HomeMy WebLinkAbout20 Baker Lane (21)t ROM : WESLEY LARAMEE PHONE NO. : 18607422342 Sep. 30 1999 04:17PM P2
Sheet 1 of 6
rTRUCTURAL Statement of Special Inspections
ENGINEERS
COALITION
CANNWMUT ENGINEERS
IN PRIVATE PRACTICE
Project: TEMPLE BETH HILLEL
Location: 20 BAKER LANE, % SOUTH WINDSOR, CONNECTICUT 06074
Owner: TEMPLE BETH HILLEL
Owner's Address. 1001 FOSTER STREET EXT. , SOUTH WINDSOR, CONNECTICUT
Architect of Record:LEVIN/BROWN & ASSOCIATES, INC. OWINGS MILLS, MD. 21117
Structural Engineer of Record: LPJ/QODE SH, INC. BALT IMORE, MD. 21218
This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the
Speelsl Inspection requirements of the BOCA National Building c4de. It includes a Schedule of Special
Inspection Services applicable to this project as well as the name of the Special Inspector and the identity of
other approved agencies intended to be retained for conducting these inspections.
The Special Inspector shall keep records of all inspections and snail furnish Inspection reports to the Sulicling
Official, Structural Engineer and Architect of Record. Discovered discrepancies shall be brought to the
immediate attention of the Contractor for correction. If such discrepancies are not corrected,the discrepancies
shall be brought to the attention of the Building Official, Structural Engineer and Architect of Record. The
Special Inspection program does not relieve the Contractor of his or her responsibilities.
Interim reports shalt be submitted to the Building Official,Owner, Structural Engineer and Architect of Record.
A Final Report of Special Inspections documenting completion of all required Special Inspections and
correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of
Use and Occupancy.
Job site safety and means and methods of construction are solely the responsibility of the Contractor.
Interim Report Frequency: or[J per attached schedule.
Prepared by:
P'`o••
James D. Plowden, Jr. Gj
type or print name)
CLeNS 4.•• Z`
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Owner's Authorization, Building Official's Acceptance;
AL
lure Date Signature Date
SEC/CT Form '101 Statement of Special Inspections OSEC/CT 1999
TEL : Oct 04 '99 16 :50 No .010 P .03
FROM' ! WESL.EY LARAMEE PHONE NO. : 18607422342 Sep. 30 1999 04:18PM P3
1Set 2 Of 6
Temple Beth Hillel
Schedule of Speclal Inspection Services.
Thee tolivwing it'd O*Mpft the MquW echadule of eclat inspect far this project. The construction
dlAlons which ngoh speaW inspections tier thb prged am as tallows:
004 and Poundowns Cold-Fbmwd 81081 Pnmft
Cell-ir +laoa Conarfr U'ay Phi R*WPAM Mahrlai
PrWA*Cononto Wood Construottan
Masonry ftedor Ire kdbn&W Rktiah SyMm
Sbuat l pralal
Iftogg Agentp Finn AddMa
I. special WON& Mr. Kareem Adeeb, PE, Phd. 200 Rowe Avenue
Materials Testing, Inc. Millford, CT 06460
2. bo "
Materials Testing, Inc. 200 Rowe Avenue
Millford, CT 06460
a i boratary
d. Gi fet
LR30mme qua ' Aso all personnel jft_M1nQ $peCWl Inspeetion eCOASS are aubjoc t to ft approval of
the k-4 Otti.
The irnspeclon and testlnp went shall be engaged by the owner or the ownees Agent, and not by the
Contmewr or subcontractor whose work 6 to to Inspected or tented.Any conttict of h%reat must be dloom d
t0 V*§Mhq ORMI,prtOr to cornrrwobV vmrk.
Ttw&Wonftll eE ON MWRaton and Weft tochnlrlarw analt OC provwra if requeM0.
ft ie rommmended that the person adminletwhQ the 89eclat inspeMns program bye a Profesmnal Fhalnsor
edmod In the do*n of buldbgL
Key for MEW44M u do fInsm.Mn Nonto(where Ind on Echedu
al
A XA.'., r1 nLte Certlrled Con a F% Tech ' . n
L-AM I n Id r
n an-cure T -LOW] or IN
Dual f odons of hopeolion agenta may be Mk ated on tha schedule in k0anaes when the Muotural
lftMeard"ma such raquM1• wnb or*•ppmptlem.
UC/CT Form 101 Statemant of SpWvl ln$pooftnv . 0 6F=T 1999
TEL : Oct 04 '9 16 :51 No .010 P .04
FROND '. .WESLEY LFMMEE R 40W NO. 1%07422342 Sep. 30 19% 04:LSPM P4
SC S"of 15pals Inman SoMms h4Ut 3 of 6
Solis and Foundeftns PfOJW: Temple Beth Hillel
ban APat NO* 41COM
kw ndr bre
A. Verify bottom of Visual inspection of excavations for
footings footings (re: clean, dry, etc.) and
penetrometor teste as needed for allowable
soil pressure,
Contr+allod ftudiral F11
A. Removal of existing Visual inspection of earthwork operation to
B. Proof rolling insure removal of material listed on
C. Fill material drawings and in soils report.
D. Installation of Test proposed fill material for acceptance,
controlled fill verify compaction methods, take field density
tests of compaction.
3. Opp oundatlo
4. 1 t
OCCUCT r Vrm 110- * 4matement of OpWol InspeaMns *KC MT 100
TEL : Oct 04 '99 16 :51 No .010 P .05
FROM WESLEY LARWEE M*0 E NO. : 10607422342 Sep. 30 1%9 04:19PM P5
dUle of 8 Inspedon ria** MMt 4 Of 6
Cast4n-Place Concrete Pf0jftt Temple Beth Hillel
NO. 5cOPS
QRely.)
1 Review mix designs for conformance to
drawings and specifications.
Z. M M11ii Cd tlfIgli0 1
most IN*IWDn Visual inspection of foundation wall and slab
rebar placement.
4. Po*Tonsbnhq C"ra*
kv Plant
0, Pommork Owmsay
Coecrets Iscxmant
EVMUMbn of Coned Take cylinders and laboratory test (break)
for compressive strength.
Take field tests of slump, A/E etc.
9. Qu*q and Pr+oUK*n
0. Map
3MICT Bonn 101 9 !ttat4ty 6M 4f$PW%I InePeefi&" . ouse/aT 40"!
TEL : Oct 04 '99 16 :52 Rio .010 r .08
PROM WE51..EY LARAMEE F+HME NO. f eW?422342 Sep. 30 1999 04:213PM P9
St,mowral St") Proi°Ct- Temple Beth Hillel
ItN t Ap at No. SeW
FsilCltW Review fabricators qualifications,
certifications (if any) and quality control
procedure.
Review material certificates.
OPW woo fte`inwhi Review fabricators qualifications.
Field inspect in place joists and connections
Field inspect bolted connections for
compliance.
S, Idk1Q Field inspect welded connections for
compliance (steel, joist, light gauge, deck) .11
hear COnnMM
7 WWW110ftis Provide sketches of field conditions not per
drawings or approved shop drawings.
e. WOW* Field inspect in place deck and connections.
4. Odw
EC/CT Form 101 • Statement*($pedal InspeeUgns • 68EC,;ICT IM
TEL : Oct 04 '99 16 :53 No .010 P .09
MRW WESLEY LAWME PHONE NO. 1SU7422342 Sep. 30 1999 04:21PM P9
ftedule Of Special Inn rfts hOOt 6 Of 6
C old-Formid e@Qi rmminq Temple Beth Hillel
mat No» Scope
a,ara.Fhb:Mbff ftu Field inspect member size, shape, spacing,
bridging, and connections.
2. Matoft Thkfteu
MOM PII1P1 MU
Meehel+l ai onnsd Or1 See 1. above.
IN idll' See 1. above.
led'kV DWAIS Provide sketches of field conditiosn not per
drawings or approved shop drawings.
SECICT Form tot + Statement at Special i nspeWon=