36-248 (13) 46 MAPLE RIDGE RD BP-2017-1147
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:36-248 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BASEMENT RENOVATION BUILDING PERMIT
Permit# BP-2017-1147
Project# JS-2017-001944
Est. Cost:$25000.00
Fee: $163.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: RICHARD AHLSTROM 073454
Lot Size(so. ft.): 31624.56 Owner: PALM JEFFREY A&KELLY A
Zoning. rippiicaiit: RtCHARL1 AHLSTROM
AT: 46 MAPLE RIDGE RD
Applicant Address: Phone: Insurance:
215 MADISON AVE (413) 533-9900 ()
HOLYOKEMA01040 ISSUED ON:4/12/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:ADD BATH IN BASEMENT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: •:•ii` (S Service: Meter:
Footings:
Rough: / Rough: S. - `4"- 1 ! House# Foundation:
^ pl,y‘ Driveway'Final:
7
Final: Final(a- - (`1
�i/ /7 P►\ Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: «::., ..
Final: Smoke: Final: ' ,i(fc
TAW
THIS PERMIT MAY BE REVOKED BY THE CIT/O ' ! 'THAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE A I
I�4,�r.,o wa
Certificate of Occupancy G / Signature:
FeeTvpe: Date P d: Amount:
Building 4/12/2017 0:00:00 S163.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
Final Construction Control Document
%, 4, I, , To be submitted at completion of construction by a
`/` t • Registered Design Professional
• ) vll, / ' for work per the gIh edition of the
r‘1,--,-',/,` Massachusetts State Building Code, 780 CMR, Section 107
Project Title: T-Mobile-4SH0218C—SH218/Golf Rawlgnd Builtldng Permit No.: BP2017-098) Date:06/06/2017
Property Address: 254 Old Wilson Road,Northampton MA 01062
Project: Check(x)one or both as applicable: ❑ New construction ® Existing Construction
Project description: Alteration of an existine wireless communications (acilite includingmodification of tower-mounted
RI eu_pipn vent. inou itinig hard ware. transmission lines and modification of ground-mounted RP equipment as shown in
the latest version of L700 c nistrpction drawings In. ProTerra Design Group. LIC dated 02/27/2017..QRev 1).
I Jesse M,Moreno MA Registration Number: 47315 Expiration date: 06/30/2018,am a registered design
prnfessfonnl, and I have prepared or directly supervised the preparation of all design plans,computations and
specifications concerning:
❑ Entire Project [ Architectural ❑ Structural ❑ Mechanical
❑ Fire Protection ❑ Electrical ® Other: T-Mohile L700-Telecommunications Alteration
for the above named project. I,or my designee,have performed the necessary professional services, in accordance with
the Professional standard of Care,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 1 or my designee:
I. I lave 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. Such review shall not
diminish or relieve the contractor of its submittal and other responsibilities.
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.The contractor is responsible for the performance of the work in
accordance with the contract documents and shall be exclusively responsible for its construction means, methods.
sequences and procedures,and for construction safety.
Nothing in this document relieves the contractor-4,4s responsibility regarding the provisions of 780 CMR 107_
l'i` ��It`.I T II. Y '
I.
Enter in the space to the right a "wet kJ �� l t 2
electronic signature and seal: . t.�_, OF k41
Phone number: 1413)320-4918 Email: jmoreno@proterra-desiiin.com
Building Oficial Use Only
Building Official Name:_.. — Permit No _ Dam:
N ne 1. Indictee with an-al protect design plans,computations ions and spei hCallane that lou prepared or directly supervised If to r'is chosen,
provide a description.
Verson 0I I I.2013
ProTerraFIELD INSPECTION REPORT
INSPECTION DATE May 17, 2017 I JOB NO.15-001
DESIGN GROUP, LLC REPORT ISSUE DATE REVISION COMMENTS
06-06-17 0 Final Report
PREPARED BY: ProTerra Design Group, LLC
4 Bay Road
Building A;Suite 200
Hadley, MA 01035 PROJECT
T-Mobile L700 Alteration
SUBMITTED: Louis Hasbrouck T-Mobile Site Name:SH218/Golf Rawland
TO: Building Commissioner T-Mobile Site No.:4SH0218C
Puchalski Municipal Building Permit No.: BP-2017-0988
Building Site Address:254 Old Wilson Road
212 Main St. Northampton, MA 01062
Northampton, MA 01060 CONTRACTOR OWNER
SBA Network Services T-Mobile Northeast, LLC
WEATHER TIME
Clear,80°F 3:30 PM
PRESENT AT SITE ORGANIZATION
Tom Johnson ProTerra Design Group, LLC)
Pursuant to the Massachusetts Amendments to the IBC 2009§1701.1.1 Construction Control of the 8th edition of
the Massachusetts State Building Code (780 CMR), the following report documents a visual inspection from
ground level of completed construction for general conformance with 7-Mobile L700 Alteration construction
drawings prepared by ProTerra Design Group, LLC revised through 02-27-17.
1) Existing LMU cable has been removed as noted in the plans.
2) The plans called for the SiteProl PRK-HD platform reinforcement kit to be installed. The contractor has
installed an alternate platform reinforcement kit,(Commscope RK-36-3S)and has been deemed a suitable
substitution after conferring with the manufacturer.
3) The proposed platform v-brace reinforcement kit, (Commscope VSR-MS-B) has been installed to the new
top rail pipe as designed.
4) The existing AIR antennas were tied together with pipes and crossover brackets. These have been
removed during construction though they were intended to remain. These provided stability for the
existing panel antennas. Since the Commscope VSR-MS-B v-brace and top rail have been installed and
provide a second point of connection for the antenna pipe masts, it is acceptable that these were
removed.
5) Three new panel antennas have been installed on the existing platform.
6) Three new RRHs installed behind the new panel antennas.
7) During the final inspection on 05-17-17 it was noted that the hydrogen cabinet had not been removed as
was required prior to the start of construction. ProTerra Design has since received confirmation that the
hydrogen cabinet has been removed and was verified in a site visit on 06-06-17.
4SH0218C Page 1 of 4 Field Inspection Report
SH218/Golf Rawland May 17,2017
8) An existing 604 2-pole breaker feeding the existing 3106 cabinet with 6131 upgrade has been replaced
with an 80A 2-pole breaker. The new breaker size is smaller than the anticipated 100A-2P breaker.
9) It is presumed that the conductors between the PPC and the 3106/6131 cabinet have been upgraded
accordingly by a licensed electrician.
10) Our office is of the understanding that any required electrical work was performed by a licensed
electrician and inspected by those having jurisdiction as required.
11) Site is clean.
The comments in this field report are a record of observations made on site. If there are any errors or omissions
please notify ProTerra Design Group, LLC in writing or all comments and all parties shall consider this report
factual and acceptable.
7
COPIES TO: File
SUBMITTED: — G
Peter Nute, Project Engineer
REVIEWED �.1
�oreno, P.E....anaging Partner
4SH0218C Page 2 of4 Field Inspection Report
SH218/Golf Rawland May 17, 2017
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Cabling at lower entry port. (LMU removed) 3106/6131 breaker upgraded to 80A.
45H0218C Page 3 of 4 Field Inspection Report
5H218/Golf Rawland May 17,2017
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Existing antennas with tie-back pipe. Existing antennas with top rail installed,tie-back removed.
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Platform reinforcement kit. Existing Hydrogen cabinet removed and site surfacing has
been restored to match.
45H0218C Page 4 of 4 Field Inspection Report
SH218/Golf Rawland May 17,2017
0)ue lc `37 r tie
L . MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
we wes;
r CITY Northampton _ j MA DATE 4I18I2017 JPERMIT# PP -Li R-0
/ - �
j j_
JOBSITE ADDRESS 46 Maple Ridge Road i OWNER'S NAME Kelly Palm
OWNER ADDRESS 46 Maple Ridge Road TEL 617-216-0933 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL [ : RESIDENTIAL .,i
PRINT
CLEARLY NEW. 'moi RENOVATION.H REPLACEMENT. 1 PLANS SUBMITTED. YES I v NOH-1,
FIXTURES 1 FLOOR-, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB IIMMIIMSIIMIIMIIMINIIIMMIIIINIIIIIIIIIIIIIIIIII
.... --
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM alliammain j 7 as.
DEDICATED GAS/OIL/SAND SYSTEM liallin t 11.01111
_
DEDICATED GREASE SYSTEM ERIIIIIIIIIIIII
DEDICATED GRAY WATER SYSTEM . hill lam,.
_
DEDICATED WATER RECYCLE SYSTEM t� 1� —
DISHWASHER flint ilnrraWINAiniiiiIIMMII..--
DRINKING FOUNTAIN S
FOOD DISPOSER Sanalia
FLOOR/AREA DRAIN �� -- `
INTERCEPTOR INTERIOR lealainalliallall
KITCHEN SINK - ��I�T____
iISINK
---11.11.10.1nlientaina,,
Anillanilliallt
TOILET Ir�SI
URINAL ' a e-1, (-
WASHINGMACHINECONNECTION �W:tiiiikatia giM77-- .
WATER HEATER ALL TYPES
WATER PIPING rte',, _.. �7 �!�I
Imo`- in
OTHER I Sewage Ejectorat all
11111011111a1111111 11111M111111111.111F
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO 0
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY y I OTHER TYPE OF INDEMNITY I BOND Li
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER rl AGENT 1 11
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are true and ur to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will bei pliagc t I Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. //
PLUMBER'S NAME 1 John T.Geryk
LICENSE# 16079 SIGNATURE
MFC,, JP, . CORPORATION LJ#I�_ lPARTNERSHIPj,_# i LLC #` ...a
COMPANY NAME 1 John T.Geryk Plumbing 8 Heating j ADDRESS 120 Jackson St.First Floor •
CITY1 Northampton 1STATE MA ; ZIP 01060 j TEL413-727-3057
FAX I i CELL I q 3-336-3893 t EMAIL john@lohntgerykplumbmg.corn j
Ood -GcSfc viCJ f 1-12ove yotid (e
4/2 7 ,27-7-wire-
46 MAPLE RIDGE RD EP-2017-0937
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 36
Lot:248 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE BATH IN BASEMENT
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001944
Est.Cost: Contractor: License:
Fee: $65.00 CHESTER C GOLEC Journeyman 32699E
Owner: PALM JEFFREY A & KELLY A
Applicant: CHESTER C GOLEC
AT: 46 MAPLE RIDGE RD
Applicant Address Phone Insurance
P 0 BOX 193 (413) 586-8745 C-(413) 320-1156 Liability, MP053756
LEEDS MA01053 ISSUED ON:5/9/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE BATH IN BASEMENT
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/UG:
Special Instructions
x '
Rough S Q- /7 yC v np• 5
x
Special Instructions:
Final: - 7- / 7 I%pp
NTh
SRE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $65.00 5/9/2017 0:00:00 1144
212 Main Street,Phone(413)587-1244.Fax(413)587-1272-Inspector of Wires -Roger Malo