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31B-193 123 ELM ST-HELEN HILLS BP-2017-1296 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:31B- 193 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-2017-1296 Project# JS-2017-002153 Est.Cost: $25000.00 Fee:$175.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SAI COMMUNICATIONS\KEITH BARNARD 104639 Lot Size(sq.R): 45302.40 Owner: SMITH COLLEGE OFFICE OF TREASURER Zoning: EU(l00)/URC(100)/ Applicant: SAI COMMUNICATIONS\KEITH BARNARD AT: 123 ELM ST - HELEN HILLS Applicant Address: Phone: Insurance: 27 NORTHWESTERN DR (603) 502-8183 WC SALEMNH03079 ISSUED ON:5/11/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:AT&T TO REMOVE AND REPLACE 3 ANTENNAS WITH 3 NEW ANTENNAS AND RELATED ACCESSORIES 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 sienature: FeeType: Date Paid: Amount: Building 5/11/2017 0:00:00 $175.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-1296 APPLICANT/CONTACT PERSON SAI COMMUNICATIONSUCEITH BARNARD ADDRESS/PHONE 27 NORTHWESTERN DR SALEM (603)502-8183 PROPERTY LOCATION 123 ELM ST-HELEN HILLS MAP 31B PARCEL 193 001 ZONE EU(100)/URC(100)/ 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: AT&T TO REMOVE AND REPLACE 3 ANTENNAS WITH 3 NEW ANTENNAS AND RELATED ACCESSORIES New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 104639 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 Demolition Delay CZ_ 4!7 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. /SAI/ 27 Northwestern Drive,Salem,New Hampshire 03079.603-92]-0490(Office) (LOC)•603493.1104(FA May 8,2017 City of Northampton Building Department 212 Main Street Room 100 Northampton, MA01060 RE: Building Permit Package Site Address: 123 Elm Street AT&T Site: MA4106—Northampton Hellen Hills Chapel Dear Building Inspectors, New Cingular Wireless/ATI Mobility has antennas and equipment at the above referenced telecommunication facility. AT&T would like to revise their antenna configuration; as such they are seeking a building permit to do so. On behalf of AT&T,enclosed please find: • Completed Building Permit Application • 1 set of 11x17 plans • 1 electronic set of plans • Structural Letter • Initial Construction Control • Contractor License • Insurance Affidavit • $175(check#57638)for$25k construction cost For your additional assistance, please also find enclosed a self-addressed UPS mailing label for return of the permit upon issuance. Thank you in advance for your help,and please do not hesitate to contact me should there be any questions or concerns or additional information required in order to process this request. Sincerely, ,(�. I1‘'Ni j)-- Mary Mary Caulfield Site Acquisition Specialist SAI Communications 27 Northwestern Drive Salem, NH 03079 (603)952-8441 mary.caulfield@sai-comm.com lvt$1414 6 Version1.7 Commercial Building Permit Ma 15,2000 City of Northampton Building Department 212 Main Street IItL Room 100 Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 ` ...,�„ ���° 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 Prooertv Address: This section to be completed by office 1123 Elm Street Map 3 /& Lot iq 3 Unit Zone Over$$DNMia Elm SS District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: American Tower j I10 Presidential Way,Woburn,MA 01801 Name(Print) Current Mailing Address'. !(''��,��, ..��- �,�,1� �. 1(781)926-4913 Signature &ee- �A� 41-ai � (`44e-1 Telephone 2.2 Authorized Anent: Mary Caulfield SA1 Communications _ 27 Northwestern Drive, Salem NH 03079 1 Name(Print) Current Mailing Address (603)952-8441 Signature ., Lowto " Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $25,000.O1 (a)Building Permit Fee 2. Electrical $0. (b)Estimated Total Cost of T , Construction from(6) 3. Plumbing $0.6 Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection $O.OQ I _ 6. Total=(1 +2+3+4+5) J Check Number 5-7Q 3 ri 4 75- This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date Version1.7 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 0 Accessory Building Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing Change of Use❑ Other 0 Brief Description AT&T to remove and replace 3 antennas with 3 new antennas and related accessories. Of Proposed Work: ' SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 0 A-3 ❑ 1A I ❑ A-4 ❑ A-5 ❑ 113 ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 0 2C ❑ H High Hazard El ❑ I Institutional ❑ I-1 0 1-2 0 i-3 0 36 0 M Mercantile ❑ 4 ❑ R Residential 0 R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage 0 s-1 0 S-2 ❑ 5B I ❑ U utility 0 Specify:wireless telecommunications M Mixed Use 0 Specify:church/wireless telecommunications -- S Special Use ❑ Specify COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: L,_ Proposed Use Group: no change _ j _ Existing Hazard Index 780 CMR 34): _i 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(sO e .__ 2"e ' 3rd ___ ..__ 3m Total Area(sf) 6)378, Total Proposed New Construction(sf)_ 6,878! Total Height(ft) 136''. Total Height ft 136 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone_Information: 7.3 Sewage Disposal System: Public 0 Private El Zone'__ _ 1 Outside Flood ZoneE Municipal 0 On site disposal system 0 Version I.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 '1.04 acre i (1 A4 acre _._ Frontage #— .__.._—_ i_.__ --- Setbacks _Setbacks Front —_- ' — 'i 1. Side L --- R:—__ IA._11 R:''. 1 Rear . .._.._.� P Building Height ]36_7 136I Bldg.Square Footage I 7 °o r-- I Open Space Footage _ % _ ...___, (Lot area minus bldg&paved ( L__! parking) #of Parking Spaces L---_ --- Fill: - — _ -- (volume&Location) _ __ ._____ A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES IF YES, date issued: 1 1 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O YES O IF YES: enter Book 1 Page and/or Document#^ i I B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES, describe size, type and location: L 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 O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 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.t Registered Architect: Vertical Resources Group,489 Washington Street, Auburn, MA 01501 Not Applicable ❑ 0068 Name(Registrant): Vertical Resources Group,489.Washington Street,Auburn, MA 01501 Reviatation N ber Address (508) 981=9590 j Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Vertical Resources Group IPE Name Area of Responsibility 489 Washington Street,Auburn,MA 01501 0068 _ Address Registration Number (508) 981 95901 Signature Telephone Expiration Date i 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 SAI Communications Not Applicable ❑ Company Name'. Keith Barnard Responsible In Charge of Construction 27 Northwestern Drive, Salem,NH 03079 Address c ��e.-1.11 (66 03) 502-8183 i. Signature Telephone Version).7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 11011) Independent Structural Engineering Structural Peer Review Required Yes 0 No O 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. Sc L. r cfoctt .e d C1...t'ti'W-4:4- ` Lan. IJ'„it[✓p _.._.. . __ ' Signature of Owner Date ary Caulfield ,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. Si ti, under the pains and penalties of perBury.____ Mary Caulfield Pant ame ._,e2,4 ` 61x1/ Id. ] I(i/ 1� _ _ J Signature of Own /Ag /'ent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder'Kei[h Barnard I CS-104639 Lice_ License Number r__ _._.. _....__ 69 Highlandview Ave.,North Andover,MA 01845 03/05/2018 Address Expiration Date ��3) 502-8183 1 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 O No 0 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: i Z 3 SI v14 ,53rea- The debris will be transported by: SAI Cn.wmu The debris will be received by: .CA 1 Ca,-wntuntc•L.( on5 Building permit number Name of Permit Applicant Mar/ Cm,µ (fie (d_ sle/zol iLt C o, Date Signatur of Permit Applicant 0 N. The Commonwealth of MassachusettsPnnt Form- . Department of Industrial Accidents Gr,§2 d l7= ,Y Office of Investigations t — w 1 Congress Street,Suite 100 � . ,;.� Boston, MA 02114-2017 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (©usiness/OrgmtiratioNlndividuap:Site Acquisitions,LLC d/b/a SAI Communications Address:27 Northwestern Drive City/State/Zip:Salem, NH 03079 _.. Phone #:603.421.0470 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 115 4. ❑ 1 am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors G. ❑ New construction 2.El I am a sole proprietor or partner- These on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in anycapacity. employees and have workers' P b' 9. ❑ Building addition [No workers' comp.insurance comp.insurance] required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Numbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.E Roof repairs insurance required.] t c. 152, §I(4),and we have no telications employees. [No workers' 13.0 Otherecommun comp. insurance required.] *Any applicant that checks box kl must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire onside contactors must submit a new affidavit indicating such. ^Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and slate whether or not those entities have employees. If the sub-c.nmractors have employees,they must provide their workers comp.policy number. I am an employer Mat is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Commerce&Industry Policy#or Self-ins.Lic.#:WC012851944 _ Expiration Date:8/1/2017 Job Site Address: 123 Elm Street City/State/Zip:_Northampton,MA 01060 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 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 hereby cent 'peg,the pains and en allies of perjuty that the information provided above is true and correct. Signature: J .� /1t�l _Date _ '- Phone#:603A21.0470 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other Contact Person: Phone#: A AMERICAN TOWER' LETTER OF AUTHORIZATION ATC SITE#/NAME: US-MA-2282/SMITH COLLEGE RT MA SITE ADDRESS: 123-125 Elm Street,Northhampton,MA 01060 LICENSEE: New Cingular Wireless PCS, LLC d/b/a AT&T Mobility QJla I, OL'� r `O.St (Property Owner of the property identified above) do he ' authorize New Cingular Wireless PCS, LLC d/b/a AT&T Mobility, American Tower*. their parents, subsidiaries, affiliates, successors, assigns, contractors, and agents, to act as my non-exclusive agent for the sole purpose of filing and consummating any current or future land-use or construction permit application(s) as may be required by the applicable permitting authorities. M ot Signature: ( ,� n � Print Name: inr I�IOS' ex- 10 Presidential Way • Woburn.MA 01801 • 781.916.4500 Office • 781.926.4555 Fax • ?nomamencantcwer cow s ilit Massachusetts Department of Public Safety Board of Building Regulations and Standard . License : CS-104639 Construction Supervisor aa e KEITH F BAR N D 69 HIGHLANDVIEW AVE NORTH ANDOVER MA 01845 IL hir •1101111111101.110 ' 4011SAIA Expiration Commissioner 03/05/2018 Initial Construction Control Document IC• �f To be submitted with the building permit application by a Registered Design Professional for work per the 8th edition of the • Massachusetts State Building Code, 780 CMR, Section 107 Project Number. MA4106 Date:04-04-2017 Project Title: AT&T MOBILITY SITE MA4106 NORTHAMPTON Property Address: 123 ELM STREET, NORTHAMPTON, MA 01660 Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: REPLACEMENT FOR AT&T MOBILITY OF EXISTING (3) LTE PANELS FOR NEW (3) QUINTEL QS665122 TWELVEPORT ANTENNAS, REPLACEMENT OF EXISTING(3)RRUS-11 RADIOS WITH NEW(6)RRUS-12 UNITS ON EXISTING SUPPORT PIPES. RE-USING EXISTING(2)RAYCAP SURGE ARRESTORS, EXISTING(2) 18 PAIR FIBER TRUNK, EXISTING (4) DC POWER TRUNKS IN EXISTING CONDUIT WITH INSIDE AT&T EQUIPMENT ROOM REPLACEMENT OF DUS WITH NEW 5216 AND THE ADDITION OF 1X XMU. 1 JAMES P. STROKE PE MA Registration Number. 20068 Expiration date: : 6-30-2018 ,being a registered design professional, hereby state,on behalf of Vertical Resources Group(VRG),that we have supervised the preparation of design documents concerning': Architectural Structural Mechanical Fire Protection Electrical X Other: DRAWINGS BY VRG Inc dated 03-21-2017 issued Tor Construction' for the above named project and that,to the best of my knowledge,such plans,computations and specifications apparently meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. VRG is responsible to perform the necessary professional services and be present on the construction site on a regular and periodic basis to: I. Review,for conformance to this code(780 CMR-Mass 8111)the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of quality control procedures for code-required controlled substances of Chapter 17(780-CMR). 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 if the work is being performed in a manner consistent with the construction documents and this code(780 CMR-Mass 841). Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,VRG shall submit field/progress reports(see item 3.)together with any comments, in a form acceptable to the building official. Upon completion of the work,VRG shall submit to the building official a `Final Construction Control Document'. ♦W4 JAMES P. �• • Enter in the space to the right a"wet"or STROME 4 i Electronic signature and seal: No. , APR �41911 Phone number: 508-981-9590 Email: MNOBREGRVERTICALRESOURCESGRP.COM Building Of ficial Use Only Building Official Name: Permit No.: Date: Version 06_11_2013 Vertical Resources Group,Inc. February 28,2017 Meredith Paynter Site Acquisition SAI Communications Consultant for AT&T Mobility 260 Cedar Hill Street Marlborough, MA 01752 SUBJECT: Opinion Letter Smith College Hellen Hills Chapel AT&T Site#.MA4106 Northampton—Helen Htlls Chapel 123 Elm Street, Northampton, MA 01660 Our File: 50-545 Ms. Paynter, The present is to confirm that we have reviewed the aforementioned existing church steeple for AT&Ts proposed replacement of existing (3) LTE/UMTS panels for new (3) Quintet QS665122 (72-x12'x9.61, 111 Lbs) antennas at elevation 374'-0', the replacement of existing (3) RRUS-11 units with new(6)RRUS-12 radios(20.4'x18.5"x6.1', 51 Lbs)at elevation±66'-O' on existing pipe mount supports inside existing steeple interior with associated DC & fiber cables. Considering existing installation was installed per signed MA5106 Protein Design Group construction drawings dated 6-27-2013, the existing wood & steel framed church steeple is capable of supporting the proposed and existing antenna loading in conformance with the , requirements of Massachusetts Building Code, ASCE 7 for a reference wind velocity of 100 mph(3 sec.Gust Speed,nominal BC 1609.3.1). . ..• - _ Analysis results stemming from worst case scenarios for bare wind and icedloading for AT&T's replacement of existing(3)Andrew panels for new(3)Quintet antennar(elev.374'-(f), the replacement of existing (3) RRUS-11 for new (6) RRUS-12 units (elev. ±66'-01), with associated DC &fiber cables generate stresses which remain within the allotted capacities in accordance with Massachusetts Building Code,ASCE 7 Minimum Design Loads for Buildings and other Structures. Based on these results, it is consistent to confirm that the present church steeple can seemingly accommodate existing as well as proposed AT&T loads(mounts, supports...) along with associated equipment in apparent agreement with the Massachusetts Building Code with respect to individual member capacities and require no further action. We trust the analysis and recommendations presented in this report will meet your requirements. However, please do not hesitate to contact us if you have any queries, or require any further information regarding this study. - 4444 Yours very truly, - �� r i:44 JAMES P. ♦ STROKE rn Miguel Nobre,P.E. rC5 11 wsmcalaeslmces MUM& IP 839 WlsiSpnSbeet -Aalm,14191501 P:508-981-9590 F:508-519-8939