39-060 (17) 8 7 6 5 4 3 2
POLE SPECIFICATIONS SHAFT SECTION DATA
POLE SHAPE TYPE: 18 SIDED POLYGON SHAFT SECTION PLATE LAP DIAMETER ACROSS
ELEV. 162'0" TAPER: 0.26002 IN/FT SECTION LENGTH THICKNE SPLICE FLATS(IN)
F SHAFT STEEL: A572-65 1 48.88 0.1875 3.75 13.000 25.710
2 32.17 0.3125 4.58 24.360 32.600 F
BASE PL STEEL: 60 KSI YIELD STRENGTH 3 47.25 0.3750 5.93 30.802 42.940
ANCHOR RODS: 2.25 INCH A615 GR 75 4 47.96 0.3750 0.00 40.667 53.000
IM R M POLE MODI A CAII ON SCHEDULE
A
ELEVAII ON(FT) NADDI FI CATI ON REFERENCE SHEET
S-S
E A 114129 Shaft Rei nforoement S-5 E
ELEV. 113'1 6" R GO FLAT PLATE(65 KSI) RD WORCI NG SCHEDULE
TEPMNA11ON TERMNATION TE AJAX BOLT STEELWEIGHT TOTALAIAX TGTALSTEEL
BOTTOM TOP ELEVATION MAX I NTERIVEDIA
BOLTS BOL15 BOLTSPACING CIMMY PER PER PLATE BOLT WEIGHT
ELEVATION(FT) (FT) PARTNUVBER FLAT/DEGREE() ( (TOP) PLATE (BLACK) Q-WqfRY (BLA
114 129 CCI-AFP-MI0015 2,914 8 8 T-91 22 229!5 66 6885
D D
66 6895
ELEV.84'8$
NOTE'S FORCIZOM RONFORONG(651G)MATERIAL-
1 DO NOTVIIQD WTHOUf APPROVAL FROIVITt-E EOR.
2 SHINS FOR NDNOPOEE REI NFOFEWENT IVFIVBER SHALL BE REQU RED WH RE GAPS BERAEEN THE POLE SHAFTAND REJ NFORO NG NEIVBER EMSTAT FASTENER LOCATIONS.FOR
INTEMMATECONNECIIONS,THE MNIKUSHMLE%-THAND W DTHSHALL BETFE W DTH OFTFE RONMMNG M3VBER FORTOWNATION CONNECT10NS,ACONTINUOLS
SHMPLATE(PREFE1iRE"ORECLUVALENTINDIV IDU ALSHMPLATESTFEWIDTHOFTFIE REINFORONGNE IVBERNAY BELISMSHMfHOW6S SHALL BENO LESS THAN 16'.
STACKINGOFSHN6IS PERMTTEEL
3 ALL FLAT PLATE RL7 NFORMVFNT IS TO BE I NSTALLED CENT1RiED ON 115 DESIGNATED RAT UVO Ae roSolu#rons LLG
�:'fizr77�j'YC.r r_1h'dr;±MPf:_"'.0^o
4 SEEaVRP 65161 PARTS CATALOG2nd lD111ON FOR PARTDETAIIS.
THIS DRAWING IS COPYRIGHTED AND IS
5 AS AN ALTERIVATIVETO LISING DTI WISFERS,AJAX BOLTS MAYBE PRErMONED PERTFEAISCTU2N-CF-NUT 11/Efl M THE SOLE PROPERTY OF CROWN CASTLE.IT
IS PRODUCED SOLELY FOR USE BY CROWN
00 9/19/14 INITIAL RELEASE MB AND ITS AFFILILATES.REPRODUCTION OR
6 ON M INDEDPOLES,E)a STINGSAFEfYQJNBISCONSIDEREDFAT111ENFATSARENILWBMO0UVTERCLOOMSE USE OF THIS DR AWING AND/OR THE
ELEV.42'0" NO. DATE DESCRIPTION BY INFORMATION CONTAINED IN IT IS
7Q)MIINGPEGSTOBERELOCAT DA5FQUFM FORBIDDENWITHOUTTHEWRITTEN
REVISIONS PREtZ56N OF CROWN CASTLE.
PREPARED FOR CROWN CASTLE SITE NAME:MA NORTHAMPTON II
BU NUMBER:aws 0
WO NUMBER:929524
SITE ADDRESS:
ATWOOD DRIVE
e NORTHAMPTON,MA 01060
HAMPSHIRE COUNTY
�.�
0 F 9SS+ ENG/QA BYSC DATE:9119/2014
�'� q�ti
WN D. GN OFT BY:MB DATE:911912014
og COOK 0i
ELEV.0" V CIVIL vy DFT/QA BY:BU DATE:9119/2014
No.50725
APRV'D BY:SC DATE:911912014
Oc /STf
F`SSIONAt ENS' SCALE:N.T.S.
A
ELEVATION
SCALE 1 : 120 ^ 5 1001
e 7 6 s a 3
8 7 6 5 4 3 2
AJAX/DTI BOLT SPECIFICATIONS AND TIGHTENING PROCEDURE
M20 AJAX/DTI BOLT ASSEMBLY COMPONENT SPECIFICATIONS:
REINFORCING MEMBER
(EXTERIOR OF POLE)
BOLT: MONOPOLE SHAFT SHOP DRILLED HOLE IN REINFORCING MEMBER
AJAX ONESIDETM BLIND BOLT(M8.8;EQUIVALENT TO A325) 1-3/16" MAXIMUM
FINISH: HOT DIP GALVANIZED PER ASTM A153. NOMINAL 30mm(1-3116" BEFORE
GALVANIZING, HOT DIP GALVANIZED PER ASTM A123
SPLIT WASHER: FIELD DRILLED HOLE IN SHAFT WALL, RUBBER WASHER
AJAX ONESIDETM SPLIT WASHER
FINISH: HOT DIP GALVANIZED PER ASTM A153. NOMINAL 30mm(1-3/16" MAXIMUM) (1-1/16"OD X 13/16"ID X 1/8"THICKNESS
COAT WITH ZRC ZINC M20 SQUIRTERS DTI
SHEAR SLEEVE: COLD-GALVANIZE COMPOUND. AJAX M20 BOLT
E Fu=120 KSI MIN.(ASTM A519) NOMINAL 20mm OD E
29MM O.D.x 20MM I.D.
LENGTH=NOMINAL[GRIP-6MM]=[GRIP-0.25"](TOL.-0",+1/32")
SLEEVES SHALL BE ROUND,WITH ENDS CUT SQUARE AND DEBURRED.
FINISH:GALVANIZED(COLD GALVANIZED AS PER CROWN ENG-BUL-10149, HOT DIP GALVANIZED PER ASTM A123,
MECHANICALLY GALVANIZED AND SPUN)OR CADMIUM PLATED.
SOLID WASHER: MACHINED END OF BOLT FOR
AJAX ONESIDETM SOLID WASHER A AJAX INSTALLATION TOOL
FINISH:HOT DIP GALVANIZED PER ASTM A153. AJAX M20 BOLT HEAD:
DIRECT TENSION INDICATOR WASHER: 29mm OD AJAX HH NUT
SQUIRTER®DTI,ASTM F959M (LUBRICATE THREADS, SEE NOTES)
FINISH:COLD MECHANICALLY GALVANIZED(TO ASTM 8695)AND EPDXY COATED. AJAX SPLIT WASHER _ I A _ HARDENED FLAT WASHER
D
MANUFACTURER: AJAX SOLID WASHER D
APPLIED BOLTING TECHNOLOGY PRODUCTS,INC. SHEAR PLANE GRIP
1413 ROCKINGHAM ROAD,BELLOWS FALLS,VERMONT,USA 05101 SHEAR SLEEVE
PHONE: 1-800-552-1999
WEBSITE:WWW.APPLIEDBOLTING.COM (29mm OD)
DISTRIBUTORS OF SQUIRTER®DTI's: DETAIL 1: M20 AJAX/DTI BOLT ASSEMBLY
hftp://www.appliedbolting.com/applied-bolting-distributors.htmi
FLAT WASHER:
HARDENED FLAT WASHER,ASTM F436M(MINIMUM HARDNESS RC38)
FINISH:COLD MECHANICALLY GALVANIZED
HEX NUT: _Ae_roSo/utions LLc
AJAX ONESIDETM HEAVY HEX NUT
FINISH: HOT DIP GALVANIZED PER ASTM A153. THIS DRAWING IS COPYRIGHTED AND S
THE SOLE PROPERTY OF CROWN CASTLE.IT
BOLT ASSEMBLY AND INSTALLATION: IS PRODUCED SOLELY FOR USE BY CROWN
00 9/19/14 INITIAL RELEASE MB AND ITS AFFILILATES.REPRODUCTION OR
BOLT ASSEMBLY SHALL ADHERE TO THE REQUIREMENTS OF DETAIL 1. USE OF THIS DRAWING AND/OR THE
NON-PETROLEUM BASED,WATER SOLUBLE, INERT BOLT LUBRICANT SHALL BE USED ON ALL AJAX BOLTS TO ENSURE PROPER TENSIONING OF THE ASSEMBLY. CARE SHOULD BE NO. DATE DESCRIPTION BY INFORMATION CONTAINED IN IT IS
- WITHOUT THE WRITTE
TAKEN TO ENSURE THE BOLT HEAD AND SPLIT WASHER ARE NOT LUBRICATED AS THIS MAY CAUSE EXCESSIVE BOLT SLIPPAGE UPON APPLYING TORQUE,WHICH MAY LEAD TO REVISIONS PREMISDSIION OF CROWNCASTLEN
DIFFICULTIES IN ENGAGING THE SQUIRTER®DTI WASHER PROPERLY. NOTE:ONLY LUBRICATING THE THREADS OF THE NUT MAY ACHIEVE BETTER RESULTS. PREPARED FOR CROWN CASTLE SITE NAME:MA NORTHAMPTON II
THE TYPICAL RULE OF THUMB WHEN USING AN IMPACT WRENCH IS TO ENGAGE FOR NO MORE THAN 10 SECONDS. IF THE BOLT IS NOT SPINNING AND THE SQUIRTER CAC
HAVE NOT ENGAGED AFTER 10 SECONDS USING AN IMPACT WRENCH,REMOVE THE NUT AND REAPPLY LUBRICANT.NOTE:PROLONGED USE OF THE IMPACT WRENCH TENDS TO BU NUMBER:800530
HEAT THE BOLT THREAD/NUT,THEREBY,INCREASING FRICTION ON THE THREADS WHICH WOULD REQUIRE ADDITIONAL TORQUE. HOLDING FOR LONGER THAN 10 SECONDS CAN BE WO NUMBER:929528
COUNTERPRODUCTIVE.
SITE ADDRESS:
A MINIMUM OF 4 OUT OF 5 SQUIRTER®DTI"BUMPS"SHALL BE ENGAGED IN ANY AJAX/DTI BOLT ASSEMBLY IN THE END CONNECTION OF REINFORCING MEMBERS. INTERMEDIATE ATWOOD DRIVE
e BOLTS SHALL ENGAGE A MINIMUM OF 3 OUT OF 5 SQUIRTER(g)DTI"BUMPS". AMPSHIMPTO COUNTY
060
V HAMPSHIRE COUNTY
DTI WASHERS MUST BE PLACED DIRECTLY AGAINST THE OUTER AJAX WASHER WITH THE"BUMPS"FACING AWAY FROM THE AJAX WASHER.PLACE A HARDENED WASHER BETWEEN OF M46
THE DTI AND THE AJAX NUT.THE DTI"BUMPS"SHALL BEAR AGAINST THE UNDERSIDE OF A HARDENED FLAT WASHER,NEVER DIRECTLY AGAINST THE NUT. ENG/QA BY:SC DATE:9119/2014
o� SHAWN D. 9G
FOLLOW THE DTI MANUFACTURER'S INSTRUCTIONS FOR INSTALLATION, LUBRICATION,TIGHTENING,AND INSPECTION. g COOK a DFT BY:MB DATE:9119/2014
INSPECTION: v CIVIL ti DFTIOA BY:BU DATE:9119/2014
VISUALLY INSPECT ALL BOLT ASSEMBLIES TO ENSURE THE MINIMUM"BUMP"ENGAGEMENT AS DEFINED IN THE SECTION"BOLT ASSEMBLY AND INSTALLATION"HAS BEEN ACHIEVED. /1 No.50725
FOR MORE INFORMATION ON INSPECTION,SEE THE MANUFACTURER'S GUIDELINES. o�9FG/STrS- ��Q APRV'D BY:SC DATE:9119/2014
WHERE FEASIBLE,CHECK A SAMPLE OF THE END CONNECTION DTI WASHERS WITH THE APPROPRIATE FEELER GAGE. IF THE FEELER GAGE CANNOT BE INSERTED TO THE BOLT mss/ONAL E��'\�
SHANK HALF WAY AROUND THE BOLT,THE INSTALLATION IS OKAY. IF YOU CAN INSERT THE FEELER GAGE TO THE SHANK ALL THE WAY AROUND THE BOLT,THE INSTALLATION IS SCALE:N.T.S.
NOT OKAY. IF YOU FIND MORE THAN ONE SUCH"NOT OKAY"BOLT IN ANY ONE END CONNECTION,CHECK ALL BOLTS IN THAT END CONNECTION. A MINIMUM OF THREE BOLTS SHALL
BE CHECKED IN EACH END CONNECTION. PHOTOS SHALL BE TAKEN TO INDICATE THE BOLTS TESTED. AJAX/DTI BOLT
ALL BOLT ASSEMBLIES AND DTI WASHERS SHALL BE VISUALLY INSPECTED. THE BOLT INSPECTOR SHALL PROVIDE COMPLETE PHOTO DOCUMENTATION OF ALL BOLTS AFTER SPECIFICATIONS AND
TIGHTENING CLEARLY SHOWING THE CONDITION OF THE DTI WASHERS. TIGHTENING PROCEDURE
REV
S-4 0o
8 7 6 5 d 3
8 7 6 5 4 3 ?
GENERAL NOTES STRUCTURAL STEEL NOTES
1.ALL WORK PRESENTED ON THESE DRAWINGS MUST BE COMPLETED BY THE CONTRACTOR UNLESS NOTED OTHERWISE. THE CONTRACTOR 1.DESIGN,FABRICATION,ERECTION,ALTERATION AND MAINTENANCE SHALL CONFORM TO THE FOLLOWING,UNLESS NOTED OTHERWISE(UNO).
MUST BE EXPERIENCED IN THE PERFORMANCE OF WORK SIMILAR TO THAT DESCRIBED HEREIN. BY ACCEPTANCE OF THIS ASSIGNMENT,THE A.TIA-222: STRUCTURAL STANDARD FOR ANTENNA SUPPORTING STRUCTURES AND ANTENNAS
CONTRACTOR IS ATTESTING THAT HE DOES HAVE SUFFICIENT EXPERIENCE AND ABILITY,THAT HE IS KNOWLEDGEABLE OF THE WORK TO BE B.TIA-1019-A: INSTALLATION,ALTERATION,AND MAINTENANCE OF ANTENNA SUPPORTING STRUCTURES AND ANTENNAS
PERFORMED,THAT HE IS PROPERLY LICENSED,AND THAT HE IS PROPERLY REGISTERED TO DO THIS WORK IN THE STATE AND/OR COUNTY IN C.AISC:MANUAL OF STEEL CONSTRUCTION
E WHICH IT IS TO BE PERFORMED.
2.ALL STRUCTURAL ELEMENTS SHALL CONFORM TO THE FOLLOWING REQUIREMENTS,UNO.
2.THE GENERAL NOTES AND TYPICAL DETAILS ARE APPLICABLE TO ALL PARTS OF THE STRUCTURE AND SHALL BE READ IN CONJUNCTION WITH A.STRUCTURAL STEEL,ASTM A572 GRADE 65(FY=65KSI).
THE STRUCTURAL DRAWINGS AND PROJECT SPECIFICATIONS. B.ALL BOLTS,ASTM A325 TYPE 1 GALVANIZED HIGH STRENGTH BOLTS.
C.ALL NUTS,ASTM A563 CARBON AND ALLOY STEEL NUTS.
3.THE CONTRACTOR IS RESPONSIBLE FOR OBTAINING APPROVALS FROM ALL AUTHORITIES HAVING JURISDICTION FOR THIS PROJECT AND SHALL D.ALL WASHERS,ASTM F436 HARDENED STEEL WASHERS.
NOTIFY THE APPLICABLE JURISDICTIONAL(STATE,COUNTY,OR CITY)ENGINEER 24 HOURS PRIOR TO THE BEGINNING OF CONSTRUCTION.
3.HOLES SHALL NOT BE FLAME CUT THRU STEEL UNLESS APPROVED BY THE ENGINEER OF RECORD.
4.THE CONTRACTOR SHALL BE RESPONSIBLE FOR ABIDING BY ALL CONDITIONS AND REQUIREMENTS OF THE PERMITS.
4.ALL FASTENERS SHALL NOT BE REUSED.
5.ERECT GUARDS AND BARRIERS PER APPLICABLE LABOR AND CONSTRUCTION SAFETY REGULATIONS.
5.A NUT LOCKING DEVICE SHALL BE INSTALLED ON ALL PROPOSED AND/OR REPLACED ASTM A325 BOLTS.
6.THE CONTRACTOR SHALL FIELD VERIFY ALL EXISTING CONDITIONS,POSSIBLE INTERFERENCES,AND DIMENSIONS BEFORE PROCEEDING WITH
THE WORK.REPORT ANY AND ALL DISCREPANCIES TO THE ENGINEER OF RECORD(EOR)AND FIELD PERSONNEL IMMEDIATELY. ANY AND ALL 6.ALL PROPOSED AND/OR REPLACED BOLTS SHALL BE OF SUFFICIENT LENGTH SUCH THAT THE END OF THE BOLT BE AT LEAST FLUSH WITH THE FACE
FIELD CHANGES SHALL BE APPROVED AND DOCUMENTED BY THE FOR PRIOR TO FIELD IMPLEMENTATION. OF THE NUT. IT IS NOT PERMITTED FOR THE BOLT END TO BE BELOW THE FACE OF THE NUT AFTER TIGHTENING IS COMPLETED.
E E
7.ALL MATERIALS AND WORKMANSHIP SHALL BE WARRANTED FOR TWO(2)YEARS FROM THE DATE OF COMPLETED CONSTRUCTION. 7.HOT-DIP GALVANIZE ALL ITEMS,UNO.
GALVANIZE PER ASTM A123,ASTM A153/A153M OR ASTM A653 G90,AS APPLICABLE.
8.USE ONLY THE LATEST ISSUES OF ANY APPLICABLE CODES,STANDARDS,OR REGULATIONS MENTIONED IN THE FOLLOWING NOTES AND
SPECIFICATIONS,UNO. 8.FOR A LIST OF CROWN APPROVED COLD GALVANIZING COMPOUNDS,REFER TO CROWN ENG-BUL-10149,"TOWER PROTECTIVE COATINGS BULLETIN".
9.ALL WORKMANSHIP SHALL BE IN ACCORDANCE WITH ANSI,ASTM,ACI,TIA,AND AISC STANDARDS AS REFERENCED IN THE APPLICABLE CODE. 9.AFTER FINAL INSPECTION,ALL EXPOSED STRUCTURAL STEEL AS THE RESULT OF THIS SCOPE OF WORK INCLUDING WELDS,FIELD DRILLED HOLES,
AND SHAFT INTERIORS(WHERE ACCESSIBLE),SHALL BE CLEANED AND COLD GALVANIZING APPLIED BY BRUSH IN ACCORDANCE WITH CROWN
10.STRUCTURAL ELEMENTS SHOWN ON THESE DRAWINGS ARE DESIGNED IN ACCORDANCE WITH APPLICABLE BUILDING CODES/STANDARDS.ALL ENG-BUL-10149,"TOWER PROTECTIVE COATINGS BULLETIN". PHOTO DOCUMENTATION IS REQUIRED TO BE SUBMITTED TO THE MI INSPECTOR.
CONSTRUCTION,EXCEPT WHERE NOTED OTHERWISE,SHALL COMPLY WITH THOSE CODES/STANDARDS.
11.ALL MATERIALS AND EQUIPMENT FURNISHED SHALL BE NEW AND OF GOOD QUALITY,FREE FROM FAULTS AND DEFECTS,AND IN CONFORMANCE
WITH THE DRAWINGS. ANY AND ALL SUBSTITUTIONS MUST BE DULY APPROVED AND AUTHORIZED IN WRITING BY THE OWNER AND ENGINEER OF
RECORD PRIOR TO FABRICATION AND INSTALLATION.THE CONTRACTOR SHALL FURNISH SATISFACTORY EVIDENCE AS TO THE KIND AND
QUALITY OF THE MATERIALS AND EQUIPMENT BEING SUBSTITUTED.
D 12.ALL MANUFACTURER'S HARDWARE ASSEMBLY INSTRUCTIONS SHALL BE FOLLOWED EXACTLY AND SHALL SUPERSEDE ANY CONFLICTING NOTES
ENCLOSED HEREIN.
WELDING NOTES
13.THE CONTRACTOR SHALL BE RESPONSIBLE FOR INITIATING,MAINTAINING,AND SUPERVISING ALL SAFETY PRECAUTIONS AND PROGRAMS IN
CONNECTION WITH THE WORK.THE CONTRACTOR IS ALSO RESPONSIBLE FOR ENSURING THAT ALL CONSTRUCTION PROCEDURES MEET THE 1.ALL WELDING SHALL BE IN ACCORDANCE WITH THE AWS D1.11D1.1M,"STRUCTURAL WELDING CODE-STEEL".
REQUIREMENTS OF OSHA,THE OWNER,AND ALL OTHER APPLICABLE LOCAL,STATE,AND FEDERAL SAFETY REGULATIONS.
2.ALL WELDING SHALL BE PERFORMED BY AWS CERTIFIED WELDERS.
14.ACCESS TO THE PROPOSED WORK SITE MAY BE RESTRICTED.THE CONTRACTOR SHALL COORDINATE INTENDED CONSTRUCTION ACTIVITY,
INCLUDING WORK SCHEDULE AND MATERIAL ACCESS,WITH THE RESIDENT LEASING AGENT. 3.ALL ARC WELDING ON CROWN STRUCTURES SHALL BE DONE IN ACCORDANCE WITH THE CROWN ENG-PLN-10015, "CUTTING AND WELDING SAFETY PLAN"
AND AWS D1.1(LATEST EDITION). THIS SHALL INCLUDE A CERTIFIED WELDING INSPECTOR(CWI)FOR ACCEPTANCE OR REJECTION OF ALL WELDING
15.IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO SAFEGUARD ALL EXISTING STRUCTURES OR BURIED SERVICES AFFECTED BY THIS OPERATIONS,PRE-DURING-POST,USING THE ACCEPTANCE CRITERIA OF AWS D1.1. THE CWI SHALL WORK WITH THE GC ON THE LEVEL OF INTERACTION
CONSTRUCTION.CONTRACTOR IS ALSO RESPONSIBLE FOR TEMPORARILY RELOCATING ANY LINES OR STRUTS AS NECESSARY TO COMPLETE NEEDED TO CONDUCT THE WELDING INSPECTION. THE CERTIFIED WELDING INSPECTION IS THE RESPONSIBILITY OF THE GC.
THE REQUIRED WORK.
4.FOR ALL WELDING,USE E80XX ELECTRODES FOR SMAW PROCESS
16.STRUCTURAL DESIGN IS FOR THE COMPLETE CONDITION ONLY.THE CONTRACTOR MUST BE COGNIZANT THAT THE REMOVAL OF ANY AND E8XT-XX ELECTRODES FOR FCAW PROCESS,LINO.
STRUCTURAL COMPONENT OF AN EXISTING TOWER HAS THE POTENTIAL TO CAUSE THE PARTIAL OR COMPLETE COLLAPSE OF THE STRUCTURE. AePOSolutions L.LC
ALL NECESSARY PRECAUTIONS MUST BE TAKEN TO ENSURE STRUCTURAL INTEGRITY,INCLUDING,BUT NOT LIMITED TO,ENGINEERING 5.SURFACES TO BE WELDED SHALL BE FREE FROM SCALE,SLAG,RUST,
ASSESSMENT OF CONSTRUCTION STRESSES WITH INSTALLATION MAXIMUM WIND SPEED AND/OR TEMPORARY BRACING AND SHORING. MOISTURE,GREASE OR ANY OTHER FOREIGN MATERIAL THAT WOULD �cam¢rrux+nr,�rtsArY r.:,b
� PREVENT PROPER WELDING. GRIND THE SURFACE ADJACENT TO THE
17.DO NOT SCALE DRAWINGS. WELD FOR A DISTANCE OF 2"MINIMUM ALL AROUND. ENSURE BOTH THIS DRAWING IS COPYRIGHTED AND IS
AREAS ARE 100%FREE OF ALL GALVANIZING. THE SOLE PROPERTY OF CROWN CASTLE.IT
18.FOR THIS ANALYSIS AND MODIFICATION,THE TOWER HAS BEEN ASSUMED TO BE IN GOOD CONDITION WITHOUT ANY DEFECTS.IF THE IS PRODUCED SOLELY FOR USE BY CROWN
CONTRACTOR DISCOVERS ANY INDICATION OF AN EXISTING STRUCTURAL DEFECT,CONTACT THE ENGINEER OF RECORD IMMEDIATELY. 6.DO NOT WELD IF THE TEMPERATURE OF THE STEEL IN THE VICINITY OF 00 9/19/141 INITIAL RELEASE MB AND ITS AFFILILATES.REPRODUCTION OR
USE OF THIS DRAWING AND/OR THE
THE WELD AREA IS BELOW 0°F. WHEN THE TEMPERATURE IS
NO. DATE DESCRIPTION BY INFORMATION CONTAINED IN IT IS
19.MODIFICATION WORK SHALL BE COMPLETED IN CALM WIND CONDITIONS/OR APPROPRIATE WIND SPEED FOR THE TYPE OF MODIFICATION BETWEEN 0°F AND 32°F,PREHEAT AND MAINTAIN THE STEEL IN THE FORBIDDEN WITHOUT THE WRITTEN
WORK TO BE INSTALLED. VICINITY OF THE WELD AREA AT 70°F DURING THE WELDING PROCESS. REVISIONS PREMISSION OF CROWN CASTLE.
20.THE CLIMBING FACILITIES,SAFETY CLIMB AND ALL PARTS THEREOF SHALL NOT BE IMPEDED,MODIFIED OR ALTERED WITHOUT THE EXPRESS 7.DO NOT WELD ON WET OR FROST-COVERED SURFACES&PROVIDE PREPARED FOR CROWN CASTLE SITE NAME: MA NORTHAMPTON 11
CAC
APPROVAL OF THE ENGINEER OF RECORD. ADEQUATE PROTECTION FROM HIGH WINDS. BU NUMBER:8005M
8.FULL PENETRATION WELDS IN THE VICINITY OF THE BASE OF THE WO NUMBER:929528
TOWER ARE REQUIRED TO BE 100%NDE INSPECTED BY UT IN SITE ADDRESS:
ACCORDANCE WITH AWS D1.1.
ATWOOD DRIVE
e 9.PARTIAL PENETRATION AND FILLET WELDS IN THE VICINITY OF THE NORTHAMPTON,MA 01060
BASE OF THE TOWER ARE REQUIRED TO BE 50%NDE INSPECTED BY HAMPSHIRE COUNTY
MP IN ACCORDANCE WITH AWS D1.1.
F Af,40 S, ENG/QA BY:SC DATE:9/1912014
� 9oy
H N D. GN DFT BY:MB DATE:9/1912014
COOK
U CIVIL y DFT/QA BY:BU DATE:9/19/2014
G h No.50725
O/ST
9 O Q APRV'D BY:SC DATE:9/1912014
READ\���i.
ASS/ONALEN� SCALE:N.T.S.
A
NOTES
DETAIL DRAWINGS SHALL GOVERN
OVER ANY VARIANCE FROM THIS SHEET REV S-3 lool
8 d S 4 3
8 7 6 5 4 3 2
MODIFICATION INSPECTION NOTES
GENERAL CORRECTION OF FAILING MI'S
MI CHECKLIST
THE MODIFICATION INSPECTION(MI)IS A VISUAL INSPECTION OF TOWER MODIFICATIONS AND A REVIEW OF IF THE MODIFICATION INSTALLATION WOULD FAIL THE MI(-FAILED MI"),THE GC SHALL WORK WITH CROWN TO F
F CONSTRUCTION INSPECTIONS AND OTHER REPORTS TO ENSURE THE INSTALLATION WAS CONSTRUCTED IN COORDINATE A REMEDIATION PLAN IN ONE OF TWO WAYS:
ACCORDANCE WITH THE CONTRACT DOCUMENTS,NAMELY THE MODIFICATION DRAWINGS,AS DESIGNED BY THE
CONSTRUCTION/ ENGINEER OF RECORD(EOR). •CORRECT FAILING ISSUES TO COMPLY WITH THE SPECIFICATIONS CONTAINED IN THE ORIGINAL CONTRACT
INSTALLATION INSPECTIONS DOCUMENTS AND COORDINATE A SUPPLEMENT MI.
AND TESTING REQUIRED REPORT ITEM THE MI IS TO CONFIRM INSTALLATION CONFIGURATION AND WORKMANSHIP ONLY AND IS NOT A REVIEW OF THE •OR,WITH CROWN'S APPROVAL,THE GC MAY WORK WITH THE FOR TO RE-ANALYZE THE
(COMPLETED BY EOR) MODIFICATION DESIGN ITSELF,NOR DOES THE MI INSPECTOR TAKE OWNERSHIP OF THE MODIFICATION DESIGN. MODIFICATION/REINFORCEMENT USING THE AS-BUILT CONDITION
OWNERSHIP OF THE STRUCTURAL MODIFICATION DESIGN EFFECTIVENESS AND INTEGRITY RESIDES WITH THE
FOR AT ALL TIMES.
MI VERIFICATION INSPECTIONS
ALL MI'S SHALL BE CONDUCTED BY A CROWN ENGINEERING VENDOR(AEV)OR ENGINEERING SERVICE VENDOR
X M I CHECKLIST DRAWING (AESV)THAT IS APPROVED TO PERFORM ELEVATED WORK FOR CROWN. SEE CROWN ENG-BUL-10173, CROWN RESERVES THE RIGHT TO CONDUCT AN MI VERIFICATION INSPECTION TO VERIFY THE ACCURACY AND
"APPROVED MI VENDORS". COMPLETENESS OF PREVIOUSLY COMPLETED MI INSPECTION(S)ON TOWER MODIFICATION PROJECTS.
X FOR APPROVAL TO ENSURE THAT THE REQUIREMENTS OF THE MI ARE MET,IT IS VITAL THAT THE GENERAL CONTRACTOR(GC) ALL VERIFICATION INSPECTIONS SHALL BE HELD TO THE SAME SPECIFICATIONS AND REQUIREMENTS IN THE
AND THE MI INSPECTOR BEGIN COMMUNICATING AND COORDINATING AS SOON AS A PURCHASE ORDER(PO)IS CONTRACT DOCUMENTS AND IN ACCORDANCE WITH CROWN ENGSOW-10007.
E X FABRICATION INSPECTION RECEIVED. IT IS EXPECTED THAT EACH PARTY WILL BE PROACTIVE IN REACHING OUT TO HE OTHER PARTY. E
IF CONTACT INFORMATION IS NOT KNOWN,CONTACT YOUR CROWN POINT OF CONTACT(POC). VERIFICATION INSPECTION MAY BE CONDUCTED BY AN INDEPENDENT AEV/AESV FIRM AFTER A MODIFICATION
NA FABRICATOR CERTIFIED WELD INSPECTION PROJECT IS COMPLETED,AS MARKED BY THE DATE OF AN ACCEPTED-PA--S I NC
REFER TO CROWN ENG-SOW-10007,"MODIFICATION INSPECTION SOW",FOR FURTHER DETAILS AND REPORT FOR THE ORIGINAL PROJECT.
X M ATERIAL TEST REPORT(M TR) REQUIREMENTS.
NA FABRICATOR NDE INSPECTION MI INSPECTOR REQUIRED PHOTOS
BETWEEN THE GC AND THE MI INSPECTOR THE FOLLOWING PHOTOGRAPHS,AT A MINIMUM,ARE TO BE TAKEN
NA NDE REPORT OF M ONOPOLE BASE PLATE PER ENG-SOW-U033 THE MI INSPECTOR IS REQUIRED TO CONTACT THE GC AS SOON AS RECEIVING A PO FOR THE MI TO,AT A AND INCLUDED IN THE MI REPORT:
MINIMUM:
•PRE-CONSTRUCTION GENERAL SITE CONDITION
.REVIEW THE REQUIREMENTS OF THE MI CHECKLIST •PHOTOGRAPHS DURING THE REINFORCEMENT MODIFICATION CONSTRUCTION/ERECTION AND INSPECTION
X PACKING SLIPS •WORK WITH THE GC TO DEVELOP A SCHEDULE TO CONDUCT ON-SITE INSPECTIONS,INCLUDING .. RAW MATERIALS
FOUNDATION INSPECTIONS .. PHOTOS OF ALL CRITICAL DETAILS
ADDITIONAL TESTING AND INSPECTIONS: .. FOUNDATION MODIFICATIONS
THE MI INSPECTOR IS RESPONSIBLE FOR COLLECTING ALL GC INSPECTION AND TEST REPORTS,REVIEWING THE .. WELD PREPARATION
° DOCUMENTS FOR ADHERENCE TO THE CONTRACT DOCUMENTS,CONDUCTING THE IN-FIELD INSPECTIONS,AND o
None •• BOLT INSTALLATION
SUBMITTING THE MI REPORT TO CROWN. .. FINAL INSTALLED CONDITION
•• SURFACE COATING REPAIR
•POST CONSTRUCTION PHOTOGRAPHS
X CONSTRUCTION INSPECTIONS GENERAL CONTRACTOR .. FINAL INFIELD CONDITION
NA FOUNDATION INSPECTIONS THE GC IS REQUIRED TO CONTACT THE MI INSPECTOR AS SOON AS RECEIVING A PO FOR THE MODIFICATION PHOTOS OF ELEVATED MODIFICATIONS TAKEN ONLY FROM THE GROUND SHALL BE CONSIDERED INADEQUATE.
INSTALLATION OR TURNKEY PROJECT TO,AT A MINIMUM:
NA CONCRETE COM P.STRENGTH AND SLUM P TESTS •REVIEW THE REQUIREMENTS OF THE MI CHECKLIST THIS IS NOT A COMPLETE LIST OF REQUIRED PHOTOS,PLEASE REFER TO CROWN ENG-SOW-10007.
•WORK WITH THE MI INSPECTOR TO DEVELOP A SCHEDULE TO CONDUCT ON-SITE MI INSPECTIONS,
NA POST INSTALLED ANCHOR ROD VERIFICATION INCLUDING FOUNDATION INSPECTIONS
•BETTER UNDERSTAND ALL INSPECTION AND TESTING REQUIREMENTS
NA BASE PLATE GROUT VERIFICATION
THE GC SHALL PERFORM AND RECORD THE TEST AND INSPECTION RESULTS IN ACCORDANCE WITH THE
NA CONTRACTORS CERTIFIED WELD INSPECTION AND NDE REPORTS REQUIREMENTS OF THE MI CHECKLIST AND CROWN ENG-SOW-10007. AeroSQrGtionS LLG
�:�n¢;rsy rer rnn>sr:.^+aa a:r+ro
C NA EARTHWORK LIFT AND DENSITY
X ON SITE COLD GALVANIZING VERIFICATION RECOMMENDATIONS THIS DRAWING IS COPYRIGHTED AND IS
THE FOLLOWING RECOMMENDATIONS AND SUGGESTIONS ARE OFFERED TO ENHANCE THE EFFICIENCY AND THE SOLE PROPERTY OF CROWN CASTLE.IT
NA GUY WIRE TENSION REPORT EFFECTIVENESS OF DELIVERING AN MI REPORT: 00 9119/14 INITIAL RELEASE MB IS PRODUCED SOLELY FOR USE BY CROWN
AND ITS AFFILILATES.REPRODUCTION OR
USE OF THIS DRAWING AND/OR THE
.IT IS SUGGESTED THAT THE GC PROVIDE A MINIMUM OF 5 BUSINESS DAYS NOTICE,PREFERABLY 10,TO THE NO. DATE DESCRIPTION BY INFORMATION CONTAINED IN IT IS
X GC AS BUILT DOCUMENTS FORBIDDEN WITHOUT THE WRITTEN
MI INSPECTOR AS TO WHEN THE SITE WILL BE READY FOR THE MI TO BE CONDUCTED. REVISIONS PREMISSION OF CROWN CASTLE.
ADDITIONAL TESTING AND INSPECTIONS: •THE GC AND MI INSPECTOR COORDINATE CLOSELY THROUGHOUT THE ENTIRE PROJECT.
•WHEN POSSIBLE,IT IS PREFERRED TO HAVE THE GC AND MI INSPECTOR ON-SITE SIMULTANEOUSLY FOR PREPARED FOR CROWN CASTLE SITE NAME:MA NORTHAMPTON II
ANY GUY WIRE TENSIONING OR RE-TENSIONING OPERATIONS. BU NUMBER:CAC0530
None •IT MAY BE BENEFICIAL TO INSTALL ALL TOWER MODIFICATIONS PRIOR TO CONDUCTING THE FOUNDATION
INSPECTIONS TO ALLOW THE FOUNDATION AND MI INSPECTION(S)TO COMMENCE WITH ONE SITE VISIT. WO NUMBER:929528
•WHEN POSSIBLE,IT IS PREFERRED TO HAVE THE GC AND MI INSPECTOR ON-SITE DURING THE MI TO HAVE SITE ADDRESS:
X M I INSPECTOR REDLINE OR RECORD DRAWING(S) ANY DEFICIENCIES CORRECTED DURING HE INITIAL MI. THEREFORE,THE GC MAY CHOOSE TO ATWOOD DRIVE
COORDINATE THE MI CAREFULLY TO ENSURE ALL CONSTRUCTION FACILITIES ARE AT THEIR DISPOSAL
a NA POST INSTALLED ANCHOR ROD PULL OUT TESTING WHEN THE MI INSPECTOR IS ON SITE. HAMPSHIRE P YY COUNT 01060
X PHOTOGRAPHS CANCELLATION OR DELAYS IN SCHEDULED MI N OF lye
Ss+ ENG/QA BY:SC DATE:9119/2014
ADDITIONAL TESTING AND INSPECTIONS: IF HE GC AND MI INSPECTOR AGREE TO A DATE ON WHICH THE MI WILL BE CONDUCTED,AND EITHER PARTY
CANCELS OR DELAYS,CROWN SHALL NOT BE RESPONSIBLE FOR ANY COSTS,FEES,LOSS OF DEPOSITS AND/OR HAWN D. G OFT BY:MB DATE:9/19/2014
OTHER PENALTIES RELATED TO HE CANCELLATION OR DELAY INCURRED BY EITHER PARTY,NOR FOR ANY TIME g N
None (FE.G.TRAVEL AND LODGING,COSTS OF KEEPING EQUIPMENT ON-SITE,ETC.). IF CROWN CONTRACTS DIRECTLY COOK Ma
WEATHER OR OTHER CONDITIONS THAT MAY COMPROMISEETHE SAFETY OFETHE ARTIESEINVOLIOED. CAUSED BY V CIVIL 0 j DFT/QA BY:BU DATE:9/19/2014
No.50725
q/11 9 9F APRV'D BY:SC DATE:9/19/2014
O� G/STEP
�SS�ONALG SCALE:N.T.S.
NOTE:X DENOTES A DOCUMENT REQUIRED FOR THE MI REPORT
A NA DENOTES A DOCUMENT THAT IS NOT REQUIRED FOR HE MI REPORT MODIFICATION
INSPECTION
CHECKLIST
S-2 EV
8 7 6 5 4 3
a 7 6 5 4 3 2
F PREPARED FOR CROWN CASTLE TOWER INFORMATION
TOWER MANUFACTURER: Engineered Endeavors Inc.
MONOPOLE REINFORCEMENT DRAWINGS TOWER HEIGHT/TYPE: 16 FT MONOPOLE TOWER
TOWER LOCATION: LAY:: 42.3027
LONG: -72.6252
SITE NAME: MA NORTHAMPTON II PROJECT COh'FACTS
CAC APPLICATION ID: 262654 R1
E BU N U M B E R:800530 1 CROWN TOWER STRUCTURAL ANALYST E
Andrew Bazi net
SITE ADDRESS: 585-899-3442
ATWOOD DRIVE Andrew.Bazinet@crowncastle.com CODE COMPLIANCE
NORTHAMPTON, MA 01060 3 Corporate Park Drive, Suite 101 THIS REINFORCEMENT DESIGN IS BASED ON THE REQUIREMENTS OF TIA
HAMPSHIRE COUNTY Clifton Park, NY 12065 STRUCTURAL STAN DARDS FOR STEEL ANTEN NA TOWERS AN D ANTENNA
D STRUCTURES USING
2 CROWN PROJECT MANAGER SUPPORTINGTIA CODE: TIA-222 G D
Jerry Bruno WIND SPEED NO ICE: 100 MPH 3-SEC.GUST WIND SPEED
ICE THICKN ESS: 1"
781-970-0069 WIND SPEED WITH ICE: 40 MPH
Jerry.Bruno.Contractor@crowncastie.com SERVICE LOADS: 60 MPH
iJu,tEi�Nrn.- -Ha�u. EXPOSURE CATEGORY: C
rucs 3 AERO DESIGN ENGINEER (EOR)
caa;a
R 9k Aer0Sq!ygons LLc
t'Q•�: , F: ;.. ��n Shawn D. Wok, RE �^.•YSf6"YC� 'JhYfY`.1P�.X.i::°
IMe!yaiw++2d ltryatt:
M-104- THIS DRAWING IS COPYRIGHTED AND IS
L' ton THE SOLE PROPERTY OF CROWN CASTLE.IT
Oak hebrk * sCOOk@aerOSOI uti onsl IC.COm IS PRODUCED SOLELY FOR USE BY CROWN
I. 00 9/19/14 INITIAL RELEASE MB AND ITS AFFILILATES.REPRODUCTION OR
}ri aca :�' - to iar t.a n t etr"kt»r Y NO. DATE DESCRIPTION BY INFORMATION OF THI DRAWING AND/OR I OR S E
` C,ra�3 '�'". 5500 FLATIRON PKWY SITE 100 REVISIONS PREMISSION OF CROWN CASTLEN
L=3
Wtsl"�rXnrA Rrdr+itf �,
PREPARED FOR CROWN CASTLE SITE NAME:MA NORTHAMPTON It
,��. ^�• BOULDER, CO 80301
BU NUMBER:BOOS30
WO NUMBER:929528
SITE ADDRESS:
ATWOOD DRIVE
B NORTHAMPTON,MA 01060
HAMPSHIRE COUNTY
DRAWINGS INCLUDED �A FAf4
ENG/QA BY:SC DATE:911912014
SHEET NUMBER DESCRIPTION AWN D. tiN
Boston Logan International Airport COOK DFT BY:MB DATE:9/19/2014
1 Harborside Dr,Boston,MA 02128 S-1 TITLE PAGE ° -'
v CIVIL to
Head southeast on Airport Rd-Departure Level toward Airport Rd Terminal C 0.6 mi S-2 MODIFICATION INSPECTION CHECKLIST No.50725 DFT/QA BY:BU DATE:911912014
Take the Interstate 90 W/Williams Tunnel/Mass Pike ramp to Boston/Interstate 93 S Toll
Merge onto I-90 W Partial toll road 90.9 mi S-3 NOTES 90t R�/ST�P���Qi� APRV'D BY:SC DATE:911912014
Take the exit toward 1-91 N Toll road 0.3 mi S-4 AJAX/DTI BOLT SPECIFICATIONS AND �SS�oNAL�G
Keep left at the fork,follow signs for 1-91 N/Holyoke and merge onto 1-91 N Partial toll TIGHTENING PROCEDURE SCALE:N.T.S.
road 11.7 mi
Take exit 18 to merge onto US-5 S/Mt Tom Rd 0.2 mi
A Merge onto US-5 S/Mt Tom Rd 331 ft S-5 ELEVATION
Turn right onto Atwood Dr
IAtwood Dr TITLE PAGE
Northampton,MA 01060
REV
S-1 100
6 7 6 5 4 3
City of Northampton
r Massachusetts -
( DEPARTMENT OF BUILDING INSPECTIONS ?'
212 Main Street • Municipal Building
Northampton, MA 01060 �I' ,7�~
INSPECTOR
Louis Hasbrouck Fax:413-587-1272 Chuck Miller
Building Commissioner Phone: 413-587-1240 Assistant Commissioner
CONSTRUCTION CONTROL DOCUMENT
(For professional Engineers/Architects responsible for Entire Project)
Project Title: MA Northhampton Date: 11/21/2014
Project Location: Atwood Drive, Northhampton, MA 01063 Map: Parcel: Zone:
Scope of Project: Install Shaft Reinforcement
In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6:
Nicholas J. Schmitt Mass. Registration# 51010
Being a registered professional Engineer/Architect hereby CERTIFIES that I have prepared or directly supervised
the preparation of all design plans, computations and specifications concerning:
[ ] ENTIRE PROJECT
For the above named project and that to the best of my knowledge, such plans, computations and specifications
meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices
and all applicable Laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that
the above mentioned portions of the work proceed in accordance with the documents approved for the building
permit and shall be responsible for the following as specified in Section 10.7.6.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the
construction documents as submitted for the building permit, and approval for the conformance
to the design concept.
2. Review and approval of the quality control procedures for all code-required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine, in general, if the work is being performed
In a matter consistent with the construction documents.
shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent
comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory
completion and readiness of the project for occupancy.
�1 0 F
P q
Sign �'r_e d Seal of Re istered Professional t NIC
an HOLAS J.
SCHMITT
No.51010
Day of 20 � �ONA N 1�
(seal)
Versiont.7 Commercial Building Pennit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No E)
SECTION 11.OWNER AUTHORIZATION»TO BE COMPLETE WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 7
J ry rvw r
i, fiQt,�f1 C_ck -1 s? 1 ian {ak\C+r.1��c Oc)mQC6t3�j 1.lC,asjDvmt'8rafthesubjectproperty
hereby suthorize to
act on my behalf,In all matters relative to work authorized by this building permit application.
Stgnature of Owner Data
as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pins and pe itles of perjury.
Print Name /
Signature of OwnsdAgenf Data
SECTION 12-CONSTRUCTION SERVICES
101 Lige se _Construction Supervisor: Not Applicable 0
Name of License Holder;
License Number
Address Expiration Date
Signature Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,g 25C(8))
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will result
In the denial of the issuance of the building permit.
Signed Affidavit Attached Yes 0 No
DEC 2- 2014
l
Version 1.7 Commercial Building Permit May 15,2000
Department use only
E1ec ic,Plumbing&Gas Inspections City of Northampton Status of Permit:
t ,rtham ton,MA 01060 $uilding Department
Curb Cut/Driveway permit
212 Main Street Sewerl8epticAvallebility
Room 100 Water/Well Availability
Northampton, MA 01060 Two sets of structural Plana
phone 413-587-1240 Fax 413-587.1272 Plottsits Plans
Other Spe*
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 EEMrty Address: This section to be completed by office
Atwood Drive Map Lot Unit
Northampton,MAO 1060 zone Overlay District
Elm Sat.District ce District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Crown Castle � 3Corporate bark Drive,Suite 101,Clifton Park, a
Name(Print) C Q t. ;t a t"o to-,n Cunnt Maping Address:
(585)899-3442
signature Telephone C� — `--t C>
2.2 out_ horized Anent:
Douglas Harradine,Patriot Towers,Inc. 870 Scottsville Chili Rd.,Scottsville,NY 14546
Name(Print) CwTent Meiling Addnsss:
(585)889-3391
SfgnaWre ""`-�"' _..'_
Telephone
SEC11O 3-ESTIMATED CONSTRUCTION COM
Item Estimated Cost(Dollars)to be Official Use Only
completed b g2rmIt applicant
1. Building $12,962.51 (a)BulIding Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6 $12,962,51
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
$78.00
5.Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signal r .. f' / f j
Buildhq Commissionerlinspecicx of Buildings Date
10/21/2014 10: 04 14135871272 NTON BLD DEPT PAGE 01/01
The Com -onsvealth of Massachusetts
Department of IndustrialAccidents
Office of Investigations
I Congress Street,suite 100
Boston,3M 02114-2017
w>7)w.Mass goy/dad
Worker.' Compensation Insurance.A..Mdavit: Bu;iders/ContrActors/ lectricians/Plumbers
A licant fnfor ation Please Pria`Lt Lembl
Na-Me (Business/Organization/Individual):
Address:---- _/�. �l�d l"T�✓it t!-e— Cf?/ 76a
City/State/zip: vl Phone#:
Are you an employer?Check the appropriate boa: Type of project(required).
L Fjv_]"'T arm a employer with (06 { 4. [] I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.n I am a sole proprietor or pirtacr- listed on the attached shoat. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
workizng for me in any capacity, employees and have workers'
JJxsurau,ce.$ 9• E]Building addition
[No workers tom comp.insurance P
.
req uired 5. E] We are a corporation and its 10.0 Electrical repairs or additions 3.F-1 officers have exercised their I am a homeowner doing all work l 1.❑Plumbing repairs or additions
myself [No workerV comp. right of excnnption per MGL
12.0 Roof repairs
insurance required.]t o. 152, §1(4),and we have no
employees. [No workers' 13.aOther EI.L.�Ot
comp.insurance required./
'.Any applicant that cbecks box H 1 must also fill out the section below showing their workers'compensation policy information.
I Homcownsrs who submit this affidavit indicating they are doing all work and then.:ire outside contractors must submit a new affidavit indicating such.
:Contractors tbxt check this box must attached an additional sheet showing the name of the sub-cootmctors and sm,to whether or not those entities have
employees. If the sib-contractors hart employees,they must provide their workers'comp,policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
inforrrWien.
Insurance Company QX�
Policy#or Self-ins,
/1Lic.-#—y--�1J C. �a�pl-�-rJ S�Gb/oZ Expiration Date: bl n/a /1:
Job Site Address:/&CGI_ /OWLr ityo�d �RIVL�. City/State/Tip: Il�/1770�'�� m�
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 6JD�o
Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereb coM under the pains and enahies o er'u tl:at the information provided above is true and correct
i a e:
__.. ....... / T r
P No.ne#: c5- - 3J�� Cl YGtC/%ham
Official use only_ Do not write in this area,to be completed by city or town gfJiciaL
City or Town: Perm it/Licensc#
Issuing,authority(circle one):
L Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5_Plumbing Inspector
6.Other
Contact Person: Phone ft:
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes Q No 0
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property
hereby authorize to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pai pe ns and Ities of perjury.
Print Name /
( 1U/J 7/'
Signature of Owner/Agenf Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supery isor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes 0 No
Versionl.7 Commercial Building Permit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Aero Design Engineering - Shawn Cook FOR
Name Area of Responsibility
5500 Flatiron Pkwy, Suite 100,Boulder, CO 80301 50725
Address Registration Number
(720) 304-6882
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Patriot Towers,Inc. Not Applicable ❑
Company Name:
Douglas Harradine
Responsible In Charge of Construction
870 Scottsville Chili Road, Scottsville,NY 14546
Address
r (585) 889-3391
Signature Telephone
r , 1
Versionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: _ R:
Rear
Building Height
Bldg. Square Footage ""
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO o DONT KNOW e YES Q
IF YES: enter Book Page and/or Document #:
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW Q YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued:
C. Do any signs exist on the property? YES G NO
IF YES, describe size, type and location: 'FCC Sign on Gate
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO Q
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO e
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing Change of Use❑ Other❑✓
Brief Description Cell Tower Modifications - adding steel plate
Of Proposed Work:
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
1 S�
1 St
2nd 2nd
3rd 3rd
4th
4th
Total Area(sf) Total Proposed New Construction(sf)
Total Height(ft)
Total Height ft
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone[:] Municipal ❑ On site disposal system[]
4
t
Versionl.7 Commercial Building Permit May 15,2000
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
ROOM 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural;Plans
phone 413-587-1240 Fax 413-587-1272 Plot/She Plans
Other Specify
APPLICATION TO CONSTRUCT,REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
Atwood Drive Map Lot Unit
Northampton, MAO 1060 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Crown Castle 3Corporate Park Drive, Suite 101 1, Clifton Park,
Name(Print) Current Mailing Address:
(585) 899-3442
Signature Telephone
2.2 Authorized Accent:
Douglas Harradine, Patriot Towers, Inc. 870 Scottsville Chili Rd., Scottsville,NY 14546
Name(Print) _ Current Mailing Address:
(585) 889-3391
Signature /��� Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building $12,962.51 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of $12,962.51
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) $78.00;
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
�v
File#BP-2015-0629
APPLICANT/CONTACT PERSON PATRIOT TOWERS INC
ADDRESS/PHONE 870 SCOTTSVILLE CHILI RD SCOTTSVILLE (585)889-3391
PROPERTY LOCATION ATWOOD DR
MAP 39 PARCEL 060 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
f7 17
Fee Paid If 40
Typeof Construction: CELL TOWER MODIFICATIONS-ADD STEEL PLAT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
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 from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
emolition Delay
Sig e ilding Official 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 those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
ATWOOD DR BP-2015-0629
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 39-060 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2015-0629
Project# JS-2015-001210
Est.Cost: $12963.00
Fee: $78.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PATRIOT TOWERS INC
Lot Size(sq. ft.): 194756.76 Owner: ATWOOD DRIVE LLC
Zoning: Apjplicant: PATRIOT TOWERS INC
AT: ATWOOD DR
Applicant Address: Phone: Insurance:
870 SCOTTSVILLE CHILI RD (585)889-3391 WC
SCOTTSVILLENY14546 ISSUED ON:1211012014 0:00:00
TO PERFORM THE FOLLOWING WORK.CELL TOWER MODIFICATIONS -ADD STEEL
PLATE
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:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 12/10/2014 0:00:00 $78.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner