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42-089 (23) Final Construction Control Document To be submitted at completion of construction by a ! ` n Registered Design Professional t for work per the 81h edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Number: BS33XCO83-B Project Title:TOWN DUMP/AMERICAN TOWER(Sprint NV Project) Date: October 9,2014 Property Address: 170 Glendale Road Florence,MA MBLU:42-089-001 Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Sprint PCS site modification.Install(3)new NV antennas,(6)RRH's, and(1)Backhaul antenna on the tower..Install(1)MM-BTS cabinet,(1)Battery cabinet,and(1)Fiber Distribution Box on the ground. 1 Derek J.Creaser, MA Registration Number: 49195 Expiration date: 6/30/16 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: 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. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. -tit Of Enter in the space to the right a"wet"or electronic signature and seal: Ci Q Phone number: (978)557-5553 Email: tn gngrouplle.com Hudson Design Group,LLC 1600 Osgood Lndg,Bldg 20N,Suite 3090 North Andover,MA 01845 Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 170 GLENDALE RD BP-2012-1 101 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Biock:42-089 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ANTENNA TOWER BUILDING PERMIT Permit# BP-2012-1101 Project# JS-2012-001888 Est. Cost: $15000.00 Fee: $90.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HPC WIRELESS LLC 104730 Lot Size(sq. ft.): 2265120.0.0 Owner: NORTHAMPTON CITY OF LEACHATE TREATMENT FACILITY Zoning: Applicant: GOODMAN NETWORKS AT. 170 GLENDALE RD Applicant Address: Phone: Insurance: 241 BOSTON POST RD WEST (214) 543-4457 WC MARLBOROUGHMA0172 ISSUED ON:611412012 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE 6 W/4 ANTENNAS & CABINETS - SPRINT POST THIS CARD SQ 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:Dk/p —P- THIS PERMIT MAY BE REV Y THE FJTY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND Certificate of Occu an FeeType• Date Paid: Amount: Building 6/14/2012 0:00:00 $90.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner