32 CLIFTON STREET - DRAWING AND AFFIDAVITS BARGMANN HENDRIE + ARC[-IETVPE, INC.
Architecture I Planning Interior Design
9 Channel Center Street 617 350 0450
Suite 300 bha@bhplus.com
Boston,MA 02210 www.bhplus.com
transmittal
to: Mike McKeown
Project Manager
Colantonio
16 Everett Street
Holliston, MA 01746
508,429.8666 X225
from: Clara Castro
date: January 4,2021
Project name and number: 3374-Forest River Outdoor Recreation and Nature Center
subject: Permit Set-drawings and affidavits
cc: insert copied parties
enclosures: Full size set of drawings and one copy of each affidavit
comments:
ROM Forest River Pool,Bathhouse&Associated FacilitiesldoclmiscVransmittal
i
Initial Construction Control Document
To be submitted with the building permit application by a
Registered Design Professional
1,
for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Forest River Park Recreation&Nature Center Date: December 22, 2020
Property Address: 32 Clifton Street,Salem,MA
Project: Check(x) one or both as applicable: X New construction X Existing Construction
Project description:Renovation and expansion of the bath house,two new swimming pools,a
support building,related site and utility work.
I Thomas A Scarlata MA Registration Number: 6632 Expiration date: August 31,2021,am a registered design
professional, and I have prepared or directly supervised the preparation of all design plans,computations and
specifications concerning':
X Architectural Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge, information, and belief such plans,
computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780
CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my
designee) shall perform the necessary professional services and be present on the construction site on a regular
and periodic basis to:
1. Review, for conformance to this code and the design concept, shop drawings, samples and other
submittals by the contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the
progress and quality of the work and to determine if the work is being performed in a manner consistent
with the approved construction documents and this code.
4.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a'Final Cons tr of Document'.
Enter in the space to the right a"wet" or electronic signature and seal:
r
Phone number: 617-456-2222 Email:tascarlata@bhplus.com
UA
Building Official Use Only 17f
Building Official Name: Permit No.: Date:
Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is
chosen,provide a description.
Version 01 01 2018
i
i
Initial Construction Control Document
To be submitted with the building permit application by a
d Registered Design Professional
for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Forest River Park Recreation&Nature Center Date: December 22, 2020
Property Address:32 Clifton Street, Salem,MA
Project: Check(x) one or both as applicable: X New construction X Existing Construction
Project description:Renovation and expansion of the bath house,two new swimming pools,a
support building,related site and utility work.
I MA Registration Number: Expiration date: ���� �m a registered design professional, and I have
prepared or directly supervised the preparation of all design plans,computations and specifications concerning':
Architectural Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge, information, and belief such plans,
computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780
CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my
designee) shall perform the necessary professional services and be present on the construction site on a regular
and periodic basis to:
1. Review, for conformance to this code and the design concept, shop drawings, samples and other
submittals by the contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the
progress and quality of the work and to determine if the work is being performed in a manner consistent
with the approved construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a'Final Construction Control.;Document'.
GHUS"6c
Enter in the space to the right a"wet" or S.
electronic signature and seal: _
Phone number: r'D�7'IV 10/r Email:
N1 �:
Building Official Use Only Q \y,
Building Official Name: Permit No.: Date:
Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is
chosen,provide a description.
Version 01 01 2018
` r
Initial Construction Control Document
u To be submitted with the building permit application by a
off Registered Design Professional
for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Forest River Park Recreation&Nature Center Date: December 22, 2020
Property Address:32 Clifton Street,Salem,MA
Project: Check(x) one or both as applicable: X New construction X Existing Construction
Project description:Renovation and expansion of the bath house,two new swimming pools,a
support building,related site and utility work.
I,Anthony Donato MA Registration Number:40706 Expiration date: 6/2022,am a registered design
professional,and I have prepared or directly supervised the preparation of all design plans,computations and
specifications concerning :
Architectural Structural Mechanical
Fire Protection Electrical X Other:Civil
for the above named project and that to the best of my knowledge, information, and belief such plans,
computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780
CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my
designee) shall perform the necessary professional services and be present on the construction site on a regular
and periodic basis to:
1. Review, for conformance to this code and the design concept, shop drawings, samples and other
submittals by the contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the
progress and quality of the work and to determine if the work is being performed in a manner consistent
with the approved construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a'Final Construction Con of Doc ent'.
of
Enter in the space to the right a"wet" or
electronic signature and seal: paNATO
CIVIL c No.aaro�
Phone number: 617-357-8145 Email:adonato@hancockassociates.com 12-�t,,-2 �IS
TE
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is
chosen,provide a description.
Version 01 01 2018
J
Initial Construction Control Document
�z To be submitted with the building permit application by a
Registered Design Professional
for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title:Forest River Park Recreation&Nature Center Date: December 22,2020
Property Address: 32 Clifton Street,Salem,MA
Project: Check(x)one or both as applicable:X New construction X Existing Construction
Project description:Renovation and expansion of the.bath house,.two new swimming pools,a support building,related
site and utility work.
I, Benjamin M. Kelchlin, MA Registration Number: 55010 Expiration date: June 30, 2022, am a registered design
professional, and I have prepared or directly supervised the preparation of all design plans, computations and
specifications concerning':
Architectural Structural Mechanical
Fire Protection Electrical X Other:Plumbing
for the above named project and that to the best of my knowledge,information, and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted
engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the
necessary professional services and be present on the construction site on a regular and periodic basis to:
1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by
the contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress
and quality of the work and to determine if the work is being performed in a manner consistent with the
approved construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official, I shall submit field/progress reports (see item 3.) together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a'Final ��N OF Mq,�
Construction Control Document'.
NJAMIN
Enter in the space to the right a"wet"or y
electronic signature and seal: 0.55010
NORIAN/SIANI ENGINEERING,INC. ���lsze��� �Q7
FSSIONAL�G
Phone number: (781)398-2250 Email:BenK@NS-Engineering.com
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is
chosen,provide a description.
Version 01 01 2018
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Initial Construction Control Document
f To be submitted with the building permit application by a
Registered Design Professional
for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title:Forest River Park Recreation&Nature Center Date: December 22,2020
Property Address: 32 Clifton Street,Salem,MA
Project: Check(x)one or both as applicable:X New construction X Existing Construction
Project description:Renovation and expansion of the bath house,two new swimming pools,a support building,related
site and utility work.
I, Benjamin M. Kelchlin, MA Registration Number: 55010 Expiration date: June 30, 2022, am a registered design
professional, and I have prepared or directly supervised the preparation of all design plans, computations and
specifications concerninW:
Architectural Structural X Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge,information, and belief such plans, computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted
engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the
necessary professional services and be present on the construction site on a regular and periodic basis to:
1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by
the contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress
and quality of the work and to determine if the work is being performed in a manner consistent with the
approved construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official, I shall submit field/progress reports (see item 3.) together with pertinent
comments,in a form acceptable to the building official.
tNOFMA
Upon completion of the work,I shall submit to the building official a'Final
Construction Control Document'. 02 i
E m
Enter in the space to the right a"wet" or y
electronic signature and seal: NO.5501
NORIAN/SIANI ENGINEERING,INC. , c�s �� w
F-/ONA-
fr
Phone number: (781)398-2250 Email:BenKQNS-Engineering.com
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is
chosen,provide a description.
Version 01 01 2018
I
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� 4
Initial Construction Control Document
u x To be submitted with the building permit application by a
fee Registered Design Professional
for work per the ninth edition of the
s Massachusetts State Building Code, 780 CMR, Section 107
Project Title:Forest River Park Recreation&Nature Center Date: December 22,2020
Property Address: 32 Clifton Street,Salem,MA
Project: Check(x)one or both as applicable:X New construction X Existing Construction
Project description:Renovation and expansion of the bathhouse,two new swimming pools,a support building,related
site and utility work.
I, Benjamin M. Kelchlin, MA Registration Number: 55010 Expiration date: June 30, 2022, am a registered design
professional, and I have prepared or directly supervised the preparation of all design plans, computations and
specifications concerning':
Architectural Structural Mechanical
Fire Protection X Electrical Other:
for the above named project and that to the best of my knowledge,information, and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted
engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the
necessary professional services and be present on the construction site on a regular and periodic basis to:
1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by
the contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress
and quality of the work and to determine if the work is being perfc xmed 4n a manner consistent with the
approved construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official, I shall submit field/progress reports (see item 3.) together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a'Final I"OF M q Ssy
Construction Control Document'.
o ENJAMW G
KELG a
Enter in the space to the right a"wet" or
electronic signature and seal: N0. .5010
NORIAN/SIANI ENGINEERING,INC.
G
FSS/ONAL
rTT
Phone number:(781)398-2250 Email:BenK@NS-Engineering.com
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is
chosen,provide a description-
Version 01 01 2018
i
r
Initial Construction Control Document
tr
To be submitted with the building permit application by a
_ 5 Registered Design Professional
for work per the 9th edition of the
C
�5 ey Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Forest River Park Recreation&Nature Center Date: December 22,2020
Property Address: 32 Clifton Avenue, Salem, MA
Project: Check(x) one or both as applicable: X New construction X Existing Construction
Project description: Renovation and expansion of the bath house and a support building for two new swimming
pools (pool design not included in structural scope).
I, Gregory M.Nowak,MA Registration Number: 55046 Expiration date: 6/30/2022,am a registered design professional,
and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning:
Architectural X Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge, information, and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and
quality of the work and to determine if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent
comments, in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a`Final Construction Contro ocument'.
Or
Enter in the space to the right a"wet"or ��10H OF kgS`�9
electronic signature and seal: GREGORY M. �yG
NOWAK
v UCTUR
46
SbNAI� '\
Phone number: 978-745-6817 Email: gmnowak@structures-north.corn
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen,
provide a description.
Version 01 01 2018
i
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Statement of Special Inspections
Project: Forest River Recreation&Nature Center
Location: Salem, MA
Owner: City of Salem
Design Professional in Responsible Charge: Gregory M. Nowak(MA PE#55046)
This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the
Special Inspection and Structural Testing requirements of the Building Code. It includes a schedule of
Special Inspection services applicable to this project as well as the name of the Special Inspection
Coordinator and the identity of other approved agencies to be retained for conducting these inspections and
tests. This Statement of Special Inspections encom ass the following disciplines:
® Structural Mechanical/Electrical/Plumbing
❑ Architectural ❑ Other:
The Special Inspection Coordinator shall keep records of all inspections and shall furnish inspection reports to
the Building Official and the Registered Design Professional in Responsible Charge. Discovered
discrepancies shall be brought to the immediate attention of the Contractor for correction. If such
discrepancies are not corrected, the discrepancies shall be brought to the attention of the Building Official and
the Registered Design Professional in Responsible Charge. The Special Inspection program does not relieve
the Contractor of his or her responsibilities.
Interim reports shall be submitted to the Building Official and the Registered Design Professional in
Responsible Charge.
A Final Report of Special Inspections documenting completion of all required Special Inspections, testing and
correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of
Use and Occupancy.
Job site safety and means and methods of construction are solely the responsibility of the Contractor.
Interim Report Frequency: as needed(as determined by Design or❑ per attached schedule.
Professional in Responsible Charge)
Prepared by:
)�OF�ASsq
Gregory M. Nowak � GREGORY M. c9G
(type or print name) NOWAK
o STRUCTURAL —'
No. 55046 `n
12/22/2020 N`Al���
Signature Date
Design Professional Sea!
Owner's Authorization: Building Official's Acceptance:
Signature Date Signature Date
Forest River Recreation&Nature Center Structural Testing& Inspections Page 1 of 8
Schedule of Inspection and Testing Agencies
This Statement of Special Inspections/Quality Assurance Plan includes the following building systems:
® Soils and Foundations—as needed, as determined by GC evaluation of soils after excavations
❑ Spray Fire Resistant Material
® Cast-in-Place Concrete ® Wood Construction
❑ Precast Concrete ❑ Exterior Insulation and Finish System
® Masonry ❑ Mechanical & Electrical Systems
® Structural Steel ❑ Architectural Systems
❑ Cold-Formed Steel Framing ❑ Special Cases
Special Inspection Agencies I Firm t Address, Telephone, e-mail
1. Special Inspection
Coordinator
2. Inspector
3. Inspector
4. Testing Agency
5. Testing Agency
6. Other
Note: The inspectors and testing agencies shall be engaged by the Owner or the Owner's Agent, and not by
the Contractor or Subcontractor whose work is to be inspected or tested. Any conflict of interest must be
disclosed to the Building Official, prior to commencing work.
Forest River Recreation&Nature Center Structural Testing& Inspections Page 2 of 8
Qualifications of Inspectors and Testing Technicians
The qualifications of all personnel performing Special Inspection and testing activities are subject to the
approval of the Building Official. The credentials of all Inspectors and testing technicians shall be provided if
requested.
Key for Minimum Qualifications of Inspection Agents:
When the Registered Design Professional in Responsible Charge deems it appropriate that the individual
performing a stipulated test or inspection have a specific certification or license as indicated below, such
designation shall appear below the Agency Number on the Schedule.
SER Structural Engineer of Record for Project
PE/SE Structural Engineer—a licensed SE or PE specializing in the design of building structures
PE/GE Geotechnical Engineer—a licensed PE specializing in soil mechanics and foundations
EIT Engineer-In-Training—a graduate engineer who has passed the Fundamentals of
Engineering examination
American Concrete Institute (ACI) Certification
ACI-CFTT Concrete Field Testing Technician —Grade 1
ACI-CCI Concrete Construction Inspector
ACI-LTT Laboratory Testing Technician—Grade 1&2
ACI-STT Strength Testing Technician
American Welding Society (AWS) Certification
AWS-CWI Certified Welding Inspector
AWS/AISC-SSI Certified Structural Steel Inspector
American Society of Non-Destructive Testing (ASNT) Certification
ASNT Non-Destructive Testing Technician—Level II or III
International Code Council (ICC) Certification
ICC-SMSI Structural Masonry Special Inspector
ICC-SWSI Structural Steel and Welding Special Inspector
ICC-SFSI Spray-Applied Fireproofing Special Inspector
ICC-PCSI Prestressed Concrete Special Inspector
ICC-RCSI Reinforced Concrete Special Inspector
ICC-SSI Soils Special Inspector
ICC-SSBSI Structural Steel and Bolting Special Inspector
National Institute for Certification in Engineering Technologies (NICET)
NICET-CT Concrete Technician— Levels I, II, III & IV
NICET-ST Soils Technician - Levels I, II, III & IV
NICET-GET Geotechnical Engineering Technician - Levels I, II, III & IV
Exterior Design Institute (EDI)Certification
EDI-EIFS EIFS Third Party Inspector
Other soils testing agency approved to perform ASTM soils tests.
Forest River Recreation&Nature Center Structural Testing& Inspections Page 3 of 8
Soils and Foundations
Item Agency# Scope
(Qualif.)
1. Shallow Inspect soils below footings for adequate bearing capacity. Verb
Foundations soils testing excavations are to proper depth.
agency
or Inspect removal of unsuitable material and preparation of subgrade prior
Geotechnical to placement of controlled fill
Engineer
(GE) All soil supporting new footings to be inspected prior to placing forms
2. Controlled Perform sieve tests(ASTMD422&D1140) and modified Proctor tests
Structural Fill soils testing (ASTMD1557) of each source offill material.
agency
or Inspect placement, lift thickness and compaction of controlled fill.
Geotechnical
Engineer Test density of each lift offill by nuclear methods (ASTMD2922)
(GE)
Verify extent and slope offill placement.
Forest River Recreation&Nature Center Structural Testing& Inspections Page 4 of 8
Cast-in-Place Concrete
Item Agency# Scope
(Qualif.)
1. Mix Design ACI-CCI Review concrete batch tickets and verify compliance with approved mix
ICC-RCSI design. Verb that water added at the site does not exceed that allowed by
the mix design. Refer to ACI 318: 3.5, 7.1-7.7&IBC 1913.4
2. Material ACI-CCI Review mill certificates for conformance with project requirements.
Certification
3. ACI-CCI Before each concrete placement:Inspect size, spacing, cover,positioning
Reinforcement ICC-RCSI and grade of reinforcing steel. Verb that reinforcing bars are free of
Installation form oil or other deleterious materials. Inspect bar laps and mechanical
splices. Verb that bars are adequately tied and supported on chairs or
bolsters Refer to ACI 318: 3.5, 7.1-7.7&IBC 1913.4
4. Anchor Rods ACC-CCI Inspect size,positioning and embedment of anchor rods.Inspect concrete
placement and consolidation around anchors. Refer to ACI318:8.1.3,
21.2.8, 3.8.6, 8.1.3, 21.2.8&IBC 1911.5,
1912.1
5. Concrete ACI-CCI per pour:Inspectplacement of concrete. Verify that concrete conveyance
Placement ICC-RCSI and depositing avoids segregation or contamination. Verify that concrete
is properly consolidated. Refer to ACI 318: 5.9, 5.10&IBC 1913.6,
1913.7, 1913.8
6. Sampling and ACI-CFTT Test concrete compressive strength(ASTMC31& C39), slump(ASTM
Testing of ACI-STT C143), air-content(ASTMC231 or C173) and temperature(ASTM
Concrete C1064).Refer to ASTMC 172, C 31
AC1318: 5.6, 5.8&IBC1913.10
Frequency:minimum 4 test cylinders per each pour, or 50 cu yds,
whichever is more frequent.
7. Curing and ACI-CCI Inspect curing, cold weather protection and hot weather protection
Protection ICC-RCSI procedures.Refer to ACI318:5.11-5.13&IBC 1913.9
8. Other: ACI-CCI Inspect formwork for shape, location and dimensions of the concrete
member being formed.Refer to ACI 318: 6.1.1
Forest River Recreation&Nature Center Structural Testing& Inspections Page 5 of 8
Masonry Required Inspection Level: ® 1 ❑ 2
Item Agency# Scope
(Qualif.)
1. Material SER Review test reports and materials documentation for
Certification conformance to construction documents.
2. Mixing of ICC-SMSI Inspectproportioning, mixing and retempering of mortar and grout.
Mortar and
Grout
3. Installation ICC-SMSI, Inspect size, layout, bonding and placement of masonry units.
of Masonry SER
4. Mortar Joints ICC-SMSI, Inspect construction of mortar joints including tooling andfilling of head
SER joints.
5. Existing SER Review condition of the existing masonry to remain at brick and stone
Masonry excavations and removals.
Evaluation at
Excavations
6.
Reinforcement ICC-SMSI Inspect placement,positioning and lapping of reinforcing steel.
Installation
AWS-CWI Inspect welding of reinforcing steel.
7. Grouting ICC-SMSI, Inspect placement and consolidation ofgrout. Inspect masonry clean-outs
Operations SER for high-lift grouting.
8. Weather ICC-SMSI Inspect cold weather protection and hot weather protection procedures.
Protection Verify that wall cavities are protected against precipitation.
9. Evaluation of ICC-SMSI Test compressive strength of mortar and grout cube samples(ASTM
Masonry C780).
Strength Test compressive strength of masonry prisms(ASTM C1314).
10. Anchors ICC-SMSI Inspect size, location, spacing and embedment of dowels, anchors and
and Ties ties.
11. Other- EIT Provide continuous and/or periodic inspections during all operations per
Table 1704.5.1 (Level 1) of the International Building Code(IBC)
Forest River Recreation&Nature Center Structural Testing& Inspections Page 6 of 8
A
Structural Steel
Item Agency# Scope
(Qualif.)
1. Fabricator Prior to fabrication:Review shop fabrication and quality control
Certification/ AWS/AISC-SSI procedures.
Quality ICC-SWSI OR
Control Confirm AISC certified fabricator
Procedures
2. Material Review certified mill test reports and identification markings on wide-
Certification AWS/AISC-SSI flange shapes, high-strength bolts, nuts and welding electrodes
ICC-SWSI
Review material identification and manufacturer certificates for
conformance of weld filler material with AWS Standards and AISC
Manual of Steel Construction,LRFDIASD, 13th ed., Section A3.5.
Inspector shall have minimum of 5 years experience in the inspection of
steel structures.
3. Bolting Inspect installation and tightening of high-strength bolts. Verify that
AWS/AISC-SSI splines have separated from tension control bolts. Verb proper tightening
ICC-SWSI sequence. Continuous inspection of bolts in slip-critical connections.
Inspector shall have minimum of 5 years experience in the inspection of
steel structures.
4. Welding Continuous, exceptperiodic for single pass welds <5116"-
AWS-CWI Visually inspect all field welds and 25%of shop welds, except all full
penetration welds to be 100%inspected. Inspect pre-heat,post-heat and
ASNT surface preparation between passes. Verb size and length of fillet welds.
Ultrasonic testing of all full penetration welds.
Base metal exceeding 1.5 inches in thick and subject to through-thickness
weld shrinkage shall be ultrasonically tested for discontinuities behind
and adjacent to the welds after joint welding.
Inspector shall have minimum of 5 years of experience in the inspection of
steel structures.
5. Structural PE/SE Inspect steel frame for compliance with structural drawings, including
Details bracing, member configuration and connection details.
6. Shear AWS/AISC-SSI Inspect size, number,positioning and welding of shear connectors. Inspect
Connectors: ICC-SWSI suds for full 360 degree flash.Ring test all shear connectors with a 3 lb
hammer. Bend test all questionable studs to 15 degrees.
7. Other: PE/SE Inspection of steel frame joint details for compliance:
Details such as bracing and stiffening;Member locations;Application of
joint details at each connection
Forest River Recreation&Nature Center Structural Testing& Inspections Page 7 of 8
Wood Construction
Item Agency# Scope
(Qualif.)
1. Material SER General conformance with construction documents.
Grading
2. Connections SER General conformance with construction documents
3. Framing and SER General conformance with construction documents
Details
Forest River Recreation&Nature Center Structural Testing& Inspections Page 8 of 8
Initial Construction Control Document
To be submitted with the building permit application b a
g p pp � Y
_ d Registered Design Professional
for work per the 91h edition of the
v Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Forest River Park Recreation&Nature Center Date: December 22, 2020
Property Address: 32 Clifton Avenue, Salem,MA
Project: Check(x) one or both as applicable: X New construction X Existing Construction
Project description: Renovation and expansion of the bath house and a support building for two new swimming
pools (pool design not included in structural scope).
I, Gregory M.Nowak,MA Registration Number: 55046 Expiration date: 6/30/2022, am a registered design professional,
and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning:
Architectural X Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge, information, and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and
quality of the work and to determine if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent
comments, in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a `Final Construction Control Document'.
Enter in the space to the right a"wet"or
electronic signature and seal:
Phone number: 978-745-6817 Email: gmnowak@structures-north.com
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen,
provide a description.
Version 01 01 2018