signed SI STRUCTURAL�,l Ij•,, SPECIAL INSPECTION AND TESTING AGREEMENT
4
Permit #: $L.i 2019-0529 and -2530
Project: .Main Street Commons.- STRCCTURA.L
Prhor to issuance «f's-a pernut', rttis form trattst he completed in its endretv and retau•raed to the C'it{ filr
u,��trtr►ctL J'fiu c•rr»t�rlctPd,l`arrr: rraust srtar�� st!�>rr:rtttre:+of'ncknnivled�,rnu!rxt h}� ail �narties.
DIMESAND RESPONSIBILITIES
Spegiall JLn2pection Firm sin 8-wia.l W �ctr rs:
The Special hispe.•ction firm or
will perform sPecaal inspe:ctimi tier the: tollowinn types sskvork i wparaw forms must be mibinitted if inure; than
otiv tirin is to be etnploycd):
,,,_X_Re:infortxk1 C kvwr.:ta
_;X .l'ic)It71lg in C oncrov
_ PrQ itresscd C'on.crele
shotlmtc
Jti Structural Masora y.
ti Structural Steel. \Veld.ing
... Fligh Str.:nt.'th Bolting
Spray applied.F'ireprooting
_,_,_Smokv Contrul Systyttts
A Lateral Wood
__ il'r11Cttlrill Ob:len atioa by &4irgu pwj1 6sional
�C;r�sdrrl Sail, Drainage
Steel Floor and RoofDcck,;
Other
All .individoal iri-;pe,:Io s to be emplo, eel tin this project will be '41'AJ40 e milie d. for illy type of lacsrk tllvy arc to
itisiwvt. It i.aspeet'ion ix R,r wort: that is no ws'ere:d by th,: WA110 catece)rics. or [fie inspector is not WABO
ce iftied. a tletttilyd resuaw of thu in%p000r find .firms inust by subntitted. T1w resume must -show drat the inspector
and the Britt ary yua.lbwd by educa6 an and ex1vrivne4 to Pvrfunit Ow a ork and tearing required. by the project
dcsigp and spvai l ications.
The m ork ,,hatll be inspected flor conforrts.tttce u ith the plan -,.and specifications apprt)r ed by the City, Revisions
asttd :tclelvtstlts tihvets wi1.f ir�st be rase t} for inspoctiun, uitle,s they h.i.� a be a is a}�1Tro�'cd 1iy tltw C'iiy. inspection
re:ce,int,hall ir.IvI.teiv:
A daily retiesr�I t�s k►c rtsrsit.staine:�i. un site, itcutifln� tht; in�pcctit)itw }�,,:rfartt3,�d. rlttyitoneorxti)r•r)tin� w,�rlc
,hall be brougIt t:,tl thu irntneciieat,; attention of t1w contractor for resolution.
A weck,ly report shall be submit.te:d t.v tltc City, dct.ailiq the inspections and testing: per,;)rmad, listing ail\
s)cstteeTaiforrnti.ng %%ork and re-,olution erC'm nwnt'o&aing itcaus.
A tinal report shall bu stibrnitt§:d to the building department prior to the: Ce'rtitie•ate of Ovctipant•y being
k,tt d: `.Ak report I&ill itlelicaw thm insim;tion and testing -A as, completed in eonflormanco with tile*
tr}�prt}� cd plat)s, ;.l�ycstJc:itt'tosl:s .tllel apprv'. e<{ rt:Vision� oi' ailCle;ndal.:1uy unresuhc;el dise;r;:p�zlleie:a mu4t he
detailed in the final wpot•t.
hl)�1s1 R•lil.P 1'h �.i'i,uusisih.ti:lrtl t)t u_t).i\t, t7t1'i�)tr� 11! i'`i 5p6c;;,1 la�punua� ti�,� �i tn,ilicrins [�„cum�sTt Yt stain St t r:i;rrian�
`illtt l �,•us� ts+�u�U
Confilactor•
Tile contractor.shall pro \ idu tltc special hispectur or agency adequate notification of work requiring inspcetion..
The City appro-,cd pIltr.t and -spccificadums must be made available, at th,:•iribiiw for the use of the special
in,pecior and the City inmpechrr. The contractor sba.11 maintain all Mail} in.,,p ction reports, on aitc. for re-,iew by
ail p.irtiu`.
Thu ipok:ial ill-ip<.I.tlon function:; are ctmsit1mnd to be in addition to the nonTial insTot-tions performed b) the City
and the contractor is tv qu rsihh: tier exmtaetiilg the City to swllvdtlle regular inspections. No eoncrew Shall lie
poured or other work cm ercd until approval is given by the City ilwpeotur.
Rt�, A1Ug.jfepartment:
The buildiEig depatt.nlL nt "'hall rcN iev% any revisions and addcndi, The Cit) inspector \n111 monitor the special
in,pection functions for coinplianec ►n ith the at reomcnt and the apprm ed plam, The City in•pc:ctor ihail be
I'4bpunsihle t1lir,411provit.tg various statics t.rt'couNtiuction to lie ecltc:red and for work to proceed.
Des un Frofemloauls:
rile architect and or Vil'!incer will Ocarly uldivatc on the plans and specifications the �,pecitic typo-, of,,p;:cial
inspc4iein regUirud 314 shall include ,a schedule. for itlsi:k.o(.ion and tersti.ng. Tho ;Irclritcet attel, or ellglItt't r ►1'iIl
coorditlaw their revision and addvuec, proccs` it) such a way al, to ensure that all required City apprt N As are
Obtaincd, prior tar work .how n on tile: rtivisions being, per.•f:ornu d. in the field.
t by n erer:
The: l-irt►ieet uw•mm or the aarehite-ct or engineer acting it,. the owners age.I►t, shall employ file special inspector or
at,
ene) .
ENFt).RC1~:MENT
A failure of the special inspcc(ea• or fired to perform in keeping with the n.-y,uioanctlts of the IBC, the approved
plates and this docttmimI,t, may void this agreement and the Building Official's approvAd of the special inspector,
In such a vea,e a new special inspcefor and or tilltl 4►oukl nc::d to be Vmpr►,ed our appro►oil. A Imilury of the
design and, or c:on:�trttetion parries to Nrt'ortn in accordance %k ith. this agrcontunt maL result in a STOP WORK
notiu being poz te:d on tip prole ct tmtil nolIot)Ilt.ormirl!g Items ha-,e been re,olvod,
ACKNOWLEDGMENTS
.1 hit%e read and .agree to compl} with the term,, m)d conditions otthis agreement,
c.;►► tier: , y r: �. r,l.rl`i �l fz, `+ignattnm Date
Contractor, ��c^'�-. �' ? r �r C � ��;igtttrt +: _4.-�Data:
i�
Arch, Fng: "D � �r�eTo�t sig11£ittile _ .. [)etc : 24 d.-X, 202n
5poc;ial lnsp...__Carley Trammell _ siuntature_ Date: _ 8/26/2020
`�perial trap. ,�gt.nc� _Otto Rosenau & Associates, Inc.
AC't 'I PTED I t?IL THE. CITY OF 1 1.)VONDS B ILDENU DIVISM\
Batt;:
' E•.A,41;VEZ•t) TJ I %,PL,ilu m, NH 1I2E.: 131 (L.t:r1\t; t �E4't4ltti� FS1.I ` y�te. ,,I Eiispertintn �iE,n .t. Ut.l+a �,+vt I), �u tt,'tttc'il 4tai�1 ws t „ern,•+ns
SIR I, a ,d• \.1• th 21)210