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Miscellaneous - 140 CHRISTIAN WAY 4/30/2018 (2)
140 Christian Way Extension P W ll # Lot & Street; j f ^z�,:,. ��i ,�y �, s '�� ap/Parcel CONSTRUCTION APPROVAL Has plan review fee been paid: rq NO Permit# �� Plan Approval: Date: c;; % Approved by: Z,4jL4 Designer: TlA�(JTlC ti'C - Plan Date: Ila ?,/n Conditions: Water Supply: Town-,__.) Well Well Permit: Driller: Well Tests: Chem1 1 Date Approved Bacteria Date Approved 'Bacteria N Date Approved Plumbing Sign-Off: Wiring Sign-off: Comments: ' Form "U" Approval: Approval to\By YES NO Date Issued : Conditions: Final Approval: _ r All Permits Paid? YES NO Well Construction Approval? . `r— NO l Septic System Construction Approval? �(E–S –) NO Certification? E§,) NO Other? S NO Any Variance Needed? YES NO FINAL BOARD QF HEALTH APPROVAL: DATE: 11,2el PIP APPROVED Y: i SEPTIC SYSTEM INSTALLATION CONDITIONS: - Is the installer licensed? NO Type of Construction: W REPAIR New Construction: Certified Plot Plan Review ' NO Floor Plan Review C� NO Conditions of Approval from Form U YF NO Issuance of DWC permit: < _' NO DWC Permit Paid? YE NO DWC Permit# 1�/�,l Installer: Begin Inspection: NO. Excavation Inspection: Needed: Passed: CG1�,R/ ' i By: Construction Inspection:- Needed: nspection.Needed: As Built Plan Satisfactory: ,YES: r: Approval of Backfill Date: By: Final Grading Approval Date: By: z Final Construction Approval: Date: 'P 71 Certificate of Compliance: Approval: - Date: �: t. ND TM 6728 of , .•,•pyo � p Town of North Andover ' '••.,,,•:: HEALTH DEPARTMENT �ss�cNus°4 CHECK#: D TE: 6l 114 LOCATION: 14D (),tu H/O NAME: lo CONTRACTOR NAME: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ )� Title 5 Report $� ❑ Other. (Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer Commonwealth of Massachusetts I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 140 Christian Way tirf o 1 in u Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown 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 computer,use 1. Inspector: only the tab key to move your Neil J. Bateson cursor-do not Name of Inspector use the return key. Bateson Enterprises Inc. Company Name 4:1 111 Argilla Road Company Address Andover MA 01810 City/Town State Zip Code 978-475-4786 S115 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 0 3/21/2014 Inspectors SigWe e 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 Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown 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. 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 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown 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 45.303(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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Y ' Commonwealth of Massachusetts Q. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M " 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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 due to an overloaded or clogged SAS or cesspool 11 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 %day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for Korth Andover MA 01845 3/21/2014 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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. ❑ ® 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 of 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. ❑ ® 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 4arge 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 ❑ ❑ the system is located in a nitrogen sensitive area (interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answgred "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 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ 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): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 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 140 Christian Way Property Address Alex Privert Owner Owner's Name information is North Andover MA 01845 3/21/2014 required for every page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 3 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 d Yes 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Indpstrial 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•3113 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 �r 140 Christian Way Property Address Alex Privert Owner Owners Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped last year, owner Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Measured tank. Reason for pumping: Inspect tank&tees. 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 M r 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 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: 15 years old, 11/10/1999, as built plan Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3 feet Material of construction: ❑ 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.): 4" PVC through wall, 3" PVC in house, no leaks visible. Septic Tank(locate on site plan): Depth below grade: 1.6 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10'x 5'x 4' Sludge depth: 4" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts up Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown 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 29" Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 91, How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumped septic tank. Inlet tee ok. Outlet tee ok. Depth of liquid at outlet invert. No evidence of leakage. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 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 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown 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.): 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? ❑ 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 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown 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.): D-box level 8r distribution equal. Evidence of carryover, pumped d-box to clean. No evidence of leakage.D-box cover broken, replaced same. Pump Chamber(locate on site plan): Pumps in working order: ❑ 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 a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 2 trenches 43' long ❑ 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.): Yard covered in snow, no sign of ponding to surface. 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-3113 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 'r 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 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 of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Forth: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 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 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 O V FIT e-Un Dec.`• i Gt'_7 t� ( O t5ins•3113 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 140 Christian Way Property Address Alex Privert Owner Owners Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown 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: >4feet 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: 6/14/1993 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Design plan ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Test pit data on design plan. 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 Commonwealth of Massachusetts y - - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M r< 140 Christian Way Property Address Alex Privert Owner Owner's Name information is required for North Andover MA 01845 3/21/2014 every page. Cityrrown 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 15ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Commonwealth of Massachusetts City/Town of . s System Pumping Record Form 4 DEP has provided this fomi for use-.by local Boards of Health. Other forms may be'used, but the Information-must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility. Information 1. System Location: Left/Right front of house, Left/ fight rear of ho. Left/right side of house, Left/ Right side of building, Left/Right front of building, L—effJ RighTrear of building, Under deck Address L:I v^ a 6 V j !V C4-4-t& - -Q- Cityrrown State Zip Code 2. System Owner. Name Address(if different from location) Cityrrown ' State 71n Code Telephone Number B. Pumping Record 1. Date of Pumping 2. Quantity Pum Date ty Gallons ,. 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank 9 ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yap Leo If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: tazlo-L Al 6. System Pumped By.- Nell y:Nell.Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Locati where contents-were disposed: GLLS-Qr Lowell Waste Water Signitufe Hau Date t5form4.doc 06/03 System Pumping Recons•Page 1 of 1 Summary Record Card generated on 3/19/2014 2:15:34 PM by Maureen McAuley Page 1 Town of North Andover Tax Map # 210-104.01-0190-0000.0 ° Parcel Id 16831 140 CHRISTIAN WAY EXT ALEX PRIVERT 140 CHRISTIAN WAY EXT NORTH ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Residential Zoning2 1 Residential Zoning3 1 Residential Size Total 1.05 Acres FY 2014 UB Mailino Index Name/Address Type Loan Number Active/Inact. From Until ALEX PRIVERT Owner 140 CHRISTIAN WAY EXT NORTH ANDOVER,MA 01845 TAN. KONG FU Previous Customer Inactive 7/11/2006 ONG, HWAY-STEW 140 CHRISTIAN WAY NORTH ANDOVER,MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id. 17868.0-140 CHRISTIAN WAY EXT Last Billing Date 1/7/2014 3170533 03 Cycle 03 Active UB Services Maint. Account No. 3170533 Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 1 1 9.18 1/ WTR WATER 01 ALL METER SIZE 275.80 /1 UB Meter Maintenance Account No.3170533 Serial No Status Location Brand Type Size YTD Cons 33190332 a Active ERT HH b Badger w Water 1 1 1146 Date Reading Code Consumption Posted Date Variance 3/11/2014 1548 a Actual 15 -73% 12/12/2013 1533 a Actual 56 1/17/2014 -26% 9/12/2013 1477 aActual 76 10/15/2013 181% 6/13/2013 1401 a Actual 27 7/24/2013 82% 3/14/2013 1374 a Actual 15 4/22/2013 -65% 12/12/2012 1359 a Actual 42 1/9/2013 -64% 9/12/2012 1317 a Actual 118 10/15/2012 143% 6/12/2012 1199 a Actual 48 7/16/2012 247% 3/13/2012 1151 a Actual 14 4/14/2012 -28% 12/12/2011 1137 a Actual 19 1/17/2012 -65% 9/13/2011 1118 a Actual 59 10/13/2011 192% 6/7/2011 1059 a Actual 19 7/20/2011 41% 3/7/2011 1040 a Actual 13 4/13/2011 -53% 12/8/2010 1027 a Actual 28 1/12/2011 -84% 9/9/2010 999 a Actual 177 10/15/2010 322% 6/8/2010 822 a Actual 41 7/15/2010 164% 3/9/2010 781 a Actual 15 4/14/2010 -58% 12/11/2009 766 a Actual 38 1/12/2010 -47% 9/8/2009 728 a Actual 70 10/15/2009 87% 6/9/2009 658 a Actual 35 7/20/2009 152% 3/16/2009 623 a Actual 16 4/29/2009 -53% 12/8/2008 607 a Actual 31 1/20/2009 -77% 9/10/2008 576 a Actual 148 10/10/2008 231% 6/6/2008 428 a Actual 41 7/16/2008 246% 3/10/2008 387 aActual 12 4/11/2008 -81% 43 •' North Andover Health Department o� N°I'h qti 1600 Osgood Street Letter of Transmittal Building 20, Suite 2-36 North Andover, MA 01845 ; 978.688.9540 - PhonePage of y"ASR,*„ COCMKnI WCM 1 � � .� 978.688.8476 — Fax SSACHUS� healthdept(CD-townofnorthandover.com-E-mail www.townofnorthandover.com-Website T0: DATE: � ,✓O6 COMPANY: {� FROM: Pamela DelleChiaie, Health Department Assistant Phone: 9/ l/ • ��7u ' � RE: Fax: We are sending you: O Copy of Letter O Plans O Other(fill in helow) These are transmitted as checked below: ➢ 04roved ➢ Oror4vtd ➢ 0&i" qpa star ➢ IPe�guesl�d ➢ L7FffR kwrmdwnyn t 4opVAi REMARKS: COPY TO: COPY TO: COPY TO: SIGNED: ti TRANSMISSION VERIFICATION REPORT TIME 06/0512006 13:59 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 0004J120960 DATE DIME 06105 13:53 FAX NO./NAME 819784823501 DURATION 00:00:54 PAGE{S} 03 RESULT OK MODE STANDARD ECM Tiq N 7,3- - NS/o N h my R= 125. 00' L= 15. 87' Jt��S J� EXISTING WATER C TOP ND. PER CONTRACTOR EL.=171.85' Jao y �O 2 ^n• ' , Py 1 li p Y 10go CHRISTIAN WAY EXTENSION •0. � 4 3I TIE DISTANCES - 2 X TO TANK = 46.9 1 Y TO TANK = 31.9 5 X TO D.BOX =60.8 Y TO D.BOX =60.0 6 i �1 BENCH MARK "0" BOLT OF HYDRANT AT END OF CHRISTIAN WAY EL.=176.28' A TLANT/C ENG/NEER/NG & SEPTIC AS-BUILT I N SURVEY CONSULTANTS INC. ��� p dARM M N. ANDOVER, MASS. 97 1ENNEY STREET — SUITE 5 0 i+n�CIVIL GEORGETOWN, MA 018JJ .4',33996 1 DA TE: NOV. 10, 1999 SCALE I' = 20 FT. JOB NO. 9906-17 �1��' Nr Fe LOCATION: OWNER: I nT 6 (:HRI�TIAN WAY FXT I MITSII RFAI TY TRIIST NOV. 10, 1999 i r' / AS-BUILT TRENCHES 3' WIDE X 2 ' DEEP X 43' LONG. / SEPARATION BETWEEN E / TRENCHES - 10 FT. / \ AS-BUILT LEACHING X \ AREA 602 S.F. \ 575 TP 8-6-1 m \ \ TAKC \ TP-98-6-2 \DIST. B X L 0 T 6 45,864 S.F. O 00 LOCATION AS-BUILT PROPOSED AT HOUSE 166.86 166.54 SEPTIC TANK IN 166.26 166.12 SEPTIC TANK OUT 165.96 165.87 D-BOX IN 165.72 165.61 D-BOX OUT 165.57 165.44 START TRENCH 1 165.55 165.34 END TRENCH 1 165.33 165.12 START TRENCH 2 165.07 164.78 END TRENCH 2 164.78 164.56 Town of North Andover t NORTH , OFFICE OF 3�o ti°oL COMMUNITY DEVELOPMENT AND SERVICES A 27 Charles Street North Andover, Massachusetts 01845 �9^°^^r•° ''`�5 WILLIAM J. SCOTT 9SSACHUS�� Director (978)688-9531 Fax(978)688-9542 February 2, 1999 Atlantic Engineering &Survey 97 Tenney Street Georgetown,MA 01833 RE: Brook Farm/Christian Way Extension, Lots 1-7 Dear Mr. Manetta: This letter is to inform you that the proposed septic plans for Lots 1-7 Brook Farm/Christian Way Extension have been approved. Please do not hesitate to call the office at the number below if you have any questions. Sincerely, Sandra Starr,R.S. Health Administrator Cc: M. Antonelli W. Scott File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Jan-13-99 11 :39A Paul D. Turbide, PE/PLS 508-465-0313 P.06 January 13, 1999 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 120 Main Street North Andover,MA 01845 RE: Title V second review for Christian Way Extension,Lot 6 Dear Sandra, I have reviewed the revised design plan for the above project with revision date of I 1 December 1998. I find all my original concerns have been addressed except for the following. As per 310 CMR 15.221(2)there must be a 6"stone base beneath the d-box and the septic tank. The plans correctly have added"310 CMR 15.221(2)" and have added a six inch base beneath the d-box and septic tank on the plans,but they still call for"gravel" instead of"stone". The word"gravel" should be deleted and the word "stone"put in its place. (If this minor change is made, I do not need to review this plan again.) As an observation, the foundation was raised to be one foot above estimated seasonal high water. Since no testing was done in the area of the proposed foundation,the ESHW had to be extrapolated from testing done on other(lower) parts of the lot. If it is desirable to lower the foundation elevation,then may I suggest that just before the foundation hole is dug that a deep test pit be dug to establish the ESHW in the foundation. The foundation can then be lowered or lifted accordingly. If you have any questions or comments please feel free to contact us. Sincerely /,� PORT Carlton A Brown,PEMLS it I ENGINEERING, Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 01950 (978)465-8594 260 io oae - -- -- -- _ `' 4— c5 -- - -_ ._ _ - 4-4 to i I ' ATLANTIC ENGINEERING AND SURVEY CONSULTANTS, INC. ,70 2 —0_r,- 33 0_r,- ' 33 WEST. MAIN STREET, GEORGETOWN, MASSACHUSETTS, 01833 (617) 352-7870 (617) 593-3395 SOIL L069 Locations cyg/s?//l/ W.41L-XT l'✓0�7/I if L"ot nos Dates L/M/ • Tests performed bys P'71, r'7 Z;' observed by: G/2AF PPit M Pit # �Z Elev. Elev. . •• , MED. ,SAS✓D � —� Water Depth Water Depth . Water Elev. Water Elev. Perculation data/# Perculation data/# Dates Date; Elevations Elevations Top of Pit Top of Pit Depth to test Depth to test Depth of test Depth of test Time Time Soak start Soak start end end A � r Average ruin/inches Average min/inches o iij l o016 00 ) � Contractor 5ullcler' FroJect location: House Features Man ano Construction 5rook Farm Estates 7 I Room 36 Willman North Massachusette) Famils Room Dining RoomTewksbur�, MA 0 `181(o Kitchen I I llll� I.■.■...■t.N.t.■.■.■.■!■.1.■.t.■.1!■ltN.l.■././.tt■■■/1�1.t!!!1!!!I!■.t.■.I.■.1.!!1 5reakFastlI ! !t !tt !tltltOI /!U ■llilt■ ■lttp! 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I.I..rl...n..\.1l .1■.OI.r 01....11. I..II.ta11■■all...l■■ �� a n � ral � otea : Notes: Safety Glazing r 3603 , 20 , 4 , 21 I. All notes and details contained within these drawings are to be used (oth Edition Massachusetts Building C o d e All doors and fixed aide panels with 24 11to either side of a door. as they would apple to the house being constructed. Exposed bottom edge less than 18" above floor. Notes and details apply as necessary to the house design. Individual panels that are rester than 9 b ft. 2. When plans are used in conjunction with builder specifications and any discrepancy occurs,the specifications will supercede the drawings. 5asement Ventilation r 3603 , 6 , 8 , 2 , 1 s and cellars not used as habitable,occu tables ace shall Thi ends Ends r 3603 .have , /2 , 4 1 3. All substitutions are the responsibility of the Builder, Basement P P The ends of wood girders shall have a 1/2at space on top,sides i and. 4. All dimensions are to be Field verified by the Contractor and any be provided with a minimum of four silding type,or awning type basement adjustments made accordingly. windows for everu 1500 sq. Ft. of floor area. Cripple walls r 3606 . 2 , S4 3606 , 2 , S , 1 5. All work shall be completed in compliance with all applicable f=oundation cripple walls shall be Framed of studs not less than the studs Building,Plumbing, Electrical codes. Any other local,state and/or Minimum CeilingHei ht r 3603 S ' 13 �p federal codes that may appi to this project shall be considered Minimum caging heiahNabRab[-e rooms, except kitchens,shall have a supported. When exceeding four feet to height,such walls shall be as part of the construction documents. 9 ., p framed or'studs having the size required For an additional story. sed ceiling height of not less than 6. All waste materials and debris shall be removed and dispo �' 3' for at least 5090 of their required areas. Bracing;Such walls having a stud height exceeding 14 inches shall be of properly. Exceptions: considered to be first story walls For the purpose of determining the 1 Z. Numbers act within t ] reference that section of the 6th Edition of 3. Habitable basements shall have a minimum clear ceiling height of seven bracing required by 180 CMR 3606 .2 .9.Stud walls less than 1'4 inches the Massachusetts State Building Code. feet zero inches except under beams, girders and other obstructions in height shall be sheathed with plywood of wood structural panels spaced not less than Four feet on center may project not more than attached to both the top and bottom plates in accordance with 8. These drawings were prepared per guidelines set forth in the six inches below the required ceiling height. Table 3606 . 2 . 3a,or the walls shall be constructed of solid blocking. Mass. State Building Code Section 136 I for 14 2 familu dwellings. Access to Crawl Space E 3603 , a , l I Clara a / douse Se Grater 3603 , � . 1 � opening 18" x 24" (min) Table r 3604 , 2 , 21 Garage p Minimum Specified Compressive Openings from a private garage with either solid wood doom 13/4" �eeeg8 t0 Attic r 3603 . g . 2 thick (mina or 20-minute fare-rated doors, self closing devices and 22" x 30' (min.)for attics with a height greater than 36 Strength Of Concrete fire resistive rated door frames are not req d. All door openings between the garage and the dwelling shall be provided with a raised Sleeping room Window Opening Type or location of Minimum Specified sill with a 4" min, height. r .3603 • 10 , 4 , 11 Concrete Construction Compressive Strength l Fire Separation r 3603 , 5 . 2 3 33 sq. ft.,20" x 24' In either direction. Basement walls and foundations2,500 Z ' The garagnot exposed to the weather e shall be separated from the residence and its attic area bu Exit Doors E 3603 ll 1 1 moans of minimum 5/8 inch (16 mm)type X gypaum board applied to the Basement slabs and interior slabs garage side.Wherever the attic area is continuous between the garage , , , 1 - 36" wide x 6'6" high,others Z'8" wide min. . . on grade,except garage floor slabs 2,500 2 and the dwelling a firestop of 5/8 inch (16 mm)type X g�paum board Interior Doors E 3603 it 2 with a minimum of one coat compound and tape shall be used to form Basement walla,Foundation walls, a barrier to separate the garage and dwelling. 30" wide x 6'6' high (min.) exterior walls and other vertical 3,0003 Exception: concrete work exposed to the Floor Surface r 3603 , 5 , 3 I 1. Bathrooms 28'-(min) weather Garage floor surfaces shall slope to facilitate drainage toward the 2. Existing Bathrooms 24" (mina -- Porches,car port slabs and steps main vehicle entrylextt doorway' exposed to the weather,and 3,500 3,4 Ventilation Required r 3603 , 6 , 2 3 bleat Detectors E 3603 , 16 , 4 1 garage floor slabs Every room or space intended For human occupancy shall be provided (Reserved) with natural or mechanical ventilation,. , Smoke Detectors r 3603 , l6 , 10 1 For 51: 1 psi a 6.895 kPa. Exception: Every bathroom and toilet room shall be equipped with a Smoke detector/heat detector locations; 1. At 28 days psL - mechanical exhaust fan. 1, in the immediate vfclnity of bedrooms., 2. Corr-rate in these locations which may be subject to frsezing and Minimum Glazing Area E 3603 . 6 , 4 , 2 3 2. in all bedrooms. thawing during construction shall be air-entrained concrete in Exterior glazing area of not less than 8% of the area V2 of the required 3. In each story of a dwelling unit, including basements and cellars, accordance with Footnote 3. area of glazing shall be openable. but not including crawl spaces and uninhabitable attics: 3. Concrete shall be air-entrained.Total air content (percent by volume ' 4. 1 for every 1200 sq,ft.unit. of concrete) shall not be less than 5% or more than 1%, Roof and ,attic Ventilation E 3603 , 6 , 8 1 1 I 1 4. See 180 CMR 3604 .2 .2 for minimum cement content. Ventilating area shall be 1/150 of the space.This can be reduced- Legend= O - Smoke Detector 1/300 when a vapor retarder to installed, . � • �,pn 45'6' 516" Ir ------------- I1,9 6�9u t_ 1L 21'p------------------------------------------------------- ------------------------------------_------------ ------------------ ; cv r ------------ ' --------------------------------- ML -----------------------------------------n---�u-----------� •► i ------------ -------------------------------- 2'8" 1� �1 28 X 1.3 1 1 1 ' - araae Finish Foundation ; 1=or requirements O beg requirements nts " 10" Concrete Wall / 8'0" Pour 1 p i 1 i 4 Concrete Slab 3000 psi concrete ; ' '- ' 1 -a OF Separation b x 6--h/b welded wire fabric 10" d x 20" w.cortin, ft'g. ' O t / 13603 . 5 .2 I placed at mid-depth of the slab. - .►. 1 s 2,500 p.s.L concrete Dampproof exterior surface 1 Garage � _E3 asement XI 222'011 , �, 001 1 t— i n ,4'8" 4'p" 6'6' 6 0 nl, i 1 :- SO " 1 - �; I O S��n b O 21 211 3,10" ' ; ,.► ; - •v �?1 1 1 I 1 1 1 1 1 I I 1 t i 1 I 1 i 1 1 - cv - � cel I ' 1 1 1 1 1 1 I I 1 rT 1 -O 3 1/2" D fa.Lally Columns ' ' t ' ' ' ' ' t 1 ' 1 I t t I 1' J_J_.J_!I I t W/3'6sq.x 1'6" dp.footing t.-- --� -- ----! ------- It • 1 .4 I I I I I I � •' � (I req'd) `" ,---� 3 - 2 x 12 Center Beam (typ.) ; .'► _ ' 1 ' m 4' Concrete Slab L. L t o' Slope for drainage BEAM �POCKE i 1 r E I O 3 00 p s.i. concrete 2 - 3 1/2'�Dia.Lally Columns _ 6 W x 6 Dp x 9 H 1 ; 1 ;r- 6 x b--b/6 welded wire fabric With 2 6 x 4 6 x 1 O dp. footing Shim beam with steel XI at mid-depth of the slab. p shims or hard brick ' 3 1/2' Dia.Lally Columns U P 0 Req'd) X t 4"(min) Step down into Garage With 2'6" x 1'0" d footin cA 1 1 1 1 '`�1• p• g 34" high (mina ' 1 1 20 minute fire door(min.) n ' f1 req'd) Csuardrail ; � � .�• ----------------------- ::------; O t • i O — ------------------------------------------t t 1 16'011 ' -----t r-----------------------I r------- I 1 t i i ----------------------------------- ` ------t r--------------t r cv � � 1 � � 1 I � � ' ------- - - -------- 13'6" 3�6n 6�pn 316" 13 oil 40'0 L All dimensions to be field verified and changes made accordingly. 2. Foundation drainage shall be provided around all concrete or masonry foundations enclosing habitable or usable spaces located below grade. ; Foundation Pl 13604 .5 . 1 and table 3604 .5 , l 1 1/4" = 110" 3. Foundation walls enclosing habitable or storage space shall be dampproofed from the top of the footing to finished grade. [ 3604 I6'234' 20'Syz" 5'6" 13'934 u 5'6' S'0" 5183/4 41111 g14�/411 616/4" 31011 216" 103/4" 617' .01 2'10' X 3'5Y ✓ 2'10" X 3'51h" pvent 610' SLIDING _ 5'a" X 5,51/2', 1 1 1 l O 11 1 1 1 I eFan Breakfast Kitchen 6tud = _ Ob o C-4 1 1 Q I 21411 ' 1 1 Actual cabinet layout I o may vara I v m 1 1 � 11 t 1 21211 210" 316" 1 Q Fatnfl2 -4'Oi1 6/411 416" 3'41i4" 0� 0 rX -- ------------ 1 c, 3101' 310, ------- ------ _X C N CIA Q I I I "q n 34" high (mina 30" - 38" high O O Guardrall _ — _ handrail t ttj Q Q uIP 210" X 5'5�/2' 2'10' X 5'5V 1 S in iv L � o �r " _ � � X I I � 11 I I N 1 1 1 1 'cr O it II 11 it " ' v2" 2'10" x 5'S�s11 2'10" x VBY' 2'1011 X 5'5/2" 210 x 55 2'O, 3,011 /210, 4'6' 1'O" 4'6" 4'O" 6'6" 3'O" 3'O" 3'O' C 3'O' 616' 41011 C14 16'011 13'6" 316" 6'O" 3'6" 56'0" Noted: 1. Window R.O. sizes are for Merrimack valle Northeaster window unite. -52193 : First Floor lan y U4". = 1'O" 121 5 $qr. T t. — 1.1v 1ng 2. All dimensions to be field verffied and changes made accordingly. 11,0„ 1,011 81611 ,4. 6,011 3,611 6,911 61911 41 811 2 ventig c- - - - - - - — — — — — — — — - - — — — — — — — � 2'10' X3'5'/2' � 2'10" X3'5y2 8'8° X8'$V2° 11 Q I - 11 TlBsdroom O I Walk-fn 1=an 4 0 .ta - CIOS�t - C 1, -- 4 C-► 31611 810 510 2,411 )b," >,In LL :��7—)L.,Lu-- 4121��" 1 " 11 n _ 2,4" M 1Bat�p 34" high (mina CIOSet C IOSet � C�suardrail 21¢. i �f1 ' - - ---- - 1 1 1 1 1 Y I r ClosetCP ------- I 2,411 ------- 3011 - 38" high _ handrail (typ.) o i 2,10° X 5'5'/211 _ i p — 2,611 I- — — — — — — — — — — — — — — — --- — — — — edroom 1 3,10 y211 1011 3,61t �� 5edroom #3 f3edroom 10' x �'; "5'6" 310n 8'6" 2,101X 2,011 2 2'>0� X �I�y=� 1 X5521 - 41 ON 61611 31011 61611 616 31011 6,611 41O1 T11 5,5v? N 13,6° 13,011 13161, 161oil 40'O" 56'O" Notes: Serond Floor F1 1. Window R. 0.sizes are For Merrimack valley Northeaster window units. 1/4" = 1'O' 1��3 , �� Sq, ft, — L 1v Ing 2, All dimensions to be Field verified and changes made accordingly. 40{0' f ;F { +i I �n { -------- X C14 DN H v 2,10{{ X 5151/211 2{10{{ x 55y1{{ i C-4 4{9' 5,0' {9{{ I 3{9u ��Ou 4'gu 1316" 1310' 13{6" ttic oorPlan 1. Window R.O,sizes are For Merrimack valley Northeaster window unit's. V44 ■ ]'On A 2. All,dimenslons to be field verffted and changes made accordingly. 11152.5 Sqr. T t. Attic i SPRUCE - PINE - FIR No. 2Ea , Masa. sida, code- Modulus of Elasticity "E' • 1,400,000 Fb= z x 4 - 1 ,510 2 x 10 - 1 , 105 Desitin Dead Load 2 x 6 - 1 ,310 2 x 12 - ' , Center Girder 4 Co lump aci 2 x 8 - 1 ,210 I TABLE 3605 .2 . 3 . ld I � � Design Dead Load = 10 lbs, per square foot (Russ I Tables 3605 . 2 .3 . la,3605 .2 ,3 . b 6 3605 .2 . 3 , lc I MAXIMUM ALLOWABLE SPANS FOR w TR'� JOISTS/RAFTERS q�L 3OPSF`. Joist Under Bearing Partition t 3605 . 2 . 3 , 21 Joist 30 PSF�• 3o sF Joists under parallel load bearing partitions shall doubled or a size 2 x 6 2 x 8 2 x 10 2 x 12 4o PSF 40PSF 4 PSF beam of adequate size to support the load. _ door 12" OL. 10 - 11/2 t3 -4 ill n-11/2 -41/2 One Story Two Story Three Story Bearing 13605 . 2 . 4 7 { 1 F irst COLUMN SPACINGS UNDER GIRDERS The ends of all Joists,beams or girders shall have 11/2" (min) of 16" O.C. 9 - 11/2 12-1 I/2 15 -11/2 tt-5 112I Table 3405-6 I bearing on wood or metal and 3" (mina on masonry. 1 V2 14 -9 1/2 Is -10 1/2 22-4 1/2 Girder size Second W - 24 W W - 25 W - 32 Brid 13605 . 2 . 5 . 1 I 16" O.C. 10 - 11/2 13 -41/2 16 -8 V2 19 - 9 1/2 3 - 2 X 12 ! _ 3 - 2 xry 10'-3" 9'-10" 9'-6" 8'-11" Joists having a depth-to-thickness ratio exceeding 6-1 based on nominal Att Ie 12 O.C. 12 ' 9 1/2 16 -101/2 21 -11/2 dimensions shall be supported laterally by solid blocking,diagonal No future rms i6' or-. it -1 i/1 15-4 V2 19-11/2 rye 6'_I" 5'-11' S'-6' bridging (wood or metal),or a continuous one-inch-by-three-inch strip set perpendicularly across the bottom of Joists and appropriately 12" O.C. 16 - 11/2 21 -31/2 71-31/2 — „ �� nailed.Brid t shall be installed at intervals not exceeding elaht feet. Attic Column sizes - 4 x d or 3 1/2 diameter steel 9 ng g capes 3/12 haod ib" O G. 14 -11/2 19 =4 1/2 24 -81/2 -- Footing S¢e=2'-b" x 2'-6' x 1'-3"d Drilling and 12" O.G. 12- I 15 -3 18 -0 21 -8 Notches l; 3605 . 2 . 6 . 1 1 Notches in the top or bottom of joists shall not exceed on"Ixth of 1 over attic 16" OL10 -5 13-3 16 -2 18 -9 the depth of the joist,shall not be longer than one-third the depth of ( _ 12' O C. 11 - O 13-11 i'i-9 ZO -b the member and shall not be located in the middle third of the span. Roof Minimum Uniformly D istrbuted Notch depth at the ends of the member shall not exceed one-fourth Cathedral k" O.C. 9-6 12-1 15-4 tt-9 the joist depth. - Live Loads (lbs. / scq, ft,) Notes: I Table 3603 . 1 .3 I Holes 13605 . 2 1. Ail structural materials shall be void of any defects that may LIVE Holes drilled,bored or cut into joists shall not be closer than two inches diminish their capacity to function in an adequate manner. lj S E LOAD sf) (51 mm) to the top or bottom of the joists,or to any other hole located Structural En ineering or an other professional services that in the joist. Where the joist is notched,the hole shall not be closer than may be required shall be provided by others. Balconies and decks (00 two inches to the notch, The diameter of the hole shall not exceed Garages (passenger cars only) 500 ) one-third the depth of the joist. Maximum allowable spans For header supporting luood.frame walls Attics (roof slope 3/12or less, no storage) 10 I TABLE 3606 .Z . 6 I Attics (limited storage) 20 Headers in Livings Areas (except sleeping rooms) 40 Size Support'g I Story 2 Stories Walls not Sleeping Rooms 30 of Roof Above Above supporting Header Only floor rof Stairs 40(2) 2-2x4 4' Guardrails and Handrails 200 (single concentrated load at any point along top) 2-2x6 6' 4' 2-2x8 8' 6' 10' Note: (2) Stair treads shall be designed for a single concentrated 2-2x10 b' 8' 6' 12' load of 300 lbs. over an area of four square inches. 2-2x12 12' 10' 8 16' I. Nominal four-inch thick single headers may be substituted for double members. 2. Spans are based on No. 2 Grade Lumber with 10' trbutary floor and roof loads. 4" Slab Stepdown Standard Soffit Sill _ 2x Bottom Plate 6th Ed , Maes. sidn - Godr, 2x Band Joist < q_ E Roof Rafter Insulation - Maintain V min.clear. 2x Floor Joist a °� a d 1 -2x6 .D K . Sill 10 O Fascia Board 1 -2x6 P.T.w/5111 Sealer 4�� Gelling Joi6 Soffit - min. with venting Anchor Dolt or _ Mudsill Anchor Straps Concrete Foundation Step Footing Standard Soffit Center Beam - 2x Bottom Plate Chimmt eleffi'�ees 13610 . 2 , 5 I Roof Rafter 2x Fire Blocklna 4'-0" 4'-0' ' Chimneys shall extend at least 2 hi 'her than anc portion of the ' Maintain 1" min. clear. buildln within 10' but shall not be less than 3' above the O i X Flooratiopoint where the chimney passes through the roof. ' Purrfcane cid 2x Floor Joist Center Beam Gambrel Cantilever 4 Soffit Lallu Column Cap Plate I' Soffit fasten to Center Beam - with ventind -- � Roof Rafter Lallc Column Fascia Hoard Mudsill Anchor Exterior Interni, Fir, Ridge Beani Calling Joist Spacing Plan Continuous Baffled p g �� � �� Ridge Vent - 2 x 4 Bottom Plate -3,-b 1-D 2x Bottom Plate (max.} (max,} _ Ridge Beam 2x Band Joist r 'oda d a o c Floer Sheathing Z x S 16" OL. Floor Sheathing z 2x Band Jolst " ° X Roof Rafters 2x Floor Jost p 2x Floor Joist Fascia Board Simpson Mudsill ° - l Anchors 'MA6" -- 2 - 2x Top Plate - - - - - - 2 - 2 x 4 Top Plate See note 'Sill Anchorage" 13604 . 10 I -------------------------------------- Anchor Bolt Cantilever Ridge Board Raised Soffit Roof Rafter Continuous Baffled 0423 Simpson clip angle Spacing Plan Ridge Vent L 1 - each side (t } 6'-0" sp. i'-0° Floor Sheathing 9 2 x 16 Platte (max) (max.) Solid Blocking 2x Bottom Plate Ridge Board 3/4' Pluwood w/6 - Void nails 1 x 5 Collar Ties each ,jolst/rafter 'a Ta'a .�� - z 2x f=loor Joist 2x Band Joist 1@ 4'O" O.G. 2x Band Joist a�__ OE ' Insulation Roof RaftersiFascia Board Anchors bolts or2 - Zx top Plate Cantilever Gelling Jolat App'd Equivalent — Overhang _ --- - - - _ _ - Soffit See note "5111 Anchorage" C 3604 . 10 1 with venting ---1. FIRM HEINEN ■1 ------ - ---- --- MEN MEN loss - =- ' HE 1 �1 C i �: �■ MEMO_ IN iiiiiiii iiia 1 — , iiiiiiiii �,��,,, t■I I I ice— � --i I-------=��------- --- ��.■.! .■■■ ■■■. .■ason ... . � I I • 11 � ! � � I • �t � ! • C28120 2 Continuous Baffled Ridge Vent 10, 10, 10 / 14-14 2 x 12 Ridge Board 1 x 8 Collar Ties 6 410" OC- located in the upper third of the 12 _ height of the roof,measured from - the sill plate to the ridge. i 12 [7 - m Roofing '- Composite Roofing No. 15 Building Paper 1/2" Pluwood O 3/4" T 4 G Pluwood 2 x b 16" O.C. m Attic CC - - - , C14 Seam Ceilincl Fascla Board 2x 10C16, OL. s R30 Insulation Soffit 4 Vapor Barrier with venting 1/21' Wallboard. 6-218 : a in Powrez- Floor Section - 1 x �a n 3/4" T 4 G- Pluwood 1/4" = 1'O" second 2 X 10 6 16 ,C ' O . Cedar clapboard siding v Fire Blocking Air Barrier 1/2" Pluwood 2 x 6 '@ ib" O.G. o R19 Insulation m p v Vapor barrier �► o 1/2' Wallboard a� 'D _- Floor m 3/4' T 4 G Pluwood o 2 X 10 6 16" O.C. Fist R19 Insulation 1 - 2 x 6 P.T., I - 2 x 6 KD. Continuous Sill Gasket i=re Blocking 1/2" O.D. Anchor Bolts ria 6'O" O.C. -A ox. Foundation s 3 - 2x12 Center Beam 10" Concrete Wall / 8'O" Pour Finish _ Grade 3,000 psi concrete 3 1/2' pia. t_ailu Columns 10" dp.x 20" w,contin. ft'g. Dampproof exterior surface `A 141011 1410° Perimeter drain (typ) r s 4" perforated PVC p" Crushed stone Basement 4" Concrete Slab Filter membrane cover t 3604 .5 Foundation Drainage I _ - - - C Table 3605 .5 . I I v W241205 Continuous Baffled Ridge Vent 2 x 12 Ridge Board r- Attic 12 2x8 a� l6 O,C. 12 R30 insulation - or 5arrfer 1/2'�Wallboard. . m C R0 'M Composite Roofing 1 c0 n No. 13 Building Paper CIA 3/ d G Plywood 1/2' Pluwood l2x10 � I6" O.C. 2x8416" O.C. Second - p - - - -- ' Fascia Board R30 insulation R30 Insulation Soffit with venting Yin siding Air Barrier 1/2' Pluwood or 2 x b -b lb' O.C. ZIP 3//44" T d G Plywood R 19 Insulation j Z X 10 6 16" O,C. Y for barrier First Rlinsulation 1/2 Wallboard 9 - ?X Fire Blocking 1 - 2X6PT., I - 7x6K.D. g - Continuous Sill Gasket Aprox__ 3 - Z x 12 Center Beam 1/2' O.D.Anchor Bolts 0 6'0" O.C. -� " FinishCharade iris Grade For requirements �� 3 1/2" Dia, Lally Columns Foundation �� flea General Notes 10 Concrete Wall / S O Pour Fire Separation _ 3)000 psi concrete 13603 .5 .2 I 10" dp,x 20" W. Contin, ft'g. Dampproof exterior surface 4" Concrete SlabPerimeter drain (typ.) Basement ' 4" perforated PVC pipe - = Crushed stone - - - Filter membrane cover 13604 .5 Foundation Drainage I I table 3605 .5 . 11 Mai 1/4" i 1'0" Colonial 2LSASS — TWO— LStI31M I I Str ht St'31r Drafting Services FramIna 5action Detair Stairway Width: 110 Main St., Unit #204 th Edition Mass, B ld , Code C 3603.13,1 I wldthross =Statways shall t be lethan 36' in clear width. >o Tewksbury, MA 01816 g Treads and RIsers (918) 851-1330 C 3603.13.2 I Treads and risers-The maxinum riser height shall be s 1/4" and the mink un tread depth shall be 9" Tolerant.•.between adjacent sero:3/16" Total riser dimension tolerance:3/8" Dosing, Profile= C 3603.13.2.I I Nosing profile=d noshg shall not extend more than 11/2" beuond the face-of the riser below. v 2x Header 2x Floor joist I 2-2x reader E e9" m-in imum Headroom: cA I x _ tread C 3603.13.3 I Headroom:The mink um headroom in all parts of the 12 T 6 9' =9'O" stairway shall not be less than 2 x >z StringersFirestopp ing: # Fir 2 x e L 3606 .2.11 F•restopphg shell be provided to cut off all concealed zt= I �; Q, , Biocicha epacas between stat stringers at the tap and bottom of the roe. 17 CQ -4w Flared parallel with stringers 0 o ���" Guardrail Details: 1 X ' 2 x 4 Studs beuond) L 3603.14 .2.11 Guardrati deta0s:Forches,balconies,decks or CnF1raised rlcor surfaces located more than 30" above the floor or grade below shall have guardrails not less than 36" in height.Open sides 2x HeAder 2x Floor joist 2-2x Header or stain with a total rlse of more than 30" above the floor or grade below shall have guardrail,which shall also serve as handrails, I not less than 34" i tw4ht measlutisd vertically fron the nosing -13 I 2 x 4 studs r of the treads. Guardrail Opening Limitations: + , r C 3603.14 .2.2 4 Exc.T Requited guardralls on open side or staiulaus, CP i ,_.� Z x 12 Strit>ciero balconks,porches,decks and rAlbed floor Areas,shall have hterrtledlate rnQs 00 .,, =' , with insulatTon balusters or ornamental closures which prevent the passage of an object 04 ` 2x4Fireoc Blk bg 5 or more h diameter; OC x Placed parallel �.. '; , wtth strlrlaers Exception-Triangular spacers formed by the rfser,tread and botton rail of ti a auard at the open side of a stahm maybe or size to prevent 2x Header the- of here 6" in diameter. ui. •y--2x F=loor Joist pa°saaa a sphere IE Center Bean Handrails: V ° I 13603 . 14 . I , i I Wandralls having 30" min,acid 38" max, heights •� ' respectively,measured vertically om the nosing of the treads, n d shall be provided on at least one side of stairways of 3 or more risers. u E I X I s Exceptions= (z r I 2 x 12 Strham �a z Lally coiunn Q�eyondl 1. Pandrails shall be permitted to be interrupted by a newel post at a turn. I 1 2. The use of a volute,turnout or startina easing shall be allowed M ninun tread =9 I over the lowest tread. handrail Grip Size: Stairway circular handrail cross section 1 1/4' min. and 2" max. Other shapes,perimeter= 4' min.and 6 1/4" max. Gross-sectional dimension of 2 5/8" max.13603 . 14 . 1 .2 I 121012' I" x 12 heck -- optional = ' = Stair location,number of risers and treads may vary due to site conditions. I O Dia. Concrete Pier �. I Up i O 2 x 10 (P.T.)6 16' O.C. Joist Hanger (tup.) MAXIMUM ALLOWABLE SPANS FOR JOISTS iN DECKS AND 8,4LGONiES - E TABLE 3605 .1 . 3 . Ic d 3605 . 2 . 3 . 1d I 2 x 10 (P T.) Ledger Southern Pine No. 2 Non - dense Lag bolts a) 16" O.C. Modulus of ElasticitS "1=" = 1,400,000 Fb: 2 x 6 - 1,325 2 x 10 - iOS5 Dec k FrA 2x8 - i;65 2x12 - 1,035 1/4" = 1'O" 1/4' = 110" Jo let 2 x 6 2 x 8 2 x 10 2 x 12 Size I Joist 1Z" OG. 8 -11 11-10 14 -8 11-5 i . Spacing 16" O.C. 8 -2 10 -5 12-8 r14 -it I. Deck design loads=60 lbs par - Live Load, 10 lbs par Dead Load. ' 2. Final deck location to be determined by builder and site conditions. 3. Deck fr(sh materials to be determined by builder. 5' Clear (Max.) Rail (Decking,Posts,Railnes,Balusters ) 4. bottom of footing to be 4'0" (mina below finish grade. Post 5, See Stair Framing Section Detail drawing for additional information Flashing regarding= Stairway Width,Treads and Risers,Guardrail Details, Lag bolts 6a 16" O.C. in 1111111 EL 3 - 2 x 10 (P.T.) Guardrail Opening Limitations, Wandralls 4 Wandralt Grip Size. 6 x 6 (P.TJ Post Decking . Grade Post Anchors WHO mob P�- r 2x Deck Framing (P.T.) ►p Joist Hanger Colonial Drafting Services Concrete Foundation 110 Main St., Unit 0204 ' Tewksbury, MA 0181(b k Pouse Connection o 1/4" .4 I'0' (9-18) 851-7330 1/2' i AFLIE rating with Multiple Systems k2 tlS nd i - MASeheck Software User a GuideNotes and details apply as necessary to the house design. Chapter 11, 3rd paragraph . . .When installing more than one piece of equipment, national Fenestration Rating Council Minimum Duct insulation I Table J4 . 4 . 1 , 1 3 Sou must use the efficiencu of the equipment with the lowest rating. ( 14FRC Label ) I Jl . 5 . 3 1 Inside building envelope or in unconditioned spaces, 3 ' 3 Windows,Doors and Skullghts shall have (NFRC) labeling. TD lsless than or equal to 15 Not required J4 Air leakage' I Use default values From tables Jl , 5 , 3a,4 b when U value Window and Door ,assemblies is not available. TD is less than or equal to 40 and greater than 5 R - 3 . 3 Manufactured doors and windows, maximum allowable infiltration Vapor Retarder I J4 . 2 . 1 3 TD is greaterthan40 R = 5 .0 see note 1 rates In per table J4 . 3 . 2 1� Rsquired on winter warm side of exterior walls, Floors and TD is defined as the temperature difference at design ccnditions Fame Type Windows Doors unvented ceilings, between the spats within which the duct is located and the (cfm per Ft of (cfm per ft= of deer area) design at- temperature in the duct. operable sash Access openings: t J4 . 2 . 5 crack) Note - 1= insulation resistance for runouts to terminal devices less than Openings through insulated envelope such as hatches, 10 feet in length Is not required to exceed an R-value of 3 ,3 . Wood 0 . 34 0 . 35 O .5 scuttles,pull-down stairs,etc. shall be insulated to the same level as surrounding area. Minimum Pipe insulation Z Table J4 . 4 . S 3 Aluminum 0 , 31 O , 3-1 O . 5 l=vc 0 , 31 0 . 3'1 0 .5 Sys;gym capacity= E J4 . 4 . 2 . 1 . 1 4 Exe. 1 up to 2" diameter Rated output capacitu of the sustem at design conditions Sustem shall not be greater than I S% of the calculated design [cad. Low pressure/temperature sustem; i V2" thick Table J1 . 5 . 3a if the rated output capac to of available equipment options 201 - 250 deGrBes exceeds 125% of the design load, then pqu'.pment with the Low pressure sustems: �� U-value Default Table for Windows,Glazed Doors and Skyllahts smallest output capacity above 12530 of the load shall be used, 120 -200 degrees V2 thick Double glazed Single E Single glazed r ,t Glazed with storm Air Leakage 1. J4 . 3 . 3 2 Metal-Glad Wood Joints, seams or penetrations in the building 45'bevel 45° bevel ' Operable O .ea O ' 60 envelope that are sources of air leakage shall be Protective membrane Fixed 1105 0 ,58. sealed. . . examples Door O , Q9 O . S7 4 ;,° Skullght i • 50 0 ' 88 Joints between framing 4 window/doer frames, --- (,CJOOC / Y It1�l Wall assemblies or they sills 4 plates, `�' 13 -------- Operable O , 94 O . 56 Walls # roof/ceiing, Rigid insulation A + S - 48, (min.) Fixed 1 , 04 O Door O ,98 O . S6 Separate wall assemblies, O � ¢ ,� (see MAScheck , Skylight 1 . 41 O , 85 , print out for min. - � ' LRigid insulation Walls 4 Floor assembles, r R value req d) p (see MAScheck print out Glass Block Assemblies O .60 Penetrations of utility services, for minimum R value required) D is � e a Table Ji . 5 . 3b Penetrations thru wall cavitu top 4 bottom plates, c a r U-value Default Table for Non-glazed Doors Sealing around tubs and showers, a • 1 0 a 4 4 4 a 4 Attic and crawl space access panels, Steel Doors (1-3/4" thick) With Foam Core Without Foam Core Recessed lights, . 0 .35 O .60 Plumbing, electrical and HVAC penetrations, Option - i Option - 2 Without Storm Door With Storm Door and all other openings in the bid g envelope. Wood Doors (1-3/4" thick) These are openings located in the building Slab on Grade + Panel with 1/1(o inch panels 0 . 54 0 .36 envelope between conditioned space and Hollow core flush 0 , 46 O .32 unconditioned space or between the conditioned Exterior Perimeter insulation Detalls Panel with 1-1/8 inch panels O , 39 0 ,28 space and the outside. 1/2' = 110" Solid core flush 0 . 30 O .26 S itr L t 1 • TITLE: classic House Plan: S-278 / 12385 MAScheck COMPLIANCE REPORT I I MAScheck INSPECTION CHECKLIST Massachusetts Energy Code I Permit # I Massachusetts Energy Code MAScheck software Version 2.01 Release 3 i i MAScheck Software version 2 .01 Release 3 • DATE: 8-11-1999 I checked by/Date I i Bldg. l TITLE: Classic House Plan: S-278 / 12385 Dept. l Use CITY: North Andover I • STATE: Massachusetts I CEILINGS: HDD: 6322. [ ] I 1. R-30 CONSTRUCTION TYPE: 1 or 2 Family, Detached I comments/Location HEATING SYSTEM TYPE: Other (Non-Electric Resistance) I DATE: 8-11-1999 I WALLS: i PROJECT INFORMATION: [ ] I 1. Wood Frame, 16" O.C. , R-19 28 x 40 colonial I Comments/Location Brook Farm Estates North Andover, MA [ ] i WINDOWS AND GLASS DOORS: i 1. u-value: 0.39 COMPANY .INFORMATION: I For windows without labeled u-values, describe features: Mangano Construction I # Panes Frame Type Ther al Break? [ ] Yes [ ] No 36 Hillman St - Unit 12 I comments/Location MAP?IM Vf LLQ` /ylORif �STE/L �o��c !�(1�lIGi # Tewksbury, MA 01876 [ ] i 2 . U-value: 0.56 (978) ry, M11 For windows without labeled U-values , describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No NOTES: I Comments/Location F94V ��FZNZ, LT� Merrimack valley "Northester" window units [ ] I 3. U-value: 0.39 f I For windows without labeled- U-values, describe features: I I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I COMPLIANCE: Passes I comments/Location 4-ow-65 I [ ] I 4. u-value: 0.56 � Maximum UA = 551 I For windows without labeled U-values , describe features: Your Home = 514 I # Panes Frame Type Thermal reak? ] Yes [ ] No Area or cavity cont. Glazing/Door I comments/Location SI DIN�a ��o T7� may'' Perimeter R-Value R-Value U-Value UA I { ----------------------------------- -------------------------------- -- I DOORS: CEILINGS 1537 30.0 0.0 54 [ ] I 1. u-value: 0.35 1 WALLS: Wood Frame, 16" o.c. 2972 19.0 0.0 178 I Comments/Location- GLAZING: Windows or Doors 348 0.390 136 [ ] I 2 . u-value: 0.54 GLAZING: Windows or Doors 13 0.560 7 I Comments/Location GLAZING: Windows or Doors 48 0.390 19 I j GLAZING: Windows or Doors 40 0:560 22 I FLOORS: DOORS 20 0.350 7 [ ] I 1. over Unconditioned space, R-19 DOORS 33 0.540 18 I Comments/Location FLOORS: over Unconditioned space 1522 19.0 0.0 72 [ ] I 2 . over outside Air, R-19 FLOORS: over outside Air 15 19.0 0.0 1 I Comments/Location HVAC EQUIPMENT: Furnace, 80.0 AFUE ------------------------------------------------------------------------------- I HVAC EQUIPMENT: COMPLIANCE STATEMENT: The proposed building design described here is [ ] I 1. Furnace, 80.0 AFUE or higher consistent with the building plans, specifications, and other calculations I Make and Model Number submitted with the permit application. The proposed building has been I designed to meet the requirements of the Massachusetts Energy code. I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building The heating load for this building, and the cooling load if appropriate, I envelope that are sources of air leakage must be sealed. when has been determined using the applicable standard Design conditions found I installed in the building envelope, recessed lighting fixtures in the code. The HVAC equipment selected to heat or cool the building I shall meet one of the following requirements: shall be no greater than 125% of the design load as specified in I 1. Type Ic rated, manufactured with no penetrations between the Sections 780CMR 1310 and 34..4,., - p q I inside of the recessed fixture and ceiling cavity and sealed or vel g- `�-l 1 G I Basketed to prevent air leakage into the unconditioned space. Builder/Designer Date I 2. Type Ic rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the s :i 5. 0 conditioned space to the ceiling cavity. The lighting fixture � 170-180 I 1.0 1.5 2,0 j shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I 140-160 0.5 I 0.5 1.0 1.5 0 I difference and shall be labeled. i 100-130 I 0.5 0.5 1.0 I VAPOR RETARDER: ----NOTES TO FIELD (Building Department Use Onl [ ] i Required on the warm-in-winter side of all non-vented framed Y)------------------------- I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values , and heating I equipment efficiency must be clearly marked on the building plans or specifications. I ' DUCT INSULATION: [ ] I Ducts shall be insulated per Table 34.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints , seams , and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the manufacturer's installation instructions . Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing I air and water systems . i TEMPERATURE CONTROLS : [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. i HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and 74.4. I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insylated to the following levels (in.) : I PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2 .5-4" I LOW pressure/temp. 201-250 1.0 1. 5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in.) : PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2 .0" 2 .0+" i l 28 ��� �1--c'^''��'t- ]Project Plumber & Title: S-'2Z8 ]Project Number & Title: S- 2�8 Calculations for Square Footage of Walls Calculations for Square Footage(s) of Ceiling(s) Fiat vaulted or Cathedral Geil(na A A - ----- �, I E , H lat Fioor Plan g D end Floor Plan --- ------ LEI Sect(on l G F G G E D ' 2nd Floor Len to t1 (L1 + L2 + L3)X W = Area width cwt ` Perimeter 1 (P1) = A + B + G + Perimeter 2 (P2) = A + B + G + D H2 Plan View D + E + F + G + N LXW = Area Hl I Mork 4rea P1 X HI = Ist floor wall area (A1) P2 X 1-12 = 2nd floor perimeter area (A2) Ist Floor P3 X H3 = 2nd Floor wall area (A3) _ _ x 5. 6 Al + A2 + A3 = Total wall area RS`r Mork Area 8 I con�0 o l � 2 .15 ¢�,,� ��'�� ' 0 _ 40 a • colonlal Or.tin l Drafting Or. ll�� Serv�--ee Serviicee no Main St,Unit#204 110 Main St,Unit 0204 Tewksbury,MA 01816 Tewksbury,MA 01816 (518)851-1330 (918)851-1330 1 Project Number & Title: 5 2"78 2 8 4 p Co`,o Project Number & Title: S -,2,-1'3 26 Y-4,0 Co L.oN J i�L' Calculations for Windows & Doors Calculations for Floors Table of areas for Doubts Hung windows Table of areae For Casement windows j APPROXIMATE WIDTH APPROXIMATE WIDTH Floor Plan 1'10" 2'2' 2V 2'8' 2'10' 3b' 3'2' S4:" 3'6' 1'5" 1'8' 2'0" 2'4' 2'10' 3b' 3'5" 4'0' 4'9' 6b' 41 D 3'S' 6.26 7.41 8.54 9.11 9.78 10.25 10.92 11.38 11 .96 1>2'0' 2.83 3.34 4.0 4.66 5.66 6.0 6.83 8.0 9.5 12.0 -13 3'9' 6.87 8.13 9.38 10.0 10.61 11.25 11.88 12.49 13.13 2'4" 3.26 3.89 4.66 5.43 6.59 6.99 7.96 9.32 11 .07 13.98 4'1' 7.47 8.85 10.21 10.89 11.67 12.25 12.93 13.60 14.29 3'0' 4.25 5.01 6.0 6.99 8.49 9.0 10.25 12.0 14.25 18.0 e S X 3 4'5' 8.18 9.57 11.04 11.78 12.62 13.25 14.10 14.71 15.58 3 3'S' 4.84 5.71 6.83 7.96 9.67 10.25 11.68 13.67 16.23 20.5 D 4'9' 8.80 10.29 1 1.88 12.67 13.57 14.25 15.16 15.82 16.75 D 4'0" 5.67 6.68 8.0 9.32 11.32 12.0 13.67 16.0 19.0 24.0 M = 5'i' 9.30 11.02 12.71 13.56 14.39 15.25 16.10 16.93 17.79 m 5'0" 7.08 8.35 10.0 11.65 14.1k16 Oil .09 20.0 23.75 30.0 M Length Q) i 5'5' 10.03 1 1 .74 13.54 14.45 15.46 15.25 17.28 18.04 19.09 =5'5' 7.67 9.05 10.83 12.62 15.3 .51 21.67 25.7332.5L X e = Area 6'i' 11.13 13.18 15.21 16.22 17.22 18.25 19.2620.26 21.29 6'0' 8.5 10.02 12.0 13.98 16.98 .5 24.0 28.5 36.0 calculation table for 014.windows Itlork Area Calculation table for Casement windows Unit size Area of unit X quanRy • Total Unit size Area of unit X quanRy Total 2to1�5 � ,�-� 2� �0�.2. Area of floor over unconditioned (unheated) space (L X W) .(2 �10 z � 2 r7 Calculation table for Glass Doors Calculation table for other glazing ' Unit size Area of unit X quanRy - Total Unit size Area of unit X quanitg Total E 110 [o F--;M-0 - 71 calculation table for exterior doors Calculation table for Interior doors Area of floor over outside air (L X W) Door size Area of unit X quanity Total poor size Area of unit X quanRy Total I=25 Q Total area or exterior doors Total area of interior doors l� Colonial (M Cornice e D rafting Drafting 2'6" = 16 .67 5'0" = 33 .35 -1 L5ervlaee Services 2'8" = 17 .81 6'0" = 40 .00 130 Main St,Unit#204 170 Nan St,Unit,f 204 01816 Temkebuny,MA Tewksbury,NA 01876 3'0" = 20.0 $ 0" = 53 .36 Teiuk851-13 A (978)851-7330 Area of various doors (i6'an he ht) 1 1 1 II�1 �1 111 � ►� 1 ��r1 .hi��i3� 1 1 ,� ��JII■111■ ■■ .. .. 111 �. 1�' 111111 II�IIi11 11 ! 1' JI 111 ,.� 1 1111111 �!1 2•.,�L�11�11.l� . lull-PAP�1 11 11111 �E: , 111I1�1y1�11111 11 1 III����■ ,1111 �' .'..�,;�111 11 11 � � !� -��■a 11 11111��111� 1�� � �1�11111 DATE 7 9,3 Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER SUBSURFACE DISPOSAL DESIGN REVIEW FEES PERMIT # UJ J7 DATE RECEIVED APPLICANTASSESSOR'S MAP ADDRESS dL PARCEL # / LOT # to STREET l!.5<.eisriA.t� Go y ENGINES �T-�/�if/T/G 9 7 T&iv,+vry ADDRESS ///7 64r-&400ob ZV8 EX,4ti6,'/4 , G rwa PLAN DATE Il //6 /3 REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED -CZ6,5 A)07- 7-)O ti E /�T �f'D f E•E' EL E!//�T/oitl,' �Gsi,Picrivc-' �147ve�le 1..t 1e ,. r� , L� c< '�GC/�SE 5/fdL!> EX/ST//UG f- -Z,! vllqr1e:'X�- DA) . "j��c�s 7jcs/�� T,2��vGt� SySTd'iYl .Z /v yd 5s�,B�6� /N ,c,,-eNr 15 /716Gt)�✓E/� , SCC /PG�'S.) PLAN REVIEW CHECKLIST ADDRESS G/�,eiST/�,) 4( f �XT_ ENGINEER /ATL AVTi<�, GENERAL 3 COPIESy STAMP LOCUS `/ NORTH ARROW -� SCALE CONTOURS I,� PROFILE `''S SECTION BENCHMARK SOIL & PERC INFO?. ELEVATIONS WETS. DISCLAIMER WELLS & WETLANDS WATERSHED? 1h DRIVEWAY�(Elev) WATER LINE rf FDN DRAIN SCH40 �� TESTS CURRENT? SEPTIC TANK MIN 1500G . 17 INVERT DROP GARB. GRINDER (+2000 EDF) 25 ' TO CELLAR MANHOLE TO GRADE ELEV GW D-BOX SIZE # LINES S FIRST 2 ' LEVEL STATEMENT L— INLET /J-9. W - OUTLET /,-5977 = .17 (2" OR . 17 FT) TEE REQ'D? A/O LEACHING MIN 660 GPD? RESERVE AREA l/ 4 ' FROM PRIMARY? y' 2% SLOPE 100 ' TO WETLANDS ✓ 100 ' TO WELLS Z-� 4 ' TO S.H.GW "/ 35 ' TO FND & INTRCPTR DRAINS L"'� 325 ' TO SURFACE H2O SUPP L--- 4 ' PERM. SOIL BELOW FACILITY 7 MIN 12" COVER `� FILL? '- �(25 ' if above natural elevF 10 ' if�below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) >31COVER?-VENT SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) IS RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10 ' MIN. 4" PEA STONE? BOT X LDNG + SIDE X LDNG = TOT (L x W x #) (G/ft2) (DxLx2x#) (G/ft2) Copyright O 1993 by S.L.Starr PITS MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT GW MIN 41 BELOW BOTTOM EXC 2x EFF W OR D 1211-4811 STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2x(L+W) xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 411 BELOW COVER >3 FT - VENT MANHOLES 1211-4811 STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 601 X 601 ) MIN 131 X 161 PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W) xD x #) (G/ft2) FIELDS / MIN 660 GPD 900 ft2 BED (/ PERC RATE FASTER THAN 20M/IN GW MIN 41 BELOW BOTTOM OF FIELD PIPE ENDS JOINED? L--- 411 /411 PEA STONE? I)(— DIST LINE SLOPE . 005? [-,� >31COVER-VENT SCH 40 L,1� MIN 1211 COVER_LZ RATE LDG X 660 = = TOTAL ft2/G REQ1D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY gpm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME gpm MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 11 below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP. 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SCOTT �SSACAUS t� Director FILE OUTSIDE CONSULTANT ESCROW AGREEMENT NORTH ANDOVER BOARD OF HEALTH Agreement is made this COOL aa , lqq V between the Town of North Andover and P" of l ► ��tLt �a I��,�1 for Soil Test KNOW ALL men by these present that the Applicant hereby provides�the��Town of North Andover with a check in the sum 5_J< of $ 5 _, to be deposited in an escrow account for the Town of North Andover and has deposited in an interest- bearing account as designated by the Town Treasurer to be expended by the North Andover Board of Health to insure payment to any outside consultant ( s) for Soil Tests, Plan Review for the above referenced project . This agreement shall remain in full force and effect until the specified project has reached completion , iA MALOL aA-AA U ' _56and of Health Chairman Applicant or Agent ��J')- 1g0 Date Date WILLIAM ANTONELLI 3-96 68-107 sso 392 JANET M. ANTONELLI 22ss 916 5431 FLINT TAVERN PL. BURKE, VA 22015 / 19f a Pay to the order of $ �y/'_,' `'V 7/N! �` DD/V Dollars aRWE I IR Crestar Bank Alexandria,Virginia 688-9535 t:0 5 6 0 0 1 0 7 91: 8 2 2 3 9 5 9`}.�II' 0 3 9 2 146 MAIN STREET ())T- I --) 3 rnoV— No. FEE COMMONWEALTH Of MASSACHUSETTS Board of Health, �N�01�Gr/'1 MA. APPLICATI®N FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct(d Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location L;R00 If F/J'lf//„ — G0150#11 Iv/f Xc C Owner's Name AAWIN L-U l Map/Parcel# 10P AXr a Address 111jv00 X N /A V Lot# 6 Telephone# 20 Z— 7/1 — 3 f Z Installer's Name Designer's Name +rl"g e rle S/ 6 i -5;#"& Address Address rGN H 1W tj Telephone# Telephone# 17,$ _ 3F—z, 700�4 L Type of Building Lot Size 0-1 $6`T sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required Flyd gpd Calculated design flow Design flow provided C7Y gpd Plan: Date 'L 4 Number of sheets 2 Revision Date Title Lo 7— — /3&elr E14XA1 Description of Soil(s) YAG WS 0 Soil Evaluator Form No. Name of Soil Evaluator M #tfU57tf#A/ Date of Evaluation $13174 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections No. C®MM®N V'D' LT14 OF MASSA ,14USETTS FEE Board of Health, ,MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, ,MA. DISPOSAL SYSTEM CONSTRUCTI®N PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health SEPTIC PLAN SUBMITTAL FORM LOCATION: 1'g4 �J�'oD /C NEW PLANS: YES $125.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: /'P ZZz l� DESIGN ENGINEER: DATE TO CONSULTANT: When the submission is all in place, route to the Health Secretary. Atlantic Engineering & LETTER OF TRANSMITTAL Survey Consultants, Inc. Land Surveyors- Civil Engineers - Planners 97 Tenney Street — Suite 5 Georgetown, MA 01833 (978)352-7870 — Fax(978)352-9940 Transmittal To: North Andover Board of Health Date: 10/22/98 Job No: 9701-02 Ref: Lot 6 -Brook Farm Attention: WE ARE SENDING YOU X Attached Under Separate Cover Reports Letter Original Plans X Forms X Prints Specifications Shop Drawings COPIES DATE DESCRIPTION 3 10/2/98 Plan of Proposed Sewage System 1 10/2/98 Application for Disposal System Construction Permit a THESE ARE TRANSMITTED as checked below: For your use Approved as submitted Resubmit copies for approval X For Approval Approved as noted Submit As Requested Returned for corrections Return corrected prints For Review and comment Other * Remarks: CAVANDOWS\DESKTOP\Coleen's Briefcase\Transmittals\Brook Farm Lot 6 Septic-BOH.wpd � .: -, .... .. ... .. .. ..... .. . . .... . . r t.•agt., Ao:.,rP, r'.._ ..rt., .. .Ai, .. .. . FJ. FORM 1'l - SOIL EVALUATOR FM1 Page 1 of Date: No. 5198 Commonwealth of Massachusetts Al, %,via✓�� , Massachusetts ,Soil Suitability Assessment Lor On-site Sewa e Disposal Performed By: ti"Ai�Tlh A Fi,L�R?N ,A'n AN"rK Eht(aj_------- Date: 5/•�,P Witnessed BY: E l oauon Addruf a (a R ppK FARM — LOT owner i Nune. MA{,(4A ET ANv3r4 C LLl Addrua.end 111'li c ATF_w ODD D R NORM ANgOVER Teleph=I ALEXAN DR1A VA 2230'] ew Construction ❑ Repair ❑ ' Orticc Review Published Soil Survcy Available: No FT Yes Year Published .j3b1 Publication Scale �' 1. � Soil Map Unit. Drainage Class Soil Limitations b G o • �•--- • Surficial.Gcologic Report Available: No [� Yes ❑ Year Published .... W..-- Publication Scale �T-�•�•- Geologic Material (Map Unit) . Landform Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year flood boundary No zYes ❑ Within 100 year flood boundary No zYes ❑ Wetland Arca: National Wetiand'Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Currcnt'Watcr Resource Conditions (USGS): Month -----� Range :Above Normal Normal ❑Bcicw Normal ❑ Other References Reviewed: DEP APPROVED 1`0101.12/07195 FOR11 - SOIL EVALUATOR I,O�FORM Page 2 of 3 Location Address or Lot No. 6Pmh< FARM On-site Review Deep Hole NumberIT:"-9- Datc:.... 6/--3Z'2 Time:.. . Z. Weather Location (identify on site plan) Land Use W�brD Slope (%) .—� Surface Stones . Vegetation - Landform , o l^!A•sN 1-24A1 N Position on landscape (sketch on.the back) Distances from: Open Water Body 4100' feet Drainage way 4.10U feet Possible Wet Area e-/op feet Property Line <1 cn feet Drinking Water Well -loo feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) o P s 3l2 "7.5'Yi'� /UoTLE�s .30'' �oYR 5/8 t o8 �- s• jo 8/3 J Parent Material (geologic) pjzo gj tl C I A L- '00T-WA 51-( DopthtoBedrock: Depth to Groundwater: Standing Water in the Hole: AJ(.t)O Weeping from Pit Face. Estimated Seasonal High Ground Water: DLT APrKOVL•D FOIOI-11107195 FOItM 11 - SOIL EVALUATOR FOIZAI Page 3 of 3 Location Address or Lot No. /A LOT' to Determination for Seasonal Hi h Water Fable Method Used: (-'Depth observed standing in observation hole....A.' inches ❑ Depth weeping from side of observation hole .......... .... inches [96epth to soil mottles ._ 3a..::, inches ❑ Ground water adjustment ................... feet. Index Well Number .................. Reading Date ................... Index well level ................... Adjustment factor ................... Adjusted ground water level ........................................................ Depth of Naturally Occurring Pervious Material Does at least four feet ot llo� pmaterial i�s areas observed throughout the area proposed psed fortheoilbso absorption system? If not, what is the depth of naturally,occurring pervious material? Certification I certify that on � (date) I have passed the soil evaluator examination approved by the Dep tment of Enviro mental Protection and that the above analysis was performed by me consistent wit the required training, expertise and experience described in 310 CMR 15. 7. Signature Date UP APPROVLD FOWM-12/07/95 1!ORM 11 - SOIL EVALUATOR FORIM, Page l of 3 Date: No. Commonwealth of Massachusetts Massachusetts foil Suitability .A,ssessrnent Lor On-site Sewage_ Disposal ' Date: t A�x t 1 A LI ERAN ATLA NIX, ��� Performed By: ,���,., Witnessed By: ROINEF, (oatjon Address or R wVC 5A R M owmr i rum. MARC.A RL_r A MNN E LL1 Address.►rd Lot � tJ0 Rn1 AN 4oV ER Telephone� l l I W7 C1 ATEaIV OOD D R A LE:XAN DRtft VA 22�51D7 New Construction ❑ Repair ❑ ' oflicc Rcvicw' Published Soil Survey Available: No D. Yes Year Published Publication Scale •�LO. Soil Map Unit. Drainage Class ....- Soil Limitations Surficial.Gcologic Report Available: No Yes ❑ Year Published _ ---- Publication Scale — •- Geologic Material (Map Unit) . Landform Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes. Within 500 year flood boundary No lJYcs ❑ Within .100 year flood boundary No zYcs 0 Wetland Arca: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current'Water Resource Co ditions (USGS): Month �--- :Above Normal Normal ❑Be1cw Normal ❑ Range, Other References Reviewed: DEP APPROVED FORAs• 12107ro5 FORM lZ - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. 6A0D.4-- F/FA,"n 6, 7- lP On–Site ,Review Deep Hole Number Date:... 9 Time::. Weather Location (identify on site plan) Land Use WOOD-W- -- Slope (%) _ ' Surface•Stoncs . Vegetation .. FOR.aEST - Landform QTYVASK P LA 1114 Position on landscape (sketch on.the back) . . Distances from: Open Water Body <(oo' feet Drainagc'way .<t00 feet Possible Wet Area 4too . feet Property Linc (o feet Drinking Water Well loo feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) /a YR • �o Ar L S. _2>1 2 .. 10 YR M o7rLc3 � �'�i IvYR. toYK MINIMUM UF 2 'J �TERTPHOPOSLD DISPOSAL Parent Material (geologic) P90&2LAUA-L OUTIVA SN DepthtoBodrock: Depth to Groundwater: Standing Water in the Hole: N L✓© Weeping from Pit Face: Estimated Seasonal High Ground Water: SY /�f0TLGS — DL''P APPROVED FORAM.1210719S I�OKM lI - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. L&r e, Determination for Seasonal High Water Fable Method Used: D Depth observed standing in observation hole..4 wD inches ❑ D th weeping from side of observation hole .......... .... inches Depth to soil mottles inches ❑ Ground water adjustment ................... feet. Index Well Number .................. Reading Date ................... Index well level .................. Adjustment factor ................... Adj rsted ground water level .................................................. Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally, occurring pervious material? Certification I certify that on 9. (date) I ve passed the soil evaluator examination approved by the Dep rtment of Environ ental Protection in and that tt and above a rends was performed by me consistent with equ 9, e described to 310 CMR 15.017 Signature Date `d rG DLP APPKOVLD FOK,N1-12/07/95 Nov-20-98 08: 55A Paul D. Turbide, PE/PLS 508-465-0313 P.02 November 20, 1998 Sandra Start North Andover Board of Health Administrator Office of Community Development and Services 120 Main Street North Andover,MA 01845 RE: Title V review for Christian Way Extension,Lot 6 Dear Sandra, Enclosed find the"Checklist for North Andover Septic System Plans" for the above- mentioned site. The following is a list of all the `Problem' areas and deficiencies Port Engineering has found. • The cellar floor elevation is not 1 foot above the eshw NA5.04. If eshw is assumed to be 30"below the ground,then the eshw elevation in the area of the foundation is about 169.5'. The cellar floor is proposed to be at 167. (Perhaps a test should be done at this high spot on the lot,as it is possible that the groundwater is lower than that extrapolated from the existing test pits.) • The outlet elevation of the foundation drain is wrong(probably a drafting error). It shows 155.0,but should probably be 165.0' • A Swale is shown on Lot 7 directing runoff onto Lot 6. This swale should continue and be shown between the proposed leaching bed and Lot 7_Runoff from substantial areas of Lot 6,Lot 7 and other lots outside the subdivision are being directed through this swale,but it is not definitively shown on the plan. It is possible that some of this runoff could find its way over the leaching bed if the present grading plan is used. • One of the three access covers of the septic tank must be raised to within 6"of finish grade by riser sections of 24"minimum diameter(3 10 CMR 15. 228(2)) • D-box must have 6" stone base. 310 CMR 15.221(2) • Septic tank must have 6"stone base 310 CMR 15.221(2) • In the"General Notes"section of the pian should be added the requirement that: "No garbage grinder shall be installed". (It is stated in the"Calculations" section in the calculation of flow that the system was designed for no garbage grinder,but I poDrr feel it should be stressed elsewhere on the plan in an area that the future owner of the property can plainly see that no garbage grinder can ever be installed.) It I • The proposed elevation of the garage floor,as well as grading on the driveway is ENGINER�NG required. NA 8.02T If you have any questions or comments please feel free to contact us. Civil Engineers& Land Surveyors One Harris Street Sincerely Newburyport,MA 01950 (978)46S•8594 � Carlton A. Brown,PEIPLS Town of North Andover Ot NORT OFFICE OF ,.? g`t� o 6�o0 COMMUNITY DEVELOPMENT AND SERVICES ° F- 70 27 Charles Street : �9 ", North Andover, Massachusetts 01845 �9SS,ctHUs��cy WILLIAM J. SCOTT Director (978)688-9531 Fax(978)688-9542 December 3, 1998 Atlantic Engineering&Survey 97 Tenney Street Georgetown, MA 01833 RE: Brook Farm,Lot 6 Dear Mr.Halleran: This letter is to inform.you that the proposed septic plan for Lot 6 Brook Farm/Christian Way Extension have been disapproved for the following reasons: • No septic tank manhole to within 6" of finish grade. (310 CMR 15.228(2)) • 6" of stone under D-box not specified. (310 CMR 15.221(2)) • Note stating"No garbage grinder allowed"missing. • Missing elevation of garage floor and driveway grading. (N.A.8.02t) • Outlet elevation of foundation drain is incorrect;please check. • Trenches are to be used whenever possible. Please justify use of field. (310 CMR 15.240(6)) • Basement floor is less than 1 foot above groundwater(roughly 169.5). (N.A.5.04) • Swale on Lot 7 directing runoff onto Lot 6 has incomplete information. Please check final grading and address runoff issues. Please do not hesitate to call the office at the number below if you have any questions. Sincerely, Sandra Starr, R.S. Health Administrator Cc: M.Antonelli W.Scott ,File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 d z O y� 00 mD O r 0-4 O SEPTIC PLAN SUBC O LOCATION: ITTA Z, FOIW NEW PLANS L� r`-6 : ��•-� YES �d . WISED PLANS: S125.00/Plan YES + SITEEVALUATIONFO $ 60.00/Plan DATE: /a/ RMS EVCLUDED: YES NO G� DESIGN ENGINEER: DATE TOCT'�"/�� c C� ONS UL TANT: fyou enKant your la vPe Witt plans eamoun d ith the correct Please submit four pans an When the sub "Postage to mail d included mission is all in Plans to -port o a stan1Ped Place, route to the rt Engineering. 0 8ealth Secreta ;Z Secretary. -0 c1711 I i I oQ to Z O m 0O O Z, C-n FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APnPLICANT FILLS OUT THIS SECTION*********************** APPLICANT !Cal VVe-A 1 (C(Vt it clot) PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION Zfcc'< f dtpo-t F,.A% -hej LOT (S) � STREET VI st Ex-fanil o y- ST. NUMBER NO * * * ** * * *********OFFICIAL USE ONLY*****-******--**-******�****** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED Z� DATE REJECTED ^^ ff I ' COMMENTS IVO e, s Iy) 0(� 4 Vt I J/// TO LANNER DATE APPROVED I DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED 9 7Lg— DATE REJECTED COMMENTS l PUBLIC WORKS -SEWER/WATER CONNECTIONS .0 DRIVEWAY PERMIT FIRE DEPARTMENT K�CJy;�� del 1�i �+rz�e�I�2�n TLJ 5 �n1�1�f�erwiTS�b1«rus*�ddc - �Q' ' P RECEIVED BY BUILDING INSPECTOR DATE ��`�'y Revised 9197 j Subsurface Disposal System Construction Inspection Availability Monday 9:45 — 12:00 PM Tuesday 10:45 — 12:00 PM Wednesday 9:45 — 12:00 PM Thursday 2:00 — 3:00 PM Friday 9:45 — 12:00 PM All requests for septic inspections that are made before 9:30 AM, (schedules permitting) will be inspected on that day. All requests made after 9:30 AM will be inspected the following day at the available time as noted above. Please call.the (978) 688-9540 for the required inspections listed below Bottom of Bed Please have the entire bed bottom exposed as per plan and a sample of the septic sand on site for observation. Final Please have all of the system pipes bedded properly and the top of the pipes exposed for review, the d-box outlets flowing level, and all the pipe connections sealed properly. The pea stone may be covering parts of the system, but do not fully spread it out. For a pump system, please fill the tank with water and have access to the building to observe electrical connections. Final Grade Please have all of the system components covered, loomed and the finish grade completed per plan specifications. Please note that the licensed installer must be readily available to supervise the ongoing construction of the system and an approved plan stamped by the town must be on site at all times. Fines may be levied for premature requests for any inspection that result in additional visits to the site by the inspector. Town of North Andover, Massachusetts Form No.3 • NOR71y BOARD OF HEALTH19 /J/} DISPOSAL WORKS CONSTRUCTION PERMIT MU Applicant Applicant NAME ADDRESS TELEPHONE Site Locations : Permission is hereby granted to Construct (L.41"or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. e51561 CHAIRMAN,BOARD OF HEALTH • r_ Fee D.W.C. No. //.31 TOWN OF NORTH AINDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; ( ) repaired; by located at was installed in conformance with the North Andover Board of Health approved plan, System Design Permit n , dated , with an approved design flow ofgallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CNIR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of Health. Bed inspection date: Engineer Representative Final inspection date: Engineer Representative Installer: Lic.n: Date: Design Engineer: Date: NORTH 4F o own . of over 0�A CoCHI= dover, Mass., ORATED p'P�,`�5 S SE BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System — B L INSPECTOR THIS CERTIFIES THAT A.w1 F; ..., Afy .. ..,�,�(�... oP... .�'r0�...F�I�M�1...�......�► Foundation 41/Y t� has permission to erect............ buil 'ngs on.. �...� �qo) ��a �• Rough /of/k ` _ to be occupied as.....5.1.p �t!..... ....y........P...... $.��. .... ......r........................ Chimney provided that the person acce%ng this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBIN P OR VIOLATION of the Zoning or Building Regulations Voids this Permit. u << % n y 0 PERMIT EXPIRES IN 6 MONTHS o ELECTRICAL INSPE , P UNLESS CONSTRU N ST T 1Z�C it �' JR s 7� .. ......................................... ............,................................ Service or ............ . BUILDING INSPECTOR ina Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in. a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done = Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner I Street No. SEE REVERSE SIDE X Smoke Det. f C' TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: January 20, 2000 This is to certify that the individual subsurface disposal system constructed (X) or repaired ( ) by Hutton Construction at 140 Christian Way Extension has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issu4 of this certificate shall not be construed as a guarantee that the system will ' sptisfactorily. Board of Health Inspector AS-BUILT CHECKLIST LOT NUMBER, STREET NA EE ASSESSORS MAP & PARCEL NUMBER ✓ LOT LINES & LOCATION OF DWELLINGS ✓ LOCATION & DEMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA ✓ LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM y TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAMS, WATERCOURSES W/IN 1 50' OF SYSTEM LOCATION OF WATER,--GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D-BOX STAMP & SIGNATURE IMPERVIOUS AREAS - DRIVEWAYS, ETC. _ NORTH ARROW FINAL CONTOURS LOCATION & ELEVATION OF BENCHMARK USED I_ LOCUS PL<�v TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTaLLATION CERTIFICATION The undersigned eerecy certL-i that the Se:va2e Disocsal Svstem ':fi5:i11Cted; t ) :e^aced; ` by M)non Co4rs7'y�� i located at zCLoorC Faa-m was installed it cor fmr_ance with the Ner:h k--)acver Board of Heath a:;orovec plad, Svstem Desian Pe.rnut T dated 9/7,/9ith an apploYec dcsi_n ;low cf eaLors per day. The materiais used were in conformance-;,P. these specified on the app,6ved plan- the syste.:z ;vas ins•.alled in accordance :Y�th the provisions of-10 CyIR 15.000, Title 5 and local reauiat:cns. and the final grading agrees substantially witi:the approved plan. Ail wort: is accurately represented on the As-built wEuch has been suofired to the Beard of Hezith. MMT T1EQUb5TL-!P> Bed:r:spec:ion date: 0.OWMACTM— AIM Bnsineer Representative Final irspec::on date: _ m2il /0, 1950' 1�71eyda5CIfag- - ATLANTIC.: b. Engineer Representative installer: L:c. Date: .Vdd —// � Design Ergines Date: Nod 10, 19 99_ SEE f.-TTA C K Gla A rT>-> E NJ"]-->U M '�i! _ y ,a r!' ::C t.. •.1`sf + (� t.,:tA+PT../ n# i t fy< =,t, {{1,1. .'.,• 'r 3.rx j;,A ^•;!, .4 I + ;aA..t3 , _ i-,t t f r '•�# 3 rr' -1? tlttf �. i I}`.TI.iY "➢11 '.Z..: 3 r . t}i! i tx;..t•• e t; _ t, r: * .. Irt' {Ji; rj 1 .;Sa ��' t{-i` „- ; !`.;.. r z ht t r I 1 z f� I,s'�;'1'Fr ° ;� t 1.•,ti 2 �� f u i { 'i+ - q 2' t t• f4 Y�,{r1 n, 1 - a frt 'i.` r t r+.I P It {� f 11P rf z .. _ ': � _ cl ti :l,kt r 1 �3 � r r :� -ir' �'` j ,�_ ,s ,__...._.._ r..W....,. Y�.:.::x>°'3+fiat'�!''s,.:�as.ta:-•. ....._....-- 1 s r i p d Form No.3 Massachusetts '. z �• Town of North Andover, ` 6 BOARD OF HEALTH s •t NORTH 1 9. — } . + h P # y �..• DISPOSAL WORKS CONSTRUCTION PERMIT ` 1SUCHUSE� .. ` "• ' TELEPHONE Applicant ADDRESS r NAME ,• 1 Site Location an Individual Soil Absorption Permission is hereby granted to Construct (ter Repair ( ) l 3� Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN,BOARD OF HEALTH D.W.C. No. /I3� Fee 1 r aS V S R, Z. - ,1 � {�, {r c j-"5 s..s i �, ', tf>D�}s �f� •� �t�?;�tt 4 �t ;k ! ,.4�. r a ', t ' '{.r i f,-. .t - 55"" ! F , - r 94-h•" t �:� s,. r tlt �,+� �C.P ��. F d :} 't . st t }x + � n t � ri + lt,s ...L`b b�!�;�' .rr.� > -�, 4. ,.t'. •w_t `i "� -- .. r .. - .. Town of North Andover, Massachusetts Form No.2 f AORTN BOARD OF HEALTHIT— O'�tNo y,40 p L « yor °•-- ~ " DESIGN APPROVAL FOR �SSACHUSEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant .L ( / /-Vx ±jz)a ATest No. Site Location `o U Reference Plans and Specs. ` t G ENGINEER DESIG DATE : Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. -CHAIRMAN,BOARD OF HEALTH Fee Site System Permit No. L.3 SEPTIC PLAN SUBMITTAL FORM LOCATION: / ,,_ / ' Aa'eo�D NEW PLANS: YES $125.00/Plan REVISED PLANS: ��S $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES CLOD DATE: l w l9&� DESIGN ENGINEER: DATE TO CONSULTANT: *If you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERIAIIT DATE:.1� c) — �' /` CURRENT INSTALLER'S LICENSE# LOCATION: L. OTG/�2 Si'Aj✓ cy� �/ LICENSED INSTALL R SIGNATURE _ —�--TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS—BUILT. Administrative Use Only 575.00 Fee Attached? Yes `� No Foundation As-Built? Yes No Floor Plans? Yes ✓ No Approval Date: � r Atlantic Engineering & Survey Consultants, Inc. 97 Tenney Street — Suite 5 Georgetown,MA 01833 (978)352-7870 — Fax(978)352-9940 SEWAGE DISPOSAL SYSTEM CERTIFICATE OF COMPLIANCE ADDENDUM DATE: N c v I 5 SITE LOCATION: Commonwealth of Massachusetts Form 1255, last revised May 1996, requires that the system designer for this"Sewage Disposal System"certify that the above system has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans. Atlantic Engineering& Survey Consultants, Inc. (Atlantic) was not been retained to provide any construction supervision, inspections, soils analysis or layout relating to the sewage disposal system and as such has no responsibility express or implied relating to said construction supervision. Atlantic was hired to perform the following services during the construction phase of this project and limits certifications to the scope of these services. 1. Stakeout the corners of the proposed system structures. 2. Provide a project bench mark. 3. Stakeout any lot lines less than 10 feet from the system. 4. Field locate the as-built septic components and prepare a system as-built showing the horizontal and vertical locations of the as-built system structures. 5. 6. Atlantic Engineering and Survey Consultants, Inc. and its officers, directors, employees and agents assumes no professional or financial liability for any erroneous or unsuitable construction related to the installation of this system for which Atlantic was not providing service. The issuance of a ificate of compliance by the approving authority shall not be construed as a warranty or guar tee that the system will function as designed. M in eran, P. . DARIes-WP\Septic Forms\SEPTCOMP.WPD t Title of File Page _ of Date t=ile Open: Date file Closed:-- Doc Document/Action Title Date of action Refer to other Purpose of Documecnt/Acton and note Num. Document/ document/ -- Action De artment --------- Board of Appeals — Board of Heal h P annang Board = Cans eruafon Commission — Bu1l;d' ng pe partrnent '-- i FORM! U - LOT RELEASE FORM M INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from- Boards and Departments having jurisdiction have been obtained. This does not relieve _ the applicant and/or landowner from compliance with any applicable or requirements. *APR LICANT FILLS OUT THIS APPLICANT /I_¢ ,¢)�O %�l PHONE LOCATION: Assessor's Map Number PARCEL SU8DIV1SloN U,�co� i�'i�7 LOT (S) STRE=-7 �h✓C�/S is/'I VIIA� ST. NUMEER OFFICIAL USE ONLY RECOMMENDA T IONS OF TOWN AGENTS: I U. m L AD z_ c-L(- C NSERVATION ADMINISTRATOR DATE APPROVED -Z DATE REJECTED YCOMMENTS 11�J ice. 1 �'v�5 v\' 1^ �ClO 6 V'd-f TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED T 1 SPECTOR-HEALTH DATE APPROVED / DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEnARTMENT RECEIVED EY BUILDING iNISPECTOR � DATE Revised 9197 im cp TOP FND. ELs171.85' lG 4�6' N NEW FOUNDATION l � .. ` 31 0• !ZXl4 l l LOT 6 / 45,864 S F..t \ ^3 ao \ / DRAINAGE EASEMENT S) PLAN OF LAND A 7LAN77C ENGINEERING & IN SURVEY CONSUL TANTS INC. A A 97 TENNEY STREET - SUITE' 5 SHOWING THE L THIS IS AN INS' N . ANDOVER , M A GEORGETOWN, MA 01833 AND PROPOSED TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: SYSTEM OWNER &ADDRESS SYSTEM LOCATION —1—n M (example: left front of house) Li c, 6�- CkA-.." DATE OF PUMPING: `bUANTITY PUMPED l GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY. COMMENTS: CONTENTS TRANSFERRED TO: