Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0339 SWIFT AVENUE - Health
Fft.Avenue _��ILP 017 a 0 �. �. F�q� qh 07d 3 9/1), a3nssi 3 dI I'd N ® 3 31ra 9' nSs1 11MIM3d -3Iya w 3N 80: V3011A ' 3i71 P Sid SS3ra0V' . 1 '310vN s.N31111 Ism 1 •�/ 39V111A `I ..ON ; 1IMV3d 3 rA3S • iN®1.1V301 � LOCATION SEWAGE PERMIT C90• :�37 .SwrFf vILLAc � INSTA_ LLER'S NAVE 8 ADDRESS L1±l3 de55.pod view 0UILOf It OR AV 13E DATt` PERMI-T . ISSUED DATE COMPLIANCE ISSUED b� 70 G lb 4. 1 . 00, O' cl�55Ppa/ fay) 9 / A' ry No.-32=12 O- Fus....$...5,.QQ........ .THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH T own.........'OF........Barnsta bl--e -- --------------------•---•-----•-•-•-••--.....---•- ApplirFation for Uhipoii al Works Tnnidrurt un ranfit Application is hereby made for a Permit.to Construct ( ) or Repair an Individual Sewage Disposal System at: .... eryille 0265 ......... •--•••---•------•--•-•--•..................•--••--......-•------•--- Location-Address or Lot No. Barbara DaLomba _.33.9_Swift Ave. Osterville, .P� 02655 Owner Address A & B w0ess�ool Service 128 Bishops Terrace, Hyannis, MA 02601 Installer Address Type of Building Size Lot.... .....................Sq. feet V Dwelling—No. of Bedrooms............ ...............................U. Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons....._.2................... Showers (. ) — Cafeteria ( ) Q' Other fixtures .................................. WDesign Flow............................................gallons per person per day. Total daily flow...............:............................gallons. WSeptic Tank—Liquid'capacity......_.....gallons Length................ Width................ Diameter-----------------Depth................ x Disposal Trench—No.-----_---.-------- Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water:....................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.........:.......... Depth to ground water........................ P4 --•.--- ODescription of Soil........................................................................................................................................................................ x �., W --•••----•-•......------•----•-----•---••-•-•-••••----•--•••--------------••-•-------••-•-•---------...------------------------------------------------......-----------------.......•••.......•-•••---- UNature of Repairs or Alterations—Answer when applicable...installation_.Df__a..1,.ODQ_.gall�n..�x ......st.one_._Packed__leach..p1t---(nverd Law)------------------------------------------------------------------------------------------------------------------- Agreement: The 'undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of JITL;✓ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the bo rd of health. � . ....•--•4 Signed.L �: rrl--- --:.... ..�......!�.... � Date Application Approved By.................. ,.A. 1 ----------------4 16�82 Date Application Disapproved for the following reasons:.............................................................................................................. -----•...........•--•••-•------------•------•--•------•-•---------•---•----------•-•........-•-------•-•.I-••---------------------•-----...-----••---•----•-----•-•----•--•--------------•-•------------- Date PermitNo..82----•-••••------•----............................................... Issued...... ............................... Date •1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town O F........ rns Barnstable . •------------•--------•----•--....._._ Applirution for Disposal Works Tons rurtion Frrmit Application is hereby made for a Permit to Construct ( ) or Repair (it ) an Individual Sewage Disposal System at: ..... . .Swift.Ave x..Osterville: •02655.............. ...........••-------•-•-----...............-----.....----•--------•-•----••------...-------....... Location-Address or Lot No Barbara IJaLomba - 9 Swift Ave., Osterv'lle. 1�A__ _02625•_______ Owner Address WW •---.A & B•Cesspool Service--•••-••-•------------------------------ -12.3•_O Dish s Terracer Hvgnnis, 74A 026Q3 ... Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms___.._______3..............................Ex anion Attic� g— p ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons.___._Z_______.______._._. Showers ( ) — Cafeteria ( ) dOther fixtures -----------••------------------•--........................................................ Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No---------_--------- Diameter.............._..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ i4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---- o Description of Soil-----------------Sin—d-------------------••-------------....---................•----....-------•----------------•---•-------------•-•----------------------------.._..--•-----.....--------- V .._..•-••-------------•••--•--------.................................................................................................................................................................... W U Nature of Repairs or Alterations—Answer when applicable__installyti._on___o _ __2,lu1QQ.__gallt2n_. -cast, st.ona--.aa cked..leaj::h__.Pit._.(_ouerflow.),..................•----------------------------------------------------•---.--...--------------•-•--..._........_- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with TITLE •• - the provisions of I i ce' 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed.�&/_6z�: L 4_ /16�82_ \\ pat / Application Approved By � ._ � t --+ --•-------------4//1 t 2------ -- ••- ----•--•--------••-••-- Date Application Disapproved for the following reasons-----------------------------•----•----------------..--.-------•----------------------------------------------•-- ...---•---•------------------------------------------------------------•-•...•--------•----••-------...•--•--•---------...------------------•---•...................................................... Date Permit No..8?................................................. � --------------•---•---•-•-----...... Issued...---•-•-----16 -S2 --------•--•----•--....--•------- Date THE .COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................T-Q n........OF........Ba=lft ?e.................................................. (9rdifiratr of Toutpliunrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by A & B Cesspool Service, -128 Pishopa Terrace, Hyannis, MA 02601 � nstaller at ..339-Swift Ave., Osterville, VA 0265 Barbara DaLomba --------- .....- --_._. ...---•-------•---•------•••-••-• has been installed in accordance with the provisions of TIT LE 5 of The State Sanitary�Cq1 - described in the application for Disposal Works Construction Permit No.... ........__,� _4�__.______._____ dated------.___-_-____________________-______________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE �. SYSTEM WILL FUNCTION SATISFACTORY. �- t DATE..............4/16/82 Inspector...... - d ....................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable 82-1�� OF....................................... $ S.QQ .......................................... No......................... FEE........................ Disposal Works Tonsfrion "truth Permission is hereby granted................ _.&..B_.CessP_-ool__Service • to Construct ) or Repair ( X) an Individual Sewage Disposal System at No._________-3 9--Sw9 ft-Ave.....Osterviile,-_NSA .02b 5 - Barbara DaLomba --------------- ---------•---------------•-----------•----.............._ Street as shown on the application for Disposal Works Construction Permit No. �'....___..___ Dated.........�'l-lbl2............... = , 16�82 ,Board of jlealth DATE...................... •-------' H --------------------•----------------•--•------- FORM 1255 HOBBS & WAR'4EN, INC., PUBLISHERS O-:��ZONV NTH OF.M SAC- . EXECUT� OFFICE OF E .I�t�SE'I"I'S NVIR 't�r ,. 4I5 r ONiVI � v EN �T�,. 44�� [[�� c 1 ��F1��5 J•4 t�L3�� DEPARTMENT OF EN-wpONMENTAL �',�R�+ . ` ' 54 TITL OFFICIAL INSPECTION FORM_NOES , FOR PO®L�TAEM F SESSMENTS SUBSURFACE SEWAGE D PART A ORiVI CERTIFICATION Property Address: 33g SW� � Owner's Name: Owner's Address; Date of Inspection: [ It Oa66$ I Name of Inspector:(plea a print) Zc Company Name: Mailing Address: ✓o� 1 lv1S [O Telephone Number: CERTIFICATION STATEMENT I certify that I have e ,rs on al P inspected Y ed b sp the sewage disposal el I system this address and that ow is true,accurate and complete as of the time of the insp ction.The inspection was erformed based on reported training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000), The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: f�J 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 and copies sent to the buyer, if applicable,and the approving authority_ Notes and Comments ****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 conditions of use. system will perform in the future under the same or different Title 5 Inspection Form 6115l2000 page Page 2 of II OFFICIAL INSPECTION FORM-NOT FOR VOL�N I'ARY ASS SUBSURFACE SEWAGE IPOSAL SYSTEM INSPECTION FORM S PA RT A. . CERTIFICATION(continued) Property Address- wr Owner- Date of Inspection: laspection 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 all 1 03 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below.. Comments: B- System Conditionally Passes: One or more system components as described in the--conditional Pass,,secti repaired.The system,"Pon completion of the replacement or eed to be replaced or Y P P P repair,as approved the Board of Health,will pass. Answer yes,no or not determined(Y,N i,ND)is the for the follow' g statements.If`dot determined" lease explain p The septic tank is metal and over 20 years old*or the ptic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or existing replaced failure is imminent.System will pass inspection if the a tank i r laced with a complying septic tang approved by the Board of Health. *A metal septic tank will pass inspection if it is stru Iiy sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old vailable. ND explain: Observation of sewage backup break out or high static obstructed pipes)or due to a broke settled or uneven distribution box.level in the box due to broken or approval of Board of Health): Pass inspection if(with broken pipe(s)ane_ ced obstruction isumoved - distri�ution box is Ie�led or replaced ND explain: The system r gaited pumping more than 4 times a year due to broken or obstructed pipe(s).The system will Pass inspection if approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 1 l OFFICIAL INS PEC T I+®N FORM SUBSURFACE SEWAGE DISPOSAL STEM IN ARY ASSESSMENTS ECTION FORM PART A CERTIFICATION(continued) Property Address: Owner:_ •� t Date of Inspection: O C. Further Evaluation is Required by the Board of Healthy Conditions exist which require further evaluation by the Board of Health in order to de€ermi is failing to protect public health,safety or the environment. n e if the system !. System will pass unless Board system of Health determines in accordance with 310 CMR is not Of in a manner which will protect public health,safet .303(I)(b)that the. ____ Cesspool or ri Y the environment: P vy is within 50 feet of a surface water ___ Cesspool or privy is within 50 feet of a bordering vegetated wets or a salt marsh 2. System will fail unless the Board Of Health(and Pu is Water Supplier,if any)determines that the s}stein is functioning in a manner that protects the p lic health,safety and environment: _ The system has a septic tank and soil abso Lion system(SAS)and the SAS is within 100 feet of a. surface water supply or tributary to a surfac ater supply. -- The system has a septic tank and S and the SAS is within a Zane 1 of a public water supply. The system has a septic tank d SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic and SAS and the SAS is less than 100 feet but 50 feet or more from a Private water supply well** ethod used to determine distance ----------------- **This system passes if a well water analysis,performed at a DEP certified laboratory,f or bacteria and volatile ganic compounds indicates that'the well is free from pollution from that facility an the presence of onia nitrogen and nitrate nitrogen is equal to or less than 5 ,failure criteria ar triggered. ty d ggered.A copy of the analysis must be attached to this formpm provided that no other 3. Other: 711 3 r Page 4 of 11 OFFICL&L INSPECTION FORM'—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART.A- CERTIFICAT16N{continued) Property Address: GtJ1'1 t Owner: Date of Inspection: A 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 or clogged SAS or cesspool tl Liquid depth in cesspool is less than 6"below invert or available volume is less than'/z day flow or Required pumping more than 4 times in the last year NOT due to clogged or obstructed pil*s).Number of times pumped 4 Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water sup 1 well. Any portion of a cesspool or privy is less than 100 feet but greater than 50feet from a rivate water supply well with no acceptable water p quality analysis. This system passes if the well water analysis, performed at a DEP certified taboratorN for C.011iform bacteria and volatile organic comps indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal.toot less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails.I have determined that one or more of the above failure 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 necessary to correct the failure. E. large Systems: To be considered a large system the system must serve a facility esign flow of 14,m1?0 gpd to 15,000 �' You must indicate either"yes"or-no"to each of the foll n (The following criteria apply to large systems in ad ' ' to the criteria above) yes no — _ the system is within 400 feet of . urface drinking water supply — the system is within 200 of a tributary to a surface drinking water supply — _ the system is loca in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone H of a p Yc water supply well If you have answere "yes"to any question in Section E the system is considered a si "yes"in Section D ove the large system has failed.The owner or operator of an large��tthreat or answered significant threat der Ysystem considered a. 15.304.The sy em owner rsshou d or the der So Hate reection D s onat office gradethe system Department. �310 CUR ppr p gi P A Page 5 of i i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: W t Owner: Date of Inspection• Check if the following-have been done.You must indicate es"or"no"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health 4r 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 Iarge 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? _ 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 Ye no _ Existing information.For example,a plan at the Board of Health. ' X __ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 Page 6 of i I OFFICIAL INSPECTION FOR_NOT FOR VOLUNTARY ASSESSMENTS SUBSUR FACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM IN-FORMATION Property Address: J SW t'f LAC Owner Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): ? Number of bedrooms(actual): 07 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):V AO Number of current residents: O Does residence have a garbage grinder (yes or no): P* Is laundry on a separate sewage system(yes or no): /Gb [if yes separate inspection required] Laundry system inspected es yy q 3. P (y or no): filC� Seasonal use:(y es or _ Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no):&V Last date of occupancy: 7sqtetc-)- BasisCOMMERCIAL/INDUSTTvpe of establishment: Design flow(based on 310 .203): d of design flow(seats/ Grease trap present(yes or n :_ Industrial waste holding present(yes or no):— Non-sanitary waste dis arged to the Title 5 system(yes or no): Water meter reading if available: ` Last date of/ibe): y/use: OTHER(de GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or 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 -k/ Overflow cesspool _Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology. Attach a copy of the curreni operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of allccomponents,date installed (if known)and source of formaeion: ��n p 0 Were sewage odors detected when arriving at the site(yes or no): /lea 6 Page 7 of 11 OFFICIAL,INSPECTION FORM —NOT FOR VOI. .�TTARI'ASSESSMENTS SISITR 'ACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM TS PART C SYSTEM INFORMATION(continued) Property Address: Owner: v t �cu Date of Inspection: BUILDING SEWER(locate on site plan) , Depth below grade: o?,v'2 Materials of constructioncast iron 40 PVC other(explain): Distance from private water supply well or suction line;Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:—(locate.on site plan) ll Depth below grade: Material of construction:_concrete_metal —other(explain) rglass__polyethylene If tank is metal list age:— Is age confirm y a Certificate of Compliance certificate) p (yes or no):—(attach a copy of Dimensions: Sludge depth: Distance from top of sludge to om of outlet tee or baffle: Scum thickness: Distance from top of csp um top of outlet tee or baffle: Distance from bottom of um to bottom of outlet tee or baffle: How were dimensions etermined: Comments(on pum ' g recommendations,inlet and outlet tee or baffle condition,structural integrity,li uid levels as related to outlet' vert,evidence of leakage,etc.): 9 GREASE TRAP:—(locate on site plan) Depth below grade:_ Material of construction:_concrete tal fiberglass (explain): — _polyethylene—other Dimensions: 7. Scum thickness: Distance from top of Scum to to f outlet tee or baffle: Distance from bottom of scum bottom of outlet.tee or baffle: Date of last pumping: Comments(on pumping re mmendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert, vidence.of leakage,etc.): 7 I Page 8 of i i OFFICIAL,INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: %a C Owner: Date of Inspection: TIGHT or HOLDING TANK: (tankmust be pumped time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete m fiberglass`_polyethylene other(explain): Dimensions: Capacity gall Design Flow: Ions/day Alarm present(yes or no): Alarm level: Al in working order Date of last 8 (yes or no): Pumping: Comments(condition alarm and float switches,etc.): DISTRIBUTION BOX: (if pre t must be opened)(locate on site plan). Depth of liquid IeZvenvert: Comments(note distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or ou ------------------ PUMP CHAMBER: (lcat n site plan) Pumps in working order(y or no):. Alarms in working order es or no): Comments(note condi ' n of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9ofI OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESS SUBSURFACE SEWAGEDISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 3_1;q ,5U � G Owner: � o z Date of inspection: ABSORPTION SYSTEM(SAS):X(locate on site plan,excavation not required) quired) If SAS not located explain why: Type leaching pits,number leaching chambers,number. Leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: -X—overflow cesspool,number. innovative/alternative system Type/name of technology:etc.): is(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of veaeta etc.): S . tion, CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: , Depth-top of liquid to inlet Rverr �A� Depth of solids laver: Depth of scum Iayer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no OIO Comore u(note condition of soil,signs o�hydraulic allure,level of pon inQ,condition of ve etati t .); g tit PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note conditio f soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.); 1 9 f Page 10 of 1 l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: `� •G Owner: + Date of Inspection 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. . Page l l of l 1 OFFICIAL INSPECTION FORM—NOT FOR VOL NTARY ASSESSMENTS SIBSt RYkE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 6 Owner Date of Inspection: 0 SITE EXAM Slope 0 O Surface water UO Check cellar Shallow wells �O Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevatio n: , Obtained from system design plans on record-If checked,date of design plan reviewed: 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} ' AC Accessed USGS database-explain: You must describe how you established a high ground wa elev tion: � er s � .ems . 11 COMMONWEALTH OF MASSACHUSETTS x EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION Q � T MAP PARCEL 0 J LOT TITLE 5 OFFICIAL INSPECTION.FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM i PART A CERTIFICATION Property Address:. J T� Owner's Name: Owner's Addre 9 Date of Inspection: / ' RECEIVED �- � Name of Inspector: please print). ' 'V' � _ Company Name. AUG.2 5 20 33 P Y � Mailing Address: U— V-1 TOWN OF DEPT. HEALTH D DEPT.. Telephone Number: dg= 7 CERTIFICATION STATEMENT - I certify that I have personally inspected the sewage disposal system at this address and that the'inforination reported below is true,accurate and complete as of the time of the inspection: The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a.DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:. Passes Conditionally Passes Needs.Further Evaluation by the Local Approving Authority ails Inspector's Signature: Date: The system inspector shall submit a copy of this.inspection report to the Approving Auth6iriiy'(13oard 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 of1he. DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments �v , ****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. Title 5 Inspection Form 6/15/2000 page I r Page 2 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Addressi �_ /��P Owner: Date of pecti n: Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. yytem Passes: I have not found any information which indicates that any of the failure criteria described-in 310 CM_ R =15:303`orin 310 CMR 15:304 exisf.Any failure criteria not evaluated are indicated below. Comments: 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 for 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 sewave backup or break-out'or hi h`static water level'in`the distribufion'box�due'i6broken 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 distribution box is leveled or replaced ND explain: The system required.pumping more than'4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health):. broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 1'l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 33 e A Owner. Date o pection: ,� C;U 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 wiii pass unless Board of Health determines in accordance:with 310 CMR 15.303(1)(b).`tiiatahe system is not functioning in a manner which.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 Board of Health (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. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private.water supply well. _ 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 and volatile organic compounds indicates that the-well-is-free froth.pollution"from,that-facility 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: 3 .. Page 4 of 11 t OFFICIAL.INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: -339 am w /w Owner: Date of I echo : si7ac03 A System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes N l� 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 Ls/ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or / cesspool IJ Liquid depth in cesspool is.less than 6"below invert or available volume is less than '/z day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped _ I Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface f water supply. 1/ Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50.feet of a private water-supply well. . — Any portion of a cesspool or privy is less than 100 feet but. rester than 50 fie— g et from a private water supply well with no acceptable water quality analysis.f This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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. /J l gg .A copy of Ile analysis must be attached to this form.] 0 (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 45.303,.therefore the.system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: $'tems: . �. � _ ... , , _ To be considered a.large'system the system must serve a facility with a-design flow of 10,000 d to 15 000 gPd• gP You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above yes 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 — — the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—I WPA)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 15.364.The system owner should contact the appropriate regional office of the Department. 4 r Page 5 of 1.1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM CHECKLIST Property Address: Owner: Date of section: 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 y V" 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? 12 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 breakout? 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 th/e baffles or tees, material of construction,dimensions,depth of.liquid,depth.of sludge and depth of scum? U/ 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)of,,the site has beer determined based on: Yes no 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 CMR 15.302(3)(b)]. 1. i .. .. t !. . e It,. . .. •.% y - y , _. 5 Page 6 of 11 OFFICIAL,INSPECTION-FORM"NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION:FORM PART C ' SYSTEM'Iw6RMATION z Property Address: we Owner: ZD Date of I �ec : Q RESIDENTIAL L, � FLOW CONDITIONS Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 11:0 gpd x#of bedrooms): Q.X -Number of current residents:--a— Does residence.'have.a garbage grinder(yes or no): XJO <;..� Is laundry on a separate sewage system( es or�no);�,[ifyes separate inspection required] Laundry system inspected(yes or no)X—b Seasonal use: (yes or no): AA) .. Water meter readings, if available(last 2 years usage(gpd)): 0/`ZIt 00� 071--7' Sump pump(yes or no): lU Last date of occupancy: AWMe /2W I COMMERCIAL/INDUSTRIAL� Type of establishment Design flow.(based on 310 NR15.203): gpd Basis of design flow(§eats/persons/sgft,etc.): . . . Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records (� Source of information: Was system.pumped as part of the inspection(yes or )/ �Q•, If yes, volume pumped:__gallons--'How was quantity ped 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) _Tight tank Attach a copy:of the DEP.approval v Other'(describe). J pprox'mate age of all components,date installed(if known)and source of information: Were sewage odors'detected when arriving at the site(yes'or no): �� Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner. • Date of 6b-ectiolf. L 3 BUILDING SEWER(locate on site plane/ J Depth below grade: Materials of construction:_cast iron _40 PVC_other(explain):- Distance from private water supplywell of suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK/.Locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):—(attach a.copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: 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: How were dimensions determined: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): n GREASE TRAP; locate on.site plan) Depth below grade:_ 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: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C :SYSTEM INFORMATION(continued) PropertyAddress: ( _(I Owner: Date of pecti n: TIGHT or HOLDING TANKK —(tank must be pumped at time of inspection)(locate.on site plan) Depth below grade: Material of construction: concrete .metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): f DISTRIBUTION BO (if present must be.opened)(locate on site plan) Depth of liquid level above outlet invert: 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.): PUMP CHAMBER (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no):. Comments(note condition of pump chairiber,condition'of pumps`and appui f6narices,`etc:):',) 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C SYSTEM INFORMATION,(continued) Property Address: 33 Owner: Date of ectio : / (2 SOIL ABSORPTION SYSTEM (SAS): ocate on site plan,excavation not required) If SAS not located explain why: Type eaching.pits,number: 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, Wj CESSPOOLS:V (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: / Depth—top of liquid to inlet invert: Depth of solids layer: — r Depth of scum layer: Dimensions of cesspool: Materials of construction: _&"`X Y i, Indication of groundwater inflow(yes or no) omments(note conditio of soil;sig o irydra fic failure, level of ponding ondit;on.of ve etation;etc PRIVY (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): i 9 Page 10 of 11 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE'SEWAGE DISPOSAL'SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: -32 w C(,t.e Owner: Date of I p ction. / a0 j 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. i �D ctt/k—. Aj 10 Page I 1 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: n IVA Owner: Date of s ectio l _ SITE EXAM Slope Surface water Check cellar. Shallow wells Estimated depth to ground water feet Please indicate(check).all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design.plan reviewed: 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) i/Accessed USGS database=explain: You must describe how you.established the high ground water elevation: ow `e 11 � I Permit Number: Date: Completed by: � HIGH GROUND-WATER LEVEL COMPUTATION Site Location:_ 33 ? ,51411/ / � �. �s �C// �. Lot No. Owner: �3 - Address: l f Contractor: ��/'7 � / 141115�yl_ Address: Notes: STEP 1 Measure depth to water*table to nearest i/10.ft. ..... .............:.... .Date /fJ`r�j z month/day/year STEP 2 Using Water-Level Range Zone _ and,lndex Werl'Map locate site and determine: i OAppropriate index well....................................��� b Water-level range zone .................................................. STEP 3 Using monthly report."Current Water Resources Conditions" �• . � I determine current depth to ` -t, water level-for index well .......::.................. 97`0 month/year I STEP 4 Using Table of.Water-level Adjustments for index well (STEP 2A), current depth to water level for index.well (STEP 3)., 'and water-level zone (STEP 2B) determine water-level adjtrstment ...........................:.............................................................. STEP 5 . Estimate depth-tb hi*h wa er by subtracting the water i. .level adjustment (STEP 4) from measured'depth to water level at site (STEP 1) ................... -................................................................. Figure 13.--Reproducible computation jor m. �.........��...^...«..,.,H..P.a....,—.. .,�:..,..i, ^`a' ._.....��.w.� ..,e...._..._.1:^'�"�'��^.*:b,..:.,,n^.M..,....,»,.,.-.,.,.... � f tw f-°„f:j�! ����... .�...,.,._. 3Z-0' 11'•6' ., 5' S' NOTES: ------------ ---- ---- 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS I NEWP.Tx6 &DIMENSIONS IN THE FIELD - WI CASINGG 8 B''HIGH HIGH BASE ' 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, r DETAILS,&FINISHES IN THE FIELD WITH OWNER C C 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT }R1 5 A5 FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR r § 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS 07 STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 EXIST. NEW SCREENED 5.) 110 MPH EXPOSURE B WIND ZONE W DECK °� PORCH ,I. 4 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, 4D 3'0'DOOR OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING CO� - �, , 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD + ANDERSEN 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY RICK HOOD FOR ALL ' FW06068APLR +p'�' PROPOSED&EXISTING DETAILS ID ABOVE QF ABOVE F 9.) FOLLOWALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF s o a o a-r '-10• a-1 ALL SIMPSON COMPONENTS E E 10•) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS _ TO BE 3000 PSI I � ` 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE EXIST. 1 ; DURING FRAMING CONSTRUCTION BATH 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE O O Q NEW NEW 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED EXIST. I 0 DININ_ MASTER 14.)THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,EXPOSURE"B" BEDROOM EXIST. BEDROOM D &WITHIN ONE MILE OF NANTUCKET SOUND PER STATE OF CLOS.I KITCHEN I - o (VAULTEDCEILING) MASSACHUSETTS WIND SPEED MAPS 1 i 15.) GLAZING PROTECTION PER 780 CMR 5301.2.1.2 TO BE IMPACT GLAZING 0 D VERIFY ALL WIND BORNE DEBRIS PROTECTION REQUIREMENTS EXIST. © W/OWNERS PRIOR TO START OF CONSTRUCTION HALL 6-0- 3'-2 B' 3'd' 3'_70' B 16.)FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY 5 100 A5 EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION --I------------ - —————— O C 6° tee. INSTALLER/CONTRACTOR. - I _ 1C 17.)ALL HEADERS TO BE 3-2 x 8's UNLESS OTHERWISE NOTED v CLOS. goCLOS. .. EXIST. NEW . q WINDOW SCHEDULE BEDROOM I MASTER TYPEMANUFACTURER'S UNIT ROUGH OPENING REMARKS GAS CLOS.I EXIST. I LIVING NSERT BATH A ANDERSEN TW2046 2'-2"x 4'-8 7/8" DOUBLEHUNG B A21 2'-0 5/8"x 2'-0 5/8" AWNING C TW2442 2'-6 1/8"x 4'-4 7/8" DOUBLEHUNG I O O ^ D I. A251 2'-4 7/8"x 2'-0 5/8" AWNING ems. E TW2446 2'-6 1/8"x 4'-8 7/8" DOUBLEHUNG CLOS.+sa. 3'airz F TWT2415 2'-6 1/8"x 1'-7 7/8" TRANSOM Arno ,S 1.CONTRACTOR TO VERIFY NEW ACCESS yL q C Y ALL WINDOWS WITH OWNER AND ROUGH OPENINGS 4 COVERED L—— WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS a ENTRY 4 2.ANDERSEN 400 SERIES STORMWATCH WINDO WS OWS WHITE EXTERIOR W/ NEW NEW OF"Ff£� GRILLES.LOW-E HP 4 GLAZING W/SCREENS&STD.HARDWARE HALL 4 L'DRY. O (sl IDSAV IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS NEW P.T.4 K 4 POSTS 6'-6• - g•-p• PAW CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION CASING&8'HIGH BASE A ; TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) 5 m A FENESTRATION SKYLIGHT CEILING VA]OD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAV SPACE WALL ' A5 U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE q-VALUE R-VgIUE 0.]2 0.80 0.9 2a ]0 1S/19 10(2 FT.DEEP) 1W13 A A NOTES: 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. CENTERED❑ ABOVE ON 2.10/13 MEANS R-15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR B . GABLE OF THE HOME OR R-13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY.REQUIREMENTS 20•-6• LEGEND: sO SMOKE DETECTOR = EXISTING WALLS FLOOR PLAN ©CARBON MONOXIDE DETECTOR L_ CONSTRUCTIONTOB- E REMOVED. NEW CONSTRUCTION BQ® COTUIT BAY DESIGN LLC NEW ADDITION FOR THE DESIGNER OMISSINS NOTIFIED E'DUNGONY7DAT/E EHESE DR R O GS PRNS ARE FOUND, DRAWING NO. : 43 THESE DRAWINGS PRIOR To DI START OF REWSTER ROAD — CONSTRUCTION,L sla �oA:NECONTENITOMASHPEEMA. 02649 REED RESIDENCE C TM EN DRAWINGS 0 CONSTRUCTIONCOMMENCES WITHOUT COTIFYINC THE PH. (508)274-1166 DESIGNER OF ANY ERRORS OR OMISSIONS. ///���/� /� �L \/ CC THESE DRAWINGS ARE SOLELY FOR THE USE FAX (508) 539-9402 (� `W IFT A V ENUE O\/ TOF HESE ONAER NOTED ANYOTHER USE OFv J V\YITERVILLE, �MA CO SENTOFTGSRECUIgESTHEWRITTEN5 Al CONSENT OF THE DESIGNER UNDER LHE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. EXTEND EXIST.CHIMNEY TO TO"ABOVE NEW RIDGE HEIGHT EW RAKE BOARDS • 12 TO MATCH EXISTING 10 ._1 NEW CRICKET ® 12 IK-110 TOP OF PLAT: Fm ❑ ❑ ® NEW CORNER BOARDS a a TO MATCH EXISTING NEW W.C.SHINGLE SIDING aq TO MATCH EXISTING F NEW WINDOW TRIM TO NEW P.T.4 x 4 POSTS W/ MATCH EXISTING CASING&6"HIGH BASE FIRST FLOOR _ SUBFLOOR FRONT ELEVATION NEW RIDGEVENT NEW ASPHALT ROOF SHINGLES TO MATCH EXISTING 12 - EXIST. EXIST. 12 TOP OF tl_ATj NEW P.T.6 x 6 POSTS W/ CASING&6"HIGH BASE C ^ 19 ' FIRST FLOOR SUBFLOOR LEFT ELEVATION NEW ADDITION FOR• THE DESIGNER SNARL lR:NOTIFIED IF ANY SCALE 1 ` COTUIT BAY DESIGN LLC ERRORS OR OMISSIONS ARE F°UN°°N pR/-LV VINV NO.: lu\ THESE RUCTIO CONSTRUCTION, HE DI STARTOF 43 c o o WILL BE RESPONSIBLE FOR IT ECONTENT NG TOR 1/4" WSTER ROAD IN THESE DRAWINGS IFCONSTRUCTION MASH P E E ,MA. 02649 REED RESIDENCE COMMENCES WITHOUT NOTIFYING THE DESIGNEROF ANY ERRORS O OMISSIONS. �!� (508)1 THESE DRAWINGS ARE SOLELY FOR THE USE 274-1166 OF THE OWNER NOTED.ANY OTHERUSEOF DATE FAX 182J �J(� (� 339 SWIFT AVENUE OST 'n\/A' CONS DRAWNGS ENT OF THE THE WRITTEN 2/10/2015 FAX (5O ) 539'9402 ERVILLE MA CONSEECTURAE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. RAISE EXISTING CHIMNEY TO 37 ABOVE NEW - - - RIDGE HEIGHT NEW CRICKET - 12 107 NEW RAKE BOARDS - -TO MATCH EXISTING 12 10 as REAR ELEVATION NEW RIDGEVENT ' NEW ASPHALT ROOF SHINGLES • TO MATCH EXISTING NEW 1 x 8 FASCIA,FRIEZE, SOFFIT BOARDS TOP OF PLATE - NEW CORNER BOARDS Tl TO MATCH EXISTING FT C NEW W.C.SHINGLE SIDING TO MATCH EXISTING NEW P.T.6 x 6 POSTS W/ � NEW WINDOW TRIM TO CASING 8 8"HIGH BASE ' MATCH EXISTING FIRSTFLOOR SUBFLOOR RIGHT ELEVATION Bu® COTUIT BAY DESIGN LLC NEW ADDITION FOR. THE DESIGNER SHALL OOI SCALE : ERRORS OR OMISSIONS ARE FOUND ON DRAW N G NO. 43 BREWSTER ROAD THESE DRAWINGS PRIOR T T STAR OF O START Of CONSTRUCTION.THE BUILDING CONTRACTOR II I II LJ�] �L�1 c REED RESIDENCE WILL BE RESPONSIBLE FOR THE CONTENT 1/4 MASHPEE MA. 02649 IN COMMEEORAWNGSIF CONSTRUCTION THE LJ o ,1 •1�1 66 COMMENCES WITHOUT NOTIFYING THE PH. (50C1) 274 I VV TH BE DESIGNER OF ANY ERRORS OR OMISSIONS. FAX (508) 539-9402 THESE DRA ERNOTEDINGS ARE 9 ANY OTHER THE USE DATE 339 SWIFT AVENUE OST OFTHE OWNER NOTED ANYOTHER USE OF �� E R V I L L E, MA THESE DRAW THE REQUIRES THE WRITTEN CONSENTTU THE DESIGNER UNDER THE 2/10/2015 ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. 1V-6" 11-6 NEW 12"DIA.CONCRETE SONOTUBES FASTEN P.T.8 x 8 POSTS TO W/28"CIA. 7 BEL T FOOTINGS UNDER- 15" INSTALL 5/8"SIMPSON TITEN HD ANCHOR BOLTS AT BEAMS W/SIMPSON LCE4 AT NEATH TO 4'0"BELOW GRADE.USE 48"ox,MAX.W/SIMPSON BPS 5/8-3 BEARING PLATES THE CORNERS 8 AC6 OR ACES SIMPSON ABU88 POST BASE PLACE BOLTS WITHIN 6%15"OF EACH CORNER AND AT THE OTHER POSTS .TO A 8"MINIMUM DEPTH.BOLT LENGTH IS 10". 3-2 x 8 BEAM �3-P.T.2 z 10's � 6" 8" W . C A5 a 5 A5 F 5 NEW 2 x 8's @ 18'o.c. q 48'D.C. OI FA SIMPSON NRAFTERS O TIES THE BEAM o e a 4 ID 3-P. 2 x 1 's O w a a m Fx .9 e V p A P.T.2 x 10 LEDGER BOARD LAG BOLTED TOTUDS SOLID BLOCKING W/(2)LEDGERLOK BOLTS NEW 2 x 8 RAFTERS 18'o.c. FULL HEIGHT 0 FROM FLOOR O 18'o.c.W/JOISTS HANGERS _ RAFTERS AT BLE 0 4 1a-6" END WALLS n 1a-6" � xBPOST FROM o. H: RIDGE DOWN TO o. FOUNDATION _ ----------- i P.T.2 z 6 SILL W/SEALER 3-2x8HD ————— --- I ANCHOR BOLT DETAIL ° ' I I BASEMENT O ' IWINDOW TYPICAL ASPHALT i \SAWCUT 3'0"OPENING I ROOF SHINGLES I I I IN EXIST.FOUNDATION FOR \ ACCESS INTO NEW BASEMENT I —�— I i 2 x 12 RAFTERS 5/S FELT PLYWOOD SHEATHING VERIFY NE \ / APER OVERBUILD OF I , —lilt I WIND WASH SIMPSON H 2.5A HURRICANE CLIPS IN THE FIELD 5 �BA BBARRIER TO"WIDE ICE/WATER SHIELDB A5ALUMINUM DRIP EDGELL N I 1x3 STRAPPING W/ 1 x 8 FASCIA BOARDExIST. 3 � 12"GYPSUM BOARDZSEMENT ry I 1x4SOFFIT BOARD EXIST.RIDGE _ BASEMENT 3 I I 1 x CONT.VINYL SOFFIT VENT —— —— 4"CONC.SLAB W/6 MIL w _ 1 z 3 SOFFIT BOARD LY VAPOR BARRIER z I TYP.2 x 8 WALLS 1 3/4"CROWN I / q L I I 4 1 x 6 FRIEZE BOARD 1 I 4 x 6 POST \ / NEW 3 12"DIA. w w a STEEL LALLY COLUMNS I DETAIL AT WALL - a o, K I SCALE:1/2"= $ x x I F'^ I CONCRETE FOOTINGS 1'-0" a I I N I _ L ' I I I 4x6 ST I IBASEMENT I (WINDOW SUILTOVER I ROOFI I I A 9 5 A of b A A5 c I c , k SOLID 2.8 BLOCKING IN THE OUTSIDE 45 s 10 3' 1a 3" @ 48"oTWO o..c.A OW SPFTER& ACE NG JOIST SAYS ACE FOR AIR L——— NEW BEAM PKT. FLOW ON THE UNDERSIDE OF ROOF —— ——— I — SHEATHING I 3=2x8's ______ .FASTEN P.T.4 x 4 POSTS TO BEAMS W/SIMPSON LCE4 POST CAPS,CORNER CONNECTION 4 x 6 POST FROM 8 c RIDGE DOWN TO NEW 8"CONCRETE FOUND, 8-0.. 2 x 8 RAFTERS @ 16"D.C. WALLS W/#4 VERTICAL BARS 20'-6" OUN AT O AT 36"o.c.8(RETE IZONTAFOOTING BAR ENTRY ROOF FRAMING PLAN ROOF FRAMING PLA 12'DIA.CONCRETE 2-P.T.2 z 10's AT TOP 8 MIDDLE OF WALL 8 � SON IA.BESCON R 4'0TE A x 18"CONCRETE FOOTINGS &L , BELOW GRADE.USE 5.-0. 15'-6" W/2 X 4 KEY - SIMPSON ABU44 POST NOTES: BASE 20'-6" 1.) ALL ROOF RAFTERS TO BE 2 x 12's FOUNDATION PLAN UNLESS OTHERWISE NOTED 2.) USE SIMPSON H2.5 HURRICANE CLIPS AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT - B I� W/OWNERS lu< COTUIT BAY DESIGN LLC NEW ADDITION FOR• ETHE RRORSIOROMISIONSAREFOUNOONY SCALE ERRORORAWN OMISSIONS ARE START ON DRAWING NO. : 43 THESE DRAlMNGS PRIOR TO START OF REWSTER ROAD C WILL BE RESPONSIBLE FOR ECONTENTTOR 1/411 _ 11_O„ MASH P E E MA. 02649 R REED D R E S I D E N C C IN THESE DRAWINGS IF CONSTRUCTION GG C COMMENCES N THOUT NOTIFYING THE PH. (508 274-1166 DESIGNER OF ANY ER RORS OR OMISSIONS. THESE DRAWINGS ARE SOLELY FOR THE USE DATE �� CONSTRUCTION,THE BUILDING' FAx (50 ) 539-9402 339 SWIFT AVENUE OST T SEDR ER NOTED ANY OTHEMITTEN ERVI LLE, MA REVISED: 8/12/2015 THESENTOFTH DEIGNESTHEWRITTEN 2/10/2015 CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ' ACT OF 1950. TYP. ROOF CONST. -2 x 12 ROOF RAFTERS @ 16"o.c. -518"CDX PLYWOOD ROOF SHEATHING CONY.RIDGE VENT - •ASPHALT ROOF SHINGLES -15LB.FELT PAPER MULTI LVL RIDGEBEAM 2 x 6's @ 16'D.C. -SPRAY FOAM INSULATION SLOPED CEILINGS(R-38) -1 11"FLAT INSULCEILINGTION S TYP.WALL CONST. I I FLAT CEILINGS(RICA 1.2 x 8 STUDS(d 16"o.c. -SAT ALL N H 2.5 HURRICANE CLIPS I I AT ALL RAFTER ENDS 2.12"PLYWOOD SHEATHING I -ICE/WATER SHIELD AT BOTTOM 3.6"(R-20)BATT INSULATION 3'0"OF ROOF I -PROP-A VENT BETWEEN RAFTERS 4.12"GYPSUM BOARD I -NAND WASH BARRIERS 5.W.C.SHINGLE SIDING j INSTASE LL FLASHING UNDER 12 NEW •ALUMINUM DRIP EDGE 6.TYPAR VAPOR BARRIER i INSTALL FLASHING 8 NECKING 12� ATTIC - - 12 i DECKING " ) FLOOR JOISTS TOP OF PLATE NEW 2 x 10's�18'D.C. 12'GYP.BOARD O O P.T.2 x 8's(d 18'o.c. i ON 1 x 3 STRAPPING `\ F - 18'o.c. `CONT.SOFFIT VENTS N - INSTALL PEEL 8 STICK RUBBER MEMBRANE HALL u NEW NEW NEW NEW y BETWEEN LEDGER y L'DRY. OFFICE NEW BMASTER EDROOM F SHEATHING DINING P.T.2 x 10 LEDGER BOARD LAG BOLTED TO = SOLID BLOCKING W/(2)LEDGERLOK BOLTS 16"o.c.STAGGERED W/JOISTS HANGERS FIRSTFOR SUBFL OR-GLU D P.T.2z8SILL DECK DETAIL SUBFLOOR SUBFLOOR-GLUED 8 NAILED WISEAP.T.2x SILL NEW 2 x 1O's(d 16'D.C. FIRST FLOOR NEW 2x 10's@18'o.c. SUBFLOOR 3-2 x 12 GIRT VERIFY CONDITION 9"BATT INSULATION(R-30) NEW FULL - BLOCK EXIST.CONC. TYPICAL 3 12"DIA. NEW 8"CONCRETE FOUND.BASEMENT BLOCK WALL& STEEL LALLY COLUMN WALLS W/#4 VERTICAL BARS SUPPORT AS NEW FULL AT 36"o.c.8(1)HORIZONTAL BAR iq NECESSARY IN THE BASEMENT AT TOP&MIDDLE OF WALL FIELD DURING CONSTRUCTION AMPPROOFING BELOW GRADE CONC.SLAB W/8 MIL POLY VAPOR BARRIER UNDERNEATH - _r—TYPICAL 30"x 30"x 12' "x 18"CONCRETE FOOTINGS aSECTION NEW HALL/OFFICE CONCRETE FOOTING W/2X4 KEY A5 SECTION DINING/MASTER BEDROOM TYP. ROOF CONST. -2x 8ROOF RAFTERS @16"o.C. CONT.RIDGEVENi NAILING SCHEDULE -5/8"COX PLYWOOD ROOF SHEATHING ASPHALT ROOF SHINGLES 110 MPH EXPOSURE B WIND ZONE 2SLB.FELT RIDGEBOARD PAPER JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING 2 x 10 RIDGE BOARD 2 x 4's!$16'D.C. ROOF FRAMING: -ATALLSIMPSON F HURRICANE CLIPS 1 BLOCKING TO RAFTER(TOE NAILED) AT ALL RAFTER ENDS 10� RIM BOARD TO RAFTER(END NAILED) 2 2-10d EACH END -ICE/WATER SHIELD AT BOTTOM 2-16 d 3-,Bd 3'0"OF ROOF FASTEN POSTS TO BEAM AT WALL FRAMING: EACH END -WIND WASH BARRIERS MID-SPAN W/SIMPSON AC6 ' -ALUMINUM DRIP EDGE &AT ENDS W/SIMPSON LCE4 TOP PLA ES AT INTERSECTIONS(FACE AIL D)4 x BEAM 4-16d POST CAPS STUD TO STUD(FACE NAILED) 5-16d AT JOINTS ` 8 FIR CROSS HEADER TO HEADER(FACE NAILED) 2-16 d 2_16d 24"D.C. I6d 16d 16"o.c.ALONG EDGES EK 1 x 6 V-GROOVE - _ FLOOR FRAMING: -CEILING ON 1 x 3 ONT.SOFFIT VENTS STRAPPING @ 16'D.C. JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 4-8d 3 2 x 8s BLOCKING TO JOISTS(TOE NAILED) 4-1 PER JOIST y SCREENED O BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 2-8d 2-10d EACH END LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-16d 4-16d EACH BLOCK JOIST ON LEDGER TO BEAM(TOE NAILED) 3-16d 4-16d EACH JOIST PORCH BAND JOIST TO JOIST(END NAILED) 3-8d 3-10d PER JOIST O - 3-16d 4-16d ~ � BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO - 2-16 d PER JOIST 3 . - ROOF SHEATHING: -16d PER FOOT WOOD STRUCTURAL PANELS(PLYWOOD) - 3-P.T.2 x 10's 3-P.T.2 z 1O's RAFTERS OR TRUSSES SPACED UP TO 16'D.C.W/1 X 8 FASCIA RAFTERS OR TRUSSES SPACED OVER 16"o.c. Sid 10d 6'EDGE/6'FIELD GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG 8d 11 Od 4"EDGE/4"FIELD P.T.2 z 8's 16"o.c, i GABLE END WALL RAKE OR RAKE TRUSS 8A 10d 6'EDGE/6'FIELD 8A W/STRUCTURAL OUTLOOKERS 10d 6"EDGE/6"FIELD GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8d 4CEI 10d 4"EDGE/4'FIELD 4 GYPSUM WALLBOARD Sd COOLERS WALL SHEATHING: 7"EDGE/10"FIELD — 12"DIA.CONCRETE SONOTUBES STUDS SPACED UP TO 24'D.C. ON 24"DIA.SIGFOOT FOOTINGS 12'&25/32•FIBERBOARD PANELS 8d 10tl 3'EDGE/12"FIELD TO PS BELOW GRADE.USE SECTION @ SCREENED PORCH 12'OYPSUM WALLBOARD 5tl COOLERS 3'EDGEJ6"FIELD 8 SIMPSON ZMAX AC6 ACE6 CAPSE �� FLOOR SHEATHING: — 7"EDGE/10"FIELD A5 WOOD STRUCTURAL PANELS(PLYWOOD) 1'OR LESS THICKNESS Bd GREATER THAN 1"THICKNESS tOd 6"EDGE/12'FIELD I Od 16d 6'EDGE/6"FIELD B� COTUIT BAY DESIGN LLC NEW ADDITION - THE DESIGNER SHALL SE NOTIFIED IF ANY IV\ 43 BREWSTER ROAD FOR - REVISED ERRORSOROMISSION$AREFOUNDON SCALE : 8/12/201 THESE DRAWNGS PRIORY 5 O START OF DRAWI CONSTRUCTION.THE BUILDING CONTRACTOR NG NO. MASHPEE ,MA. 02649 NALIFOR BE RESPONSIBLE THE CONTENT 1/4" - - PH 5 R cG REED RESIDENCE COMMTHESE ORAWINGS IF CONSTRUCTION 1 0 • (�+0�/uJ1) 2�]4�1166 CMM ENCES WI THOUT NOTIFYING THE FAX (50$) 539-9402 DESIGNER OF ANY ERRORS OR OMISSIONS 339 SWIFT AVENUE OST TOF HESE DRAWINGS ARE EOU(RE THE ITTE. �� ERVILLE MA NOTEOL ANY DER THE OF DATE THESE DRAWINGS REOUIRES THE WRITTEN CONSENT OF THE DESIGNER UNDER PROTECTION 2/10/2015 ARCHITECTURAL COPYRIGHT PROTECTION ' ACT OF t590.