50 FORT AVE - BUILDING INSPECTION (2) �
�;,y �% - ���
�� � The Commonwealth of Massachusetts
tr� Department of Public Safety
Massachusetts State BuIlding Code(780 CNIIt)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
��:,.',.." ,.. r ,y:�,. .,.;� , . : (Tliu Sechon Foi�Offic�al;Use Only) ' : �
Build}ng Pernu[�Iumber ' �"-�Date Applied �'. .. ,Buildu�g Offic�al., . `� !� ' �• .A.' e y ;�,;.`�;
r.e., -. . ., ,.6. . _.. . >... ...... . ...' .. . .. . ...... . . . . . F
, , ;?qSECTION�l:LOC2.TTQN,{Please indicate�Block#and�Lot#for locafiops for which�a streM addFess is aot avazlable) .
...... . ... .. . .. . .. ._ _ . .. . . _.. _. _. ..: �;.�a:
SO �a.-t{�,.�re- �C� . ��6� S FSD ww7F - Gr,�� u����a
No.and Street City/Town Zip Code Name of Building(if applicable .
. . . . ,. ;., ... „: .
�. .. ,..�. �'..�?...... . 'a.�.=..;�_ ' .... _.. ! c..'. ECM['`FON 2:PROP�OSED.WORK � a .�... .� :. g I
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_ . . ..... .. .. . . _... .._,� � m..,r_.
Edition of MA State Code used_ If New Construction chxk here O or check all that apply in the tcvo rows below
Existing Building❑ Repair❑ Alteration ❑ Addition Demolition O (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ Other C3�Speci[y: � I
Are buIlding plans and/or construcflon documents being supplied as part of this permit application? Yes No ❑�
Ls an Independent Structural Engineering Peer Review required? Yes ❑ No ❑
Brief Description of Proposed Work: S�S- �oo k [�y /0�'{�wt' bub�dUnw a�G�� f�o L�v�
' b✓IL.�G6.L '(- � � u6� �n
.. �/N.C'fi'7u�. 'a�SO1hc S Jr»cGSS JLme- t �
' ����worlci � w t �on crel�� wa 1�
�SECTION 3:COMPLE'TE'THIS SECT70N IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION OR':;�;;
_� .. ..
: `' i .,.:.,:'. ' „„y., ..=. .�..r,,,, ..i;.. CHANGEINLISEOROCCUPANCY. ,,•�'.' � . ' ; "`' .•,
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� Check here ff an Existing Building InvesrigaHon and Evaluafion is enclosed(See 7S0 CMR 34) ❑
Existing Use Gcoup(s): Proposed Use Group(s):
� - , „S,ECTION4�BUIIiDING��H6IGHTAND,AREA<�;� n. . �,, , °" ��aE
•� yL,.. .<:-..? . ..
r�
, � E�cisting Proposed� �
No.of Floors/Stories(include basement levels)&Area Per Flobr(sq.h.) � L �
Total Area(sq.ft.)and Total Height(ft.) � Z u�.
.., . . .., ... .. ._, . . . . :
.,.., �� .�: , .�,., ,h:�.,.' � a..,,,. ;�,,,„,t.a� , S',ECTIONS:I75E�C�ROUP(Check°as.applicablepr, .z. . . . �-` ' .,,,�„ � ,;,, , ...n;'� 'i
..
A: Assembly A-1❑ A-2❑� Nightclub ❑ A3 ❑ A11❑ ��A-5❑ B: Business ❑ E: Educational ❑ �
F: Fado F-1 F2❑ H: Hi Hazazd H-1❑ H-2❑ H-3 ❑ H-4❑ H-5 0
I: InsHturional I-1❑ I-2❑ I$❑ I-4❑ M: Mercanrile❑ R: ResidenHal R-1❑ R-2❑ R-3❑ R-4❑ i
S: Storage Sl❑ S2❑ U: Utility O� Speoal Use O and please desaibe below: ',
Sperial Use: �
.`.....�` „ �;.. . ....s.:.'_...`" � ;,, ,-SECT.ION 6:'CONSTRUCZTON.TYPE(Clieck as applicable) �,`+..�.e;.. �� ,t .. :: 3_ I
IA ❑ IB ❑ IIAO IIB ❑ IIIA ❑ IIIB ❑ IV ❑ VAO VHO .
n� " ` SEC'PION 7 SITE�INFQRMATLON refer to 7$0 CMIL 3110£oi d'e;azls on each'�:rtem �°
,i. _�. �'r..,. .. u ..... ....... ._.. . �.. ,.... .. �,.._.., ....� . .. . .. .�. . ., _... . .,.,. ....). . . .:
Water Supply: Flood Zone Informafion: Sewage Disposal: Trench Pemut Debris Removal: ��
Public❑ Check if outside Flood Zone❑ Indicate municipal A h'ench will not be Licensed Disposal Site❑
Private❑ or indentify Zone: or on site system❑ required O or trench or specify:
pemtit is enclosed❑ .
Railcoad right-of-w—a/y: Hazazds to Air NavigaHon: NIA Historic Commission Review Process:
Not Applicable L�i Is Structure within airport approach azea? Is their review comp_l�ed?
� or Consent to Bufld enclosed❑ Yes O or No C3� Yes❑ No [3" �✓I�}
� � '- � ` x�"'., : ` ' -,; :�SEC'ITON 8�CONTENT:;OF CEATIFICATE';OF OCCUPF.NCY, , ,�", ,„wy
..,..,.,, i . .......... . :..... ...... . _... ..:.... .. ,. .�. . . ..il. :%-
Edition of Code: �Use Group(s): � Type of Consfruction �� Occupant Load per Floor. .
Dces the building contain an Sprinkler System?: Special Stipulations:
�
` :'.. ' ..:, ' . » y.y SEGITON.9: PROPERTYOWNFI2 AUTHORIZATION i,.:� . . ..., e?; , '`:
Name and Address of Property Owner �� ��..�� ., .
_���-,� -��L_�+�s�t�t So�fl4� . ��'x��_,n�l� �1`1S-17
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information: �"}�r- �C� ,ry./'_,{�'r�
� r 'GCVG.�.' �cL+1 ��- '7'1J✓ - -
� Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
Name Street Address City/Town State Zip
to act on the ro er owneCs behalf,in all matters relative to work authorized b this buildin emut a licafion.
' �����. `'" ;�.�,:+ � SECTION 10 CONSTTiUCTION CONI'ROL(Please fill out Appendix 2} � �..: <.; ' � ; �., � r �':
:. 4� . ,a:.- �. _ . .. a. .. .,..
ji � ��t�3i�35,0002uS'f1"oE enclosed s ece,azid%oF not undee_Cbnktmcfion Conhol theneL'
„..,a. btiildin �s less �� � eck here O and sld 5ecfion101 .., '�.e
. . , �., ..,,. ., , . . .
10.1�Re"'`stered'Prdfessional:Res'bnsiblefor�iConstr�ictron Control;"�". `� u E " � � - :...a...>
��d.M. , ���, _ ��Z�� -rri;.a�nc.-r��ti�a �, 3�-�3�
Name(Registrant T�e;ephone No, e-mail address o' Regish�ation Number . , �
.9ss'3 S��'E� �c:,�,utc,. ,Fi{. i.�sr��F�l[� �t'1� — O� ' ��
Street Address City/Town State Zip Discip� ExpiraHon Date
10.2 General Con�aGtor '� �., ''� : `. '. �
� n�... .. . ... w .. ... F.lm .. u.: .... . �... .� n '..n�. .��.
WS�',�'f'fS»..4' Y� i1S'a'� A/1� �NF- .
Company Name
_,e�lo� �.��
Name of Person ponsible for Constrvction License No. and Type if Applicable
��b.�( D r�v� ��:�u� � �
Sh�eet Address . City/To State Zip
�5�:�� �-`�Sl-_�4- F�'. " rn
Tele hone No. usiness Tele hone No. cell � e-mail address
... .��_ . :. ;.SECTION.IL-4VORKERS:-COMPENSATIONINSURAPCEAFFIDAVIIIGLG.Lr;e.152:§:25C.6) ,,, �,°� „. ,..; ?�,
A Workers'CompensaHon Insurance Affidavit from the MA Depar�ent of Industrial Accidents must be completed and
submitted with this application. Failure to pxovide this affidavit will result in the denial of the issuance of the building peimit.
Is a si ed Affidavit submitted with this a lication? - Yes 0� No ❑
� � r -� s ,,,,, ��e$ECTiON12.CONSTTZUCTIQN,COSTSAIVD�PERMITFEE.� � '"' ::. ``
„ t .'< . ..: . . ... , . .. �r
. ..... , _. . .__ . . . .. .
Item �� Estimated Costs:(Labor
and MateriaLs) Total Constructlon Cost(from Item 6)_$
1.Building $ Building Permit Fee=Total Construction Cost x_(Insert here
2.Electrical $ appzopriate municipal factor)_$
3.Plumbing $ "
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical Other $ Endose check payable to
6.Total Cost $ (contact municipality)and write check number here
� ..,. ..-, ..� , �
� � -;5 ' ' � SECTION 13 SIGNATURE OF BUILDING PERMY'I APPLICANP ,,,,, ;-; 3 ,3 j, :`-.
. .. . ,�:�, - ... .... .. . �,.., ,. . ..��.,. , : .,
By entering my name�below,I hereby attest undei the pains and penalties of perjury that all of the infomiario ' ed in this ��
applicarion is true and accurate to the best of my knowle'7dge and understanding.
T�1� a `) �G �K/�•d.Y� �fbt �A'kfjY��i/1CY/I�� - �' �' �
Please p/ri�nt and sign am Tifle �q�Tel hone� o. ate 'i
� l '.�.N'�v��� �/'Yn,P� _ Q /'�r �i
Street Addcess City/ wn Sta ip
� � ��� � � � � ' I
� : . . ;' , � .��� .� ,
Mu�uapallnapector3ofilloattiussechonuposappl�cahonappcoval' _ - �
qq l
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a s�..�.:e� . Y .F -k �,. 4 ,. . .
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Appendix 1 �
For the demolition of structures the building permit applicant ahall atteat that utility and oth�
eervice connections aze properly addressed to ensure for pnblic safety.
Please fill in the informaHon below and submit this appendix wiH►the bnilding permit
application. The bvilding permit applicant atteets nnder the pains and penalties of perjury that '
the following is true and accruate.
Properly Location(Please indicate Block#and Lot#for locations for wk�ich a street address is not
available)
No.end Street City/Town Zip Name of Building(if applicable)
For the above desccibed property the following action was taken
W ata Shut Off't Yes❑ No❑ Provider nobfied and Release obtained7 Yes❑ No❑
Gas Shut Offt Yes❑ No ❑ Provider notified and Release obtained? Yes❑ No❑
IIectricity Shut Off7 Yes� No ❑ Provider notified and Release obtained7 Yes❑ No❑
Yes O No ❑ Provider notified and Release obtained? Yes� No❑
Other(if applicable)
Yes❑ No ❑ Provider notified and Release obtained7 Yes❑ No ❑
Other(if applicable)
. ,�
. . ,
APPendix 2 I
Conetxuction Documents aze required for atructures that muat comply with 780 CMR 107.The
checklist below ia a compilation of the documents that may be required for thie.The applicant
shall fill out the checkliet and provide the contact information of the registered professionals
responsible for the documents. This appendix ie M be submitted with the building permit
application
Checklist for Construction Documents*
Mark"�C'whae a licable
No. Item ubmitted Incom 7Me NotR u3ced
1 Axchkectuxal � -A
2 Fovndativn -F1 �
3 Struce�xal
4 F'veSu mssian
5 Piie Alemi m re aters
6 HVAC "
. 7 Hlectdcel �
8 Plumbin mcludeloralconnectluns -�l
9 Gns atural,Pro ane,Medicel or ottier �
10 Suxv ed Site Plan h7ities,Wetland,etc
. 11 S dHtations .
12 ShuctutelPeerReview
13 Structutal Tesb k ons Pr
14 Fixe PmtecHon Nerrative Re rt
15 E�dstin Buildin Sury Im�estl etlon SE➢p@ATZ v RE�
16 Ener ConsecvationRe o�t —
17 ArchitectuielAaressReview 521CMR BLT /C f� '�
� 18 Warkera Com ensation Insurance �
� � 19 HazazdousMaterlalMitl ationDocumenta4on `� � 5+4+��
20 Other
21 Othez
72 OH�r
•Areas of Design or Construction for wldcl�plans aze not mmplete at the time of appllcation submitlal mnst be idmtl6ed hemfn.Work
so idmti9ed must nM be commenced until this application has been emended and the pmposed constmction do��ent emendment
� lies been appraved by the authority heving jurisdictloa Wotk sterted prior to approval may be subjected to trlple the orig'vialpmnit
fee
Registered Pxofessional Contact Information
JyvN �_�- �'.4 Tml��_ T � 1�i....ro egistrationN ber
Neme(Registrant) Tdephone No. e-aw7 address v
RL r��r� G_ `�-n �YJti— `�--�s—� �L ,
�� �?s H 1�IYIfr+�S,w� Disa Lne h n Date
Street Addmss Ci /Town 3�ate T p �P"� .
Ro E�� sr. a.�,� �i3�� �3a4o R�z���T�,��n� u�a�c�
B � Registretion Number
Name(Registrant) Telephone Na. ama�7 eddresa COl'�''
�Sa m�) � 51�SSY�, (o *�.�'Jl�-
, Street Addmss Ci Town Smte Zi Discipline ExpiTallon Date
PETE0. A YYO�Ki�.� ��oJ._ �lYYO'�WSA��'i6#If.� tationN
N�e(Registrent) Telephane No. e-me�addxcss (D J'�"
(SAmb) ��� �
IS[teet Addiess � Ci Town State Zi Dfsclpllne Explxatioa te
A — ATTALNCD EOAv�SrvG� rtri9� C.�OE Ur+�6LSAncI=. SKE�:�T �
g n SPeISfStFrr�S
c u EBb� 46.ob4ov.. 0.E�aM11'
D i i Ca.r,c Mt^C1F
:r�
A�R�� CERTIFICATE OF LIABILITY INSURANCE ��==�`"a="°°"i""
THIS CERTIFICATE IS ISSUED AS A A9ATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERl7FlCATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATiVELY OR NEGA7NELY AMEND, EMEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES
BELOW. THIS CER7IFICATE OF INSURANCE �OES NOT CONSTRUTE A CONTRACT BETWEEN THE ISSUING �NSURER(S), AUTHOR2ED
REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLOER.
IMPORTANT: fl the ceMifiwte holder Is an ADDITIONAL INSUREU,the policy�ies)must be endorsed. If SUBROGATION IS WAIVED,subjed to
the terms and condifions of the policy,certain policies may require an endorsement. A statement on thls certificate does not wnfer righfs to the
certifiwte holder in Iieu of such endwsemeM(s�.
PROOUCER 1-61'l-338-655$ Hp�E�T M8t9ueiSG¢ PdLBnt
Amea s Gough, Inc. PH�H . 61'l-328-fi555 aC �;
EfLA1L
B59 Willard Street l�ooftEss'
Suite 340 PROO�U�1 '
Quincy, MA 02169
Xichael Heclih INSURE S AFFORDINGCOVERAGE NAIC9
WSUREO . Bi3URERl1: Zuiich NA
Weetoa & SdNj180II Cd9l. InC. gySppEqB: COIIt�R2IIia3 Caeualt
5 Ceatenniel Dr. RlSURFAC: National Pire Ineuiaace
HJSURERo: Steadfast (7 M)
peabody, MA 01960
MSURFRE: TiaaaporYation Iae. Co.
MSURERF: Continental
COVERAGES CERTIFICATE NUMBER: z37z957s REVISION NUMBER: oi
hilS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME�ABOVE FOR THE POIICY PERIOD
INDICA7ED. NOPNRHSTANOING ANY REQUIREMENT.TERM OR CONDffION OF ANY CONTRACT OR OTHER�OCUMEN7 WITH RESPECT TO WHICH THIS
CERTIFICAiE MAY BE ISSUEO OR MAY PERTAIN,TIiE INSURANCE AFFOftDED BY TNE POl.ICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS ANO CON�ITIONS OF SUCH POUCIES.IIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIO CWMS.
IHSR 1ypEOFRJSURqNCE � � POIICYNUMBER M�WO YEFF �P�p�Y UMRS
tTi
A GENERALLNBIIIIY GLO 4882961-00 O1/U1/1 OS/O1/17 EnCHOCCURRENCE S 1,000,000
z` CAMMERGWLGENERAlLIA01LITY � P �MSES .ace rter�ce 8 500,000
GIFIMSMA0EO0CCUft ME�IXP(MymepersoN % 5,000
PEft50NALfiAOVINJURY 5 1,000,000
GF1JEfWLAGGREG�IiE $2,000�000
GENtAGGREGATE4MITPPPl1E5PER: PROOUCTS-COMPIOPAGG E 2.000,000
P���, X PRP LOC $
� B qUTOMOBILELIABILm 4019365805 AOS Ol/Ol/1 Ol/Ol/11 COMBINFDSINGIEUMIT y1,000,000
L x 4014565755 01/Ol/1 Ol/Ol/13 (Eaacddenc)
qNYAVfO . BO�ILYINJURY(Perpenon) E
ALL04VNEDAIfr05 BOOILYMJURV�Peracdtlent) 5
SCHEOUlEOAUTOS PROPERTYDAMPGE s
x NIRE�AUTOS (PaectitlnnQ
X NON-0NRiEOAUT05 E
5
D UM6FELULIaB X OCCUR 580 4882966-00 O1/OlJl O1/O1/12 Eq�Hp��URRENCE $ 7.000,000
X E%�E55 UAB ��.MppE AGGREGATE S�.000,000
�EOUGTIBLE ' . 5
RETENTION 5
� woRKERSCOfi1PENSAT10n p099440613 O1/OS/1 �I/O1/12 R �STATLL O1H- .
PNDEMPLOYERS'4A80.RY
ANYPROPRIETORIPPRTNEWFJ�CUTIVE Y� N�A E.LFACHACCIOENT g 1�000,000
OFFICER/MEMBEREXCLUDEDP E.LDISEASE-EAEMPIOY S 1,00O,OOD
(Mendarory m NH�
IIyas,deaaibe�Mer E.L.�ISEPSE-POIICVLIMR g 1�000,000
DESCRIPTION OF OPERATIONS Eelow
� F INSTALLATION FIAATSA 2099940563 O1 O1 ly O1 Ol 12 Limat 2, 00,000
I
DESCWPTION OF OPERATpNS I LOCAliON9/VEN ClES(Attaah ACORP 101,AdCilionel ftemerFs 9Wedule,If mom space o required�
Contract No. 30-3 Sanitary Sewerage System Cleaniaga Receiviag Pacility
South Sasa�c Sewarage oietrict and Tighe 6 eond, Ine. are ineluded aa Additional Ineurads with reepect to General, xuto
IImbrella policiea. In tLe eve¢t af Caacellation, the Inaurance cmvpaniea, sLown ebove, will provide 30 Days Notice o£
Cancellation, Hrior to any aancallatioa; to Certificate Holder.
The Umbralla policy providas cwaxage over the General Liab7:lity, Auto Liability and �ployer'e Liability policiee 4P0
Waiver of Subzogatioa applies in favor of AddiCioaal Iaeuzede on all policies, cmcept Profeesional LiaLility.
• Plaeee read ovez Vmbzella Form.
CERTIFICATE HOLDER CANCELLATI6N
SHOULUANY OF TNE ABOVE DESCRIBED POUCIES BE CANCELLED eEFORE
3ovtL Hseex Seweiage District THE E%PIRATION OATE THEREOF, NOTICE WILL BE DELNERED IN
ACCORDANCE WfTH THE POUCY PROVISIDNS.
;1 Hott Avenue
pIRHOW2E�FEP0.E6ENTFTIVE
Salm�, MA 019'/0 ��7 �rk��J
QSA 7
mgeraixas 0'1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD
23729572
BUILDING PERMIT
For
Sanitary Sewerage System Cleanings Receiving Facility
Contract No. 10-3
South Essex Sewerage District R
�
SALEIvl; MASSACHLTSETTS `4
� �,.
+t
ts
�
'�
Prepared by �"`
Weston & Sampson CMR, Inc.
November 10, 2011
�..J.--.,
TABL� OF CONTENTS
Page
1. Building Permit Application................................................................................................... 1
2. Appendix 1.............................................................................................................................. 3
3. Appendix 2..............................................................................................................................4
4. Certificate ofI,iability Insurance......................................................................5
Attachment A
Contract Drawings
Code Co:npliance Sheet
Attachment B
Specifications
Attachment C
Program Report
Attachment D
ComCheck
C:I Users�sykoraj I Documentsl PROJECTSI SESDLSESD Bui(ding Permit.dac
1
.
SESD Con[ract No. 10-3 - Sa�iitary Sewerage System Cleanings Receiving Facility
Program of Structural Tests and Inspections '
Proiect South Essex Sewerage District—Sanitary Sewerage System Cleanings Receiving Facility
Location_ Salem, Massachusetts
Owner South Essex Sewerage District
Owner's Address South Essex Sewerage District Tel - (978)741-8729
50 Fort Avenue Fvc-(978) 741-0478
Salem,MA 01950
Owner Contact See Building Permit
Architect of Record Not Applicable
Structural EnQineer of Record(SER) Robert St. Martin,P.E. Tel—(413) 562-1600
Tighe&Bond Consulting Engineers Fax—(413)562-5317
53 Southampton Road
Westfield,MA 01085
Testin¢Agencv (TAl To Be Determined Tel - (a pzJ— �C�Z _ �d� �
�.W CO`+2 �Yl�l/�2��1 �j F� I
� �� �f�2 ril2oy J
Geotechnical Engineer(GE) Allison M. McCauliffe,P.E. Tel—(860)704-4760
Tighe&Bond Consulting Engineers Fax—(860) 704-4775
213 Court Street, Suite 900
Middletown, CT 06457
Construction Observer(COl Ryan J. Pavlica Tel—(603)433-8818
'Cighe&Bond Consulting Engineers Fax—(603)433-8988
117 Corporate Drive
Portsmouth,NH 03801
This program of structura]tests and inspections is submitted as a condition for issuance of a building
perm�t in accordance with the 2009 International Building Code(IBC 09), and 780 CMR the
Massachusetts Amendments to IBC 09.
The firms, agencies, or individuals noted above(hereafrer referred to collectively as agents)will perform
the structural tests and inspections as specified herein.
The complete set of Contract Documents(Drawings and Specifications)that accompany the application
for building permit is to be considered attached to this program as reference material.
This program does not relieve the Contractor of their responsibility to conduct the work in accordance
with the requirements of the Construction Documents,the approved Shop Drawings,the 2009
International Building Code, and the Massachusetts Amendments to IBC 09.
Page 1 of 7
� '
SESD Contract No. I D-3 - Sanitary Sewerage Systen: Cleanings Receiving Facility
Program of Structural Tests and Inspections
Construction CateQories: The following construction categories, if checked, are included in the
program of structural tests and inspections for this project. Specific tests and inspecfions required for
eachdesignated category are listed on the page noted opposite the category.
Construction Cate�ory Paee Construction Cate¢ory Paee
� Earthwork 3 � Structural Precast Concrete 5
� In-situ Bearing Strata 3 � Masonry 6-7
� Controlled Fill 3 ❑ Structural Steel _
❑ Underpinning ❑ Steel Joists _
❑ Pile Foundations ❑ Steel Deck
Q Drilled Pier Foundation � Handrails/Guardrails 7
� Cast-In-Place Concrete 4 ❑ Wood Framed Construction _
❑ Post-Tensioned Concrete ❑ Other _
Performance SpeciSications: The following construction components, if checked, are designated in the
Contract Documents on the basis of a performance specification to be designed by the Contractor's or
Subcontractor's registered professional engineer. The design of these structural elements or systems will
be reviewed by the SER and their construction is included in the program for structutal tests and
inspections.
Construction Comnonent Paee
� Pre-cast/Pre-stressed Components 5
❑ Post-Tensioning Steel _
❑ Structural Steel Connections _
❑ Metal Buildings _
❑ Cold-Formed Metal Framing
❑ Steel Stairs &Handrails/Guardrails
❑ Wood Framing _
❑ Skylight Systems _
Reports: Test and inspection reports prepared by the SER, TA, and GE will be collected and maintained
by the SER and distributed, according to the procedures established by the Building Official. Prior to the
issuance of a certificate of occupancy the SER wi]] submit a final report to the Owner and Building
Official in accordance with the Intemational Building Code 2009, and the Massachusetts Amendments to
IBC 09.
Prepared by the Structural Engineer of Record:
Name: Robert St. Martin,P.E.
Signature:
Firm: Tighe&Bond Consulting Engineers
Date: November 9, 2011
Page 2 of 7
SESD Contract No. IO-3 - Sanitary Sewerage System Clemzings Receivi�zg Facilily
Program of Structural Tests and Inspections
Earthwork(Sections 02315 and 02320)
Item Agent Scope
1. Excavation GE Review existing sub-soils and groundwater conditions during
building excavation. �
2. Bearing Strata GE Review the in-situ bearing strata and compacted structural
fill bearing strata for footings and slabs cast on grade for
conformance with Geotechnical Engineering
Recommendations,Spec. Sections 02315 and 02320,and the
Con[ract Documents.
3. Shvctural Fill � TA Observe and test compacted structural 511 for conformance
with Spec. Sections 02315 02320 and the Contract
Dowments. - �
Page 3 of 7
SESD Contract No. IO-3 - Sartitary Sewerage System Cleaniizgs Receiving Facility
Program of Structural Tests and Inspections
Cast-in-Place Concrete Construction (Section 033001
Item Agent Scope
L Mix Design SER Review mix design for each required strength of concrete
for conformance with Spea Section 03300 and Contract
Documents.
2. Materials Certification SER,CO Review for conformance with Spec. Section 03300 and
Contract Documents.
3. Reinforcement Installation CO Inspect all reinforcement for grade,size,quantiry,spacing,
condition,cover and placement,for conformance with the
approved Sh�p Drawings and Contract Dowments.
� � SER �Periodically review of same,during site visits.
4. Formwork CO Inspect for general configuratioq cleanliness, and cover to �I
reinforcement.
5. Concrete Placement CO Observe concrete placement operations. Verify
conformance wi[h Spec. Section 03300, including cold
weather and hot weather placement procedures. i
SER Review of same, during periodic site visits. Review cold
weather and hot weather placement procedures submitted
by the Contractor.
6. Testing and Evaluation of TA Sample and test concrete, in accordance with Spea Section
Concrete Strength 03300 and Contract Documents.
SER Review test results for concrete.
7. Curing-and Pro[ection CO Observe curing procedures and protection of concrete from
high/low temperatures and rapid loss of moisture. Verify
. conformance with Spec. Section 03300 and Contract
Documents.
SER Review of same,during periodic site visits.
Page 4 of 7
SESD Contract No. 10-3 - Smiitary Sewerage Systen: Cleanings Receiving Facility
Program of Structural Tests and Inspections
Precast Structural Concrete(Section 03410)
Item Agent Scope
1. Mix Design SER lieview mix design for eaeh required strength of concrete
for conformance with Specifications and Contract
Documents. -
2. Ma[erials Certifica[ion SER,CO Review for conformance with Specifica[ions and Contract
Documents.
3. Precast Conerete Unit SER Review supalier's structural design of Precast Strcctural
Assemblies Concrete for confoxmance with Specification Section-03410
and Contract Documents.
4. Curing and Protection SER Review supplier's.curing and protection procedures for
Precast Structura]Concrete for conformance with
� Specification Section 03410 and Contract Documen[s.
5. Testing and Evaluation of SER,CO Review supplier's compressive strength tests of Precast
Concrete SVength Structural Concrete for conformance with Specification
Section 03410 and Contract Documents.
6. [nstallation of Precast CO Inspect installation of Precast Structural Assemblies. Check
Structurnl Concrete component type,size,spacing,and placement for �
conformance with the approved shop drawings. Check
member-to-member connections and connections to
adjacent support elemen[s for conformance wi[h the
approved Shop Drawings and Cont�act Documents.
SER Review of same,during periodic site visi[s.
Page 5 of 7
SESD Contract No. IO-3 - Sanitary Sewerage Systen: Cleanings Receivittg Facilily
Program of Structural Tests and Inspections
Masonry Construction(048101
Item Agent Scope
1. Review ofTes[s Submitted By SER Review tes[s submitted by Contractor covering each class of
Contractor fur Masonry masonry unit and type of masonry assemblage,including of
Units/Masonry Assemblages mortar,grout,and prism tests. Verify canformance with
Spea Section 04810 and Contract Documents.
2. Materials Certification SER,CO Review concrete masonry units,masonry veneers,precas[
concrete units,mortar and grout materials to be used in the
masonry construc[ion for conformancawith Spec. Seclion
04810 aod Contract Documents.
3. Testing&Evaluation of Mortar TA Sample_and tes[mortar and grout used in field for mas�nry
&Grout Strength constmction for conformance with Spec. Section 04810,
and Contract Documents. '
SER Review test results for mortar and grout.
4. Proportioning,Mixing,and CO Observe field procedures for proportioning and mixing of �
Consistency of Mortar&Grout t}1e mortar and grout to be used in the masonry construction.
SER Review of same,during periodic site visits.
5. Masonry Installation CO Inspect and report on installation of masonry units for
general configuration and placement.
SER Review of same, during periodic site visits.
6. Anchorage CO Inspect type, spacing,and placement of masonry anchors
and ties for conformance with Spec. Section 04810 and
Contract Documents.
SER Review of same,during periodic site visits.
7. Reinforcement Installation CO Inspec[reinforcement for grade,size,quantity,spacing,
condition,cover,and placement,for conformance with the
approved Shop Drawings and�Contract Documents. �
SER Review of same,during periodic site visits.
8. Grouting Operations CO Inspect cells of masonry units for cleanliness prior to
grouting. Observe partial/full grouting procedures for
conformance with Spec. Section 04810,and�Contract
Dceuments.
SER Review of same,during periodic site visits.
Page 6 of 7
SESD Co�¢tract No. 10-3 - Sanitary Sewerage System Cleanings Receiving Faciliry
Program of Structural Tests and Inspections
9. Weather Protection CO Observe protec[ion of masonry against cold and ho[
weather, Verify conformance with Spec. Section 04810 and
Contract DocumenTs.
i SER Review of same,during periodic site visit�.
10. Anchorage of Exterior W all CO Inspect type,size,spacing,and placement of approved
Masonry Veneer anchorage[o adjacent back-up framing for conformance
with Spec. Section 04810 and Contract Documen[s.
SER Review of same;during periodic site visits. .
$andrail/Guardrail Assemblies (Section 05500)
Item Agent Scope
1. Handrail/Guardrail SER Review supplier's railings for conformance with Spec.
Assemblies Section 05500 and Contract Documents. ,
2. Materials Certification SER Review certification of materials for conformance with Spec.
Section 05500 and Contract Documents.
3. Installation of CO Inspect ins[allation of handrail/guardrail assemblies. Check
Handrail/Guardrail Assemblies component Type,size,spacing,and placement for
conformance with the approved system design.Check
member-to-member connections and connections to adjacent
steel/concrete support elements for conformance with the
approved Shop Drawings.and Contract Documents.
SER Review of same,during periodic site visits.
Il5/51]BG/ConscmnioNBuildin6P«miJS-I]8<RevisW Pro6�+mo�SwnurdTrs¢endlrtryec�ions.doc
Page 7 of 7
s . r
TECHNICAL MEMORANDUM�TRANSMITTAL T�8CB011d
SESD Contract 10-3 — Building Permit
To: Rob Szmyd
Alan Taubert
FROM: Fred Mueller, P.E.
DaTe: November 16, 2011 I
Weston & Sampson has revised the preliminary Building Permit Application per our recent I
comments. I
Based on the preliminary submittal for the projects schedule of values, which appears
approvable, I recommend that the foilowing (along with the attached schedule of values) be
considered during fee discussions with the building inspector:
Total Project Process Site Work/Other Building Work
Part 1 - Hopper Mods $56,000 $56,000 0 0
Part 2 - Septage Mods $33,000 $33,000 0 0
Part 3 - New Buildino $390.000 $0 $110.000 �280.000
Subtotal $479,000 $89,000 $110,000 $280,000
Part 0 - Overhead - �55.200 �10.250 �12.700 �32.250
Total $534,200 $99,250 $122,700 $312,250
attachment
]:\S\51784\Cons[ruction\BUIIEing Germit\Transmlttal anA Summary Memo Rev.Aoc
Progress Estimate Contractor's Application
For(wntran): SenimrySewwgeSys�emClmningsReceivingFaciliry,SelwMa Applim�ionNumber: 'fEA�LATE �
ppplimtionPenod: ApplimYonPmod: Nov-11 APFlirs[ionDa�e: IS-Nov-11
A B WohCom0leted E F G
��� � D TaulComplered � BalanmmFinish �
$pecifimtion5n�ion . SCM1duIMValm FromReviomAOPlimtion ThisPaiod Smral(�otinCorO) andSrorcdmDam p (B-F)
No. Dacnp000 �C+D) (C*D+E) e
Gmcral Coevnn Wa1k
0mdsandl�swsncc 512,000.00 S - S - 3 -
S - SI?W0.00
S - f13,000.00
co�n.o�nem��wro� OVERHEAD s„000.no s - s - 5 ' t . w,a000a �
ShoV Dmviu& 36.000.00 5 - 3 - 3 - �i
MobJivnon 512,6W.W 5 - 5 - S �
f - 513,60000
Dmobilimlian SI?6W.U0 S - 5 - d - S - f13,600.00
Pe NoppvWotklvE[iftioR���4inR
02210 Clea- opperOanoilinon Aq000.00 S . 5 - S - I - ,0000
03300 ClceningHopper cic f15,�00.00 S - S - S � S - 335,00000
05500 CleaningHopperMixMe� s 19.000.00 S - S - f -
S j9 W0011
I5101 ClcaviugHopperDunlclmn S],00000 5 - 5 � S �
5 - S),000.00
15103 Cluni�HopperCoppcPiping 51,000.00 S - 5 - S ' SI,0000�
I5110 Qca�i�gHopperVel�n W.U0000 S - S - S - S - �,��.�
TotW Gcnael Contran Wo�l 56,OOU.UO
PROCESS
Tofal F�ICESubcantractWOA
Pa�'liwo $qilageReto'ioQWor4lnEzieYngBuildiog
02210 Sep�age Rsm'ing Ppc IXmoli�ioo SS,U00.00 S - S - -
S SS,UO�W
09900 Sepugc 2acirwe Peww�g Si.000.00 S - 5 - S - 5 ' 53.000.00
I5101 $eptegeRxeivmgDuctiklmnPiping SIOUOII.W f - f - 5 3 " SIO,000.00
Totel GrnaW Couaan WoA 31I,a00 00
Ifi080 Scpugc2�i� ncvlTctinB S6.00O.W I - 5 - f - 5 � 56,WOW
1609t 5 ivingDmioliiianinF'Ai�geuilaing s�aUa000 s - 5 - E - 5 - f� , o
TotW FiICESubcantreUWoh 316,00000
PorITM1ree WorkmCooetrutlAtlditioom�LeBoilEinµ
pZZ�p slaUa000 i - i - 5 - S , 000
W315 E�cavuionaMBrcll11 325,000.00 S - I - S ' S15,40000
02515 PVCPipemdFimnes �00 S S - -
5 - 515,000.00
ozs�o MaMola@Cdchbazins SITE WORK siso - s - s � su,aao.00
azvao xmm�.n.ondi siauao.00 s � s - s - siauaoaa
02]90 @mpcCuAiv 55.00000 S - S S - f5.000.M
CwaeteSiEcwehs SS,OOUW I 5 5 t
OJ200 Rebar(Fumish) R0000.00 f - f - 5 - f - S20U0�.00
0330o ro��anuo�wdi BUILDING szeuoo.00 s - s - s � s - sze,aao.00
W300 c��nesleb 311.a00.oa s - 5 - s - i - S�zUoo.00
03410 SwcwnlPmcmtConcme 330UOOW 5 f S 5 330000.00
snissoo.aa s3�sloo.ao
� EICDC G620 Covbacwfs Applimtion for Paymmt
O 200'1 Nefio�l Saciety of Pmfessiorel Enginars Por FJCDC. All righ�s ruerved.
' Page 2 of 5
� . _ -
Progress Estimate Contractor's Application I
For(wno-attl: Senirery Seweea8e System Clmnings Receivi�Pealiry.Sslem Ma APOlicetion Number IEMPLAIE
AppliotionPeriad: Nov-11 APFlicationDa�e: ISNw-11
A B WorkComplG¢d E F G
��eT � D TotniComplerod % BalenamFinuh
SpaifutianSec[ion p�vti� ScheduledVelue FromPreviousApplicetion ThaPenod Smrcd(mtinCorD) avdSwredmDam m (B.F)
T.o (C+D) (C D+C) B
05500 Livmix W,400W E - S - S - S - 54.000.00
06100 RougM1Carpcwv 59,00000 E - S - S - S - E9,OOD.00
anlo Bui�divg��..ulmion Sa,000ao S - S - S - E - EB.oW00
0"RAO FsmnorlominiovendFinish5prcm 511,000.00 E - S - S - f - E12,000.00
0'l532 ElabomaicMembrvwRoo�g SIOUOO.W S - S - b � S - SI0,000.00
0'l930 loiu�5ulanb SI,OOQ00 E - E - S - S - E1000.00
08110 Doon miE Hvdnare Sa,u0000 S - S - b - 3 - E8,000.00
S
I5150 Sm�imyWssmeMVemPiPing 53.00000 E - E - S - S � Sfi000.00
5810 FiM IassDurnror4:Motlifcnions SBOOO.OD S S E - S - E8000.00
01>30 O&MMenua�a 5?000ao E - S - E - S E2.000.00
orno As-Bud�Um�ings OTHER . . - - - s � npoo.00
i�ao wm.�rn , . s - s . si.000.00
s
ro�,i cmvrco�ceuwo�: szas,00a.m
04810 UnitMesomvAssemblica 55<,00000 8 - E - E - S - ESA,OJ000
ictxo ceoa��mn�cani� BUILDING s�3,uoo.00 s - s - a _ s � ai3.000.00
Ifi131 ConEuii SIQ500.00 S - E - S S SI0,500.00
16136 eoxes S'/,00u0o S - S - 5 - S - S"l,000.00
161A0 Gas0.tationS>'s4m 33,500.00 5 - E - E - S - SJ,500.00
I6500 LigM1�i�e W000.00 S - E - S - S - 56,00000
To�al FileSubcanmc�Woh ��A���
Totala SSJJ200.00 5�����•�
FJCDC Cb20 Coolmccofs Appli�ation foo Paymm�
O 200'!Na�ional5wiery o[Prafasiorml Engin«rs for FlCUC. Ali ngM1n ramed.
Page 3 of 5
COMcheck Software Version 3.8.1
Envelope Compliance Certificate
2009 1ECC
Section 1: Project Information -
Project Type: New Construction
Project Title: Sanitary Sewage System Cleanings Facility
Construction Site: OwnedAgent: DesignedContractor:
Salem,MA Tighe&Bond Counsulting Engineers
Westfeld,MA
Section 2: General Information
Building Location(for weather data): Salem,Massachusetts
Climate Zone: � Sa-
Building Type for Envelope Requirements: Non-Residentlal �
Activitv Tvoe(sl Floor Area
Manufacturing Faciliry . 453
Section 3: Requirements Checklist
.- � .
Climate-Specific Requirements:
Component NamelDescriptlon Gross Cavity Cont. Proposed Budget
� Area or R•Value R-Value U•Factor U-Pactoqa)
Perimeter
� Exterior Wall 1:Other Exterior Wall,Heat rapaciry 1.0(b) 50 -- -- 0.063 0.064 �
Exterior Wall 2:Other Extenor Wall,Heat capacity 1.0(b) 375 -- -- 0.059 0.064
� Exterior Wall 3:Other Exterior Wall,Heat capacity 1 A(b) � 1001 -- -- 0.069 0.064
Door 1: Insulated Metal,Swinging 28 -- -- 0240 0.700
Door 2:Other poor,Non-Swinging 364 � — -- 0.160 0.500
Extenor Wall 4:Other Exterior Wall,Heat capacity 1.0(b) 196 -- -- 0.508 0.064 �
Door 3:Insulated Metal,Swinging 21 -- -- 0240 0.700
Door 4:Other poor,Non-Swinging 84 -- -- 0.160 0.500
Roof t:Insulation EntirelyAbove Deck � 453 -- 17.5 0.081 0.048
(a)Budget U-factors are used for soflware baseline calculations ONLY,and are not code requirements.
(bj'Other'components require supporting documentation for proposed U-factors.
Air Leakage, Component Certification, and Vapor Retarder Requirements:
� 1. All joints and penetrations are caulked,gasketed or covered wifh a moisture vapor-permeable wrapping material installed in accordance
wilh the manufacturer's installation instructions.
� 2. Windows,doors,and skylights certifed as meeting leakage requirements. _
� 3. Component R-values&U-factors labeled as certified.
� 4. No roof insulation is installed on a suspended ceiling with removable ceiling panels. .
� 5. 'Other'componenls have supporting documentation for proposed U-Factors. .
� 6. Insulation installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that
achieves the rated R-value without compressing the insulation. ,
� 7. Stair,elevator shaft vents,and other outdoor air intake and exhaust openings in the building envelope are equipped with motorized
dampers:
� 8. Cargo doors and loading dock doors are weather sealed.
Project Title: Sanitary Sewage System Cleanings Facility Report date: 11/10/11
Data filename:J:\W�W1396 Wayland\HVAC\SESD2.cck Page 1 of 7
� 9. Recessed lighting fixtures installed in the building envelope are Type IC rated as meeting ASTM E283,are sealed with gasket or caulk.
� 10.Building enirance doors have a vestibule equipped with closing devices.- � �
Exceptions: �
� Building entrances with revolving doors. �
� Doors that open directly from a space less than 3000 sq.ft.in area.
Section 4: Compliance Statement
Compliance Statement The proposed envelope design represented in this document is consistent with the building plans,specifications
and other calculations submitted with this permit application.The o osed envelopa system has been designed to meel ihe 2009 IECC
requirements in COMcheck Version 3.6.1 and to comply with e ma datory requirements i t Requirements Checklist �
�
�j/g,� � .� � �E� C . - � �I �o
Name Title Signa Date
Project Title:Sanitary Sewage System Cleanings Pacility Report date: 11/10/11
Data flename:J:\VNW1396 Wayland\HVAC\SESD2.cck Page 2 of 7
� �
�����(J��o��l
Consulting Engineers
www.tighebond.com
Building Code Analy�is From Tabie 601 •- IBC 2009 Y��,p,� I
*Massachusetts State Building Co�de (8th Edition) FIRE-RESISTANCE RATING REQUIREMENT'S FOR BUILDING ELEMENTS (hours) ,
. Type of Construction Ty�peII- B: Unprotected �y
Building Height and Area Limitations: BUILDING ELEMENT Re±quired Provided Remarks � �N�
Building Use Group: Separated Mixed Use 'F-1'- Moderate Hazard, Structural Frame 1 9 1 I -2 0 I i
Factory Industrial Inciuding columns, girders,trusses 0 0
Bearing Wails
Construction Type: Type'Q B': Unprotected Exterior 0 1 UL 906
Interior 0 0
Nonbearing Walls and Partitions ��"�� � �Q ar� ,
Street Frontage: 43%Access a ��. s
Exterior 0 1 UL 906 � B4p,rm� �
Automatic Sprinkler System No Interior 0 0 a 8iW1TARY �
Itdo.37534 �^
Height Calculations: Floor construction
� �o �e
Z
including supporting beams and joists 0 N.A. Ft � �C6`�` ,
Allowable Stories (Table 503): 2 Stories
Roof Construction
Sprinkler Story Increase(5042): NA Including supporting beams and joists 0 0 (�•ZG' ��
Total Ailowable Stories: 2 Stories
Actual Story Height: 2 Stories
Allowable Height(Table 503): 55�-0^ From Table 602 - IBC 2009 ��h oF r,�,�s
FIRE-RESISTANCE RATING REQUIREMENTS FOR ��,P s,,�
Sprinkler Height Increase (504.2): NA a P,O�EFT �ti "
EXTERIOR WALLS BASED ON FIRE SEPARATION DISTANCE t S`� (Fh�F;iN �,`�
Total Ailowable Height: 55'-0" `o` STRUCTUFlAL � �'
Fire Separation Distance (FSD) Required (Hours) � �,o,Ez�,o y k�
� :
Actual Building Height: Approx.42'-0" FSD <5 ft 2 �'o Ctg* `���" �
Area Calculations: e ft s FSo<�o n 1 't�r0 p 4� 6
10ft<_FSD <30ft 0 ��p
Allowable Area(Table 503): 15,500 sf FSD >_30 ft 0 v�2�r�
Street Frontage Increase (506.2): 2,790 sf
NOTES:
Automatic Sprinkler System Increase(506.3): NA 1. FIRE SEPARATION DISTANCE BETWEEN THE WEST EXTfERIOR
ADDITION WALL AND THE EXISTING ODOR CONTROL'Al'BUILDING
Total Allowable Building Area per Floor. 18,290 sf IS APPROXIMATELY 5.1 FEET.
Total Allowable Buiiding Area: 36,580 sf
Building Area
Existing Building:
Basement 2,284 sf
First Floor 4,251 sf
Second Floor 6,650 sf
In�er Roof&Canopies 2,473 sf
Existing Total(not including Basement) 13,374 sf
Addition: 454 sf
Total(Existing +Addition) 13,szasf Sanitary/ Sewerage
• The 8th EDITION OF THE MASSACHUSETTS BUILDING CODE IS a7ystem Ciean i n gs
COMPRISED OF THE INTERNATIONAL BUILDING CODE 2009(IBC)VNTH
MASSACHUSETiSAMENDMENTSTOCHAPTERSOFTHE: IBC. eCeIVIIIIg aCIII�I
South E:ssex
Energy Code Ana�ysis SeWera�e �IStI'ICt
EGRESS REQUIREMENTS (GARAGE �DDITION ONLY) 2009 International Energy Conservation Code (IECC) C011traCt NO. � �-3
Climate Zone 5A
LOCATION DESIGN MAXIMUM TRAVEL NUMBER OF EXITS Item
OCCUPANT LOAD DISTANCE TO EXIT Gross Area Proposed Budget
(square feet) U-Factor U-Factor SaI@171, Ma�ssachusetts
EIFS Only '
GARAGE ADDITION 5 47 FEET 1 (Top of East R West Walls) 50 0.063 0.064
EIFS &CMU 375 0.059 0.064
NOTES:
1. MAXIMUM ALLOWABLE TRAVEL DISTANCE TO EXIT FOR AN UNSPRINKLERED Brick, CMU,
BUILDING PER IBC TABLE 1016.1 FOR USE GROUP F-1 IS 200 FEET. &Insulation 1001 0.069 0.064
2. THE MAXIMUM ALLOWABLE TRAVEL DISTANCE FOR SPACES WITH ONE EXIT Concrete
FOR USE GROUP F-1 IS 75 FEET PIER IBC SECTIONS 1014.3 AND 1015.1. (Bottom of Walls) 196 0.508 0.064
Swinging Door 4g 0.240 0.700
Overhead Doors 448 0.160 0.500
Roof 453 0.081 0.048
NOTES:
1. ENVELOPE PASSES COM CHECK VERSION 3.8.1 DESIGN 209u BETTER THAN CODE.
� 0 8l11 ISSUED� FOR BIDDING
. Mark Date Description -
PROJECTNO: S1784l2
FILE: G-003
DRAWN BY: RWK
CHECKED: FAM
APPROVED BY: TMB
CODE COMPLIANCE ANALYSIS
SCALE: N� SCALE
� G�-003
eizSn,
--- - _ --_— _._,_.. __ _.�_
- --- -----,--- , - �
I _ _—
� __ . --_T__
a
a
SESD Contract No. IO-3 - Sanitary Sewerage System Cleanings Receiving Facility
Program of Structural Tests and Inspections
, Proiect South Essex Sewerage District—Sanitary Sewerage System Cleanings Receiving FaciliTy
Location Salem, Massachusetts
Owner South Essex Sewerage District
Owner's Address South Essex Sewerage District Tel -(978)741-8729
50 Fort Avenue Fas- (978)741-0478
Salem,MA 01950
Owner Contact See Building Permit
Architect of Record Not Applicable
Structural Engineer of Record(SER) Robert St. Martin, P.E. Tel—(413) 562-1600
Tighe &Bond Consulting Engineers Fas—(413)562-5317
53 Southampton Road
Westfield,MA 01085
Testin�Aeencv (TA1 To Be Determined Tel-
Fax—
Geotechnical Eneineer(GEl Allison M. McCauliffe, P.E. Tel—(860)704-4760
Tighe&Bond Consulting Engineers Fa�c—(860)704-4775
213 Court Street, Suite 900 i
Middletown, CT 06457
This program of structural tests and inspections is submitted as a condition for issuance of a building
permit in accordance with the 2009 Intemational Building Code (IBC 09), and 780 CMR the
Massachusetts Amendments to IBC 09.
The firms, agencies,or individuals noted above(hereafrer referred to collectively as agents)will perform
the structural tests and inspections as specified herein.
The complete set of Contract Documenu(Drawings and Specifications)that accompany the application
for building permit is to be considered attached to this program as reference material.
This program does not relieve the Contractor of their responsibility to conduct the work in accordance
with the requirements of the Construction Documents,the approved Shop Drawings,the 2009
Intemational Building Code, and the Massachusetts Amendments to IBC 09.
Page I of 7
�,V-,--"
�
SESD Contract No. 10-3 - Sanitary Sewerage System Cleanings Receiving Facility
Program of Structural Tests and Inspections
Construction Cateeories: The following construction categories, if checked, are included in the
program of structural tests and inspections for this project. Specific tests and inspections required for
each designated category are listed on the page noted opposite the category.
Construction Cateeory Paee Construction Cate¢ory Paee
� Earthwork 3 � Structural Precast Concrete 5
� In-situ Bearing Strata 3 � Masonry 6-7
� Controlled Fill 3 ❑ Structural Steel _
❑ Underpinning ❑ Steel Joists
❑ Pile Foundations ❑ Steel Deck
❑ Drilled Pier Foundation � Handrails/Guardrails 7
� Cast-In-Place Concrete 4 ❑ Wood Framed Construction
❑ Post-Tensioned Concrete _ ❑ Other _ I
Performance Saecifications: The following construction components, if checked, aze designated in the I
Contract Documents on the basis of a performance specification to be designed by the Contractot's or I
Subcontractor's registered professional engineer. The design of these structural elements or systems will
be reviewed by the SER and their construction is included in the program for structural tests and
inspections.
Construction Component Paee
� Pre-cast/Pre-stressed Components 5
❑ Post-Tensioning Steel _
❑ Structural Steel Connections
❑ Metal Buildings
❑ Cold-Formed Metal Framing
❑ Steel Stairs&Handrails/Guardrails
❑ Wood Framing
❑ Sky]ight Systems
Reports: Test and inspection reports prepared by the SER, TA, and GE will be collected and maintained
by the SER and distributed, according to the procedures established by the Building Official. Prior to the
issuance of a certificate of occupancy the SER will submit a final report to the Owner and Building
Officia] in accordance with the International Building Code 2009, and the Massachusetts Amendments to
IBC 09.
Prepared by the Structural Engineer of Record:
Name: Robert St. Martin,P.E.
Signatute:
Firm: Tighe &Bond Consulting Engineers
Date: November 9,2011
Page 2 of 7
.._.1�
SESD Contract No. 10-3 - Sanitary Sewerage System Cleanings Receiving Facility
Program of Structural Tests and Inspections
Earthwork(Sections 02315 and 02320)
Item � . Agent Scope �
1. Excavation GE Review existing sub-soils and groundwater conditions during
building excavatioa
2. Beazing Strata GE Review the in-situ bearing strata and compacted structural
� fill bearing strata for footings and slabs cast on grade for
conformance with Geotechnical Engineering
Recommendations, Spec. Sections 02315 and 02320,and the
Contrac[Documents.
3. Structural Fill TA Observe and test compacted structural fill for conformance
with Spec. Sections 02315,02320 and the Contract
Documents. .
Page 3 of 7
SESD Contract No. 10-3 - Sanitary Sewerage System Cleanings Receiving Facility
Program of Structural Tests and Inspections
Cast-in-Place Concrete Construction (Section 03300)
Item Agent Scope !
1. Mix Design SER Review mix design for each required strength of concrete
for conformance with Spea Section 03300 and Contract
Documents.
2, Materials Certification SER,TA Review for conformance with Spec. Section 03300 and
Contract Documents.
3. Reinforcement lnstallation TA Inspec[all reinforcement for grade,size,quantity,spacing,
condi[ion,cover and placement,for conformance with the
approved Shop Drawings and Contract Documents.
SER Periodically review of same,during site visits.
4. Formwork � TA Inspect for general configuration,cleanliness,and cover to
� reinforcement.
� 5. Concrete Placement TA Observe concrete placement operations. Verify
- conformance with Spea Section 03300, including cold
weather and hot weather placement procedures. "
SER Review of same,during aperiodic site visits. Review wld �
weather and hot weather placement procedures submitted
by the Contractor.
6. Testing and Evaluation of TA Sample and test concrete, in accordance with Spea Section
Concrete Strength 03300 and Contract Dowments. �
� SER Review tes[results for concrete. .
7. Curing and Protection TA Observe cuting procedures and protection of concrete from
high/low temperatures and rapid bss of moisture. Verify
� . conformance with Spec. Section 03300 and Contract
� Documents.
. SER " Review of same,during periodic site visits. .
Page 4 of 7 _
SESD Con[rac[No. IO-3 - Sanitary Sewerage System Cleanings Receiving Facility
Program of Structural Tests and Inspections
Precast Structural Concrete (Section 034101
Item Agent Scope �
1. Mix Design SER Review mix design for each required strength of concrete
for conformance with Specifications and Contract
� Documents.
2. Materials Certification SER,TA Review for conformance with Specifications and Contract .
Documents.
. 3. Precast Concrete Unit SER Review supplier's stmctural design of Precast Shuctural
Assemblies Concrete for conformance with Specification Section 03410
and Contract Dowments.
4. Curing and Protection SER Review supplier's wring and protection procedures for �
Precast Structural Concrete for conformance wi[h
Specification Section 03410 and Contract Documents. ,
5. Testing and Evaluation of TA,SER Review supplier's compressive strength tests of Precast
Concrete Strength Structural Concrete for conformance with Specification
Section 03410 and Conhact Documents.
� 6. Installation of Precast TA Inspect installation of Precast Structural Assemblies. Check �
Structural Concrete component Type,size,spacing,and placement for ,
conformance with the approved shop drawings.Check �
member-to-member connections and connections to
adjacent support elements for conformance wi[h the
. approved Shop Drawings and Contract Documents.
SER � Review of same,during periodic site visits.
Page 5 of 7 ,y.,,,,,
SESD Contract No. 10-3 - Sanitary Sewerage System Cleanzngs Receiving Facilily
Program of Suuctural Tests and Inspections
Masonry Construction (04810) '
i Item Agent Scope
1. Review of Tests Submitted By SER Review tests submitted by Contractor covering each class of
Contractor for Masonry masonry unit and type of masonry assemblage,including of
Units/Masonry Assemblages mortar,grout,and prism tests. Verify conformance with �
Spec. Section 04810 and Contract Documents.
2. Materials Certification SER,TA Review concrete masonry units,masonry veneers,precast
wncrete units,mortar and grout materials to be used in the
masonry consUvction for conformance with Spea Section
04810 and Contract Dowments.
3. Testing&Evaluation of Mortar TA Sample and test moRar and grout used in field for masonry
& Grout Strength construction for conformance with Spea Section 0481 Q
and Contract Documents.
SER Review test results for mortar and grout.
4. Proportioning Mixing,and TA Observe field procedures for propoRioning and mixing of
Consistency of Mortar&Grout the mortaz and grout[o be used in the masonry construction.
. SER Review of same,during periodic site visits. ,
5. Masonry [nstallation TA Inspect and report on installation of masonry units for
general configuration and placement.
. SER Review of same,during periodic site visits.
6. Anchorage TA Inspect type,spacing, and placement of masonry anchors
. and ties for conformance with Spec. Section 04810 and
Contract Documents.
SER Review of same,during periodic site visits.
7. Reinforcement Installation TA lnspect reinforcement for grade,size,quantity,spacing,
condition,cover,and placement,for conformance with the
approved Shop Drawings and Contract Documen[s.
SER Review of same,during periodic site visits.
8. Grouting Operations TA Inspect cells of masonry units for cleanliness prior to
grouting. Observe partiaVfull grouting procedures for
conformance with Spec. Section 04810, and Contract
. Documents.
SER Review of same,during periodic site visits.
Page 6 of 7 ,,,,,,,
!
SESD Contract No. 10-3 - Sanitary Sewerage System Cleanings Receiving Facility
Program of Structural Tests and Inspections
9. Weather Protection TA Observe protection of masonry against cold and hot
� weather.Verify conformance with Spec. Section 048]0 and
� Contrac[Documents. -
SER Review of same,during periodic site visits.
10. Anchorage of Exterior W alI TA Inspect type,size,spacing,and placement of approved
Masonry Veneer anchorage to adjacent back-up framing for conformance
with Spec. Section 04810 and ConVact Documents.
SER Review of same,during periodic site visits. - I
HandraiUGuardrail Assemblies (Section 05500)
Item Agent Scope
1. Handrail/Guardrail SER Review supplier's railings for conformance with Spec. .
� Assemblies Section 05500 and Contrac[Documents. . I
2. Materials CeRification SER Review certification of ma[erials for conformance with Spec.
Section 05500 and Contract Documents.
3. Installation of TA Inspect installa[ion of handraiVguardrail assemblies. Check
Handrail/Guardrail Assemblies component type, size,spacing,and placement for
conformance with the approved system design.Check
member-to-member connections and connections to adjacent
steel/concrete support elements for conformance with the
approved Shop Drawings and Contract Documents.
SER Review of same, during periodic site visits.
1�./5/51]BJ/ConsvucnoNBuildiny Pcrmit/$-I]84 Proyrzem of Sm¢wral Tests end Nspections Pmgmm.doc
Page 7 of 7 ,
1
I
A
COMcheck Software Version 3.8.1
Envelope Compliance Certificate
2009 1ECC
Section 7: Project Information
Project Type:New Construction - .
Project Title: Sanitary Sewage System Cleanings Facility
Construction Site: OwnedAgent: DesignedContractor. -
Salem,MA . Tighe&Bond CounsulGn9 En9ineers �
, WestFleld.MA
Section 2: General Informatfon
Building LocaUon(For weather date): Salem,Messachusetts
Climate Zone: Sa
� BuildingTypeforEnvelopeRequirements: Non-Residantlal
AdivlN Tvoelsl Floor Area
Manuhacturing FacilM1y 453
Section 3: Requirements Checklist
. �•. .
Climate-Specific Requirements:
Componerrt NamelDascrlpGon Gross Cavity Cont: Proposed Budgat
� . Area or R-Value � R-Valua U-Factor U-Factor(e)
- Perimeter - ��
Fxterlor Wall 1;Other Exterior Wall,Heat capaclty 1.0(b) 50� — — 0.063 0.064
Exterior Wall 2:Other Exterlor Wall,Heat capecity 1.0(b) 375 — — 0.059 0.064
Exterior Wall 3:Other EMedor Wall,Heat ppaciry 1.0(b) 1001 — — � 0.069 0.064
Door 1:Insulated Metal,Swinging 28 — — 0240 0.700
Door 2:Other poor,NonSwirging 364 — — 0.160 0.500'
Exterior Wall 4:Other Exledor Wall,Heat capaciry 1 A(b) 796 — � — 0.508 0.064 �
� Door 3:Insulated Metal,Swinging 21 — -- 0240 0.70D
�oor4:Otherpoor,Non-Swinging 64 — — 0.160 0.5D0
Roof 1;Inaulation Enfirely Above Deck � 453 — 11.5 0.081 0.048
(a)Budget U-factors are used for soflware baseline calculatlons ONLY,and are not wda requirements.
(b)'Other'components requfre supporting documentation for proposed U-factore. ,
Air Leakage, Component Certiflcation,and Vapor Retarder Requirements:
� 7. All JoIMs and penetrations are caulked,gasketed or covered wlth a moisture vapor-pertneable wra9Ping material installed in acwrdance
with the manufacturers installatlon instructlons.
� 2. Windows,doors,and skyUghts certlFled as meeting leakage requirements.
� ��3. Component R-values&U-factors labeled as certfietl.
� 4. No roof Insulatlon Is installed on a suspendetl ceiling with rertrovable ceiling paneis.
' � 5. 'Other components hava supporting documentalion for proposed U-Factors.
� � � 6. Insuletion Installed according to manufaclurer's instructions,In substanfial confacl with the surface being Insulated,and in a manner that
achleves the reted R-valua wilhout compressing the insulaUon.
� � 7, Stair,elevator shaR vents,and other outdoor elr Intake end exhaust openings in the building envelope are equipped with motorized
dampers.
� 8. Cargo door&and loadirg dock doois ara weather sealed.
;
Pro�ect Title: Sanitary Sewage System Cleanings Facility Report date:05/10/71 .
Data fllename:J:UMW7398 WaylandlHVAdSESD2,cck Page 1 ot 2
l
� 9. Recessed Iighling fixtures Installed'm Ihe bullding envelope ere Type IC rated as meeting ASTM E283,are sealetl witlt gasket or caulk. .
� 10.Building entrance doors have a vestlbule equipped with Gosing devlces.
Exeeptlons:�
- [] Building entrances wiM revolving doors.
p Doors that open directly hnm a space less fhan 3000 sq.ft.in area. �
Section 4: Compliance Statement
Canpllance Stetement The proposed ernebpe dasign represented In�hls document Is consistent vrith Ne bullding plens,specifications �
and olher calculations submlUed with this permit applicaUon.The pmposed envebpe system has been designetl to meat the 2009 IECC
raquirements in COMcheck Verston 3.8.7 antl to comply with the nda ry requirements i t e Requiremenfs Checklist. I
_� �e aY � YE_ <� ` ��0 / i
Name-Title Si al re Date
ProJect Title:Sanitary Sewage System Geanings Facility Report date:OS/70111 �
Dafa filename:J:11MW7396 WaylandlHVAC\SESD2.eck � . Page 2 of 2