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2014-232 olaTOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20140232 Date Issued: Wednesday, October 07, 2015 This is to certify that work requested to be done as shown by Permit Number P20140232 has been completed. Tax Map Number: 523400-265-000-0001-052-000-0000 Location: 441 LOCKHART MTN RD Owner: LOST CHALETS, LLC Applicant: CELLCO PARTNERSHIP/D/B/A VERIZON WIRELESS This structure may be occupieitt,CHALETS, LLC Miscellaneous Structure By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the Canal , / / 4 30t property owner of the responsibility for compliance with Site Plan, ,`�`(/ Q4 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140232 Application Number: A20140232 Tax Map No: 523400-265-000-0001-052-000-0000 Permission is hereby granted to: LOST CHALETS, LLC CELLCO PARTNERSHIP/D/B/A VERIZON WIREL For property located at: 441 LOCKHART MTN RD 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: LOST CHALETS, LLC Miscellaneous Structure $243,000.00 C/O TOP OF THE WORLD Total Value 145 N FRANKLIN Tpke Suite 300 $243,000.00 RAMSEY NJ 07446-1634 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2014-232 Miscellaneous Structure- Tower and Equipment Shed Ref: Use Variance 48-2013 and Site Plan 50-2013 $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,June 25,2015 (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 o('(Que sbury; We t + •s t,y,June 25,2014 SIGNED BY p for the Town of Queensbury. Director of Building& Code Enforcement n -1 Office Use Only Town of Queensbury Building & Codes .-, eolenred:C -_-� I I PRINCIPAL STRUCTURE APPLICATION �� 1' N a 2 ��� �� rm No.0 1 `L 20 A permit must be obtained before beginning construction ?gam Fee: ov fib 07 tee Fee:N) WIi U°rnDES Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling units,including single-family dwellings,duplexes or two-family dwellings, multiple family S.r�ePlan=N •. dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: homes,but not including mobile homes. This is in addition to the permit fee. Date 19////a Applicant Ulla) PO r-ht )rship riba \kiwYl Wirdia Tax Map ID .2(i5 . — / — 52 Address rl5 ea/11011S 90. Zoning 'Top of -1-ht World "PUD vorke.sla NN 111(.43 1 ^_ Phone/E-mail (5(c) 321 —.Gi'-{3S Property Owner L(h� Cha-(et LL-- Contractor/ gent Sara Colman Address 414) LnentaY-/") IYl/Yl . fid. Address Q ,1 (UI EL D lIif i Lab Gtorte_ NV 1ngc 8n ra , Sprirlp, 1 W IIr`16 Phone/E-mail KIR) Lp(&R - Imo Phone/E-mail VI?)ylat—1t 1 rL Conti We-Anil-hae►tF, cvelopmCtA Contact Person for Building&Code Compliance: Conti 8j Day Phone:(61?)Tal -('Cin 7 Building Street Address: yLI! the.&1Lif— Mtn• Rd. 7-(,p dike world WV- 100 �/ Subdivision Name: Lot#: "'— Historic Site: —Yes X No Estimated cost of construction: $ 2LI-3)000.a" Type of Construction: Check all that apply Please indicate measurements as required below c = o U 5 m 1st Floor 2nd Floor Other Total Height Z a r a a Single Family ): Two-Family Multi-Family(#of units_ ) Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garages(# ) Other Y Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Mims If commercial or industrial indicate name of business Verhal Y'1 I jt`y&5 Ithaca tunitM c is f r�.jrii Proposed use of building or addition --1-0 boll ill OF Ve17u IVtrc-Less' ectu pn&t*t Far-414t- Ctil slfc Source of heat(circle one) Gas Oil Propane Solar Other Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" Yes X( No Are there structures not shown on plot plan? t 1 O Are their easements on the property? N O Site Information //--v a. Dimensions or acreage of lot V�70,38"aci o —Venin Lease atea.0.23 tria b. Is this a corner lot? 'QC) r c. Will the grade be changed as a result of construction: Yes No Minor— -R r -4 frcl roarlwcui and Ins7rle. 441, Lease d. Public water or Private well � area– e. Sewer or Private Septic System IU/A Value of all work to be performed(labor and materials) $ 24-13 000.c° Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. I certify that the application,plans, and supporting materials are a true and complete statement/description of the work proposed,that all work will be performed in accordance with the NY State Building Codes,local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above./` Print Name: Sara CD I Mail / Signature: c#5./5&/4, \ Date: (D/ /!/1 FOR OFFICE USE ONLY: Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 r Please include two (2) sets of the following documentation with the submission of a Completed application for a Building&Zoning Permit 1. Principal Structure Application • 2. Plot plan drawn to scale with the use of a survey map, if possible(40 scale-1 inch=40 feet[engineering scale]: • Indicate proposed structure,showing setback dimensions from all surveyed property lines • Show location of all existing structures on the property • Show location of water supply(well or water lines) • Show location and configuration of septic disposal system or sewer line 3. Structural Drawings to include: • Floor Plan • Foundation Plan • Cross Sections • Elevations • Window and Door Schedule—see attachment • Calculation Sheet for Natural Light, Ventilation &Emergency Egress—see attachment 4. Registered Architect or Engineer's Stamp(signed&sealed)under the following circumstances: • Residential addition or alterations with construction costs over$20,000 • Single Family Dwelling 1,500 sq.ft. or greater • Any commercial construction 5. Checklist for single family or multiple dwelling or commercial project 6. REScheck orCOMcheck signed &stamped: Downloadable version-www.energycodes.gov. 7. Fireplace and/or woodstove solid fuel burning application (if applicable) 8. Septic Disposal Permit(if applicable) -a. Electrical Inspection Agency-Please see"Certified Electrical Form"on the Town's website 10. Driveway permit(if applicable) 11. Fee Notes: Certificate of Occupancy: Before a certificate of occupancy is issued for a new residential or commercial structure, an as- built survey[plot plan]certified NYS licensed surveyor must be filed with our office. Changes to Plan: Any changes prior to or during construction will require submittal of amended plans [review and re- approval are necessary]. Withdrawn Permits: 20%of the initial fee is retainable by the Town of Queensbury. No fee is refundable after 1 year from initial application date. Additional Review: All Applications are subject to Zoning Administrator, Code Compliance, and Structural plan review Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Town cf4ueensbury Building&Code Enforcement Office No. (518)761-8256 Commercial Final Inspection Report Inspection request received: Name: 4L-11\rG you ca_S � Inspected on: 0 f6 — C Location: LOt_V14Rfc tkvo +f_� Arrive: 2_" z0 a'.� p m. Permit No.: \ '-,- Z_3 Z Inspector's Initials: mac- • COMMENTS Y N NA Chimney!"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"!Roof Complete Exterior Finish/Grade Complete 6°in 10'or Equivalent Interior/Exterior Guardrails 42 inch Platform/Decks Interior/Exterior Balusters 4 inch Spacing Platform/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/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/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 '%doors >10%>1000 sq.ft. %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/Mirrors Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch,Checkout 36 inch Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides] Active Listening System and Signage Assembly Space Final Electrical/Flex Gas Piping Bonded Site Plan/Variance required Final Survey,New Structure I 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 , / V Building Access All Sides by 20'/Drivable Surface 20'wide C)Y"1 \ Special Inspections/Engineer or Architect Approval � p� Okay To Issue Temporary or Permanent C/O CO e Okay To Issue CIC Commercial Final Inspection_11 2712 . � . TECTONIC CORPORATE OFFICE Mountainville,NY (800)829-6531 Practical Solutona,Exceptional Service 38 British American Blvd.; (518)783-1830 FAX(518)783.1544 Latham,NY 12110 www.tectonicengineering.com John O'Brien Code Enforcement Officer Town of Queensbury—Building Department 742 Bay Road Queensbury, NY 12804 October 1, 2015 RE: CONSTRUCTION CERTIFICATION LETTER VERIZON WIRELESS SITE NAME: PILOT KNOB VERIZON WIRELESS PROJECT NUMBER: 2008318951 441 LOCKHART MOUNTAIN ROAD, LAKE GEORGE, WARREN COUNTY, NY TECTONIC W.O.: 7074.03 Mr. O'Brien, Tectonic Engineering and Surveying Consultants, P.C., completed a post-construction inspection of the site noted above to ensure general conformance with the Construction Drawings (dated June 11, 2014 prepared by Costich Engineering). Foundation inspections for the tower were also performed by this office to ensure general conformance with the tower design drawings (dated June 2, 2014 prepared by Sabre Industries). The conclusion of our review and inspections is that the work has been completed in accordance with the approved drawings. If you have any questions, please do not hesitate to contact the undersigned. Sincerely, TECTONIC EN ..; er�F ,c.:”..•VEYING CONSULTANTS, P.C. 44‘x a Mit k0 F� r — a ; CEOVE1 4 1 Steven M. \ - e)ySS50F LE � ` Manager of f- - ' _ QCT 0 6 2015 Pi TOWN OF QUEENSBURY BUILDING & CODES PLANNING . ENGINEERING . CONSTRUCTION AND PROGRAM MANAGEMENT An Equal Opportunity Employer of Queensbury Building&Code Enforcement T-tiruLa& Office No.(518)761-8256 Commercial Final Inspection Report 8-}d Inspection request received: g11s12-ats Name: Lcs-1• CY-rJJeitt(critnT�t,�FIR Inspected on: ct 1112-0.,>`S ck ' k Location: 1 Ln /k r- Mkt• CA. Arrive: '6 ildli/ .,m. Permit No.: Inspector's Initials: 411111111" die COMMENTS Y N NA Chimney/"B"Vent/Direct Vent Location M\\O.) 511_C-}ci Plumbing Vent Through Roof 6°/Roof Complete ll 11 '' Exterior Finish/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/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/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/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 I Toilets/Mirrors Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch,Checkout 36 inch Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides] (� Active Listening System and Signage Assembly Space Final Electrical/Flex Gas Piping Bonded b Site Plan I Variance required Final Survey,New Structure/Flood Plain certification,if req. W � 1/� As-built Septic System Layout Required or On File ��` �� Building Number or Tenant Address on Building or Driveway 4" ji) Water Fountain or Cooler Building Access All Sides by 20'/Drivable Surface 20'wide ` �i� Special Inspections 1 Engineer or Architect Approval Okay To Issue Temporary or Permanent C/O /0/ h�Okay To Issue CIC � t ?zip') _ ^ Q Commercial Final Inspection_112712 C(/- C NYC DOB SPECIAL INSPECTION AGENCY#106 TECTONIC ACCREDITED Rut u:x__1469: sl:rw.e G-01 : Daily Field Report ❑ op ssatt M 9 Elxi16lag AvenueN 'f 1344 Silas Deana Nafamy,Sate 500 280 We Britain Read Tountanvn1.NY1o951Road ln40WS8i Cdy, Y 11101 1 Ruky Hit CT06061 Nevkaph,NY 12550 'Q P 1845)5345161 F:(845)534-5909 P(/18)391-0200 F(718)391480 • P(860)5932341 F:(660)2574882 P.(645)5639081 F(345)563-9085 $� ❑ 38 Bn5sh Amman Riad.Su4a 101 ❑ 1279 Route 300 ,n 8833 Maytad Drive,Sidle 102 ri Pak 60 East lea P4hb Ave.SI 308 , o Lala;NY 12110 NeOAadl,NY 12550 R inond,VA 23291 Setldle Root,NI 01683 P.(518)7831630 F:(518)783-1544 P(84.5)3679656 F:(45)5878703 •. P.1801)2114504 F(804)2700593 P.(201)84394n1 F:(211)843.3074 Project Name: Verizon Wireless-Pilot Knob `f.late: 9122/2014 Non-Conformance Items Location: Lake George,NY v.o.ff: 7074.03 Yes I X I ' No I I Client: Verizon Wireless Tectonic Project Manager: Jim Duesel Owner: Verizon Wireless Tectonic Field Representative: Adam Watson Speciality Contractor:Mikel Const General Contractor: Mikel Construction (Earth I X;Concrete I ISteel I (Other General Contractor's Representative: Contractor Equipment Observed in Use: Plan and Specifications Concrete Pump Truck By N/A Date Plans&Specs(available)? Yesl I No I I Visitors: Representing: Apr. Dpt. Shop Drawings Type Rebar Shop Drawing App.By Sabre Industries Towers&Poles Weather: Clear Temp.(°F) 70 Samples Forms Attached: Type Concrete Cyln 2 sets 5 Concrete Cast-in-Place/Batch Tickets/Shop Dwg Special/Progress Inspection Category Photos? X Qty 2 Construction Activities: trdkafeAch'MaesMntitored On site at the client representatives request for inspection of Monopole foundation at the Pilot Knob site for Verizon Wireless. SUBGRADE: I observed that subgrade conditions were firm&stable and that the contractor had placed crushed stone over the rock subgrade. Subgrade was suitable for placement of concrete. REINFORCEMENT STEEL: I observed the reinforcement steel and anchor bolts placed at monopole mat&pier and it appeared to be in general conformance to the Sabre Industries shop drawing attached.(39)#9 horizontal rebar evenly spaced Follow-up from Prior Report: YesI I Not I Date of Prior Report: Notice The field representative is on site solely to observe Non-Conformance Collected: operations of the contractor identified,mneme conformance ugh contract documents,and report those operations to the What in particular,should be observed,checked,or tested during the next visit? dent.The presence and ache5es of the Laid representative does not relieve the contractoes ob6ga9on t0 meet contractual requirements.The contractor retains sole responsmlty for sate safety and the methods and sequences of construction ri Teta OFR is Re6nnay This preliminary repal is provided solely as evdsnce thaled m 3savieon vas perfumed.cbseaedend a2sWawmtm an co mene re ,dau'mecenveiS in dm final report may vary Yom and shall tate precedence ova these ircel•d in a preinme y repot [di./ v Thos CFR a Foul A final repot s Na estumenl ofsrrice Any meLsiona dracm Soca his wart shoud be flzvssel warn and evaluated by the o:mz's en_iz+cr (Field Representative: rn Adam Watsop Date: 9122/2014 Reviewed By: /jL Date: I SHEET JF TEC FCRIAS G-91 CPR V11_12 12 TECTONICDAILY FIELD REPORT W.O. EPORTNO.: NO.:: 7074.03 PAGE2OF2 REPORT DATE:9-22-14 ❑ 70 Pleasant Hill Road Mountainville, ❑ 36 British Amencan Blvd Suite 101 0 1279 Route 300 Newburgh,NY 12550 0 1344 Silas Deane Highway,Suite 500 NY 10953 Latham,NY 12110 P:845-587-6656 F:845-567-8703 Rocky Hill,CT 06067 P:845-534-5959 F;845-534-5999 P:518-783-1630 F.518-783-1544 Structural Fax-845-567-8705 P:860-563-2341 F:860-257-4882 'I ❑ 29.16 40th Ave,Long Island City,NY 11101 0 280 Little Britain Road,Bldg 2.Newburgh,NY 12550 0 8607 Mayland Drive,Richmond,VA 23294 Phone-718-391-9200 Fax-718-391-0607 Phone:845-563-9081 Fax 845563-9085 Phone-804-217-8504 Fax-804-270-0593 PROJECT NAME: Verizon Wireless-Pilot Knob Site; Lake George, NY OWNER:Verizon Wireless ADDITIONAL COMMENTS: each way top&bottom for the mat foundation and the pier had (34)#9 bars vertical with ACI Hooks and#5 ties at 12-inches on-center with (2)within 5-inches of the top of pier as detailed. Note: The mat foundation was"earth-formed". See photos CONCRETE: (60)cubic yards of a 5000 psi concrete(4000 psi specified)were delivered and placed at the mat&pier foundation. I monitored the concrete placement and tested and sampled the concrete off the 1st&5th mixer trucks delivered. See attached concrete insepction report for details. 2 sets of 5 cylinders were cast for compressive strength testing. El THIS DFR IS PRELIMINARY FIELD REPRESENTATIVE DATE: A preliminary report Is provided solely as evidence that field observation was performed. Observations and/or¢Or usiona and/or recommendations conveyed in the final repast may v from and shall take precedence over those indicated in a preliminary report Adam Watson 9/22114 IS DFR IS FINAL REVIEWED BY ///� DATE N A final report is e instrument of service Any conclusions drawn from this report should / /� be discussed with and evaluated by the owners engineer. (%// CON 102-2/09 TECTONIC Practical Salueons,Ercepeanel Service SIF 08.02: Concrete Cast In Place Daily Log r 29-15 40th 1101 (NYC Labh7v1Avenue,Lang Island(78)39ty,NY19100 r 280 NYC mLab 44G la°Main Road,NawP'�5)562550 3.9081 C Project Name: 71 /cur _zo..x..a b _ vr1i{L4:44--" Project Location: 2.41.ir c_ C c.3,,_. �c�y . Contract No J Batch Rant: �p411.,7-1-. Cr-c t v54�- LLL Method of Placement: Tj ,,� Mix Design PSI: 5_()00 r yODDrisi w.o.a Fo 7y'',/, 0.3 Batch Rant Inspection Company: 3 L Chtre.. Gal ask G LI-C. Batch Rant Inspector. F3/ /r. 1 ' Fes))'red Placement Date: 9—LL V7 1 f Confirmed CBPI Arrival: ❑YES 0 NO Punch List: 0t CFI Time lStartl Time[End] yyedger Temp(AM) Temp[PM( Confirmed CPM Amval: Ores ❑No raanSM WS CO ❑TEs fO r i0 it 5/C— c/7c-I. ?0 ASTM 0,143 Slump(In) Skap Tdaamoe. ASTM Clan Unit VA(p4: unit Wdghl Taaroce: Air Cadnnt Alr Canment1%1: Ale Conlml Tien Tdd Wale(poky): WC ROD(UN: Mot Design Requirements: 0 ASTM 0231(Prorate) 0 ASTM C-I])(vaune) Mix Discharge Water Initial/ Site Total Site Conc. Unit Load Truck Batch Slle WICFnal Cyt. Cylinder Set CY CY CY Ticket No, Amval Time SuperP Batch Total Temp. WI. Air(%] Remarks/Placement Location Details No. No. Time Time Start End Stan End (min) (oz) (galley) Added (galley) Ratio IPI Slump IWI. Ory. Code Batched Placed Wasted (gal) (in) jr. ( V025;24- KIP (.rIC k>9C,thk u> 70 ( S __i_____ /�nNOPot-C — L _YG252/ C" 'fo'vt"YP I'.rf it") v-) _ MAr/PIER -54:;.7f.;tu. (4)15. w:%ig. 1 g (v — -- — 15c/Ao.,77or1 — -,r— _5___I&1%3 t'-5Yk4$Ylr:r me ton"t ,t>17 — — IoZ,ay mo rt'.EM trwio.4 kz5.- -7'o ¶CIPe S"' S` Z- �r 7- Admixture Used. Material Type: g-e6ncrete 0 Mortar CI Grout cher Sheet Totals l Placed By: 0 Hopper/Buggy 0 Chute B1 Limp Sample Type: 0 2X2 Cubes Ida Cyl 52-24Cyl 0 6X12 Cyl Placement ConpMo on l°Pogo of CIP Wiwi Md4plo 0 Termme 0 Other. 0 Grout Blocks 0 3X6 Cyl Other Summary Sheets Per Hicarenl I DO HEREBY CERTIFY THAT I HAVE WITNESSED INSPECTION OF THE ABOVE MATERIALS,AND,TO THE BEST OF MY KNOWLEDGE,THEY ME CORRECT. Inspector Name(Print) ACI It ACI Expiration Dale Inspector Signature Date SHEET Cf— TECTONIC FORMS SIF OS ea_CONG ONLY LOG_V 2.1_0613 Date: 9/22;2014 v • -.s, _ Jointa Galusha, L.L.C. Ticket u: rr,. Plant Location:269 Warren St. 8..•2 Glens Falls, NY 12801 Ordered Oty: 0.01) Phone: (518)792-2221 /Fax:(518)792-2178 r Cumulative Ory: 10.00 ,i-P)::- Sold '`Sold To: �t d Oust#: Mike! Construction Services Driver. Ort t(Ai 71391 lime Due: Order#: Delivery Address: Leave Plant Slump 1 Arrive Job Slump S— Water Added D Slump Poured " .----- Comment. - /,�/: - Leave Plant q\ Arrive Job l � b PO: Start Pour w—�s Finish Pau[ a 441,lockhart mt rd ='tom >> Zone: -ii - - Leave Job Arrive Plant- z 1 $10 Anne .-tP.^.�, _ • Load Quantity Product Code Product Description Unit of Measure Unit Price ;''Argount iii.Y'Ai f 10.00 50000 5000C psi Concrete CY - jV **Delivery Charge 10.00 Sub Total Signing here acknowledges:that you have read and agree to the receipt and acceptance of all the above .Tai{;:. products and the warnings oh the reverse side. Total':' Signed Print - 1 i' Yi 56- .1 Date:a' 9/22/2014 Joints Galusha, L.L.C. • Plant Location:269 Warren St. Ticket a: 802921 . . Glens Falls,NY 12801 ordered ory: 0.00. ;:' Phone:(518)792-2221 /Fax:(518)792-2178 it." Cumulative Ory: 20.00 i°00 Sold To: Mikel Construction Services Driver, 1, Gust#: -yc' 71391 Time Due: Order#: / S Delivery Address: Leave Plant Slump cc Arrive Job Slump Water Added Slump Poured Comment: Leave Plant9 7 Arrive Job ' P0: Start Pour Finish Pculi-,..1a 443 1tlockhart mt rd /0 Zone: Leave Job Arrive Plan., 1 $107nne t, L" : Load Quantity Product Code Product Description Unit of Measure Unit Price :Amount-. 10.00 50000 50000 psi Concrete CY **Delivery Chars ' 10 00 .. Sub Total . Signing here acknowledges that you have read and agree to the receipt and acceptance of all the above Tax products and the warnings ori'the reverse side. Total Sinned Print - ' 9/22,12014 ` Joints Galusha L.L.C. TiDate:cket : f " `-- Plant Location:269 Warren St. 802922 Glens Falls, NY 12801 Ordered Oy 0.00 I I Phone:(518)792-2221 /Fax: (518)792-2178 Cumulative Cy: 30.00 l'::::°1' I Sold To: i Mikel Construction Services Driven �- f Cust#: /' I Order#: 71391 Time Due: I Delivery Address: Leave Plant Slump ..5 Arrive Job Slump s— Water Added <it Slump Poured Comment: Leave Plant ' 0 : /'/ ' Arrive Job / o ; t j / r PO: Start Pour O f 5 C) Finish Pour,:; , 1 {' l7 441.-100811 mt td Zone. Leave Job Arrive Plant-2:::2•? 1 sinz0np Load Quantity Product Code Product Description Unit of Measure Unit Price' ;Amount ' 15 10.00 50000 5000C psi Concrete CY 11 . 7 **Delivery Charge - 10.00 Sub Total Signing here acknowledges chat you have read and agree to the receipt and acceptance of all the above Tax- , products and the wamings.on the reverse side. Total- '' Signed Print ,_r +,:00 . Date: 9122/2014 Joints Galusha, L.L.C. »eket : 802923 Plant Location:269 Warren St. Glens Falls,NY 12801 ordered thy: ' ' 0.00 Phone: (518)792-2221 /Fax:(518)792-2178 Ii ,o Cumulativeoty: ''- 40.00 Sold To: Mike!Construction Services Ddva �A CUM#: f�"e"9'V r f 71391 Order#: Time Due: Delivery Address: Leave Plant slump 4, Arrive Job Slump,C. Water Added V Slump Poured, ('j/t, Comment. Y Leave Plant /03f1 Arrive Job lacer PO. 441 lockhart mt rd Start Pour / //d-5� Finish Pour,-_2•-:c i 11'' - Zone: ' • 1 $10 zone Leave Job Arrive Plant s-23 Load Quantity Product Code Product Description Unit of Measure Unit Price r'Aitiount ` 10.00 50000 5000C psi Concrete CY "Delivery Charge 10.00 Sub Total Signing here acknowledges.,that you have read and agree to the receipt and acceptance of all the above Tax products and the warnings on the reverse side. Total,': Signed . Print Date: 9/�9l�Ol^— I Jointa Galusha, L.L.C. Ticket#. -_- ! = _—_sem Plant Location:269 Warren St. 802924 Glens Falls, NY 12801 Ordered Qty. 0.00 Phone:(518)792-2221 /Fax: (518)792-2178 Cumulative Ory: 50.00'e'"U Sold To: Mikel Construction Services Dnver: / �.4 c,q- . Cust#: Z / 71391 Order#: Time Due: Delivery Address: Leave Plant Slump A Arrive Job Slump S Water Added Slump poured ' 9 Comment: Leave Plant /b Jo Arrive Job ' 1/;/4 PO: Start PourFinish Pour. .. Zone: ' 441 lockhart mt rd 1 •20 1:i 1 $10 7nnP Leave Job Arrive Plant Load Quantity Product Code Product Description Unit of Measure Unit Price :Amount 10.00 50000 . 5000C psi Concrete CY ^... •r. **Delivery Charge .. 10.00 Sub Total Signing here acknowledges that you have read and agree to the receipt and acceptance of all the above Tax,,.,.c products arid the warnings Otf the reverse side. Total • Signed Print - • Date: ' Jointa Galusha, L.L.C. 9/22r2014 Plant Location:269 Warren St. Ticket a: 802925 • .• Glens Falls, NY 12801 Ordered Ory: 0.00 Phone:(518)792-2221/Fax:(518)792-2178 Cumulative Qty:. 60.00 IL 00 Sold To: MikelConstructionServices ` ) - Cust#: Driver. ff� Gi� 71391 VVV • Order#:• rme oue: Delivery Address: Leave Plant Slump SS Arrive Job Slump S Water Added Slump Poured 7• 5— . Comment Leave Plant •0:Cc Arrive Job (r 3) PO: Start Pour i f t`�3 Finish Pour.,• r.,: , - /C/ 441:Ipckhart tut rd ,� Zone: 1 $10 zone Leave Jab Art ve Plan .. •: Load Quantity Product Code Product Description Unit of Measure Unit Price :Amount 50 10 00 50000 50000 psi Concrete CY "Delivery Charge _ 10.00 Sub Total Signing here acknowledges;that you have read and agree to the receipt and acceptance of all the above Tax products and the warnings ori the reverse side. Total. Signed Print ;ti • • TECTONIC SUMMARY OF LABORATORY COMPRESSIVE STRENGTH TESTS Practical Solutions,Exceptional Service 1 PROJECT Verizon;Pilot Knob ASTM C39 Breakrr^^^ Types (cylinders only) LOCATION- Lake George,NY WO#: 7074.03 X A it ' rl T ��� CLIENT: Verizon DATE: October 20,2014 1 \ 1 2 3 4 5 6 Placement Date,Material Type,Set Number, Cross- e Specification Requirements,Field Test Results, Lab Age at Average Sectional Test Placement Location/Notes Sample Date Test Diameter Area Comp.Force Break Strength Required Id# Tested (days) (inches) (inches) (Ibf) Type (psi) Strength 9/22/14 CONCRETE 4.00 x 8.00 Sett 14-5190 929/14 7 401 12.62 53210 2 4,220 106% SPECIFICATION REQUIREMENTS: 14-5191 10/20/14 28 4 1258 73320 2 5,830 146% SLUMP(IN): AIR(%): 14-5192 10/20114 28 4 12.59 76220 3 6,050 151% UNIT WT(PCF): STRENGTH(PSI): 4000 14-5193 10/20/14 28 3.98 12.45 72490 2 5,820 146% FIELD TEST DATA: SLUMP(IN): 5.5 AIR(%): 5 UNIT WT(PCF): 148.0 TEMP(°F): 70 _ ' PLACEMENT LOCATION/NOTES: Monopole Mat Foundation 9/22/14 CONCRETE 4.00 x 8.00 Sete 14-5195 929/14 7 4 12.55 59460 2 4,740 119% SPECIFICATION REQUIREMENTS: 14-5196 10/20/14 28 3.99 12.53 73870 2 5,900 148% ' SLUMP(IN): AIR(%): 14-5197 10/20/14 28 4 12.55 75100 3 5.980 150% : UNITWT(PCF): STRENGTH(PSI): 4000 14-5198 10/20/14 28 4 1257 74370 2 5,920 148% FIELD TEST DATA: ' SLUMP(IN): 5.5 AIR(%): 5.5 UNIT WT(PCF): 146.0 TEMP(°F): 70 PLACEMENT LOCATION/NOTES: Monopole Mat Foundation TECTONIC ENGINEERING Am: P 0.Box 37.70 Pleasant HA Rd. Nwu845.534-NY 10953 845534- Tel 5959 Fax'845-534-5999 Page 1 of 1 TECTONIC w T•NI� .:7074.02 PAGE 1 OF 1 DAILY FIELD REPORT REPORT NO.: 7 DATE: 9Y26f14 PUNCH LIST: YES ❑ NO O Mountainville,70 Pleasant Ill NR 10953ad 36 Latham,NY 121 Otish n Blvd,Suite 101 O Phone-1279 ute 300 Newburgh,NY 12550 845-567-6656 Fax-845.667-8703 0 Highway, Suite 500 Rocky Hill,CT 06067 P:845-534-5959 F:845-534-5999 Phone:518-783-1630 Far 518-783-1544 Structural Fax-845-567-8705 Phone: 860-563-2341 Fax:860-257-4882 0 29-16 Phone-771Island Ave,Long City, O BritainNewburghNY 12550 8607 Mayland 18-391-9200Fax--7 8-391-0607 Pho e-84 -563-908Fax-84563- 9085 ODrive, 0 Phone-804-217-8504 Fax-804-270-05934 CLIENT: PROJECT NAME: Verizon Wireless Pilot Know TECTONIC PROJECT MANAGER: TECTONIC FIELD REPRESENTATIVE: LOCATION: Steven Matthews Jim Francis 441 Lockhart Mountain Rd,Lake George, NY GENERAL CONTRACTOR: GENERAL CONTRACTOR'S REPRESENTATIVE: OWNER: Mike/Construction Mike Moran Verizon Wireless SPECIALTY CONTRACTOR: U EARTH CONCRETE U STEEL U OTHER PLANS AND SPECIFICATIONS Mikel Construction BY Sabre Industries CONTRACTOR'S EQUIPMENT OBSERVED IN USE: DATE 6/2/14 Concrete Vibrator, Hand tools, Ready Mix trucks SHOP DRAWINGS TYPE APP.BY VISITORS: REPRESENTING: ARR. DPT. SAMPLES: CI♦ TYPE: COnC OW:2 sets of 6 WEATHER: TEMP.(°F) PHOTOS: 0 TYPE: QTY: CONSTRUCTION ACTIVmES: INDICATE ACTIVITIES MONITORED On-site as scheduled by the clients' representative to conduct pre-pour inspection of the formwork and reinforcement steel including placement of concrete of the concrete for a Monopole Pier. Prior to concrete arriving, Tectonic's representative observed the formwork for the pier. Based on the inspection,the pier dimensions(7'x7')exceeded the diameter of the pier, so the minimum required per the design drawings was met, therefore the as-built condition is okay. Concrete began arriving from Pallette Concrete Co., for placement at the Monopole Pier. Tectonic's representative monitored, tested and sampled the concrete in accordance with ACI standards. (1)set of(6)6"x12"test cylinder samples were cast. Test results were reported to the contractor as they became available(See attached concrete inspection forms for details of test results). All concrete was observed to be consolidated into the piers by concrete vibrator. FORMS ATTACHED: 0 SOIL COMPACTION 0 PRE-POUR INSPECTION 0 STRUCTURAL STEEL 0 NON-CONFORMANCE REPORT • CONCRETE INSPECTION 0 OTHER: FOLLOW-UP FROM PRIOR RI 0 YES ❑ NO DATE OF PRIOR REPORT: NOTICE NON-CONFORMANCE CORRECTED: The field representative Is on the site solely to observe operations of the contractor Identified, WHAT,IN PARTICULAR,SHOULD BE OBSERVED,CHECKED,OR TESTED DURING THE EELT VISIT? observe conformance with contract documents, sod recce those operatbns b the tient The presence and activities of the field representative do not relieve the contractor's obligation to meet contractual requirements.The contractor retains sole responsibitty for site safely and the methods and sequences of construdton. THIS DFR IS PRELIMINARY FIELD REPRESENTATIVE: DATE: TNs prehrrinary report is provided solely as evidence that field observation was performed Observation and/ormndusens and/or mcommendations conveyed in the final report may yaw from and shall take Jim Francis 9/26/14 precedence over those indented in a preliminary report. DATE REVIEWED BY: THIS DFR IS FINAL Steve Matthews 9/26/14 final report is the instrument of service. My conclusions drawnreport from this should be discussed with and aluated by the owner'sm engi eer. CON 101 -2/09 ONCRETE INSPECTION w. uVt. a PAGE I of Q Nf AND TEST REPORT REPORT NO. DATE 4/zee/iy PROJECT NAME LOCATION: ` Phar Kno3 Queens hurl/ � Y OWNER CLIENT: EU TECTONIC PROJECT MANAGER: q TECTONIC REPRESENTATIVE: ` aAIen f IAtnibaS a4t-i Y¢.anc,aS CONTRACTOR: CONTRACTOR REPRESENTATIVE: lk Le- SUB-CONTRACTOR: SUB-CONTRACTOR REPRESENTATIVE LOCATION IN STRUCTURE:((� ii TOTAL CUBIC YARDS: CONCRETESUPP E Per c.nc�o.�c'n ,\Pc\a. C scree ADMIXTURES USED: BATCH INSPECTION TICKET RECEIVED: YES ❑NC CONCRETE CLASS: yyP,��LACED BY: CONC.DESIGN MIX NO.: DESIGN MIX UNIT WT.: y� CHUTE ❑ HOPPERIBUGGY ❑ PUMP ❑ TREMIE OTHER MATERIAL TYPE: SAMPLE TYPE igi CONCRETE ❑MASONRY MORTAR ❑ GROUT ❑ 2 X 2 CUBES ❑ GROUT BLOCKS ❑OTHER 0 2 X 4 CYLIND. CI 3X6 CYLIND. ❑4XB CYUND SPECIFIED DESIGN STRENGTH(PSI) ;1`,6X 12 CYLIND. ❑ OTHER BATCH DESIGN STRENGTH(PSI) 5,000 ASTM C-138 WET UNIT WEIGHT(PCF) TIME IN MIXER(MINUTES) 0 ASTM C-231(PRESSURE) ❑ ASTM C-173(VOLUM.) AIR CONTENT(%) S.` WATER ADDED(GALLONS) ASTM C-143 SLUMP(IN) r AIR TEMP.(°F) 6:11° ASTM G1064 CONCRETE TEMP.(°F) 7,�6 NUMBER OF SAMPLES THIS SET SET. SCHEDULED TESTING: -i NO. OF SETS IN THIS POUR. AT DAYS AT_DAYS ; Z AT 7 DAYS TOTAL SAMPLES THIS POUR_ AT DAYS AT_DAYS ; 7. AT 28 DAYS SAMPLE VOICE MAILBOX CALLED ❑YES ❑ AT DAYS _AT_DAYS ; Z HOLD NO. r' REMARKS: /t2 LILAC Aa2='v5) Q- lZt 4U 7 SR TAT E9G�2 Q it I J FOR LABORATORY USE ONLY SAMPLE DIAMETER(ASTM C-39) IN BREAK TYPES(ASTM C-39)C D E CROSS SECTIONAL AREA(ASTM C-39) SQ.IN. x . CYLIND.WT. UNIT WT. LB/CLI.FT A / DATE DELIVERED CYLINDER ID COMPRESSIVE STRENGTH(PSI) TECHNICIAN DATE TESTED AGE(DAYS) BREAK TYPE FORCE(LB) i W.O.NO. DATE CAST SE INC ASTM C-39 ASM Fyg I CON106-2102 \\c ecncr ke CO. Ticket : B941 9/26/2014 11 :23:46 AM Customer Name: MIKEL Job Name : Delivery Address: ' Job Description: ' Instructions : ' Formula: 50001 • 5000 PSI F PRECAST Pur- Order# Project Load Size : 11. 00 yards Daily Qty 0. 00 Ord Qty 0 Del Qty 0. 00 Driver: RON RYTHER Truck: 4588 Product Name Target Actual Error %MC 1 STONE 18, 110 18, 100 lbs —0. 1% 0. 1 SAND 33, 870 34, 040 lbs 0. 5% 4. 0 TYPE 2 7, 238 7, 220 lbs —0. 2% 0. 0 WATER 2 291 291 gallons 0. 0% '0. 0 MB VR 44 44 fluid ozs 0. 0% 0„ 0 POLYHEED997 360 360 fluid ozs 0. 0% 0. 0 Tolerance Table : T1800-1 NY . • 31 AGS ST: 0 B1 ASG Cr: 60 81 CEM ST: 0 81 CEM ET: 5 • 1 ATLANTIC TESTING LABORATORIES CONCRETE COMPRESSION TEST REPORT AT2073CL-07B-09-14 CLIENT: TECTONIC Engineering PLACEMENT DATE: September 26, 2014 (Friday) PROJECT: Client Made Cylinders- Pilot Knob CYLINDERS FABRICATED BY: Client Clifton Park, New York SUPPLIER: Not Provided CONTRACTOR: Not Provided 'PLANT LOCATION: Not Provided PLACEMENT LOCATION: Monopole Pier Foundations MIX DESIGN DATA MIX DATA OBTAINED FROM: t"r DESIGN STRENGTH AT 28-DAYS: 5000 psi rY"r 9 LABORATORY_D_ATA(ASTM C 39, C 511, and C 1239 _ Date Cylinder Cylinder Fracture Total Unit Cylinder Client Provided Density(1) of Age Diameter Area Type Load Load Number Information (pcf) Test (days) (in) (in2) (1-6) (lbs.) (psi) 1 2073CL036 146 10/03/14 7 6.00 28.27 2 128,130 4530 2073CL037 Slump=5° 143 10/03/14 7 6.00 28.27 5 117,360 4170 2073CL038 Air=5.1°� 146 10/24/14 28 6.00 28.27 5 158,480 5610 2073CL039 Concrete Temp. = 147 10/24/14 28 6.00 28.27 5 159,260 5630 2073CL040 p Ar T 146 10/24/14 28 6.01 28.37 2 171,380 6040 Temp. =64°F r"i ( ' r (W) (WW) Hold 2073CL041 Hold (" i REMARKS Cylinders were received on September 29, 2014. (') Densities are approximate and are calculated based on cylinder weights and volumes determined in the laboratory. M"I An approved mix design was not provided. i'"I The project specified design strength is 4000 psi. The batched mix design strength is 5000 psi. t"The cylinder was discarded after the 28-day cylinders met the required design compressive strength. Reviewed by: Date: October 29, 2014 l,. • j+`a.Lva.0 L'yt as.002.-%)% a, 000035:00- zim. .7.4,-) ,n4c„,4%tt .-4oa_° .`ag,,i.,eti ka °L 42„ ,,..SAW MIDDLE DEPARTMENT INSPECTION AGENCY, INC. d g.' 'fr�,aye; that the electrical wiring to the electrical equipment listed below has been examined and is approved as . ' being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date Y ,y4, noted below and is issued subject to the following conditions. l' t• Owner: Date: Yh % Verizon 10!0412014 °i Occupant: Location Same 441 Lockhart Mountain Road 0Occupancy: Fort Ann, Wash Co. NY Cf Cell Tower d -1 6'1 . Applicant: .� John Coyne Elec. Contr. Inc. 43 Langenbach Road "t9 East Greenbush, NY 12061 .1 a° L J .+. 'r;,, Joseph A.Holmes - `a; No. 140136162271EL -ii. 4 Equipment: pip)" 0.0 a' 400 -Amp. Service Equipment; 2 -250 MCM Amp. Service Conductors \flik 41€4 G, la hes, do '4.'1' 11's:t;9 Thiscertmca:e applies.o;rte electrical wiring to the elecmcat equipment listed immediately null and void This certificate applies only to the use,occupancy and above and the installation inspected as of the above noted date based on a visual ownership as indicated herein Upon a change in the use.occupancy or ownership r d inspection No warranty is expressed or implied as to the mechanical safety sift- of the property indicated aoove,this certificate shall be unmematefy null and void 411aoncy or fitness of the equipment for any particular purpose. This certificate shall In the event that me certificate becomes invalid based upon the above conditions.be valid for a period of ore yea,from the above noted date Should the&comsat micertiecate may be revalidated upon ramspection by wadi() Department ..-& 1le system to which this certificate applies oe altered in any way,including but not lima Inspection Agency Inc An application for inspection must be submitted to Middle Ili L ed to the introduction of admtionat electrical equipment ander the replacement m Department Inspection Agency. Inc to initiate the inspection and revalidalon 9: Y, any of the components installed as o'the above enoteo date Me certificate shall bbe process. A lee will be charged for- tthis service. 'tea 6*. `_ erri8.- etne+ of e4.a9 __ _F' i. e."4!Fe3 'rs.0 git�`., ;74:re.:,4! F Sg A,:zeivQ�epx try 1p, 1,.4:. e,, PridQb q- i/ Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re.uest r • - Queensbury Building& Code Enforcement Arrive:e'o'fie• i epart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia s: r- NAME: e-k' \v er Ur 1�, 2 I /1 RMIT#: t(1—..� 3 A LOCATION: &/x,J L,OCF( h ntr4- tc $r Rs INSPECT ON: TYPE OF STRUCTURE: __A _ _ Comments Y N _N/A Footings Piers Monolithic Slab (7 Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM 16 ani Foundation Inspection Report f i Office No.(518)761-8256 Date •,- ;on ‘I/1 • Queensbury Building&Code Enforcement Arrive: i part: •Z!P r 742 Bay Rd.,Queensbury,NY 12804 Inspector's +r.1 & � oto 14-z30? NAME: / 7;n13 PERMIT/f: LOCATION: / `}-11� o' 7-7977,--e-Win INSPECT ON: Mell 0 TYPE OF STRUCTURE: / 1 40Gki1er ilia � ��lierMarr Cowmen% Y N N/A Footings /_/. L l�8(i(fa . cull eMoran Piers Monolithic Slab 6_)e) 5Ra - 90 99 ientix ' The contractor is (=lble for ,' •'•• ::',. . .tectionfilmfreezing . j KeeJ 11 for 48 hours following the placement of the concrete. �, 111/14111/14011/4462r1:11,4-Q„t�yvlo1n n Materials for this purpose on site. CTS,1 2 Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas wider 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 Fortes\Building&Codeson Forms\Foundation Inspetion Report.doc Last printed 12/20/2005 9:24:00 AM C+: -hl�nm V m Lo r 0 N LL. O r)KJ 2 �j �= ,.=.,.; M I IJ lJ g C) IL H O I W J u4,4�4� �J pW nti� ) Col JA JA )A it sA GGH D u,] 6 a a�aaa �p i O O c w PA •r4 17 W a a W Yp®y�a Q R, fZ R. 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