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23B-046 (12)
ACORD,,, CERTIFICATE OF LIABILITY INSURANCE 1 DATE(MM /DD/YYYY) 10/13/2009 PRODUCER (781) 681 -6656 FAX: (781) 681 -6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Driscoll Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE g yr HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 93 Longwater Circle ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 9120 Norwell MA 02061 _ INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Liberty Surplus Ins. Co Maxton Technology Inc. INSURER B: The Employers' Fire Ins 50 Eastman St. INSURER C: Everest National INSURERD:United States Fire Ins. South Easton MA 02375 INSURERE:ACe American Insurance COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR INSRD TYPE OF INSURANCE POLICY NUMBER DATE DATE (MM /DD/YY) LIMITS (FE POLICY N ITR INSRD ( GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREM SES (Ea occurrence) $ 2,000,000 A X CLAIMS MADE 1 X I OCCUR DGLB01888 5/15/2009 5/15/2010 MEDEXP(Anyoneperson) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2 , 000 , 000 7 POLICY X I JECT P1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT XI ANY AUTO (Ea accident) $ 1,000,000 B X ALL OWNED AUTOS 390000526 5/15/2009 5/15/2010 BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 6 , 000, 000 X OCCUR I CLAIMS MADE AGGREGATE $ 6,000,000 C X DEDUCTIBLE 71C8000137091 5/15/2009 5/15/2010 $ X RETENTION $ 0 $ D WORKERS COMPENSATION AND X I TORY LAIv11TS I I O ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? 4086979137 5/15/2009 5/15/2010 , E.L. DISEASE - EA EMPLOYEE, $ 1,000,000 • If yes, describe under 1 000 000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ r r E OTHER professional COOG23899255003 5/15/2009 5/15/2010 $2,000,000 Each Claim Liability $2,000,000 Aggregate DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS RE: Job #SPMA0073, 30 Locust Street, Northampton, Youghiogheny Communications Northeast LLC dba Pocket Communications. ** *Please refer to attached addendum * ** Notice of cancellation provision is 30 days, except 10 days applies for non - payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Northampton EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Office of Building Inspector 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Puchalski Municipal Building FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 212 Main Street Northampton, MA 01060 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Dennis Driscoll /JMT ACORD 25 (2001/08) © ACORD CORPORATION 1988 . , Massachusetts - Department of Public Safet * Board of Building Regulations and Standards Construction Supervisor License License: CS 03811 Restricted to: 00 = SHANE P MCGOWAN 12 POWDER HILL RD BOLTON, MA 01740 ...4.1re..... --„--5„, Expiration: 12/31/2009 i orninieni"ner Try. 27123 ,to . : " , I 41 - fp -qr374-6q6 1 241'2012 12-,;14. ri4 Ilittruno sot Bay State Design, Inc. A AY STATE tE SIGN Architects • Engineers 241 Boston Post Rd W Marlborough, MA 01752 -. • Phone: (508) 299 -4100 Fax (508) 485 -5321 Project 5 P r1 A o o - t 3 B Job No. z Si? 2, t z7 Page 5 of 5 KSoRTHAMPlont , iIA Computed by Kc.1 Date q /+ /lovq Detail Checked by Date E - z I - ,, F i i P t i©P�S D cA6LE TRAY , , i ;Jit4D LOAD 0 50 Pit KT WTr OP GABLE ;TRAY ; 4-0 PE i,c 6.o t 6 k 3+ n 4F z 5b5 , ,' : m -1.. _. 1 _ . .._ 1 f t .�.. _ ..i-..,.........1. 1 To}TA t t Z R " ,. i ; i ---1- - -! -- - i - : - - -V - Ft N`t T4 - •H"( 2, d.. DW stwe ' M - 4 � / 4,11eE %t I ' E 1 ' 1.1044& 5Hi<Af I Z3o ` f65 i.. s .,i -. 4 L .__ �1 ;.�iAt�+ - �' i� " r Rle !_ L ». r , : 4 i _ 3 _ -1.1.3.9. > a.5._. t .. ,_ � o t7K • I --I- .. . - .---t* 4 Ass. . ., . E011.561J4. 1 .. SKtct{ wA-Lt . -. . 'II (z) HtIT,) HIT- HYz ADHESt CH D F. wiz 4` al BED 11 en}T (TYP,) B AY STATE Bay State Design, Inc. ' D E S 1 0 N Architects • Engineers 241 Boston Post Rd W • Marlborough, MA 01752 "" ' — •••"'"' -- • Phone: (508) 299-4100 J L Fax (50B) 485-5321 Project spt-tA oci3 B Job No. 288 2 , 127 Page 4- of S - - MORTHAMPTON, HA Computed by 1<(4 Date 9/472 oo Detail Checked by Date !!. , ! i ! ! • ! . ! ! : ! , : . :. , , ! .! , i .: ; , ! ! I i ! , „ . • , , . . . . _ . . , . . . • ' ; 1 1 .. I •, i t ,. : -- -- ! ' : - • , : : . • . 1-- -!-- -4-- -!. - ' . '. -6 BT5 ; 2 : " i . i t : , : ■ , .; ...„,„, , ; : :,' , • - ;• ; -- -- 1 - -- 1 , ,..1_ ', ; , ' .L , ..)._ i i . . . : • : 1 •: i : 1 5p IttS - . ; ; A l , MITI - H IT Hytt 'Km(' Aki>0-it5 1 i..TE At4ICAPR - 1 -- . - ! , - 4- r '. : ' ! ' - - --.- -- - ' • ' 1 t • ' " -**. ' 750 Os 0/2.:47. ' . • ' "„ 1 i L__ 1 ..... i ‘, : :. ; • i 4 : • •- . • • --' : f t 3 ) : • . ' L J i ; i i . %. j :, j j . ! = J ! .; 1 I ! = t1 .1.111111111.111111111111110111311.111M L '; • ; . .. mcie . j ''.. ; ' --1 4- L i 1 i . ; 1 i I 1 1 ; . 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I . .74 1 __kV/ r+ EfrttED . . . i • • • " „,i,_ :I, L; , f f ., .. • : '! • . ; " , ; . -; AuzaAtLE SHEAR 4: Zin - 0.45 " ,': I 1 KJ, 5 o K 1 --i ; ; : : 4.... ", . 1 , - i. ; • - --4,.. ; -,f--, :t.- 1,31:8_5i 9-b- , • ! .- ',.. -, . : ! ! i- - !. -1- „-!-- .. ...-.1-.....- .- ri 1;::' :: ! ; , - • ,,:; , 1 1 i ! .• , „ r ; .,. L . - 1 I. --- ' - 1- : ---1--- i , ; : • .4., -+ • } . .. . . .. , : , . : . - . - - • . . , . .. . . . . . . .. - . . . • . - . : . - . . ' . . . • ,.. ' Bay State Design, Inc. BAY STATE AT E DESIGN Architects • Engineers 241 Boston Post Rd W Marlborough, MA 01752 Phone: (508) 299 -4100 -- ----=---= Fax: (508) 485 -5321 Project SPMA 0013 B Job No. 2882-127 Page 3 of 5 4 °RTH A N PTo 14 , MA Computed by bC W Date 414/2001 Detail Checked by Date 3 I � I WOOD 6iocki )4 I � ' BETWSEr1 stuns )i ) ■' .4,....„,,. t o ! 5.65 yi PROPOSED i�. .) 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Massachusetts State Building Code i 2 Structural Standard for Antenna Supporting A. + ; i -_.__ _ Structures and Antenna (TIA- 222 -F); I s 3. Steel Construction Manual by AISC (13th Edition) 1 i . Equipment: 11. Nortel BTS 3231 cabinet: 750 lbs i i ; i 1 1 I 2 PPC cabinet 150 lbs 1 ..i.__ ...... __s.._. - i ; i i3. Proposed Antenna APXV18 2065175 C: 33 lbs i j 1 3 . 1 5 " D ) � j { - i ' 1 Basic Wind Speed (fastest mile) V v a75 MPH . ._ J , 1 .� r f __ ; L ... f __. i 1 _.._._.. i , 4.._,__ - 1.._ r Z (height above ground level) = 64 ft 4 I i __. t t ' _,. _ , OKs =(2/33) € 1 21 - j - l ■ _._ . ..._ �_ 1 r . __ 1 ., _ . S. . ; - . i ., 1 . - ? _ .. 1 .. _ . -.. ..,_• : t 3 s _ _ _ ._....J__ •_' 1 . i _ - -t.- .._ Ve Pressure q 0 00256KL T ( i ... .�_. __. ... _ .. .. ____ _., J .._ 1. ___..i.. .. _... • y - - - -. . .._._._ .. . . . - .. _... . . ._......_.. 4 , ...,.. -- 1.- _- ._. ._.. .__..,,... 1..__..K ....i....w .�..... ,. f _•�. t F 1 1 q _ I 117.4 psf t t I f � ; Gust Response Factor as 1. 69 5 i ; .. I I Wind Load = gz [C A + CAA] I _ • 1. • t i • DESIQ mnimissmimmo Design Calculations Site Name: Northhampton Project Number: SPMAOO73B Site Address: 30 Locust Street, Northhampton, MA 01061 Description: Antenna Mount, Equipment Support Calculated by: Kenny Wang Checked by: Ram Satyaprasad, P.E. Date: 9/4/2009 Bay State Design, Inc. 241 Boston Post Road West Marlborough, MA 01752 Tel. (508) 2294100 Fax (508) 485 -5231 www.BayStateDesign.com za • BAY STATE DESIGN asmassitistumai September 18, 2009 Steve Watkins Site Acquisition Manager Maxton Technology Inc. 50 Eastman Street Easton, MA 02375 Reference: Pocket Communications SPMA0073B 30 Locust Street Northampton, MA 01061 Dear Mr. Watkins: Bay State Design, Inc. has performed a structural analysis for the proposed installation of Pocket Communications wireless equipment on the above referenced building. This analysis accounts for the following: • (3) proposed APXV 18- 2065175 -C -ACU antennas facade mounted to the existing penthouse wall on the building rooftop. • (1) Nortel BTS 3231 (max weight 785 lbs) and (1) PPC unit (150 lbs) mounted to the existing penthouse wall on the building rooftop. Equipment locations and mounting details will be called out on final Construction Drawings. Based on the field survey report and the attached structural calculations completed for this site, it is concluded that the existing structure is adequate to support the loads imposed by the proposed equipment. Please feel free to contact this office if you have any questions. Sincerely Yours, f OF o SAry, asr�, ® cil 'SAD :ri• • aprasad, P.E. � � nro. ,, 1 Bay State Design, Inc. �' > STEN , . CWAL EMS' ' Bay State Design, Inc. 241 Boston Post Road West Marlboro, MA 01752 TEL: (508) 229 -4100 FAX: (508) 485 -5321 Architects Engineers MMMO) 1010 MID AMOS k TD (0 SIAM 7l (IM 0DM1T01 MM1D C SI / �.M (1 1010 to UM11M1 MID O i ! 1 Ma TM0D1 04 1110 1Mil pp t / Moan. / 1070. MM. R M 1010 M. 100/10010 ® Ib rill n��� (110 MOIL 4) Y -, 4 - 1. PM. CDMYIDKAl MS TD MIN M IMIL 125(21010. MM 2R PAM ROC S O S (y 0101 Minn 0000 IMO ACM. *M230MM) 101 .MT M TMMOG OMICn M105*0. H w` LOAD RttmRC¢. MO 11010. Mw D00011.7 70 K SOD OP OWN a AMMR.rte ED011). ® mi — MOW/ 2 uIRMM MM. 0101010 MR: IRDPOR[0. 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( M. 1./L p -8 (2113 __ ��E u00 il' �r�w rocarr Nn xlmr i I ■1_�_Gi M x�Q�► BOA. 1 M r eat �aera.. mnc a N __A »` S TATE suunox f pm M ,N PL... DESIC3N rnormc. .632221 .632221 I i IMAM ANIMA • — E,�s,,rw BRICK O BAY S wei r°" I bra .a.. OM . « ,m Wee C210) 1 ° MTm: "9 222•26122 i6» ' I 1 , ,' r.era•P1202•32 0 ,M rxorofm 102•33 NQ.. •II•.M V w, ems, „`:',1,1 Wsi °”` sue- s ;i PPE p»... M(.16 1.M ,wrvo-23221 c-err) wrMe■Wg,.eex�roeW R1. 2325 (I1 I M. P0 YCId 10,. M E / � tvw+WCa. 2 i ANTENNA MOUNTING DETAIL O 0 I ._. way �E r' W. ANTENNA MOUNTING DETAIL 0 hill En GiNFCR /LOND 9JaVE,OR 0Fl. ,M aE<EP,AC�E ` 14E0510, Mil I i , , , 0 11,a,09 ISSUED Ear S.E,Ew n FPaEC A: OM. dr. . 9..h_ 296].1) ,,,, , n5 NCTED f2risT,vc oo.r.,ousE WALL arr rw.c; ' SPMA0073B • Y oN[N NpR a, ;`,NE, ,aE w,. NORTHAMPTON, MA • 3 1/2 kw LIIIMIDIT 1 . Q Eet EK. 3uEN40, IA . 23.25 W . 33 r.a•aa. roan Arc ms I. 1 - WAD AIR '' WS MaPPIOON 1 IN.. w, . �I� s rd6 , ; �T.. ,n rrornm Mar 30 LOCUST STREET a Ar moc.c°a°Mnaar 1. E, CABINET M�N�MN.. NORTHAMPTON, MA 01061 .14112 c n s c[cioc.nomc 1 �� 00 Mi �nv, NNw..L �� 11.1, ,u MINIS 31•21.2 It 003,01120 e DIMENSIONS � u a� Ea oo;. N .BN , w . xo , 1 91 0 a , STRUCTURAL PPC CABINET DETAIL O — DETAILS CABINET CONNECTION DETAIL 0 50i0 STS BTS CABINET DETAIL S -1 IN7 9r .a. a r�E O MB TR AP t ®♦ r { 4 I 11 4a 2 2♦' O I I WO 310,7 PORN CLAMP M2.9,N MEW 2' 1, 9,mrt 41% n ;I - • Nth tR a grOV 9mc SLEEPERS P.M 2229 � a� a�9 BOLTS VAR:. E a v99vn O .74 5 ' Pa M t C col ons aEry NaiSE _ 1 F d $ RFS 0,1 916.2 918929 11 i • � a 9uilding /1St 1,c 2,8ARS A Ax (TP. -p L9k91 Rr �. '+ � Springfield, MP 01105 TACB ,9 .E ,RAP E2E�: 6� �. EErv,ER 1 � ' �i 229 CABLE , i[9, e' o.c.1 s «EE, REP. c . R um* p V e MO TAT o ,i o 9 6' AjXTON hi SAY STATE ANTENNA AZIMUTH PLAN v , E`"` SLEEP!. A ' °" E9A C pF �TMpVSE T°« E>nsr�99 0 H DH9ION SCALE: O 8. LOWER TO [ ,s VERTIC CABLE TRAY 3 C PMT , z 6SncEa s,reP cop= wv« SPLKE PLATS . ��� .a,ErrE ,O sLE.oE9s a„u 9 E m,.. «vAC Cucr w az a c° / e„. am ., az-ss 9EOpu. NE RAz /..4 wh ir r9.lwr.iz++2we� si 0 1 CABLE TRAY DETAIL O r - Ili L Ni5 , 2M1 , 1 Evis,�xa PROMO 101191 c°rv°v'.,9 21192990 MV MAW ryMONT MA MU) RO.1 a,, —, CONDUIT SUPPORT DETAIL )- CO. BOO, (6, vAL9dNT P/N 959A COAX ENTRY PORT DETAIL ELCO 4 u9durvu CONS , dR.. ° mE AN CROPS: limn A( PROPw 3 ° ENC NEEP.A. 5o X05 OATS titrara2erN�u+.9t1i u , . ,o ALTER , «5 < wu r9 t�lratmra�n:,� u. DOPUALN, .n n11 ,/f 1 x L OOP A,SEUaL E ON a ucEry �...ES eC ArvC , n RIG:P SUPPORTED ON 80, SIDES dp CO.., REVISIONS I I 11 • COND SUPPORT DETAIL O 5. PIPE FACSOLS Or NLL rL�R A5.w9L. ��� N, � P. ,,. VC 0 REV 39iO4/09 oES u P[v [w MAL, 'rt. CABLE TO A0PENNA a INC. ACES or ,, ° ° °C , . 9 nA o i BLEO ,P i C,OR. ♦ ANTENNA ...,p.9 rvT .« it _0. suRFACS OF BOT0 0.5 or ILOop 0, • 9 aU J,p 9dL O ROJLE, } . 99 SEALANT 9.. E. NODES INC As� w . �9 0212 �E �, �� 9R .LL _ aL A9 r p.,�rvc. - , w 2 «R SYSTEM 0.20. f .x woo9 ue e o[= M A S, . / - 2962 l'' X2.90 9F :,AVEw r''''' r RAYS. - _ 9R. .uN UL ° ',„ t t .19 MEN °R i ® SPMA0073B N TYPE 1 ® ® eimm yit�re a., < dr RErv, «ou.l 1 TOP • NORTHAMPTON, MA IMiiai3i17.a a 'iii. ;r' �mnm rmeaM�9nrm row a 0 . tmmnu�rims.�Nrime� rn+u rASE uN nR. 1;1T I�mlYli! 1 �t9�i9MM9iMN� E,E_ cramxmt3nmm rNIMOma11111 La O YA1 >„ m2yrr► rsataN ∎svlmt CONDUIT SUPPORT DETAIL SS, 1amrr,m ne.� ®Ars�m� , scALE ... $ I,s P t.[.R d„ 3,12 A TE .P E STRAND. GREEN • �• i �. 30 LOCUST STREET fim d «c o «o,R d r 0 POND, r,a; NORTHAMPTON, MA 01061 °N °, �� �� � � 22 130 9 „w � r CONSTRUCTION SONEWS ESns,9u[9K SEALANT •, . INSULATION ' �Y II LONG w.� ,� ��,, _wBE09Erv, 2 u rv. Nr7rE: 1V71 WOOL ,ATT 9 9 ����!�j DETAILS °, r EN,'I LSEE .��� ,66 ,rv._R,°g_rpE 55 E °r �� wE LEEpER « 9 L . °9sZ L,IdN N EE RAwrA,d or TYPICAL PENETRATIONS DETAIL 0 CONDUIT SUPPORT DETAIL 0 GPS DETAIL 0 A -4, •-. . Z es, E - e ,„ le H U Pocket Commun■cotions ite' 1 Fedefol Sireet 8 u 1 IP ■ r, g #111 Sp r■nqfield. IAA 01105 M7XTON , ,,,, k BAY STATE DE-ST(3N ", MOPCMO AMC= CAW TIM MCICAMT COM elk V --. 310 Da. TIM quir MuOMS am IMMO 1:MMUU paTrt TOM MW 430, Col P TIMMS m MOTTOMI WM Alit% irk MVO= FCcar TIMPOMM MOW Mt Ark 411111■ AIN rE*,% , —, liana w ...Cfair..1.1LAITIR42 = "graileto. lair NW lAW ■:;:.."Z;:°:....'t4Z r'.7' zatliri;.° PROM= OMMT P4 [...,im t INN My >We Mb, Ino,aied POEM MAW Cue \ Ir MOST ink ink -9—"-Aums22.-SzeWtr.L.11----_-_-1______■=7 L,— MMIT. MIMI. irk MONAD TO-,,,N„.1:, l 'T ' WiTAPIT MCOMM74711-1IF 0 Icix lay c m, i Mt stow ILay coMY mmt — [ \ \ (PROMO TO mama To. Cr SI moatt, SO OTTCM EX. TING ELECiRICAl PANEL -,,,, E omMOSCO oeatv Amick ---- p law w z-_- „. 1 , •Loatom 0 PEW:OUSE MC AMMO — ,--- l LI 1 i , 1 i 1 LE , morose, irocaT Ink117111 1 , KRIM MOM mom), , I [ [ [ [ -1 1 [ 7 1 - 1 1 7 ' H _ 1 I L I 1 I 1 , — 1 I 1 I L I L L__La ! I , , j I -E,IS,NO C.SE U.N.,. SUR,VO4 DATE 1_ L_ , 1 L ■ 1 I 1 r--1 PRDFE,Q1.4., E...., '0 ALTER ,IS 1 OLIC.-“,7 L ' 1 i ,I, III I 1 . 1 1' ' ,.j L_i 1 I 1,.. 0 09/74,09 ISSUED r0. R,EN .V EWE DESC PROJECT # DESIGNEO BY Y. SCALE [ , SPMA0073B NORTHAMPTON, MA -- 1 1 --14111,05115 Mbar irk : 1 1 ALM if 00m0 I , [ ■ ' I 1 =wog aun 1 1 1 1 1 i [IS 30 LOCUST 8 1 HLET L ,., DOS,. Ta. B.E/ E BOILER ROOM ,LOCA IN SUB-BASE.P01 NORTHAMFTON, MA 01061 a L'AirE'C'N'enIENZI71 E., .4 m. Jp.o.re. PILL EAST ELEVATION C) EAST ELEVATION A-3 R�eamn Z 4 .. 11 1 O 11 u ,I ■ PC ET ,E ` ISTEM SG C=E : ` l , r a lA En - 1 0 F 7 ° I "E c Pcze co v E Pocket comet � ca ca�P ■ �� L I i rede s�.«t 1 —1 e� a -nq 9 w — t - SPrng� <tl MA D7109 1 BO s ' ,G REF, 70 PI SHEET GOP PIN, AINTGGNA 616 AND OSIG,I, i t.'".1 — — M XTON IL ......__7„,,„,_ BAY STATE DESIGN 0 Port .�, 5, A 1 A(.004 Prolnqua • i . OTOPOSCO TWIT BIB Ark ink ink Wu A rk Akin' MOM= OMIT ....C ®smy nano =waif r , 1a•1- teet DWI ink mm cart E.1_, E.e DoE pM)a) KOWA oax am Ali Moan w nano raabua EQUIPMENT LAYOUT PLAN 0 ENG St, /1.4 o s,avemP PA, acmrt Wow P.E /GS 0, hi. aw rue _ W W ueo GOP 6MEw - -_ Sans m wv]q P ea 0,r4„,9 GA, o_ -.. e�P�,on P_v ,,T 288 Fob _ 2 12E ''''" Bf,AV' > NO, D roe. EX 6' N Roc so, ew , x l Ali 0 = raoroa)� a �� SPMA0073B �7FZTm.. , r4 ae w. x,m i « I pp NORTHAMPTON, MA - , O.am ro" Ow ® /cow EY�s , nap �. // acn. «,m. s.1�o cGE,ri «E Pw.EL E An�=s Am Am rsorosan w n 'a. w naroem roan ©Q x s as 30 LOCUST STREET rrna unar asa mane rsa)am wart � f �Er a PE ' ® ®�^*.' 7OTAL Ora ® E S N_ a..,r Mal OW MA � ®® NORTHAMPTaJ, MA 01067 Mann) TO MT<n) nG7P,, *llLE: , � ROOF AND y ; I EQUIPMENT LAYOUT A rs)ram wean Toe)/ \ PLANS a1 '''''" ,rr C)unm Dnnww� +n ROOF PLAN 0 A -2 . . ...„alatno z :.'.' ' ...., 1 1 i; •,, P • 1 ?..,; 4 , 'N . 1 " • * 4 ' ..1 F ---- / ' Pocket Cornrnunical 1 Federal Street Builemq #111 spr■egilele. MP 01 F. r , mIxToN te.sm. Poor . / / T7 BAY STATE DESIGN EX F., , _07 / 1,11 / /7 I I 'X' E■ISTINC - PMF ' L - / 1 . ,-,PRIOPOSID !OMR Amor ilk [ =4'.K'',. • _____. — I / I Pri+5, , J141,55 ,Ev >RE AF,r,' 111 PP,ESSIONAL EN R. , A TH1 1 .....iiimm=1'! . 1 — DIVING PE,I,T7O al 111: REV DATE PRCJECI 4 DES., 8 ,,, , C , LE 288, / / P Paw Imo 0 , Ko:104 WOW 6 51, NAML. r 1A-msoon Man r ■ / e' / / / SPMA007313 NORTHAMPTON, MA i,,,, PAP,14C LOT 30 LOCUST STREET NORTHAMPTON, MA 01061 OP,V,13 711,, SITE PLAN MAY ENTR / LAN A-1 SITE P 0 , . GENERAL NOTES: CONCRETE AND REINFORCING STEEL NOTES: ELECTRICAL NOTES: Z ,q , , , ,, , , i „ ,77... , 0 „,, , , , , , w ADHERE 70 POCKET COMM.,,,,GYES CELL SI, CCY.STPLI,ON ' 4 21 a Pf ' [. : T=Y[71j ' CA ' S ' TPL E C. n,=x - - ' ,:i zl-ev,'A'z,v,-.T.n„',;. ii 1.,, •! ,,,,- . :YEMYALS ''' '" r v , Pocket Communicallens 1 Federol Street ' r r ' t ' Arl ' s■Irl - E r l? TIncrZ '"' , PENFORCIL, S'rEEL ,LALL CtREFORM TCY AS, Y 615 °RADE 53 DEFORMED YNLESS NOTED OrrERwiSE EVE.SED WLF, FABRIC SHALL CeNFOLEm . AS, A 195 WELDED STEEL WIRE FeLeiN0 3 ,L. EE,N,3 LNCERC,,YED LYNES , STE SHALL BE E CCATE.D PPIE. TO C.SIPLICTiON JNLESS ea OT.E.,,, SPLICES SHALL BC CLASS . E1' AND AIL_ ;POCKS SHAELL BE STA.., Efiidding #111 JNO I CIAD ;OTC, ,E , ,ES. OBT,N PERM,S AND LICE,LES, BAY FEES AYED BACY CHAP,E5. AND Spring,eld. MA 01■05 ' - , 3 . ,i■Te.Z " 141. , P : % ' .c. ' ,= H r '''." '''' A THE roueelt, 1,EBALTA CONCRETE CO,EP 3,ALL BE PROAIDED FLER BEINF.CING 31E, .OPTAIN NECESSAR` APPY;ONALS CR., AL.THORINES 7E „LC .L.ISDIDTICN .,! ■ - ' ow:7 uNEESS Ly.THEAw, ON F........CS. C4 ' 'An'BEC..4:E.'GI'4*E.DEMAnDRLA=S7ICN'ELZS'AZ'S=C7P4;;;',"ES'"'" C,DPETE c,r0SED 7, EPPYH ..E.Y,FE )0. Ay, ,p,c,„ 2 , ' TE: '- ,2 ' 1E=.L ' S ' TBZ1■ .' 6N ' 1 ° E1ATE ' Al r' V ' C'"''' ''''''' "' '"AL "''' MS AND sueLLER te vo, , ',2 , ' ' FZEV , ' F . I . ..: ' ,.: . , ; :iy ' E ' o r i:17:1LFAL ' ALNritn:f;n4=N AL E=ErUY ' ZIET r,nT CCNDRE, NOT D.POSED Y; EARrp CR A/Co:THEP OF N, CAST AGAINST T4E OPO,D.- Y. ALL „YERC.R vEALL PENEYP, ONS SHALL SE SL,BND SEALED H MIXTON SCAB AND WALL 3.A. IN VAYERV.L AND EQUIPMENT SHALL BE LE,. NO, Ay, IEEE A, 4 ;EBB APPRO,D ;CR CA ,NDED SERVICE. RAY STATE HAMS F. COLO.; 1 1, IN , .; ,ALL HE , ty ACCDRDANCE YoTH LC,. ,ILIT■ COMPANY ,OLAREMF NIS ANC DE:91431.4: 5 A ...ADP 3, SHACE BE RAO,LE AT ,L EL EDGED OF CONCBETC. ' n T 1n0 " 6 " ATr Z = B PiLP FCC MAN.,. ENHANCED E,RDENCY (EBII) SEP,IC,E IS REGYRE, , MEET NATIONWIDE ST.DARDS FOR EY.KLESS COMALLENCATIONS 5,EMS. yESSEEELICEYASEE'S mPLEMENIATION e. , EXP.., WED, A,C,R. SHALL BE , E, 1,14N,ACIlLPER, _ -, BE CI TIDPI,A,NT C, Erli,m,T AND ANTFEAA cFLEFRAiir DF,CITEL DLE THIS PLEIN. ' ' 1 . ,, G , ' , DESIE , L u aLSZD ' C ' n; ',. TEN C : T IZATAI ' „ ' = - L■rL,14 ' TIGIB N I%nI2 c , ArTACHED TO . 4.7,,ETED IN ,OSE PROxiMicr , D, ITTS RADA° CABLBEYS LESSEE RESER,CS YYLE BIC TG, VA, RE.SONAB, MODBICANDNS LC ED, EOullAME, AND L OCATION . ' L PR ENDNEER,L0 APIPRCVAL C,C;ETE MINDER TE, , riy,NOLD, ENO,D; 10 MEET GEDDIRED SPEC1F °NS. i I. ALL NEBYA„ y. .,,,,, „ALL T, PROEIDLD .17c BDND BOSI E. DIE CE.NEPAL 3,11,1CTOP SHALL CRO,DE CE,FiCANON P. TP., CONCRETE SUBBLL, . . DRAWN, VC. SHALT EL 7,7f D " '. .1.; ' "r; . r . ;IPE r L g :I g';?,ELV-,7,AEngWATL,LL , 60 ,13191;019181104,4*,,E.49 COVIAEETION OF THE,. r...4 SITE WORK GENERAL NOTES LA .E.,AFANTEE ...; IN ..,L71, FOP ONE YEAR PROM DATE oF FINAE ACCEP1ANCE REceiR OP , CONTPADDC, SLYALL ,NTALLE D, SAFE ,L-568-5,-SAFE) PR 70 DOMM.CE.MENY Of STRUCTURAL STEEL NOTES: *OPP 2 ALI E ACYLA, SEWER WAL CEA, EEED ...,4D OTHER ,LITIES WHERE ENCOCLCYEPED , rHE ec,, SNALL BE PL;OrECTED , ,_ NuES AND WrIERE .E0c FOR -, t; ,I,OPEE ' .. E.OY,7ZJAWrirCTrT4TE 44 EYEW DP 7BE EVOR, ,ALL BE RELOCATED AS D:RECTED BY ENDI,EERS. ,BEN; CAUTION SDRUCTYPAL ;YE, F. BDILCLND• NIN. EDIT!, ',Oct.; DE ...SEC Pr Yrf SI:BOON E,NEN EYE CP DRILLI, PIP, ARIAL.ND . NEAR .,T,LcEi SLACCNYBADYDRS SHA, PALO,E SAFE, TRA.NLYEC POR THE nrGPArND CPEW 2 A, ,EEL E , THE WEATHER SHALL 6, LrOD-D CAyvAN,CLI LNTEL,CR STEEL SHAL. THIS WI, NCLI El, N, BC UNIFIED DC. , FALL PROYECT 2 CONFINED ;PACE Cr GROUNDING NOTES: BE PALNIED FLECENBC, .FDTr D1 7,EIL.,NC. 4 EACAVAY, 3 el L STE vrOax SH, . AS INDCATDD CAE ,E DRAWING; AND PROJECT SPE,,A1rONS ' ; " ''"' , ALL LEROLLND WRE SHALL. et PAK LIPPER .12 A., UNLESS ELL.TNERwiSf rolEn ' hr '' ""P "'" '''" " 4 ELYSEL PIRE SPAL. CCNFORM TO AS, LOCO . COLD-f05MED WELDED LY SEAMLESS CA;BOYE ' L. ' BTL ' IrPFDTR ' S - , ' AR ' 4? "' eN . r '" '''"L .5TEEL STRUC, YUDINGY GRADE A . As, A53 A,E, BIM el,C, END POT-7,,,i PNCYCOATED WaDE, AND 5,,,I,E, D,E E OR S, C.RADE B PIBE SCES INDICAYED APE 6 , g ,.. C ,„ ;_ ,J, ,,JMBANkAI;NY MATERIAL SY., BE A , F;LCZEN GROUND , CEEN MATERIALS. ' C'ErFiSFCC.ZFYIF.P4;;AZe[17:7FTZEIT).i'SZCISIFF.HE'L" 4 BA, EDUIPMENT ,ABNEY ;HALL BE CO,EC 7,7 11, MASYE, 50,,C, CRODND BAR ;4,, ., ,2 ey, eTCW UK,. 01 NOTED EQUIPMENT .13:NETE SnAcL WY PA, Cfl CONNECTIONS T. ln, SAD CRAPE ;NAY BC CDMP,TED AND BROLJGHT 3C. A Sm007,1 yfElECRM :RADE CRPOR YO 6 CC,ECILONS SFIALL B; 1.1.1DC , ,,,C. 3 4' DIAMETER ASTM P325 B,LTS ;,,,, 7,11 ,, SLIp 3 PFC.,. BEDEWED ECLL AWO 2TC. EFY. CAI, ANTENNA vOLLALYING . TC ASS.CELATED C LITFLI,L POR PC,R mCI,liNG B PEP SECTOR, 8 ALL ErYS iNACT,E SEND, WATER DAS ELECTRIC ANC 0,ER Ifli,DES, LL,E, INIERFERE CP,All. OP WELDS. YINLEESS Y.LTTED DTPERVEISE. IF TENSION CONTROL 9,x, ARL USED. ENC,,,,,,AND S fl, 41, ,E EALC,ON , THE AiDPK SHALL BE REM.. AND;OR DAPPL.D. P.LY,CED . CONNEC,ONS ;HAI, BF :LES,. c, SOP CPITICAL BOLT ALLOV■ABLE L,0 cAL,ES. : ANTENNA CRO,D A, SHALL 3E A.1,,ED AND IN,,,ED Br ELECTRICAL LEWTRACM4 WORK CL, 1, ,L, AFTRO,L Oi ENGINEERING. CLWNE, ANL,DR LOCAL .. ' ' ,: , , L . L: : :,T,,E . ,,IT 9 r7Lc * : ' , ' „V,T; - : . 07 ' L ' a V:n A. tX,./TPF.'",'C'N'IliMILLSE 3 COORDLNA NEry , ,,,ND SYS V,. EYISTINC SD, OPOOND ,S7Eil :T ,s a ',C.,. , .AN F. Alyr PERS,, ELNLESS YHEA ARE ACNN, LE YEEE DIPE,YON 0 c LE CENSE, g ■ T A - C r SE * ZI ' FIEM L T '.4WYTr" EL EAC SE,CN , CABLE tRA, , BRIDGE AND ICC SHELD SHALL BE CONN,. , A 9 ; WDLDS OPiLL . SAW CUTS AND ALL CAMPO. SA,..3.11,,, SuPrACES SHALL PE ' i A T. E ' N ' CCCVErrXIELP 4 FIULZr1,L r' LLO ', X . IY .1 :=5 ' ''' ir ' F17 . DEL ''' ,:i . E W EFF FRSI '' O ' FA CE .i ''''E D '.' l i ' L '' N ''' '; ;''' CFN -r 4 E' XO7 L'"7L'''' ''''''''''''..r. REPARE,. wi, AN OPCANCE 7,c. REPAIR RANT ,C.LAPyce, w,, REBL,REMENTS Or ASTM A780. .LAAHLDNG REPAIR BALNT SHALL HAVE 65 PERCE, 3iNC BY wELC,Y ORO Br DUNCAN ,L,N.ZIND GAL, BaiGHT PREMIUM FY CROWN 3P EQUAL_ THICyNESS Or APPLIED LI TY, SI.E.CONTPA,C; SNLI PROC.01 SI, ,CNAGE Lry ACCORDANCE Ai, TELE POCECT PLC; ,L;ANZB. PEFAIR P.ATIT SHALL BE N, NA, .CS5 TLEAN 4 C., , a,o, FOP DRY - ME ' ' g ' ,.,I,E T ,LnPLnyr, , M, 5 ,21!M ' P L' c ' TN^ V . " =0Virly:rN% -- YML , LIDZ ' s%Z r Ef ' DEIWEEY .1 . . RESULT., COATING D,CENE, .E.IRED By AS, Al23 . ALS; P3 SY., CE NON ' ' ' APPLCABLE IT CONTRACTOR SYL;., COMP, .ITH a., :BCE %L. BROaDURES APPEARANCE AND C,,, , .' PI Tr LER AYLDS. AND FO, MEN-1005 USED rE 7.C.B.RECE,L; YEELDINC , WELDERS AND WELD.: P,OCESSES ;HAL. BE OI,LIFIED , N ACCOPLANCE LSI, AV, r .OLJALIFIC,O, , ALL B.SL, WAA,,,,, AEND NUTS .ISES C, GROUND, CONNECTIONS SHALL DE ST,N.;E; 0 CVD4409 ISSUED L B-FEIEEt BeDCEDURES A, wELDING SHALL BC SO'. LAIN., Epf,'Y DIECTRODES AND wrED1NC, ,ALL STE, SOIL COMPACTION NOTES FOR SLAB ON GRADE: CONFORM , ASC ,D Dr wHERE A,,,EY WELD SIZES APE NcT ;HCAN. ,PL,DC THE MINIMUM SIDE PER ,B, J2 IN 7, A, ,AAN,L OF STEEL CONSTRuCTION rr EDL 13 LIESTALL c.,,,, SYLSIIING , ALL mETALLLC CDTIDN, AND PDNO 'C InE ELYI.,,LE, ..RDLY, REV EaTE DESCR CDS B., - NE; AAN,LBOARD ' :;., '''' '"'" ' ''''' '"'"' S'""E , 1,1STRUTS SYL,, BE FORMED FEE. CHANNEL STRUT MAO, AS. NIAN,FAC BT OILVSTP.,, PF r: DEBIL,E; SD . SCAIE ,YERWIS, ,C,'. AND SHALy SE yLT-DiP DALLEANIED AFYEB YABRI,,C„ " Fr:: '' ,6^ ,, 7 ""' ' ' AS N 2 D.RACETED Soa-BASE SHALL 8; L,NIF.AL ANC E E.SLED P NIINALDM CPCSHED SYONE , ',A COMPACTED :N 3 LIFTS , , , pp.2 , :r4ALLE, tV:E; LLON Su,. pREPAChADED ,., .L7H A WYO., ,S. CP0,, LOA,AL SPCLD , BOTH ENDS ,S,D MEANUFACTURER .5 CELYDELLNCS ,AFE NAME. 3. EZY , 0 0 B , E=4 , ,,BLE DRuNI CORATOPy , D,E, clEARA,PY PLC., COMPACT, 0; yLLOPING :6 01,Lp. SYSTEM SIALE 9, IESTED AND , A, A FfSiS,NCE OP 5 OHMS GR LESS : 30, STABILIZAT CS FAB?, SHALA BE ,RAF ;EL, CR E., T A mANNER AS 7D NOT VC ',E ,L.,,,, RD, evARRNALTy SPMA0073B NORTHAMPTON, MA 30 LOCUST STREET NORTHAMPTON, MA 01061 • GENERAL NOTES GN -1 0 1I U Pocket Street Communications pficket ede o 5ir Budding #111 Springiietd, MA DT 1D5 S MART WIRELESS M/XTON 1""1 HAY STATE DESIGN S MA00 73 0 - 30 LOCUST STREET z Eo� t- „ .,.. _.r 10 r1,1 NORTHAMPTON, MA 01061 0 w PROJECT SCOPE VICINITY MAP (NOT TO SCALE) 0 CODE COMPLIANCE SHEET INDEX Y rA. SHEET DESCPIPTICN THE PROPOSED SCOPE OF WORK GENERALLY ENTAILS THE 1: I RUILDING CODE_ LLASSaCHUSETTS STATE eupLDING CODE T TITLE SHEET Iry N Or: 7TH FDTION. GN ' GENERA -- G NNAS. ∎TH L V T BIDGE OR GABLE N' TRAY, _ RF k PPC CA 6IN INCLUDING .H- NEC UTILITIES. J * 2- NEC-2008 CODE. - SITE PLAN NEC -20Db A -1 ROOF PH. EQUIPMENT LAYOUT PLANS 2. A TOTAL OF 13) PROPOSED PANEL ANTENNAS MOUNTED 10 A -2 EAST ELEVATION ENLINEERTLANO SURVEY, THE EY15TIN0 STRUCTURE. - 4” A -3 CONSTRUCTION DETAILS 3 ELECTRIC & TELCO SHALL BE ROUTED ABC0E OR 5 -T 10,0TURPL DETAILS - U .R R TO THE PROPOSED E]UPMEN IN ACCORDANCE (J E - 1 POWER AND GRUNDLNG RS:R D'A�RA 15 AND O[1 05 WT.. LATEST NEC EDITION ADOPTED B 'L]CAL AUIHOR.T•E5. EN AL', a P REHISIONS PROJECT SUMMARY T , PROJECT INFORMATION APPROVALS u APPLICANT / SSE 1. THIS IS ALL UNMANNED TELECOMMUNC n0N FACILITY LANDLORD: YOUGH10GHEN COMMUNICATIONS NORTHEAST. _LC. C�h T51 OF BI 0) 210051 AND NE!. ANTENNAS 0' 84 o0 R RENEW 0/0 /A POCKET COMMUNICATIONS Z ALL NIS SHOWN H .INI HEREON ARE .x_ UNLESS OT..ERWISC _ _ A v DATE DESCRIPTION 1 FEDERAL S PE T. BUILDING Hill NOTED SPRINGFIELD MA '1105 PROJECT A- LB.,' Br ou SCALE . TH■ ,s AN UNMANNED Ego., THE SITE WILL CREATE NO CONSTRUCTION MANAGER: Duo RP JRL PROPERTY INFORMATION TRASH, THU5 2100 005 •TO o,MPSTER 2b82 J21 2X88410611AV/ti As Novo SITE ADDRESS. 30 LOCUST STREET G DEVELOPMENT AND USE 00 THE SITE WILL CON1ORM TO ALL - — — — — — — PATE HAW NORTHAMPTON. MA 0106: APPI!CABLE CODES AND ORDINANCES RF ENGINEER; PROPERTY OWNER. COOLEY DICKINSON HOSPTAI. INC. 5 AND PIAMMA200 111UI0 SOURCE PACK BATTERY "" SPMA0073B 30 LOCUST ST0MET N. - — — — — — — J NORTHAUPTO 01061 _ S NO POTABLE WATER SuPRLY IS TO BE PRO,DE0 AT TH5 NORTHAMPTON, MA ID LOCATION. BUILDING OWNER Co2LE0 DIS011005 80SPITAI, INC SITE ACQUISITION AGENT: 30 LOCUST STREET 7� 7. THE POCKET COMMUNICATION MAINTENANCE CREW (TYPICALLY NORTNAMPTOIV. MA 0'051 DRIVING DIRECTIONS HO VISIT A - DOE PERSON) W MAKE AN AVERAGE 04 ONE TRIP PER ss. MONTH AT ONE HOUR PER P0KET DammuNICATIONS ALAN STUMPP 9- FAGILItt 9; UNMANNED AND NOT FOR HUMAN HABDAT05. CONSTRUCT'E,N MANAGER: HANDICAPPED ACCESS NOT PEOWRED 30 LOCUST STREET FROM POC _0 STRUCTURE TYPE. ROOF '0P ONTO MAIN 5T 5 ^O E FEDERAL HT 0 =T 'TURN 5-2 0 H E UW ABL5 AL MERE D RAM N THW US-5 GENERAL CONTRACTOR NOTES ""` , • COORD LEFT 2 ON r0 MOUNT ' - :ONE/ P M R OA 5 EO E e S CAN E TO FOLLOW 5 , OLLD NA'ES: O N LONGITUDE: ' 1 93" E 4 E ST. R . 101 0 ENE IURN DEFT , 0001. TO MA, LONGITUDE: w �z IP 3s' lzaa ELM IS TURN LEFT ONTO ELM Si. s FoLLCw 10 ',GENET s TURN LEFT ONTO Locusr STREET. SHEET SITE IS LOCATED , TT LEFT. \ UNDERGROUND D N T SCALE DRAWINGS SERVICE ALERT E rOV B4 CO N R,ACTOR HALL VERIFY ALL PLANS AND E0IS1wG CALL TOLL FREE D sIONS AND CONDITIONS o CB rE AND °R.WwR VO /1 1418-010-SAFE 0, AN SHALL IMMEDI T NO13, THE RC E.CT IN WRN:NG C \ - -- THREE '*008,20 DA, 0 ANY DISCREPANCIES BEFORE P C EGIN WI H THE T -1 SAF ■ • w \ AN AP Ay 47 Washington Road, Scotia, New York 12302 Tel: 518- 986 -3390 Fax: 518- 346 -7308 Email: Klightl @nycap.rr.com October 9, 2009 City of Northampton Office of Building Inspector Puchalski Municipal Building 212 Main Street Northampton, MA 01060 RE: Pocket Wireless - Cooley Dickinson Hospital, 30 Locust Street Dear Mr. Patillo: You and I had spoken awhile ago, and I followed up with Carolyn about the procedure to follow for submission /permit request. Thank you so much for all your help. As we discussed, attached is the Application for Permit. It's my understanding that submissions received by Wednesdays are reviewed by Fridays and direction is then given as to how we are to proceed, and if we are required to go through the planning board. The hospital building currently has antennas installed for other users. For your consideration, enclosed please find the following: 1. Application for Permit signed by the hospital as owner (approving me as agent) 2. Drawings showing Pocket's proposed installation 3. Passing structural 4. General Contractor License 5. Fee for $150.00. Thank you so much, for all your help. I may be reached at the number above. Sincerely, le if% ji Kelly Light, Consultant Versioai.7 Ce rpert ial Auiidatg May 1-, • I sf* Enpieisettt 0.40,4 u R e3ted . Yed - 0 No . .. � Rx��t�'iR'I � tit • I, .....N ... c , ii±r 4.)—a s 'CZGt • 1 l eeaiiite a • heeebymath/NO •...:_ e.,:1..._.: • I. act o my behtii, is a t riradtt„e rrfatir*S faun t1t -miithorbild by W. buiidin6 pean'+it.a : -,-;.• ..•_.._-_. 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ADDRESS/PHONE 241 BOSTON POST RD N MARLBOROUGH (518) 986 -3 PROPERTY LOC , 40—LOCUST T ST 1930*POLP)+4td mAp . 23B PARR l ¢ 00`l °' 1 x :' ; _ V/WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ; 2 J ,gtol., Fee Paid Typeof Construction: ADD 3 ANTENNAS TO EXISTING & 1 CABINET IN BASEMENT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 69611 3 sets of Plans / Plot Plan THE FOLLOWING AC ION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P ENTED: Approved t, Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER: § j , 9 ti C`°r7n►t+l <.ar Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit fiuni Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay " Signature of Bu ing Of ici. Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to lhuse applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information.