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11-002 (18) BP-2022-0621 0 HAYDENVILLE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: I 1-002-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-oh:I PERMISSION IS HEREBY GRANTED TO: Project# ANTENNAS Contractor: License: Est. Cost: 80000 KEVIN CUNNINGHAM 088703 Const.Class: Exp. Date: 10419/2023 Use Group: Owner: NORTHAMPTON CITY OF SMITH SCHOOL Lot Size (sq.ft.) Zoning: RI/RR/WSP .applicant: QUALTECK WIRELESS Applicant Address Phone: Insurance: 29 HALE RI) (339)205-5017 WC6-6 3 1-5 1 0650-020 STOWE. MA01775 ISSUED ON:06/06/2022 TO PERFORM THE FOLLOWING WORK: REPLACEMENT AND ADDITION OF ANTENNAS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.N. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: . Fire Department Dri‘e.wa Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHANIPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: / r i +'1 • Fees Paid: $560.00 212 Main Street. Phone(413) 587-1240.Fax:(413)587-1272 Office of the Building Commissioner Z—oK File #BP-2022-0621 APPLICANT/CONTACT PERSON:QUALTECK WIRELESS 29 HALE RD STOWE, MA 01775(339)205-5017 PROPERTY LOCATION 0 HAYDENVILLE RD MAP:LOT 11-002-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED ' REQUIRED DATE . ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $560.00 Type of Construction: REPLACEMENT AND ADDITION OF : - •i► •S New Construction Non Structural Renovations ���J� 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 INFf RMATION 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 SpecialPemlit 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 It9 A Si ature 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. J U N - 1 2022 The Commonwealth of Massachusetts W1Office of Public Safety and Inspections t Massachusetts State Building Code(780 CMR) i' 4'ir�Ti N Application for any Building other than a One-or Two-Family Dwelling F+gin (This Section For Official Use Only) Building Permit Number: pn • & / Date Applied: Building Official: SECTION 1:LOCATION 14-, -.ia,e,N. u u f re I2 e[ LJ ,� No.�i Street City�wn 002.- Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration Erl Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 I Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 09---No ❑ Is an Independent Structural Engineerin Peer Review required? I I Yes 0 No IN-.' Bf Description of Proposed Work Ntrikey►�Qy�- 6 I-- q C 4 h.P•61/ &.N G� -4 or‘ a S tie le ry.cL (1�- -2�j t-Lt J ~1 . O4 t X l,)'1.M� w1 e. 'th-fj Is . . ' _ 1_ f SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational ❑ F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2❑ I-3 0 I-4❑ M: Mercantile 0 R: Residential R-1❑ R-2 0 R-3❑ R-4 0 S: Storage S-1 ❑ S-2 0 U: Utility Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ HA IIB 0 MA IIIBO IV 0 VA 0 VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Trench Permit: Debris Removal: Water Supply: Flood Zone Information: ewage Disposal: ALicensed Disposal Site 0 Mt it Check if outside Flood Zone Indicate�u i�x 1 ] e trench will t be Po I required or trench or sp ify: a e ■ or indentify Zone: or on it s ❑ permit is enclosed❑ (5,1 Ferri roil/ — Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable Is Structure within airport appro area? Is their Xvie cb�''�� led? or Consent to Build enclosed 0 Yes 0 or No Ye ➢Qo SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 4: PROPERTY OWNER AUTHORIZATION lne and � P Address of Pro erty Owner (�� ' ,1 a ID Ire)1�41tta1 WW/ WObary\MI-0/&01 Name(Print) No.and Street City/Town Zip Property Ow er Contact Information:Iill• 781 - `f - 7?30 _ryar.riierwLy Q cowwe►awAt,.cv,to✓h Title Telephone No.(business) Telephone No. (cell) e-mail address If3pplicable,the property wner hereby authorizes: /l c rlterl 6vr 1S7 luoitax 9,46-c. (O0ru,3 t Am-- 020 is / Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 111/ Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor t )CLcL COI 4.ku Company Nam -<3e c 11A. C 1NhA Lo.an� 0 6 S 703 Name of Person Respons%le or Construction License No. and Type if A plicable /6 —s c.u;�_ 0o. Z ft 1kv-k ea_ (k-- 0I86 a Street Address City/Town State Zip 33rl 2—SDI—7 4<cukw15 ke444_ Q Val kit._wtvt.lei. . cot"A Telephone No. (business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 80,000 1.Building $ 80 M 0Building7 (Insert here / — Permit Fee=Total Construction Cost x 2.Electrical $ appropriate municipal factor)_$ ,z 0 . 3.Plumbing $ ._ 4.Mechanical (HVAC) $ Note:Minimum fee $ 0 (co /tact municipality) 5.Mechanical (Other) $ — Enclose check payable to (If— (W ' . '4ei v1 6.Total Cost $ O 0,CO 0 (contact municipality)and write check number here B . SECTION 13:SIGNATURE OF BUILDIN PERMIT APPLICANT By entering my name below,I hereby attest under the pains and pena es of perjury that all of the information contained in this applic ' is true and accurate to the bes y owledge and erstanding. k.0 6r'7-877-?cS0 V7/r/ Pleas t sign name Titl Telephone No. te ' vw,uc. fJottlI 4- 02015 J 4y, ..e-k„ it. ,is s Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: I. ' Ii ''' v "c, iii/2a Name Date City of Northampton Massachusetts +S•s • • 5,��` A� • • - A- DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building s.)• Northampton, MA 01060 rsl+jy :)<�`� CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, a condition of Building Permit Number_ _ is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: / / ems r 1 1 The debris will be transported by: Name of Hauler: (71—AL.-1 Signature of Applican : Date: c?/'1 — r` ! ---—",, AC /z0 p® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY)THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certifleate holder is d po an ADDITIONAL INSURED,the cy(ies)must have ADDITIONAL INSURED provisions or be endorsed. It � �� � ate WANED,subject to the li terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer ri.hts to the certificate holder In lieu of such endorsement s. PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 4000 Midlantic Dr, Suite 200 NAME: Daisy Braun Mt, Laurel NJ 08054 PHONE I FAX EE MAI No.Io.Ext) 856-675-1334 (A/c,No):856-482-1888 ADDRESS: CherryHill.BSD.CertM©AJG.com INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:First Liberty Insurance Corporation 33588 QUALUSA-01 INSURER B:Liberty Mutual Fire Insurance Company 23035 QualTek Wireless LLC 475 Sentry Parkway E INSURER C:AXIS Insurance Company 37273 _ Ste 200 INSURER D:Navigators Insurance Company 42307 Blue Bell, PA 19422 INSURERE:Liberty Insurance Underwriters Inc 19917 1 INSURER F: American Guarantee and Liability Ins Co 26247 COVERAGES CERTIFICATE NUMBER:1294065223 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POUCY(MM/DD/YEFF POLICY EXP YYY) (M/DD/YYYY) 4TR INSD WYD POLICY NUMBER LIMITS B X COMMERCIAL GENERAL LIABILITY TB2-631-510650-041 11/30/2021 11/30/2022 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED — PREMISES(Ea occurrence) , $100,000 — MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY X Ira X LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: $ B AUTOMOBILE LIABILITY AS2-831-510650 031 11/30/2021 11/30/2022 COMBINED SINGLE LIMIT $2,000,000 (Ea accident) _ X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS ONLY AUTOS _ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Comp/Collision Dad $$1,000/1,000 C UMBRELLA UAB X OCCUR P-001-000073672-04 11/30/2021 11/30/2022 EACH OCCURRENCE $30,000,000 D NY21EXCZO3HAGIV 11/30/2021 11/30/2022 E X_ EXCESS LIAB CLAIMS-MADE 1000324565-04 11/30/2021 11/30/2022 AGGREGATE $30,000,000 — FDED RETENTION$ AEC 8761755-03 11/30/2021 11/30/2022 $ A WORKERS COMPENSATION WC6-631-510650-011 11/30/2021 11/30/2022 X PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A — (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 F Installation Floater 13 UUM BK0148 11/30/2021 11/30/2022 Limit 5,000,000 Deductible 5,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Cyber Liability(Primary) Policy#CYB-1004358-102 Policy Period:11/30/2021 -11/30/2022 Cartier:Hudson Excess Insurance Company Limit:$5,000,000 Cyber Liability(Excess) Policy#C-4LP8-001024-CEPMM-2021 See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Coverage AUTHORIZED REPRESENTATIVE er7.4,..pj %44 11...., ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: QUALUSA-01 LOC#: AccPRO ADDITIONAL REMARKS SCHEDULE Page 1 of AGENCY NAMED INSURED Arthur J.Gallagher Risk Management Services,Inc. QualTek Wireless LLC 475 Sentry Parkway E POLICY NUMBER Ste 200 Blue Bell,PA 19422 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Policy Period: 11/30/2021 -11/30/2022 Carrier:Certain Underwriter at Lloyds Limit:$1OMM x$5MM Property Policy Policy#13 UUM BK0148 Policy Period: 11/30/21 -11/30/22 Carrier:Hartford Fire Insurance Company Leased/Rented Equipment: Limit:$1,500,000 Deductible:$5,000 BPP Limit/Deductible:$4,740,000/$5,000 Professional Liab/E&O/Pollution Policy#0311-0596 Policy Period: 11/30/2021 -11/30/2022 Carrier:Allied World Assurance Company,Ltd Occurrence/Aggregate:$5MM/5MM Hartford Fire Insurance Company Inland Marine Policy Eff Date:11/30/21 -Exp Date:11/30/22 Policy#13 UUM BK0148 Installation Operations-LIMIT:$5,000,000/DEDUCTIBLE:$5,000 In Transit-LIMIT:$1,000,000/DEDUCTIBLE:$5,000 In Temporary Storage-LIMIT:$15,000,000/DEDUCTIBLE:$5,000 Evidence of Coverage ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD _...... ...........uI4 rvtutart Vf iv.uaaut.rtu ltAua Department of Industrial Accidents 1Ofcet _ of Investigations �, Lafayette City Center ks-- _ ,/ 2 Avenue de Lafayette, Boston,MA 02111-1750 ;,, ,., www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leuibly Name (Business/Organization/Individual):Qualtek Wireless LLC Address:1150 First Avenue, Suite 600 City/State/Zip:King of Prussia, PA 19406 Phone#:484-804-4500 _ Are you an employer? Check the appropriate box: Type of project(required): 1 n I am a employer with + 100 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6 ❑New construction listed on the attached sheet. 7. ❑Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in anycapacity. employees and have workers' P ty 9. 0 Building addition [No workers' comp.insurance comp. insurance.t required.] 5 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no 1 .Q Other Wireless Site Development employees. [No workers' ._____ ______ __ comp.insurance required.) *Any applicant that checks box#1 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 outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name 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 number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Arthur J Gallagher Management Service, Inc. Policy#or Self-ins. Lic. #:WC6-631.510650-011�. _ Expiration Date:1 1/30/12022 'O_ .Job Site Address:_ / vf,U,(_(�_ g6 o �. _.. �.�_ _ City/State/Zip: (U0 r' 4M4 p 714tL1 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$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 do hereby certify under the peons and penalties of perjury that the information provided above is true and correct. Sienature: , i `,/- Datee^11/22/2021 Phone#: 978-505-0224 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): IDBoard of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 5r:2Elumbing Inspector 6.DOther Contact Person: Phone#: Commonwealth of Massachusetts Division of Occupational Ucensure \IIIP7 Board of Building F.4,i. ilations and Standards 114.115rv. isor • CS-088703 4.;c: 4133ires: 10/09/2023 KEVIN t •V r. 29 HALE ••• " ' / • STOMA O 714- 1' •' . • • 01.tvia) • Commissioner deli% it VEnn.b.d.1..... • • • • Construction Supervisor Unrestricted-Buildings of any use group which contain • less than 35,000 cubk:fest(991 cubic meters)of enclosed Woe.. Failure to possess a current edition of the Massachusetts Stets Building Coda is cause for revocation of this license. For information about this license Cal(117)7274200 or visit vew.rness-govidpi 1.0 A AMERICAN TOWER' CORPORATION Structural Analysis Report Structure : 189 ft Monopole ATC Site Name NORTHAMPTON MA,MA ATC Site Number : 371771 Engineering Number : OAA775885_C3_02 Proposed Carrier : AT&T MOBILITY Carrier Site Name . NORTHAMPTON HAYDENVILLE ROAD Carrier Site Number . MA5349 Site Location . 123 Haydenville Road Northampton, MA 01053-9753 42.3569, -72.686 County : Hampshire Date May 4, 2022 ��Pvt\-\of MgSsgc o�' JOSHUA Max Usage 51% o/ �7pty/ Result Pass No.5 065 Q c'.< c'G/S T 0O ��' Prepared By: Reviewed By: FSS7or�at EC). Steven Nedrud Structural Engineer I { Authorized by "EOR" 04 May 2022 11:30:04 c0s18n ATC Tower Services LLC-3500 Regency Parkway,Suite 100-Cary,NC 27518-919-468-0112 Office-919-466-5414 fax-www.americantower.com Eng. Number OAA775885_C3_02 May 4, 2022 AMERICAN TOWER' Page. 2 Table of Contents Introduction 3 Supporting Documents 3 Analysis 3 Conclusion 3 Existing and Reserved Equipment 4 Equipment to be Removed 4 Proposed Equipment 5 Standard Conditions 6 ATC Tower Services LLC-3500 Regency Parkway,Suite 100-Cary,NC 27518-919-468-0112 Office-919-466-5414 Fax-www.americantower.com Eng. Number OAA775885_C3_02 May 4, 2022 AMERICAN TOWER' Page. 3 COAPORATIOM Introduction The purpose of this report is to summarize results of a structural analysis performed on the 189 ft Monopole to reflect the change in loading by AT&T MOBILITY. Supporting Documents Tower Drawings Sabre Job#50075, Drawing#50075-PE,dated September 29, 2011 Foundation Drawing Sabre Job#50075, Drawing#50075-PE, dated September 29, 2011 Geotechnical Report Gifford Engineering File#1130,dated June, 2011 Analysis The tower was analyzed using American Tower Corporation's tower analysis software. This program considers an elastic three-dimensional model and second-order effects per ANSI/TIA-222. Basic Wind Speed: 91 mph (3-second gust,Vasd)/117 mph (3-second gust,Vult) Basic Wind Speed w/Ice: 40 mph (3-second gust)w/1.00" radial ice concurrent Code: ANSI/TIA-222-G/2015 IBC/Massachusetts State Building Code,9th Ed. Structure Class: II Exposure Category: B Topographic Category: 1 Crest Height: 0 ft Spectral Response: Ss=0.17, Si=0.07 Site Class: D-Stiff Soil- Default Conclusion Based on the analysis results, the structure meets the requirements per the applicable codes listed above. The tower and foundation can support the equipment as described in this report. If you have any questions or require additional information, please contact American Tower via email at Engineering@americantower.com. Please include the American Tower site name, site number, and engineering number in the subject line for any questions. ATC Tower Services LLC-3500 Regency Parkway,Suite 100-Cary,NC 27518-919-468-0112 Office-919-466-5414 Fax-www.americantower.com Eng. Number OAA775885_C3_02 May 4,2022 AMERICAN TOWER' Page.4 CORPORA'SOU Existing and Reserved Equipment Elev.1(ft) Qty Equipment Mount Type Unes Carrier CITY OF 190.0 1 RFS SC3-W100AB Leg (1)EW240 NORTHAMPTON POLICE DEPT 186.0 1 Raycap DC6-48-60-0-8F (2)0.39" (10mm) 3 Ericsson RRUS 32 B30(53 Ibs) Fiber Trunk Triangular Platform with Handrails and (6)0.78 (19.7mm) AT&T MOBILITY 180.5 2 Raycap DC6-48-60-18-8F Reinforcement 8 AWG 6 (6)15/8"Coax (1)3"conduit 3 Ericsson Radio 4449 B71 B85A 3 Ericsson RRUS 4415 B25 176.0 3 Ericsson Air6449 B41 Triangular Low Profile (4) 1 1/4" (1.25" T-MOBILE Platform 31.8mm)Fiber 3 Ericsson AIR-32 B2A/B66Aa 3 RFS APXVAARR24_43-U-NA20 168.8 3 Alcatel-Lucent TD-RRH8x20-25 w/Solar Shield 167.0 3 Alcatel-Lucent 1900MHz RRH(65MHz) 3 RFS APXVSPP18-C-A20 T-Arm (4) 1 1/4" Hybriflex SPRINT NEXTEL 166.3 3 RFS APXVTM14-ALU-120 Cable 163.3 3 Alcatel-Lucent 800MHz RRH w/Type 1 Notch Filter(64 Lbs) 158.0 1 TX RX Systems 432F-83W-01-C- Leg (1)0.51"(13mm) CITY OF 110/110R/48/48R Cable 150.0 1 RFI Antennas CC807-08 Leg (1) 15/8"Coax NORTHAMPTON 145.0 2 dbSpectra DS7C12P36U-D Leg (2)7/8"Coax POLICE DEPT 3 1MA Wireless MX08FRO665-21 3 Fujitsu TA08025-B605 Triangular Platform with (1) 1.60"(40.6mm) 136.0 DISH WIRELESS L.L.C. 3 Fujitsu TA08025-B604 Handrails Hybrid 1 Commscope RDIDC-9181-PF-48 CITY OF 110.0 1 RFS SC3-W100AB Leg (1) EW240 NORTHAMPTON POLICE DEPT Etc uipment to be Removed Elev.1(ft) Qty Equipment Mount Type Unes Carrier 6 Kaelus DBC0061F1V51-2 6 Powerwave Allgon TT08-19DB111-001 3 Ericsson Radio 4426 186.0 3 CCI TPA 65R LCUUUU H8 (6) 1 5/8"Coax AT&T MOBILITY 3 Ericsson RRUS-11 3 CCI HPA65R-BU8A 3 Andrew SBNH-1D8585C 6 Ericsson RRUS 12-Band 2(PCS) ATC Tower Services LLC-3500 Regency Parkway,Suite 100-Cary,NC 27518-919-468-0112 Office-919-466-5414 Fax-www.americantower.com Eng. Number OAA775885_C3_02 May 4, 2022 AMERICAN TOWER" Page. 5 Proposed Equipment Elev.1(ft) Qty Equipment Mount Type Lines Carrier 187.3 3 Ericsson AIR 6419 B77G 3 Ericsson RRUS 8843 B2, B66A 3 Ericsson RRUS 4449 B5, B12 Triangular Platform 186.0 3 Ericsson RRUS 4478 B14 with Handrails and (1)3"conduit AT&T MOBILITY 3 CCI OPA65R-BU8D Reinforcement 3 CCI TPA65R-BU8D 184.7 3 Ericsson Air 6449 B77D 'Contracted elevations are shown for appurtenances within contracted installation tolerances.Appurtenances outside of contract limits are shown at installed elevations. Install proposed lines inside the pole shaft. ATC Tower Services LLC-3500 Regency Parkway,Suite 100-Cary,NC 27518-919-468-0112 Office-919-466-5414 Fax-www.americantower.com Eng. Number OAA775885_C3_02 May 4, 2022 AMERICAN TOWER' Page. 6 Standard Conditions All engineering services performed by ATC Tower Services LLC are prepared on the basis that the information used is current and correct. This information may consist of, but is not limited to the following: • Information supplied by the client regarding antenna, mounts and feed line loading • Information from drawings, design and analysis documents, and field notes in the possession of ATC Tower Services LLC It is the responsibility of the client to ensure that the information provided to ATC Tower Services LLC and used in the performance of our engineering services is correct and complete. All assets of American Tower Corporation, its affiliates, and subsidiaries (collectively "American Tower") are inspected at regular intervals. Based upon these inspections and in the absence of information to the contrary, American Tower assumes that all structures were constructed in accordance with the drawings and specifications. Unless explicitly agreed by both the client and ATC Tower Services LLC, all services will be performed in accordance with the current revision of ANSI/TIA-222. All services are performed, results obtained, and recommendations made in accordance with generally accepted engineering principles and practices. ATC Tower Services LLC is not responsible for the conclusions, opinions and recommendations made by others based on the information supplied herein. ATC Tower Services LLC-3500 Regency Parkway,Suite 100-Cary,NC 27518-919-468-0112 Office-919-466-5414 Fax-www.americantower.com FIDG HUDSON Design Group LIC March 31,2022 April 26,2022(Rev.1) at&t SAI Communications 12 Industrial Way Salem NH,03079 RE: Site Number: MA5349 FA Number: 10552910 PACE Number: MRCTB060899 PT Number: 2101 A 1350C Site Name: NORTHAMPTON HAYDENVILLE ROAD Site Address: 101 Haydenville Road Leeds,MA 01053 To Whom It May Concern: Hudson Design Group LLC (HDG) has been authorized by SAI Communications to perform a mount analysis on the existing AT&T antenna/RRH mount to determine its capability of supporting the following additional loading: • (3) RRUS-32 B30 RRH's (27.2"x12.1"x7.0"-Wt. =60 lbs./each) • (2) B14 4478 RRH's (18.1"x13.4"x8.3"-Wt. =60 lbs./each) • (2) DC6-48-60-18-8F Surge Arrestor(24.0"x9.7"0-Wt.=33 lbs.) • (1) DC6-48-60-0-8F Surge Arrestor(24.0"x9.7'0-Wt.=33 lbs.) • (3)TPA65R-BU8DA-K Antennas(96.0"x20.7"x7.7"-Wt.=87 lbs./each) • (3)AIR6449 Antennas(30.6"x15.9"x10.6"-Wt.82 lbs./each) • (3)A1R6419 Antennas(31.1"x16.1"x7.3"-Wt.=66 lbs. /each) • (3)OPA65R-BU8D Antennas(96.0"x21.0"x7.8"-Wt. =77 lbs./each) • (1)B14 4478 RRH's(18.1"x13.4"x8.3"-Wt. =60 lbs. /each) • (3)B2/B66A 8843 RRH's(14.9"x13.2"x10.9"-Wt.=72 lbs./each) • (3)B5/B12 4449 RRH's(17.9"x13.2"x9.4"-Wt.=73 lbs./each) *Proposed equipment shown in bold. No original structural design documents or fabrication drawings were available for the existing mounts.HDG's subconsultant, ProVertic LLC, conducted a survey climb and mapping of the existing AT&T antenna mounts on February 7,2022. p:978.557.5553 f:978.336.5586 a:45 Beechwood Drive,N.Andover,MA 01845 Page 2 of 5 Re: MA5349 April 26, 2022 (Rev.]) Mount Analysis Methods: • This analysis was conducted in accordance with EIA/TIA-222-H, Structural Standards for Steel Antenna Towers and Antenna Supporting Structures, the International Building Code 2015, and the Massachusetts State Building Code,9th edition,and AT&T Mount Technical Directive-R 16. • HDG considers this mount to be asymmetrical and has applied wind loads in 30 degree increments all around the mount. Per TIA-222-H and Chapter 16 of the Massachusetts State Building Code, 9th edition,the max basic wind speed for this site is equal to 117 mph with a max basic wind speed with ice of 50 mph and a max ice thickness of 1.5 in. An escalated ice thickness of 1.78 in was used for this analysis. • HDG considers this site to be exposure category B;tower is located in an urban/suburban or wooded area with numerous closely spaced obstructions. • HDG considers this site to be topographic category 1; tower is located on flat terrain or the bottom of a hill or ridge. • HDG considers this site to have a spectral response acceleration parameter at short periods, Ss, of 0.171 and a spectral response acceleration parameter at a period of 1 second,SI,of 0.066. • The mount has been analyzed with load combinations consisting of 500 lbs live load using a service wind speed of 30 mph wind on the worst case antenna.Analysis performed on each antenna pipe to determine worst case location;worst case location was antenna position 4. • The mount has been analyzed with load combinations consisting of a 250 lbs live load in a worst case location on the mount. • The existing mounts are secured to the existing monopole with ring mounts and threaded rods.HDG considers the threaded rods to be the governing connection member. Based on our evaluation, we have determined that the existing mount IS CAPABLE of supporting the proposed installation. Component Controlling Load Case Stress Ratio Pass/Fail Existing Mount Rating 13 LC20 72% PASS Reference Documents: • Mount mapping report prepared by ProVertic LLC. p:978.557.5553 f:978.336.5586 a:45 Beechwood Drive,N.Andover,MA 01845 Page 3 of 5 Re: MA5349 April 26, 2022 (Rev.1) This determination was based on the following limitations and assumptions: 1. HDG is not responsible for any modifications completed prior to and hereafter which HDG was not directly involved. 2. All structural members and their connections are assumed to be in good condition and are free from defects with no deterioration to its member capacities. 3. All antennas, coax cables and waveguide cables are assumed to be properly installed and supported as per the manufacturer's requirements. 4. The existing mount has been adequately secured to the tower structure per the mount manufacturer's specifications. 5. All components pertaining to AT&T's mounts must be tightened and re-plumbed prior to the installation of new appurtenances. 6. HDG performed a localized analysis on the mount itself and not on the supporting tower structure. Please feel free to contact our office should you have any questions. Respectfully Submitted, too OF Hudson Design Group LLC ( orntELP. MM CIVIL .110.40720 Ctefir Michael Cabral Daniel P. Hamm, PE Vice President Principal p:978.557.5553 f:978.336.5586 a:45 Beechwood Drive,N.Andover,MA 01845 Page 4 of 5 Re: MA5349 April 26, 2022 (Rev.1) FIELD PHOTOS: its , F ; 1.Il ' Mb IF _ ,.. .: il rid ..1 ' 4 (' LJ..is,' - i,L 'xr mp 7-S + kl. # , Xf Z ` 1, ,,,,,, A , • , „ .: .---i , 0 ,,,,,i,„ . . _ .... _ _ - .„.... y yy k .* 9 , a., t� •j. r 1 ''4 "4: S A} ,, _. _, ,_„. o .. . 4*, t . )04,A,, i :. r.,,,,‘ i _ 978.557.5553 978.336.5586 45 Beechwood Drive, N.Andover,MA 01845 . . Page 5 of 5 Re: MA5349 _____ April 26, 2022 (Rev.1) .. .. = ...4.— '' ' , 4'.. Olit -• ' ^ 4 ' • ,, 1# •,s; , ,,,, 1 , 4 . -f • . - '' t$ ' 4. ' ,.‘ tv fit ...e''' .r illi .. Cir, • .s... 4,2.. , ilri_4 - Irt ., . 0? ' • i . , r ' % , .. itlittiffinlailli 1(4 ilik.dr, . AC .4 jp . e"* • . , ,• i IR: . .. , ,IIIIWINS „, ,46, 41111111111... 111, i• I , 1 „- • .. '1/44 ...-. -. . :0 .., . * y i • 4 , 1 ° Npi ' .................. \* * - 40,.. ... ......,,,, Art , . . , - •111'•',• .flefello I to '1. . , 400,01( ill ''''l- '.- i k...It /%, 4.• 1. 1 l• 1, /ftfAWeil ‘ 4 • stk ,,./ , --....„ '• 7.,;1 , _ .. .• I, • 4,, $94.144...•00010' . . % i . - . .4,...., _ - . ... ..,.. . , ''.- p:978.557.5553 t: 978.336.5586 a:45 Beechwood Drive, N.Andover,MA 01845 111111111111110 �x ,; I May 27, 2022 Mr. Jonathan Flagg Building Commissioner Town of Northampton 212 Main Street Northampton, MA 01060 RE: AT&T Upgrades — King Street— Northampton Haydenville Road - Northampton Dear Mr. Flagg: Enclosed find Building Permit packages for AT&T installations at the above referenced sites. If everything meets with your approval, you may mail the permits back to me in the enclosed envelope. I can be reached at (617) 877-2950 or tgreene(a�terrasearchllc.com if you have any questions. Sincere) , Timothy W. Greene Enclosures SAI Group 157 Riverside Drive Norwell, MA 02061