42-079-002 (8) BP-2024-0367
114 GLENDALE RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
42-079-002 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2024-0367 PERMISSION IS HEREBY GRANTED TO:
Project# MODIFY CELL SITE 2024 Contractor: License:
Est. Cost: 50000 ERIC KUKLINSK1 97447
Const.Class: Exp.Date: 01/06/2025
Use Group: Owner: AMERICAN TOWER CORPORATION
Lot Size (sq.ft.)
Zoning: SC Applicant: ERICSSON
Applicant Address Phone: Insurance:
1086 MAIN ST WLRC67813509
WEST WAREHAM, MA 02576
ISSUED ON: 04/08/2024
TO PERFORM THE FOLLOWING WORK:
MODIFY CELL SITE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House # Foundation:
Final: Final:�/,Z 4 L4 Final: Rough Frame:
Gas: Fire Departmentep (— Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final: 7. 30-
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
L'4
Fees Paid: $350.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Final Construction Control Document
It/ �t
To be submitted at completion of construction by a
q Registered Design Professional
•
for work per the 9th edition of the
1.1
Massachusetts State Building Code, 780 CMR, Section 107
Project Number: 4SH0213C Date: August 8,2024
ATC Id: 15035
Project Title: T-Mobile ANCHOR Project
Property Address: 114 Glendale Rd, Florence,MA
Project: Check(x)one or both as applicable: New construction X Existing Construction
Project description: T-Mobile ANCHOR Project telecommunication site upgrade. Replace(6)existing antenna
with (6) new antenna. Install RRUs and associated DC power& fiber lines from new BTS equipment to new
RRUs. Reference Construction Drawings dated 03/20/24 by American Tower.
I Derek J. Creaser, MA Registration Number:49195 Expiration date: 6/30/26,am a registered design professional, and:
Architectural Structural Mechanical
Fire Protection Electrical X Other Describe: Entire Project
for the above named project. I,or my designee,have performed the necessary professional services and was present at the
construction site on a regular and periodic basis. To the best of my knowledge,information,and belief the work
proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building
permit and that I or my designee:
1. Have reviewed, for conformance to this code and the design concept,shop drawings, samples and other submittals
by the contractor in accordance with the requirements of the construction documents.
2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the
progress and quality of the work and to determine if the work was performed in a manner consistent with the
construction documents and this code.
4. This report does not include inspections for the findings of the global stability analysis and modifications to the
structure. Those modification inspections, if required,are strictly the responsibility of the tower owner&general
contractor performing such design and installation.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
Enter in the space to the right a"wet"or
electronic signature and seal: tN OFAils_
ycy
DEREK J. J,
CREASER `=
Phone number: (617)306-3034 4'- •
CI
Centerline Communications,LLC •
750 W.Center St. Suite 301 .' ISTE
West Bridgewater, MA 02379
Building Official Use Only
Building Official Name: Permit No.: Date: 8-R ZOZy
Version 01 01 2018
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N 1 c a Official Use Only
Commonwealth of Massachusetts _ q
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k , � Department of Fire Services Oc�y ^F a Checked:Z(1240709'3 (0(,5
1• al of
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] cr.,
—�'` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
Iut,rt: All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 12.00
City or Town of: N G r 4 w,p d t v, . Date: � C 1 q.
To the Inspector of Wires:By this application,lie and ig`rd gives tices of his or er intention to perform the electrical work described below.
Location(Street&Nu er): I ( � 6-(Tvt Yet I-r / Oa 42..'-D7gUr�tt No.)
Owner or Tenant: ►h a Ws,-orDi —0 w-e r- Co( o ail:
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes® No ®Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead 0 Underground❑ No.of Meters:
New Service: Amps / Volts Ovverhea Underground 0 No.of Meters:
Descriptionop of Proposed Electricalle Installation:: C C 1'l 5 1 1- &- c/r-r l vt 5' ��l ly ) r yt C�
CC v`CJ'Gt a .. 'i""r,,-,,,., C kl f�i-,c C^ cCvr c=-(� Q / 9l ,PG el
Completion of the following table may be waived by the Inspector of Wires.M°47t'`7 9 0en 1` ►�'�T01Obi1' 116 Per P 17
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: 3 yQ L.J
r
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: ��`
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Gmd.❑ Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets:
--- - ------ --
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2 0 Level 3❑ Rating:
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electri l Wk: (When required by municipal policy)
Date Work to Start: ) I( 5�o a-% Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: 6 I' tan Alt C (6'14 A LIC.No.: . ' I Sg 4
Journeyman Licensee: /3 i tyl AA Ec i(. LIC.No.: I D 0 16
Security System Business
requires a Division of 0 upational Licensure"Sp"LIC. /f S-LIC.No.:
Address: Ct 1 to r1 0 s �, 13/112C kiAe—l ✓"t
/ o, 0?- 7 7 7 •
Email: A 'f 0 )(:.& A ic-11 a t C C"- Telephone No.: 5 0 6` 6. G S — /3 5J Gp
I certify,and the pains and penalties of perjury,that the in,J ormation on this application is true and complete. q 7
Licensee: (/w�--- , ...Print Name: 1 J f t o vl /uC G `t/G el, Cell.No.:L C,?-6 63 —/✓ `10
INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof f same to the permit issuing office.
CHECK ONE: INSURANCE BOND ElOTHER ElSpecify:
OWNER'S INSURANCE WAI IT
I am aware that the Licensee does not have the liability insurance coverage normally
required by law.By my signature below,I hereby waive this requirement.I am the:(Check one)Owner❑ Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.:__
' e of�L