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2014-413 TOWN OF QUEENSBURY woo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140413 Date Issued: Wednesday, March 09, 2016 This is to certify that work requested to be done as shown by Permit Number P20140413 has been completed. Location: 1133 STATE ROUTE 9 Tax Map Number: 523400-295-012-0001-003-000-0000 Owner: 1133 STATE ROUTE 9 LLC Applicant: 1133 STATE ROUTE 9 LLC This structure may be occupied as a: Commercial Addition By Order of Town Board Commercial /Industrial Unheated TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property ( J )411t owner of the responsibility for compliance with Site Plan, Variance, or �d 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 ea 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140413 Application Number: A20140413 Tax Map No: 523400-295-012-0001-003-000-0000 Permission is hereby granted to: 1133 STATE ROUTE 9 LLC For property located at: 1133 STATE ROUTE 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: 1133 STATE ROUTE 9 LLC Commercial Addition $350,000.00 C/O DENNIS R. LAFONTAINE Commercial/Industrial Unheatet 20 SYCAMORE R Total Value $350,000.00 QUEENSBURY NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency HILLTOP CONSTRUCTION 51 CROWLEY Rd HUDSON FALLS.NY 12839-0000 Plans &Specifications 2014-413 Martha's Comm. Addition 2,543 sq. ft. Shade Structure(Unheated new build) 800 sq.ft. $664.89 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 10,2015 (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 nitu IF 'i . ;2 - i I er 10,2014 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement . PRINCIPAL STRUCTURE APPLICATION Office•UseOnly�^ j;' 2014 DATE j Ila • !00 Reci\iced Cr?��� RR QQ LL,, Tale Map ID ie • �-`n TAX MAP ID `✓• ' Permit,No. � rGZJA •r' Permit Fee ' 61-. ENO!. •3 ZONING fix Rec Fee / Site Plan# HISTORIC SITE Yes r No Subdivision # SUBDIVISION NAMEN f p► Lot# TOWN BD.RESOLUTION 8E-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED & MODULAR HOMES,BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE. APPLICANT M.014116 LAfT t,t OWNER pt, NV• ADDRESS 1133 ' 1r f 1 ADDRESS PHONE/E-MAIL 11`�,D --1131 � PHONE/E-MAIL CONTRACTOR i�w, LN T . COST OF CONSTRUCTION(EsumATED): $ f10,OO ADDRESS: E 0?-bW1t3( TMt0 BUILDING ADDRESS: /13? i7/-A Pre Auta0A c- Autaoa FAL s N-r 17651 O u rLy NY /Z804 PHONE/E-MAIL lilt--4863 CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: eiti64 PHONE ✓3O' $UA S -t gut- #4441-rwtuite TYPE OF CONSTRUCTION Check all that apply Please indicate measurements as required below New Addition Alteration 151 floor sq. ft. 2nd floor sq.ft. Total sq.ft. Height Single Family Two-Family Multi-Family (# of units ) Townhouse Business Office-- Y 1 Ge Zij� i(ot Retail - Mercantile Factory- Industrial Attached Garage (# of ) Other 4 � / 4P Qn, 1. t� '4 �'�CIGtIl�U .95C° 1 Town of Queensbury Building&Codes Principal Structure Application July 2014 4 If commercial or industrial indicate name of business _4I A's 13/11419 . Ceetra0 Proposed use of building or addition ICo'CAM. Hi-Wel 1- 101Wt'6 Source of heat (circle one) k *e4ta ' (G Oil Propane Solar Other Fireplace: complete a separate application for Fuel Burning Appliances & Chimneys t4 Az.` Are there structures not shown on plot plan? P.0 Are there easements on the property? —(ems Site Information a. Dimensions or acreage of lot 12,22 b. Is this a corner lot? 000 c. Will the grade be changed as a result of construction f Yes No d. Public water or Private well pt le,LA,U e. Sewer or Private Septic System i7usu c., Value of all work to be performed (labor or materials) $ 3JOt OO- DECLARATION: 1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If work is not complete by the 1 year expiration date the permit may be renewed,subject to fees and department approval. 3. 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. 4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. 5. 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 certifica - - occ ••ncy.l' 4 , oi. I have read and agree to the above: PRINT NAME: DApo C( . g �Z DATE SIGNATURE: Ar.'P� `� DATE q l _.I y FOR OFFICE USE ONLY Operating Permit Issued: Yes No Occupancy Type Construction Classification Assembly Occupancy Limit - . Special Conditions 2 Town of Queensbury Building&Codes Principal Structure Application July 2014 Town of Queensbury Building &Code Enforcement SATO-14 Off;e N-.. (518)761-8256 Commercial Final Inspection Report Inspection request received: Name: W\CIY S Inspected on: • Location: 1] Sr/0-e— Q0A_kit..1 Arrive: - C .m. Permit No.: ZO 11. 4i Inspector's Initials: W COMMENTS Y N NA Chimney/"B"Vent I Direct Vent Location lizimv n� €p Y Plumbing Vent Through Roof 6"/Roof Complete 1,� Exterior Finish!Grade Complete 6"in 10'or Equivalent ( I 2--(245 Interior I Exterior Guardrails 42 inch Platform/Decks Interior/Exterior Balusters 4 inch Spacing Platform!Decks Stair Handrail 34 inch—38 inch/Step Risers 7"I Treads 11" Vestibules For Exit doors>3000 sq.ft. All Doors 36 inch w/Lever 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 I Other Floors Okay Relief Valve,Heat Trap/Water Temperature 110 Degrees Maximum Boiler/Furnace 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 Yz doors >10%>1000 sq.ft. '/<Hour Corridor Doors&Closers Firewalls!Fire Separation,2 Hour,3 Hour Complete I Fire Dampers I 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" Smoke Vents Or Fan,if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets/Mirrors `t Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible 1 Handicapped Service Counters, 34 inch,Checkout 36 inch Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides] Active Listening System and Signage Assembly Space 1)//1 --.%) 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 Building Number or Tenant Address on Building or Driveway 4" Water Fountain or Cooler _y_ Building Access All Sides by 20'/Drivable Surface 20'wide Special Inspections I Engineer or Architect Approval Okay To Issue Temporary or Permanent C/O Okay To Issue C/C Commercial Final Inspection_11 2712 Inspection Form w/ f> > Town of Queensbury Fire Marshal o Periodic Inspection Date: Time: 742 Bay Road,Queensbury NY 12804 =Re-Inspection IL( 518 761 8206/518 761 8205 CO Inspection Permit#: �! Fir Marshals Representative MJ Palmer Business Name: is/1,6 R A kq Location: ci GK Stillman Contact: &14\1 t 5 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 . — 17) AISLES: '� r Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 ., rr\ I(r Inspection of extinguisher FC 906 EVAC Plan FC 404.2 _ _ C,1f' . 1, TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: /� Interior FC 1006.3&FC1029.8 _ / r` \ Exterior 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 No Smoking Signs FC 310.3 Storage FC 315.2 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" / 24" 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 Emergency Disconnect FC 2203.2 21 DAYS SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE: OK NC HVAC Shutdown Sprinkler System Annual Sprinkler FDC Fire Marshal Inspection Complete Kitchen Suppression Semi Annual CO may be issued ONLY with Building&Codes approval Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 APR o 2015 ht R Operating Permit, if required will be issued after Com letion of Inspection Fire Marsh I pTown of Queensbury Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Framing I Firestopping Inspection Report Inspection request received: y� Name: M P R-'1-\A 5 Inspected on: Location: 3 5\ Ec2qgcl Arrive: 51 a. • . Permit No.: \ LA —14 S ?j Inspector's Initials: . TYPE OF STRUCTURE: Y //N NIA COMMENTS: Framing Y/ 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 1/2(w) 16 gauge(8) 16D nails each side O� Draft stopping 1,000 sq.ft.floor trusses \� ) -,<\O Anchor Bolts 6 ft.or less on center L/ Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2,3,4 hour Firestopping C/ Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side Y2 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 I Firestopping Inspection Report RUCINSKI HALL ARCHITECTURE ����4, Ronald Richard Rucinski Ethan Peter Hall `fig-GAJ 627 Maple Avenue �J(i Saratoga Springs NY 12866 P� Voice 518 580 1905 Fax 518 584 5012 Email ephall@nycap.rr.com Special Inspection Report To: John O'Brien -Town of Queensbury— Building Department From: Ethan Hall Date: 24 March, 2015 Re: Martha's Dandee Crème—Grill & Shade Pavilion At the above referenced project location we have performed periodic site observations to review the work installed for the building additions and renovations and all revisions made have been reviewed by this office. To the best of my knowledge and belief these items have been installed in accordance with the design drawings and are acceptable to this office. If there are any questions please contact our office. Regards, 41:::..<s,vr:��j�f Ethan - '-;• >r ���`�� Vin, `� : ,q�� ; i441y'w Cc: Dennis LaFontaine—Martha's Dandee Creme Tom Albrecht—Hilltop Construction Y:\Martha's Dandee Creme\Phase Il Building Add ition\Papcnvork\Special Inspection Report 23 mAR 20I5.doc 1 Town of Queensbury Building &Code Enforcement Office No. (518)761-8256 Commercial Final Inspection Report Inspection request received: ' 17-,":)1 15 Name: MGIy'A'1'G,` Inspected on: 512-3)2-01 c:D Location: 115 �� Arrive: AdMID •. p.m. Permit No.: riJ Inspector's Initials: COMMENTS YN NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"!Roof Complete Exterior Finish/Grade Complete 6"in 10'or Equivalent Interior I Exterior Guardrails 42 inch Platform/Decks Interior/Exterior Balusters 4 inch Spacing Platform/Decks Stair Handrail 34 inch—38 inch/Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq.ft. All Doors 36 inch w/Lever Handles I Panic Hardware, if required Exits At Grade Or Platform 36"(w)x 44"(I)1 Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight I Other Floors Okay Relief Valve,Heat Trap I Water Temperature 110 Degrees Maximum Boiler/Furnace 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 1/2 doors > 10%> 1000 sq.ft. %Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour,3 Hour Complete I Fire Dampers I 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" Smoke Vents Or Fan,if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars I Sinks I Toilets/Mirrors Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch,Checkout 36 inch Handicapped Ramp l Handrails Continuous/12 inch Beyond[Both sides] _ Active Listening System and Signage Assembly Space Final Electrical I 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 Building Number or Tenant Address on Building or Driveway 4" Water Fountain or Cooler Building Access All Sides by 20'!Drivable Surface 20'wide i Special Inspections-I Engineer or Architept Approval Okay To Issue Temporary oriPerman t CIO "���..\s? Ci) Okay To Commercial Final Inspection_11 27 12 -juin of Queensbury Building&Code Enforcement ciiice' Jo. (518)761-8256 Commercial Final Inspection Report Inspection request received: 3 l I 1 I Name: \k c' S Inspected on: 2 S Location: 1 13 ZJI-f i Arrive: i )(A.,'� ' • a.m.1 p.m. Permit No.: ?�-" L-V7 Inspector's Initials: D4— COMMENTS Y N NA Chimney!"B"Vent!Direct Vent Location Plumbing Vent Through Roof 6"!Roof Complete Exterior Finish I Grade Complete 6"in 10'or Equivalent Interior/Exterior Guardrails 42 inch Platform!Decks Interior!Exterior Balusters 4 inch Spacing Platform/Decks Stair Handrail 34 inch—38 inch/Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq.ft. All Doors 36 inch w/Lever Handles I 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!Water Temperature 110 Degrees Maximum Boiler I Furnace 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 1/2 doors > 10%> 1000 sq.ft. ✓ 3/4 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" Smoke Vents Or Fan,if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets I Mirrors V Handicapped Bath/Parking Lot Signage t/� —�,c—hJ!'Z 7' `'u.'m Public Toilet Room Handicapped Accessible Al r'x'r Handicapped Service Counters,34 inch,Checkout 36 inch / `j Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides] — -M���� Zn:f1. / 0 Active Listening System and Signage Assembly Space Final Electrical 1 Flex Gas Piping Bonded Nr4F f J%Al Site Plan/Variance required ✓J �/ Final Survey,New Structure/Flood Plain certification,if req. S4^• 1iic441/�` r ( A As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway 4" lc ric". Water Fountain or Cooler / Building Access All Sides by 20'!Drivable Surface 20'wide L T z /n%, /. /n/� Special Inspections I Engineer or Arcbitect.2p royal Okay To Issue Temporary o ermanent C/0 Okay To Issue C/C Commercial Final Inspection_11 27 12 -'n of Queensbury Building &Code Enforcement I�� Office No. (518) 761-8256 NC=E'N1 Commercial Final Inspection Report (c_coycl• 1r-\1 i -PM) Inspection request received: '6\ 1 ( ` 1 Name: MC:l.v1U`� Inspected on: 16 201c- Location: 1\ 2f 5 .�, 2-i-Q, C.1 Arrive: 'Afi'3.�� �.- �.m. Permit No.: 12k-1 ]3 -_ Inspector's Initials: �' COMMENTS n5 l,\Z kNk-k- U N\ V' 21--\ A f—j `� 1iI I � T / N NA Chimney l"B"Vent 1 Direct Vent Location t y �,�� Plumbing Vent Through Roof 6"1 Roof Complete I. Exterior Finish!Grade Complete 6"in 10'or Equivalent k!// �> � 1��C ;� Interior!Exterior Guardrails 42 inch Platform/Decks ✓ Interior!Exterior Balusters 4 inch Spacing Platform!Decks17. Stair Handrail 34 inch-38 inch/Step Risers 7"!Treads 11" -- Ce C)f C vNp , Vestibules For Exit doors>3000 sq.ft. �,+►\� V�tZ) 01--N All Doors 36 inch w!Lever Handles I 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 ✓ e-L--.C- ‘t-tt.Te- •5AW1--- Relief Valve, Heat Trap I Water Temperature 110 Degrees Maximum Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System I'G 6 E Fresh Air Supply for Occupancy I Ventilation Combustion � 'Fi Low Water Se Off For Boilersn _ i ,/ Gas Furnace Shut Off Within 30 ft.or Within Line Of Sitej IJ�E___�,1 Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/2 doors > 10%>1030 sq.ft. 3/4 Hour Corridor Doors&Closers 61-t=•it - -c?( Firewalls/Fire Separation,2 Hour,3 Hour Complete!Fire Dampers/Fire Dcors / P-, -‘47 --v. c-c\- Ceiling Fire Stopping,3,000 sq.ft.Wood Frame I -�:z ' Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" _ Smoke Vents Or Fan,if required --- 0` � Elevator Operation and Signage 1 Shaft Sealed i �e Handicapped Bathroom Grab Bars/Sinks!Toilets/Mirrors / I 5c� h aJ Handicapped Bath!Parking Lot Signage — }.,lit ET Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch,Checkout 36 inch J �‘tJ 'Bk..- 5\Cti o FP- Handicapped Ramp/Handrails Continuous/12 inch Beyond [Both sides] Active Listening System and Signage Assembly Space Final Electrical/Flex Gas Piping Bonded / 7 6 CV E Pt.( 0 Site Plan/Variance required .` �C ‘^ Final Survey,New Structure/Flood Plain certification,if req. vQ`J As-built Septic System Layout Required or On File ‘7.e-'43 V?"--- r/ } .12 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 -- CeR.3)- NNv_ Special Inspections/Engineer or Architect Approval Okay To Issue Temporary or Permanent C/O CTEt)\ Okay To Issue C/C "'\'')�. ��� 4716 , l 5j WV\S Commercial Final Inspection_11 27 12 --k-) V k'‘V4--‘QL � --'' �� bP' t6NA QE9--17 Town of Queensbury Building&Code Enforcement V V s 1Q Avn Office No. (518)761-8256 Rough Plumbing I Insulation Inspection Report Inspection request received: 2- \ 2-05 l Name: +'n`Ctv-k-tr - ShCkCiC SAYIACA-uv.e ) Inspected on: 7-12`3 12-0 l5 Location: \1 -3 S C ke, Qpolt,CI Arrive: 9 --i®` �� , . Permit No.: 2fi) 14 'It 13 Inspector's Initials: Ile i Type of Structure: S , t n Ye.V1S �` vJ COMMENTS Y N NA Plumbing under slab S CAB"*' 76 1.-\10-0 Rough Plumbing/Nail Plates / ti Plumbing Vent/Vents in Place 1-9S - O33 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test ►, air /Vent A';--ed / i0 P("eir, SI0 ft. above highest connection for 15 minutes , 7 � \R-cgOt- ' -s Test \ -- ----R2 ----- :r Supply Piping .0 v'��� `� - Ai 'eao \� 0 P.S. i.r 15 minutes / \1 Inst ation I Residential Check I Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct 1 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 0 Rough Plumbing/Insulation Inspection Report Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection requ•:1 re. ••I ed• Queensbury Building & Code Enforcement Arrive: �i k-kb �� 742 Bay Road, Queensbury, NY 12804 Inspector's Initis . � NAME: NI'Pt RT'NAR\ 5 PE• . VA—I- \ .7j LOCATION: 1\--)3T7) T_ chi--\--v__9 INS' - TON: 1 —I(0-1_5 TYPE OF STRUCTURE: 'A () D \-T\C>t. z_ t • \cj� 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 ` --\- ca--DUce_ 5 P.S.I. for 10 ft. above highest connection for 15 minutes �A ___`3 Pressure Test l ater Supply Piping OpAir/Head 50 P.S.I. for for 15 minutes Insulation /Residential Ch•ck/Commercial Check > 0EEN) -1- ..t--\ Window Sealing a ‘ 0. \)\_._17k-\--‘, .. 11\\ Tyvek or Similar Exterior Sealant \-1, S 1c_Rq'e,- 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 cv,4lower Door Test ir Sealing t VIP COMMENTS: 1 , S1-t.C_A _ __ V\ Veb- - c1 S:, Rough Plumbing_Insulation Inspection_02 05 13 f�C Rough Plumbing / Insulation Inspection Report lif31 Office No. (518) 761-8256 Date Inspection re' • •sty• , •i .id: Queensbury Building & Code Enforcement Arrive: I .:7i / a c� 742 Bay Road, Queensbury, NY 12804 Inspector's Initial• ' NAME: PERMIT..#: ) '(— [ LOCATION: I ( 3 --i--c9 INSPECT ON: 1 —\ L —1,P TYPE OF STRUCTURE: ti\t-5 7-i u i ,) 1 /57 F k---t_,c`) 1 1 IA c- \c0 Y N NIA 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 1 Air/ Head IBJ / 50 P.S.I. for for 15 minutes — / `( Insulation / Residential Check Commercial Check i tURLL6 R-z 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 V Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape Blower Door Test Air Sealing COMMENTS: '5 AWN 3-6) IVC ‘) .- 1 --7.-c-- Fug Rough Plumbing_Insulation Inspection_02 05 13 Town of Queensbury Building & Code Enforcement Lt) c1- 1--3 Office No. (518) 761-8256 Framing / Firestopping Inspection Report Inspection request received: Name: Inspected on: / '14-1—/5 Location: 1/ 3 3 -cam q Arrive: _' Cc a.m./p.m. Permit No.: r't1 '&11 3 Inspector's Initials: /..' TYPE OF STRUCTURE: Y N NIA COMMENTS: Framing PGLu *sem Attic Access 22"x 30"minimum Jack Studs I Headers Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts I 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 Pr del Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space I 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 Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Framing / Firestopping Inspection Report Inspection request received: Name: Wiltj Inspected on: 'fi, /y Location: c/ Arrive: ' �` a.m./p.m. Permit No.: � "�'--/ �7-y�3 Inspector's Initials: d/n� TYPE OF STRUCTURE: I — Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs 1 Headers Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts I 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 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 hourAFirestopping �/ A 4 C'�' i''i` Penetration sealed ,/ 16 inch insulation in cavity min. /J- 4 /-1/-06.- Garage Fire Separation House side 1/2 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: '9c' Inspected on: Location: Arrive: 3-/3/) y� a.m./p.m. Permit No.: /_X--• /J3 Inspector's Initials: {,iDA_ TYPE OF STRUCTURE: 14v,h4.— Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum �� Jack Studs/Headers — �(' C4' eTc /� d i' Truss Specification Provided coo F �,'i,p C/4.jei GAJ Bracing I Bridging Joist hangers e^,.'i'`tt' .S tj'A ci/ Jack Posts I Main Beams Exterior sheeting nailed properly / _ f Z2 3, (/C J" 4cc erg 12"0.C. (/ �`�`/ W 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 1/2 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 inner Rough Plumbing / Insulation Inspection Report a. Office No. (518) 761-8256 Date Inspection req t received: Queensbury Building & Code Enforcement Arrive: a m 742 Bay Road, Queensbury, NY 12804 Inspector's Initial • NAME: M cct-i*L-tke\axx.1 1:N PERMIT#! qI LOCATION: 1 / R-f-ect INSPECT Ot . TYPE OF STRUCTURE: trY`a-)`n(' A-dd Y N N/A Plumbing under slab Rough Plumbing /Nail PlatesQ k- Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size V Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pl) Pressure Test Drain /Vent41 er Air/ Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water pply Piping A' ead �- � �) 0 P.S.I. for for 15 minutes ti 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 Plumhing_Insulation Inspection_02 05 13 Town of Queensbury Building & Code Enforcement t n Office No. (518) 761-8256 Framing I Firestopping Inspection Report Inspection request received: Name: m al-L tJ(Y_-' ? Inspected on: Location: f/ 3 Arrive: i .m. Permit No.: / < —<11.3Inspector's Initials: L�1 TYPE OF STRUCTURE: t nn T at of 171-LtTN N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs I Headers Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts I 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 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 tt * 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 kD Ceiling/wall /Vp_ Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) f �J 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 NI I a n Office No. (518) 761-8256 , Framing / Firestopping Inspection Report Inspection request received: Name: rn (A. 61\ Inspected on: v2 S Location: I r 3-3 A' Arrive: 7_ s m. rE:r2.:, Permit No.: I 41 Li 1 Inspector's Initials: TYPE OF STRUCTURE: ,%' Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs/Headers Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts I 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 I 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 \ C 7\ C-=_- Fire 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 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space I 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 I - J—r)(1 Office No. (518) 761-8256 Framing / Firestopping Inspection Report Inspection request r eived: ( , 01 Name: 60 Ng.' +^ Inspected on: sar 1 Location: im" Arrive: i it .!p.m Permit No.: a0/'" -j 1 3 Inspector's Initials r. TYPE OF STRUCTURE: G \PP LIER. ,1� 'L Amvi 'Y N N/A COMMENTS: ramin Attic Access 22"x 30"minimum Jack Studs/Headers Truss Specification Provided / Bracing/Bridging V/// // rr Joist hangers / I�u��c F GLOP r� '')•—f ALS 'N` b�j 1 b �'R�E L— Jack Posts 1 Main Beams C3eslj� > --�'� k� `� w Exterior sheeting nailed properly O►J L1. 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 ‘/// COM Ice and water shield 24 inches from wall VLE—`-E I krk-6 Fire separation 1,2,3 hour 6 S ©f 13 �� F Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 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 nCE --� �� R _\3,5 6 k DF PUP\ Framing / Firestopping Inspection Report IkA©O\ CID 113- -- aS NE_ L>3 �FlL�e �A 1 C F FO bck CPO 'C.OikC'1 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection requ: ll Queensbury Building&Code Enforcement Arrive: 2=( ' I Depart: 72-2.13a4prr 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia..111#"' NAME: 4 ___ ' RMIT#: `'1 � l 1 -j LOCATION: C\ INSPECT ON: \ \\--1 TYPE OF STRUCTURE: Comments Y ` N N/A Footings c7712,1\3 ul�iv 1 k �t X— l Z —TV\ Piers Monolithic Slab Reinforcement in Place L/-7T , R c:�,CT ` A6 The contractor is responsible for l 1 Alip providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place 4JE.E-S �-- Footing Dowels or Keyway in place c)0,51— '�p F-b CT,vG bEEFoundation Dampproofing t\ ���- `D� b t6 E_ Foundation Waterproofing CoLv M U_Tt\ett Footing Drain Daylight or Sump B-pp�-o<.)fUc 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\1nspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection requ• •r •ive s: Queensbury Building & Code Enforcement Arrive: �—. �,r� 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,.,_. — NAME: POU—ZIA PERMIT # , "</i LOCATION: ' R-1'9 INSPECT ON: TYPE OF STRUCTURE: Z _C Y / N N/A \ T FWp Plumbing under slab ✓ Rb��-�\0 Rough Plumbing / Nail Plates f✓41 .c \1Y� Plumbing Vent /Vents in Place DV)\-\\z 11/2 inch minimum Drain Size MPU i EC= Washing Machine Drain 2 inch minimum �j � 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 -VIF A 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 05 13 g.._,IO col...___J Foundation Inspection Report 1 V0130 Al•Ai Office No.(518)761-8256 Date Inspection r-• .- • iv . l i - ' Queensbury Building&Code Enforcement Arrive: f n I.• `-\ cepa t: NI/ a 1 .. 742 Bay Rd., Queensbury, NY 12804 Inspector's Enid. f— /..4 4 NAME: , do/_S ' RMIT#: /te —c--/-/3 LOCATION: - INSPECT ON: , I"ifi it j 1(/' TYPE OF STRUCTURE: 01•' 131 , Comments Y _ N/A Footings Piers Monolithic Slab 5�,,, �1 Reinforcement in PlaceIP' �� ,v7/./z 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 poly for wet areas under slab *FM ckfill Approval Plumbing Under Slab VC/Cast/Copper iterior/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 &fw 9 d-- 0.1,_ 3 /0 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection requu' ce. ed: 11/3/p-/ Queensbury Building & Code Enforcement Arrive: /. �,� i 742 Bay Road, Queensbury, NY 12804 Inspector's Initial-fit; ' l I)3 NAME: M 0-al- (4S PERMI #: LOCATION: f I '- S--1�T F. [Li— ,,ci INSPECT ON: I V TYPE OF STRUCTURE: la C (AM I , M` it� 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 i. Insulation / Residential Check/ Commercial Check i- l , 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 —7 1 t)L7 �c C l CA\. ,7 COMMEN `: ( .V to D tJZJ 4)1---- S .k: e IN (0) /- --b)‘__ \-k 't )‘-) _,e__ t_-PIK .--7 '\. - 75W--E.)\ __ \ C`' Ulic!`� `? \ u F} Plumbing_Insulation Inspection_02 0513 \o c (.0S ID:EvA-coa Co. -` 3-0Q'. 1133 QDkATE c) MA fl 5 1 CE CJ M,, ZIA.1-- Li i. p IT S CL-..F. 14 (03-' 1/2(_.W'n9 )14 1\ -ti 'I toei 0650 : '''''F\ B Aseme T --A \ \ prr -FLeo z. 1L- hLoc)v 1\ \ _— \m— --:� ; DMZ 5 i D5 , _ \ \ .__\ -_ ,_ — - - : ® \`=_ _ —�_. __ \ .1.--------7.-\\.--_ -m (NcTE: — — — --i -Eoo-N-A NCS Q\1 O 1 To 5C. L- ?iT --1-0C>12-, MRti. ' A(L.E T01 (5u m-7" 6 � LOQ , �� O , eb.sem 'ry FLOW- L€V6L ‘ ')1aSSM6►�� a-, 7 / Li tt dt u t I ---). 1b'0 �P PCIA PiT Ffco�2. LevG1- G.�rJ G��� ° ® 7, f e ° ® m o e SIeL. 12J61,i fty442.p.1(3- l'7r . —ig–fe6 ,, - --1-1p1(Y) Foundation Inspection Report Office No. (518)761-8256 Date Inspection re fr 7. . :• 1 O 30 'j- Queensbury Building&Code Enforcement Arrive:7'tO a 1 Depart:Z.4_43_ 742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials prE / NAME: AP, WJ (MIT#: o2O(`f' — q/3 • LOCATION: 7 - INSPECT ON: In (36 ( 3e- 1 TYPE OF STRUCTURE: A ' : I al, f � Comments� C trlet. Y v N/A ar-el 3 t0 i --(40.)_3o 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. Ma '. .L Wisp eon site. • ndation/Wallpour 7 'em orcement in Place / iii r. -'-----'>? Z.--` 1C?r-(" A e\j Footing Dowels or Keyway in place Foundation Dampproofing 1/ ''S? ?a\' P—c' Foundation Waterproofing V.- --Wits Footing Drain Daylight or Sump (A.....\-x,4 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 ;--- 1 Foundation Inspection Report Z..a Office No. (518) 761-8256 Date Inspection re. -st r e. -•. Queensbury Building&Code Enforcement Arrive:4.4 a , Depart:g,:-1L��i 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: .. NAME: f I 0),,_41-,,,, I A PE; IT#: /.9--(1/ 3 LOCATION: // 3 3 R4- ? _ INSPECT ON: /0"111H44- TYPE Q- H - TYPE OF STRUCTURE: A6142L Z 1 V" ‘\ �� 7 \E) 2 Comments ... / I' N N/A Piers Monolithic Slab Reinforcement in Place 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. Foundation/Wallpour r C \,___\ ` _ Reinforcement in Place � ` Z 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 _____ Rough Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forris\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM k)14 Foundation Inspection Report Office No. (518) 761-8256 Date Inspectionre•.•st . e • Queensbury Building&Code Enforcement Arrive: b- .. / Depart: 4-- .m 742 Bay Rd., Queensbury,NY 12804 Inspector's Initi. : _,. ` NAME: 1a A a_ A .ii./ f` P'RMIT#: 1 '(/".-Vi 3 LOCATION: i+49 ^ NSPECT ON: /6—d'—/y TYPE OF STRUCTURE: C -;rted Comments 41- 1 r,NoCi .CT\t i l7 _ 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 1)./ 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 "Varkfill Approval " `N_ Plumbing Under Slab �Y� 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 fry — Foundation Inspection Report Office No. (518)761-8256 Date Inspection re• ce Queensbury Building&Code Enforcement Arrive: \'-30 . ./ l or Depart: 1=-1,r amp 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia Wir NAME: 'ERMIT#: Pi' /3 LOCATION: 11 3.3/ 17 INSPECT ON: / TYPE OF STRUCTURE: -jef Cts 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. qp, 'Tg 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 27 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart://t m/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's InitialsOL NAME: NredIN6P.1 A. PERMIT#: / <4` t / 3 LOCATION: // 3 2 R4 INSPECT ON: /0 TYPE OF STRUCTURE: C -' Comments 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 //, ;&5a; ' - Footing _Footing Dowels or Keyway in place Foundation Dampproofing `' 5 Foundation Waterproofing �t C 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 i ----.:1$6,, ENGINEERING PLC r structural solutions =a G3 21114 9 I Structural Calculations for Martha's Dandee Crème Queensbury, NY Renovations and Addition ��oF NEwy •t 11E; �Q .. c<, E BURL �.9 Prepared By: 0 1- CO • kms \j�• m Scott Burlingame, P.E. cc i(' ; �" w y d l a-+sr ' = July 8,2014 to ". SOA 085186k, v 19°FES S40P Scott Burlingame,P.E. 1900 Rt. 146,Clifton Park,NY 12065 I T:518-724-0733 I scott@sbengineeringplIc.com sbengineeringpllc.com TT E N G I N E E R I N G PM JOB NAME Martha's Dandee Crème r structural solutions SHEET# 1 OF 2 CALC. BY Scott Burlingame, P.E. DATE 7/8/14 Typical Floor Dead Load: 9/16"-28ga Deck with 2 1/2" N.W. 32 psf Ceiling& Lights = 4 psf Misc. Mech. Ducts = 4 psf Sprinkler System = 4 psf Misc. Mech. Ducts = 4 psf 48 psf Typical Floor Live Load: Second Floor Office = 65 psf (includes 15 psf p Second Floor Corridor= 80 psf First Floor Store = 100 psf Bakery = 150 psf Seismic Typical Floor DL: 9/16"-28ga Deck with 2 1/2"N.W. 32 psf Ceiling & Lights = 4 psf Misc. Mech. Ducts = 4 psf Sprinkler System = 4 psf Misc. Mech. Ducts = 4 psf Partition Load = 10 psf 58 psf Scott Burlingame,P.E. 1900 Rt.146,Clifton Pork,NY 12065 11-:518-724.0733 I scott@sbongineeringpllc.com 1 ENGINEERING PLLC JOB NAME Martha's Dundee Creme SHEET# 2 OF structural solutions CALC.BY Scott Burlingame, P.E. DATE 7/8/14 J BUILDING DESIGN LOADS Roof Dead Load: 5/8" Roof Sheathing = 3 psf Roofing and Insulation = 8 psf Mechanical Ducts = 4 psf Ceiling&Lights = 2 psf Wood Roof Framing = 3 psf 20 psf Roof Live Load: Flat Roof Snow Load = 42 psf Total Roof Design Load = 62 psf Seismic Roof Dead Load: 5/8" Roof Sheathing = 3 psf Roofing and Insulation = 8 psf Mechanical Ducts = 4 psf Ceiling& Lights = 2 psf Wood Roof Framing = 3 psf 20%of flat roof snow load = 8.4 psf 28.4 psf Typical Floor Dead Load: 3/4"Floor Sheathing = 3 psf Floor Covering = 3 psf Mechanical Ducts = 4 psf Ceiling& Lights = 2 psf Wood Floor Framing = 3 psf 15 psf Typical Floor Live Load: Commercial Kitchen = 150 pst Scott Burlingame,P.E. 1900 Rt.146,Clifton Pork,NY 12065 I is 518-724.0733 i scott@,bengineeringpllc.com JOB NAME Martha's Dandee Creme 147ENGINEERING PLLC SHEET# 3 OF structural solutions CALC.BY Scott Burlingame, P.E. DATE 7/8/14 Bldg.Area: Entire Roof Ground Snow Load: 50 psf (At elevations up to 1000 feet) Project Site Elevation: 415 ft Adj. Ground Snow(pg): 50 psf Building Occupancy Terrain Category Q I-Agricultural QA.Large City Centers ® U-General ®B.General Urban/Suburban Q III-Assembly Q C.Open Terrain Q Iv-Critical Servkes2 Q0.Open Shoreline 2 Roof Exposure Thermal Factor QFully Exposed 0Structures Not Noted Below *Partially Exposed 0 Poorly Heated/Well Insulated 0Sheltered2 *Unheated Structures 3 Importance Factor(Is): 1.0 Thermal Factor(C1): 1.2 Exposure Factor(Ce): 1.0 Snow Density (g): 20.5 psf Flat Roof Snow Load(pf): 42.0 psf Height of Uniform Snow(hb): 2.0 ft Note: This spreadsheet calculates the flat-roof snow load based on the "Building Code of New York State" (2010)&ASCE 7-05 criteria. To use, enter the ground snow load and select the appropriate building criteria. Scott Burlingame,P.E. 1900 Rt.146,Clifton Pork,NY 12065 I T:518-724.0733 I scott(c sbenglneeringplIc.com JOB rr ENGINEERING Pa( SHEET#ME 4 Martha's DandOFe Crème El structural solutions CALC.BY Scott Burlingame, P.E. DATE 7/8/14 Note: 1. This spreadsheet calculates the seismic design coefficients and building design category per the 'Building Code of New York State -2010". 2. Use spectral accelerations based on a 2%PE in 50 years. 3. Not valid for Site Class F or E w/S,>1.0, S1>0.4. 4. To determine Ss&S1,input project address in USGS online ground hazard application Site Address: Queensbury, NY Data: SS 0.243 Mapped spectral acceleration for short periods Si 0.083 Mapped spectral acceleration for a 1-second period Site Class Occupancy Category r O Site Class A O I/II-General/Agricultural Q Site Class B 0 III-Assembly Q Site Class C 0 Iv-Critical Services QQ Site Class D O Site Class E Q Site Class F Fe a 1.60 F„= 2.40 SMS. 0.389 SM1 a 0.199 SDS o 0.259 SD1 e 0.133 SD Cat B SD Cat B Seismic Design Category B Scott Burlingame,P.E. 1900 Rt. 146,Clifton Park,NY 12065 I T:518-724-0733 I scon@sbengineeringpllc.com ,S . ENGINEERING PLLC SHEET#N1E 5 artha's DandeeOCreme F i,s t r u c t u r a l solutions CALC.BY Scott Burlingame, P.E. DATE 7/8/14 x Building Occupancy Seismic Direction Data: - Q I-Agricultural 0 "X"Direction QQ II-General 0 "Y"Direction Q III-Assembly Q Iv-Critical Services 1111111111 Require Input by User Sps= !-i,% .,,,, Mapped spectral acceleration for short periods SDI_ �' 3 ",Mapped spectral acceleration for a 1-second period R= ..!,. .-<,r)(40,)fist-Response Modification Coefficient 1e= i 0)1 ` Importance Factor hn= Total Building Height Above Base(ft) CT= Ytrr 2 4 Building Period Coefficient Calculate Seismic Base Shear: T=Ta = 0.137 Approximate Fundamental Period (seconds) Carvin = 0.01 1 Minimum Seismic Response Coefficient Ca = 0.040 Seismic Response Coefficient Csmax = 0.149 Maximum Seismic Response Coefficient Caen,,, = 0.040 Governing Seismic Response Coefficient Total Seismic Weight: WB = 76.00 (Force in Kips) Seismic Base Shear: V, = 3.03 (Force in Kips) Calculate Vertical Distribution of Seismic Forces: Distribution Coefficient(k) = 1.00 Level A... iAr:<..; 1 l':°.: , -Yraltx ?� ' Eve _' Y I6',147 111tf'414 . Roof 76.00 13.00 988.00 1.000 3.03 0.00 Ground 0.00 0.00 0.00 0.000 0.00 39.37 0.00 0.000 0.00 0.00 0.00 0.000 0.00 0.00 0.00 0.000 0.00 0.00 0.00 0.000 0.00 0.00 0.00 0.000 0.00 0.00 0.00 0.000 0.00 0.00 Sum -,76 2 'At 8 n x1,.000. .3.03; 39,37 808 Mein Street I Buffalo,NY 14202-1501 I Phone:718.856.1894 I FAX:716.63 .2521 I eiracuseSE®airacusengineers,com ENGINEERING FLOC structural solutionsJOB NAME `��Z11ZAS Ar..\- , C t SHEET# OF CALC.BY . -" EIS DATE 7 2 Y bk..., 20 0C- LL = En, esSc —1p U F 1 NA,c 1,,b S?A.-! u S' S t'i= 0 Z ea- `+-t-stt sz 1 14, z 0 0 (1,,51( ,,�) -, /,520 t, C, ,- CD w= 1',1,2 (2O-op), e. 3 0 A-- 6)Dt 3 (Q' k I, 52o �\ .\b Q: 17:- tN C t. c_k_ x.17 0-J 4{ 3 Pa = S (t� t2��1 C►z� o cql Q1 2y3 -5bq (tit ix, ')( ti-7,03) K., 31tc.0 t•t1. I ., isq ;„" .' - (-Q13,,,,) /d'5 i ^""t C212610) Scott Burlingame, P.E. 1900 Rt. 146,Clifton Park, NY 12065 I T: 518-724-0733 I scott@sbengineeringpllc.com Lr-ii.1,13 ENGINEERING PLIC JOB NAME M,,s,f(A\ `.94:10. structural solutions SHEET# OF CALC.BY DATE s)!14/ its C1.4,4 UL 1`a v% wi<(j'icpl. `. -TR,/ IG" o,� w' 'G/�2 a♦Pa 411 v) 71,C3 �tt . 1M. „ 22d (q.0 �,} �,h. •! Atm Z 210 (9,416' )/ )/ 9q1 ►ta. ws �1 air. wz C l6" e,c, > tr, . (Z?eV q,ue''S1y(It)� 6`7.J ,,14 24417- "i (/,c.oU ,060)( m7 �L) T��icn` A�.`• w: (71,0t7))(IC ‘%(N, wt= 141.0 ttI I (R tL2,1))t ; -.\,C9S 4 t .\L LAC, 5 N x ‘'\ La,}L. u � ci.. iy qq (4),OV,) � _ 64 C-41 IL " I Scott Burlingame, P.F. I 900 Rt. 146,Clifton Park, NY 12.065 I T: 518-724-0733 I scott@sbengineeringpllc.com Tii-T-ENGINEERING P«t JOB NAME MAD R., s AN��v cr/A: w- structural solutions SHEET# OF CALC.BY 'Thest, DATE "t FIN CI S, fwort Px- , e w 5/21(,(9-t) + (y7,6-1/7,)Clt,S `, wt= 2c,1IZ .113 a` Il ,tpLO 14, -I? '1 00 i Scott Burlingame, P.E. I 900 Rt. 146,Clifton Pork, NY 12065 I T:518-724-0733 I scott@sbengineeringpllc.com . ' ENGINEERING PLLC structural solutions JOB NAME itiVAI,r►aa S W,l-,f) ,prJi)r,-IC, SHEET# OF CALC.BY DATE "! ifj`!y W i-tv L000.,ic,'• v , 90 ..,,`,v„ 2a-le I\ tt-, C. i' T= 1.0 30'rz ►y,,s -6,O `/,i✓ -3.LS .xi . C li2\ ti21 i,Zl I A1 VI(..._ 12.:'.k 01 S"--) 7,''" 11,1, gal+ LA 1b — 6, ►2 - 5 gtvc. tSiOr.►aetAt.-f l ones i. \I - -b\Gt4 1 q.4Y.D1Lt, v171- \----\ 1`11Qi C . q = isb —5oA._ \(a, ot. { iD ks \f 7 ..5(000 r I-/SE til'e l.-G, r- 1.-1. alt C"4n- w n i-L. , ,t ... n 12 �1t : ,o, Ib t 5,4_,-,t_ \..1VW'. 415E totas,,>> p I T t - 3tso Cu -. `-i- 7-0 ih — \-\Du t �t -$74o% Scott Burlingame,P.E. I 900 Rt. 146,Clifton Park,NY 12065 I T: 518-724-0733 I scoff@sbengineeringpllc.com P F 0 R T E' MEMBER REPORT FIRST FLOOR,Floor.Joist PASSED 1 piece(s) 2 x 12 Spruce-Pine-Fir No. 1/ No. 2 @ 16" OC Overall Length:9'8" �, L+4rz�r D .,f.Sw Ff z_ at �(15..�; .-r... - '.s� -�n-e bri.§,�' {+3�. a + D All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results - Actual®Location Allowed Result .. LDP Load!Cdinbinatfon,(Pattern) - System:Floor Member Reaction(lbs) 1040 @ 2 1/2" 1434(2.25") Passed(73%) -- 1.0 D+1.0 L(All Spans) Member Type:Joist Shear(lbs) 793 @ 1'2 3/4" 1519 Passed(52%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential Moment(Ft-lbs) 2353 @ 4'10" 2653 Passed(89%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC Live Load Dell.(In) 0.132 @ 4'10" 0.231 Passed(L/840) -- 1.0 D+1.0 L(All Spans) Design Methodology:ASD Total Load Dell.(In) 0.145 @ 4'10" 0.308 Passed(L/763) -- 1.0 D+1.0 L(All Spans) Ti-Pro'"Rating N/A N/A •- -- •Deflection criteria:LL(1!480)and TL(1/380). •Bracing(Lu):M compression edges(top and bottom)must be braced at 3'11 13/16"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. •A 15%Increase In the moment capacity has been added to account for repetitive member usage. •Applicable calculations are based on NDS 2005 methodology. •No composite action between deck and Joist was considered In analysts. Bearing Length Loads to Supports(lbs) Floor SUPPOTts Total 'AvaableRequiredDead Total Accessories Live 1-Stud wall-SPF 3.50" 2.25" 1.63" 97 967 1064 1 1/4°Rim Board 2-Stud wall-SPF 3.50" 2.25" 1.63" 97 967 1064 1 1/4"Rim Board •Rim Board Is assumed to carry all loads applied directly above It,bypassing the member being designed. Dead Floor Live Loads Location' Spacing , (0,90) , (1.00) Comments 1-Uniform(PSF) D to 9'8" 16" 15.0 150.0 Residential-living Areas /� Weyerhaeuser Notes - - - - (2j)susreit e.a I FORESTRY INITIATIVE Weyerhaeuser warrants that the siring of Its products will be In accordance with Weyerhaeuser product design aiterla and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser Ilterature for Installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software Is not Intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer Is responsible to assure that this calculation Is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support Information have been provided by Forte Software Operator Forte Software Operator Job Notes 9/3/2014 2:58:59 PM Forte v4.6,Design Engine:V6.1.1.5 Scott Burlingame SB Engineering,PLLC FRAM/N--1.4TE (518)724-0733 scoit@sbengineeringpllc.com Page 1 of 1 ''I 1 F " MEMBER REPORT FIRST FLOOR,Floor.Drop Beam PASSED ORTE` 3 piece(s) 1 3/4"x 11 7/8" 1.9E Microllam® LVL Overall Length: 10'9" + + O O r r , r P 9 10'9• 0 All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actuator Location Allowed Result LDF Load:Combination(Pattern) system;Floor Member Reaction(lbs) 8144 @ 2 1/2" 15750(4.00") Passed(52%) -- 1.0 D+1.0 L(All Spans) Member Type:Drop Beam Shear(lbs) 6140 @ 1'3 7/8" 11845 Passed(52%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential Moment(Ft-lbs) 20224 @ 5'4 1/2" 26772 Passed(76%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC Uve toad Dell.(In) 0.286 @ 5'4 1/2" 0.344 Passed(1/433) -- 1.0 D+1.0 L(All Spans) Design Methodology:ASD Total Load Deft.(In) 0.319 @ 5'4 1/2" 0.344 Passed(L/389) -- 1.0 D+1.0 L(All Spans) •Deflection criteria:LL(1/360)and TL(L/360). •Bracing(W):All compression edges(top and bottom)must be braced at 10'9"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing Is required to achieve member stability. Bearing Length Loads to Supports(lbs) Supports Total Available,. Required Dead F1 or Total Accessories 1-Column Cap-steel 4.00" 4.00". 2.07" 821 7321 8145 Blocking 2-Column Cap-steel 4.00" 4,00" 2.07" 824 7321 8145 Bloddng •Blocking Panels are assumed to carry no loads applied directly above them and the full load Is applied to the member being designed. Tributary Dead Floor Live Loads Location Width (0.9D) (1.00) .: Comments 1-Uniform(PSF) 0 to 10'9" 1' 136.0 1362.0 Residential-Using Areas Weyerhaeuser Notes - - SUSTAINABLE FORESTRYINinanvE Weyerhaeuser warrants that the sizing of its products will be In accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for Installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software Is not Intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer Is responsible to assure that this calculation Is compatible with the overall project.Products manufactured at Weyerhaeuser fadlities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator Forto Software Operator Job Notes 9/3/2014 2:59:37 PM Scott Burlingame Forte v4.6,Design Engine:V6.1.1.5 SB Engineering.PLLC FRAMIN--1.4TE (51 8)724-0733 scott@sbengineeringpllc.com Page 1 of 1 PI F 0 R T E a MEMBER REPORT Levet,Root.Joist PASSED 1 piece(s) 11 7/8"TM® 110 © 16" OC Overall Sloped Length:19'1 1/4" 12 1.5� 18 3" E All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actual 0 Location Allowed Result LDF- Load:Combination(Pattern) System:Roof Member Reaction(lbs) 780 @ 21/2" 1581(3.50") Passed(49%) 1.15 1.0 D+1.0 S(All Spans) Member Type:Joist Shear(lbs) 756 @ 3 1/2" 1794 Passed(42%) 1.15 1.0 D+1.0 S(All Spans) Building Use:Residential Moment(Ft-lbs) 3514 @ 9'5" 3634 Passed(97%) 1.15 1.0 D+1.0 S(All Spans) Building Code:IBC Live Load Defl.(In) 0.594 @ 9'5" 0.619 Passed(1/375) -- 1.0 D+1.0 S(All Spans) Design Methodology:ASD Total Load Den.(In) 0.879 @ 9'5" 0.928 Passed(1.1253) -- 1.0 D+1.0 S(All Spans) Member Pitch:1.5112 •Deflection criteria:11(L/360)and TL(x/240). •Bracing(Lu):All compression edges(top and bottom)must be braced at 2'7 7/16"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing Length Loads to Supports(lbs) Supports Total °Available.. Required Dead Snow Total' . Accessorfes 1-Beveled Plate-LSL 3.50" 3.50" 1.75" 253 527 780 Blocking 2-Beveled Plate-LSL 3.50" 3.50" 1.75" 253 527 780 Blocking Blocking Panels are assumed to carry no loads applied directly above them and the full load Is applied to the member being designed. Dead . - Snow Loads Location Spacing (0.90) (1.15) Comments 1-Uniform(PSF) 0 to 18'10" 16" 20.0 42.0 Roof Weyerhaeuser Notes f SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of Its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for Installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software Is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer Is responsible to assure that this calculation Is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,Input design loads,dimensions and support information have been provided by Forte Software Operator Forte Software Operator Job Notes 9/3/2014 2:59:52 PM Scott Burlingame Forte v4.6,Design Engine:V6.1.1.5 SB Engineering.PLLC FRAMIN"1.4TE (518)724-0733 scolt@sbonginnaringpilc.cam Page 1 of 1 444i3 Statement of Special Inspections i CASE Council of American Structural Engineers Project: Martha's Dandee Creme Location: 1133 State Route 9, Queensbury, NY 12804 Owner: Mr. Dennis Lafontaine Owner's Address: 1133 State Route 9 Queensbury, NY 12804 Design Professional in Responsible Charge: SB Engineering, PLLC 900 Route 146. Clifton Park, NY Architect of Record: Rucinski Hall Architecture, 627 Maple Ave., Saratoga Springs, NY This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the Special Inspection and Structural Testing requirements of the Building Code. It includes a schedule of Special Inspection services applicable to this project as well as the name of the Special Inspection Coordinator and the identity of other approved agencies to be retained for conducting these inspections and tests. This Statement of Special Inspections encompass the following disciplines: ® Structural ❑ Mechanical/Electrical/Plumbing ❑ Architectural ❑ Other: The Special Inspector shall keep records of all inspections and shall furnish inspection reports to the Building Official and the Registered Design Professional in Responsible Charge. Discovered discrepancies shall be brought to the immediate attention of the Contractor for correction. If such discrepancies are not corrected, the discrepancies shall be brought to the attention of the Building Official and the Registered Design Professional in Responsible Charge. The Special Inspection program does not relieve the Contractor of his or her responsibilities. Interim reports shall be submitted to the Building Official and the Registered Design Professional in Responsible Charge. A Final Report of Special Inspections documenting completion of all required Special Inspections, testing and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy. This document shall be prepared and signed by the licensed Design Professional acting as the Special Inspector. Job site safety and means and methods of construction are solely the responsibility of the Contractor. Interim Report Frequency: Monthly or❑ per attached schedule. Prepared by: (---c0F NEj y g BuRtf�cO,pI- Scott E. Burlin ame(type or print name) " " 9� I- x� 1 m CC � rn 2 C e txt%_.Q...:\" 9/3/14 _ S ``__ SO085186 cc,' A Signature Date ,40 NPS, Desi. �_�� ti _ eat Owner's • •riza ion: Building Official's Acceptance: Signature Date Signature Date CASE Form 101 • Statement of Special Inspections • ©CASE 2004 • New York State 2010 Sheet 2 of 7 Project: Martha's Dandee Creme Schedule of Inspection and Testing Agencies Statement of Special Inspections includes the following building systems: ® Soils and Foundations ❑ Prefabricated Wall Panels ® Cast-in-Place Concrete El Spray Fire Resistant Material El Precast Concrete ® Wood Construction ❑ Shotcrete ® Prefabricated Wood Trusses ❑ Masonry Level 1 El Exterior Insulation and Finish System El Masonry Level 2 ❑ Mechanical& Electrical Systems ❑ Structural Steel El Architectural Systems El Cold-Formed Steel Framing El Special Cases ❑ Prefabricated Cold-Formed Trusses Special Inspection Agencies I Firm I Address,Telephone 1. Special Inspector To be determined and hired by owner. 2 Testing Laboratory SIB Services, Inc PO Box 2199 -pre-approved list. Ballston Spa, NY 12020 518-899-7491 Trans Tech QCQA Laboratories 1594 State St. Schenectady, NY 12304 518-372-4067 Evergreen Testing 594 Broadway Watervliet, NY 12189 518-266-0310 3 Geotechnical Engineer Note: The inspection and testing agent shall be engaged by the Owner or the Owner's Agent, and not by the Contractor or Subcontractor whose work is to be inspected or tested. Any conflict of interest must be disclosed to the Building Official, prior to commencing work. Seismic Design Category: B Basic Wind Speed (3 Second Gust): 90 Wind Exposure Category: B CASE Form 101 • Statement of Special Inspections • ©CASE 2004 • New York State 2010 Sheet 3 of 7 Project: Martha's Dandee Creme Qualifications of Inspectors and Testing Technicians The qualifications of all personnel performing Special Inspection and testing activities are subject to the approval of the Building Official. The credentials of all Inspectors and testing technicians shall be provided if requested. Key for Minimum Qualifications of Inspection Agents: When the Registered Design Professional in Responsible Charge deems it appropriate that the individual performing a stipulated test or inspection have a specific certification or license as indicated below, such designation shall appear below the Agency Number on the Schedule. PE/SE Structural Engineer—a licensed SE or PE specializing in the design of building structures PE/GE Geotechnical Engineer—a licensed PE specializing in soil mechanics and foundations. EIT Engineer-In-Training—a graduate engineer who has passed the Fundamentals of Engineering examination American Concrete Institute(ACI)Certification ACI-CFTT Concrete Field Testing Technician—Grade 1. ACI-CCI Concrete Construction Inspector ACI-LTT Laboratory Testing Technician—Grade 1&2. ACI-STT Strength Testing Technician. American Welding Society(AWS)Certification AWS-CWI Certified Welding Inspector. AWS/AISC-SSI Certified Structural Steel Inspector American Society of Non-Destructive Testing (ASNT)Certification ASNT Non-Destructive Testing Technician—Level II or III International Code Council (ICC) Certification ICC-SMSI Structural Masonry Special Inspector ICC-SWSI Structural Steel and Welding Special Inspector ICC-SFSI Spray-Applied Fireproofing Special Inspector ICC-PCSI Prestressed Concrete Special Inspector ICC-RCSI Reinforced Concrete Special Inspector National Institute for Certification in Engineering Technologies(NICET) NICET-CT Concrete Technician—Levels I, II, Ill & IV NICET-ST Soils Technician- Levels I, II, Ill & IV NICET-GET Geotechnical Engineering Technician - Levels I, II, Ill & IV Exterior Design Institute(EDI)Certification EDI-EIFS EIFS Third Party Inspector Other SCSI Smoke Control Special Inspector PE/ME Mechanical/Electrical/Plumbing Engineer—a licensed PE specializing in the design of mechanical, electrical and plumbing building systems RA Registered Architect specializing in the design of architectural building systems CASE Form 101 • Statement of Special Inspections • ©CASE 2004 • New York State 2010 Schedule of Special Inspection Services Sheet 4 of 7 Soils and Foundations Project: Martha's Dandee Creme Item Agent No. Scope (Qualif.) 1. Site Preparation 2 Section 1704.7.Site preparation. Prior to placement of the (PE or EIT) prepared fill, determine that the site has been prepared in accordance with the Contract Documents. Inspect soils below footings for adequate bearing capacity and consistency with the Contract Documents. 2. Controlled Structural Fill 2 Section 1704.7.During fill placement. During placement and (PE or EIT) compaction of the fill material, determine that the material being used and the maximum l f thickness comply with the Contract Documents.Verb extent and slope of fill placement. 2(PE or EIT) Section 1803.5. Compacted fill material. Perform sieve tests and modified Proctor tests of each source offrll material. Through testing, verb that the compacted fill to be used under footings and under slabs complies with the Contract Documents. 2 (PE or EIT) Section 1704.7. Evaluation of in-place density. Review that the in-place dry density of the compacted fill complies with the Contract Documents. 3. Deep Foundations Not applicable. 4. Underpinning 1 Review Existing Conditions. Determine if soil conditions are (PE or EIT) conducive to underpinning. (PE or EIT) Underpinning Procedure. Review contractor's underpinning procedures to be in compliance with the contract documents and I with the Geotechnical Engineer's recommendations. (PE or EIT) Grout Installation. Inspect installation of grout and bonding agent for space between existing foundations and new concrete for 2 compliance with the contract documents. Monitoring. Establish measurement stations to monitor vertical and horizontal wall movement before, during and after underpinning is complete. Record measurements in a log book and submit to Engineer of Record for review. 5. Other 2 Within the building perimeter, observe placement of underslab and (PE or EIT) perimeter drainage elements, including crushed stone,perforated pipes, and geocomposite drains. CASE Form 101 • Statement of Special Inspections • ©CASE 2004 • New York State 2010 Schedule of Special Inspection Services Sheet 5 of 7 Cast-in-Place Concrete Project: Martha's Dandee Creme Item Agent No. Scope (Quaff.) 1. Mix Design 1 Table 1704.4.4. Review concrete mix design submittals for all (PE or Eli) classes of concrete specified on the structural drawings. Reference standard ACI 318:Ch.4, 5.2-5.4. BC-NYS Reference Sections 1904, 1905.2-1905.4, 1914.2 and 1914.3. 2 Review concrete batch tickets and verb compliance with (ACI) approved mix design. Verify that water added at the site does not exceed that allowed by the mix design. 2. Material Certification 1 Section 1704.4.1.Materials. Review material certfficates of (PE or EIT) compliance or other acceptable documentation for all materials used in the concrete mix designs for conformance with ACI 318 Chapter 3. In the absence of sufficient data or documentation providing evidence of conformance to quality standards of materials in chapter 3 of ACI 318, materials shall be tested in accordance with the appropriate standards and criteria. 3. Reinforcement Installation 1 Table 1704.4.1. Review the following percentages of installed & reinforcement for compliance with approved shop drawings, 2 project specifications and ACI 318: Ch.3.5, 7.1-7.7.BC-NYS (ACI) Reference Sections 1903.5, 1907.1, 1907.7 and 1914.:Footings 50%, Foundation Walls 50%. 4. Post-Tensioning Operations Not applicable 5. Anchor Rods 1&2 Table 1704.4.3. Review 100%of bolts to be installed in concrete (ACI) prior to and during placement of concrete where allowable loads have been increased BC-NYS Reference Section 1912.5. 6. Concrete Placement 2 Table 1704.4.6. Continuous inspection of concrete placement for (ACI) proper application techniques as specified in ACI 318. 5.9 and 5.10.BC-NYS Reference Sections 1905.9, 1905.10, 1914.6, 1914.7 and 1914.8. Verify that concrete conveyance and depositing avoids segregation or contamination. Veru that concrete is properly consolidated. 7. Sampling and Testing of 2 Table 1704.4.5. Make one strength test for each 50 cubic yards or Concrete (ACI) fractions thereoffrom each mix design of concrete placed in any one day. (ASTM C 172,ASTM C 31,ASTM C39).Also, test each specimen for slump(ASTM C143), air content(ASTM C231 or Cl 73), and temperature(ASTM C1064).ACI Reference ACI 318: Ch. 5.6 and 5.8. BC-NYS Reference Sections 1905.6 and 1914.10. 8. Curing and Protection 1 Table 1704.4.7. Review periodically for maintenance of specified curing temperature and protection techniques, in accordance with ACI318: 5.11-5.13. BC-NYS Sections 1905.11, 1905.13 and 1914.9. Further, when hot weather concrete conditions exist, verb that the procedure outlined in ACI 305R for Hot Weather Concreting is followed These conditions will exist when the rate of evaporation approaches 0.21 lb./ft.2/hr. For Cold Weather Concreting,follow AC!306.1 standard spec. CASE Form 101 • Statement of Special Inspections • ©CASE 2004 • New York State 2010 Schedule of Special Inspection Services Sheet 6 of 7 Wood Construction Project: Martha's Dandee Creme Item Agent No. Scope (Qualif.) 1. Fabricator Certification/ I Section 1704.2. Quality Control Procedures Prior to fabrication, verify that the fabricator maintains detailed fabrication and quality control procedures that provide a basis for inspection control and workmanship and the fabricator's ability to conform to the approved construction documents and referenced standards. Review the procedures for completeness and adequacy relative to the code requirements for the fabricator's scope of work. At the completion offabrication, the approved fabricator shall submit a certificate of compliance stating that the work was performed in accordance with the approved contract documents 2. Material Grading 1 Review 10%ofgrade stamps of dimensioned lumber for conformance with the contract documents. 3. Connections 1 Review 75%of hanger connections, 75%of tie-downs, 100%of shear wall hold-downs, and 50%of nailing, bolting, anchoring and other fastening of components for conformance with the contract documents. 4. Framing and Details 1 Review 75%of completed framing installation prior to concealment by surface finishes for compliance with details shown on the construction drawings including all connections to the supporting structure,field cut notches and drilled holes performed by the mechanical trades. Review all bearing points and all permanent bracing required by fabricator and the architect or engineer of record. 5. Diaphragms and Shearwalls 1 Inspect size, configuration, blocking and fastening(including holdowns,see Item 3)of sheanvalls and diaphragms. Verb panel grade and thickness. 6. Other CASE Form 101 • Statement of Special Inspections • ©CASE 2004 • New York State 2010 Schedule of Special Inspection Services Sheet 7 of 7 Prefabricated Wood Trusses Project: Martha's Dandee Creme Item Agent No. Scope (Qualif.) 1. Fabricator Certification/ 1 Sections 1704.2.; 1704.6. Verify whether the wood truss Quality Control Procedures Fabricator participates in the "Truss Plate Institute's Quality Assurance Inspection Program If so, special inspections as required by Section 1704.2 shall not be required. If not,perform the following: 1 Prior to fabrication, verify that the fabricator maintains detailed fabrication and quality control procedures that provide a basis for inspection control and workmanship and the fabricator's ability to conform to the approved construction documents and referenced standards. Review the procedures for completeness and adequacy relative to the code requirements for the fabricator's scope of work 1 At the completion of fabrication, the approved fabricator shall submit a certificate of compliance stating that the work was performed in accordance with the approved contract documents. 2. Material Certification 1 Review 25%of grade stamps of dimensioned lumber for conformance with the contract documents. 3. Connections 1 Review 25%of truss connection plates for gauge thickness, size and location;review 25%of any nailing, bolting, anchoring and other fastening of components;review 25%of mechanical tie- down connections to prevent uplift;and review all truss component fit up and interconnections,for conformance the contract documents and Truss Plate Institute requirements in accordance with ANSI/TPI 1 Standard and the OAP-90 Manual. 4. Fabrication 1 Review 50%of prefabricated trusses for general conformance with the contract documents and Truss Plate Institute requirements in accordance with ANSI/TPI I Standard and the QAP-90 Manual. 5. Framing and Details 1 Review completed truss and supporting framing installation prior to concealment by surface finishes for compliance with details shown on the construction drawings and approved truss shop drawings including all connections to the supporting structure. Review 25%of all bearing points and all permanent bracing if required by fabricator and the architect or engineer of record. 6. Other CASE Form 101 • Statement of Special Inspections • ©CASE 2004 • New York State 2010