name: 1 eo c c-4 FV-p dt3Inspected on: .— , Location: —799 .SMTE /c)` TE 9' Arrive: 4r 'f am Permit No.: Za \ - tO ` Inspector's Initials: .4 COMMENTS Y N NA Chimney/"B"Vent I Direct Vent Location Plumbing Vent Through Roof 6"I Roof Complete Exterior Finish/Grade Complete 6"in 10'or Equivalent Interior/Exterior Guardrails 42 inch Platform/Decks Interior/Exterior Balusters 4 inch Spacing Platform I Decks Stair Handrail 34 inch—38 inch/Step Risers 7"I Treads 11" Vestibules For Exit doors>3000 sq.ft. All Doors 36 inch wlLever Handles/Panic Hardware,if required Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Okay Relief Valve,Heat Trap 1 Water Temperature 110 Degrees Maximum Boiler/Fumace Enclosure 1 hour or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft.or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/:doors >10%> 1000 sq.ft. %Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour,3 Hour Complete/Fire Dampers/Fire Doors J EC) Ceiling Fire Stopping,3,000 sq.ft.Wood Frame �y r ' ' vcontil Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" �� � Smoke Vents Or Fan,if required Elevator Operation and Signage/Shaft Sealed lent" Handicapped Bathroom Grab Bars/Sinks/Toilets/Mirrors p",-v\--n \-Nr� Handicapped Bath/Parking Lot Signage 1tJ��RL�E Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch,Checkout 36 inch Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides] Active Listening System and Signage Assembly Space Final Electrical/Flex Gas Piping Bonded Site Plan/Variance required ,\� Final Survey,New Structure/Flood Plain certification, if req. ti j7 As-built Septic System Layout Required or On File O Building Number or Tenant Address on Building or Driveway 4" 0 Water Fountain or Cooler V "1 Building Access All Sides by 20'/Drivable Surface 20'wide Special Inspections/Engineer or Architect Approval Okay To Issue Temporary or Permanent C/O Okay To Issue C/C Commercial Final Inspection_11 2712 c to THERMAL ASSOCIATES Quality. Comfort. Satisfaction. Thermal Associates 21 Thomson Ave.Glens Falls, NY 12801 518.798.5500 Fax 798.5620 The Shaw Company, LLC PO Box 463 Tully, NY 13159 315.696.5484 (o), 912.844.2884 (c) We, Thermal Associates, performed a blower door test at the KFC project at 799 State Route 9, Queensbury, NY, to determine the air changes per hour, for The Shaw Company. LLC on December 16, 2014. Testing procedure performed as per ASTM E779. The result of the test is: ( 1100 CFM50 x 60 Minutes) / ( 18734 cubic feet ) = 2.105 ACH50 Adam DeVit Blower Door Tester Thermal Associates www.thermalassociates.com Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 I Date received: na “--� NAME: LOCATION: 2--k 9 PERMIT j___+_112 r I iPlot Plan Final Survey r SSA 1 ,roved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the surve has .een: C.ai; grown, Zoning Administrator Notes: I, LASueHemingway\Badding.Codes.Inspection.FORMSWinal Survey Zoning Administrator.doe O 0 N O) , o OJ (7 GJ _ K C < D D O z C -j r It O D V) 1 r DD 11 * -H 11 11 N .5j 6) O Z z 11 O (�] O O Z r D M -i ITT'p < m _U ON IM .m D � O to d m D F O r M m< m ITT -*T o 0 z o z C rn m z W 0 N O) , OJ � r D W Z CJ D N rz 0 �i 1.32' a z < n F n G' O O UP r3 w n ). 63' L4 I Ili r D 0O D Z O � I ® m III 0 1f / w 269.60 cl,vr3re I, I I n _ w I .1 C U)1 DD m➢ it s n� IV C: C I �. ITT -ri - _ O DO y' rl. � 33 1 7 _2—=`-e y \ \ - A � ' r D rl II - 1 U) D N CID C N it 00 co DD g I m m 1+ n ��pp 'p ry l m » a x�'s "UNAUTHORIZED AL RAnpN OR AopInDN ro A SURVEY Map of a Topographic Survey made for m ® ][/. yip": 1�1 S , }L MAP BEARING A LICENSED I H SURVEYORS SEAL IS A , /� l.R. Ste}� N' }� i9 ROLATON OF SECTION 7209, SU9-DIN.ION P, CF WE. - a T , y' V e s ,3( «lx' n �z NEW YORK COPIES FROM UW.« - III VL Y n Y ! «` Spy7i '^ ONLY COPIES PROM 1HE ORIGINAL OF 1H15 SURVEY p g�� Inc. N 1 ' ro YORS o �+ sEA BKED WILT AN AiD THE VA Dp 1RUEE M OC 91 o d S 1 n L' . 3 11 /04/14 FOUNDATION LOCATION _ O Q ( $�, + 'CERTFIEATpNS INDICATES PEREON SIGNIFY THAT o r L a � S r V e �T ®�. S +; By s G CO WAS PRACTCC IN ACCORDANCE YSRI THE 2 2/15/10 STORMWATER NOTES n .% y Yt' �IF �1 `j L•i� E%ISIING LODE OF PRACTCE FQR lMlp SURKYORS ASOPiED BY THE NEW YORK STATE ASSOCIATOK OF PROFESSIONAL n t T� , Ja z TO THE PE SON FOR Iµ OM TME snre�YRI1Ap EPAR D, AND y y 1 1 /26/10 STORMWATER NOTES ro tr Town of Queensbury, warren Count New York 0 169 Haviland Road Queensbury, New York .(2804, la G' ON NIS AND TO TME TSE COMPANYLIST. HEREON, AND i. '{`� 1 \ \ TO AGENCY IHE A SSIGNEEpS OF INGIRIE LUENOINGUNSIINTON. N AND N (518) 792-8474 New York Lic. No. 59135 '� `. 1 N0. DATE DESCRIPTION 302.6-1-43198-4-3 I I � Ili 169 Haviland Road Queensbury, NY 12804 Hutchins Engineering Phone: (518)745-0307 Fax: (518)745-0308 BP December 15, 2014 �m^1 Mr. John O'Brien, Building Inspector Town of Queensbury DEC 1. 5 2014 742 Bay Road Queensbury NY 12804 + Re: M&W Foods Inc. — KFC Restaurant 797 State Route 9, Northgate Plaza, Tax Map # 302.6-1-43 Dear Mr. O'Brien: This office prepared the sitework design for the referenced project and we have visited the site numerous times during the construction process. During construction, a modification to the sewer connection location was made to account for field conditions. This was reviewed and accepted by the Queensbury Wastewater Department. Also, a drywell was added to the north of the building which was reviewed and accepted by the Planning and Zoning Department. Both these modifications are indicated on the attached record drawing. Based upon our inspections and discussions with the contractors, it is our opinion that the site utilities and geometry have been completed in general conformance with the approved site plans, as noted on the attached record drawing. The obvious exception to this is permeable surfaces finishes and site landscaping which is limited at this time by seasonal conditions. These areas are to be temporarily mulched to contain erosion and will be finished as the weather allows. Please contact me if you have any questions or if you require additional information. Best Regards, G. Thomas Hutchins, P.E. ,li pony Cc. Ray Aley— M&W Foods Jason Shaw—The Shaw Companies Craig Brown —Queensbury Planning and Zoning Chris Harrington —Queensbury Wastewater G Thomas Hutchins,P.E. f ori. DOZA�r 7.o ir0 Y ✓ m A/ V1 Pr L 9 r47 N8°05 r ®O 269.6 DUMPSTER m .. tO Z \ n o \ . 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