CC-000716-2017 TOWN OF QUEENSBURE
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
» Community Development- Building & Codes (51.8) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000716-2017 Date Issued: Thursday, March 1, 2018
This is to certify that work requested to be done as shown by Permit Number CC-000716-2017
has been completed.
Tax Map Number: 240.5-1-26
Location: 2546 State.Route 9L
Owner: J & D Marina LLC
Applicant: J& D Marina LLC
This structure may be occupied as a: Commerical Alterations 2326 s.f.
(insulation only of existing building) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
j� 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
V k Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000716-2017
Tax Map No: 240.5-1-26
Permission is hereby granted to: J&D Marina LLC
For property located at: 2546 State Route 9L
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
Owner Name: J&D Marina LLC Factory-Industrial-Alteration $15,000.00
Owner Address: 2546 State Route 9L Total Value $15,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
J&D Marina LLC
2546 State Route 9L
Queensbury,NY 12804
Plans&Specifications
Commerical Alterations 2326 s.f.
(insulation only of existing building)
$75.00 PERMIT FEE PAID-T141S PERMIT EXPIRES: Monday,November 19,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the ex 'ration date.)
Dated at the Town o Queens 4Frikdmboer 17,2017
a4P
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ADDITION/ALTERATION PERMIT Permit#: C..'C —000 7/y' ?I o k
APPLICATION Permit Fee:$ `S i
Town of Queensbury
742 Bay Road,Queensbury,NY 12804 1 n' c
P:518-761-8256 www.gueensbury.net „W�y
Project Location: 2546 Route 9L NOV 16 2 '
Tax Map ID#• 240.5-1-26 iRy
CONTACT INFORMATION:
• Applicant:
Name(s): AD Marina, LLC
Mailing Address, C/S/Z: 2546 Route 9L, Queensbury, NY 12804
Cell Phone: 5( 18 ) 669-5259 Land Line: ( 518 ) 656-3636
Email: shop@castawaymarina.com
• Primary Owner(s):
Name(s): SAME
Mailing Address, C/S/Z:
Cell Phone: Land Line: � )
Email:
• Contractor(s):
Business Name: SAME
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: � )
Email:
• Arch itect(s)/Engineer(s):
Business Name: Marchand Jones Architects
Contact Name(s): Stephen Jones
Mailing Address, C/S/Z: 12 Groseback Place, Delmar, NY 12054
Cell Phone: ( 518 ) 225-1564 Land Line:
Email: sjones-mja@verizon.net
Contact Person for Building &Code Compliance: Lonny Chase
Cell Phone: 518 ) 669-5259 Land Line: 518 ) 656-3636
Email: shop@castawaymarina.com
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: X Commercial Residential
WORK CLASS:
_Single-Family _Two-Family _Multi-Family(#of units )
Townhouse Business Office Retail
X Industrial/Warehouse _Garage (#of cars ) _Other(describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: 2326
2,d floor: 2"d floor:
3rd floor: 3rd floor:
41"floor: 4t"floor:
Total square feet: Total square feet: 2326
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 15,000.00
2. If Commercial project, what is the proposed use: Boat repair
3. Source of Heat (circle one): Gas Oil Propane Solar Other Waste Oil
Fireplaces need a separate Fuel Burning Appliances&Chimney Application
4. Are there any structures not shown on the plot plan? YES NO Explain:
5. Are there any easements on the property? N/A YES NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? 3.99
b. Is this a corner lot? YES NO
c. Will the grade be changed as a result of the construction? YES NO
d. What is the water source? PUBLIC I PRIVATE W71
e. Is the parcel on SEWER or a PRIVATE SEPTIC system? Private Septic
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
r
DECLARATION:
t. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If thework is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or
description of the work proposed, that all work will be performed in accordance with the NYS Building
Codes, local building laws and ordinances, and in conformance with local zoning regulations.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 1 also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all
newly constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: Lonny Chase
SIGNATURE: DATE: dry
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
IIIIIIIIIIIIIIII
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: CC-000716-2017 Case Module: Permit
Inspection Date: 02/28/2018 Inspection Status: Passed
Inspector: John O'Brien Inspection Type: Commercial Final Inspection
Job Address: 2546 State Route 9L Parcel Number: 240.5-1-26
Queensbury, NY 12804
Contact Type Company Name Name
Granted Permission J&D Marina LLC
Contractor J&D Marina LLC
Architect Marchand Jones Architects
Primary Owner J&D Marina LLC
Applicant J&D Marina LLC
Checklist Item Passed Comments
Chimney/B Vent/Direct Vent Location YES
Chimney Rain Cap Installed YES
Plumbing Vent Through Roof/Roof complete YES
Ext Finish/Grade Complete/6 in 10ft or Equivalent YES
Doors 36 inch w L e v e r Hand Panic Hardware,if r e q YES
Exits At Grade Or Platform 36(w)x 44(1) YES
Gas Shut-off Exposed&Regulator(18)Above Grade YES
Floor Bathroom Watertight Other Floors Okay YES
Gas Furnace Shut Off YES
Final Electrical/Flex Gas Piping Bonded YES
Bldg Access All Sides 20ft Drivable Surface YES
OK to Issue C/O YES 2/28/18 Final Inspection Approved-Ok to issue CO
Note:Truss ID Signage Installed
7
O'Brien,John(Inspector)
Feb 28,2018 Page(12)
UJ/13bl ZU1b lb: ib /y81584 RON MUMBLO PAGE 01
Cpiv MONWEALTH ELECTRICAL INSPECTION SERVICF, INC.
Win Offico 176 Doe Run Road-Mn"kcim,R& 175J3
MUNICIPAL CERTIFICATE - ELECTRICAL, APPROVAL
Pemit No........................................Cert. Nv 42367 Cut-in(,stsi No.:......,.,.....
Owner.................5. ..;?t. .?�.!A.th l�arr!,........ .4lz.i..r't..✓�!.......................,......-............................................
Location...........2.4..' -(1 ...... .1.va. :.. ...(i..D................................
...............
Installation Consisting of...,.,1�. 7 �. ...,i..r�. 7.....r.............
...Sy,1`. . .....!r,. ...`.`A..t�..iy..
,.,t4.!•d...h:.I r+�' r�.. ..,1....1.:r�.�.!?. !4�?. .T.... ...s�•.tE.'�,.rt.'1...
Installed B ..�.Irt;1.c.c.................................. ...Lic..No.........,................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled;-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly mode for inspection.
Inspectors of this Company shall have the privilege of making inspections al any Blue, and if its
rules are violated,the Company shall have the right to revoke thia certificate,
..................... INSPECTOR ........................
e✓ N1omDcr h1.P'.p.q..1.�.4:.1.
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FOWN OF Q ��' NSBUR,
COMcheck Software VersionL 0 v,,y
g
Envelope Complianc r is M
Project Information - BLJiL D�NG 8, �"`,DDES
Energy Code: 2015 IECC
Project Title: CASTAWAY MARINA SHOP RENOVATION
Location: Lake George, New York
Climate Zone: 6a
Project Type: Alteration
Vertical Glazing/Wall Area: 2%
Construction Site: Owner/Agent: Designer/Contractor:
2546 ROUTE 9L LONNIE CHASE STEPHEN JONES
QUEENSBURY, NY 12804 MARCHAND JONES ARCHITECTS
12 GROESBECK PLACE
DELMAR, NY 12054
Building Area Floor Area
1-Workshop: Nonresidential 2359
Envelope Assemblies
R-Value Proposed Max.Allowed
Post-Alteration Assembly Cavity Cont. U-Factor SHGC U-Factor SHGC
Roof 1:Other Roof,[Bldg.Use 1 -Workshop],Exemption: --- --- --- --- --- ---
Framing cavity not exposed.(a)
NORTH
Exterior Wall 1:Wood-Framed, 16"o.c.,[Bldg.Use 1 -Workshop] 35.0 10.0 0.029 --- 0.051 ---
EAST
Exterior Wall 4:Wood-Framed, 16"o.c.,[Bldg.Use 1 -Workshop] 35.0 0.0 0.050 --- 0.051 ---
Window 4:Vinyl/Fiberglass Frame:Fixed,Other,Fixed,Fixed, --- --- 0.250 0.400 0.360 0.400
[Bldg.Use 1 -Workshop]
Door 1:Insulated Metal,Swinging,[Bldg.Use 1 -Workshop] --- --- 0.100 --- 0.370 ---
Door 2:Insulated Metal,Non-Swinging,[Bldg.Use 1 -Workshop] --- --- 0.100 --- 0.100 ---
SOUTH
Exterior Wall 3:Wood-Framed, 16"o.c.,[Bldg.Use 1 -Workshop] 35.0 0.0 0.050 --- 0,051 ---
Window 2:Vinyl/Fiberglass Frame:Fixed,Other,Fixed,Fixed, --- --- 0.250 0.400 0.360 0.400
[Bldg.Use 1 -Workshop]
WEST
Exterior Wall 2:Wood-Framed,16"o.c.,[Bldg.Use 1 -Workshop] 35.0 0.0 0.050 --- 0.051 ---
Window 3:Vinyl/Fiberglass Frame:Fixed,Other,Fixed,Fixed, --- --- 0.250 0.400 0.360 0.400
[Bldg.Use 1 -Workshop]
(a)'Other'components require supporting documentation for proposed U-factors.
(b) Fenestration product performance must be certified in accordance with NFRC and requires supporting documentation.
240.5-1-26 CC-000716-2017
J & D Marina, LLC
2546 State Route 9L
Comm. Alt. (insulation only) 2326 s.f.
Project Title: CASTAWAY MARINA SHOP RENOVATION Report date: 10/11/17
Data filename: P:\PROJECTS\CASTAWAY SHOP RENOVATION\comcheck\castaway shop renovation B.cck Page 1 of 9
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MINNIN
Envelope Compliance Statement
Compliance Statement: The proposed envelope alteration project represented in this document is consistent with the building
plans, specifications, and other calculations submitted with this permit application.The proposed envelope systems have been
designed to meet the 2015 IECC requirements in COMcheck Version 4.0.6.0 and to comply with any applicable mandatory
requirements listed in the Inspection Checklist.
Stephen Jones-Architect S7�TrfEN JONES Nov 14, 2017
Name-Title Signature Date
OED
At
hr
0
,9J 075392
fi OF Nt.'s
Project Title: CASTAWAY MARINA SHOP RENOVATION Report date: 10/11/17
Data filename: P:\PROJECTS\CASTAWAY SHOP RENOVATION\comcheck\castaway shop renovation B.cck Page 2 of 9
COMcheck Software Version 4.0.6.0
Inspection Checklist
Energy Code: 2015 IECC
Requirements: 0.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each
requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section
#k Plan Review Cornplies7 'Comment [Assumptions
&iRe .ID
C103.2 'Plans and/or specifications provide all ;❑Complies
[PR1]1 information with which compliance ;]Does Not
can be determined for the building ❑Not Observable
envelope and document where
exceptions to the standard are ❑Not Applicable
claimed.
C402.4.1 'The vertical fenestration area <= 30 ❑Complies
[PR10]1 ;percent of the gross above-grade wall t❑Does Not
area.
❑Not Observable
❑Not Applicable
C402.4.1 )The skylight area <= 3 percent of the flComplies
[PR11]1 (gross roof area. ;❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: CASTAWAY MARINA SHOP RENOVATION Report date: 10/11/17
Data filename: P:\PROJECTS\CASTAWAY SHOP RENOVATION\comcheck\castaway shop renovation B.cck Page 3 of 9
Section
# Footing/Foundation Inspection Complies? Comments/Assumptions;
Reg.1D'
C303.2.1 iExterior insulation protected against ;❑Complies
[FO6]1 ;damage, sunlight, moisture, wind, ❑Does Not E
landscaping and equipment
maintenance activities. ;❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: CASTAWAY MARINA SHOP RENOVATION Report date: 10/11/17
Data filename: P:\PROJECTS\CASTAWAY SHOP RENOVATION\comcheck\castaway shop renovation B.cck Page 4 of 9
Section
# Framing/Rough-In Inspection, Complies? Comments/Assumptions
& Re .ID
C303.1.3 i,Fenestration products rated in ;❑Complies
[FR12]2 accordance with NFRC. ❑Does Not
;❑Not Observable
❑Not Applicable
C303.1.3 Fenestration products are certified as ❑Complies
[FR13]1 "to performance labels or certificates ❑Does Not
provided. >
❑Not Observable
❑Not Applicable
C402.4.3 ;Vertical fenestration SHGC value. ❑Complies ;See the Envelope Assemblies table for values.
[FR10]1 ❑Does Not
❑Not Observable
j❑Not Applicable
C402.4.3, Vertical fenestration U-Factor. ❑Complies See the Envelope Assemblies table for values.
C402.4.3. ❑Does Not
4
[FR8]2 T❑Not Observable
j❑Not Applicable
C402.4.4 ,U-factor of opaque doors associated �❑Complies ;See the Envelope Assemblies table for values.
[FR14]2 %with the building thermal envelope []Does Not
meets requirements.
;❑Not Observable;
❑Not Applicable
C402.5.1 The building envelope contains a ,❑Complies
[FR16]1 continuous air barrier that is sealed in �❑Does Not
an approved manner and either
:constructed or tested in an approved []Not Observable
manner.Air barrier penetrations are ❑Not Applicable
;sealed in an approved manner.
C402.5.2, Factory-built fenestration and doors i❑Complies
C402.5.4 are labeled as meeting air leakage ❑Does Not
[FR18]3 ;requirements.
❑Not Observable;
❑Not Applicable
C402.5.7 ;Vestibules are installed on all building ❑Complies
[FR17]3 entrances. Doors have self-closing j❑Does Not
devices.
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: CASTAWAY MARINA SHOP RENOVATION Report date: 10/11/17
Data filename: P:\PROJECTS\CASTAWAY SHOP RENOVATION\comcheck\castaway shop renovation B.cck Page 5 of 9
r
Section
# Mechanical Rough-in Inspection Complies? Comments/Assumptions
& Re .1 D''
C402.5.5,;`Stair and elevator shaft vents have ❑Complies
C403.2.4. motorized dampers that automatically ❑Does Not
[ME3]3 'close. Observable!
❑Not Applicable }
C402.5.5,' Outdoor air and exhaust systems have ❑Complies
C403.2.4. motorized dampers that automatically �❑Does Not
3 ;shut when not in use and meet
[ME58]3 ;maximum leakage rates.Check �❑Not Observable
}gravity dampers where allowed. ❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 1,2 1 Medium Impact(Tier 2) 13 1 Low Impact(Tier 3)
Project Title: CASTAWAY MARINA SHOP RENOVATION Report date: 10/11/17
Data filename: P:\PROJECTS\CASTAWAY SHOP RENOVATION\comcheck\castaway shop renovation B.cck Page 6 of 9
Section
# Insulation Inspection Complies7 Comments/Assumptions
&'IRe .113
C303.1 Roof insulation installed per ❑Complies
[IN3]1 manufacturer's instructions. Blown or ❑Does Not
;poured loose-fill insulation is installed
;only where the roof slope is<=3 in =❑Not Observable
12. ;❑Not Applicable
C303.1 ;Building envelope insulation is labeled '❑Complies
[IN10]2 with R-value or insulation certificate UDoes Not
;providing R-value and other relevant
data. '❑Not Observable'
j❑Not Applicable
C303.2 'Above-grade wall insulation installed ❑Complies
[IN7]1 ;per manufacturer's instructions. '❑Does Not
❑Not Observable I
t❑Not Applicable
C303:2.1 Exterior insulation is protected from ❑Complies
[IN14]2, }damage with a protective material. ❑Does Not
Verification for exposed foundation
;insulation may need to occur during ❑Not Observable
Foundation Inspection. ❑Not Applicable
C402.1.3 1 Non-swinging opaque doors have R- ;❑Complies
[IN19]3 14.75 insulation. ❑Does Not
i❑Not Observable;
❑Not Applicable
C402.2.1 ,Insulation intended to meet the roof ❑Complies
[IN`17]3 insulation requirements cannot be '❑Does Not
installed on top of a suspended
,ceiling. Mark this requirement �nNot Observable
compliant if insulation is installed :❑Not Applicable
accordingly.
C402.2.3 [Above-grade wall insulation R-value. ❑Complies ;See the Envelope Assemblies table for values.
[IN6]1 ❑Does Not
❑Not Observable;
❑Not Applicable
C402.2.6 Radiant panels and associated ,❑Complies
[IN18]3 components, designed for heat '❑Does Not
;transfer from the panel surfaces to the:
i occupants or indoor space are ❑Not Observable
insulated with a minimum of R-3.5. !❑Not Applicable
C402.4.2. ;Roof R-value. For some ceiling ;❑Complies See the Envelope Assemblies table for values.
2 systems, verification may need to ❑Does Not
[IN2]1 ioccur during Framing Inspection. ;❑Not Observable
❑Not Applicable
C402.5.1. :All sources of air leakage in the (❑Complies
1 building thermal envelope are sealed, ❑Does Not
[IN1]1 caulked, gasketed,weather stripped
or wrapped with moisture vapor- :❑Not Observable i
I permeable wrapping material to ;❑Not Applicable
minimize air leakage.
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: CASTAWAY MARINA SHOP RENOVATION Report date: 10/11/17
Data filename: P:\PROJECTS\CASTAWAY SHOP RENOVATION\comcheck\castaway shop renovation B.cck Page 7 of 9
Section
# Final Inspection Complies? Comments/Assumptions
& Re .11)
C402.5.3 ';Where open combustion air ducts ;❑Complies
[FI51]3 provide combustion air to open j❑Does Not
;combustion fuel burning appliances,
the appliances and combustion air ❑Not Observable'.
;opening are located outside the ;❑Not Applicable
building thermal envelope or enclosed j
in a room, isolated from inside the
thermal envelope. Such rooms are
;sealed and insulated.
C402.5.6 ;Weatherseals installed on all loading ;❑Complies
[FI3711 ,dock cargo doors. ❑Does Not
❑Not Observable
❑Not Applicable
C402.5.8 ;Recessed luminaires in thermal ❑Complies
[F[26]3 renvelope to limit infiltration and be IC '❑Does Not
;rated and labeled. Seal between
interior finish and luminaire housing. ENot Observable 1
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: CASTAWAY MARINA SHOP RENOVATION Report date: 10/11/17
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Project Title: CASTAWAY MARINA SHOP RENOVATION Report date: 10/11/17
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town ff cannot he used an that foam there are no excoption¢s in the
K CodO rr 1% 22
International Stm'ifding Dada Fire Performance itepdkrernents for rip 517•529 rtr equivau nt.
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f'w Mr Intcrdclr rl the buildn g by a 1t rnrncte the'rrria!harriel„lei rither
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D E 0 NT E G fflmv'%#j% NUN P
A Terracon Company
El 594 Broadway Watervliet, New York 12189 Phone: 518-266-0310 Fax: 518-266-9238
SITE OBSERVATION REPORT
PROJECT: J & D Marina REPORT NO: JB175212-11-30-17
CLIENT: J & D Marina, LLC DATE: 11-30-17
CONTRACTOR: Not provided PROJECT NO: JB175212
A representative of our subconsultant, Applus RTD, was at the above referenced project site on this date to
observe structural steel framing. See the attached report for additional information.
BY: Joseph Robichaud, Jr., P.E.
r j
r `Jl
r fk;e
STRUCTURAL TE L INSPECTION REPORT
INSPECTION REPORT SUMMARY
Customer: Evergreen Testing Date:11/30/2017
Address: 594 Broadway Job #: 07.006680/016
Watervliet, IVY Contractor:
Attention: Joe Robichaud
CC/POC:Lonny Chase
Job Location:2585 Mate Rt 9L Queensbury
Inspection Method(s):
X VT MT PT UT pT
Dimensional E] Torque tither
Checks Verification
Inspection Details /,Observations:
Inspection Of: Structural Steel Framing
Acceptance Codes: AWS D1.1/AWS D1.3/ AISC Manual of Steel Construction/ Project Documents
Weather Conditions: clear
Ambient Air Temp.: 41 OF
Rod Oven In Use: n/a
Comments: SI per Items 4and7
Mr./Ms.,Q[l $ghoder , representing T of Oueensbury Was informed of the results of this
inspection prior to departure from the site.
Examiner:
Inspected By:James Shanahan Date:
Level or AWS/CWI #:17054451
VT 02-2 NDE Farm
Page�aP
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STRUCTURALSTEEL INSPECTION REPORT
STRUCTURAL STEEL - SPECIAL INSPECTION REPORT
Customer. Evergreen Testing Date:11/30/2017
.fob Local on• Castaway Marina ,fob #» 07".006680/016
Bo�ted Surface
ElConnections. X Yes El N� As is 11 Semi-Machined Machined
Welded Condition;
Additional
Connections. "es N" Conditions:
(Procedure Re uirernents 'Yes lucr — Comm lei its
Cleaning performed ❑ Z
Supplemental Lighting Used Flashlight
Qualified with Line Cards N/A
Access Within 24"and 300 �
Visual Aids(mirror, magnified,etc.) El Z
Dimension Aids(scale, micrometer,etc.) 0 El Fillet gage
Ins ectIonItem **
ItemRerquired Performed in-complianceNo. Description Fre ue On This Date Rel�sct Correct+rd Resolved
Fabricator Review
1. Review of fabricators detailed written procedural 1 ❑ El
and quall control manuals.
2. Verify that the fabricator is registered and approved IEl
to perf
gm such work without special Insp action,
3. Verify that the fabricator Is qualified to perform the I E 11 El (�
scope of work.
Material Review
4. Verify the high strength bolts, nuts,and washers to P X ❑ 0
the manufactures material certificates.
5. Verify the use of proper bolts, nuts,and washers— P El
conformance of markings to the ASTMSpecification.
5. Verify the structural steel to the manufactures P (�
material certificates.
7. Verify the use of proper structural steel— P
conformance of markings to the ASTM eciflcation.
8. Verify the weld filler metals to the manufactures P (�
material certificates,
9. Verify the use of proper weld filler metals— P
conformance of markings to the AWS S22cification.
Bolting and Fastening Connections
10. Monitor the placement of the bearing high strength P ❑ [� (�
bolted connections.
Monitor the placement of the slip critical or pre-tension high strength bolted connections.
a. TurnWof-nut with match marking P ❑
b. Direct tension indicators P ❑ 1:1 EDc. Turn-of-nut without match marking C F [�
d. Calibrated wrench C El
e. "Torque control P ❑ ❑ [� [
VT 02-2 NDE Farm
Rev.0 Email:� �r ilr.�<i ,� "at�r �l w�i� i ' ,�'�; Page 2af$',
STRUCTURAL STEEL INSPECTION REPORT
Inspection Items(Continued):
Item Required Performed I In-Compliasnce
No. Description Fre uen On This Date Reject Corrected nesolved
Boltin j,and Fastenin Connections Continued
Monitor the placement of fastener connections.
12.
a. heck fasteners P [w J 0 [7] 1-1
17 Light gauge metal framing fasteners P El El 11
�1Pelded Connections
13. Verify that the Weider Qualification Test Records 1 El E] 11 El
conform to the ro ect requirements.
14. Verify that the Welding Procedure Specifications I � � � 0
conform to the ro ect re ulrements.
__. _. _ ._
15. Monitor structural steel complete and partial C [ 13 El 11
enetration groove welding,
16, Monitor structural steel multi-pass fllietwelding. C
17. Monitor structural steel single-pass fillet welding
16 .
18. Monitor structural steel single-pass fillet welding P E 13 11
5 16".
19. Monitor structural steel floor and roof deckwelding. P 13 13
20. Verify the wekiability of reinforcing steel other than P ( [� 0 El
ATM A 706 steel.
21. Monitoring the welding of shear reinforcement. C
22, Monitor the welding of reinforcement steel. P El 1:1 El
23. Verify the placement and welding of shear stud P
connectors.
24, Verify the placement and welding of sheet steel for ® �J
cold-formed steel framing members such as studs P
and "oasts.
25. Verify the placement and welding of stair and railing P El (�
stems.
Details
26. Inspection of structural steel bracing. P X ❑
27. Inspection of structural steel stiffening. P x ❑ (
28. Verification of member locations. p ® 11 E
29. Verify the application of joint details at each P ❑ ❑
connection.
30. Verification of column alignment. N/A ❑ El 11
Legend: I=Initial P= Periodic C=Continuous N/A= Not Applicable
VT 02-2 NDE Form
Rev.0 �uw. ,s�rE,l�r rt1.r'a'f Email./ .nli-s( Li�{(,rr„/r.r�,{,hr,i��lrr,p Page 3ofgo