CC-000751-2016 ° TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000751-2016 Date Issued: Wednesday, August 30, 2017
This is to certify that work requested to be done as shown by Permit Number CC-000751-2016
has been completed.
Tax Map Number: 309.13-2-28
Location: 235 Corinth RD
Owner: Rusty Saunders
Applicant: Rusty Saunders
This structure may be occupied as a: Commercial New Build 24,689 s.f.
SkyZone Trampoline Park By Order of Town Board
Cross Reference: TOWN OF QUEENSBURY
Site Plan Review PZ 149-2016
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
QL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000751-2016
Tax Map No: 309.13-2-28
Permission is hereby granted to: Rusty Saunders
For property located at: 235 Corinth 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
Owner Name: Rusty Saunders Business Office-New $1,500,000.00
Owner Address: 168 Reynolds RD Total Value $1,500,000.00
Fort Edward,NY 12828
Contractor or Builder's Name/Address Electrical Inspection Agency
Rusty Saunders
168 Reynolds RD
Fort Edward,NY 12828
Plans&Specifications
Commercial New Build 24,689 s.f.
SkyZone Trampoline Park
Cross Reference:
Site Plan Review PZ 149-2016
$5,678.47 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 1,2017
(If a longer period is required,an application for an extensi n must be made to the code Enforcement Officer
of the Town of Queensb re the ex do ate.)
Dated at the Town of ueensb r fue ember 1,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
i wa•—ua a.�,v�y.,.,, vasa.. ,u a __"a a a"I V111GG Ubc%juix
Date: Z 12 • amp Permit No. ) ' ZV 1 to
Tax Map ID 28 Permit Fee 510-4-8,[i --
Zone O Lk Historic? _Yes _j,/No Rw-Fee )r wQ,ets_ 1210
Subdivision Name Lot# Site Plan#
Subdivision#
Project Location 2 C.aP4N'Aa FA;jp
TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family,
apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This is in addition to the
permit fee(s).
PrimaryOwner(s) V46 .`
Address 10) gb-WoLo5
Phone/Email 1616.- ? j 1''fSaU+n Ery@JeIPiZO/1. PLe
Applicant
()STY 4Aun1D826 - �✓�ZorJ�
Address
Phone/Email 510- 3"13 ►rY sau EiPS J�f't7.ot�1•,
Contractor
Address
Phone/Email �✓($� ?j(�7�'3�]�Jr7 1f1 Gau , l �j
Contact Person for Building&Codes Compliance: M P VOVL— Phone r21a=744-0269
WACAASVA AJOa is
TYPE OF CONSTRUCTION
,/Check all that apply New Addition Alteration 1"floor sf 21 floor sf Total sf Height
Single Family
Two-Family
Multi-Family
(#of units_) i nn E a my
Townhouse L r V
yome
Business Office
Retail-Mercantile I3U1 1NG& CODC
Factory-Industrial
Attached Garage
(1, 2, 3, 4+) Awl
/J ,�l
Other !f'rjw { -27 *_1
Town
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
If commercial or industrial please indicate name of business Zpah - opua1i�
Proposed use of building or addition 1AZ*X4U3Q r 6"'hl
Source of Heat(circle one) Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances &Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information:
_T Dimensions or acreage of lot , Acevr, 14-610.154 -6W
b. Is this a corner lot? _Yes _No
c. Will the grade be changed assult of construction _Yes _No
d. Public water or Private well(circle one) ublic Private
e. Sewer or Private Septic System(circle one) ewer Private
Value of all work to be performed(labor or materials) $ l•y M%L.
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 NYS
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 certificate of occupancy.
I have read and agree to the above:
PRINT NAME: WW P.UALL, DAM
SIGNATURE: A4 DATE:, _ _IqW
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 Application Revised January 2016
COMcheck Software Version 4.0.2.8 d
Mechanical Compliance Cedi 3 k2l WN c:,"a
BI L ^l.4f,P, C OOEa
Project Information ----
Energy Code: 2014 New York Energy Conservation Construction Code
Project Title: Ran Entertainment, LLC
Location: Warren County,New York
Climate Zone: 6a
Project Type: New Construction
Construction Site: Owner/Agent: Designer/Contractor:
235 Corinth Rd. Rusty Saunders Thomas Bethon
Queensbury, NY 12804 168 Renyolds Rd. 15 Albany Ave.
Fort Edward, NY 12828 Green Island, NY 12183
365-3735 518-273-5541
bethon@albanymechanical.com
Additional Efficiency Package
Unspecified
Mechanical Systems List
Quantity System Type&Description
1 HVAC System 1 (Single Zone):
Heating:1 each-Central Furnace,Gas,Capacity=224 kBtulh
Proposed Efficiency=80.00%Et,Required Efficiency=80.00%Et
Cooling:1 each-Single Package DX Unit,Capacity=150 kBtulh,Air-Cooled Condenser,Air Economizer
Proposed Efficiency=11.80 EER,Required Efficiency=10.80 EER
Fan System: None
1 HVAC System 2(Single Zone):
Heating:1 each-Central Furnace,Gas,Capacity=224 kBtu/h
Proposed Efficiency=80.00%Et,Required Efficiency=80.00%Et
Cooling:1 each-Single Package DX Unit,Capacity=150 kBtulh,Air-Cooled Condenser,Air Economizer
Proposed Efficiency=11.80 EER,Required Efficiency=10.80 EER
Fan System: None
1 HVAC System 3(Single Zone):
Heating:1 each-Central Fumace,Gas,Capacity=224 kBtu/h
Proposed Efficiency=80.00%Et,Required Efficiency=80.00%Et
Cooling:1 each-Single Package DX Unit,Capacity=150 kBtu/h,Air-cooled Condenser,Air Economizer
Proposed Efficiency=11.80 EER,Required Efficiency=10.80 EER
Fan System: None
1 HVAC System 4(Single Zone):
Heating:1 each-Central Furnace,Gas,Capacity=224 kBtu/h
Proposed Efficiency=80.00%Et,Required Efficiency=80.00%Et
Cooling:1 each-Single Package DX Unit,Capacity=150 Multi,Air-Cooled Condenser,Air Economizer
Proposed Efficiency=11.80 EER,Required Efficiency= 10.80 EER
Fan System: None
1 HVAC System 5(Single Zone):
Heating: 1 each-Central Furnace,Gas,Capacity=124 kB1uth
Proposed Efficiency=80.00%Et,Required Efficiency=80.00%Et
Cooling:1 each-Single Package DX Unit,Capacity=60 Muth.Air-Cooled Condenser,Air Economizer
Proposed Efficiency=13.00 SEER,Required Efficiency=13.00 SEER
Fan System: None
Project Title: Ran Entertainment, LLC Report date: 10/28/16
Data filename: Untided.cck CO^�/ Page 1 of 12
FILE r 1
Mechanical Compliance Statement
Compliance Statement: The proposed mechanical design represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this per pca 1 The pro ed mechanical systems have been
designed to meet the 2014 New York Energy Conservatio onstruction co r rem is in COMcheck Version 4.0.2.6 and to
comply with the mandatory requirements listed in the spection Check'
ame- itle natu Date �
Project Title: Ran Entertainment, LLC Report date: 10/26/16
Data filename: Untitled.cck Page 2 of 12
COMcheck Software Version 4.0.2.8
Inspection Checklist
Energy Code: 2014 New York Energy Conservation Construction Code
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
# Plan Review Complies? Comments/Assumptions
&Re .ID
0103.2 Plans,specifications,and/or ❑Complies
[PR2)' calculations provide all information ❑Does Not
with which compliance can be ;[]Not Observable
determined for the mechanical
systems and equipment and ❑Not Applicable
document where exceptions to the
standard are claimed. Load
calculations per acceptable
engineering standards and
handbooks.
C406 Plans,specifications, and/or ❑Complies
[PR9]1 calculations provide all information ❑Does Not
with which compliance can be ❑Not Observable
determined for the additional energy
efficiency package options. :❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Ran Entertainment, LLC Report date: 10/28/16
Data filename: Untitled.cck Page 3 of 12
Section
# Footing/Foundation Inspection Compiles? Comments/Assumptions
& Re .ID
0403.2.4. .Freeze protection and snow/ice ❑Complies
5 melting system sensors for future ❑Does Not
[FO9)3 connection to controls. ❑Not Observable'
❑Not Applicable
Additional Comments/Assumptions:
1 Hlgh Impact(Tier 11 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Ran Entertainment,LLC Report date: 10/28/16
Data filename: Untitled.cck Page 4 of 12
Section Mechanical Rough4n Plans Verified Field Verlfled
# Inspection Value Value Complies? Comments/Assumptions
& Re .ID
C403.2.3 HVAC equipment efficiency Efficiency:_ Efficiency:_ ❑Complies See the Mechanical Systems list
[ME5512 verified. ❑Does Not for values.
❑Not Observable
❑Not Applicable
0403.2.5. Demand control ventilation ❑Complies
1 provided for spaces>500 ft2 and ❑Does Not
[ME5911 >25 people/1000 f:2 occupant ❑Not Observable
density and served by systems
with air side economizer,auto ❑Not Applicable
modulating outside air damper
control,or design airflow>3,000
cfm.
0403.2.7 HVAC ducts and plenums R-_ R- ❑Complies
[ME60]2 insulated.Where ducts or []Does Not
plenums are Installed in or under ❑Not Observable
a slab,verification may need to
occur during Foundation ❑Not Applicable
Inspection.
0403.2.8 Thermally Ineffective panel ❑Complies
[ME4113 surfaces of sensible heating ❑Does Not
panels have insulation >= R-3.5. ❑Not Observable
❑Not Applicable
0403.2.7 Ducts and plenums sealed based ❑Complies
[ME1011 on static pressure and location. ❑Does Not
❑Not Observable
❑Not Applicable
0403.2.7. Ductwork operating >3 in. water ❑Complies
1.3 column requires air leakage ❑Does Not
[ME1113 testing, ❑Not Observable
❑Not Applicable
C403.2.7. Ductwork operating >3 in.water ❑Complies
1.3 column requires air leakage El Does Not
[ME1113 testing. ❑Not Observable
❑Not Applicable
C403.2.7. Ductwork operating >3 in.water ❑Complies
1.3 column requires air leakage ❑Does Not
[ME1113 testing. ❑Not Observable
❑Not Applicable
C403.2.7. Ductwork operating >3 in. water ❑Complies
1.3 column requires air leakage ❑Does Not
[ME11]3 testing. ❑Not Observable
_ ❑Not Applicable
C403.2.7. Ductwork operating>3 in.water ❑Complies
1.3 column requires air leakage ❑Does Not
[ME1113 testing. ❑Not Observable
❑Not Applicable
C403.3.1, Air economizers provided where ❑Complies
C403.3.1. required, meet the requirements ❑Does Not
1 for design capacity,control ❑Not Observable
[ME621 'signal,ventilation controls, high-
limit shut-off,Integrated ❑Not Applicable
economizer control,and provide
a means to relieve excess
outside air during operation.
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Ran Entertainment, LLC Report date: 10/28/16
Data filename: Untitled.cck Page 5 of 12
Section Mechanical Rough-In Plans Verified Field Verified
# Inspection Value Value Complies? Comments/Assumptions
& Re .ID
0403.3.1, .Air economizers provided where ❑Complies
0403.3.1. -required, meet the requirements ❑Does Not
1 for design capacity,control []Not Observable
[ME62p -signal,ventilation controls, high•
limit shut-off,Integrated ❑Not Applicable
economizer control,and provide
a means to relieve excess
outside air during operation.
C403.3.1, Air economizers provided where ❑Complies
0403.3.1. required, meet the requirements ❑Does Not
1 :for design capacity,control
[ME6211 signal,ventilation controls, high- ❑Not Observable
limit shut-off,integrated ❑Not Applicable
economizer control,and provide
-a means to relieve excess
outside air during operation.
C403.3.1, Air economizers provided where ❑Complies
0403.3.1. required,meet the requirements ❑Does Not
1 :for design capacity,control ❑Not Observable
[ME62]2 signal,ventilation controls,high-
limit shut-off,integrated ❑Not Applicable
economizer control,and provide
a means to relieve excess
outside air during operation.
C403.3.1, -Air economizers provided where ❑Complies
0403.3.1. required, meet the requirements ❑Does Not
1 for design capacity,control
[ME62]1 signal,ventilation controls, high- ❑Not Observable
limit shut-off,integrated []Not Applicable
economizer control,and provide _
a means to relieve excess
outside air during operation.
C408.2.2. Air outlets and zone terminal ❑Complies
1 devices have means for air ❑Does Not
[ME53]3 balancing.
❑Not Observable
❑Not Applicable
C403.4.2 VAV fan motors >=5.0 hp to be VSD -MVSD ❑Complies
[ME66)2 driven by variable speed drive, ❑ Vane axial ❑ Vane axial .❑Does Not
have a vane-axial fan with fan fan
variable pitch blades,or have ❑ Other ❑ Other []Not Observable
controls to limit fan motor ❑Not Applicable
demand.
0403.4.2 VAV fan motors >=5.0 hp to be VSD ❑ VSD ❑Complies
[ME66)2 driven by variable speed drive, ❑ Vane axial ❑ Vane axial ❑Does Not
have a vane-axial fan with fan fan
variable pitch blades,or have ❑ Other !❑ Other _-❑Not Observable
controls to limit fan motor ❑Not Applicable
.demand.
0403.4.2 VAV fan motors >=5.0 hp to be VSD VSD -❑Complies
[ME66]2 driven by variable speed drive, ❑ Vane axial ❑ Vane axial []Does Not
have a vane-axial fan with fan fan
variable pitch blades, or have ❑ Other ❑ Other ❑Not Observable
controls to limit fan motor ❑Not Applicable
demand.
C403.4.2 VAV fan motors>=5.0 hp to be VSD VSD ❑Complies
[ME66]2 driven by variable speed drive, ❑ Vane axial ❑ Vane axial ❑Does Not
have a vane-axial fan with fan fan
variable pitch blades,or have ❑ Other ❑ Other []Not Observable
controls to limit fan motor ❑Not Applicable
demand.
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Ran Entertainment, LLC Report date: 10/28/16
Data filename: Untitled.cck Page 6 of 12
Section Mechanical Rough-In Plans Verified Field Verified
# Inspection Value Value Complies? Comments/Assumptions
& Re .ID
C403.4.2 VAV fan motors>=5.0 hp to be VSD Ll VSD ❑Complies
[ME66]= 'driven by variable speed drive, ❑ Vane axial ❑ Vane axial ❑Does Not
have a vane-axial fan with - fan fan ❑Not Observable
variable itch blades, or have
controls o limit fan motor EJ Other ❑ Other ❑Not Applicable
demand.
C403.2.6 Exhaust air energy recovery on ❑Complies
(ME57]I systems meeting Table C403.2.6 ❑Does Not
❑Not Observable
❑Not Applicable
C403.2.11.Unenclosed spaces that are ❑Complies
(ME71]3 heated use only radiant heat. ❑Does Not
❑Not Observable
[]Not Applicable
0403.4.7 -Hot gas bypass limited to: <=240 ❑Complies
IME3511 kBtu/h-50%>240 kBtu/h-25% ❑Does Not
❑Not Observable
❑Not Applicable
C403.4.7 Hot gas bypass limited to: <=240 ❑Complies
IME3511 kBtu/h-50%>240 kBtu/h-25% ❑Does Not
❑Not Observable
❑Not Applicable -
C403.4.7 Hot gas bypass limited to: <=240 ❑Complies
(ME3511 kBtu/h-50%>240 kBtu/h-25% ❑Does Not
[]Not Observable
❑Not Applicable
0403.4.7 Hot gas bypass limited to: <=240 ❑Complies
[ME3511 kBtu/h-50%>240 kBtu/h-25% ❑Does Not
❑Not Observable
❑Not Applicable
C403.4.7 Hot gas bypass limited to: <=240 ❑Complies
[ME3511 kBtu/h-50%>240 kBtu/h-25% ❑Does Not
❑Not Observable
❑Not Applicable
C403.3.4 Sleeping rooms in Group R-1 ❑Complies
[ME76]3 occupancies are provided with ❑Does Not
dedicated system to ❑No[Observable
automatically control HVAC
systems and energy consumption ❑Not Applicable
during unoccupied periods.
Controls are designed to raise
cooling and lower heating
temperature set points by at -
least 4°F when room is
unoccupied.
C403.3.4 -Sleeping rooms in Group R-1 ❑Complies
[ME76]3 occupancies are provided with ❑Does Not
dedicated system to ❑Not Observable
automatically control HVAC ❑Not
systems and energy consumption - Applicable
during unoccupied periods.
Controls are designed to raise
cooling and lower heating
temperature set points by at -
least 4°F when room is
unoccupied. - - -
1 I High Impact[Tier 11 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Ran Entertainment,LLC Report date: 10/28/16
Data filename: Untitled.cck Page 7 of 12
Section Mechanical Rough-In Plans Verified Field Verified
#
& Re Inspection Value Value Complies? Comments/Assumptions
.ID
C403.3.4 Sleeping rooms in Group R-1 ❑Complies
[ME76]3 occupancies are provided with : ❑Does Not
.dedicated system to ❑Not Observable
automatically control HVAC
systems and energy consumption, ❑Not Applicable
during unoccupied periods.
Controls are designed to raise
cooling and lower heating
temperature set points by at
least 4'F when room is
unoccupied.
0403.3.4 Sleeping rooms in Group R-1 ❑Complies
[ME76]3 occupancies are provided with El Does Not
dedicated system to ❑Not Observable
:automatically control HVAC
systems and energy consumption ❑Not Applicable
during unoccupied periods.
Controls are designed to raise
cooling and lower heating
temperature set points by at
least 4'F when room is
unoccupied.
C403.3.4 Sleeping rooms in Group R-1 ❑Complies
[ME76]3 occupancies are provided with ❑Does Not
dedicated system to ❑Not Observable
automatically control HVAC ❑Not
systems and energy consumption Applicable
during unoccupied periods.
Controls are designed to raise
cooling and lower heating
temperature set points by at
.least 40F when room is
unoccupied.
0403.3.3 All air-conditioning equipment ❑Complies
[ME77]3 and air-handling units with direct ❑Does Not
expansion cooling and a cooling ❑Not Observable
capacity of at least 110 kBtu/h ❑Not
have VAV supply fans.Supply fan Applicable
controls are configured to reduce
the airflow to no more than the
larger of the following at cooling
demands no larger than 50%of
the cooling capacity: 1.two-
thirds of the full fan speed,or 2.
the volume of outdoor air
required to meet ventilation
requirements.
C403.3.3 .All air-conditioning equipment ❑Complies
[ME77]3 :and air-handling units with direct ❑Does Not
-expansion cooling and a cooling ❑Not Observable '
capacity of at least 110 kBtu/h
have VAV supply fans.Supply fan ❑Not Applicable
controls are configured to reduce
the airflow to no more than the
larger of the following at cooling
demands no larger than 50%of
the cooling capacity: 1.two-
thirds of the full fan speed, or 2.
the volume of outdoor air
required to meet ventilation
requirements.
1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Ran Entertainment, LLC Report date: 10/28/16
Data filename: Untitled.cck Page 8 of 12
Section Mechanical Rough-In Plans Verifled Fteld Verified
nspection Value Value Complies? Comments/Assumptions
& Re .ID
C403.3.3 All air-conditioning equipment ❑Complies
[ME7713 and air-handling units with direct ❑Does Not
expansion cooling and a cooling ❑Not Observable
capacity of at least 110 kBtu/h ❑Not
have VAV supply fans. Supply fan Applicable
controls are configured to reduce
the airflow to no more than the
larger of the following at cooling
demands no larger than 50%of
the cooling capacity: 1.two-
thirds of the full fan speed, or 2.
the volume of outdoor air
required to meet ventilation -
requirements.
C403.3.3 All air-conditioning equipment ❑Complies
[ME7713 and air-handling units with direct ❑Does Not
expansion cooling and a cooling ❑Not Observable
capacity of at least 110 kBtu/h
have VAV supply fans.Supply fan ❑Not Applicable
controls are configured to reduce
the airflow to no more than the
larger of the following at cooling
demands no larger than 50%of
the cooling capacity: 1.two-
thirds of the full fan speed,or 2. _
the volume of outdoor air
required to meet ventilation
requirements.
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Ran Entertainment, LLC Report date: 10/28/16
Data filename: Untitled.cck Page 9 of 12
Section
# Final Inspection Complies? Comments/Assumptions
&Re .ID
C403.2.4. .Heating and cooling to each zone is ',❑Complies
2 'controlled by a thermostat control. :ODoes Not
IFI4713 Minimum one humidity control device '❑Not Observable
per installed
humidification/dehumidification ;❑Not Applicable
system.
0403.2.4. Heating and cooling to each zone is ❑complies
2 controlled by a thermostat control. '❑Does Not
[FI4713 Minimum one humidity control device
per Installed :[]Not Observable
humidification/dehumidification ❑Not Applicable
system.
C403.2.4. Heating and cooling to each zone is ❑Complies
2 controlled by a thermostat control. ❑Does Not
IF14713 Minimum one humidity control device
per installed ❑Not Observable
humidification/dehumidification :❑Not Applicable
system.
C403.2.4. Heating and cooling to each zone is ❑Complies
2 controlled by a thermostat control. ODoes Not
[FI4713 Minimum one humidity control device
per installed :❑Not Observable'
humidification/dehumidification ❑Not Applicable
system.
0403.2.4. Heating and cooling to each zone is 13Complies
2 controlled by a thermostat control. ❑Does Not
[F147]3 Minimum one humidity control device :
per installed ❑Not Observable:
humidification/dehumidification :ONot Applicable
system.
C403.2.4. Thermostatic controls have a 5°F :❑Complies -
2 deadband. []Does Not
[F13813 ONot Observable
:❑Not Applicable
C403.2.4. Temperature controls have setpoint ❑Complies
2 overlap restrictions. ,ODoes Not
[F12013 ONot Observable
ONot Applicable
C403.2.4. .Each zone equipped with setback ❑Complies
3 controls using automatic time clock or ❑Does Not
[FI39]3 programmable control system.
❑No[Observable'
❑Not Applicable
0403.2.4. Automatic Controls:Setback to 55°F -❑Complies
3 (heat)and 85°F(cool); 7-day clock,2- ❑Does Not
[F140]3 hour occupant override, 10-hour
backup ❑Not Observable.
jONot Applicable
C408.2.5. Furnished HVAC as-built drawings ❑Complies
1 submitted within 90 days of system ❑Does Not
[FI713 acceptance.
:[]Not Observable
❑Not Applicable
C303.3,C4 Furnished 0&M manuals for HVAC ❑Complies
08.2.5.2 systems within 90 days of system '❑Does Not
[FIB]3 acceptance.
'.❑No[Observable
;❑Not Applicable
1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) _
Project Title: Ran Entertainment, LLC Report date: 10/28/16
Data filename: Untitled.cck Page 10 of 12
Section
# Final Inspection CompliesT Comments/Assumptions
& Re .ID
0408.2.5. An air and/or hydronic system ❑Compiles
3 balancing report is provided for HVAC ❑Does Not
(FI43]1 systems.
.❑Not Observable
❑Not Applicable
0408.2.3. .HVAC control systems have been ❑Complies
2 tested to ensure proper operation, ❑Does Not
[FI10]1 calibration and adjustment of controls. ❑Not Observable
❑Not Applicable
C403.2.2 HVAC systems and equipment ❑Complies
(F12713 capacity does not exceed calculated ❑Does Not
loads.
[]Not Observable
❑Not Applicable
C408.2.1 Commissioning plan developed by ❑Complies
[F128]1 registered design professional or ❑Does Not
:approved agency.
❑Not Observable'
❑Not Applicable
C408.2.4 :.Preliminary commissioning report ❑Complies
[FI29]1 completed and certified by registered :❑Does Not
design professional or approved ❑Not Observable:
agency.
❑Not Applicable
C408.2.5. Final commissioning report due to ❑Complies
4 building owner within 90 days of ❑Does Not
(F13011 receipt of certificate of occupancy.
❑Not Observable
[]Not Applicable
C408.2.3. HVAC equipment has been tested to ❑Complies
1 ensure proper operation. ❑Does Not
[F13111 []Not Observable
❑Nat Applicable
C408.2.3. Economizers have been tested to ❑complies
3 ensure proper operation. ❑Does Not
[FI3211 ❑Not Observable:
❑Not Applicable
C406 Efficient HVAC performance, efficient ❑Complies
[F13411 lighting system,or on-site supply of ❑Does Not
renewable energy consistent with [:]Not Observable
what Is shown the approved plans.
❑Not Applicable
Additional Comments/Assumptions:
i 1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Ran Entertainment, LLC Report date: 1028/16
Data filename: Untitled.cck Page 11 of 12
f
Project Title: Ran Entertainment, LLC Report date: 10/28/16
Data filename: Untitled.cck Page 12 of 12
COMcheck Software Version 4.0.5.1
Envelope Compliance Certificate
Project Information
Energy Code: 20121ECC 309.13-2-28 CC-000751-2016
Project Title: New Facility SkyZone
Location: Glens Falls, New York
Climate Zone: 6a 235 Corinth Road
Project Type: New Construction Commercial New Build 24,689 s.f.
Vertical Glazing/Wall Area: 1%
Construction Site: Owner/Agent: Designer/Contractor:
Corinth Road Rusty Saunders Ethan P. Hall ��LE COPY
Queensbury, NY 12804 SkyZone Rucinski Hall Arch it
c ur
168 Reynolds Road 134 Dix Ave
Moreau, NY 12828 Glens Falls, NY 12801
518-365-3735 518-741-0268
rrsaunders@verizon.net ephall@nycap.rr.com
Building Area Floor Area D IE
C E d \9 IE
1-Gymnasium : Nonresidential 22500 LS l� LS tl V l� O
Additional Efficiency Package FOCT 7 2016
Reduced interior lighting power.Requirements are implicitly enforced within interior lighting allowance calcul tionsUEENSSLI Y
Envelope Assemblies BUILDING L04 CODES
Assembly Gross Area Cavity Cont. Proposed Budget U-
or R-Value R-Vaf(ie U-Factor Factor(.)
Perimeter
Roof 1:Metal Building,Standing Seam,Double Insulation Layer with 22500 42.0 5.0 0.037 0.031
Thermal Blocks(d),[Bldg.Use 1 -Gymnasium]
Floor 1:Slab-On-Grade:Unheated,Vertical 4 ft.,[Bldg.Use 1 - 650 — 14.0 0.456 0.540
Gymnasium](c)
NORTH
Exterior Wall 1:Metal Building Wall,Double Layer Mineral Fiber,[Bldg. 2700 28.0 5.0 0.043 0.052
Use 1 -Gymnasium]
Window 1:Metal Frame with Thermal Break:Fixed,Pert.Specs.: 55 — — 0.340 0.360
Product ID product label,SHGC 0.33,[Bldg.Use 1 -Gymnasium](b)
Door 1:Glass(>50%glazing):Metal Frame, Entrance Door,Ped. 54 — — 0.340 0.770
Specs.:Product ID product label,SHGC 0.33,[Bldg.Use 1 -
Gymnasium](b)
EAST
Exterior Wall 4:Metal Building Wall,Double Layer Mineral Fiber,[Bldg. 5700 28.0 5.0 0.043 0.052
Use 1 -Gymnasium]
Door 5:Insulated Metal,Swinging,[Bldg.Use 1 -Gymnasium] 21 0.300 0.370
Door 6:Insulated Metal,Swinging,[Bldg.Use 1 -Gymnasium] 42 — — 0.300 0.370
SOUTH
Exterior Wall 3:Metal Building Wall,Double Layer Mineral Fiber,[Bldg. 2700 28.0 5.0 0.043 0.052
Use 1 -Gymnasium]
Door 2:Insulated Metal,Non-Swinging,[Bldg.Use 1 -Gymnasium] 100 — — 0.070 0.070
Door 3:Insulated Metal,Swinging,[Bldg.Use 1 -Gymnasium] 21 — — 0.300 0.370
Project Title: New Facility Report date: 10/26/16
Data filename: Y:\SkyZone Trampoline Park\Const. Dwg's\Skyzone.cck Page 1 of 14
Assembly Gross Area Cavity Cont. Proposed Budget U.
or R-Value R-Value U-Factor Factor(
Perimeter
Door 4:Insulated Metal,Syringing,[Bldg.Use 1-Gymnasium] 21 — — 0.300 0.370
WEST
Exterior Wall 2:Metal Building Wall,Double Layer Mineral Fiber,[Bldg. 5700 28.0 5.0 0.043 0.052
Use 1-Gymnasium]
(a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements.
(b)Fenestration product performance must be certified in accordance with NFRC and requires supporting documentation.
(c)Slab-On-Grade proposed and budget U-factors shown in table are F-factors.
(d)Thermal spacer block with minimum R-3.5 must be installed above the purlintbatt,and the roof deck secured to the purlins.
Envelope Design r better than code
Envelope Compliance Statement
Compliance Statement., The proposed envelope design 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 2012 IECC requirements in COMcheck V Ion 4.0. nd t mply with any applicable mandatory
requirements listed in the Inspection Checklist.
Ethan P. Hall-Architect f o .'2d/b
Name-Title to Date
07' � ,
704N
Project Title: New Facility Report date: 1026/16
Data filename: Y:kSkyZone Trampoline ParkAConst.Dwg's%Skyzone.cck Page 2 of 14
COMcheck Software Version 4.0.5.1
Interior Lighting Compliance Certificate
Project Information
Energy Code: 2012 IECC
Project Title: New Facility
Project Type: New Construction
Construction Site: Owner/Agent: Designer/Contractor.
Corinth Road Rusty Saunders Ethan P.Hall
Queensbury,NY 12804 SkyZone Rucinski Hall Architecture
168 Reynolds Road 134 Dix Ave
Moreau, NY 12828 Glens Falls, NY 12801
518-365-3735 518.741-0268
rrsaunders@verizon.net ephall@nycap.rr.com
Additional Efficiency Package
Reduced interior lighting power.Requirements are implicitly enforced within interior lighting allowance calculations.
Allowed Interior Lighting Power
A B C D
Area Category Floor Area Allowed Allowed Watts
(ft2) Watts/ft2 (B X C)
1-Gymnasium 22500 1.00 22500
Total Allowed Watts= 22500
Proposed Interior Lighting Power
A B C D E
Fixture ID : Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
1-Gymnasium
LED 1:LED Linear 20W: 3 149 34 5066
LED 2:LED Linear 20W: 3 27 34 918
Total Proposed Watts= 5984
Interior Lighting PASSES: Design better than code
Interior Lighting Compliance Statement
Compliance Statement., The proposed interior lighting design represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application.The proposed Interior lighting systems have been
designed to meet the 2012 IECC requirements in COMcheck ion 4.0.5.1 at mply with any applicable mandatory
requirements listed in the Inspection Checklist.
Ethan P. Hall-Architect lam '
Name-Title SigNture Date
Project Title: New Facility Report date: 1026/16
Data filename: YASkyZone Trampoline Park\Const. Dwg's\Skyzone.cck Page 3 of 14
COMcheck Software Version 4.0.5.1
Exterior Lighting Compliance Certificate
Project Information
Energy Code: 2012 IECC
Project Title: New Facility
Project Type: New Construction
Exterior Lighting Zone 2(Neighborhood business district)
Construction Site: Owner/Agent: Designer/Contractor.
Corinth Road Rusty Saunders Ethan P.Hall
Queensbury, NY 12804 SkyZone Rucinski Hall Architecture
168 Reynolds Road 134 Dix Ave
Moreau, NY 12828 Glens Falls, NY 12801
518-365-3735 518-741-0268
rrsaunders@verizon.net ephall@nycap.rr.com
Allowed Exterior Lighting Power
A B C D E
Area/Surface Category Quantity Allowed Tradable Allowed Watts
Watts/Unit Wattage (B X C)
Entry canopy 4 ft2 0.25 Yes 1
Total Tradable Watts(a)= 1
Total Allowed Watts= 1
Total Allowed Supplemental Watts(b)= 600
(a)Wattage tradeoffs are only allowed between tradable areas/surfaces.
(b)A supplemental allowance equal to 600 watts may be applied toward compliance of both non-tradable and tradable areas/surfaces.
Proposed Exterior Lighting Power
A B C D E
Fixture ID : Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
Entry canopy(4 ft2):Tradable Wattage
LED 1:LED PAR 18W: 1 8 40 320
Total Tradable Proposed Watts= 320
Exterior Lighting PASSES: Design better than code
Exterior Lighting Compliance Statement
Compliance Statement- The proposed exterior lighting design represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application.The pr posed exterior lighting systems have been
designed to meet the 2012 IECC requirements in COMcheckIon44aWnoply with any applicable mandatory
requirements listed in the Inspection Checklist.
Ethan P.Hall-Architect
Name-Title S4ture Date
Project Title: New Facility Report date: 1026/16
Data filename: Y:\SkyZone Trampoline Park\Const. Dwg's\Skyzone.cck Page 4 of 14
COMcheck Software Version 4.0.5.1
Inspection Checklist
Energy Code: 2012 IECC
Requirements: 100.0% 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
# Plan Review Complies? Comments/Assumptions
& Re .ID
C103.2 Plans and/or specifications provide all ❑Complies Requirement will be met.
[PR1]1 information with which compliance []Does Not
can be determined for the building ❑Not Observable Location on plans/spec:A-1
envelope and document where
exceptions to the standard are ❑Not Applicable
claimed.
0103.2 Plans,specifications, and/or ❑Complies Requirement will be met.
[PR4]1 calculations provide all information ❑Does Not
with which compliance can be ❑Not Observable Location on plans/spec: A-1
determined for the Interior lighting
and electrical systems and equipment ❑Not Applicable
and document where exceptions to
the standard are claimed.Information
provided should Include interior
lighting power calculations,wattage of,
bulbs and ballasts,transformers and
control devices. _
C103.2 Plans,specifications, and/or ❑Complies Requirement will be met.
[PRB]' calculations provide all information []Does Not
with which compliance can be ❑Not Observable Location on plans/spec: A-1
determined for the exterior lighting
and electrical systems and equipment ❑Not Applicable
and document where exceptions to
the standard are claimed.Information
provided should Include exterior
lighting power calculations, wattage of
bulbs and ballasts,transformers and
'control devices.
C406 Plans,specifications, and/or ❑Complies Requirement will be met.
[PR9]1 calculations provide all information ❑Does Not
with which compliance can be []Not Observable Location on plans/spec:A-1
determined for the additional energy
efficiency package options. ❑Not Applicable
C402.3.1 .The vertical fenestration area <= 30 ❑Complies Requirement will be met.
[PR10]1 percent of the gross above-grade wall ❑Does Not
area. []Not Observable Location on plans/spec: A-1
❑Not Applicable
C402.3.1 The skylight area <=3 percent of the ❑Complies Requirement will be met.
[PRl1]1 gross roof area. ❑Does Not
❑Not Observable Location on plans/spec: A-1
[]Not Applicable
C402.3.2. Skylights in office,storage, ❑Complies Exception: Requirement does not apply.
2 automotive service,manufacturing, ❑Does Not
[PR15]1 non-refrigerated warehouse, retail
store,and distribution/sorting area ❑Not Observable
have a measured haze value>90 ❑Not Applicable
percent unless designed to exclude
direct sunlight.
Additional Comments/Assumptions:
1 High Impact crier 1) >-_.Medium Impact Mer 2) 13 1 Low Impact(Tier 3)
Project Title: New Facility Report date: 10/26/16
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11 High Impact(Tier 1) 2.1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Facility Report date: 1026/16
Data filename: Y:\Sky2one Trampoline Park\Const. Dwg's\Skyzone.cck Page 6 of 14
Section
# Footing/Foundation Inspection Complies? Comments/Assumptions
& Req.ID
0402.2.6 Slab edge insulation R-value. .❑Complies ,See the Envelope Assemblies table for values.
[FO3]2 !❑Does Not
❑Not Observable'
❑Not Applicable
0303.2 Slab edge insulation installed per ❑Complies Requirement will be met.
[FO412 manufacturer's instructions. ❑Does Not
Location on plans/spec:A-1
❑Not Observable
❑Not Applicable
C402.2.6 Slab edge Insulation depth/length. ❑Complies See the Envelope Assemblies table for values.
[FO5]2 Slab insulation extending away from ❑Does Not
building is covered by pavement or []Not Observable
>= 10 inches of soil. ❑Not Applicable
C403.2.8. Exterior insulation protected against ❑Complies ;Requirement will be met.
1 damage, sunlight,moisture,wind, ❑Does Not
[FO611 landscaping and equipment .❑Not Observable'
maintenance activities. ❑Not Applicable
0402.2.8 Bottom surface of floor structures ❑Complies :Exception: Requirement does not apply.
[FO12]3 incorporating radiant heating ❑Does Not
Insulated to>=R-3.5. ❑Not Observable See the Envelope Assemblies table for values.
i❑Not Applicable .
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Facility Report date: 10/26/16
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Section
# Framing/Rough-In inspection Complles7 Comments/Assumptions
& Req.ID
0402.41, The building envelope contains a ❑Complies Requirement will be met.
0402.4.2 continuous air barrier that is sealed in ❑Does Not
I[FR1611 an approved manner and either ❑Not Observable Location on plans/spec:A-1
constructed or tested in an approved ❑Not Applicable
manner.Air barrier penetrations are
sealed in an approved manner.
C402.43, Factory-built fenestration and doors ❑Complies Requirement will be met.
C402.4.4 are labeled as meeting air leakage ❑Does Not
[FR18]3 requirements, []Not Observable
❑Not Applicable
C402.4.7 Vestibules are installed on all building ❑Complies Requirement will be met.
[FR17]3 entrances. Doors have self-closing ❑Does Not
devices. ❑Not Observable Location on plans/spec:A-1
_ ❑Not Applicable
0402.33, Vertical fenestration U-Factor. ❑Complies .See the Envelope Assemblies table for values.
C4023.4 ❑Does Not
[FR8]1 ❑Not Observable
❑Not Applicable
C402.33 Vertical fenestration SHGC value. ❑Complies See the Envelope Assemblies table for values.
[FR10]1 ❑Does Not
[]Not Observable
❑Not Applicable
C303.13 Fenestration products rated in ❑Complies Requirement will be met.
[FR12]2 accordance with NFRC. ❑Does Not
❑Not Observable Location on plans/spec:A-1
❑Not Applicable
C303.13 Fenestration products are certified as ❑Complies Requirement will be met.
[FR13]1 to performance labels or certificates ❑Does Not
provided. []Not Observable Location on plans/spec:A-1
❑Not Applicable
C402.2.7 U-factor of opaque doors associated ❑Complies See the Envelope Assemblies table for values.
[FR14]' with the building thermal envelope ❑Does Not
meets requirements. I
❑Not Observable
!❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact Merl) 2 1 Medium Impact(Tier 2) 3 1 Low Impact crier 3)
Project Title: New Facility Report date: 10/26/16
Data filename: YASkyZone Trampoline Park\Const.Dwg's\5kyzone.cck Page 8 of 14
Section
# Mechanical Rough-in Inspection Complies? Comments/Assumptions
& Re .ID
C402.4.5. Stair and elevator shaft vents have '.00omplies Exception: Requirement does not apply.
1 motorized dampers that automatically ❑Does Not
[ME3]3 close. ❑Not Observable
❑Not Applicable
C402.4.5. Outdoor air and exhaust systems have'.❑Complies Requirement will be met.
2 motorized dampers that automatically []Does Not
[ME58]3 shut when not in use and meet ❑Not Observable location on plans/spec: A-1
maximum leakage rates.Check
gravity dampers where allowed. ,ONot Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Facility Report date: 1026/16
Data filename: YASkyZone Trampoline Park\Const.Dwg's\Skyzone.cck Page 9 of 14
Section
# Rough-In Electrical Inspection Complies? Comments/Assumptions
& Re .ID
C405.2.2. .Automatic controls to shut off all ❑Complies Requirement will be met.
1 building lighting Installed in all []Does Not
[EL22]2 buildings. ❑Not Observable Location on plans/spec:A-1
❑Not Applicable
C405.2.1. Independent lighting controls installed :❑Complies Requirement will be met.
1 per approved lighting plans and all ❑Does Not
[EL23]2 manual controls readily accessible and',❑Not Observable Location on plans/spec:A-1
visible to occupants.
❑Not Applicable
C405.2.1. .Lighting controls installed to uniformly ❑Complies Requirement will be met.
2 reduce the lighting load by at least ❑Does Not
[EL15]1 50%. ❑Not Observable Location on plans/spec: A-1
❑Not Applicable
C405.2.2. Daylight zones provided with ❑Complies Exception: Requirement does not apply.
3 individual controls that control the ❑Does Not
[EL16]2 lights independent of general area ❑Not Observable
lighting.
❑Not Applicable
C405.2.3 Sleeping units have at least one ❑Complies Exception: Requirement does not apply.
[EL1713 master switch at the main entry door ❑Does Not
.that controls wired luminaires and
switched receptacles. ❑Not Observable
❑Not Applicable
0405.2,2. Occupancy sensors installed in I❑Complles Requirement will be met.
2 required spaces. ❑Does Not
[EL18]1 ❑Not Observable Location on plans/spec:A-1
❑Not Applicable
0405.2.2. Primary sidelighted areas are ❑Complies Exception: Requirement does not apply.
3 equipped with required lighting []Does Not
[EL20]1 controls. []Not Observable
❑Not Applicable
C405.2.2. Enclosed spaces with daylight area ❑Complies Exception: Requirement does not apply.
3 under skylights and rooftop monitors ❑Does Not
[EL21]1 are equipped with required lighting
controls. []Not Observable.
❑Not Applicable
C405.2.4 Automatic lighting controls for exterior ❑Complies Requirement will be met.
[EL25]2 lighting installed. ❑Does Not
[]Not Observable Location on plans/spec: A-1
❑Not Applicable
C405.2.3 Separate lighting control devices for ❑Complies Requirement will be met.
[EL4]1 specific uses Installed per approved ❑Does Not
lighting plans. ❑Not Observable Location on plans/spec: A-1
❑Not Applicable
0405.3 Fluorescent luminaires with odd ❑Complies Exception: Requirement does not apply.
[EL19]3 numbered lamp configurations that ❑Does Not
are within 10 feet center to center(if ❑Not Observable
recess mounted)or are within 1 foot
edge to edge(if pendant or surface ❑Not Applicable
mounted)shall be tandem wired.
C405.4 Exit signs do not exceed 5 watts per ❑Complies Requirement will be met.
[EL6]1 face. ❑Does Not
[]Not Observable Location on plans/spec:A-1
❑Not Applicable
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low impact(Tier 3)
Project Title: New Facility Report date: 1026/16
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Section
# Rough-In Electrical Inspection Complies? Comments/Assumptions
&Re .ID
0405.6 Exterior grounds lighting over 100 W ❑Complies Requirement will be met.
[EL24]1 provides>60 Im/W unless on motion ❑Does Not
sensor or fixture is exempt from scope ❑Not Observable Location on plans/spec:A-1
of code or from external LPD. ❑Not Applicable
0405.2.3 Additional interior lighting power ❑complies Requirement will be met.
[EL811 allowed for special functions per the ❑Does Not
approved lighting plans and is ❑Not Observable!Location on plans/spec:A-1
automatically controlled and
separated from general lighting. []Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2':'1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Facility Report date: 10/26/16
Data filename: Y:\SkyZone Trampoline Park\Const. Dwg's\Skyzone.cck Page 11 of 14
Section
# Insulation Inspection Complies? Comments/Assumptions
& Re .ID
C402.4.1. .All sources of air leakage in the ❑Complies Requirement will be met.
1 building thermal envelope are sealed, ❑Does Not
[IN111 caulked,gasketed,weather stripped []Not Observable Location on plans/spec: A-1
or wrapped with moisture vapor-
permeable wrapping material to ❑Not Applicable
minimize air leakage. _
0402.4.2. Roof R-value. For some ceiling ❑Complies See the Envelope Assemblies table for values.
1 systems,verification may need to ❑Does Not
[IN211 occur during Framing Inspection. ❑Not Observable
!❑Not Applicable
0303.2 Roof Insulation Installed per ❑Complies .Requirement will be met.
[IN311 manufacturer's instructions.Blown or ❑Does Not
poured loose-fill insulation is installed []Not Observable
on plans/spec:A-1
only where the roof slope is<=3 in
12. :❑Not Applicable
0303.2 Above-grade wall Insulation installed ❑Complies :Requirement will be met.
[IN711 per manufacturer's instructions. !❑Does Not
[]Not Observable.Location on plans/spec:A-1
❑Not Applicable
0402.2,5 :Floor Insulation R-value. '❑Complies See the Envelope Assemblies table for values.
[INB1= ❑Does Not
❑Not Observable.
❑Not Applicable
C303.1 -Building envelope Insulation is labeled ❑Complies :Requirement will be met.
[IN10]2 with R-value or Insulation certificate ❑Does Not
providing R-value and other relevant
data. ❑Not Observable:
❑Not Applicable
0303.2.1 'Exterior Insulation is protected from ❑Complies
.Exception: Requirement does not apply.
[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
C402.2.1 Insulation intended to meet the roof ❑Complies Requirement will be met.
[IN17]3 insulation requirements cannot be ❑Does Not
installed on top of a suspended []Not Observable Location on plans/spec: A-1
ceiling. Mark this requirement
compliant if insulation is installed ❑Not Applicable
accordingly.
Additional Comments/Assumptions:
111 High Impact(Tier 1) '2',-1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Facility Report date: 1026/16
Data filename: Y:\SkyZone Trampoline Park\Const. Dwg's\Skyzone.cck Page 12 of 14
Section
# Final InspectionComplies? Comments/Assumptions
&Re .ID
C402.4.6 Weatherseals installed on all loading ❑Complies Exception: Requirement does not apply.
[FI3711 dock cargo doors. ❑Does Not
I❑Not Observable
❑Not Applicable
C402.4.8 Recessed luminaires in thermal ❑Complies :Exception: Requirement does not apply.
(F12613 envelope to limit infiltration and be IC ❑Does Not
rated and labeled.Seal between ❑Not Observable
interior finish and luminaire housing. ❑Not Applicable
C408.2.5. Furnished as-built drawings for ❑Complies Requirement will be met.
1 electric power systems within 30 days []Does Not
[FI1613 of system acceptance.
❑Not Observable:
❑Not Applicable
C303.3, Furnished O&M Instructions for ❑Complies Requirement will be met.
C408.2.5. systems and equipment to the ❑Does Not
2 building owner or designated
[FI1713 representative. []Not Observable'.
❑Not Applicable
C405.5.2 Interior installed lamp and fixture ❑Complies See the Interior Lighting fixture schedule for values.
[FI1811 lighting power is consistent with what ❑Does Not
is shown on the approved lighting ❑Not Observable
plans,demonstrating proposed watts
are less than or equal to allowed ❑Not Applicable
watts.
C405.6.2 Exterior lighting power is consistent ❑Complies See the Interior Lighting fixture schedule for values.
[F11911 with what is shown on the approved ❑Does Not
lighting plans, demonstrating ❑Not Observable'.
proposed watts are less than or equal
to allowed watts. ❑Not Applicable
0408.3 Lighting systems have been tested to ❑Complies Requirement will be met.
[F13311 ensure proper calibration, adjustment, ❑Does Not
programming,and operation. ❑Not Observable Location on plans/spec:A-1
❑Not Applicable
0408.3 Lighting systems have been tested to ❑Complies Requirement will be met.
[F14811 ensure proper calibration,adjustment, ❑Does Not
.programming,and operation. []Not Observable Location on plans/spec: A-1
❑Not Applicable
C406 Efficient HVAC performance, efficient []Complies Requirement will be met.
[FI3411 lighting system, or on-site supply of ❑Does Not
renewable energy consistent with []Not
Location on plans/spec:A-1
what is shown the approved plans. ❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 1 Medium Impact filer 2) 3 1 Low Impact(Tier 3)
Project Title: New Facility Report date: 1026/16
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Project Title: New Facility Report date: 1026/16
Data filename: Y:\SkyZone Trampoline Park\Const. Dwg's\Skyzone.cck Page 14 of 14
309.13-2-28 CC-000751-2016
SkyZone
235 Corinth Road N�ia.
Commercial New Build 24,689 s.f. 'ILDING COMPANY ACCREDnED
An NCI Company AC472
October 18, 2016 rr��
RUSTY SAUN DERS D 'D " U ft;
1445 SARATOGA ROAD
GANSEVOORT, NY 12831
OCT 27:4201
6
15-B-33953
RUSTY SAUNDERS ,
QUEENSBURY, NY �� COVES
MULTIPLE BUILDINGS ,IILpINQSCVI
To Whom It May Concern:
This is to certify that materials for the subject structure have been designed in
accordance with the order documents, specifically as shown per the attached
Engineering Design Criteria Sheet.
Aspects of code compliance as related to use or occupancy, such as sprinkler
requirements, are not addressed by these documents.
These materials, when properly erected on an adequate foundation in accordance with
the erection drawings as supplied and using the components as furnished, will meet
the attached loading requirements.
This certification does not cover field modifications or the design of materials
not furnished by Metallic Building Systems.
The attached design criteria information is to remain with and form part of this
Letter of Certification.
The calculations and the metal building they represent are the product of Metallic
Building Systems or a division of its affiliate NCI Building Systems. The engineer
whose seal appears hereon is employed by either Metallic Building Systems or a
division of its affiliate NCI Building Systems and is not the engineer of record
for this project.
Subdivision 2 of Section 7209 of the Education Law of The State of New York states
that it is a violation of this law for any person unless he is acting under the
direction of a licensed Professional Engineer, to alter the contents of this
document in any way. If an item bearing the seal of an engineer is altered, the
altering engineer shall affix to the item his seal and the notation haltered by"
followed by his signature and the date of such alteration, and specific description
of the alteration.
Cordially, *.of NEW
Q��� T, oY
Metallic Building systems Oct 18 2016 5:10 PM
Materials for Metal Buildings ajc
An NCI Company
N� 081353_`��,
Jerome T. Adamski, P.E. � SSIO
Division Sales Engineer
15-B-33953 Page ] of 3
I S
BUILDING COMPANY ACCREDITED
An NCI Company AC472
Building Code . . . . . . . . . . . . . . . . . . . . . 2016 NEW YORK
Occupancy Category . . . . . . . . . . . . . . . . Normal (Category II)
Roof Dead Load
Superimposed . . . . . . . . . . . . . . . . . 2.74 psf Bldg A, 2.83 psf Bldg B
Collateral . . . . . . . . . . . . . . . . . . . 5.00 psf Bldg A, 1.00 psf Bldg B
(0.00 psf Ceiling 1.00/5.00 psf other)
Roof Live Load . . . . . . . . . . . . . . . . . . . . 20.00 psf no reduction
Snow
Ground Snow Load (Pg) . . . . . . . . 50.00 psf
Snow Load Importance Factor (I) 1.00
Flat Roof Snow Load (Pf) . . . . . 35.00 psf
Snow Exposure Factor (Ce) . . . . 1.00
Thermal Factor (Ct) . . . . . . . . . . 1.00
Wind
Ultimate Wind Speed (Vult) . . . . . . . . . . . . . 115.00 mph
Nominal Wind Speed (Vasd)..................... 89 mph (IBC section 1609.3.1.)
Serviciability Wind Speed . . . . . . . . . . . . . 76 mph
Wind Importance Factor (I) . . . 1.00
Wind Exposure Category . . . . . . . C
Internal Pressure Coef (GCpi) 0.18/-0.18
Loads for components not provided by building manufacturer
Bldg A
Corner Areas (within 9.73' of corner) 29.21 psf pressure -38.94 psf suction
Other Areas 29.21 psf pressure -31.64 psf suction
Bldg B
Corner Areas (within 3.00' of corner) 26.39 psf pressure -35.48 psf suction
Other Areas 26.36 psf pressure -28.7 psf suction
These values are the maximum values required based on a 10 sq ft area.
Components with larger areas may have lower wind loads.
Seismic
Seismic Importance Factor (Ie) 1.00
Seismic Design Category . . . . . . B
Soil Site Class . . . . . . . . . . . . . . D Stiff Soil
Ss . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.240 g Sds . . . . . 0.256 g
S1 . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.060 g Shc . . . . . 0.096 g
Analysis Procedure . . . . . . . . . . . Equivalent Lateral Force
Column Line All
Basic Force Resisting System H
Response Modification Coefficient (R) 3.00
Seismic Response Coefficient (Cs) 0.08
Design Base Shear in kips (V) 33.45 Bldg A
0.51 Bldg B
Basic Structural System (from ASCE 7-05 Table 12.2-1)
H - Steel System not Specifically Detailed for Seismic Resistance
15-B-33953 Page 2 of 3
MEN
BUILDING COMPANY ACCNEWED
An NCI Company AC472
The material supplied by the manufacturer has been designed with
the following minimum deflection criteria. The actual deflection
may be less depending on actual load and actual member length.
The frame sidesway for wind loading is based on ASCE 7 commentary
equation CC-3 of 0.7W. The limits shown are at service loads unless
indicated otherwise.
BUILDING DEFLECTION LIMITS. . . : BLDG-A-B
Roof Limits Rafters Purlins Panels
Live L/ 180 150 60
Snow L/ 180 180 60
Wind L/ 180 180 60
Total Gravity L/ 120 120 60
Total Uplift L/ N/A N/A 60
Frame Limits Sidesway Portal Frame Sidesway
Live H/ 60
Snow H/ 60
Wind H/ 60
Seismic Drift H/ 40 40
Crane H/ 100
Total Wind H/ 60 60
Total Gravity H/ 60
Service Seismic H/ 50 50
Wall Limits Limit
Total Wind Panels L/ 60
Total Wind Girts L/ 90
Total Wind EW Columns L/ 120
The Service Seismic limit as shown here is at service level loads.
15-B-33953 Page 3 of 3
FIRE MARSHAL'S OFFICE
Toenn of Queensbury
742 Bay Road, Queensbury, NY 12804
" Horne of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
SkyZone
235 Corinth Road
22,500sf, A3 , persons
CO-000 -2016
Plan review based on submittals:
• Provide layout of exit / emergency lighting. Additional may be required
at time of inspection based on layout
• Verify FE location and inspection
• Verify aisles / Storage requirements
• Carbon monoxide detection required and must transmit to Central
Station. Provide for internal notification device(s)
• Verify compliant locks / latches— Panic hardware required
• Knox Box required on exterior
• An automatic fire alarm system is required. Full submittals including a
layout, specification sheets for all equipment and appliances is required
prior to construction. NOTE: duct detection is not required if HVAC
units are under 2000cfm and / or if area smoke detection is in the space
and shuts down the HVAC units on activation.
• An NFPA compliant sprinkler system is required. A layout and
hydraulic calculations to be submitted prior to installation
• Owner needs to provide total occupant load information
• Owner to provide information on kitchen layout and appliances
• Provide flame /smoke spread ratings for internal finish materials
4<2 --S :L
Michael J Palmer
Fire Marshal's Office • Phone: 518-761-8206 • Fax: 518-745-4437
fireniarslml@aueensbund.net • zuw:v.queensbunt.net
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fi r e M a r s h a l's Off i c e • P It o it e: 518-761-8206 F a x: 518-745-4437
firenmrslml fteensbuni.net • w7umqueensbunl net
GC• -um-91-7101le
evergreen
TESTING&ENVIRONMENTAL SERVICES, INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth &Sons REPORT NO: E-16-114-11-14-16
CONTRACTOR: Ellsworth&Sons CONCRETE SUPPLIER:Jointa Galusha DATE: 11-14-16
LOCATION: Footings from±G4 to±G7 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Conc. Mix No.
No. No. No. Yards Batched Start Empty Agg. Added: Total Design (in.) Temp Air Temp. Set No.
Plant Total Remarks
+Field
1 816832 4902 8.0 1015 1035 1110 3.0 6.6 73 1 3000 Set 1 of 6 c Is
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:AS
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:Brad of
Ellsworth&Sons
1 8467 11-15-16 11-21-16 145.2 7 2830 Transported By:AS
8468 11-21-16 145.2 7 2940
8469 12-12-16 145.2 28 3850 Remarks:CTW
8470 12-12-16 145.4 28 4000
8471 145.4 H Weather:Sunny
8472 145.4 H
Specification at 28 Days: 3K Average 28 Day Strength: 3930 Average 56 Day Strength:
CG-coo�51-zo�tQ
evergreen
TESTING&ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth &Sons REPORT NO: E-16-114-11-17-16
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER:Jointa Galusha DATE: 11-17-16
LOCATION: Foundation wall from t A3 to±C7 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Conc. Mix No.
No. No. No. Yards Batched Start Empty Agg. Added: Total Design (in.) Temp Air Temp. Set No.
Plant Total Remarks
+Field
Set 1 of 6 c Is
CONTRACTOR MADE
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:Contractor
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:N/A
1 8760 11-18-16 11-24-16 143.4 7 2670 Transported By:AS
8761 11-24-16 146.0 7 2730
8762 12-15-16 144.9 28 3570 Remarks: Contractor made
8763 12-15-16 144.9 28 3640
8764 144.9 H Weather: N/A
8765 144.9 H
Specification at 28 Days: 3K Average 28 Day Strength: 3610 Average 56 Day Strength:
C.-C. -00oaN3 -2-Ok p
CONSTRUCTION TECHNOLOGY
4 William Street,Ballston Lake,New York 12019
Phone:(518)399-1848 Fax:(518)399-1913
CLIENT: ABAR CONSTRUCTION,INC. REPORT NUMBER: 1 :PAGE#: 1
225 OLD LOUDON ROAD INSPECTION DATE: 06/07/16
LATHAM,NEW YORK 12110 OUR FILE NUMBER: 1470.003
INSPECTOR&TEST SET: BRYAN CASAW #12
ATT'N: MS.TRACY BOCHENEK AMBIENT WEATHER: 70's:P.CLOUDY
PROJECT: ADIRONDACK REHABILITATION MEDICINE:17 MAIN ST,OUEENSBURY,NY. OUR FILE LOCATION: 166022
CONCRETE FIELD INSPECTION & COMPRESSION TEST RESULTS
PLACEMENT LOCATION OF LOAD# 1 : FOOTING:WEST WALL;NORTH WALL,WEST HALF
DELIVERED LOAD NUMBER: 1
TRUCK NUMBER/TICKET NUMBER: 184/ 1829967
YARDAGE DELIVERED/SUBTOTAL: 7.50/ 7.50
TIMECONC. BATCHED/ARRIVED: 2.39/ 2.45
TIME PLACEMENT BEGAN/ENDED: 2.55/ 4.0D
CONCRETE AGE(HOURS) (SPEC: MAX: 1.50) 1.35
SLUMP ON ARRIVAL (INCHES): 6.00
WATER ADDED ONSITE(GALLONS):
WATER ADDED AT DISCRETION OF:
SLUMP OF CONCRETE INTO PUMP: IF APPLICABLE:
PLACEMENT SLUMP(INCH) (SPEC: - 5.00) 6.00 1
ENTRAINED AIR (Y VOL) (SPEC: 4.00- 7.00) 6.60
UNIT WEIGHT (PCF) (SPEC: - ) 143.78
CONCRETE TEMP. (F) (SPEC: 45 - 90) 74
NUMBER OF TEST SPECIMEN CAST: 6
LAB CYLINDER CONTROL NUMBERS 166022- 166027
DISCREPANCIES&REMARKS: 1:CONTRACTOR NOTIFIED:LOAD 1:SLUMP
UNLESS NOTED ALL TESTING IAW: ASTM: C31, C138, C143, C172, C173, C231, C470, C567, C617, C1064
CONCRETE SUPPLIER: CRANESVILLE BLOCK COMPANY CONCRETE TEST CYLINDER COMPRESSIVE RESULTS PER: ASTM:C39
DESIGN STRENGTH&FORMULA: 3000 P.S.I.@ 28 DAYS UNLESS OTHERWISE NOTED ALL CYLINDERS RECEIVED: 06/08/16
CEMENT: LBS. CYLINDER TEST TESTAGE ULTIMATE UNIT
CEMENT: LBS. NUMBER DATE DAYS APPLIED LOAD P.S.I.
WATER: GAL.
COARSE AGGREGATE#1: LBS. 166022 06/14/16 7 19,000 1510
COARSE AGGREGATE#2: LBS. 166023 06/14/16 7 21,150 1680
COARSE AGGREGATE#3: LBS. 166024 07/05/16 28 32,600 2600
FINE AGGREGATE: LBS. 166025 07/05/16 28 31,450 2500
ADMIXTURE#1: OZS. 166026 08/02/16 56 39,750 3160
ADMIXTURE#2: OZS. 166027 SPARE
ADMIXTURE#3: OZS.
AIR ENTRAINING AGENT: OZS.
REPORT DISTRIBUTION:
1:FILE 5:
2:SUPPLIER 6:
3: 7:
4: 8:
RESPECTFULLY SUBMITTED,
CONSTRUCTION TECHNOLOGY
e —A.,
TOM JOSLIN,S.E.T. (NICET)
MANAGER TECHNICAL SVCS.
CONSTRUCTION TECHNOLOGY
4 William Street,Ballston Lake.New York 12019
Phone:(518)399-1848 Fax:(518)399-1913
CLIENT: ABAR CONSTRUCTION,INC. REPORT NUMBER: 2 :PAGE#: 1
225 OLD LOUDON ROAD INSPECTION DATE: 06/10/16
LATHAM,NEW YORK 12110 OUR FILE NUMBER: 1470.003
INSPECTOR&TEST SET: PETE DUNHAM #9
ATT'N: MS.TRACY BOCHENEK AMBIENT WEATHER: 70's:CLEAR
PROJECT: ADIRONDACK REHABILITATION MEDICINE:17 MAIN ST OUEENSBURY,NY. OUR FILE LOCATION: 166130
CONCRETE FIELD INSPECTION & COMPRESSION TEST RESULTS
PLACEMENT LOCATION OF LOAD# 1 : FOUNDATION WALL:WEST WALL;NORTH WALL,WEST HALF
DELIVERED LOAD NUMBER: 1
TRUCK NUMBER/TICKET NUMBER: 469/ 183022
YARDAGE DELIVERED/SUBTOTAL: 8.50/ 7.50
TIME CONC. BATCHED/ARRIVED: 3.45/ 3.50
TIME PLACEMENT BEGAN/ENDED: 4.00/ 4.55
CONCRETE AGE(HOURS) (SPEC: MAX: 1.50) 1.17
SLUMP ON ARRIVAL (INCHES): 5.00
WATER ADDED ONSRE(GALLONS):
WATER ADDED AT DISCRETION OF:
SLUMP OF CONCRETE INTO PUMP: IF APPLICABLE:
PLACEMENT SLUMP(INCH) (SPEC: - 5.00) 5.00
ENTRAINED AIR I%VOL) (SPEC: 4.00- 7.00) 5.80
UNIT WEIGHT (PCF) (SPEC: - ) 146.47
CONCRETE TEMP. (F) (SPEC: 45 - 90) 76
NUMBER OF TEST SPECIMEN CAST: 6
LAB CYLINDER CONTROL NUMBERS 166130- 166135
DISCREPANCIES&REMARKS:
UNLESS NOTED ALL TESTING JAW: ASTM: C31, C138, C143, C172, C173, C231, C470, C567, C617, C1064
CONCRETE SUPPLIER: CRANESVILLE BLOCK COMPANY CONCRETE TEST CYLINDER COMPRESSIVE RESULTS PER: ASTM:C39
DESIGN STRENGTH&FORMULA: 3000 P.S.I.@ 28 DAYS UNLESS OTHERWISE NOTED ALL CYLINDERS RECEIVED: 06/13/16
CEMENT: LBS. CYLINDER TEST TESTAGE ULTIMATE UNIT
CEMENT: LBS. NUMBER DATE DAYS APPLIED LOAD P.S.I.
WATER: GAL.
COARSE AGGREGATE#I: LBS. 166130 06/17/16 7 24,700 1970
COARSE AGGREGATE#2: LBS. 166131 06/17/16 7 25,150 2000
COARSE AGGREGATE#3: LBS. 166132 07/08/16 28 34,500 2750
FINE AGGREGATE: LBS. 166133 07/08/16 28 36,100 2870
ADMIXTURE#1: OZS. 166134 08/05/16 56 39,250 3130
ADMIXTURE#2: OZS. 166135 SPARE
ADMIXTURE#3: OZS.
AIR ENTRAINING AGENT: OZS.
REPORT DISTRIBUTION:
1:FILE 5:
2:SUPPLIER 6:
3: 7:
4: 8:
RESPECTFULLY SUBMITTED,
CONSTRUCTION TECHNOLOGY
-7-1"-
TOM JOSLIN,S.E.T. (NICET)
MANAGER TECHNICAL SVCS.
CONSTRUCTION TECHNOLOGY
4 William Street,Ballston Lake,New York 12019
Phone:(518)399-1848 Fax:(518)399-1913
CLIENT: ABAR CONSTRUCTION,INC. REPORT NUMBER: 3 :PAGE#: 1
225 OLD LOUDON ROAD INSPECTION DATE: 06/18/16
LATHAM,NEW YORK 12110 OUR FILE NUMBER: 1470.003
INSPECTOR&TEST SET: PETE DUNHAM 49
ATT'N: MS.TRACY BOCHENEK AMBIENT WEATHER: 50/60's:CLEAR
PROJECT: ADIRONDACK REHABILITATION MEDICINE:17 MAIN ST,OUEENSBURY,NY. OUR FILE LOCATION: 166363
CONCRETE FIELD INSPECTION & COMPRESSION TEST RESULTS
PLACEMENT LOCATION OF LOAD# 1 SLAB ON GRADE:SW QUARTER
PLACEMENT LOCATION OF LOAD# 2 : SLAB ON GRADE:NW QUARTER
PLACEMENT LOCATION OF LOAD# 3 : SLAB ON GRADE:BE QUARTER
DELIVERED LOAD NUMBER: 1 2 3
TRUCK NUMBER/TICKET NUMBER: 462/ 1830094 184 / 1830096 192 / 1830097
YARDAGE DELIVERED/SUBTOTAL: 10.00/ 10.00 10.00 / 20.00 10.00 / 30.00
TIME CONIC. BATCHED/ARRIVED: 7.48/ 7.52 8.20 / B.25 8.45 / 8.46
TIME PLACEMENT BEGAN/ENDED: 7.571 8.12 8.30 / 8.46 8.49 / 9.00
CONCRETE AGE(HOURS) (SPEC: MAX: 1.50) 0.40 0.43 0.25
SLUMP ON ARRIVAL (INCHES): 6.00 6.50 6.25
WATER ADDED ONSITE(GALLONS):
WATER ADDED AT DISCRETION OF:
SLUMP OF CONCRETE INTO PUMP: IF APPLICABLE:
PLACEMENT SLUMP(INCH) (SPEC: - 5.00) 6.00 1 6.50 1 6.25 1
ENTRAINEDAIR (%VOL) (SPEC: - 3.00) 2.00
UNIT WEIGHT (PCF) (SPEC: - ) 143.44
CONCRETE TEMP. (F) (SPEC: 45 - 90) 79 81 80
NUMBER OF TEST SPECIMEN CAST: 6
LAB CYLINDER CONTROL NUMBERS 166363- 166368
DISCREPANCIES Is REMARKS: 1:CONCRETE SLUMP IS AFTER PLASTICIZER ADDITION.
UNLESS NOTED ALL TESTING IAW: ASTM: C31, C138, C143, C172, C173, C231, C470, C567, C617, C1064
CONCRETE SUPPLIER: CRANESVILLE BLOCK COMPANY CONCRETE TEST CYLINDER COMPRESSIVE RESULTS PER: ASTM:C39
DESIGN STRENGTH&FORMULA: 4000 P.S.I.@ 28 DAYS UNLESS OTHERWISE NOTED ALL CYLINDERS RECEIVED: 06/20/16
CEMENT: LBS. CYLINDER TEST TEST AGE ULTIMATE UNIT
CEMENT: LBS. NUMBER DATE DAYS APPLIED LOAD P.S.I.
WATER: GAL.
COARSE AGGREGATE#1: LBS. 166363 06/25/16 7 45,250 3600
COARSE AGGREGATE#2: LBS. 166364 06/25/16 7 46,700 3720
COARSE AGGREGATE#3: LBS. 166365 07/16/16 28 57,100 4550
FINE AGGREGATE: LBS. 166366 07/16/16 28 64,750 4360
ADMIXTURE#1: OZS. 166367 07/16/16 28 55,600 4430
ADMIXTURE#2: OZS. 166368 SPARE
ADMURURE#3: OZS.
AIR ENTRAINING AGENT: OZS.
REPORT DISTRIBUTION:
1:FILE 5:
2:SUPPLIER 6:
3: 7-
4: 8:
RESPECTFULLY SUBMITTED,
CONSTRUCTION TECHNOLOGY
TOM JOSLIN,S.E.T. (NICET)
MANAGER TECHNICAL SVCS.
CONSTRUCTION TECHNOLOGY
4 Williatn Street,Ballston lake,New York 12019
Phone:(518)399-1848 Fax:(518)399-1913
CLIENT: ABAR CONSTRUCTION,INC. REPORT NUMBER: 3 :PAGE#:2
225 OLD LOUDON ROAD INSPECTION DATE: 06/18/16
LATHAM.NEW YORK 12110 OUR FILE NUMBER: 1470.003
INSPECTOR&TEST SET: PETE DUNHAM #9
ATT'N: MS.TRACY BOCHENEK AMBIENT WEATHER: 50/60's:CLEAR
PROJECT: ADIRONDACK REHABILITATION MEDICINE:17 MAIN ST,QUEENSBURY,NY. OUR FILE LOCATION:
CONCRETE FIELD INSPECTION & COMPRESSION TEST RESULTS
PLACEMENT LOCATION OF LOAD# 4 : SLAB ON GRADE:NE QUARTER
DELIVERED LOAD NUMBER: 4
TRUCK NUMBER/TICKET NUMBER: 462/ 1830098
YARDAGE DELIVERED/SUBTOTAL: 10.00/ 40.00
TIME CONC. BATCHED/ARRIVED: 8.54/ 8.57
TIME PLACEMENT BEGAN/ENDED: 9.041 9.18
CONCRETE AGE(HOURS) (SPEC: MAX: 1.50) 0.40
SLUMP ON ARRIVAL (INCHES): 6.00
WATER ADDED ONSITE(GALLONS):
WATER ADDED AT DISCRETION OF:
SLUMP OF CONCRETE INTO PUMP: IF APPLICABLE:
PLACEMENT SLUMP(INCH) (SPEC: - 5.00) 6.00 1
ENTRAINED AIR (%VOL) (SPEC: - 3.00)
UNIT WEIGHT (PCF) (SPEC: - )
CONCRETE TEMP. (F) (SPEC: 45 - 90) 80
NUMBER OF TEST SPECIMEN CAST:
LAB CYLINDER CONTROL NUMBERS
DISCREPANCIES&REMARKS: 1:CONCRETE SLUMP IS AFTER PLASTICIZER ADDITION.
UNLESS NOTED ALL TESTING IAW: ASTM: C31, C138, C143, C172, C173, C231, C470, C567, C617, C1064
CONCRETE SUPPLIER: CRANESVILLE BLOCK COMPANY CONCRETE TEST CYLINDER COMPRESSIVE RESULTS PER: ASTM:C39
DESIGN STRENGTH&FORMULA: 4000 P.S.I.C&28 DAYS UNLESS OTHERWISE NOTED ALL CYLINDERS RECEIVED: 06/20/16
CEMENT: LBS. CYLINDER TEST TEST AGE ULTIMATE UNIT
CEMENT: LBS. NUMBER DATE DAYS APPLIED LOAD P.S.I.
WATER: GAL.
COARSE AGGREGATE#1: LBS.
COARSE AGGREGATE#2: LBS.
COARSE AGGREGATE#3: LBS.
FINE AGGREGATE: LBS.
ADMIXTURE#1: OZS.
ADMIXTURE#2: OZS.
ADMIXTURE#3: OZS.
AIR ENTRAINING AGENT: OZS.
REPORT DISTRIBUTION:
1:FILE 5:
2:SUPPLIER 6:
3: 7:
4: 8:
RESPECTFULLY SUBMITTED,
CONSTRUCTION TECHNOLOGY
A-1-
TOM JOSLIN,S.E.T. (NICET)
MANAGER TECHNICAL SVCS.
c_C - oop`i51 - ZoI �
RUCINSKI HALL ARCHITECTURE
Ronald Richard Rucinski
Ethan Peter Hall
L�
134 Dix Avenue
Glens Falls NY 12801
Voice 518 741-0268
Fax 518 741-0274
Email ephall@nycap.rr.com
SkyZone Trampoline Park—Corinth Road
To: John O'Brien —Town of Queensbury—Code Enforcement
From: Ethan Hall
Date: 27 June, 2017
Re: COM-Check Sign-off
At the above referenced project location this office has performed site observations during the
construction process regarding the installation and adherence to the requirements of the Energy
Code Compliance Certificate that was generated for the project. All items appear to have been
installed in accordance with the requirements set forth in the Compliance certificate paperwork and
are acceptable to this office.
We understand that the final blower door testing is being completed and those results will be
provided to the Code Enforcement Office once it has been completed.
Please let me know if there are any additional items of concern.
Regards,
Eth eter Hall
Architect
Y:1SkyZonc Trmnpoline PnrklPapemorA\Transminal-27 June 2017.doc 1
RUCINSKI HALL ARCHITECTURE
Ronald Richard Rucinski
Ethan Peter Hall �5
D
134 Dix Avenue
Glens Falls NY 12801
Voice 516 741-0268
Fax 518 741-0274
Email ephall@nycap.rr.com
SkyZone Trampoline Park—Corinth Road
To: John O'Brien —Town of Queensbury—Code Enforcement
From: Ethan Hall
Date: 26 June, 2017
Re: Final Building Sign-off
At the above referenced project location this office has performed periodic site observations during
the construction process and has been made aware of all revisions to the building design during
construction. All items appear to have been installed in accordance with the design drawings and
in coordination with discussions with the contractor during the construction process. All items are
acceptable to this office.
We understand that there was a list of outstanding items that have been completed since our last
site visit on the 201 of June and that the Owner will be seeking a certificate of occupancy this week.
All items have been addressed to our satisfaction and are acceptable to this office.
Please let me know if there are any additional items of concern.
Regards, /
Ethan Peter Hall
Architect
YaSkyZonc Trampoline Park\Papemork\Transmival-26 June 2017.doc
riit.
PAKATAR
GROUP, LLC
June 23,2017
Rusty Saunders
235 Corinth Road
Queensbury, NY 12804
RE: Energy Code Compliance Testing Verification
PROECT:SkyZone, 235 Corinth Road,Queensbury
PERMIT#: NA
Dear Mr.Saunders,
As per your request we have conducted the following Energy Code Compliance Inspections and/or tests.
❑ Thermal Bypass Inspection, prior to insulation installation
❑ Duct Tightness Testing when applicable
® Infiltration and Air Leakage Testing(Blower Door Test)
The purpose of our testing/inspections are to provide independent verification of as built conditions as
they specifically relate to the applicable version of the adopted energy code. We are not in any way
responsible for the means, methods, materials or equipment used in constructing this Commercial
Building and make no warranty as to their suitability for such.
Our testing and/or inspections are in accordance with the applicable version of the International Energy
Conservation Code,ASTM Testing Protocols, Building Performance Institute Standards,and Resnet
Standards for these tests/inspections.
Equipment used for this report includes:
✓ Retrotec Blower Door, Model#5101
✓ Flir Infrared Imager Model C2
All equipment used for these testing/inspections have current and valid calibrations as specified by the
manufacturer.
27 Cohoes Road Watervliet,New York 12189 1518.874.1604 1 Fax 212.73 1.033721 www lhenakatarerouo.com
All technicians completing this work hold current and valid certifications as noted on the report
documents.
The following data was obtained during testing on lune 22,2017:
Building Size: 100'x225'+/-
Eave Height: 24+/-' Peak Height:27+/-'
Envelope Properties: Walls: 15,538SF
Roof: 22,230 SF
Total: 37,768 SF
Allowed Infiltration: 0.40cfm/sf or 15,107cfm at 75 PA
Confirmed Actual Infiltration:0.22cfm/sf or 8,360cfm at 75 PA
Based on our confirmed testing your commercial building is in compliance with 2015 Energy
Conservation Construction Code,Section C402.5 Air Leakage-thermal envelope.
Thank you for choosing The Pakatar Group, LLC for your energy consulting needs.
Respectfully submitted,
The Pakatar Group, LLC
By:
G� 6eV4;�
Arthur C, Pakatar, LEED GA,CEA
• , I
CONSTRUCTION TECHNOLOGY
INSPECTION&TESTING DIVISION,P.D.&T.S.,INC.
4 William Street,Ballston Lake,New York 12019
Phone:(518)399-1848 Fax:(518)399-1913
CLIENT: MR. RUSTY SAUNDERS REPORT NUMBER: 1 : PAGE 1
168 REYNOLDS ROAD INSPECTION DATE: 06/21/17
FT.EDWARD,NEW YORK 12828 OUR FILE NUMBER: 1642.001
FIELD INSPECTOR: PETE DUNHAM
ATTN: MR.RUSTY SAUNDERS
PROJECT: SKYZONE:235 CORINTH ROAD,QUEENSBURY, NEW YORK
REINFORCING, STRUCTURAL & LIGHT GAUGE STEEL :: FIELD OBSERVATION REPORT
SPECIFICATION FOR BOLTED CONNECTIONS: AISC:AMERICAN INSTITUTE OF STEEL CONSTRUCTION
SPECIFICATION FOR COLUMN PLUMBNESS: AISC:AMERICAN INSTITUTE OF STEEL CONSTRUCTION
SPECIFICATION FOR FIELD WELDING: AWS:STRUCTURAL WELDING CODE-STEEL(A.W.S.D1.1)
SPECIFICATION FOR CONCRETE REINFORCEMENT: CRSI:CONCRETE REINFORCING STEEL INSTITUTE
COLUMN LOCATION/ COLUMN THREADED
LINE ELEVATION ACCESSORIES PLUMBNESS FASTENERS REMARKS:
ITEM: 1
COULINE ANCHOR BOLT THREADED FASTENERS
A/G CO)177 ANCHOR BOLTS ACCEPTABLE INSTALLED AND PROPERLY TENSIONED.
A9/C @ 7/8
ITEM: 2
COULINE ROOF FRAMING ACCEPTABLE COLUMNS PLUMBED TO WITHIN 1:500.
AIG @ V7
A9/C @ 7/8
REM: 3
COULINE RAFTER SPLICE CONNECTOR BOLTS
AIG @1/7 ROOF ACCEPTABLE
INSTALLED AND TENSIONED TO SNUG-TIGHT.
ITEM: 4
COULINE RAFTER TO COLUMN CONNECTOR BOLTS
AIG @ 1/7 ROOF ACCEPTABLE
INSTALLED AND TENSIONED TO SNUG-TIGHT.
ITEM: 5
COULINE BAR JOIST TO RAFTER CONNECTOR BOLTS
AIG @ 1/7 ROOF ACCEPTABLE INSTALLED AND TENSIONED TO SNUG-TIGHT.
REPORT DISTRIBUTION: RESPECTFULLY SUBMITTED,
I:FILE 5: CONSTRUCTION TECHNOLOGY
2: 6: r7._ d'°O'/ &
3: 7: TOM JOSLIN,S.E.T.(NICET)
4: 8: MANAGER TECHNICAL SERVICES
CONSTRUCTION TECHNOLOGY
INSPECTION&TESTING DIVISION,P.D.&T.S.,INC.
4 William Street,Ballston Lake,New York 12019
Phone:(518)399-1848 Fax: (518)399-1913
CLIENT: MR. RUSTY SAUNDERS REPORT NUMBER: 1 : PAGE 2
168 REYNOLDS ROAD INSPECTION DATE: 06/21/17
FT.EDWARD,NEW YORK 12828 OUR FILE NUMBER: 1642.001
FIELD INSPECTOR: PETE DUNHAM
ATTN: MR.RUSTY SAUNDERS
PROJECT: SKYZONE:235 CORINTH ROAD,QUEENSBURY, NEW YORK
REINFORCING, STRUCTURAL & LIGHT GAUGE STEEL :: FIELD OBSERVATION REPORT
SPECIFICATION FOR BOLTED CONNECTIONS: AISC:AMERICAN INSTITUTE OF STEEL CONSTRUCTION
SPECIFICATION FOR COLUMN PLUMBNESS: AISC:AMERICAN INSTITUTE OF STEEL CONSTRUCTION
SPECIFICATION FOR FIELD WELDING: AWS:STRUCTURAL WELDING CODE-STEEL(A.W.S.D1.1)
SPECIFICATION FOR CONCRETE REINFORCEMENT: CRSI:CONCRETE REINFORCING STEEL INSTITUTE
COLUMN LOCATION/ COLUMN THREADED
LINE ELEVATION ACCESSORIES PLUMBNESS FASTENERS REMARKS:
ITEM: 6
COULINE
A/G @ 1/2 STEEL ROD CROSS-BRACING PROPERLY
A/G@677 HOOF ACCEPTABLE INSTALLED AND TENSIONED.
F.3/G@1/7
A/A.7 @ 1O
REM: 7
COULINE ROOF ACCEPTABLE BAR JOIST BRIDGING PROPERLY INSTALLED.
A/G @1R
REM: 8
COULINE BAR JOIST TO RAFTER BRACE ANGLE
NG @1/7 ROOF ACCEPTABLE CONNECTOR BOLTS INSTALLED AND
TENSIONED TO SNUG-TIGHT.
REM: 9
COULINE SIDE WALL GIRT TO COLUMN AND SPLICE
A/G @ 1/7 SIDE WALL ACCEPTABLE CONNECTOR BOLTS INSTALLED AND
TENSIONED TO SNUG-TIGHT.
A.9/C @ 7/8
REM: 10
COULINE STEEL ROD CROSS-BRACING PROPERLY
SIDE WALL ACCEPTABLE
cn-C/O INSTALLED AND TENSIONED.
A.8/7-A.918
REPORT DISTRIBUTION: RESPEC'T'FULLY SUBMITTED,
1:FILE 5: CO�NSTRUCHON TECHNOLOGY
2: 6: .7.�,ea�.tir
3: 7: TOM JOSLIN,S.E.T.(NICET)
4: 8: MANAGER TECHNICAL SERVICES
CONSTRUCTION TECHNOLOGY
INSPECTION&TESTING DIVISION,P.D.&T.S.,INC.
4 William Street,Ballston Lake,New York 12019
Phone; (518)399-1848 Fax:(518)399-1913
CLIENT: MR. RUSTY SAUNDERS REPORT NUMBER: 1 : PAGE 3
168 REYNOLDS ROAD INSPECTION DATE: 06/21/17
FT.EDWARD,NEW YORK 12828 OUR FILE NUMBER: 1642.001
FIELD INSPECTOR: PETE DUNHAM
ATTN: MR.RUSTY SAUNDERS
PROJECT: SKYZONE:235 CORINTH ROAD,OUEENSBURY, NEW YORK
REINFORCING, STRUCTURAL & LIGHT GAUGE STEEL :: FIELD OBSERVATION REPORT
SPECIFICATION FOR BOLTED CONNECTIONS: AISC:AMERICAN INSTITUTE OF STEEL CONSTRUCTION
SPECIFICATION FOR COLUMN PLUMBNESS: AISC:AMERICAN INSTITUTE OF STEEL CONSTRUCTION
SPECIFICATION FOR FIELD WELDING: AWS:STRUCTURAL WELDING CODE-STEEL(A.W.S.D1.1)
SPECIFICATION FOR CONCRETE REINFORCEMENT: CRSI:CONCRETE REINFORCING STEEL INSTITUTE
COLUMN LOCATION/ COLUMN THREADED
LINE ELEVATION ACCESSORIES PLUMBNESS FASTENERS REMARKS:
ITEM: 11
COULINE ANCHOR BOLT THREADED FASTENERS
A.1/B.5 @ 3.7/5.8 MEZZANINE ACCEPTABLE INSTALLED AND PROPERLY TENSIONED.
ITEM: 12
COULINE MEZZANINE ACCEPTABLE COLUMNS PLUMBED TO WITHIN 1:500.
A.1/B.5 @ 3.7/5.8
ITEM: 13
COIJUNE MEZZANINE ACCEPTABLE COLUMN TO BEAM CONNECTOR BOLTS
A.1 1B.5 @ 3.7/5.8 INSTALLED AND TENSIONED TO SNUG-TIGHT.
ITEM: 14
COULINE MEZZANINE ACCEPTABLE BAR JOISTS PROPERLY INSTALLED AND END
A.1/B.5@ 3.7/5.8 WELDED TO SUPPORT MEMBERS.
ITEM: 15
COULINE METAL DECK INSTALLED WITH PROPER WELD
A7/BS @3.7/5.8 MEZZANINE ACCEPTABLE PATTERN.SIDE LAP SCREWS INSTALLED.
REPORT DISTRIBUTION: RESPECTFULLY SUBMITTED,
1:FILE is CONSTRUCTION TECHNOLOGY
2: 6: r/ .3"
3: 7: TOM IOSLIN,S.E.T.INICET)
4: 8: MANAGER TECHNICAL SERVICES
CONSTRUCTION TECHNOLOGY
INSPECTION&TESTING DIVISION,P.D.&T.S.,INC.
4 William Street,Ballston Lake,New York 12019
Phone: (518)399-1848 Fax:(518)399-1913
CLIENT: MR. RUSTY SAUNDERS REPORT NUMBER: 1 : PAGE 4
168 REYNOLDS ROAD INSPECTION DATE: 06/21/17
FT.EDWARD,NEW YORK 12828 OUR FILE NUMBER: 1642.001
FIELD INSPECTOR: PETE DUNHAM
ATTN: MR.RUSTY SAUNDERS
PROJECT: SKYZONE:235 CORINTH ROAD,QUEENSBURY, NEW YORK
REINFORCING, STRUCTURAL & LIGHT GAUGE STEEL :: FIELD OBSERVATION REPORT
SPECIFICATION FOR BOLTED CONNECTIONS: AISC:AMERICAN INSTITUTE OF STEEL CONSTRUCTION
SPECIFICATION FOR COLUMN PLUMBNESS: AISC:AMERICAN INSTITUTE OF STEEL CONSTRUCTION
SPECIFICATION FOR FIELD WELDING: AWS:STRUCTURAL WELDING CODE-STEEL(A.W.S.D1.1)
SPECIFICATION FOR CONCRETE REINFORCEMENT: CRSI:CONCRETE REINFORCING STEEL INSTITUTE
COLUMN LOCATION/ COLUMN THREADED
LINE ELEVATION ACCESSORIES PLUMBNESS FASTENERS REMARKS:
ITEM: 16
COULINE MEZZANINE SIDE STEEL ROD CROSS-BRACING PROPERLY
8.5/5.5-B.5/5.8
WALL ACCEPTABLE INSTALLED AND TENSIONED.
ITEM: 17
COULINE SIDE WALL ACCEPTABLE SIDE WALL GIRT TO COLUMN BRACE ANGLES
NG @ 1!7 INSTALLED.
ITEM: 18
ITEM: 19
ITEM: 20
REPORT DISTRIBUTION: RESPECTFULLY SUBMITTED,
1;FILE 5: CONSTRUCTION TECHNOLOGY
2: 6: Z.',aal:r
3; 7: TOM JOSLIN,S.E.T.(NICET)
4; g; MANAGER TECHNICAL SERVICES
ALBANY MECHANICAL SERVICES INC. RTU-1
15 Albany Ave PROJECT:SKY ZONE
Green Island,NY 12183
Office:(518)273-5541 TESTED BY: Mike Morrow DATE:6/19/17
Fax:(518)273-3597 RTU-1
DESIGN INITIAL INTERMEDIATE FINAL
NO. LOCATION SIZE MODEL AK VEL CFM VEL CFM VEL CFM VEL CFM
1 MAIN FLOOR 2OX14 WMS 2400 2230 2350 2370
2 MAIN FLOOR 20X14 WMS 2400 2530 2410 2390
SUPPLY TOTALS 4800 4760 4760 4760
Return Grills Return air total 2960 2910 3020 2940
Ventilation OSA 1840 18501 1 1740 1820
ALBANY MECHANICAL SERVICES INC. RTU-2
15 Albany Ave PROJECT:SKY ZONE
Green Island,NY 12183
Office:(518)273-5541 TESTED BY:Mike Morrow DATE:6/19/17
Fax:(518)273-3597 RTU-2
DESIGN INITIAL INTERMEDIATE FINAL
NO. LOCATION SIZE MODEL AK VEL CFM VEL CFM VEL CFM VEL CFM
1 MAIN FLOOR 20X14 WMS 2400 2350 2360 2360
2 MAIN FLOOR 2OX14 WMS 2400 2375 2365 2365
SUPPLY TOTALS 4800 4725 4725 4725
Return Grills Return air total 2960 2785 2855 2855
Ventilation OSA 18401 1940 1870 1870
ALBANY MECHANICAL SERVICES INC. RTU-3
15 Albany Ave PROJECT:SKY ZONE
Green Island,NY 12183
Office:(S18)273-5541 TESTED BY:Mike Morrow DATE:6/19/17
Fax:(518)273-3597 RTU-3
DESIGN INITIAL INTERMEDIATE FINAL
NO. LOCATION SIZE MODEL AK VEL CFM VEL CFM VEL CFM VEL CFM
1 MAIN FLOOR 20X14 WMS 2400 2200 2360 2360
2 MAIN FLOOR 20X14 WMS 2400 2520 2365 2365
SUPPLY TOTALS 4800 4720 4725 4725
Return Grills Return air total 2960 3220 2985 2945
Ventilation OSA 1840 IS001 1740 1780
ALBANY MECHANICAL SERVICES INC. RTU-4
15 Albany Ave PROJECT:SKY ZONE
Green Island,NY 12183
Office:(518)273-5541 TESTED BY:Mike Morrow DATE:6/19/17
Fax:(518)273-3597 RTU-4
DESIGN INITIAL INTERMEDIATE FINAL
NO. LOCATION SIZE MODEL AK VEL CFM VEL CFM VEL CFM VEL CFM
1 MAIN FLOOR 20X14 WMS 2400 2100 2360 2360
2 MAIN FLOOR 20X14 WMS 2400 2610 2365 2365
SUPPLY TOTALS 4800 4710 4725 4725
Return Grills Return air total 2960 2510 2945 2945
Ventilation OSA 18401 2200 1780 1780
ALBANY MECHANICAL SERVICES INC. RTU-5
15 Albany Ave PROJECT:SKY ZONE
Green Island,NY 12183
Office:(518)273-5541 TESTED BY:Mike Morrow DATE:6/19/17
Fax:(518)273-3597 RTU-5
DESIGN INITIAL INTERMEDIATE FINAL
NO. LOCATION SIZE MODEL AK VEL CFM VEL CFM VEL CFM VEL F CFM
1 OFFICE 6 SFTB 150 130 145 145
2 FUEL ZONE 8 SFTB 225 245 230 225
3 FOOD PREP 8 SUB 225 215 220 220
4 MENS ROOM 8 SFTB 220 190 210 200
5 WOMNS 8 SFTB 220 185 200 210
6 PARTY ROOM 8 SFTB 250 260 24S 240
7 PARY ROOM 8 SFTB 2501 2401 255 255
8 MECH 6 SUB 1 1501 1651 1 145 165
6 IT 6 SFTB 1 1501 19ol 175 160
SUPPLY TOTALS 1 18401 18201 1825 1820
Ventilation OSA 10001 850 970 975
evergreen
TESTING&ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone:518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth& Sons REPORT NO: E-16-114-11-8-16
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER: Jointa Galusha DATE: 11-8-16
LOCATION: Foundation wall south wall plus to G-3.0 of west wall and A-3.5 of east wall JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Cono. Mix M.
No. No. No. Yards (in.) Temp Air Temp. Set No.
Batched Start Empty Agg. Added: Total Design
Plant Total Remarks
+Field
1 816716 4903 9.0 1412 1438 1455 5.25 59 5.5 75 30000 Set 1 of 6 c Is
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:AS
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:Brad of
Ellsworth&Sons
1 8232 11-10-16 11-15-16 146.0 7 2750 Transported By:AS
8233 11-15-16 147.2 7 2750
8234 12-6-16 147.0 28 Remarks: Polyheed concrete
8235 12-6-16 146.0 28 tempered water
8236 146.0 H Weather: Mostly sunny
8237 146.7 H
Specification at 23 Days: 3K Average 28 Day Strength: Average 56 Day Strength:
evergreen
TESTING & ENVIRONMENTAL SERVICES, INC.
❑ 594 Broadway Watervliet, New York 12189 Phone: 518-266-0310 Fax: 518-266-9238
❑ PO Box 482 Orchard Park, New York 14127 Phone: 716-649-9474 Fax: 716-648-3521
REINFORCING STEEL INSPECTION REPORT
PROJECT: Skyzone - Queensbury, NY JOB NO. ETE-16-114
CLIENT: Ellsworth & Sons REPORT NO. E-16-114-11-11-16
CONTRACTOR: Ellsworth & Sons DATE: 11-11-16
■ SPREAD FOUNDATION ❑ GRADE BEAM
❑ FOUNDATION WALL ❑ STRUCTURAL SLAB
❑ CLASSIFICATION ❑ OTHER
REFERENCE DRAWINGS : F1 and F2
LOCATION : Footings from A-3 to C-7
■ PROPER BAR SIZE
■ PROPER GRADE STEEL
■ PROPER BAR SPACING
■ PROPER BAR CLEARANCE
■ PROPER SPLICES
■ CONFORMS TO DRAWING
❑ DOES NOT CONFORM
❑ REMARKS
■ FINDINGS REPORTED TO Brad of Ellsworth & Sons
ASTM STANDARD REINFORCING BARS
# 3 - S19 # 6 - S119 # 9 - SI 28 # 14 - S143
#4 - S113 # 7 - SI 22 # 10 - S132 # 18 - SI 57
# 5 - S115 # 8 - SI 25 # 11 - S136
Inspector: AS
evergreen
TESTING&ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth & Sons REPORT NO: E-16-114-11-11-16
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER: Jointa Galusha DATE: 11-11-16
LOCATION: Footings from±A3 to±C7 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Conc. Mix No.
No. No. No. Yards Batched Start Empty Agg. Added: Total Design (in.) Temp Air Temp. Set No.
Plant Total Remarks
+Field
1 816797 1 4565 8.5 1001 1030 1047 5.0 47 6.7 71 3000 Set 1 of 6 c Is
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:AS
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:Brad of
Ellsworth&Sons
1 8349 11-13-16 11-18-16 143.4 7 3030 Transported By:AS
8350 11-18-16 145.7 7 2910
8351 12-9-16 144.4 28 Remarks:CTW
8352 12-9-16 143.9 28
8353 143.7 H Weather: Partly cloudy
8354 143.9 H
Specification at 28 Days: 31K Average 28 Day Strength: Average 56 Day Strength:
evergreen
TESTING&ENVIRONMENTAL SERVICES, INC.
❑ 594 Broadway Watervliet, New York 12189 Phone: 518-266-0310 Fax: 518-266-9238
❑ PO Box 482 Orchard Park, New York 14127 Phone: 716-649-9474 Fax: 716-648-3521
REINFORCING STEEL INSPECTION REPORT
PROJECT: Skyzone - Queensbury, NY JOB NO. ETE-16-114
CLIENT: Ellsworth & Sons REPORT NO. E-16-14-11-114-16
CONTRACTOR: Ellsworth & Sons DATE: 11-14-16
■ SPREAD FOUNDATION ❑ GRADE BEAM
❑ FOUNDATION WALL ❑ STRUCTURAL SLAB
❑ CLASSIFICATION ❑ OTHER
REFERENCE DRAWINGS : F1 and F2
LOCATION : Footings - G4 to G7±
■ PROPER BAR SIZE
■ PROPER GRADE STEEL
■ PROPER BAR SPACING
■ PROPER BAR CLEARANCE
■ PROPER SPLICES
■ CONFORMS TO DRAWING
❑ DOES NOT CONFORM
❑ REMARKS
■ FINDINGS REPORTED TO Brad of Ellsworth & Sons
ASTM STANDARD REINFORCING BARS
# 3 - Sl9 # 6 - SI 19 # 9 - SI 28 # 14 - SI 43
#4 - SI 13 # 7 - S122 # 10 - SI 32 # 18 - Sl 57
# 5 - SI 15 # 8 - S125 # 11 - SI 36
Inspector: AS
evergreen
TESTING&ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth &Sons REPORT NO: E-16-114-11-14-16
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER:Jointa Galusha DATE: 11-14-16
LOCATION: Footings from±G4 to±G7 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Conc. Mix No,
No. No. No. Yards Batched Start Empty Agg. Added: Total Design (m.) Temp Air Temp. Set NO.
Plant Total Remarks
+Field
1 816832 1 4902 8.0 1015 1035 1110 3.0 6.6 73 3000 Set 1 of 6 c Is
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:AS
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:Brad of
Ellsworth&Sons
1 8467 11-15-16 11-21-16 145.2 7 2830 Transported By:AS
8468 11-21-16 145.2 7 2940
8469 12-12-16 145.2 28 Remarks: CTW
8470 12-12-16 145.4 28
8471 145.4 H Weather: Sunny
8472 145.4 H
Specification at 23 Days: 3K Average 28 Day Strength: Average 56 Day Strength:
evergreen
TESTING&ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth& Sons REPORT NO: E-16-114-11-14-16
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER: Jointa Galusha DATE: 11-14-16
LOCATION: Footings from±G4 to±G7 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Conc. Mix No.
No. No. No. YardsEmpty Agg. Ad (in.) Temp Air Temp. Set No.
Batched Start
Plant
Total Design Total Remarks
+Field
1 1 816632 4902 8.0 1 1015 1035 1110 3.0 - 6.6 73 3000 Set 1 of 6 c Is
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:AS
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:Brad of
Ellsworth&Sons
1 8467 11-15-16 11-21-16 145.2 7 2830 Transported By:AS
8468 11-21-16 145.2 7 2940
8469 12-12-16 145.2 28 3850 Remarks: CTW
8470 12-12-16 145.4 28 4000
8471 145.4 H Weather:Sunny
8472 145.4 H
Specification at 28 Days: 3K Average 28 Day Strength: 3930 Average 56 Day Strength:
evergreen
TESTING&ENVIRONMENTAL SERVICES, INC.
❑ 594 Broadway Watervliet, New York 12189 Phone: 518-266-0310 Fax: 518-266-9238
❑ PO Box 482 Orchard Park, New York 14127 Phone: 716-649-9474 Fax: 716-648-3521
REINFORCING STEEL INSPECTION REPORT
PROJECT: Skyzone - Queensbury, NY JOB NO. ETE-16-114
CLIENT: Ellsworth & Sons REPORT NO. E-16-114-11-17-16
CONTRACTOR: Ellsworth & Sons DATE: 11-17-16
❑ SPREAD FOUNDATION ❑ GRADE BEAM
■ FOUNDATION WALL ❑ STRUCTURAL SLAB
❑ CLASSIFICATION ❑ OTHER
REFERENCE DRAWINGS : F1 and F2
LOCATION : Foundation wall from ± A3 to ±C7
■ PROPER BAR SIZE
■ PROPER GRADE STEEL
■ PROPER BAR SPACING
■ PROPER BAR CLEARANCE
■ PROPER SPLICES
■ CONFORMS TO DRAWING
❑ DOES NOT CONFORM
❑ REMARKS
■ FINDINGS REPORTED TO Greg & Brad of Ellsworth & Sons
ASTM STANDARD REINFORCING BARS
# 3 - S19 # 6 - SI 19 # 9 - S128 # 14 - S143
# 4 - S113 # 7 - S122 # 10 - S132 # 18 - SI 57
# 5 - S115 # 8 - SI 25 # 11 - S136
Inspector: AS
evergreen
TESTING&ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth& Sons REPORT NO: E-16-114-11-17-16
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER: Jointa Galusha DATE: 11-17-16
LOCATION: Foundation wall from ±A3 to±C7 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Conc. Mix No.
No. No. No. Yards Batched Start Empty Agg. Added: Total Design (in.) Temp Air Temp. Set No.
Plant Total Remarks
+Field
Set 1 of 6 c Is
CONTRACTOR MADE
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:Contractor
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:N/A
1 8760 11-18-16 11-24-16 143.4 7 2670 Transported By:AS
8761 11-24-16 146.0 7 2730
8762 12-15-16 144.9 28 Remarks: Contractor made
8763 12-15-16 144.9 28
8764 144.9 H Weather: NIA
8765 144.9 H
Specification at 28 Days: 3K Average 28 Day Strength: Average 56 Day Strength:
evergreen
TESTING 8 ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax:518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth& Sons REPORT NO: E-16-114-11-17-16
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER: Jointa Galusha DATE: 11-17-16
LOCATION: Foundation wall from ±A3 to±C7 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Conc. Mix No.
No. No. No. Yards Batched Start Empty Agg. Added: Total Design (in.) Temp Air Temp. Set No.
Plant Total Remarks
+Field
Set 1 of 6 c Is
CONTRACTOR MADE
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:Contractor
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:N/A
1 8760 11-18-16 11-24-16 143.4 7 2670 Transported By:AS
8761 11-24-16 146.0 7 2730
8762 12-15-16 144.9 28 3570 Remarks:Contractor made
8763 12-15-16 144.9 28 3640
8764 144.9 H Weather: N/A
8765 144.9 H
Specification at 28 Days: 3K Average 28 Day Strength: 3610 Average 56 Day Strength:
evergreen
TESTING&ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth & Sons REPORT NO: E-16-114-11-28-16
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER:Jointa Galusha DATE: 11-28-16
LOCATION: Foundation wall from±G3 to±G7 and piers along C.5 at 2, 3 along G.5 at 3.7, 4, 4.5, 5&5.5 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Conc. Mix No.
No. No. No. Yards Batched Start Empty Agg. Added: Total Design (in.) Temp Air Temp. Set No.
Plant Total Remarks
+Field
1 817083 4588 11.0 0922 0945 1025 5.25 33 4.2 75 3000 Set 1 of 6 c Is
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATEDATE UNIT WT. AGE COMPRESSIVE Tested By:AS
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:Brad of
Ellsworth&Sons
1 8916 11-29-16 12-5-16 148.0 7 2930 Transported By:AS
8917 12-5-16 146.5 7 2930
8918 12-26-16 147.5 28 Remarks: Hot water calc chi 1%.
8919 12-26-16 147.7 28
8920 146.2 H Weather: Clear&sunny
8921 147.7 H
Specification at 28 Days: 3K Average 28 Day Strength: Average 56 Day Strength:
evergreen
TESTING&ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth & Sons REPORT NO: E-16-114-11-28-16
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER:Jointa Galusha DATE: 11-28-16
LOCATION: Foundation wall from±G3 to±G7 and piers along C.5 at 2, 3 along G.5 at 3.7,4,4.5, 5&5.5 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Cone. Mix No.
No. No. No. Yards Batchetl Start Empty Agg. Added: Total Design (in.) Temp Air Temp. Set No.
Plant Total Remarks
+Field
1 817083 4588 11.0 0922 0945 1025 5.25 33 4.2 75 3000 Set 1 of 6 c Is
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:AS
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:Brad of
Ellsworth&Sons
1 8916 11-29-16 12-5-16 148.0 7 2930 Transported By:AS
8917 12-5-16 146.5 7 2930
8918 12-26-16 147.5 28 4350 Remarks:Hot water talc chl I%.
8919 12-26-16 147.7 28 4480 Weather: Clear&sunny
8920 146.2 H
8921 147.7 H
Specification at 23 Days: 3K Average 28 Day Strength: 4420 Average 56 Day Strength:
evergreen
TESTING&ENVIRONMENTAL SERVICES, INC.
❑ 594 Broadway Watervliet, New York 12189 Phone: 518-266-0310 Fax: 518-266-9238
❑ PO Box 482 Orchard Park, New York 14127 Phone: 716-649-9474 Fax: 716-648-3521
REINFORCING STEEL INSPECTION REPORT
PROJECT: Skyzone - Queensbury, NY JOB NO. ETE-16-114
CLIENT: Ellsworth & Sons REPORT NO. E-16-114-11-29-16
CONTRACTOR: Ellsworth & Sons DATE: 11-29-16
❑ SPREAD FOUNDATION ❑ GRADE BEAM
■ FOUNDATION WALL & piers ❑ STRUCTURAL SLAB
❑ CLASSIFICATION ❑ OTHER
REFERENCE DRAWINGS : F1 and F2
LOCATION : Foundation walls G-3 to G-7 and piers along C.5 at 2 & 3 also along B.5 at 3.7,
4, 4.5, 5 & 5.5
■ PROPER BAR SIZE
■ PROPER GRADE STEEL
■ PROPER BAR SPACING
■ PROPER BAR CLEARANCE
■ PROPER SPLICES
■ CONFORMS TO DRAWING
❑ DOES NOT CONFORM
❑ REMARKS
■ FINDINGS REPORTED TO Brad of Ellsworth & Sons
ASTM STANDARD REINFORCING BARS
# 3 - SI9 # 6 - Sl 19 # 9 - Sl 28 # 14 - SI 43
#4 - S113 # 7 - SI 22 # 10 - S132 # 18 - Sl 57
# 5 - S115 # 8 - SI 25 # 11 - Sl 36
Inspector: AS
evergreen
TESTING& ENVIRONMENTAL SERVICES, INC.
❑ 594 Broadway Watervliet, New York 12189 Phone: 518-266-0310 Fax: 518-266-9238
❑ PO Box 482 Orchard Park, New York 14127 Phone: 716-649-9474 Fax: 716-648-3521
REINFORCING STEEL INSPECTION REPORT
PROJECT: Skyzone - Queensbury, NY JOB NO. ETE-16-114
CLIENT: Ellsworth & Sons REPORT NO. E-16-114-11-29-16
CONTRACTOR: Ellsworth & Sons DATE: 11.29-16
❑ SPREAD FOUNDATION ❑ GRADE BEAM
■ FOUNDATION WALL ❑ STRUCTURAL SLAB
❑ CLASSIFICATION ❑ OTHER
REFERENCE DRAWINGS : F1 and F2
LOCATION : Wall footings from G-7 to C-7 and pier footings D-4,5,6 and B.5-5.7
■ PROPER BAR SIZE
■ PROPER GRADE STEEL
■ PROPER BAR SPACING
■ PROPER BAR CLEARANCE
■ PROPER SPLICES
■ CONFORMS TO DRAWING
❑ DOES NOT CONFORM
❑ REMARKS
■ FINDINGS REPORTED TO Brad of Ellsworth & Sons
ASTM STANDARD REINFORCING BARS
# 3 - Sl9 # 6 - SI 19 # 9 - S128 # 14 - S143
#4 - S113 # 7 - S122 # 10 - S132 # 18 - SI 57
# 5 - S115 # 8 - SI 25 # 11 - S136
Inspector: AS
evergreen
TESTING&ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth &Sons REPORT NO: E-16-114-11-29-16
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER: Jointa Galusha DATE: 11-29-16
LOCATION: Footings(wall)from ±G-7 to±C-7. Pier footings D-4,5,6 and B.5-5.7 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Conc. Mix No.
No. No. No. Yards Batched Start Empty Agg. Added: Total Design (in.) Temp Air Temp. Set No.
Plant Total Remarks
+Field
1 817113 4567 6.75 1504 1533 1550 3.25 42 7.2 70 35018 Set 1 of 6 c Is
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:AS
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:Brad of
Ellsworth&Sons
1 8998 12-2-16 12-6-16 143.9 7 2350 Transported By:AS
8999 12-6-16 143.7 7 2540
9000 12-27-16 143.4 28 3730 Remarks: Hot water
9001 12-27-16 144.4 28 3760
9002 143.7 H Weather: Rain
9003 143.4 H
Specification at 28 Days: 3.5K Average 28 Day Strength: 3750 Average 56 Day Strength:
evergreen
TESTING& ENVIRONMENTAL SERVICES, INC.
❑ 594 Broadway Watervliet, New York 12189 Phone: 518-266-0310 Fax: 518-266-9238
❑ PO Box 482 Orchard Park, New York 14127 Phone: 716-649-9474 Fax: 716-648-3521
REINFORCING STEEL INSPECTION REPORT
PROJECT: Skyzone - Queensbury, NY JOB NO. ETE-16-114
CLIENT: Ellsworth & Sons REPORT NO. E-16-114-11-29-16
CONTRACTOR: Ellsworth & Sons DATE: 11.29-16
❑ SPREAD FOUNDATION ❑ GRADE BEAM
■ FOUNDATION WALL & piers ❑ STRUCTURAL SLAB
❑ CLASSIFICATION ❑ OTHER
REFERENCE DRAWINGS : F1 and F2
LOCATION : Foundation walls G-3 to G-7 and piers along C.5 at 2 & 3 also along B.5 at 3.7,
4, 4.5, 5 & 5.5
■ PROPER BAR SIZE
■ PROPER GRADE STEEL
■ PROPER BAR SPACING
■ PROPER BAR CLEARANCE
■ PROPER SPLICES
■ CONFORMS TO DRAWING
❑ DOES NOT CONFORM
❑ REMARKS
■ FINDINGS REPORTED TO Brad of Ellsworth & Sons
ASTM STANDARD REINFORCING BARS
# 3 - Sl9 # 6 - S119 # 9 - SI 28 # 14 - SI 43
#4 - SI 13 # 7 - SI 22 # 10 - SI 32 # 18 - S157
# 5 - S115 # 8 - SI 25 # 11 - SI 36
Inspector: AS
evergreen
TESTING&ENVIRONMENTAL SERVICES,INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238
CONCRETE FIELD OBSERVATION REPORT
PROJECT: Skyzone Queensbury, NY CLIENT: Ellsworth&Sons REPORT NO: E-16-114-12-1-16
11
CONTRACTOR: Ellsworth &Sons CONCRETE SUPPLIER: Jointa Galusha DATE: 12-1-16
LOCATION: Foundation wall from G-7 to C-7. Piers along D at 4,5,6 and B.5-5.7 JOB NO: ETE-16-114
TIME WATER (GALLONS)
Load Ticket Truck Cubic Slump Air % Cone. Mix No.
No. No. No. Yards Batched Start Empty Agg. Added: Total Design (in.) Temp Air Temp. Set No.
Plant Total Remarks
+Field
1 817146 4598 12.0 1017 1035 1107 5.5 46 4.1 76 30000 Set 1 of 6 c Is
COMPRESSIVE STRENGTH DATA
SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:AS
NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi)
AS RECEIVED Field Results Reported to:Brad of
Ellsworth&Sons
1 9004 12-2-16 12-8-16 147.2 7 3090 Transported By:AS
9005 12-8-16 147.7 7 3260
9006 12-29-16 147.7 28 4540 Remarks: Hot water&non
9007 12-29-16 148.8 28 4610 chloride 2%
9008 148.5 H Weather: Overcast
9009 148.8 H
Specification at 23 Days: 3K Average 28 Day Strength: 4580 Average 56 Day Strength: