HomeMy WebLinkAbout0010 NARROWS WAY - Health 10 Narrows VVA
Cotuit
A= 021-003-001 �-
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"Commonwealth of Massachusetts'
AU Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
10 Narrows Way
Property Address +
Charles Sevigny +
Owner' Owner's Name
information is required for Cotuit ;:" MA 02635 9-23-081,
every page. City/Town; State Zip Code Date of Inspection _
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way.
A. General.Informationi
1. Inspector: (A
Shawn Mcelroy,,_
.Name of Inspector
_E., '}."�� �, `f° Al 't'x.. 4"
'Upper Cape Sl ptic`Services `
Company Name
29 Atwater Dr, r .
Company Address
E. Falmouth . f s._" MA 02536
City/Town _ State Zip Code
1-508-495 0905 S13971
Telephone Number License Number
cN�' _
B. Certification. `
., r.
17171
I certify that i have personally inspected the sewage disposal system at this addre s and twat the"
_.-information reported below is true, accurate and complete as of the time of the i¢rs ectionkRhe ini7pection
was performed based'on My training and experience in the proper function and intenarjQe of on site
sewage disposal systems. l am a DEP approved system inspector pursuant Sectio=5.310 of
Title 5 (310 CMR 15.000).The system: E5
* ® Passes.R _ F❑ Conditionally Passes> ', v❑ Fa Is
M. , - ,•r t.. . it j t*,
❑ Needs Further Evaluation by the Local Approving Authority -
Inspector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority (Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP.The original should be sent.to the system owner
w, f .and copies sent to the buyer, if applicable, and.the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use. :,
t5insp•03108 - a Titie 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 15
- 1„
Commonwealth of Massachusetts
Title 5 Official.. Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 10 Narrows Way
Property Address
Charles Sevigny
Owner Owner's Name
information is required for Cotuit MA 02635 9-23-08
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are
indicated below.
Comments:
System is in good working order with no sign of failure.
B) System Conditionally Passes:
❑ One or more system components as described in the "Conditional Pass"section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Answer yes, no or not determined (Y, N, ND) in the ❑ fog the following statements. If"not
determined,"please explain.
❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is
structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent.
System will pass inspection if the existing tank is replaced with a complying septic tank as
approved by the Board of Health.
* A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate
of Compliance indicating that the tank is less than 20 years old is available.
ND Explain:
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s) are replaced
❑ obstruction is removed
t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�M 10 Narrows Way ,
Property Address r T
Charles Sevigny
Owner Owner's Name
information is required for Cotuit 1 ',t MA 02635 9-23-08-,
: _
every page. City/Town at, r State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes (cont.):
t _ ,,
El distribution boz'is leveled or rep, ;laced
�. . *` . , ..T,
ND Explain:
f., ❑ ,The system required pumping more.than 4 times a year due to broken or obstructed pipe(s). The
s system will pass inspection if(with approval of the,Board of Health):
❑ broken pipe(s) are replaced `
❑ obstruction is removed
ND Explain: `
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in.order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a mannerwhich will protect public health,
safety and the environment:
' ❑ ' " 'Cesspool or privy is within 50 feet of a surface water
❑ Cesspool"or,privy is within 50 feet of a'bordering vegetated wetland or a salt marsh
`} 2. System will fail unless the Boad'of Health'Iq(and'"Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
` safety and environment:
:_ _ ,❑. ., The system has a septic,tank and soil absorption system(SAS) and the SAS is within
100 feet of a surface water supply,or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
1 .. ❑ -The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well:
t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
; a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
10 Narrows Way
Property Address
Charles Sevigny
Owner Owner's Name
information is required for Cotuit MA 02635 9-23-08
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
f C) Further Evaluation is Required by the Board of Health (cont.):
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well**.
Method used to determine distance:
** This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform
bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be
attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes"or"No"to each of the following for all inspections:
Yes No
® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
® Static liquid level in the distribution box above outlet invert due to an overloaded
El or clogged SAS or cesspool
El ® Liquid depth in cesspool is less than.6"below invert or available volume is less
than Y2 day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
El ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
t5insp•03/08 Tittle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15
Commonwealth of Massachusetts ,
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 10 Narrows Way ,
Property Address _
Charles Sevigny
Owner Owner's Name
information is MA 02635 9-23-08
required for COtUIt
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
D),.System.Failure Criteria Applicable to All Systems (cont.):
s �� �x a,
Yes No
❑ U , _ 'Any portion of a cesspool or privy is within a Zone 1 of a public well.
i.. .. ❑ „ , ®w t Any-portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ,t r. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
EY The system is a cesspool serving a facility with a design flow of 2000gpd-
® , F10,000gpd.
The system fails. I have determined that one or more of the above failure
"` ❑ ' `® i•criteria exist as described in 310 CMR 15.303,therefore the system fails. The
system owner should contact the Board of Health to determine what will be
r necessary to correct the failure.
E) `Large Systems:'To be considered a large system the system must serve a facility with a
design flow of 10,000 gpdyto 15,000 gpd.n
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes E No.
❑ . ,, ❑ •„ . the system is,within 400 feet of a surface drinking water supply
# ❑ ° .' '❑ �the'system is within 200 feet of a tributary to a'surface drinking water supply
El Elthe system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA)or a mapped Zone II of a public water supply well
If you have answered "yes"to any question in Section E the system is,considered a significant threat,
or answered "yes"in Section D above the large system has failed.The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304.The system owner should contact the appropriate
regional office of the Department.
t5insp•03f08 , Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
wM 10 Narrows Way
Property Address
Charles Sevigny
Owner Owner's Name
information is required for Cotuit MA 02635 9-23-08
every page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate "yes" or"no" as to each of the following:
Yes No
❑ ® Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
❑ ® Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
❑ ® Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
-® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
f
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
❑ ® Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CM 15.302(5)]
t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments k
10-Narrows Way
Property Address
Charles Sevigny
Owner Owner's Name
information is Cotuit; MA 02635 9-23-08
required for
every page. City/Town State - Zip Code Date of Inspection
D. System Information •, , �,r, k _ -
Residential Flow Conditions:
Number of bedrooms (design): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): 330
Number of current residents: 1 0
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
c
Laundry system inspected? ❑ Yes ® No
Seasonal use? El Yes ® No
Water meter readings, if available (last 2 years usage (gpd)):',.
Sump pump? _ El Yes ® No
Last date of occupancy: • ,� 8-06
Date
Commercial/industrial Flow Conditions: .e ,
Type of Establishment:'-.
:Design flow(based on 310 CMR 15.203): t
Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? _ .• ❑ Yes ❑ No
-Industrial waste holding tank present? .t +' ❑ Yes ❑ No
z
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter.readings,,if available:
Last date of occupancy/use: Date
Other(describe): ,
t5insp-03108 - - - _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15
Commonwealth of Massachusetts
o- W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
10 Narrows Way
Property Address
Charles Sevigny
Owner Owner's Name
information is required for Cotuit MA 02635 9-23-08
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
General Information
Pumping Records:
N/A
Source of information:
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping:
Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool .
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology.Attach a copy of the current operation and
maintenance contract(to be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank.Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed (if known) and source of information:
1980's
Were sewage odors detected when arriving at the site? ❑ Yes ® No
t5insp-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page,8 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form-
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t
M 10 Narrows Way x
y Property Address
Charles Sevigny {
Owner Owner's Name ,..
information is required for Cotuit . i 1, MA. 02635 9-23-08
" ' r . +•-
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Building Sewer(locate on site'plan): '! �' ' ' i , " e
Depth below grade: W s ,,. �s a:. 12t
,• feet'
Material of construction:
❑ cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply,well or suction line:, r • feetr
Comments(on condition of joints,venting, evidence of leakage;etc.):. '
Good condition.
Septic Tank(locate on site plan): -: e
Depth below grader 6
feet
Material of construction:
® concrete ❑ metal ❑fiberglass ❑ polyethylene. ❑ other(explain)
If tank is metal, list age: years
,Is age confirmed by a Certificate of Compliance? (attach•a copy,of certificate) ❑ Yes ❑ No
------------------------------------------------=--------------------------------------------------------------------------
Dimensions:
1000 Gal
Sludge depth-
12„
20n
. Distance from top of sludge to bottom of outlet tee or baffle ._
3„
Scum thickness .+'. ..
'Distance from top of scum to top of outlet tee or baffle r ., A -S„.
+ Distance from bottom of scum to bottom of outlet tee or baffle
14"
How were dimensions determined? Tape
t5insp•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
,M 10 Narrows Way
Property Address
Charles Sevigny
Owner Owner's Name
information is required for Cotuit MA 02635 9-23-08
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tank is in good condition with all baffles installed.
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑'fiberglass ❑ polyethylene ❑ other(explain):
t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15
Commonwealth of Massachusetts - a
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
10 Narrows Way sk,
Property Address
Charles Sevigny
Owner Owner's Name
information,is MA 02635 9-23-08
required for COtuit4, ^, '
every page. City/town z 4•4 State Zip Code Date of Inspection
D. System Information (cont.)
:;Tight or Holding Tank (cont.),
Dimensions:
Capacity:
gallons
Design Flow:tk s, dt •;�, _ : . ;; , y . , . gallons"per'day
Alarm present: ; ❑.,Yes ; : ❑,NO. 4t
Alarm level: _ Alarm in working order: ❑ Yes ❑ No
Date of last pumping: - Date
Comments(condition of alarm and float switches, etc.):
Attach copy of current pumping contract(required). Is copy attached? .❑ Yes ❑ No
Distribution Box(if present must be opened) (locate on.site plan):
Depth of liquid level above outlet invert •4
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Good condition.
ti..
` 4Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: „❑ Yes ❑ No
t5insp•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
°wM 10 Narrows Way
Property Address
Charles Sevigny
Owner Owner's Name
information is required for Cotuit MA 02635 9-23-08
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System(SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type.
® leaching pits number:
1
❑ leaching chambers number:
❑ leaching galleries` number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number: .
❑ innovative/alternative system
Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Leach pit is in good working order with stain line at 36"below inlet invert.
t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15
k Commonwealth of Massachusetts
F Title 5 Official Inspection Form =
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments `
10 Narrows Way k ' ! U f
Property Address
Charles Sevigny . s
Owner Owner's Name
information is •n , .
required for Cotuit MA 02635 9-23-08-
every page. 'City/Town c - State .Zip Code Date'of Inspection
D. System Information (cont.) r . •� .
A r -,Cesspools(cesspool,must.be pumped as'part.ofinspection),(locate on'site plan):
Number and configuration _--
Depth —top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes El No
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction: .
Dimensions
Depth of solids _ TM
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5insp•03/08 ` _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
10 Narrows Way
Property Address
Charles Sevigny
Owner Owner's Name
information is required for Cotuit MA 02635 9-23-08
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties
to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.
Locate where public water supply enters the building.
y
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0
6
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Dr CUr'
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A-E-30' Q-E- ?3'
t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�M a 10 Narrows Way
Property Address
Charles Sevigny
Owner . Owner's Name
information is required for Cotuit MA 02635 9-23-08
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
Shallow wells
Estimated depth to high ground water: 20'
feet
Please indicate all methods used to determine the high.ground water elevation:
El Obtained from system design plans on record
If checked, date of design plan reviewed: Date
® Observed site(abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health -explain: .
® Checked with local excavators, installers- (attach documentation)
® Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
USGS maps show groundwater at 20'.-
t5insp-03/08 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 15 of 15
L, TOWN OF BA RNSTABL.E ;
LOCATION SEWAGE
VILL,AGE_.j::� I i•<1-4- ASSESSOR'S MP&LOT
INSTALL EWS NAME&PHONE NO.
SEPTIC TANK CAPACI CY
LEACHING FACII<.M, (type) .t � (size)
NO.OFBEDROOMS—
BUILDER CAR OWNER Se U� r�
PEE IT®ATk?: ._,.,,,..—, COMyLWIC.E DATE: — -
Separation Distuce Between the:
Maximum Adjusted,Crouudwater Table to the Bottom of Leaching!~aoility Feet
"Private dater Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) _ Feet
Edge, Wedand and Leaching Facility(if any wetlands exist
wiP.iain 300 s of 14acltingea�/r)
a
(76
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dam,
!D � � "a r r S�
ol ors C
LOCATION SEWAGE #
VILLAGE G ` r ASSESSOR'S MAP&LOT _
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY eV
LEACHING FACII.ITY: (type) � (size
NO.OF BEDROOMS
BUILDER OR OWNER
(mil
PERMITDATE: '� COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
i
ROUSE
..
1 .0 Eck.
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DRAWINGS PREPIARED FOR'
SUNROOM ADDITION TO IrLOVITZ RESIDENCE. z10 NARROW $ WAY
Oct
IN 1 0
COTUIT, MASSACHUSETTS °`a
V2 VERSION 1,3
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^ D E S I G N C E R T I F I C A T I O N � 0
cowry _ .
I HEREBY CERTIFY these drawings were prepared in strict compdance with fine O W z
8th edition of 780 CMR Massachusetts State Building Code for One-and C
z 1 _i �.•�`j,-i. Two-Famlly Inge,Including Section R301.2"Climate&Geographic Design w
Criteria."
a f o
I further certify these drawings meet the minimum structural loads for snow,wind.
3 _ r i • cp„"d'°" _ roof,Rve and dead loads as required by Section R301.2.3 through Seddon _
R301.6,and minimum structural member deflections as required by Section
.YY�a _ R301.7'Dwelling Areas Square Feet w• a
o Ca L
Proposed Sunroorn 177
235 - .,* + ' - Gary D Bracklns-Professional Building Designer
m ly PfOpO58d DBdC -'+:. i - *'J,1.., .. American Institute of Building Design(AIBD.ORG)
sg GENERAL NOTES D R A W I N G SYMBOLS STANDARD OF COOPERATION di tawL� 9
s The Designer.her ampbyaes and associates assume no HaNgty for any construction from the releaea W
These dmwings are the Intellectual property of Gary D Bmcklns a Associates.(herein known as the Designer)and CAREFREE HOMES INC.(herein known as the Builder),and are PLAN VIEW ELEVATION V IEII ®., POST of these drawings The release of teed anddra of C o me owner,d g design andince co the Builder end ea
= the holders of to copyright therein.Unless to Builder releases his copyright though a written with the Owner they may not be used DY any other bu0dan or cmtlrecior for POST contractors binds weld Parise fo a Sbrdaro of Cooperetiw.Bulldog design sad construction era
PROPOSE
z u any purpose,Including building permit epplkatlgns,estimating m bidding,duplication by any means.or construction without the written approval of CAREFREE HOMES INC. GRAOULAR FILL, complex processes end awn though to Designer end twi esaeoates perform their services with due Q tY
WALL.9EE DRAW... BAND ® DIMEN610NAL care end diligence.they rawer guarernee perfection and elimination of al human ertore,such as nr
K F D 01.AD construction shag stdcdy comply wit the ath eddeth of 790 CMR Massachusetts Slate Building Obbe for Ores and Twofemly Dwellings,and any local,slate or federal LEGEND =. - LUMBER bites end rMsfabalbg.Any ambiguity or dleaepwby found through the use of these drawings shell Da _
nag Ic Immedktety brought to the attentlon of line Designer,and he shall be afforded dme to mmedime the O -
02.Theubese drawings are for Illustrative purposes onty and shelf not be scaled.Should a obeensbn not be shown the Builder shelf contact to Designer for gulden. IXIOTING issue.Failure w not y the Designer,or proceedI g before the Designer has the opportunity to crcyy Ed
{t- 03.The Builder s responsblo by eowptance of these drawings r,verify dnensbes,framing members,details a drewthga prior fo ordering any materials.My differences,en rm WALL.BEE CRtiU. CRUSHED STONE � miscible compounds misunderstanding and may Increase construction macs.A failure to meet tins d W O m
- OR GRAVEL 00LID Standard or Cooperation by a simple notice to the Designer,and giving the Designer thee to W t x
U z omtssbrs or amDiputlles found shwa Da reported b the Designer th a timely manner.The Designer efsa be¢Boded a reasonable time fo cwect or desa teas ttems found.Strould to LEGEND BLOCKING 8 6
aullder proceed with construcdm without said notification the Designer shag be re9eved of as responsmnay,for such enrms.omissions err ambiguitles. remedlate the Issue.shall regents to Designer hoes responsibility for all consequences.Changes tt O 2
04.These drawings he Dean preperetl th aamdanroe with tine nth edition of 760 CMR-Massachusetts State Building Code for One-and TwsFamly Dwellings,*Including Section DETAIL NUMBER made d these drewbge by others without the consort of the Designer shell also reileve the Designer a LL Q Q
z PROPOSE. PROPOSED of respons0llty forall oonsequwces arriving out of said Charges.This office must be not of any lu
R301.2'CWretic and Geogrephk Deelgn Crtlerle.'High Wild Construction requoemenb shown In these dmwhW shelf be eulogy followed.Questions shall be Drought b the abandon I SECTION
,y} CONC.WALL u CONCRETE variations from the dimensions end conditions shown In these drewings As a part of"a Standard of W.
F of the Designer.No opening In an eidedor wall shelf be moved or relocated without the approval of the Designer and prodUCUM of an Addendum drawing by to Designer. 8l _-_- KEY g, W 3 m
5 zF 05.Ali sections,details and materials shown and ssted as Typical"W these drawings shag apply to as other similar conditions and locations unless otherwise s --- - C construction,
ion the.Builder shag schedule a Pre-Co ached le meawg with the Designer before the start 8 V 6
u1 06.It Is trot the intent of these dmwkV to show nor trtdicate all fastening orhambg teor ques,or ag conditions present. oecifled 'I SHEET NUMBER of cdnebuctiw to review the drawings.Feanre fo schedule on the Buitler'S part shag revive the 19
F< 07.Unless oWnwise rrolad eQ framing and finish lumber are sized ecoodbg fo nominal dicneneWs. (- , HIDDEN PROPOSE DETAIL NUMBER Designer horn reaponalogsy for as consequences Snout the Owner desire to construct this dwellIN Z _
O8.do wrianca,wavier m exception by s Buatl6g Official snag be binding w nits Designer or Bultler. L---------J OBJECT RN.GRADE I OF
w a different s10p from which o was deagnad,the Designer must review Casa drawings for 3 Q Z
i 1pment selected.or other ectiws ion cis to - ` SI KEY _ mmpiianm with that site due m the requlmmens d Section R301.2'almegc and Geog-alit Design QE
09.The Designer,hb employees or associates shag Trot be mspwstda for construct on procedures,techniques used.materials 8 equ raga ---- p
m <_ ling
worlrers sash,or the saure of my contractor to Tarty out work s emgrdarroa with e6 apPlkablo codes end reeusaotts SHEET NUMBER Twits Femll lly�tit to Bt edMw of 780 CMR Massachusetts State Building Code for One end
10.AL mntradgre shal properly and sexy shore.brece or support as work as required.The work shag be the full responsibility of the Builder and no act,direction or review by the
Designer shad renew the Builder of this rwporWbaty.
K 11.b the ewes of conflict between pertinent codes and regulations and referenced standards of these apeofloagws,the more SlAngem proKvlons shag govem. D R A W I N C._i A S B R E V I A T 1 0 N $ L E G iz N D D R A W I N G e C H E D U LE
m ru- 12.Structural specifications and drewirge for dis oak have been prepared in accordance with genemily accepted ergbroerirg practice to meet the minimum requirements of the Eight = e
O an i edition of the"Mweadusetis State Building Code.' # Pound DN Down HORZ Horizontal R Riser
13.Conablx:tlw bads Shag not owrbad tine structure nor shag they be In excess of design loads Indicated on these drawings.
® At '
> ?f DWG Cawing HVAC Heating,ventilation&a/c RAFT Rafter z0
p3�yd 14.Alf dUmd ourea cowards,mmr,gene tequals which
Metweembp a ate sties be aids an and sssatio s poponMay b enceUw wup menufen approval
val of the o and povMws.Whom specific AB Andwr burl D W Gishvnwher HW Hot water REF Refrigerator
-
t- manufaowad PtoduW are called fro.9wMc equals winldn meet epparaNe ssMade end Specifications maY be used upon mksn approval of the owner.Builder sne0 provide. ARCH Architectural � M
m doormemedw to the owner of equal mndmons. ERD Board EA Each ICF insulated concrete form REINF Reinforcing .
O z 15.Floor framing layout shag be modlnated with the Bufldw and the HVAC contreoor to provide access owes and unobstructed runs for HVAC duo work end piping. BRG Bear mg EO Equal INT Interior RO Rough opening Z
16.AN exposed insulation shag haw a flame spread rating of loss then 25 and a smoke density rating of lase than 450. EXT Exterior IWS Ice&water shield SCL Structural composite lumber O e -
CASE Casement 1 TITLE SHEET r
ppp((( 17.STRUCTURAL LOADS% EW Each way KD win deed SP Southern pine 2 FLOOR PLAN&ELEVATIONS -
In A.FLOOR LIVE LOAD 40 PS F H,DECKa4LCONY WE LOAD 60 PEP CC - Center to center' U g
}asYt COL Column EWB Each way bottom LBS Pounds soF Spruc�pine-flr
z� B.BOOR DEAD LOAD 15 PaF L DECKIBALCONY DEAD LOAD 12 PSF FCB Fiber comment bid. LL Live bad SO Square 3 FOUNDATION&FRAMING PLANS e
] C.GROUND SNOW LOAD 30 PSF J.GUARDRAILS a HANDRAILS 200 L OS CEIL Ceiling.
LL D.ROOF LIVE LOAD 30 PSF K.STAIRS 60 Ps CLO Closet FIN Finish LLD Live load deflection SF square foot. 4 TYPICAL SECTION rD
18 e.ROOF LEAD LOAD 10 PS
F L TREADS 75 PSI CO Cased opening FJ Floor joist LVL - Laminated veneer lumber SKI. Sky tight U
F.ATTIC WITH STORAGE STORAGE LIVE LOAD 30 PEP M.WIND SPEED 110 MPH CONIC concrete FLR Floor NIC Not In coniraof SLD Sliding door 5 POST 8 BEAM CONSTRUCTION o
s G.ATTIC W/O STORAGE LIVE LOAD 10 PSF N.WIND EXPOSURE a FP Fireplace NTS Not b scale STL Steel DETAILS 8 NOTES
° CONT Continuous FTG Fooling OC -On centers T Tread
CJ Calling joistD Dryer Fr root OH
_ SPECIAL FLOOD t WIND HAZARD ZONES DBL Double roovis
GALV Galvanized OM Over head VIF Tongue
in Reld
DF' Douglas fir GIM Gkulsm lumber POC Pocket door VERT Vertical
w DH Double hung GYP Gypsum lord. PLT Plate. W Washer -
e This site Is located within Zone C as defined on F.E.MA.Flood Insurance Rate Map(FIRM)Map Number250001 00210.Map revised July 2,1992,. DH Domeier H Height PSF Pounds per square foot WH Water heater- -
h, HEAD Header PSI Pounds per square Inch WHP Whirlpool
This Site is located within a Wind Exposure Category 8,Bask Wind Speed 110 mph. DIM Dimension
DI Dead bed: HD Heavy dory PSL- Parallel strand lumber WP Weather proof
HDG Hot dipped gaiv. t PT- -Preservative treated W/ With. vERBION 1.3
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THIS PLAN I5 THE MTPLLECTURAL PROPERTY OF GARY D.BRAGKINS 0 ASSOCIATES AND CAREFREE HOMES INC.IT MAY NOT BE REPRODUCED IN WHOLE OR IN PART By ANY MEANS WITHOUT THE EXPRESSED PERM55ION OF GARY D.SRACKMS 4 ASCI SOATES OR CAREFREE
HOMES INC..POSSESSION OF THIS PLAN DOES NOT TRANSFER ANY RIGHT.TITLE OR MTEREST IN THE PLAN OR COPYRIGHT THEREIN;AND QNLY ONE DWELLM6 MAY BE CONSTRUCTED FROM THE DESIGN CONTAINED M THIS RAN Wf1NO1JT THE WRITTEN PERMIT OF GARY D.
BRACKM5 4 ASSOGATES AS THIS DWELLING WAS DESIGNED FOR A PARTICULAR SITE AS REQUIRED BY TEO GNR R501.1 AND ITS DESIGN MAY NOT BE VALID FOR ANOTHER SITE.
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TH15 PLAN 15 THE INTELLECTURAL PROPERTY OF GARY D.SRACKIN5 a ASSOCIATES AND CAREFREE HOME5 INC.IT MAY NOT BE REPRODUCED IN WHOLE OR IN PART BY ANY MEANS RTHOUT THE EXPRE55ED PERMSSION OF GARY D.BRACKMS a A950C1ATES OR CAREFREE , +%
HOMES NC..POSSESSION OF THIS PLAN DOE5 NOT TRANSFER ANY RIGHT,TITLE OR INTEREST IN THE PLAN OR COPYRIGHT THEREIN:AND ONYX ONE DWELLNG MAY BE CONSTRUCTED FROM THE DESIGN cotrANm M THE,PLAN WRNOITT THE PRA-TEN Penme5m OF GAMY D.
BRAC 0NS a ASSOCIATES AS THE,DWELLING WA5 DESIGNED FOR A PARTC4)LAR 5TTE AS REWIRED BY TbO CMR R301.2 AND 1*175 DESIGN MAY NOT BE VALID FOR ANOTHER SITE.
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