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32C-017 (6) • �o b yPam, , 8 ? .. Planning Board - Decision City of Northampton Hearing No.: PLN-2007-0032 Date: January 30, 2007 APPLICATION TYPE: SUBMISSION DATE: PB Intermediate Site Plan 1/4/2007 Applicant's Name: Owner's Name: Surveyor's Name: NAME: - NAME: COMPANY NAME. Omnipoint Communications/T-Mobile TRIDENT REALTY CORP ADDRESS: ADDRESS: ADDRESS: c%Simon Brighenti,Jr.,Esq. P.O. BOX 686 1350 Main St. TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE. SPRINGFIELD MA 01103 NORTHAMPTON MA 01061-0686 PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: EMAIL ADDRESS: EMAIL ADDRESS: EMAIL ADDRESS: Site Information: • SITE ZONING: CB TOWN SECTION OF BYLAW: NORTHAMPTON MA 01060 Section 10.9: Telecommunications and Personal Wireless Facilities - - •T: MAP DATE: ACTION TAKEN: .01 Approved With Conditions .•• Page: 4821 .319 I NATURE OF PROPOSED WORK: Re-hearing on the installation of telecommunication facility to address a procedural error from the original submission. HARDSHIP: CONDITION OF APPROVAL: 1.All conditions of the previous permit stand. 2. Prior to certificate of occupancy, the applicant shall submit a stamped statement from a qualified engineer indicating that tower meets all FCC safety standards for residential applications particularly. for those within 20'of a residence and as specified in FCC Bulletin 65(referenced in the application submission) 3. Cables shall be covered entirely to the point of entry into the building. 4. The "chimney"covers on the antennas shall be extended all the way down to the roof top. The Planning Board reviewed a second application and approved the Site Plan for installation of 10'tall telecommunications facilities on top of the building at the subject property based on the plans submitted with the application, which were substantially the same as the original submission and permit. The applicant submitted a second application upon discovery that a procedural error for hearing notification to abutters had occurred in the previous process for approval. In Granting the Site Plan Approval, the Planning Board determined that: A. The requested use, for the T-mobile telecommunication antennas projecting 10'above the roof protects adjoining premises against seriously detrimental uses because it is consistent with other similar infrastructure on buildings within the Central Business District. The cable casing will be located on the rear of the building and painted to match the brick. All other equipment will be housed out of view in the basement. B. The requested use will not detract from the convenience and safety of vehicular and pedestrian movement within the site and on adjacent streets. No alterations to the site will be made. Maintenance vehicles will utilize legal,public parking spaces within the vicinity. C. The requested use will not detract from the harmonious relationship of structures and open spaces to the natural landscape, existing buildings and other community assets in the area. Though the towers will be visible, they will not detract from the overall streetscape. They are stepped back from the edge of the roof. D. The requested use will not effect the City's resources including the effect on the City's water supply and distribution system, sanitary and storm sewage collection and treatment systems, fire protection,streets and schools. Parking for maintenance vehicles will be in legal public parking spots as stated by the applicant. GeoTMS®2007 Des Lauriers Municipal Solutions, Inc. Planning Board - Decision City of Northampton Hearing No.: PLN-2007-0032 Date: January 30, 2007 E. The request use meets all the special regulations set forth in the Zoning Ordinance in section 10.9. Locating on existing facilities is preferred by the City and fills a gap in service without adding towers within the City. F.The Planning Board found that the application complied with the following technical performance standards: 1. There will be no additional curb cuts. 2. Pedestrian, vehicular and bicycle traffic are not issues relative to this application. COULD NOT DEROGATE BECAUSE: FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE: 1/4/2007 1/18/2007 2/8/2007 REFERRALS IN DATE. HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: APPEAL DEADLINE: 1/11/2007 3/10/2007 1/25/2007 2/8/2007 2/19/2007 FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: DECISION DATE: 1/11/2007 1/25/2007 1/25/2007 1/30/2007 SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE: 1/18/2007 7:15 PM 4/25/2007 4/25/2007 MEMBERS PRESENT: VOTE: George Russell votes to Grant Paul Voss votes to Grant Francis Johnson votes to Grant George Kohout votes to Grant Keith Wilson votes to Grant Kenneth Jodrie votes to Grant David Wilensky votes to Grant MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION: Keith Wilson Kenneth Jodrie 7 Approved with Conditions MINUTES OF MEETING: Available in the Office of Planning&Development. 1, Carolyn Misch,as agent to the Planning Board, certify that this is a true and accurate decision made by the Planning Board and certify that a copy of this and all plans have been filed with the Board and the City Clerk on January 30, 2007. certify that a copy ,f this decision has been mailed to the Owner and Applicant. Notice of Appeal An appeal from the decision of the Planning Board may be made by any person aggrieved pursuant to MGL Chapt. 40A, Section 17 as amended within twenty(20)days after the date of the filing of the notice of the decision with the City Clerk. The date is listed above. Such appeal may be made to the Hampshire Superior Court with a certified copy of the appeal sent to the City Clerk of the City of Northampton. • GeoTMS®2007 Des Lauriers Municipal Solutions,Inc. 76 MAIN ST BP-2007-0195 GIS#: it COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-017 CITY OF NORTHAMPTON Lot: -001 Permit: Building. Category: CELL TOWER. BUILDING PERMIT Permit# BP-2007-0195 Project# JS-2006-001661 Est. Cost: Fee: $450.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group_ KEVIN CUNNINGHAM 088703 Lot Size(sq.ft.): 4094.64 Owner: TRIDENT REALTY CORP Zoning_CB Applicant: BRIGHENTI SIMON J JR .4 • 76 MAIN_ST Applicant Address: - Phone: Insurance: 1350 MAIN ST (413) 747-1773 () WC SPRINGFIELDMA01103 ISSUED ON:8/25/2006 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL WIRELESS FACILITY ON ROOFTOP & EQUIPMENT CABINETS IN BASEMENT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: J y/�i hid A � ) ' Meter: / Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: 9•-• -,0 W f�' 'u 4 `�To _ Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: (,t` K` THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. ; /7-- Certificate of Occupancy s `'*s*S16 FeeType: Date Paid: AMount: Building 8/25/2006 0:00:00 $450.00559929 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo • 76 MAIN ST BP-2007-0195 GIS #: COMMONWEALTH OF MASSACHUSETTS pia' $I ck:32C-017 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: CELL TOWER BUILDING PERMIT Permit# BP-2007-0195 Project# JS-2006-001661 Est. Cost: Fee: $450.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KEVIN CUNNINGHAM 088703 Lot Size(sq. ft.): 4094.64 Owner: TRIDENT REALTY CORP Zoning: CB Applicant: BRIGHENTI SIMON J JR AT: 76 MAIN ST Applicant Address: Phone: Insurance: 1350 MAIN ST (413) 747-1773 () WC SPRINGFIELDMA01103 ISSUED ON:8/25/2006 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL WIRELESS FACILITY ON ROOFTOP & EQUIPMENT CABINETS IN BASEMENT 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 8/25/2006 0:00:00 $450.00559929 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2007-0195 . APPLICANT/CONTACT PERSON BRIGHENTI SIMON J JR ADDRESS/PHONE 1350 MAIN ST SPRINGFIELD (413)747-1773 () PROPERTY LOCATION 76 MAIN ST MAP 32C PARCEL 017 001 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid , 55 <q 9'21 Typeof Construction: INSTALL WIRELESS FACILITY ON ROOFTOP&EQUIPMENT CABINETS IN BASEMENT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 088703 3 sets of Plans/Plot Plan THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION 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 Co • ion 4/4 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. • Version1.7 Commercial Building Permit May 15,2000 part e T§ply' f" City of Northampton S atu .e``rmtt Building Department 6 �eway i - 212 Main Street e s A a atcht � � ,,V Room'100 Wad ell�Ava I� ��� .�. $ k Northampton, MA 01060 1. --".1:4'e o-S ctr,r 1?raht4 7;;� -4 � phone 413-587-1240 Fax 413-587-1272 Si e i?ans _= f APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHAN THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN 9 TWO FAMILY DWELLING SECTION 1 ;SITE INFORMATION It;.. - -- C f. , ems` a ti P W 1.1 Property Address: �? ,�����` �_.� � : �.,�-���� �'' �, ft 76--7 e I)?tiiN 5i, n Ia� Lot o .NoIrioPrew, A I 00 � � « _. - Overlay District n r�1 I,- ttriTypOdistriel i!, CB pi tiict SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: — 41a,,�h a4w9ia--', ,*1 a' Name(Print) p[Er+SG SAC S4..�4n/LE oN pflo.a. 3 Current Mailing Address: SECT!o nI /1 j (__(/l ) .5- ..- 9 5 70 ea- °I C/ Signature Telephone 2.2 Authorized Agent: O'er o^'N��L. FL m,y6-zr r/1 orzE, t,,4.,c 5/070,�. %• /&CHE •ri T2 j(3s o fralm,57: SP41Nc-r=i�P aR 0/103 1 1 Name(Print) Current Mailing Address: Signature Telephone E15 .— 7 Y 7-/773 SECTION-:3--ESTI D CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be O'kciaUJse'Only. completed by permit applicant _ -`' 1. Building y (a)Bu►lding PermitFee I iy 2. Electrical ( (b.)Estimated Total Cost of • 3. Plumbing j ; Budding nit Pei Fee 4. Mechanical(HVAC) l j `E i 5. Fire Protection 6. Total=(1 +2+3+4+5) O 00 O—''� Check•Number5S ! ? / og' U`-'f - ,.. oiiswSectionFo Official"Use-Only Building Permit NurfberF`... ID4,1--H ,,..:. 1IssUed- r Signature: - ':w Building Commissioner/Inspector of Buildings -- [ :Date Version1.7 Commercial Building Permit May 15,2000 ECTIOIJg4-4O{�1S0'RU,CTIOI�; EIZUICES22FO.l PR03EC„S`CESS THAN 35;000 CUBIC`FEE rd#3,0NCLOSED'SP.ACE.: Interior Alterations 0 Existing Wall Signs El Demolition 0 Repairs❑ Additions ❑ Accessory Building El isf//! Exterior Alteration El Existing Ground Sign CI New Signs 0 Roofing 0 Change of Use❑ Other❑ `�/ Brief Description 'Enter a brief description here./N c L L W i2€'C£S s F*C-i L i r y 0 N /eoc F rOP R r--5 ' Of Proposed Work' QV i M�r Cal ro�r5 /n/ „ _ ram: . ,,: ` ,� 'SECTION'S-"USE-GRr lit Q1 "' �1 ' E7 " ar*°,-, USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ElA-2 CIA-3 0 1A I CI____ _ ❑ A-4 ❑ A-5 CI1 B El B Business El 2A El E Educational 0 2B I El F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard El3A El I Institutional El 1-1 ❑ 1-2 El 1-3 El _ 3B El M Mercantile ❑ 4 ❑ R Residential ❑ R-1 El R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B I. ❑ U Utility ')21 Specify. w12E(,E-SS f iciL./ r i M Mixed Use El Specify: S Special Use 0 Specify: CO• MPLETETkf1S,SECTIOIrI ,FtEXISTINGBUI1.DING NDEI;a2 A. GO1NG RENOU• ATf0NS,1#Dpf O _ ANDIOR CHANGE 1N USE Existing Use Group: Proposed Use Group: i i Hazard Index 780 CMR 34): Proposed I Existing Hazard Index 780 CMR 34): -;SECTION 613111LDING lE1GIOATID3�[3EA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION • t ��. ' t .. ",, /1 L " µ �7- !x, a !-tom,, �s Floor Area per Floor(sf) / • F �x`! "1ek 1 St 1st ''4' ' ,' ^i-.}x- v,t.'4', ” "Cn a'^! a`y'417f;"...i,,,..ti - �h y" .. � ai ' 2nd x . � 2nd ,* t Tir y � r w `Y 4 ",�an�z.l x -� a ii ''L'. t-.- mil» " 40,;7-; • �r R r x 4-`-M Y' z ',-,u; �"' .car- � i{.t t Total Area(sf) i i Total Proposed New Construction(sf) � t -rt Total Height(ft) ; 1 t Total Height ft 1 N A 7.3 Sewagen 7.Water Supply(M.G.L.c.40,§54) � 7.1 Flood Zone Information: � Disposal System: N/ i Public ❑ Private 0 N 'ri Zone; ': Outside Flood Zone Municipal ❑ On site disposal system Versionl.7 Commercial Building Permit May 15,2000 ,a .`, _'.,Via x Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size i NOS- I fv/4 1 Frontage ' WI k 1 1 Nl; i ; I ' Setbacks Front 1 1 N/A- ! ! NIA I I Side L: R:1 1 1 L:l R:1 Rear 1 1 1 I nn -Building Height l N/ %____j N ^__ Bldg. Square Footage I I ° % 1 j +! Open Space Footage % (Lot area minus bldg&paved 1-1/1-1 1-1 1 =VA 1 parking) #of Parking Spaces 1 /IA- N/r1 rE11 1—I Fill: / '' (volume i.Location) 1 AI4- l kl4 i1 i A. Has a Special Permit/Variance/Findin! ever been issued for/on the site? NO 0 DONT KNOW t: YES 0 ' i IF YES, date issued: IF YES: Was the permit recorded at the Re istry of Deeds? NO 0 DON'T KNOW YES IF YES: enter Book j Pagel 1 and/or Document#! I B. Does the site contain a brook, body of water or wetlands? NO ef DON'T KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ® Date Issued: Ii C. Do any signs exist on the property? YES ® NO 0/ti10/iN©v21,2�6 op w O!Z J" IF YES, describe size, type and location: I 1 I D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location: f E. Will the construction activity disturb(clearing,grading,exca ion,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 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) 9.1 Registered Architect: 1 Not Applicable ❑ Name(Registrant): Registration Number -- j Address IExpiration Date • Signature Telephone 9.2 Registered Professional Engineer(s): • I" 1 Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date i I J Name Area of Responsibility • Address Registration Number I i 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 Not Applicable ❑ Company Name: Responsible In Charge of Construction r j • Address Signature Telephone Version1.7 Commercial Building Permit May 15,2000 r•. SECTION 10=STRUCTURAL,PEER REVIEW(780°CMR 1]011) Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTiON-11-OWNER-AUTHORIZATION-TO BE-COMPLETED:WHEN OWNERS AGENT OR CONTRACTOR APPLIES.FOR'BUILDTNG'PERMIT 1, Qt L L a f�` s' [M 4 'I - (n 4 S o r C f 64- Tt'',�' �rc U7 11''-A as Owner of the subject property hereby authorize' ✓r►0 1 a f r �( L 'L r_ � �to act on rrly behalf,in (I matters relative to work authorized by this building permit application. Signature of Owner Date ►,! S/ /i7 cl`" `� ,P2/C'i`D' / l/z'7 . F ,as•ewrrer uthorized ((Ft hereby declare that the statements and information on the foregoing application are true and accurate,to the best of nowledge d belief. Signed under the pains and penalties of perjury, Print Name Signa of t Date -SECT.] i2 •CONSTRUCTION.SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ ffEViN cvNr'NG-HArn i PCs o68703 Name of License Holder:i License Number 2 4 /M t.rx /16/-}•P 5 i o w MA O177 S' j /Ol o q/07 I Address L Expiration Date Pz-E45C lSg-E 5/L'N/�rvfr E ON A-TT/lot- v P4L'C Signature Telephone 970 —.5-62.- o3oq SECTION 13 WORKERS'COMPENSATION:•INSURANCE ArEIDAVi7(M G L -c.1.52,§'25G{s)) 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 bu' ing permit Signed Affidavit Attached Yes No 0 IL•c tvJ f rT I•• • Fro yoj'E (rid of poi Northampton1 it Sliturk ' E ,R1.3.nrhncrtts• — 't ri me. • r • i DEPARTMENT OP DUILD/N.0 INSPECTIONS 4 — 212 Main Street ' Municipal Building \ItNorthampton, Mass. 01060 r WORKER'S COMPENSATION. U SURA-NCE AFFU)A\r1' ' • (li ec-asx./permittcc) .0--ilh_g_ 1-ipcipal place of busing-ssirsidence at: • -(phone) (str=1/city/staiciz i p) do hereby certify, under the pains and penalties of-perjury, hat ( ) I am an employer providing the following 'Worker's comocnsaion coverage for my , employees wor{cing on this job: (Insures= Company) (Polio: Number) ( xpiration Date.) • ( ) I am a sole proprietor, general contractor or homeowner (ciscie one) and have hired the coon actors listed below who have the following worker's compensation policies: (Name of Con,-rcio") (InR?rzncz Coinoany1PGUCi Numix ) x)1n tion Date)' (Name of Coocracaor) (lnsalranc Comoa.nwPolae; Nurnccr) (L\'olriion Date) (Name of Conrraczor) (Insurance. Comparey/Potic-y Numbei) (Expirtion Date) • (Name of Contractor) (Insurance Comcaoy/Policy Number) - (Expirdtio❑ Date) (atLi,:b Ai::oczl born if noocail t itadud:inform.a oo pertaining to...II oaa:reco^3) ( ) I am a sole proprietor and have no one working for me. ( ) I am.a home owner performing all the work myself. NOTE:plea be etr),rt thu w•i jo bccocoveDcr3..bo=play p•es.00 to do r am:*-t�••,z,.cc^c:e.iro C.t ii w rr oa a d"e 1^E of ant room th-n t- c taKj in wbicti the bomoowoer reai(ye or oo the prrtnrta:,pu tweet the-do er w((,.�at a'o:d-rcd to be employe-3 un.ee the..criers ot-,y -,gym Act(GL1SZa 1(S)),rpplinr on by>bomcoo. c fru c Lome or permn rc y cvidcoce the lesa1 rtnaas of co es;:.loyar under tho Wor4-ora Compomatio.o Ad 1 uodc,t.ad'chid a copy of this meta =cu.y be forwarded to tbo noperimeat of 1o't. rial Acodo (OQioo of 1nasrL000 for tb. cover vQjf eaioo auad tIna(:iltat to eeouv'coverage tinder SZCAJOCI 25A of MOL 157 no land to the i^.anoc+tiW of rriminsl pocia io 000aiaatg of a floc of up to S 1.3O0.00.r+dVor itnariyonn of up to one yeor e.od civil pro.kitn in dx focal of.Stop Wort Order and M. Gm o(s 100.00.d_y'pima me For d p•trr=--'u.c only r Permit Numb cr dap;; Lot g Si pan turc of Licanscc/permiucc Date I • • 780 (.'MR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS APPENDIX B • Cxr/2/4 P#C—L- 1=02 S/ - v4roi E 0Nc y 5 r re!! 76--7g in4in, 5 .1 No2rkFAMpro' ,ii4 SECTION 3-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE 1 3.1 Licensed Construction Supervisor: Not Applicable e< Meth N CV/VIV!/NC^//j^.i Cr o e703 Licensed Constniction Supervisor: License Number Z 9 Vfic, it V. `, 1 1 0,44i 0/ 775 of v j/Zoo Addre Expiration Date nature Telephone 3.2 Registered Home Improvement Contractor: Not Applicable - Company Name Regishatfon Number • Expiration Date Address . Signature Telephone SECTION 4-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M,G.L.c.152 5 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 • SECTION 5-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 118(CONTAINING MORE THAN 95,000 C.F.OF ENCLOSED SPACE) 5.1 Registered Architect: Not Applicable .rs Name(Registrant)• Registration Number Address Expiration Dale Signature Telephone • I 1/27/98 780 CMR - Sixth Edition 675 ONE GENERAL WAYA CLIENT NAME: DATE: PAGE: y PO BOX 373 H if �/P/' READING,MA 01867 �mrl r Ce- 1..u�tAfbat /�C BY: f�A L P:(781)942-0024 T B r Le- Vy; bat AIR I AL F:(781)942-0551 SITE NAME: rr f 104�. lCA t�y SP I G TRUM DEs/G,t,OF" AN7.u✓A 8ALG4ST JuPFof ,►v...44 ✓ ,tH OF,{k 9� Tv A'/, 40AD + .ram MOM!. I i i o MARTEL R' i Zow.r�/ , . xPOsu2e' e , 5Z-/op�� 4U STRUCTURAL R C4 UR L ti ► ,/8 fir r ,5' .ft 1.) 'F T �t� ��Q Agr4 = % ( �i') /3, -ts, *. Z1/3# v .A. IA):-- 0,138 (P)(4)-93 a,l3P(2,i3)(S51 83 /0/i L/l't (Z /ZO1EACl/ $AL1.4$T 772A Y C NEGK 2?x 4f?XAS zx izO /L"oiC (,IAx Sly /9=4 ("I,v/Ft ') LOAD,A 1� /tG) _ 4"O#/7�s 0540 ` /, g/ft ss naA1r AD r 31,Oa 84t44s1` 3/9° AA'M.4441A 5*5QT ea lYst. (t 4D over 8 ?Orsr) tL, (o 14/f3 = 8`/ w B pfr �in4A __ 6r(ic s2 8 41._ 8'01'514` 30 2V,/ ft . J'EE ArrAC//C) "nAriicADD SPReAO SWL'.E7 it / M 66.6).Y ft' ,> 30z'/ t oK 1 of 2 7/20/2006 Michael E.Martel TIMBER BEAM/COLUMN NDS 1997 Timber Properties Spruce/Pine/Fir(South #2) Material Properties Fb:= 775psi Fv:= 70psi Ft:= 350psi Fc:= 1000psi Fcp:= 335psi E:= 1100000psi Section Properties 2x 12 d:= 12in b:= tin A:= b•d A= 24in2 d 2 3 Sx:= b— Sx = 48 in3 Ix:= b—d Ix= 288 in4 6 12 2 d 3 Sy:= d Sy= 8 in3 Iy:= l—2 ly = 8 in4 Beam Properties Slenderness Ratio (see table 3.3.3) 1 = 36in d = 3 le:= 1.63•(1u+ 3•d) Ie= 117.36 in le.d RH:= — RB= 18.76 b2 Checkl := if(RB <50,"OK","NO GOOD") Check 1 = "OK" Column Properties Buckling Length Coefficients Ke:= 1 Unbraced Lengths of Column lc:= 5.8ft ( lc ley) ley:= 5.8ft lecd:= max Ke•—,Ke•— lecd= 34.8 d b ) Check2:= if(lecd<50,"OK","NO GOOD") Check2= "OK" Pre-CL&Pre-CP Factors CFI:= 1.25 CFI:= 1.0 Cv:= 1.0 Cr:= 1.15 CM:= 1.0 CFc:= 1.0 CA,:= 1.0 C,:= 1.0 Ct 1.0 CFt,:= 1.1 Ci:= 1.0 Cf:= 1.0 Pre-CL Allowable Stress Fbf:= Fb•CD-CM.Ct•CfCFb•CI.Cr'Cc.CfuCv Fbf= 1225.47 psi Pre-Cp Allowable Stress Fcf:= Fc•CD.CM•Ct•CFc•Ci Fcf= 1250psi C:\Documents and Settings\martelm\Desktop\Mathcad Programs\\TimberBeamColumn.mcd 2 of 2 7/20/2006 Michael E.Martel CL Constants Kbe•E Kbe:= 0.439 FbE:= 2 FbF= 1371.56 psi Calculate CL RB 2 1 + FbE)I 1 + FbE) I FbF.. Fbf) Fbf) Fbf CL _ 1.9 1.9 0.95 CL= 0.859 Allowable Stress in Beam Fbc:= CfaCV.CL•Fbf Allowable Moment in Beam M An:= Fbc•Sx MAlI=4208.66 ft•11: Cp Constants Kce:= 0.3 Fce:= Kce•E Fce= 272.49 psi 2 kc\.= 0.8 lecd Calculate Cp 1 + Fcel i + Fce) 2 Fce (Fcf) (Fcf) Fcf lc 2•c c Allowable Stress in Column Fcc:= Cp•Fcf Fcc= 259 ps Allowable Axial Load PAIL= Fcc•A PAII= 6.22 kips Calculated Moment and Axial Loads M,,, := 3024ft•lb Pmax Olb Stresses fc:= Pmax fc= 0 psi A M max fb1 = Sx fbt = 756 psi Combinded Stresses _ _ 2 Check3 := if fc 1 +Fcc) fbi 1 < 1.0,"OK","No Good" Fbc L rr 1 — (--e—fFbE)] 2 fc 1 + fbi = 0.7185 Fcc Fbc.rr 1 — (--fc 11 LL FbE) Check3 = "OK" C:\Documents and Settings\martelm\Desktop\Mathcad Programs\\TimberBeamColumn.mcd , . - . . ONEPO GENERABOXL 373 WAY CLIENT NAME: DATE: ¢4 9/o4 PAGE: 9/9 U AjihREADING,MA 01867 0^1An Pow" e.001,40eArloAi rue. BY: P:(781)942-0024 M,MAIITEL AER I A I. F:(781)942-0551 T—/"408J r USA SITE NAME: Jc SPECTRUM 7V1.1- OZ7/ .0 r?/DEA r 71?e41../rr CABLE 7IPAY SuPPoi?r /Z CAIILLrW 0 / ��fE 6.,40, SPACE SupPol7T5 '(o'/h4Y 4-4 P7,KKEl' ° /a)IP TO TA L /7Z zI =5 SAY Zoo 3 q,fe NoRs 0 &IC LI SUPPORT' �/3 = 66., I se E4c,i //Z ''A,vcHog F Ro,'I MIT/ChART NV? //lr H Y Zv Aucti Syr4E 4 930w >) 66,1 pK ACs upPavr l re FRo�►i ASo✓C. i//CTI AN1No2 9304 Ii t/r= /Sa t SO =Zoo z`x'�y = Sa C C Tao a ---,-4-1\ 7sjZ t ! /0 CHECK 2%Z Y lit j Axi4L I0AD zt rl ZxZz'�z AAA'L£ Zx2x � Li -/Z ,, !/� Az o,yBt AtiCt,Yi11 ZITAl. 14 WE Z Fibrin i= D,l9G tu/ Z CROSS rfeAriES) i= 3. n,36 „ K = 1 Klr = /83 fgor r4 Bt C-3 G ,c `= y S!K1, , 4,Sl(o,qgt/)` Z K?f.31 2 ~ ^ ^ . . / -------~---- ------ BOARD OF BUILDrNG REGULATIONS License: CONSTRUCTION SUPERVISOR KEvVNOumw|N8H8M ' %9 HALE RD STOW, MA 01775 owmmmwmn* � ---------- ----- - ' ' ` Cp ~ • LMG 5/30/2006 3:44 PAGE 002/002 LMG Liberty Mutual Group Liberty Po Box 7202 r1 , Mutual Portsmouth,NH 03802-7202 Telephone(800)653-7893 Fax(603)431-5693 May 30,2006 T-MOBILE USA 29 HALE RD STOW,MA 01775- RE: Certificate of Workers Compensation Insurance Insured: MAXTON TECHNOLOGY INC 29 HALE RD STOW,MA 01775 Policy Number: WC2-31S-344285-016 Effective: 5/152006 Expiration: 5/15/2007 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability. Bodily Injury By Accident: $ 500,000 Each Accident Bodily Injury by Diseases $ 500,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date,the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions, and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate maybe issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. ?rt(/ AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed byLIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record: MAXTON TECHNOLOGY INC J BARRY DRISCOLL INS AGCY INC 29 HALE RD P 0 BOX 9120 STOW,MA 01775 NORWELL,MA 02061 5/302006 , )ate: 5/23/2006 Time: 1.1: 16 AM To : @ 1-508-936-6395 Page: 002-002 ACOR T. CERTIFICATE OF LIABILITY INSURANCE DATE 05/23/2Yo06) PRODUCER (781)681-6656 FAX (781)681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J Barry Driscoll Ins Agcy, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Longwater Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 9120 Norwell , MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Maxton Technologies, Inc. INSURER A: Landmark American Insurance Co 29 Hale Road INsuRERa One Beacon Insurance Company 21970 Stow, MA 01775 INSURERC: North River Insurance Company INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADM TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIOND LTR INSRG DATEIMMIDYYI DATEIMMIDD/YYI LIMITS GENERAL LIABILITY LHA103632 10/13/2005 10/13/2006 EACH OCCURRENCE f 1,000,000 X COMMERCIAL GENERAL LIABILITY PDAAFMGE TO RE(FarNTED co) f 50,000 CLAIMS MADE n OCCUR MED EXP(Any one person) f A _ PERSONAL&ADV INJURY f 1,000,000 GENERAL AGGREGATE f 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG f 2,000,000 —1 POLICY n T e n LOC AUTOMOBILE LIABILITY FB1E04605 12/01/2005 12/01/2006 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) f 1,000,000 ALL OWNED AUTOS BODILY INJURY f X SCHEDULED AUTOS (Per person) B X HIRED AUTOS BODILY INJURY f X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE f (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT f ANY AUTO OTHER THAN EA ACC f AUTO ONLY: AGG f EXCESSIUMBRELLA LIABILITY 5530879386 10/13/2005 10/13/2006 EACH OCCURRENCE f 5,000,000 OCCUR CLAIMS MADE AGGREGATE f 10,000,000 C f DEDUCTIBLE f RETENTION f f WORKERS COMPENSATION AND WCSTATU- I OTH-' EMPLOYERS'LIABILITY TORY I IMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT f OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE f lives,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT f OTHER DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS T-Mobile USA, its subsidiaries & affiliates are included as Additional Insureds for General Liability and Excess (Umbrella) Liability as required by a signed written contract or agreement with the Named Insured. Evidence of insurance for work performed within the insureds scope of normal operations. Votice of cancellation is 30 days except for non-paymet which is 10 days. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, T- Mobi l e USA BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 100 Fill ey St. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Bloomfield, CT 06002 AUTHORIZED REPRESENTATIVE /� B. Driscoll/MCG Z', " """ ACORD 25(2001/08) FAX: (508)936-6395 @ACORD CORPORATION 1988 The Commonwealth of Massachusetts Department of Industrial Accidents _'lid!_E' Office of Investigations n:111'= 9 600 Washington Street :I— Boston, MA 02111 asieNS www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): MAXTON Technology, Inc. Address:300 Pine Street City/State/Zip:Canton, MA 02021 Phone#: (508) 936-6393 Are you an employer?Check the appropriate box: Type of project(required): l.ZI am a employer with ? 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7 ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its have exercised their 10.❑ Electrical repairs or additions required.] officers 3.❑ I am a homeowner doing all work right of exemption per MGL 11.1:1 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' 13.® Other kilt iL56 TClfEieItALill / comp.insurance required.] / 'Any applicant that checks box tit must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Lucey insurance Agency/ Liberty Mutual WC5-31S-344285-016 5/15/07 Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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. I do hereb y nder the p ' and pe al ' of perjury that the information provided above is true and correct. Signatur . . Date: Phone#: (508) 936-6393 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: __. _