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22B-040 (9) Shatz, Schwartz and Fentin, P.C. Counsellors at Law September 22, 2015 Mr. Louis Hasbrouck, Building Commissioner Office of the Building Commissioner Puchalski Municipal Building 212 Main Street Northampton, MA 01060 Re: Building Permit Application for Verizon Wireless Antenna Swap—221 Pine Street, Florence (Northampton), MA Dear Mr. Hasbrouck: On behalf of Verizon Wireless, I am enclosing a building permit application for the above site along with a check made payable to the City of Northampton in the amount of $100.00 as payment for the building permit fee. When ready, please send the approved building permit to my attention at the address on this letterhead. Please don't hesitate to contact Attorney Ellen Freyman or myself if you have any questions or need any additional information. Thank you for your help. Sincerely, Sofia Bitzas Williams Paralegal /sbw Enclosures U\A09\0 Verizon\0 Swaps\2015\Florence\LT BI w Appl& Fee.09.22.15 1441 Main Street,Springfield,MA 01103-1450 413-737-1131 • 413-736-0375(fax) www.ssfpc.com Product Specifications COMMSC PE® .................. �. SBNHH-1 D65C POWERED BY i ��pREW _._..__._...._.._._..................----------- .. Color Light gray Lightning Protection do Ground Radiator Material Aluminum I Low loss circuit board Radome Material Fiberglass, UV resistant RF Connector Interface 7-16 DIN Female RF Connector Location Bottom RF Connector Quantity, total 6 Wind Loading, maximum 879.0 N @ 150 km/h 197.6 Ibf @ 150 km/h Wind Speed, maximum 241.4 km/h 1 150.0 mph Dimensions Depth 181.0 mm 1 7.1 in Length 2438.0 mm 1 96.0 in Width 301.0 mm 1 11.9 in Net Weight 22.5 kg 1 49.6 lb Remote Electrical Tilt (RET) Information Input Voltage 10-30 Vdc Power Consumption, idle state, maximum 2.0 W Power Consumption, normal conditions, maximum 11.0 W Protocol 3GPP/AISG 2.0 (Multi-RET) RET Interface 8-pin DIN Female I 8-pin DIN Male RET Interface, quantity 1 female 1 1 male RET System Teletilt® Regulatory Compliance/Certifications Agency Classification RoHS 2011/65/EU Compliant by Exemption China RoHS Sl/T 11364-2006 Above Maximum Concentration Value (MCV) ISO 9001:2008 Designed, manufactured and/or distributed under this quality management system Included Products BSAMNT-1—Wide Profile Antenna Downtilt Mounting Kit for 2.4-4.5 in (60 - 115 mm) OD round members. Kit contains one scissor top bracket set and one bottom bracket set. ©2014 CommScope,Inc.All rights reserved.All trademarks identified by 0 or TI are registered trademarks,respectively,of CommScope. page 2 of 2 All specifications are subject to change without notice.See www commscope.com for the most current information.Revised October 22,2014 November 17,2014 ADo3 Product Specifications COMMSC :" PF {` POWERED BY � -1NDREW , SBNHH-1 D65C Andrew®Tri-band Antenna, 698-896 and 2 x 1710-2360 MHz, 650 horizontal beamwidth,internal RET. Both high bands share the same electrical tilt. Interleaved dipole technology providing for attractive, low wind load mechanical package Electrical Specifications Frequency Band, MHz 698-806 806-896 1710-1880 1850-1990 1920-2180 2300-2360 Gain, dBi 16.2 16.0 17.7 17.9 18.5 18.5 Beamwidth, Horizontal, degrees 66 64 70 65 63 58 Beamwidth, Vertical, degrees 8.9 7.8 5.7 5.2 5.0 4.4 Beam Tilt,degrees 0-11 0-11 0-7 0-7 0-7 0-7 USLS, dB 11 12 15 15 15 14 Front-to-Back Ratio at 1801, dB 29 31 27 27 28 27 CPR at Boresight, dB 27 21 18 19 16 19 CPR at Sector, dB 14 9 10 10 8 4 Isolation, dB 25 25 25 25 25 25 Isolation, Intersystem, dB 30 30 30 30 30 30 VSWR ( Return Loss, dB 1.5 1 14.0 1.5 1 14.0 1.5 1 14.0 1.5 1 14.0 1.5 1 14.0 1.5 1 14.0 PIM, 3rd Order, 2 x 20 W, dBc -153 -153 -153 -153 -153 -153 Input Power per Port, maximum, watts 400 400 350 350 350 300 Polarization ±450 ±450 ±450 ±450 ±450 ±450 Impedance 50 ohm 50 ohm 50 ohm 50 ohm 50 ohm 50 ohm Electrical Specifications, BASTA* Frequency Band, MHz 698-806 806-896 1710-1880 1850-1990 1920-2180 2300-2360 Gain by all Beam Tilts, average, dBi 15.8 15.6 17.3 17.8 18.2 18.1 Gain by all Beam Tilts Tolerance, dB t0.4 f0.5 t0.3 t0.2 f0.5 f0.4 0 ° 116.0 0o 115.8 00117.3 0 ° 117.7 00118.0 00117.9 Gain by Beam Tilt, average, dBi 5 0 1 16.0 5 0 1 15.s 4 0 1 17.4 4 0 1 17.8 4 0 1 18.2 4 0 1 18.2 11 0 1 15.5 11 0 1 15.2 7 ° 1 17.3 7 0 1 17.7 7 0 1 18.1 7 0 1 18.2 Beamwidth, Horizontal Tolerance, degrees f1.2 f1.9 f3.4 f3.8 t4.7 f3.7 Beamwidth, Vertical Tolerance, degrees f0.6 f0.5 t03 f0.2 f0.3 f0.2 USLS, dB 13 14 17 16 17 15 Front-to-Back Total Power at 1800 t 300, dB 26 24 27 25 25 26 CPR at Boresight, dB 29 22 20 21 19 21 CPR at Sector, dB 14 11 13 11 9 5 * CommSccpe@ supports NGMN recommendations on Base Station Antenna Standards (BASTA).To learn more about the benefits of BASTA, download the whitepaper Time to Raise the Bar on BSAs. General Specifications Antenna Brand Andrew® Antenna Type DualP01® multiband with internal RET Band Multiband Brand DualPol@ ( Teletilt® Operating Frequency Band 1710 - 2360 MHz j 698 - 896 MHz Mechanical Specifications ©2014 CommScope,Inc.All rights reserved.All trademarks identified by®or TM are registered trademarks,respectively,of CommScope. page 1 of 2 All specifications are subject to change without notice See www.commscope.com for the most current information.Revised:October 22,2014 November 17, 2014 ADD .3 Product Specifications COMMSC PE® H BXX-6. S- Andrew®Quad Port Teletilt® Antenna, 1710-2180 MHz, 650 ` POWERED BY -1 NDREW horizontal beamwidth, RET compatible - - -� � Electrical Specifications Frequency Band,MHz 1710-1880 1850-1990 1920-2180 Gain by all Beam Tilts, average, dBi 18.5 18.6_ 18.8 Gain by all Beam Tilts Tolerance, dB ±0.4 i0.3 t0.4 G 1 .111.4 0 , I i6.d ` 118. Gain by Beam Tilt, average, dBi I ie.? F.'7 3 I 18._1 E, I 18.4 h . .8.5 r 11 fi.n Beamwidth, Horizontal, degrees 67 66 65 Beamwidth; Horizontal Tolerance, degrees 2.4 ±1.7 t2.9 Beamwidth,Vertical, degrees 5.0 4.7 4.4 Beamwidth, Vertical Tolerance, degrees f0.3 t0,3 t0'3' Beam Tilt, degrees 0-6 0-6 0-6 USLS, dB 18 19 19 Front-to-Back Total Power at 1801 t 300, dB 25 26 26 CPR at Boresight, dB 22 23 22 CPR at Sector, dB 10 10 9 Isolation, dB 30 30 30 VSWR I Return Loss, dB 1.4 l 15.6 1.4 1 15.6 1.4 1 15.6 PIM, 3rd Order, 2 x 20 W, dBc -153 -153 -153 Input Power per Port, maximum, watts 350 350 350 Polarization t45* t451 ±451 *Values calculated using NGMN Alliance N-P-BASTA v9.6 Mechanical Specifications Color I Radome Material Light gray I PVC, UV resistant Connector Interface I Location l Quantity 7-16 DIN Female- Bottorn l 4 Wind Loading, maximum 668.0 N @ 150 km/h 150.2 Ibf @ 150 km/h Wind Speed, maximum 241.0 kin/h l 1.49.8 mph Antenna Dimensions, L x W x D 1903.0 mm x 305.0 mm x 166.0 mm 1 74.9 in x 12.0 in x 6.5 in Net Weight 19.5 kg l 43.0 lb Model with factory installed AISG 2.0 RET HBXX-6517DS-A2M ©2014 CommScope,Inc.All rights reserved.All trademarks identified by®or TM are registered trademarks,respectively,of CommScope. page 1 of 1 All specifications are subject to change.See www.commscope com for the most current information.Revised:February 24,2014 March 20,2014 696-900 BXA-70063-6CF—E D I N—X X-Pol I FET Panel 1 63° 1 14.5 dBd BXA-70063-6CF-EDIN-3 BXA-70063-6CF-EDIN-4 BXA-70063-6CF-EDIN-5 so ,� .wl.xo 30 Vertical l 750 MHz 4° 1 Vertical 750 MHz 5- l Vertical 1 750 MHz L45,�--- 120 6� , 3° Vertical l 850 MHz 4° l Vertical l 850 MHz 51 l Vertical l 850 MHz BXA-70063-6CF-EDIN-6 BXA-70063-6CF-EDIN-8 BXA-70063-6CF-EDIN-10 6° l Vertical 1 750 MHz 80 l Vertical l 750 MHz 10° l Vertical l 750 MHz AM r o a y IN 6° Vertical l 850 MHz 8° 1 Vertical 1 850 MHz 10° 1 Vertical l 850 MHz Quoted performance parameters are provided to offer typical or range values only and may vary as a result of normal manufacturing and operational conditions. Extreme operational conditions and/or stress on structural supports is beyond our control. Such conditions may result in damage to this product. Improvements to product may be made without notice. REV0310 www.amphenol-antennas.com 2 of 2 Pa w)ave 3 696-900 MHz arvk�,— UP ANJ ENNA SOLUTIONS BXA-70063-6CF—EDIN—X 1` `�j j` '�-,: ` ` . Jc .,al-, L X-Pol FET Panel 63° 14.5 dBd " ter L "" .�e Frequency bands 696-806 MHz 806-900 MHz Polarization t45° Horizontal beamwidth 65° 63° Vertical beamwidth 130 110 Gain _ 14.0 dBd(16.1 dBi) 14.5 dBd(16.6 dBi) Electrical downtilt(X) 0,2,3,4,5,6,8,10 Impedance 504 VSWR 51.35:1 Upper sidelobe suppression(0°) 18.3 dB 18.2 dB Front-to-back ratio(+1-30°) -33.4 dB -36.3 dB Null fill 5%(-26.02 dB) Isolation between ports <-25 d6 Input power _ 500 W Lightning protection Direct Ground Connector(s) 2 Ports/EDIN or NE/Female/Center(Back) ' Mechanical Characteristics Dimensions Length x Width x Depth 1804 x 285 x 132 mm 71.0 x 11.2 x 5.2 in Depth with z-brackets 172 mm 6.8 in Weight without mounting brackets 7.9 kg 17 Ibs Survival wind speed >201 km/hr >125 mph Wind area Front:0.51 m2 Side:0.24 ml Front: 5.5 ft' Side: 2.6 ft' Wind load @ 161 km/hr(100 mph) Front: 759 N Side: 391 N Front: 1691bf Side: 89 Ibf Mounting Options . •.•Diern6tet Weight 3-Point Mounting Bracket Kit 36210003 50-160 mm 2.0-6.3 in 6.3 kg 14 Ibs 3-Point Downtilt Bracket Kit(0-14°) 36210004 50-160 mm 2.0-6.3 in 7.3 kg 16 Ibs Downtilt Mounting Applications A mounting bracket and downtilt bracket kit must be ordered for downtilt applications Concealment Configurations For concealment configurations,order BXA-70063-6CF-EDIN-X-FP BXA-70063-6CF-EDIN-X BXA-70063-6CF-EDIN-0 BXA-70063-6CF-EDIN-2 Io go Horizontal l 750 MHz 0° 1 Vertical l 750 MHz 2° 1 Vertical l 750 MHz l j Horizontal l 850 MHz 00 1 Vertical l 850 MHz 2° l Vertical 1 850 MHz Quoted performance parameters are provided to offer typical or range values only and may vary as a result of normal manufacturing and operational conditions. Extreme operational conditions and/or stress on structural supports is beyond our control. Such conditions may result in damage to this product. Improvements to product may be made without notice. 1 of 2 www.amphenol-antennas.com REVO31O PAINT NOTES PAINTING SCHEDULE: 1. FERROUS METAL 7. ALUMINUM SURFACE SCHEDULED FOR PAINT FINISH: REMOVE SURFACE CONTAMINATION BY STEAM OR HIGH-PRESSURE WATER. REMOVE A. CLEAN SURFACE IN CONFORMANCE TO SSPC-SP-3 STANDARDS, POWER TOOL CLEANING. OXIDATION WITH ACID ETCH AND SOLVENT WASHING. APPLY ETCHING PRIMER IMMEDIATELY FOLLOWING CLEANING. PRIMER: APPLY ONE SPOT COAT OF TENEMEC SERIES 1 PRIMER @ 2.5-3.0 MILS DRY. 8. FERROUS METALS: CLEAN UNGALVANIZED FERROUS METAL SURFACES THAT HAVE NOT BEEN SHOP COATED; REMOVE OIL, GREASE, DIRT, FINISH COAT: APPLY TWO SPOT COATS OF TENFMEC SERIES 1029 (COLOR) AT 2.5 MILS LOOSE MILL SCALE, AND OTHER FOREIGN SUBSTANCES. USE SOLVENT a PER COAT. OR MECHANICAL CLEANING METHODS THAT COMPLY WITH THE STEEL STRUCTURES PAINTING COUNCIL'S (SSPC) RECOMMENDATIONS. TOUCH tx COLOR TO MATCH EXISTING BUILDING COLOR. OWNER TO APPROVE COLOR MATCH. UP BARE AREAS AND SHOP APPLIED PRIME COATS THAT HAVE BEEN DAMAGED. WIRE BRUSH, CLEAN WITH SOLVENTS RECOMMENDED BY PAINT MANUFACTURER, AND TOUCH UP WITH THE SAME PRIMER AS THE 2. ZINC COATED METAL: PROVIDE THE FOLLOWING FINISH SYSTEM OVER ZINC COATED METAL: SHOP COAT. a A. SEMIGLOSS ACYLIC-ENAMEL FINISH: 2 FINISH COATS OVER A PRIMER. 9. GALVANIZED SURFACES: CLEAN GALVANIZED SURFACES WITH ° NON-PETROLEUM-BASED SOLVENTS SO SURFACE IS FREE OF OIL AND PRIMER: GALVANIZED METAL PRIMER APPLIED AT SPREADING RATE RECOMMENDED SURFACE CONTAMINANTS. REMOVE PRETREATMENT FROM GALVANIZED T BY THE MANUFACTURER TO ACHIEVE A TOTAL DRY FILM THICKNESS OF SHEET METAL FABRICATED FROM COIL STOCK BY MECHANICAL METHODS. [j! NOT LESS THAN 1.2 MILS. BENJAMIN MOOR IRON CLAD GALVANIZED METAL LATEX PRIMER #155 OR APPROVED EQUAL. 10. ANTENNA PANELS: REMOVE ALL OIL, DUST, GREASE, DIRT, AND OTHER !�; e FOREIGN MATERIAL TO ENSURE ADEQUATE ADHESION, PANELS MUST BE A ! FIRST AND SECOND COAT: SEMIGLOSS, ACYLIC EXTRIOR ENAMEL APPLIED AT SPREADING RATE WIPED WITH METHYL ETHYL KETONE (MEK). r�A RECOMMENDED BY THE MANUFACTURER TO ACHIEVE A TOTAL DRY FILM =<-- THICKNESS OF NOT LESS THAN 2.6 MILS. BENJAMIN MOORE REGAL 11. COAXIAL CABLES: REMOVE ALL OIL, DUST, GREASE. DIRT, AND OTHER ,E AQUAGLO VINYL-ACYLIC LATEX ENAMEL #333 OR APPROVED EQUAL, FOREIGN MATERIAL TO ENSURE ADEQUATE ADHESION. \ G 3. ANTENNA PANELS: CLEANING: A. SHERWIN WILLIAMS POLANE-B 1. COLLECT WASTE MATERIAL, WHICH MAY CONSTITUTE A FIRE HAZARD, 3 d} B. COLOR TO BE MATCHED WITH EXISTING STRUCTURE. PLACE IN CLOSED METAL CONTAINERS AND REMOVE DAILY FROM SITE. I ,` 4. COAXIAL CABLES: APPLICATION: o ^m . APPLY PRODUCTS IN ACCORDANCE WITH MANUFACTURER'S �II � A. ONE COAT OF DTM BONDING PRIMER (2-5 MILS. DRY FINISH) B. TWO COATS OF DTM ACRYLIC PRIMER/FINISH (2.5-5 MILS. DRY FINISH) INSTRUCTIONS. t 1 C. COLOR TO BE FIELD MATCHED WITH EXISTING STRUCTURE. 2. DO NOT APPLY FINISHES TO SURFACES THAT ARE NOT DRY. EXAMINATION AND PREPARATION: 3. APPLY EACH COAT TO UNIFORM FINISH. z O n H- 1. 4. APPLY EACH COAT OF PAINT SLIGHTLY DARKER THAN PRECEDING COAT DO NOT APPLY PAINT IN SNOW, RAIN, FOG OR MIST OR WHEN RELATIVE HUMIDITY EXCEEDS 85%. DO NOT UNLESS OTHERWISE APPROVED. > LLJ w APPLY PAINT TO DAMP OR WET SURFACES. o U W=N 5 SAND METAL LIGHTLY BETWEEN COATS TO ACHIEVE REQUIRED FINISH Z F-W o . . 2. VERIFY THAT SUBSTRATE CONDITIONS ARE READY TO RECEIVE WORK. EXAMINE SURFACE SCHEDULED TO BE � LJ.I U FINISHED PRIOR TO COMMENCEMENT OF WORK. REPORT ANY CONDITION THAT MAY POTENTIALLY AFFECT w Of w z° PROPER APPLICATION. 6. VACUUM CLEAN SURFACES FREE OF LOOSE PARTICLES. USE TACK _Z ¢ CLOTH JUST PRIOR TO APPLYING NEXT COAT. O d w U 3. TEST SHOP APPLIED PRIMER FOR COMPATIBILITY WITH SUBSEQUENT COVER MATERIALS. LL N w 7. ALLOW APPLIED COAT TO DRY BEFORE NEXT COAT IS APPLIED. z 4. PERFORM PREPARATION AND CLEANING PROCEDURE IN STRICT ACCORDANCE WITH COATING O MANUFACTURER'S INSTRUCTIONS FOR EACH SUBSTRATE CONDITION. COMPLETED WORK: LL 5. CORRECT DEFECTS AND CLEAN SURFACES WHICH AFFECT WORK OF THIS SECTION. REMOVE EXISTING 1. SAMPLES: PREPARE 24" X 24" SAMPLE AREA FOR REVIEW. 03 z3 is COATINGS THAT EXHIBIT LOOSE SURFACE DEFECTS. 2. MATCH APPROVED SAMPLES FOR COLOR, TEXTURE AND COVERAGE. z a 15001.036 6. IMPERVIOUS SURFACE: REMOVE MILDEW BY SCRUBBING WITH SOLUTION OF TRI-SODIUM PHOSPHATE AND REMOVE REFINISH OR REPAINT WORK NOT IN COMPLIANCE WITH BLEACH. RINSE WITH CLEAN WATER AND ALLOW SURFACE TO DRY. SPECIFIED REQUIREMENTS. DE-6 STRUCTURAL SPECIFICATIONS 5. FIT AND SHOP ASSEMBLE FABRICATIONS IN THE LARGEST PRACTICAL SECTIONS FOR DELIVERY TO SITE. a DESIGN BASIS 6. INSTALL FABRICATIONS PLUMB AND LEVEL, ACCURATELY FITTED, AND FREE FROM s DISTORTIONS OR DEFECTS. GOVERNING CODE: 2009 INTERNATIONAL BUILDING CODE (IBC) AS MODIFIED BY THE 8TH 7. AFTER ERECTION OF STRUCTURES, TOUCHUP ALL WELDS, ABRASIONS AND EDITION MASSACHUSETTS STATE BUILDING CODE - 780 CMR AMENDMENTS. NON-GAI VANI7FD SURFACES WITH A 95% ORGANIC ZINC RICH PAINT IN ACCORDANCE WITH ASTM 780. 1. DESIGN CRITERIA: 8. ALL STEEL MATERIAL (EXPOSED TO WEATHER) SHALL BE GALVANIZED AFTER FABRICATION IN ACCORDANCE WITH ASTM A123 "ZINC (HOT DIPPED GALVANIZED) w WIND LOAD: PER ASCE 7-05. COATINGS" ON IRONS AND STEEL PRODUCTS. • BASIC WIND SPEED: 100 MPH (3 SECOND GUST) PER 2009 INTERNATIONAL BUILDING CODE (IBC) AS 9. ALL BOLTS, ANCHORS AND MISCELLANEOUS HARDWARE SHALL BE GALVANIZED IN MODIFIED BY THE 8TH EDITION MASSACHUSETTS STATE BUILDING CODE - 780 CMR AMENDMENTS. ACCORDANCE WITH ASTM A153 "ZINC COATING (HOT-DIP) ON IRON AND STEEL HARDWARE". • GROUND SNOW LOAD (Pg): 65 PST rE 10. CONTRACTOR SHALL COMPLY WITH AWS CODE FOR PROCEDURES APPEARANCE AND • SEISMIC LOAD: PER ASCE 7-05 MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES. QUALITY OF WELDS, AND WELDING PROCESSES SHALL BE QUALIFIED IN ACCORDANCE WITH AWS "STANDARD QUALIFICATION PROCEDURES". ALL WELDING GENERAL NOTES SHALL BE DONE USING E70XX ELECTRODES AND WELDING SHALL CONFORM TO AISC AND D1.1 WHERE FILLET WELD SIZES ARE NOT SHOWN, PROVIDE THE 1t MINIMUM SIZE PER TABLET J2.4 IN THE AISC "MANUAL OF STEEL CONSTRUCTION" 3N 1. IF ANY FIELD CONDITIONS EXIST WHICH PRECLUDE COMPLIANCE WITH THE DRAWINGS, THE CONTRACTOR 9TH EDITION. AT THE COMPLETION OF WELDING, ALL DAMAGE TO GALVANIZED {4S SHALL IMMEDIATELY NOTIFY THE ENGINEER AND SHALL PROCEED WITH AFFECTED WORK AFTER CONFLICT IS COATING SHALL BE REPAIRED. k �+ SATISFACTORILY RESOLVED. 11. THE ENGINEER SHALL BE NOTIFIED OF ANY INCORRECTLY FABRICATED, DAMAGED 2. DIMENSIONS AND DETAILS SHALL BE CHECKED AGAINST THE PRE MANUFACTURED EQUIPMENT BUILDING OR OTHERWISE MISFITTING OR NON CONFORMING MATERIALS OR CONDITIONS TO SHOP DRAWINGS, REMEDIAL OR CORRECTIVE ACTION, ANY SUCH ACTION SHALL REQUIRE ENGINEER G REVIEW. _ 3. THE CONTRACTOR SHALL VERIFY AND COORDINATE THE SIZE AND LOCATION OF ALL OPENINGS, SLEEVES AND ANCHOR BOLTS AS REQUIRED BY ALL TRADES. 12. CONNECTION ANGLES SHALL HAVE A MINIMUM THICKNESS OF 1/4 INCHES. 13. STRUCTURAL CONNECTION BOLTS SHALL CONFORM TO ASTM A325. ALL BOLTS SHALL BE 3/4" DIAMETER MINIMUM AND SHALL HAVE A MINIMUM OF TWO BOLTS, $ STRUCTURAL STEEL UNLESS OTHERWISE ON THE DRAWINGS. Z o 1. ALL STRUCTURAL STEEL IS DESIGNED BY ALLOWABLE STRESS DESIGN ASD 14. CONNECTIONS SHALL CONFORM TO ALL REQUIREMENTS OF THE "AISC ( ) SPECIFICATION FOR THE DESIGN, FABRICATION, AND ERECTION OF STRUCTURAL STEEL FOR SHELTERS", LATEST EDITION, AND THE "SPECIFICATION FOR A. STRUCTURAL STEEL (W SHAPES)---ASTM A992 (FY = 50 KSI) STRUCTURAL JOINTS USING ASTM A325 OR A490 BOLTS", LATEST EDITION. B. STRUCTURAL STEEL (OTHER SHAPES)---ASTM A36 (FY = 36 KSI) C. STRUCTURAL HISS (RECTANGULAR SHAPES)---ASTM A500 GRADE B, (FY = 46 KSI) 15. LOCK WASHER ARE NOT PERMITTED FOR A325 STEEL ASSEMBLIES. } O D. STRUCTURAL HSS (ROUND SHAPES)---ASTM A500 GRADE B, (FY = 42 KSI) n a E. PIPE---ASTM A53 (FY = 35 KSI) 16. SHOP CONNECTIONS SHALL BE WELDED OR HIGH STRENGTH BOLTED. W�w Q F. CONNECTION BOLTS---ASTM A325-N o ()of=N G. U-BOLTS---ASTM A36 17. MILL BEARING ENDS OF COLUMNS, STIFFENERS, AND OTHER BEARING SURFACES m Z I-it o H. ANCHOR RODS---ASTM F 1554 TO TRANSFER LOAD OVER ENTIRE CROSS SECTION. w W w 0 0 I. WELDING ELECTRODE---ASTM E 70XX 29 0'z z 18. FABRICATE BEAMS WITH MILL CAMBER UP. 0 Q a ui 2. CONTRACTOR TO REVIEW ALL SHOP DRAWINGS AND SUBMIT COPY TO ENGINEER FOR APPROVAL. DRAWINGS 0 MUST BEAR THE CHECKER'S INITIALS BEFORE SUBMITTING TO THE ENGINEER FOR REVIEW. SHOP DRAWINGS 19. LEVEL AND PLUMB INDIVIDUAL MEMBERS OF THE STRUCTURE TO AN ACCURACY OF W N SHALL INCLUDE THE FOLLOWING SECTION PROFILES, SIZES, CONNECTION ATTACHMENTS, REINFORCING, 1:500, BUT NOT TO EXCEED 1/4" IN THE FULL HEIGHT OF THE COLUMN. 0 ANCHORAGE, SIZE AND TYPE OF FASTENERS AND ACCESSORIES. INCLUDE ERECTION DRAWINGS, ELEVATIONS a AND DETAILS. 20. COMMENCEMENT OF STRUCTURAL STEEL WORK WITHOUT NOTIFYING THE ENGINEER OF ANY DISCREPANCIES WILL BE CONSIDERED ACCEPTANCE OF PRECEDING WORK. 3. STRUCTURAL STEEL SHALL BE DETAILED, FABRICATED AND ERECTED IN ACCORDANCE WITH THE LATEST °,�'�'a' PROVISIONS OF AISC MANUAL OF STEEL CONSTRUCTION. 21. INSPECTION AND TESTING OF ALL WELDING AND HIGH STRENGTH BOLTING SHALL 15-036 BE PERFORMED BY AN INDEPENDENT TESTING LABORATORY. 4. PROVIDE ALL PLATES, CLIP ANGLES, CLOSURE PIECES, STRAP ANCHORS, MISCELLANEOUS PIECES AND HOLES REQUIRED TO COMPLETE THE STRUCTURE. 22. FOUR COPIES OF ALL INSPECTION TEST REPORTS SHALL BE SUBMITTED TO THE DE-5 ENGINEER WITHIN TEN (10) WORKING DAYS OF THE DATE OF INSPECTION. NOTE 1. ATTACHMENT OF RRHs & DISTRIBUTION BOXES TO MOUNTS SHALL BE PER MANUFACTURER'S REQUIREMENTS. 2. PROPOSED ANTENNA SPACING DIMENSIONS SHOWN ARE MINIMUM ANTENNA AZIMUTH SEPARATIONS. ACTUAL ANTENNA MOUNT SEPARATIONS = TO BE VERIFIED IN FIELD. o PIPE 2.0 STD. (O.D. = 2.375") X 6—FT LONG (TYP.) w/ WELDED TOP CLOSURE CAP ,E1 PROPOSED VERIZON WIRELESS AWS iil PROPOSED TMA PANEL ANTENNA. E15R05P19 R ay d WIMAX TOWER MOUNT, a G ki .VALMONT P/N: CWT01(OR ENGINEER APPROVFD FOUAI . 0 60 age U = Z i 0 Ww¢ U�xN _I E 'T. w W U) o �zz¢ 3 Oaw2 U LL N Z Q O 1 ANTENNA MOUNTING DETAIL LL DE—¢ SCALE: 3/4" = 1'-0" 5 sHH uooimc DE-4 NOTES 1. ANTENNA CONFIGURATIONS SHOWN HEREIN ARE FRONT ELEVATIONS. o 2. PROPOSED ANTENNA SPACING DIMENSIONS �<<ilPd '�_TF ANT-lj[ - SHOWN ARE MINIMUM ANTENNA AZIMUTH tiTD=c. BXA-70063-6CF jILI-, -: L� L L°'E' SEPARATIONS. ACTUAL ANTENNA MOUNT SEPARATIONS TO BE VERIFIED IN FIELD. o� 3. REFER TO FINAL RF REPORT PROVIDED BY VERIZON WIRELESS FOR THE LATEST INFORMATION REGARDING ALL AZIMUTHS, REQUIRED CABLES AND APPURTENANCES. - - _ r 4. MODIFICATION TO THE EXISTING ANTENNA F, a MOUNTS IS REQUIRED TO ACCOMMODATE THE PROPOSED ANTENNA UPGRADE. REFER E'1,- _T, I yl-l� TO SHEET DE-4 FOR DETAILS. - r': rte. 5. MOUNTING HARDWARE, PROPOSFD/EXISTING -1 ANTENNAS, ASSOCIATED APPURTENANCES AND CABLING ARE TO BE PAINTED TO - � MATCH THE COLOR of THE EXISTING 1 LOWER ANTENNA MOUNTING CONFIGURATION EXISTING MA SMOKESTACK. REFER TO SHEET DE-6 FOR ADDITIONAL INFORMATION. DE-3 SCALE: 1/4" = 1'-0" (ALL SECTORS) _ In 345' ALPHA PROPOSED LTE ANTENNA " �t SECTOR MODEL: SBNHH-1D65C ' (LTE/AWS) (TOTAL OF 3) PROPOSED LTE ANTENNA MODEL: SBNHH-1D65C (DIMS: 96.4"L x 11.9"W x 7.1"D) S`= PROPOSED AWS ANTENNA MODEL: HBXX-6517DS-A2M (DIMS: 74.91 x 12"W x 6.5'D) PROPOSED TMA DE-4 MODEL: E15R05P19 (DIMS: 11.4 1 x 9.9"W x 6.4"D) F- 0 DE-4 ° PROPOSED d a L -I AI, VERIZON WIRELESS ANTENNAS h > W w Q ., T _ . ��I EL. 113'± A.G.L. a It r cNo 95' PROPOSED LTE/AWS AZIMUTHS o w z z °Q BETA ALPHA: 345' Q a ui SECTOR BETA: 95' 220' (LTE/AWS) GAMMA: 220' S� N z GAMMA el N Of SECTOR a 0 (LTE/AWS) PROPOSED AWS ANTENNA LL MODEL: HBXX-6517DS-A2M (TOTAL OF 3) 03/13/15 sc� ns suowu .qB Bo. 15001.036 L- PLAN 113' ± AGL 2 LOWER ANTENNA MOUNTING CONFIGURATION - PROPOSEE (;n SCALE: 1/4" = 1'-0" APPROX. DE-3 SCALE: 1/4" = 1'-0' a o NORTH (ALL SECTORS DE-3 NOTES DESIGN EXHIBIT THIS PLAN IS DIAGRAMMATIC IN NATURE AND IS 0 INTENDED FOR VISUAL REPRESENTATION OF THE 1. ANTENNA CONFIGURATIONS SHOWN HEREIN ALPHA T PROPOSED ANTENNA UPGRADE. ARE FRONT ELEVATIONS. SECTOR (CELL/PCS) 2. PROPOSED ANTENNA SPACING DIMENSIONS SHOWN ARE MINIMUM ANTENNA AZIMUTH T _ SEPARATIONS. ACTUAL ANTENNA MOUNT T`r SEPARATIONS TO BE VERIFIED IN FIELD. 3. REFER TO FINAL RF REPORT PROVIDED BY VERIZON WIRELESS FOR THE LATEST E S t''-'T &x INFORMATION REGARDING ALL AZIMUTHS, s T BXD-63606380CF _ REQUIRED CABLES AND APPURTENANCES. F x� 4. MODIFICATION TO THE EXISTING ANTENNA MOUNTS IS REQUIRED TO ACCOMMODATE 240' - 120' �a THE PROPOSED ANTENNA UPGRADE. REFER l�GAMMA BETA�1 TO SHEET DE-4 FOR DETAILS. SECTOR SECTOR (CELL/PCS) (CELL/PCS) r 5. ALL MOUNTS, MOUNTING HARDWARE, � PROPOSED/EXISTING ANTENNAS, ASSOCIATED APPURTENANCES AND CABLING ; ARE TO BE PAINTED TO MATCH THE COLOR 2 PLAN o 123' ± AGL 1 OF THE EXISTING SMOKESTACK. REFER TO _ SHEET DE-6 FOR ADDITIONAL INFORMATION. DE-2 SCALE: 1/4" = 1'-0" APPROX. NORTH G o g° � m E BXD-63606380CF _ L R .-- Z 0 F E' [ .Lh'- 'L'_F -,1T E'. ]- W IW Q C L. L W cn NO CHANGE AT w w O o DTI 1 f LL,F r''�¢ TH`. Z Z Q F UPPER LEVEL. OaLli2 C 4 -N Z LU I h �LU 1 UPPER ANTENNA MOUNTING CONFIGURATION - EXISTING a DE-2 SCALE: 1/4" = 1'-O" (ALL SECTORS) MiG 03/33/15 AS SHOWN 15001.OJ6 DE-2 NOTES: DESIGN EXHIBIT 1. THE PROPOSED VERIZON WIRELESS ANTENNA s UPGRADE TO CONSIST OF THE REPLACEMENT OF THIS PLAN DIAGRAMMATIC NATURE AND IS (3) OF THE EXISTING (3) LTE PANEL ANTENNAS INTENDED FOR VISUAL REPRESENTATION OF THE PROPOSED ANTENNA UPGRADE. AND THE INSTALLATION OF (3) AWS PANEL ANTENNAS FOR A TOTAL OF (9) PANEL ANTENNAS. - ADDITIONALLY (3) TMA'S AND (3) BIAS— T'S WILL BE INSTALLED. 2. THE PROPOSED ANTENNAS TO BE MOUNTED WITH oe A CENTERLINE HEIGHT AND AZIMUTH ORIENTATION EQUAL TO THE EXISTING ANTENNAS. 1 3. MODIFICATION TO THE EXISTING ANTENNA MOUNTS of-a EXISTING PROPOSED VERIZON ANTENNAS 1&2 A REQUIRED TO ACCOMMODATE THE PROPOSED . I D Na ANTENNA UPGRADE, REFER TO SHEET DE-4 FOR EL. ±113' A.G.L. DE-3 DETAILS. -- 4. ALL MOUNTS, MOUNTING HARDWARE. PROPOSED/EXISTING ANTENNAS, ASSOCIATED t �( APPURTENANCES AND CABLING ARE TO BE PAINTED t i� TO MATCH THE COLOR OF THE EXISTING SMOKESTACK. REFER TO SHEET DE-6 FOR ADDITIONAL INFORMATION. _ G S 0 IMP t } Z WWI Z��o w W W O o Z Z Q paw M J�O I.LNA GRAPHIC SCALE 'o 0 10 =o <o ao 1 m FI'„FR SOUTH ELEVATION ( IN FEET ) SCALE: 1” = 20-0" ooi.oas 1 inch = 20 ft. ' DE-1 Structural Evaluation Letter—Antenna Upgrade Verizon Wireless Site Ref—Florence 221 Pine Street Florence(Northampton), MA 01062 The proposed antenna installation meets the requirements of the Massachusetts State Building Code-780-CMR Eighth Edition considering the basic wind speed (3-second gust)of 100 mph for Williamstown.Our findings are based on the assumption that all structural members and appurtenances were properly designed, detailed,fabricated, installed and have been properly maintained since erection. In conclusion,the proposed Verizon antenna upgrade will not negatively impact the structural integrity of the existing antenna support structure or host masonry smokestack. If there are any questions regarding this matter, please feel free to call. Respectfully Submitted by: 3,vkOF CjV 11A) 1 ....,,. o. 2 °- �- Cffo F.tentore, PE Principal^ Structural Engineer ` "r "' S (ir en!ered can Solu1'ion ` March 26,2015 Mr.Aleksey Tyurin Verizon Wireless 99 East River Drive East Hartford,CT 06108 Re:Structural Evaluation Letter"Antenna Upgrade Verizon Wireless Site Ref—Florence 221 Pine Street Florence(Northampton), MA 01062 CENTEK Project No. 15001.036 Dear Mr:Tyurin, Centek Engineering, Inc. has reviewed the proposed Verizon Wireless antenna upgrade at the above referenced site.The purpose of the review is to determine the structural adequacy of the existing 135-ft+/-tall host masonry smokestack to support the proposed modified antenna configuration.The existing antenna installation consists of three (3)antenna sectors mounted to the fagade of the existing smokestack in two(2)stacked arrays. The review considered the effects of wind load, dead load,ice load and seismic forces in accordance with the Massachusetts State Building Code-780-CMR Eighth Edition. Modifications to the existing antenna mounts are required in order to accommodate the proposed antenna upgrade. Refer to drawings DE-1 thru DE-6 dated March 26,2015 for details. The existing, proposed and future loads considered in this analysis consist of the following: • Verizon (Existing to Remain): Antennas:Three (3)Antel BXD-63606380CF panel antennas and six(6) RFS FD9R6004/2C-3L Diplexers mounted to the exterior of the existing smokestack with a RAID center elevation of 123-ft+/-AGL. Coax:Twelve (12) 1-5/8-in dia. coaxial cables routed along the exterior of the existing smokestack. • Verizon (Existing to Remove): Antennas:Three (3)Antel BXA-70063-6CF panel antennas mounted to the exterior of the existing smokestack with a RAD center elevation of 113-ft+/-AGL. • Verizon(Proposed): Antennas:Three(3)Andrew HBXX-6517DS-A2M panel antennas,three(3)Andrew SBNHH-1D65C panel antennas and three(3)Commscope E15R05P19 TMA's mounted to the exterior of the existing smokestack with a RAD center elevation of 113-ft+/-AGL. Modifications to the existing antenna mounts are required in order to accommodate the proposed antenna upgrade. Refer to drawings DE-1 thru DE-6 dated February 20,2014 for details.Additionally(3)Teletilt ATSBT-BOTTOM-RM Bias-T's are to be installed. wvsw.Con 2kEt,,g orrs The Commonwealth of Massachusetts r Department of IndusNal Accidents F la Office of Investigations 1 Congress Street,Suite 100 Boston, AIA 02114-2017 rvwlt:mass.govAth Workers' Compensation Insurance Affidavit: Btiilc leis/Coiitraeto i-s/Electrieia;t:is/Pltiiiibers Applicant Information Please Print Legibly l Name (BusinesslUrgaoization/Individual): "; C�ALA< f ez 1 raf��, _ .• — _ Address City/State/Zip: LZ 01 Phone#: J4 '� Are you an employer? Check the appropriate box: Type of project(required): I. ] I am a employer with ,° 15 4. ❑ I am a general contractor and I have hired the sub-contractors 6. ❑New construction employees(full and/or part-time).•* 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' ` � insurance.; �. ❑ Building addition [No workers com com p. insurance comp. 10.❑ Electrical repairs or additions required.] 5. [] We are a corporation and its 3.® 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp, right of exemption per MOL 12.❑Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] 'Airy applicant that checks box#1 must also fill out the section below showing their workers'corupeusation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors muss submit a new affidavit indicatingsuch. ;Contractors that check this box must attached an additional sheet showing the na is of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy munber. 1 alit an emplaPer that is providing workers'compensation insurance for nip etnhl(�yees. Below is the policy and job site information. Insurance Company Name:_ .tfi?�� V�`_>u;lCs f')C ,Q. t Policy#or Self-ins. Lie.#: � <. t .� ;,) %,-,3 gz, Expiration Date: 1 0 4 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). hailure to secure coverage as required under Section 25A of MGL c. 152 can lead to(lie imposition of criminal penalties of a fide 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. 1 tlo hereby certify t t(ler the pants and pen allies of pmifia),plat Ilse information provided above is trite and correct. Si iature: 44 Date: CI[r ! i Phone M q J ,3 d 1 3 "3 :a t Official use only. Do not tt�rite in this area, to be completed by c tl,of town official. City or Town: Permit/License#� Issnfng Authority(circle one): 1.Board of Health 2.Building Department 3. Cityrrown Cleric d.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Versionl.7 Commercial Building Permit May IS,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No 1@ SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT iSee attached letter. as Owner of the subject property hereby authorize act on my behalf, in all matters relative to work authorized by this building permit application. t Signature of Owner Date Hen W.Fre•man,on behalf of Bell Atlantic Mobile of Coy oration,Ltd d/b/a V erizon NVireless x � � r 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 pains and penalties of perjury. ]lets W. Freymati Prin ame Signature of Ov r/A nt Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number , q cl kr�^)VC" Address Expiration Date Signature Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§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 No 0 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 T14AN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable j Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineor(s): E EE Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 1 { Name Area of Responsibility Address Registration Number m t s , Signature Telephone I Expiration Date 3 l l Name Area of Responsibility � i I Address Registration Number Signature Telephone Expiration Date } Name Area of Responsibility f Address Registration Number i Signature Telephone Expiration Date 9,3 General Contractor Company Name: Not Applicable ❑ i I Responsible In Charge of Construction f Address Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONM�] Existing Proposed Required by Zoning 'Nis columa to be titled in by Lot Size Frontage Setbacks Front Rear Building Height Bldg.Square Footage Open Space Footage % (Lot area ininiks bldg&paved #of Parking Spaces � � � � � � � � A. Has a Special. Permit/Variance/Finding ever been issued for/on the site? � NO ^~��/ DONT KNOW \_��� YES � | | IF YES, date 05/25/2O05 / ' ' � | IF YES: Was tile permit recorded ai tile Registry ofDeeds? NO y�\ D�N'TKN0� y—� YES �� �� IF YES: enter Book | 7374 Paye| 226 | and/o/ Docmneot0| � . v�� /—� � B. Does the site contain a brook, body o/water ornedands7 NO \�/ DON'TKN0W \`� YES v�� / | IF YES, has a permit been or need to be obtained from tile Conservation Commission? � Needs tobeobtained /-� Obtained /—� Date |ouod' \_/ \_� ' C. Do any signs exbLnn the property? YES /—\ NO 0 | | | IF YES, describe size, type and location: D. Are there any proposed changes tom additions of signs intended for the property 7 YES 0 NO (F) IF YES, describe size, type and location: E� Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre misit part ofo common plan � that will disturb over 1acre? YES ( ) NO (�) �� �� IF YES,then a Northampton Storm Water Management Permit frorn the DPW is required. ' � � Vetsioul.7 Coirunercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE I Interior Alterations E:1 Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Chango of Use❑ Other 121 Brief Description 'Nerizon Wireless is removing till-cc(3)antenna panels and replacing them with three(3) Of Proposed Work:'upgraded antenna panels,and adding three(3) for a total of 9 all existing smokestack installation, 1 1 SECTION 6-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly El A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B 0 B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional 1:1 1-1 ❑ 1-2 ❑ 1-3 1:1 313 ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 171 S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use 0 Specify: ,Cell site 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 I BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(so IM 2 nd 2nd rd 3rd 3 4 th 4th Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§64) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zc ❑ )al ❑ On site disposal system[] i SEP 23t�i5 ID Versioul.7 Commercial Building Permit May 15,2000 Department use only. NoPrlumbing i Qas City of Northampton status of Permit; o� Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 WaterNVetl Availability Northampton, MA 01060 Two Sets of structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/$ite 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 :221 Pine Street,Florence(Nortlianq)ton) Map Lot Unit Zone Overlay District ' Elm 5t.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ,The Brush Works,LLC '667 Main Street,Holyoke,MA 0 104 Name(Print) Current Mailing Address: (4 t 3) 534-0955 Signature Herbert G. Bereiin Telephone 2.2 Authorized Agent: Sell Atlantic Mobile of Massachusetts Corporation,Ltd =99 Fast River Drive,East Hartford,CT 06108 Name(Print) dinla tierizon Wireiess Current Mailing Address: (4l3) 737-1131 Signalwe Telephone reyrman aut torrze age�nt SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed b y permit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of i Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 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 Cornmissionerllnspector of Buildings Date File#BP-2016-0402 APPLICANT/CONTACT PERSON SHATZ, SCHWARTZ&FENTIN,PC ADDRESS/PHONE 1441 MAIN ST SPRINGFIELD01103 (413)737-1131 PROPERTY LOCATION 221 PINE ST-VERIZON MAP 22B PARCEL 040 001 ZONE SI(115)/WP(115)/WSP(1)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out - Fee Paid Typeof Construction: REPLACE 3 ANTENNA PANELS&ADD 3 FOR A TOTAL OF 9 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 71466 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: y"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 Demolition Delay Signature of Building 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. 221 PINE ST-VERIZON BP-2016-0402 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:22B-040 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ANTENNAS BUILDING PERMIT Permit# BP-2016-0402 Project# JS-2016-000632 Est. Cost: $9000.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: BERKSHIRE WIRELESS 71466 Lot Size(sq. ft.): 145926.00 Owner: BRUSH WORKS THE LLC Zoning: SI(115)/WP(I15 /W�1)/ Applicant: SHATZ, SCHWARTZ & FENTIN, PC AT. 221 PINE ST -VERIZON Applicant Address: Phone: Insurance: 1441 MAIN ST (413) 737-1131 WC SPRINGFIELDMA01103 ISSUED ON.912812015 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE 3 ANTENNA PANELS &ADD 3 FOR A TOTAL OF 9 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 9/28/2015 0:00:00 $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner