HomeMy WebLinkAbout0050 TUPELO ROAD - Health 50, Tupelo Road
-- — — — -- Mar.stons Mills - - -
A= 057-090 ��
Hazardous Materials Inventory Sheet Checklist
Date
---- Physical Street Address-Check database to ensure it exists
_---Working Phone Number
----Actual Amounts -( ie. gas being used to fuel machines, thinner to i
clean brushes all count as hazardous materials-no blanks)
---'Storage Information -location of storage, how long is storage for?
If none, note that.
Disposal Information -where and who? If none, note that.
,-Applicant Signature - understand what is listed and noted
_.Staff Initial -any questions, know who to ask
Vehicle Washing/Rinsing? -give a vehicle washing policy and
explain it
,_,--Attach the Business Certificate with your sign off and comments
"The inventory form should explain what the business consists of and the procedures
they are doing. Notes need to be left to explain what you discussed with them.
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on'this form at 200 Main St., Hyannis.
Take the completed form to the Town Cleik's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall)and get the Business Certificate that is
required by law.
DATE: ' I Fill in please:
APPLICANT'S YOUR NAME/S: 4 V.
`l��.il✓A� �'�
� �. 1 BUSINESS YOUR HOME ADDRESS: .cic'a
TELEPHONE # Home Telephone Number .SOS 1jlS
kx
r... r
NAME OF CORPORATION: .r,1A �d !;✓. C� ::;..
NAME OF NEW BUSINESS. TYPE OF BUSINESS �. li'k�✓cC.✓ .
IS THIS AHOME,OCCUPATION?
��-
=f7�'O
ADDRESS OF BUSINESS Cir?CG c� a�w� ' /LLJ V.)6 y� : MAP%PARCEL NUMBER (Assessing] .
When starting a new business there are se eral things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist 1fou in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth
Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING CO ISSI ER'S OFFICE MUST COMPLY WITH HOME OCCUPATION
This individ al h n44o of a y p mit requirements that pertain to this type of business. RULES ,AND REGULATIONS. FAILURE TO
Au oriz Si not ** COMIPI.V MAY RESULT IN FINES.
COMMENT
i t
2. BOARD OF HEALTH
This individual has bee thpermit requirements that pertain to this type of business.
MUST COMPLY Ai i H ALL
Aut "orized 3**COMMENTS: HAZARDOUS MATERIALS REGULATIONS
�-� ����� Gu'
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signatur **
COMMENTS:
TOWN OF BARNSTABLE Date:
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF BUSINESS: i51A I I iN� �,�✓C t i
BUSINESS LOCATION: S 7 ,&--'L� �L%� ,,�,, y�,,,f , ,,,.� r INVENTORY
MAILING ADDRESS: 5`0 1j&t J' IY D, /)7$sjV-9A/1 MP' TOTAL AMOUNT-
TELEPHONE NUMBER: 3V8
CONTACT PERSON:
EMERGENCY CONTACT LEPHONE NUMBER: 08 9/j- :7-1 3/ MSDS ON SITE?
TYPE OF BUSINESS-
INFORMATION / RECOMMENDATIONS: Fire District:
4-� i14 S" ,/S :M Z��
Waste Transportation: Last shipment of hazardous waste:
Name of Hauler: Destination:
Waste Product: Q%C_�191��, S A,` Licensed? YA(s No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more a month re uires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health and the Public Health Division have determined that the following products exhibit toxic or
hazardous characteristics and must be registered regardless of volume.
Observed / Maximum Observed / Maximum
Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive
❑ NEW ❑ USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
❑ NEW ❑ USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED
Miscellaneous petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil ❑ NEW ❑ USED
Degreasers for engines and metal Printing ink
Degreasers for driveways&garages Wood preservatives (creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Miscellaneous Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt& roofing tar PCB's
ZyPaints, varnishes, stains, dyes Other chlorinated hydrocarbons,
Lacquer thinners (including carbon tetrachloride)
❑ NEW ❑ USED Any other products with "poison" labels
(including chloroform,formaldehyde,
Paint&varnish removers, deglossers hydrochloric acid, other acids)
Miscellaneous. Flammables Other products not listed which you feel
Floor&furniture strippers may be toxic or hazardous (please list):
Metal polishes
Laundry soil &stain removers
(including bleach)
Spot removers &cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers ,
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is
required for Marstons Mills Ma. 02648 10-2-14
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. Please see completeness checklist at the end of the form.
Important:When filling out A. General Information
forms on the _ 1
computer, use 1. Inspector: v
only the tab key
to move your Matthew F. Gilfoy
cursor-do not Name of Inspector
use the return
key. B&B Excavation
Company Name
ICI
14 Teaberry Lane
Company Address
Sandwich Ma. 02644
�d11 Cityrrown State Zip Code
(508)477-0653 S113640
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the.
information 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 ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
10-2-14
Inspec s Signature el 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
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.
t5ins 3/13, Title 5 Official Insp on Subsurface Sewage Disposal System•Page 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
_
every page. CitylTown 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:
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.
�I
Check the box for"yes", "no-'or"not determined" (Y, N, ND) 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.
❑ Y ❑ N ❑ ND (Explain below):
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
s" 50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes (cont.):
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 ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ 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 ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
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 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
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
every page. Citylrown State Zip Code Date of Inspection
B. Certification (Pont)
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 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 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
0 ® due to an overloaded or clogged SAS or cesspool
El ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than '/2 day flow
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts -
Rum
w Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cunt.)
Yes No
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.
❑ ® 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 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.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd
10,000gpd.
El 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 with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the
questions in Section D.
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
w the system is located in a nitrogen sensitive area(Interim Wellhead Protection
" Area—IWPA) or a mapped Zone Il 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:
t5ins;-,3/13 ;.. : Title 5 Official,Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for. Marstons Mills Ma. 02648 10-2-14
every page. CitylTown 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
❑ Z 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?
El ® 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?
❑ ® 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 CMR 15.302(5)]
D. System Information
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): no plans on
file at BOH
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini.
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
, ,
every page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents,-
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry,system inspected? ❑ Yes ® No
Seasonaluse? ® Yes ❑ No
Water meter readings, if available last 2 ears usage (gpd)): see below
9 ( Y 9
Detail:
2012-79 gpd 2013-82 gpd
Sump pump? ❑ Yes ® No
Last date of occupancy: current
Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203):
Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste.holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins•3/13, Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M '< 50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
every page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/user Date
Other(describe below):
General Information
Pumping Records:
Source of information:
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped:
gallons II
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):
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
_
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components,date installed (if known)and source of information:
Age not recorded at Board of Health
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
4'
Depth below grade: feet
Material of construction:
El cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
At time of inspection building sewer appeared to be in good working order no sign of leakage.
Septic Tank(locate on site plan):
3'
Depth below grade: 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.
10"
Sludge depth:
t5ins•3113, Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M , ' 50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
every page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
26"
Scum thickness 11"
Distance from top of scum to top of outlet tee or baffle 5„
Distance from bottom of scum to bottom of outlet tee or baffle 7
How were dimensions determined? measured
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
At time of inspection septic tank appeared to be in working order,Tees present no sign of back
up.Liquid level equal with outlet invert. Tank in need of pumping and should be pumped again every
2-3 years for maintenance.
Grease Trap (locate on site plan):
Depth below grade: feet
Material of constrOction:
❑ 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
t5ins•.3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael:Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
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.):
i
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):
Dimensions:
Capacity: gallons
Design Flow:
gallons per day
Alarm present: ❑ Yes ❑ No
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? El:'Yes ❑ No
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
.
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box�(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert 0
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.):
At time of inspection d-box appears to be in working order.
Pump Chamber(locate on site plan):
Pumps in working order; El Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass..
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
every page. City/Town State Zip Code Date of Inspection.
D. System Information (cont.)
Type:
® leaching pits number: 1 6'x6'
❑ 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.):
At time of inspection leaching appears to in working order with no sign of hydraulic failure. Water
level 4' below invert at time of inspection.
Cesspools (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
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
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
Comments (note condition of soil, signs of hydraulic failure, level ofponding, condition of vegetation,
etc.):
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner.. Owner's Name
information is M
required for arstons Mills M.a. 02648 1.0-2-14
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.) -
Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below:
hand-sketch in the area below
drawing attached separately
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t5ins•3/13 Title 5 Official Inspection Form;.Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
every page. Citylrown 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: GW greater than 10'
feet
Please indicate all methods used to determine the high ground water elevation:
❑ 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:
other Septic plans in area
❑ Checked with local excavators, installers-(attach documentation)
® Accessed USGS database -explain:
High ground water not present in area per USGS topo maps.
You must describe how you established the high ground water elevation:
see above
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 16 of 17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
50 Tupelo Road
Property Address
Michael Spendolini
Owner Owner's Name
information is required for Marstons Mills Ma. 02648 10-2-14
every page. Citylfown State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or.E checked
® Inspection Summary D(System Failure Criteria Applicable to All Systems) completed
® System Information— Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
/ a
Sol,
No................. •.. Fmi..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
7ow.h..............OF......... .?,�x..J..� .� •
Appliration for Uiipniial Workti Tomitrurtion ramit '
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
..h.d.g:o - ` ....._.. .. ...............................................
� Location,-A res or t No.
( S-5 '� 3- •..." �1 ►--- ►� i' (�w� ---....HISS..
0
]'� Owner ---
Address
WY'12CN Ot...............................................................1 ..•-•-•--•--------------.•...........-----.....------..........-•---•.............................
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansi Attic ( ) Garbage Grinder ( )
aOther—Te
if
yp of Building ____________________________ No. of persons__..____.___................ Showers ( ) — Cafeteria ( )
04 Other fix ures ••. ••-••••--•••--•--------------•--•--••--•••......--•••-----------•-----•••---•-•-•.....••••-••••-•--••------•-----.._..--------•--•-----•----•-----
W Design Flow•______________________________________-----gallons per person per day. Total daily flow.-._.3-cD_....._.._..•...._._....__..gallons.
WSeptic Tank T Liquid capacity.W=..gallons,Le�n4h................ Width................ Diameter---------------- Depth................
x Disposal Trench—No..................... Width._ .... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.....I............... Diameter..__ 6._. Depth below inlet......4........... Total leaching area._.-..L�.sq. ft.
Z Other Distribution box ( ) Dosin tank ) //
�-7 �t
Percolation Test Res is Performed by, _ ____: Q.lr �-'¢Lt.fl-.__ _ '............. Date_..lz.. .....6..v._ .
ir
,.a Test Pit No. L Z•.....____minutes per inch Depth of Test Pit.___��........... Depth to ground water_.__' "'. -------
Of
(i, Test Pit No. 2. ?...__....minutes per inch Depth of Test Pit___ _._..__... Depth to ground water_._;t".°''...:.....__.
h J ..
ToP m �
Description of Soil ........................................ ............-• q.... y
W
Y ------------- ....... :�------ �a�-�c l
------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------
. •••••--•-----•------------•................••••-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
therovisions of'T':
p 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 t e board of health.
Siga.............. .............
Date
Application Approved By.........1,4Z..... .:::.L.....`. G- /.
0i. DaEe
Application Disapproved for the following reasons-----------=--..................................................................................................
Date
I Permit No......................................................... Issued.......................................................
Date
No......................... Fps............:' :.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......... .. ...............OF....... � . .`:1#:.. !. ✓..
ApplirFa#inn for Biipuual Works Tomitrnrtion ramit
1.
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: i
�so.Y _v ?._.. .. ?::a?............ ........•-----............... ---- �-��--------•-----..------- .......• ....
1 Location-Address o t No.
Owner Address
w t2... .. c;4_!..
Installer Address
QType of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms.__�....................................Expans'on Attic ( ) Garbage'Grinder ( )
'4 Other—Type T e of Building No. of ersons____ _______________________ Showers — Cafeteria
G.i YP g P ( ) ( )
Q' Other fixtures --------------------------------
W Design Flow....._......�-..._._.._..-------gallons per person per day. Total daily flow_. 3.�_--•-__---•----_-__--------gallons.
W Septic Tank Liquid capacity(.tfl�R...gallons Leyth................ Width................ Diameter---------------- Depth................
x Disposal Trench—No. .._...`...___...... Widthll :=___._ Total Length.................... Total leaching area.___._..____._______sq. ft.
Seepage Pit No...'---------_...... Diameter... 1_'..... Depth below inlet_....4 ............ Total leaching area.?_...K ...sq. ft.
z Other Distribution box ( ) Dosing tank,( ) t
'~ Percolation Test Re Its Performed by ..,�----- -�_-;--}- - f-l- f:.----• '------------------------ Date./-......___�=-•.--'------•----..__
a "'f, .
Test Pit No. �., _.._..__..minutes per inch Depth of Test Pit... Depth to ground water_-"'
(X Test Pit No. 2 ----------minutes per inch Depth of Test,Pit__IV/t...____._.. Depth to ground water._,-*..:'.............
-------------- ----•---, „ --------•-
D Description of Soil ��" 1 c� La - -- .........
�/ I
U. a 3 P t �' S ` f 't•-_----------- ---
W --- -•------------------- ----------------------------------- .......-•----•--.....-•----•--•---•-•----•--------•-------- ............................................................................
U Nature of Repairs or Alterations—Answer when applicable----------------------------------------_.......................................................
----------------------------------------------.....................................................................................................................................................--•
Agreement: "
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
' f•1T/-1'-•
the provisions of 'y t ,. 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.
z
r Signed............ --------------------------••--•---•••-- .......................... ----
{ Date
Application Approved BY �.±c4_' - r't�E .. ._�..g -• --........ J
, .v Date
Application Disapproved for the following reasons----------------- .........................................................................................
----------------------•-------------•-----------------------•---------•-•---------------------------------------•-•••--_-••-•.
n Date
,Permit No......................................................... Issued-......................................................
w
• Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r�.. ►!7.t..........OF...........a ..- t .. . .:... ..f.'� •�
Tatifiratr of Tontplianrr
THI� IS O CE RT�IFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
� 1
In
staller
at........_ .......� ----- �p-�-------, -
has been installed in accordance with the provisions of TI' IE 5 of The State Sanitary Code as described in the
application for Dis osal Works Construction Permit o ......................... dated-r , ..1..........
'j THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
"'SYSTEM WILL FUNCTION—SATISFACTORY.
DATE...............••----.....--•--..........................•-----...........•--_._ Inspector--1 •---------------------------------------••-------------•----...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1lodlf .............OF........... �.€ �!..>�.+'................... ........ `
:t -a FEEA:'....................
Disposal, or*u Gunitrndilan Prrutit
Permission is hereby granted. -{ ------------ ---- ------.---.---------------------•----•-----------,------•-•---
to Consquct,( or Repair an Individual Sewage Disposq System
c
atNo'fi_.._ _..l• __S._ -......_. `t'. _f_-rf---_ sue `A .' ...t' �'t..-__.. '� __ _ ______________________________________________________________
'+ Street ��••-- Ifx•as shown on the application for Disposal `'Forks Construction Permit No...:................ Dated4` Z . .'4�,.._
Board of Health
DATE....... � �yIle
"'
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job no.: 1622
date 05 JANUARY 201-1
R I G H T E L E V A T I O N
scale AS NOTED
SCALE: 1/4' 1-0'
drawn: t:4w
rev.
rev.
A-2
ISSUED FOR CONSTRUCTION snt 2 of 4
3
GENERAL FOUNDATIONS MASONRY 3. CONNECTORS SHOWN ARE A5 10. ALL PLYWOOD SHALL BE AIDA o
MANUFACTURED BY 51MP50N PERFORMANCE RATED PANELS CONFORMIN v
G '
I.STRUCTURAL DRAWINGS ARE I. THE ALLOWABLE PRESUMED SOIL I. MASONRY CONSTRUCTION SHALL STRONG-TIE CO. INC. SUBSTITUTIONS TO THE FOLLOWING MINUMUM REQUIREMENTS: A
TO BE USED WITH THE ENTIRE BEARING GAPGITY 15 3000 P5F, CONFORM TO THE REQUIREMENTS MUST BE APPROVED IN WRITING a o
SET OF DRAWING5. WHICH 15 TO BE VERIFIED IN THE FIELD OF SPECIFICATIONS FOR MA50NRY BY THE ENGINEER. INSTALLATION A. /4",SPAN
N RATIN6 169R TBG,EXPOSURE I,
BEFORE CONSTRUCTION. STRUCTURES(AGI 530.1/A5GE 6-88). OF ALL CONNECTORS SHALL 8E 3/4",SPAN RATING Ib'. i
STRENGTH OF MASONRY F'M=1500 P51. IN STRICT ACCORDANCE WITH THE
THE MANUFACTURER'S INSTRUCTIONS B. WALL 5HEATHING-EXP05URE I, 1/2", +%
2. ALL SAFETY RE6ULATION5 & MUST EMPLOY ALL REQUIRED SPAN RATING 16
ARE TO BE STRICTLY FOLLOWED. 2. FOOTINGS SHALL BE CARRIED FASTENERS.
METHODS OF CONSTRUCTION 8 TO LOWER ELEVATION THAN SHOWN 2. VERTICAL REINFORCING OF MASONRY G. ROOF SHEATHING-EXPOSURE I,5/8",
ERECTION OF STRUCTURAL MATERIALS ON THE DRAWIN655 IF REQUIRED TO WALL5 SHALL BE A5 INDICATED ON SPAN RATING Ib". d
15 THE CONTRACTOR'S RESPONSIBILITY. REACH PROPER BEARING GAPGITY. THE DRAWING5. ALL GORES OF 4. ALL CONNECTORS SHALL BE H o
MASONRY UNITS SHALL BE FILLED HOT DIP GALVANIZED. E
WITH GROUT. REINFORCING BAR o _
3. THE CONTRACTOR 15 RESPONSIBLE 3. WALL5 ACTING AS RETAINING WALLS LAPS SHALL BE 2'-b" MIN. DESIGN CRITERIA
FOR 0155EMINATION OF ALL SHALL NOT BE BAGKFILLED WITHOUT 5. INSTALL ALL CONNECTOR FASTENERS
REVISIONS & REQUIREMENT5 TO BRACING UNTIL ALL 5UPPORTING SOIL BEFORE LOADING THE JOINT.
THE SUBCONTRACTORS. & SLABS ARE IN PLACE $ AT 3. HORIZONTAL JOINT REINFORCING I. APPLICABLE BUILDING CODE
ADEQUATE STRENGTH. FOR MA50NRY SHALL BE EQUAL MASSAGHUSETTS 8TH EDITION
TO DUR-O-WALL TRU55 MANUFAGTERED 6. SPLIT WOOD 15 NOT ACCEPTABLE aau =
4. RE50NABLE CARE HAS BEEN WITH WIRE CONFORMING TO A5TM A 82 FOR ANY CONNECTION. rn
TAKEN IN THE PREPARATION OF 4.COMPACT ALL FILL UNDER FOOTINGS 8 COATED FOR CORROSION PROTECTION 2. DESIGN WIND SPEED: 110 MPH -
ALL DRAWIN65 AND SPECIFICATIONS. 6 SLABS TO THE SPECIFIED DENSITY IN ACCORDANCE WITH A5TM A 153,
HOWEVER THE ENGINEER DOES NOT 8 VERIFY. CLA55 B-2. ALL WIRE SHALL BE 1. ALL EXPOSED FRAMING MEMBERS G w
GUARANTEE AGAINST HUMAN ERROR 4 GAGE MINIMUM. PROVIDE MINIMUM SHALL BE TREATED PER AWPA STRUCTURAL DESIGN CRITERIA [
8 FOR THAT REASON IT 15 IMPERATIVE LAP OF b" 8 USE PREFABRIATED T'S G2/C9 GGA 0.25 8 MEMBERS IN
THAT THE CONTRACTOR SHALL CHECK OR CORNER SECTIONS AT ALL CONTACT WITH SOIL SHALL BE U _
ALL DIMENSIONS $-DETAILS $ MUST STRUCTURAL STEEL WALL INTERSECTIONS. TREATED PER AWPA G23/024 - FIRST FLOOR 40 P5F LL �I
VERIFY ALL CONDITIONS,DIMENSIONS, GGA 0.60. JOB 51TE FABRICATIONS 15 PSF OL =
8 ELEVATIONS AT THE SITE.ALL GUTS 8 BORES SHALL BE TREATED IN ® Q,
DISCREPANCIES SHALL BE BROUGHT I. DESIGN,FABRICATION $ ERECTION 4. GOGNRETE MASONRY UNITS SHALL ACCORDANCE WITH AWPA STD. M4. - SECOND FLOOR 30 PSF LL
TO THE ATTENTION OF THE ENGINEER SHALL BE IN ACCORDANCE WITH CONFORM TO A5TM C 610. 15 P5F DL
THE A15C SPECIFICATION FOR 8. ALL MANUFACTURED LVL WOOD FRAMING - ATTIC/5TO. 20 P5F LL a v)
STRUCTURAL STEEL FOR BUILDINGS, 5.CONCRETE BRICK SHALL CONFORM MEMBERS SHALL HAVE THE FOLLOWING 10 PSF DL a�
5. THE CONTRACTOR SHALL SUBMIT LATEST EDITION.COMPLETE SHOP DRAWING5 FOR TO A5TM 055. PHYSICAL PROPERTIES AS A MINIMUM: - ROOF C75L 30 P5F 5L
ALL CONCRETE REINFORCING,ALL 15 PSF DL
STRUCTURAL STEEL, $ BOTH 2.STRUCTURAL SHAPES SHALL CONFORM 6.GROUT SHALL CONFORM TO THE E=1.cIXIO6P51.,FB=2800,FV=240. - EXT. WALLS/STOR. 15 PLF DL �'
CALCULATIONS 8 SHOP DRAWING5 TO THE FOLLOWING: REQUIREMENT5 OF A5TM G 146 8
FOR ALL 4 THEIR
LUMBER SHALL HAVE A COMPRESSIVE -1NT.WALL5/5TOR. 50 PLF OL ��
PRODUCTS 6 THEIR CONNECTORS A.WIDE FLANGE MEMBERS A5TM STRENGTH OF 3000 P51. 9. ALL FLOOR JOISTS SHALL BE AS
FOR REVIEW PRIOR TO FABRICATION. A942 GRADE 50. MANUFAGTURERED BY BOISE CASCADE - DEGK5/PORGHE5 40 PSF
8 AS 51ZED ON THE DRAWIN65. ALL 10 P5F
B.CHANNELS 8 ANGLES A5TM A36. FASTENING,BEARING,BRACING $
1. VERTICAL 8 BOND BEAM STIFFENING SHALL BE IN STRICT ACCORDANCE
G. H55 ROUND 8 RECTANGULAR TUBES REINFORCEMENT SHALL CONFORM WITH THE MANUFACTURER'S REQUIREMENT5.
CONCRETE TO A5TM A 500,GRADE B FY=46 K51. TO THE REQUIREMENT5 OF A5TM A615.
I. ALL WORK AND MATERIALS 6.MORTAR SHALL CONFORM TO THE &WUMAL NAIIJN&SCHEDULE-U0 MPH
SHALLL COMPLY WITH THE SPECIFICATIONS 3. ALL GALVANIZING SHALL CONFORM REQUIREMENT5 OF A5TM G 210
FOR STRUCTURAL CONCRETE FOR BUILDING5 TO A5TM A 123. JOINTDESGRIPTION +� "So EN DF NAIL ass,s-
(AGI 301-SCi). AND SHALL BE TYPE M OR 5. coMM°"NAILS BOK NAILS r' r g>gyy' -
ROOF FRAMIN& 5f-r.:'<I
4. BOLTED CONNECTIONS SHALL BE WITH BLOGKIN6 TO RAFTER(TOE-NAILED) 2 6v 2 1oD EACH END '
8 s_�� 9
9. QUALITY ASSURANCE TESTING 8 s� E.
I' ��g.
2. ALL CONCRETE SHALL HAVE A 28-DAY HIGH STRENGTH BOLTS IN ACCORDANCE RIM BOARD TO RAFTER(END-NAILED) 2-I6D E-I.- EACH END tea" -e,�og '
COMPRESSIVE 5TRENGTH OF 3000 P51, WITH THE SPECIFICATION FOR INSPECTION SHALL BE PERFORMED wALLFRAMIN& a-3� a" �eP�a .
WITH MAXIMUM I INCH AGGREGATE 8 STRUCTURAL JOINTS U51NG A5TM A 325 IN ACCORDANCE WITH THE
REQUIREMENTS OF AGI 530.1/A5GE 6/88. TOP PLATES AT INn929EGT1ONS(FADE-NAILED) 416D s IbD AT JOINTS Y„�: rs i � +�
MAXIMUM 690 AIR ENTRAINMENT FOR OR A 490 BOLTS. � �-a<o`���Es
EXTERIOR CONCRETE EXF05ED TO STUD TO Snm(FACE-NAILEV) 2-160 2-16D 24-OL.
MOISTURE.URE. HEADER TO HEADER(PAGE-NAILED) P�
I6D I6D Ib•O.G.ALONG ED6E9
5. ANCHOR BOLTS SHALL BE A5TM A 301. FLOOR FRAMIN&
3. ALL REINFORCING STEEL SHALL BE FRAMING LUMBER 8 CONNECTORS JOIST TO SILL,TOP PLATE OR 61RDER(TOE-NAILW) 4-617 a 100 PER JOIST �
DEFORMED BARS OF NEW BILLET STEEL b.WELDS SHALL BE MADE BY OPERATORS BLOCKIN&To JOIST(TOE-NAILED) 2-60 2-I0v EAOH ENO 0 0
+, :3 in
CONFORMING TO A5TM A 615 GRADE 60. CERTIFIED BY THE STANDARD I. ALL FRAMING LUMBER SHALL BE BLOCKING TO SILL OR TOP PLATE(TOE-NAILED) 9-IbD 416D EACH BLOGr< � �
QUALIFICATION PROCEDURE OF THE KILN DRIED 101%MAXIMUM M015TURE W N-0 t o
LEDGER STRIP TO BEAM OR BIRDER(PAGE-NAILED) 9-I6D 4-I6D EACH JOIST V
AMERIGAN WELDING SOCIETY. CONTENT. LUMBER SHALL MEET �
4.CONCRETE COVER OF REINFORCING BARS AS A MINIMUM THE FOLLOWING JOIST ON LEDGER TO BEAM(rOB-NAIL=) 5-60 9-1017 PER JOIST
SHALL BE AS FOLLOWS: DESIGN VALUES FOR SPRUCE-PINE-FIR: BA=JOIST TO JOIST(END-NAILED) 9-16P 4-I612 PER J°IST m =
1.WELDING SHALL BE IN ACCORDANCE BAND JOIST ro slu OR TOP ELATE(TOE-NAIL=� 2-Ibv S-1611 PER FOOT L_1- 0 mv
A. 3" AT CONCRETE PLACED DIRECTLY WITH THE AW5 01.1 CODE FOR WELDING A.2X STUDS CONSTRUCTION GRADE 4�.� N
FB=800,FV=65,FG=150 ROOF SHEATHING Q Icy
y
AGAINST EARTH. IN BUILDING CONSTRUCTION. WOOD STRUCTURAL PANELS
B. 2" AT ALL OTHER LOGATION5. B.2X JOISTS/RAFTERS NO. I GRADE RAFTERS OR TRUSSES SPACED UP TO 16•04. 6D lot;, 6'EDGE/6•FIELD `z$
8.CONNECTIONS NOT DETAILE ~ d7
D SHALL 25 O N
FB=I I50,FV=10 RAFTERS OR TRusSEs SPACED ovER 16'D.C. av lop a EDGE/a°FIELD v)C V Ln =
BE DESIGNED FOR THE LOADS SHOWN CABLE ENDWALL RAKE OR RAKE TRUSS wo&ABLE OVERHANS, an too 6 W&E/6 FIELD
^ • 0 0 N
5. NO HORIZONTAL CONSTRUCTION JOINTS ON THE DRAWINGS OR FOR LOADS C. POST NO. I GRADE FB=800, ,
ARE ALLOWED,UNLE55 SPECIFICALLY GIVEN IN THE STANDARD LOAD FV=b5,FG=615 6ABLE ENDWALL RAKE OR RAKE TRU99 VV 9TRUGTURA.L OUTLOOKER9 6v HOD W ED&E/6"FIFAia
SHOWN ON THE DRAWINGS OR ALLOWED TABLES OF AISG FOR THE SPAN, -SABLE ENv""u 'wcE OR RAKE Tw SS'(LOOKOUT B°crs 6v 100 4°m&E/4•Flan -p z
IN WRITING BY THE ENGINEER. SECTION 8 STRENGTH SPECIFIED. COLIN&9HEATHIN& Q
2. ALL FASTENING OF FRAMING, &y,Um�ED,� ED COOLa� T"ED&E/10•FIELD
PLATES,SILLS,SHEATHIN G I$ job no.:Ib=
6. REINFORCING En n,Errr ED STANDARD 9. OTHER WOOD MEMBERS SHALL WALL_HE.THIN&
L
BAR EN&TH "°°" REFER TO THE TOP FLANGE OF ROLLED ELEVATIONS NOTED AS "TOP OF STEEL" BE IN ACCORDANCE WITH THE WOOD STRUCTURAL PANELS date :o9 JANUARY ton
12" 12" SECTIONS. DETAILS 5HOWN 8 MINIMUM STUDS SPACED UP TO 24.O.C. 6D Hop 6•Ev&E/12•FIFA scale :As NOTED
s 16' 13• REQUIREMENT5 OF THE -1/2•AND 29/93°FIBERBOARD PANELS BD - 9'ED&E/6•FIFA drawn:KMW
.6 20• 16" MASSAGHUSETTS STATE BUILDING
CODE 8TH EDITION. -142.GYPSUM WALLBOARD SD 00OL9iS - T•EDGE/10*FIELD rev.
�T 24• I6-
FLooR SHEATHING,
W RU' rev.
- WOOD STTURAL PANELS
L - - -v OR LESS 6D HOD b'EDGE/12•FIELD
ER - /`�`
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ALL POSTS® ENDS OF BEAMS TO BE
(3) 2X4'5 OR(3) 2X65 UNLESS NOTED
ROOF FRAMI N G PLAN - ALL WINDOW HEADERS TO BE(2) 2X6'5
y(�,R,AN61nAR, W/1/2" PLYWOOD UNLESS NOTED R O O F P L A N e^ m•isHe,� 5p a
SCALE, 1/4' . 1•-O' rm,TAIU •' -.. Lq-o,c y�I c3apc
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- BEARING WALL BELOW REQUIREMENTS.
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ALL HOLODOWNS INSTALLED AFTER PLYWOOD • I •4 SEE AWC.ORG Scale AS NOTeo
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