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HomeMy WebLinkAboutBuilding Permit #590-15 - 300 CHESTNUT STREET 1/7/2015 J f AORTIA q ' BUILDING PERMIT �` �' 3?���?`�� a°�6�°0 TOWN OF NORTH'ANDOVER to o J APPLICATION FOR PLAN EXAMINAT O t NO: " I Date Received qA<« ;sued: �9SSCHUS't IMPORTANT: Applicant must complete all items on this page :CATION 300 Chestnut Street Print OPERTY OWNER SBA b� txx�l Print AP NO: PARCEL: ZONING DISTRICT: Historic District yes nn Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: � Commercial [�Repair, replacement ❑Assessory Bldg ❑ Others: 0 Demolition ❑ Other 0 Septic D Well 0 Floodplain D Wetlands 0 Watershed District 0 Water/Sewer , Cell Tower Maintenance- RPpla_rina Diagonals Identification Please Type or Print Clearly) OWNER: Name: CRA Phone:800-487-7483 Address: 5900 Broken Sound Parkway, NW, Boca Raton, FL 33487 CONTRACTOR Name: Patriot Towers, Inc. Pho585-889-3391 ne: Address:, 879 Scottsville-Chili Road, Scottsville, NY '14546 Supervisor's Construction License Exp. Date: 11053179496 None Listed Horne Improvement License: Exp. Date: ARCHITECT/ENGINEER J. Darrin Holt, PhD., P.E. Phone: Address: State of Massachusetts Reg. No. I icPnsP Nn 476a6 v FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ $6,694.00 FEE: $ $80.00 Check No.: Receipt No.: 2`s; NOTE: Persons contracting with unregistered contractors do not have access to t ie guarantyfund Signature of Agent/Owner Signature of contractor ReVVA i2l01r - L BUILDING PERMIT o* "°pr" qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION '' b 0- Permit No#: Date Received �°� • Are D ��SSACHUSE���. Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands 0 Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: i Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. ' Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund - - - - Signature of Agent/Owner_ Signature of contractor Location�-n cI ps4 N --4— ve-� r ' i No. � Date ® TOWN OF NORTH ANDOVER 0 © Certificate of Occupancy $ Building/Frame Permit Fee $ < Foundation Permit Fee $ ,t, � Other Permit Fee $ .ro PO" TOTAL $ Check# 28402 Buildin f In pector Location No. Date . - TOWN OF NORTH ANDOVER �n • 0 Certificate of Occupancy $ _ Building/Frame Permit Fee $ 0 Foundation Permit Fee $ � Other Permit Fee TOTAL $ Check# Building Inspector Plans Submitted ❑ Plans Waived 0 Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinuning Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use) ❑ Notified for pickup Call Email i Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 NORTH Town of h. : _ �bAndo'ver 0 f� 00 OR h ver, Mass, AIR coc.acn[w".w k- �� S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ....... :581414C .................... BUILDING INSPECTOR . ...... ...... ... has-permission to erect .............. .. buildings on ...63w ... i.9 vix..... ...................... Foundation • Rough to be occupied as ..... ..��. �.. �A. .R,�4 �i�... �f ..... ........... .... ..................................... Chimney /�r �cr�✓��,o�-c provided that the person accepting this permit shall in every respect conform to the terms of the application ,nai , �b on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. / UMBIN INSPECTOR ugh VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N STARTS Rough ............................ Service ............ .... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Deems, Maura From: Carol Black <carol.black@patriottowers.com> Sent: Thursday,January 08, 2015 12:05 PM To: Deems, Maura Subject: RE: Bldg. Permit for 300 Chestnut St, North Andover, MA Maura, It would save time for us if you could scan it and email it to me, since this has been an ongoing issue, and we will make an exception in this case. `I appreciate your assistance. v I'yanks, Carol Carol Black Project Coordinator/Administrator Patriot Towers Inc. 870 Scottsville-Chili Rd. Scottsville, NY 14546 585-889-3391 ext 106 Office 585-889-5588 Fax From: Deems, Maura [mailto:mdeems@townofnorthandover.coml Sent:Thursday,January 08, 2015 11:09 AM To: Carol Black Subject: RE: Bldg. Permit for 300 Chestnut St, North Andover, MA Carol, I can certainly do either a scan or fax but you would not have the original building card that you should retain for your records. Let me know what you would like me to do. Maura From: Carol Black [mailto:carol.black0patriottowers.com] Sent: Wednesday, January 07, 2015 1:33 PM To: Deems, Maura Subject: RE: Bldg. Permit for 300 Chestnut St, North Andover, MA Maura, have never inserted a return envelope when a building permit was requested, but that is a great idea. Do you have the ability to scan the documents and email them to me,or can you fax the bldg. permit? If not, I will come up with an alternative. Thanks for your assistance. Carol Carol Black Project Coordinator/Administrator Patriot Towers Inc. 870 Scottsville-Chili Rd. Scottsville, NY 14546 585-889-3391 ext 106 Office 585-889-5588 Fax From: Deems, Maura [mailto:mdeems@townofnorthandover.coml Sent: Wednesday,January 07, 2015 1:21 PM To:Carol Black Subject: RE: Bldg. Permit for 300 Chestnut St, North Andover, MA Carol, Jerry Brown approved the Building Permit Application and a building permit has been issued. You did not include a return envelope for the Permit and receipt, how would you like to arrange pick up of the documents? At the completion of project we need a Control Construction Affadavit and an inspection by Jerry Brown can be scheduled. Thank you, Maura Deems From: Carol Black [mailto:carol.blackCalpatriottowers.com] Sent: Wednesday, January 07, 2015 12:31 PM To: Deems, Maura Subject: Bldg. Permit for 300 Chestnut St, North Andover, MA Hi Maura, Attached is the information we just spoke of. When I called the State of MA government office,Tom Riley, who writes the codes for the state,gave me the attached information. His contact number is included in case the building inspector needs to call him. Carol Carol Black Project Coordinator/Administrator Patriot Towers Inc. -,V0 Scottsville-Chili Rd. Scottsville, NY 14546 `5.85-889-3391 ext 106 Office 585-889-5588 Fax 2 f Final Construction Control Document To be submitted at completion of construction by a Registered Design Professional v�< for work per the 81h edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Number:BS23XC422 Project Title:NORTH ANDOVER(Sprint NV2.5 Project) Date: May 1, 2015 Property Address: 300 Chestnut Street North Andover,MA j Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Sprint PCS site modification.Install(3)new antennas,(3)new remote radio heads,and(1) fiber cable as well as associated DC power, coaxial cable jumpers and antenna remote electrical-tilt(RET)cable on existing roof. ! I Derek J. Creaser, MA Registration Number: 49195 Expiration date: 6/30/16 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Architectural Structural Mechanical Fire Protection Electrical X Other Describe: Entire Project for the above named project. I,or my designee,have performed the necessary professional services 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 I or my designee: 1. Have 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. 2. 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. 4. This inspection report does not include modifications to the tower structure. Those modification inspections are istrictly the responsibility of the tower owner&general contractor performing such installation. Nothing in this document relieves the contractor of its egarding the provisions of 780 CMR 107. DEREK J. yG Enter in the space to the right a"wet"or R electronic signature and seal: c¢i Phone number: (978)557-5553 Email:info gngroupllc.com Hudson Design Group,LLC 1600 Osgood Lndg,Bldg 20N, Suite 3090 North Andover,MA 01845 Building Official Use Only Building Official Name: Permit No.: Date: Version 061 1_2013 R 6521 Meridien Drive Raleigh,NC 27616 il DENGINEERING (919)755-1012 P INNOVATION (919)755-1031 F January 16, 2015 Russell Putnam Regional Site Manager SBA Communications Corporation 338 Church Rd. Pembroke, NH 03275 Subject: Modification Inspection SBA Designation: SBA Site Number: MA01085-A SBA Site Name: North Andover Inspection Firm Designation: FDH Inc. Project Number: 146DX81700 Site Data: 300 Chestnut Street, North Andover, MA 01845 Latitude:42.6689° Longitude:-71.1088° 152'Guyed Tower FDH Engineering, Inc. is pleased to submit this"Modification Inspection" (MI Report)to SBA Network Services for the modification/reinforcement to the subject structure. This Modification Inspection (MI) was performed in accordance with Contract Documents, and FDH Inspection Standards. The purpose of this MI is to confirm that the modification installation configuration and workmanship are in accordance with the contract document(s) listed in Table 2. The MI is not a review of the adequacy or effectiveness of the modification solution. Table 1 —General Information Company Contact MI Inspector FDH, Inc. Joshua H. Walton, PE 919-755-1012 epeadeet EOR They Modification Design EOR FDH Engineering, Inc. J. Darrin Holt, PE 919-755-1012 General Contractor Patriot Towers, Inc. Douglas Harradine 585-889-3391 Sub to the General NA NA Contractor Field CWI for the General NA NA Contractor Field NDE for the General NA NA Contractor www.fdh-inc.com Modification Inspection(MI) SBA Network Services North Andover(MA01085-A) January 16,2015 Table 2-Design Documents D• Source Tower Modification Drawings FDH Engineering Project Number: 146D901400 FDH Engineering, Inc. Dated 9/19/14 Based on our inspection, FDH Engineering determines this project: X_PASSING MI The configuration, materials,and workmanship of the modifications are installed in accordance with the Contract Documents and no deficiencies were found. All observations were performed after the construction was complete and that FDH Engineering, Inc.was not present during the construction phase. We at FDH Engineering, Inc. appreciate the opportunity of providing our continuing professional services to you and SBA Network Services. If you have any questions or need further assistance on this or any other projects please give us a call. Respectfully submitted, o sq DENNIS D. oy ABEL v MUCTURAL ti Na.45976 A Dennis D.Abel, P.E. �F�QIST ���i�Q Massachusetts License#45976 slwkL EN�� Document No. ENG-RPT-300 Revision Date:01.19.12 Modification Inspection(MI) SBA Network Services North Andover(MA01085-A) January 16,2015 Project Closeout Information-Table of Contents PRE-CONSTRUCTION Reference Document • PCI Checklist Drawing 9 • EOR Approved Shop Drawings NA • Fabrication Inspection NA • Fabricator Certified Welding Inspection(CWI) NA • Material Testing Report(MTR) 10-12 • Fabricator NDE Inspection NA • NDE Report of Monopole Base Plate NA • Packing Slips 13-16 CONSTRUCTION • Construction Inspections 17 • Foundation Inspections NA • Concrete Compression Strength and Slump Tests NA • Post Installed Anchor Rod Verification NA • Base Plate Grout Verification NA • Contractor's Certified Weld Inspection NA • Earthwork: Lift and Density NA • Galvanization Verification 18 • Guy Wire Tension Report NA • GC As-Built Documents 19-23 POST-CONSTRUCTION • PCI Inspector Redline/Record Drawings 24-28 • Engineer Approval 29 • Post Installed Anchor Rod Pull-out Testing NA • On-Site Inspection Photographs See Table 3 Document No. ENG-RPT-300 Revision Date:01.19.12 Modification Inspection(MI) SBA Network Services North Andover(MA01085-A) January 16,2015 Table 3.0-On-Site Inspection Photographs . .. _ ._ ISBAM] SBA TOWERS SITE I.D.#: MA01085 FCC#: 060890 LEASING 800) 487-SITE (7483) EMERGENCY (888) 950-SITE (7483) WUSBASITE.COM I �a{ lee rr � jny t e Document No. ENG-RPT-300 Revision Date:01.19.12 Modification Inspection(MI) SBA Network Services North Andover(MA01085-A) January 16,2015 Table 3.1 —On-Site Inspection Photographs •1 • • •• • •1. • • •• • i Adw A s II "a k * �1 YE a b 9h !y 4 t w` V � _,- 1 Document No. ENG-RPT-300 Revision Date:01.19.12 • •. - i is PH#09 Installation of Modification— PH#10 Installation of Modification— New Replacement Diagonal Measurement New Replacement Diagonal Measurement � x IWPIF �v. ! t a a " r PH#11 Installation of Modification— PH#12 Installation of Modification— New Replacement Diagonal Measurement New Replacement Diagonal Measurement jP OL �A 4. 00 Y e e y e F Modification Inspection(MI) SBA Network Services North Andover(MA01085-A) January 16,2015 Table 3.3-On-Site Inspection Photographs T 77 s � g 1v r� t �, �1 �ori%r/ ���,\�ti•,�> aAt`c'R`C�?• Document No. ENG-RPT-300 Revision Date:01.19.12 Modification Inspection(MI) SBA Network Services North Andover(MA01085-A) January 16,2015 CONTRACTOR CLOSEOUT DOCUMENTATION Document No. ENG-RPT-300 Revision Date:01.19.12 POST CONSTRUCTION INSPECTION NOTES: GENERAL PCI CHECKLIST 1. ME Posy GONnRucnoN INSPECTION(PO)IS A MUAL INSPECTION of TOWER MODIFICATIONS AND A RENEW OF CONSTRUCTION INSPECTIONS AND OTHER REPORTS .....x� w CONSMUCTON/INnALLATON TO ENSURE THE INSTALLATION WAS CUNSTRUCTEO IN ACCORDANCE WIN ME CONTRACT INSPECTIONS AND TESTING REPORT REM DOCUMENTS,NAMELY ME MODIFICATION DPAWHGS.AS DESIGNED BY ME ENGINEER OF rnfnrwC HE. RECORD(EOR). 2. ME PCI IS TO CONFIRM INSTALLATION CONFlCURAMNJ AND WORKMANSHIP ONLY AND IS PRE-CONSTRUCTION NOT A-OF ME MODIRCATION DESIGN ll-.NOR DOES ME PCI INSPECTOR C� ----- TAKE OWNERSHIP OF THE NOBIRCATION DESIGN. OWNERSHIP OF ME STRUCTURAL J X PCI CHECKLIST DRAWNG ADDIFICATION DESIGN EFFECTIVENESS AND INTEGRITY RESIDES WTH THE EOR AT ALL _ _ TIMES, wrv,xv1 N/A EOR APPROVEB SHOP DRAW NGS 3. ALL PCI'S SHAH BE CONDUCTED BY A PCI INSPECTOR THAT IS APPROVED TO <�4w�aMy sipiAwT N/A I'MRICATTO!INSPECTION PERFORM ELEVATED WORK FOR FUN ENGINEERING,INC. 4. TO ENSURE THAT THE REQUIREMENTS OF ME PCI ARE MET,R IS NTAL MAT ME ���� N/A FABRICATOR CERTIFIED WELD INSPECTION GENERAL CONTRACTOR(GC)AND ME PCI INSPECTOR BEGIN COMMUNICATING AND '- - COORONATNG AS SOON AS A M 5 RECEIVED. R IS EXPECi'U THAT EACH PARTY X MATERIAL TEST REPORT(NTR) WLL BE PRO ACME IN REACHING OUT TO ME OMER PARTY. F CONTACT INFORMATION IS NOT KNOWN,CONTACT YOUR MH POINT OF CONTACT(POC). N/A FABRICATOR NDE INSPECTION 5, REFER TO CCR-01:CONTRACTOR CLOSEOUT REOUIRENENTS FOR FURTHER CETNLS N/A NDE REKW OF MONOPOLE BASE PLATE(AS REOORED) AND REQUIREMENTS. A1w X vecKNNc GLLPS PCI INSPECTOR Wei ADDITIONAL TESTING AND WSPECTICIES: 1. ME PCI INSPECTOR 5 REOUIRED TO CONTACT THE GC AS SOON AS RECDNNG A PO FOR ME PCI TO,AT A MINIMUM. N HOII,PnD.,p, 09/19/la •REVIEW ME F-REMENTS OF ME PCI CHECKLIST LSM CONSTRUCTION •WORK WITH THE GC TO DEVELOP A SCHEDULE TO CONDUCT ON-SITE INSPECTIONS,INCLUDING INCLUDING FOUNDATION INSPECTIONS X CONSTRUCTION INSPECTIONS oLG 2. ME PO INSPECTOR IS RESPONSIBLE FOR COLLECTING ALL GENERAL ADHERENCE (GC) JOH INSPECTION AND TEST REPORTS,RCAME THE BOGUMENTI FOR AND SU NR TO THE N/A FOUNDATION INSPECTIONS CONTRACT DOCUMENTS,CONDUCTING ME M-FIELD INSPECTIONS,AND SUBMRTING ME PCI REPORT iO FDM. - N/A CBNCRETE COMP,S-STH AND SLUMP TESTS suBMITTMS N/A Pon INSTALLED ANCHOR ROO WPPGAION CORRECTION OF FAILING PCI'S ooi�sA N/A BASE PLATE GROUT NERTICATION 1. IF ME MOOFICATION PISTMUTON WOULDFAIL ME-(TAILED PCP),ME CC SHALL WORK WTH FGH TO COORDINATE A REMEDIATION PUN IN ONE OF TWO WAYS: N/A CONTRACTOR'S CERTREO WELD INSPECTON CORRECT FNUNG ISSUES TO COMPLY WITH ME SPECIFICATIONS CONTAINED IN THE N/A EANUNAUNK:LIR AND DENSITY GRIONM CONTRACT DOCUMENTS AND COORDINATE A SUPPLEMENT PCI. •OR,WITH RM'S APPROVAL,ME GC MAY WORK WTH ME EOR TO RE-ANALYZE X ON SITE COLD GALVANIZING VERIFICATION ME MOOIFCAIION/REINFORCEMENT USING ME AS-BOLT CONDITION. N/A cur WRE TENSION REPORT REQUIRED PHOTOS oN OONTaNO I AMIS RT BY X GC AS-BUILT DOCUMENTS 1. BETWEEN ME GC AND ME PCI INSPECTOR ME FOLLOWNG PHOTOGRAPHS.AT A NATURE REPRMODUCTITS 01 POR CAUSING TO MINIMUM,ARE TO BE TAKEN AND INCLUDED IN ME PCI REPORT: RR..CEO ME ADDITIONAL TESTING MID INSPECTIONS: PRE-CONnRUCTON GENERAL SITE CONDITION PE pR7GNPART Dl EFAWrvCG ITTOU'T'•THE BE FGH ENGINEERING,INC. •PHOTOGRAPHS DURING ME REMIFORCEMENT MODFICATON CONSTRUCTION/ERECTON TED. AND INSPECTION POST-CONSTRUCTION .. PHOTOS aFP Au CRmCAL DETAIIs SITE NAME •• FOUNDATION MODIRCATONs NORTH ANDOVER X PCI INSPECTOR REDLINE OR RECORD-NO(S) •• WELD PREPARATION •• BOLT INSTALLATION AND TORQUE N/A POST NAI ANCHOR ROO PULL-OUT TESTED FINAL INSTALLED CONDITION • SURFACE COATING REPAIR Slit NUMBER: X PHOTOGFAPHS ..O FINAL NNHEID CONOTTON UnON PAPHS MA01085-A ADDITIONAL TESTING AND INSPECTIONS: 2. PHOTOS OF ELEVATED MODIFICATIONS TAKEN FROM ME GROUND GHALL BE - CONSIDERED INADEGUATE SITE A004E55: 300 CHESTNUT STREET NOTE:X DENOTES A DOCUMENT NEEDED MR THE PCT REPORT NORTH ANDOVER,MA 01845 N/A DENOTES A DOCUMENT THAT IS NOT REOUIRED MR ME PCI REPORT SHEET RL[ POSTCONSTRUCTION INSPECTION NOTES SHECT NUNBER N-1 Customer Name Customer PO# Shipper No Meat Number Patriot Towers Inc 003360 575455 AU 14103654 , M U C I=iR Mill Certification I'T25°OuOpty2d 10/6/2014 AUBURN NY 13021 XUCoR sraft AUNUMNn INC. Fax (315 53�t1 Sold To KLEIN STEEL SERVICE INC Stop To KLEIN STEEL SERVICE INC 105 VANGUARD PKWY 105 VANGUARD PKWY ROCHESTER NY 1460640000 ROCHESTER,NY 1460640000 (585)328-1006 (565)328.40W Customer P O PM7465SP7015 Sakes Order 310195.6 Product Group Merchant Bar Quality Part Number 2020025024010WO Grade NUCOR MULTIGRADE Lot N AU1410365401 Size 2x2x1/4 Anglo Heat N AU141036a4 Product 2x2x114 Angle 20•NUCOR MULTIGRADE 8 L Number Yt-445450 Desrnpbon NUCOR MULTIGRADE Load Number Y1-191882 Customer Spec Customer Pan# A2214-20 1 rwwy aMAy nr er roar-oawa,.a man 1w bwn r�r�Asm.sa a amownu.m ar+o.rtr�aarn rw+tr�era lwtso sooty ane rw n aaadra Won rsowotrraa Roll Date:711612014 Melt Date:7AM14 Qty Shappod LBS:15,504 qty Shipped Pca:743 C Mn P S Si Cu Ni Cr Mo V Cb Sn 015% 086% 0013% 0040% 011% 027% 0 07% 012% 0015% 0.0210% 0.001% 0.016% Ti CE4020 CEAS29 ` 0DOt% 035% 038% CE4020 C E CSA G4020 AASHTO AA270 CEA529 A529 CARBON EbUIVALENT Yield 1 55.40Dpsi (382MPa) Tensile 1 75,200psi (518MPe) Elongation 26.8% in 8'(%In 203 3rnm) Yield 2.54,600psr (376MPa) Tensile 2 74,800psi (516MPa) Elongation 29 6% in 8'(%in 203 3mm) SpeciifficattiionAComments NUCOR MULTIGRADE MEETS THE REQUIREMENTS OF ASTM A361A36M•12 rA5291529M-05(2009) GR50W(350W)AASHHM(O M2770IM270M.107GR36(270)d GR50g234 ASMI E SA3�/SA36M 01321MEETS REPORTING AREQUIREMENTS OF E N102D4 SEC 31 THE UNITED STATES ALL PRODUCTS ROCESSES FTHE STEEL PRODUCED ARE WELD FREE IN MERCURY.IN CT INCLUDING FORM HAS NOf BEEN MELTING HAVE USED IN THE CURRED (THIN PRODUCTION OR TESTING OF THIS MATERIAL /'� Jim twin Division Metallurgist Page 3 of 4 r932aG10 JF ry1 ,?012 t � N I N UCO M LOT N0, Po61001Ce BOA 6100 ze022SA SaInlJoe.InOlana 46786 FASTENER D!Y i S I O N Telephone 260/337-1 soo TEST REPORT SERIAL$ FB354296 TEST REPORT ISSUE DATE 1/12/11 MANUFACTURE DATE 12/14/10 NAME OF LAB SAMPLER: FRANKLIN A. NEAL, LAB TECHNICIAN ********4*4******CERTIFIED MATERIAL TEST REPORT***............ PART NO. LOT NO. DESCRIPTION 165200 2aO225A 5/a-11 X 1 1/2 A490 HVY NX STRUC SCREW PLAIN --CHEMISTRY MATERIAL GRADE -5039LV MATERIAL HEAT **CHEMISTRY COMPOSITION CWTX HEAT ANALYSIS) BY MATERIAL SUPPLIER NUMBER NUMBER C MM P S St CR V NUCOR STEEL - NEBRASKA RHO26261 NF10204180 .41 .77 .009 .014 .21 .66 .020 MIN .30 MAX .40 .040 .040 --MECHANICAL PROPERTIES IN ACCORDANCE WITH ASTM A490.09 SURFACE CORE PROOF LOAD TENSILE STRENGTH HARDNESS HARDNESS 27100 LBS 6 DES-WEDGE (R30N) (RC) CLBS) STRESS (PSI) N/A 35.0 PASS 36260 160531 N/A 33.6 PASS 360ao 159646 N/A 33.2 PASS 35420 156726 N/A 33.5 AVERAGE VALUES FROM TESTS PRODUCTION LOT SIZE 45BO PCS 33.9 55927 15a96s •-YISVAL INSPECTION IN ACCORDANCE WITH ASTM F7a6/F7HaM-07 --WET MAGNETIC PARTICLE INSPECTION IN ACCORDANCE WITH ASTM A490-09 4 PCS. SAMPLED LOT PASSED •=MICROHARDNESS TEST RESULT IN ACCORONACE WITH ASTM A490-09 POSITION 1. 379 2. 377 3. 395 CARBURIZATION/DECARBURIZATION TEST IN ACCORDANCE WITH A490. 09 LOT PASSED HEAT TREATMENT - AUSTENITIZED, OIL QUENCHED A TEMPERED (MIN BOO DEG F) --DIMENSIONS PER ASME H16.2.6-2006 CHARACTERISTIC #SAMPLES TESTED MINIMUM MAXIMUM Width Aeross Corners 4 1.L9a0 1.1990 Grlp Length 4 0.2300 0.2400 Head Helvht 4 0.3690 0.3940 Threads 4 PASS PASS ALL TESTS ARE IN ACCORDANCE WITH THE LATEST REVISIONS OF THE METHODS PRESCRIBED IN THE APPLICABLE SAE AND ASTM SPECIFICATIONS. THE SAMPLES TESTED CONFORM TO THE SPECIFICATIONS AS DESCRIBED/LISTED ABOVE AND WERE MANUFACTURED FREE OF MERCURY CONTAMINATION. NO HEATS TO WHICH BISMUTH, SELENIUM, TELLURIUM. OR LEAD WAS INTENTIONALLY ADDED HAVE BEEN USED TO PRODUCE THE BOLTS. THE STEEL WAS MELTED AND MANUFACTURED IN THE U.S.A. AND THE PRODUCT WAS MANUFACTURED AND TESTED IN THE U.S.A. PRODUCT COMPLIES WITH DFARS 252.225.7014. WE CERTIFY THAT THIS DATA IS A TRUE REPRESENTATION OF INFORMATION PROVIDED BY THE MATERIAL SUPPLIER AND OUR TESTING LABORATORY. THIS CERTIFIED MATERIAL TEST REPORT RELATES ONLY TO THE ITEMS LISTED ON THIS DOCUMENT AND MAY NOT BE REPRODUCED EXCEPT IN FULL. NUCOR FASTENER _ A DIVISION OF NUCOR C PORATION MECHANICAL FASTENER CERTIFICATE NO. A2LA 0139.01 BOB HAYNOOD EXPIRATION DATE 12/31/11 QUALITY AOSU CES ERVISOA Page 1 of 1 CERTIFICATE OF MATERIAL AND PROCESSING REQUIREMENTS COMPLIANCE We certify that this shipment consisting of the purchase order numbers, part numbers and ship to location listed below were coated to our agreed upon coating processing requirements and the material manufacture's requirements. Allegheny Coatings Direct Ship Reference Nbr: 224 River Road Ridgway,PA 15853 USA IPL ID 70418 Ph:(814)772.3850 Fax(814)772-2336 SHIP DATE 10-Dec-2014 Contact:Chris Carson 'PTERMS COLLECT SHIP va UNITED PARCEL r- - ICAR TRAILER NBR: BILL TO: NYSCOTTSV--4265 OurSuppiler ID SHIP TO NYSCOTTSV--4265 OurSupplier I PATRIOT TOWERS PATRIOT TOWERS 870 SCOTTSVILLE-CHILI ROAD 870 SCOTTSVILLE-CHILI ROAD SCOTTSVILLE,NY 14546 SCOTTSVILLE,NY 14546 USA Supplier Code USA Supplier Code Attn: Ph 585.889-3447 Attn: Ph: 585-889-3447 CuslomerParWbr CustomerPO WCWREL# OurJoblD ShIpToPartNbr Lot Nbr ShipCode Eng.Drawingft Specificallon Name SaltSprayTest Salt Wrs Net Wgt Pieces MIXED LOT 003279 003279 43382 1/20141205 ASTM F1136 GRADE 3 ASTM B-117 1000 6.5 0 DIPSPI N/AKC+GB,@-DACROMET320LV+1-PLUS/; G Sfi-n-a-cuW.— t — ---6; Page I of I Fabricator/Supptier Material Statement r Form Number:MTR-01 c«a,accw,r.a.««or�rcr. RsTbT Nonh Andover No•, _ 146Dx81700 MA01085SA Sit.Ans s Date: 811211Verizon Ptb._- - 9118114 tSTG Tower Drawin baue: Conetructlon '' 300 Chestnut Street t_ 416689 NorhAndover MA01t115 11.1086 r r ment certifies tlrat all materials and hardware breadrg the above listed descriptions were used in this p 4ectl rder,The attached'mi8 lest reports'(MTR)are the site fisted above only,The performing subcontractor must submit all MTRs in order to receive a passing Post Modification Inspection.Failure to provide these s could result In nonpayment,PO deductions andfor additional scopes of work. No. o. 1 2x2x1/4 Galv Angle 29 Fabrication _ Klein Steel 3 AU14103654 A36 2 5/8-11 x 11/2 A490 Screw Fabrication m U Bolt It 20 3 5/8-11 A194 2H Heavy Nuts Fabrication U Bolt It 20 4 518 Lockwasher Elk Fabrication U Bolt It 20 ALL MTRS LISTED ABOVE MUST BE INCLUDED WITH THIS STATEMENT AND HEAT NO.INITIALED.00 NOT INCLUDE NON•APPLICABLE MTRS. PaWotTowers,Inc. Subcontractor Company Name ! r 12/17/14 Authorized Signature Dale Douglas Harradine _ Vice President Printed Name Title Sbb 01: NV Count`Of: Monroe I, ,j@ggicaJohnson _allotaryPubicof Monroe County, NY cedti Thal Douglas Harradine personally appeared before me this day and acknowledged that he/she Is the Vice President (title)of Patriot Towers (subco*Wor),a S corporation,and as Vice President (title)•being authorized to do so,executed the foregoing instrument on behalf of the corporation.Witness my hand and official stamp or seal,this 17th day of Ncember JESSICA JOHNSON Notary Public,State of New York �gnatuteanWdPdft�Wed Qualified in Monroe County dtary Reg.No.01JO6194496 1 11 Commission Expires 9/29/201 MY Commission Expo. l�StanParsea>? Klein Steel Service Inc. 105 Vanguard Pkwy December 17,2014 Rochester, NY 14606 1:59.35PM Phone: 585-328-4000 Fax: 585-328-0470 Website:www.kleinsteel.com Page 1 of 1 Shipper No. 575455 Bill To Patriot Towers Inc Ship To WILL CALL 870 Scottsville-Chili Rd Scottsville, NY 14546 , Attn: Jared-North Andover Terms: .5% 10 Net 30 Contract: Customer P.O. Number: 003360 F.O.B.: Origin Ship Via: Will Call Sales 1: Geoff Grambo Sales 2:Robert Corsaro Order No: 575455 Due Date: 12/17/14 Ship Qty Order Qty UM Description Width Length Weight 3 3 P 2 X 2 X 1/4 GALV ANGLE 201011 205.44 Heat Numbers: AU14103654(3) 3 3 Total Weight 205.44 Shipping Instructions: Messages: Receiving Hours: doug@patriottowers,com Max Bundle Weight: 0 deanne@patriottowers.com Spacers: Carol.Black@patdottowers,com Test Certificates Required jared.grossman@patriottowers.com Date �, 7 "' �' JOB: North Andover Driver Sig Print Name Consignee Sig Print Name Customer is responsible for unloading material upon delivery. �� U-BOLT-IT, INC. •97127 EMMOTTROADT � www.uboltit.corn HOUSTON, TX 77040 U 13AI' lotPHONE; 793 537 4088 Ina email; FAX- 7939374099 cm _ salesQUboltitcom i ***PICKING SLIP**** 024060 SOLD T0: SHIP T0: PATRIOT TOWERS INC PATRIOT TOWERS INC 870 SCOTTSVILLE-CHILI ROAD 870 SCOTTSVILLE-CHILI ROAD SCOTTSVILLE. NY 14546 SCOTTSVILLE• NY 14546 INVCE# ORDER-DTE SALESPERS REQ-DATE SHIP IA WGHT PGE 024060 NOV 25 2014 JWJ NOV 25 2014 UPS GROUND COST# CUST PO NUMBER DOC-REQ# SUB TERMS FREIGHT TRMS FOB INSD SALES PATRIO 003241 DOUG 01 NET 30 PRE PAY FREI ORIGIN JWJ OR'D SHIP PRODUCT UNIT DESCRIPTION EXTENDED PICKED 20 20 HRA490ELK0620150 EA 5/8-11 X 1 1/2 ^^ A490 HEX HEAD CAP SCREW PLP.IN 20 NA1942HBLK062 EA 5/8-11 A194 GR 2H HEriVY NUTS SLK 20 20 WLBLK062 EA 5/8 LOCKWASHER BLK SUB-TOTAL AMOUNT SALES TAXES TOTAL AMOUNT WE APPRECIATE YOUR BUSINES ! ! irked By: 1 NOTICE' Any rejections must be returned in 7 workdays. All returned parks subject to a restocking fee. SHIPPEa•F.O.B.POINT PACKINGLIST 14418 . Allegheny Coatings NOTE: 224 River Road Ridgway,PA 15853 USA Ph:(814)772.3850 Fax(814)772.2336 Contact:Jessica Dietrick SHIP DATE 10-Dec-2014 TERMS COLLECT ASN BOLNBR 70418 sHlPvw UNITED PARCELPROfIICARTRAILERN: BILL TO: NYSCOTTSV4265 OurSupplierlD SHIPTO: WSCOTTSV4265 OurSupplierlD PATRIOT TOWERS PATRIOT TOWERS 870 SC07TSVILLE-CHILI ROAD 870 SCOTTSVILLE-CHILI ROAD SCOTTSVILLE,NY 14546 SCOTTSVILLE,NY 14546 USA Supplier Code USA SuppllerCode ABn; Ph: 585889-3447 Atter, Ph: 5858893447 UPSAoct 5743W1 FedXAcct 2485.9348-2 UPSAcct 5743W1 FedXAcct 24859348.2 CustomerParift CuatomerPO WOWRELI PS OurJobw I Sh1pToPaHNbr ShIpToPO - ShlpCode ProcessDescdpti0n1ParlDescdptlon Lot Nbr RcvdPl# PN Containers Gr.W fN–et—W— Pbces FrCh MIXED LOT 003279 003279 43382 1120141205 1 1 BOXES 7 6.5 0 Of IDIPSPINIAKC+GB12.DACROMET320LV+I.PLUSI; VARIOUS MIXED LOT _ 003279 Totals: 7 6.5 o ! Customer PO 003279 �T Totals: 7 6.5 O 0 YTD Customer PartNbr/ShipTo Totals: 7 6.5 0 PackingList Totals: 7 6.5 0 0� L_� ILII F Packing ListIO:�70418 Page 1 of 1 Direct Ship Reference Nbr. I iTRIOT To HS RIVE. 'bWer C&1SWCdM•AdaWWW=.Upgrades SBA 5900 Broken Sound Parkway,NW Boca Raton, FL 33487 DATE: January 13,2015 RE: Construction Inspections Letter for North Andover MA01085-A To Whom It May Concern: Patriot Towers Inc. completed all work at North Andover MA01085 A on December 19,2014 and that all work was performed in accordance with industry standards and contract documents including modification drawings and specifications,state and local regulation,OSHA,and Engineering standards. Sincerely, Douglas Harr dine,Vice President Patriot Towers,Inc. 870 Scottsville-Chili Road Scottsville,NY 14546 O-585-889-3391 l a - .. y �z;•"+�'Ftam•.{�.�'6-+sr:x t ��t;l .� [ ,a+wty ti � • � M 1 c v RS NOTICE • j4 ?• t `�1 S "{ •.sem. �!- NG`R CAUTION D '�- j CAilTi�Pd DANGER• - CAUT{ON CAUTION = THE RECOMMENDATIONS ECOMMEN A DEPICTED I N THESE E STRUT ARE BASED IS FOR INQUIRIES REGARDING THE CONTENT OF THESE .xo THE RECTEDBY OAN ONSOUNINED INPROJUCTNO.1 ANALYSIS MODIFICATIONDRAWINGS,PLEASE CONTACT STEVEN STRICKIAND r1�tiLi COMPLETED BY FEIN ENGINDATED AUGURING.ST INC..12,201OJECT NO.idSAVIN00 WITH THE FDH CONSTRUCTION DEPARTMENT(919)T5S1012 VZ.�F11 DATED AWUST 12,2011. +an.rmnn: THIS REPORT WAS BASED ON A SPECIFIC ANTENNA AND COAX CONFIGURATION PROVIDED BY THE TOWER OWNER.ANY CHANGE TO THIS(NFORMATION MUST BE REVIEWED BY FON ENGINEERING,WC. SBA ALL DIMENSIONS,MEASUREMENTS,CUANTTRES,PART NUMBERS AND COAX/ANTENNA PLACEMENTS TO BE FIELD VERIFBiD BV CONTRACTOR leopl Rang»lEa PRIOR TO MATERIAL ORDERS AND CONSTRUCDON. PROJECT DESCRIPTION: a r, MODIFICATION DRAWINGS FOR A 152' GUYED TOWER Ira. NA J.bRRN NOLT,pn pF.09/19/1/ 4a35IENUSERS LONG PBIn01 Towers,Inc. S B AAs(,�` C N f ■{ DRI. I f l l`� ENECEEOBv: ME U'1 ..�-. —� ENG Nwv°: JDH > E:4n31°t._.1+.-a—sem.- - p1NLeGrro t+EPp01a°° SUBWTTALS SITE NAME: NORTH ANDOVER SHEET INDEX NE wGRM aN ca urtD N.s SITE NUMBER: —RE.REPft ..OR CNrSmE 10 BHT. BE nEPROUVC[0 THE T.HDIE Lw Axv No. DESCRIPTION pyR H6E owAMs Nmau mE nE r-1 TpwszwN a r9H ENcu+EEftwc.lxc. rnE sNEEr ow9nEo• N-1 POST C-M.1CR0N INSPEETEN NOn3 SITE ADDRESS: N-2 GE ERa NOTES 5Irz xwE: 300 CHESTNUT STREET S-1 MMM­N SCHEDVIE NORTH ANDOVER NORTH ANDOVER,MA 01845 S-2 D NAL RC EMENT DETALE SITE NWBFR COORDINATES: MA01085•A LATITUDE: 42.6689° LONGITUDE: -71.1088° 9� 700CHESTNUTSTREET NORTH ANDOVER,MA01865 SHEET TALE TITLE SHEET SnEET NUMBER T-1 POST CONSTRUCTION INSPECTION NOTES: GENERAL D PCI CHECKLIST 1. ME POST CONSFRUCBON INSPECTION(PLY)IS A VISUAL INSPECTION OF TOWER MOGIFIGTIORS ANO A REVIEW OF CONS 71011 INSPECTIONS IND OMER REPORTS CO6TRUCRONSFALUFION TO ENSURE TE INSTALLATION WAS CONSTRUCTED IN ACCOIOMEE WITH THE COMMCF INSPECTIONS ANO TESTING REPORT NEN OOCUMFNIS,NANELY THE MORN RON OMWINGS,AS DC54KD BY THE ENGINEER OF +A,pra REOURED RECORD(EOR). 2. ME A 610 CONFIRM INSFTION DESIGN RNATCN MIO WES THE PO ONLY MID 15 PRE-CONSTRUCTION Mi A REVIEW K F MOD FICFI OESKN N. O MR ER DOES THE PO INSPECTOR TANS OANERSDE OF THE L-ERESSION DESIGN RESIDES TI THE SEOR AT x PCI CNECN6f OMWTM WEE. ION DESIGN EFFECmWE$S MID NIEGRT'RESIDE Wml THE EOR AT ALL TME$. N/A EOR APPROVED SHOP OUVRMS 3. ALL POS S1 BE COMORTEO BY A M INSPEOOR TMT 6 APPROVED TO pm, ».N NIA FABRIGTON INSPECTION PERFORM ELEVATED WORK FOR FMN ENGINEERING.NC A.TO ENStNE TNT ME REWRFMENIS OF THE PCI ARE MET,R 6 WFM THAT THE e09/1'.p. N/A FABNIGTOR CEIONiO OEID MSPECMN OCNERM CONT "(GC)AVD TIE PCI N6PECTOR O N COIW—TNG AND COOROMTM AS SOOI Af A Po 6 RECENED. R 6 EIIPECTED TNT EACH PMIYX IMTERt&TEST REPow(Mm) WEL BE PROACTNE N REACHING ORIF TO TIRE OTHER PMTY. IF CONTACT INF—M)II IS NOT KNOWN,CONTACT YOUR FOR PONE OF CONTICT(POC). N/A FMRIGTON ME INSPECTION S.REFER TO CCR-01:CONTRACTOR CLOSEDUT REO ENTS FDR FURTER DEFNI.S NIA NDE REPORT ai LKINOPOIE BASE RATE(AS REOUREO) ARO REQUmENEMS.X PAORNG Sues PCI INSPECTORIODTTOU1 IESIING ANG INSPECTIONS: I. TE PO INSPECTOR IS REO.IRM TO CONTACT THE M AS SOON AS RECEWNC A M F'pN TE Pd M.Al A KNIIIUM: J.DMRM HOLT,PM,P.E •REVIER THE REO RN OF THE PCI CNEcmSF =11USEF6 TIC.M. 7696 CONSTRUCTION HORN WTIN TME CC N DEVELOP A SCHEDULE TO CGNOUCT ON-SRC NSPErn S, N NCLUNNO FOR WN INSPECTIONS X CO6mUCnOH I,SPECNONs 2. THE PCI INSPECTOR 6 RESPONSIBLE FOR COIDECING ALL GENERAL CON M rt(GC) _ JON OC INSPECTION AND TES,REPOR,S,A_TIE 000UMENTS fdt IDIERENGE TO ME PBtfiol Towers,Pm. !MARINONEMO N/A FOJNIMBOH INSPECTIONS COTMCT OOOINENTS,CONOVCGM TE IN-REID INSPECIlO6.AND SIBMITING ME As 6U3 IAE090IAOp PCI REPORT TO FDR. D is...._�/,E¢�I-L"1. NROIECT N/A COMflEIE COMP.STRFNOM AND SLMYP TESTS SlgnBiure.`�'.;.•�y{.y�,,ty_•�q � sueMITTAEs NIA POST NSTMIEO INCNOR Roo VEmrK mN CORRECTION OF FAILING PCIS N/A ELSE PIATE CROVT VERIFIGTION 1. E ME NOOFICATON NSTN1ATION WOVN FAR ME PCI('FAILED POT),THE GC SHML WORK WITH FON TO COORDINATE A REMEOMTgN PIAN N ONE O 1WG WAYS: N/A .—MIS CERTIFIED WEIR INSPWBON CORRECT FINING ISSUES TO COMPLY OIN ME EPECIFIGT m CONT-M IN THE NIA WIRVIOBE:LIFT ANO DENSOY _OII1 COxRMAT pOCUMENTS MID COO _m A SUPPLEMENT M. •0.NTH FONTS APPROVAL,ME GC 4AY WORK NTH THE EOR TO RE-A YLE X OY SITE COD GMVANRNO v0wK TION ME MODIFIGTION/RENMRCEMEM USING lxE AS-BURT COIII%f1011. NIA GUY WINE lENSXN REPORT REQUIRED PHOTOS ME P"ol ION CONTNKU IN MIS SET OF—uMD05 6 PMPRETARY RY X GC AS-BURT 000LMERIS I. BETWEEN THE CC AM THE PCI INSPECTOR ME FOEOWING PMTOOMPI6.AT A wTURE.REPRO—KN oR CVmHG TO AOOIIKKLr1 IESTM AND INSPECTIONS: N,—.ARE TO BE—N AND IMLVOED N ME PCI REPORT Is REPROOUCEO TIE N10LE NI ARY Am OF MESE-MS WRHOUT THE •PPE-COISTNULTON OENEML SITE COM,nUN PFAMRSION O NNI ENtlN I—.NC. •PHOIOGRAMS DURING THE REINFORCEMENT MOONIGTION CONSfflUCTION/ERECTION 6 I"O D. AND INSPECTION POST-CONSTRUCTION ..PROF.uF ILA cFmm OEFNLS snE wrD X N INSPECTOR REDONE OR RECORD DMWNG(s) FWEiDGPR�IMTOONMATONs NORTH ANDOVER ••BOLT NSTI FON MIO TOROUE N/A NST NSTADFD MIGNON no PULL-OUT TESTING ••FNM W_CONOm. SITE MMBER: ••SURFACE CM1NC REPAN X PMTOGRAPHS P. CONS1PlRTON PMTOGMPHS MA01085-A ••n—INFIEIO com"FoN AD 0—Mo.AND INSPECTIONS: 2. PHOTOS OF ELEVATED 1,100N 71ONS TAKEN FROM THE GROUND SMALL BE CONSIDERED INIDEOIAME 9R AODRE45: 300 CHESTNLR STREET NO2%DENOTES A DMUMENNEEDED FOR ME NI FOR NORTH ANDOVER NRA 01&5 H/A OENOTE3 A OOCUMEME M TMT 6 NOT REQUIRED FOR ME PO REPORT SNELT ME NST CONSTRUCTION INSPECTION NOTES SHEEF NWBER N-1 "�g� � �o Wmttc Fes= i � " Ow. 51 KI -T8iLLLLLU � 1 T' a g asq _ 9 B 9 3k 48 0 #� Sieg ao �W jss e Mffi W� e�� sig I �� eye . $ � � ! g H ' gE � � �g€� go H 'gh i� peg _ - gb E e; gg€ MIR MUM! s8eE s�Eg��s IN � ���a3g s � ��3� �� � �e � � � 19 -.1 � n9 m� gs_ga$ g € Rye t a p!I$�WY S 228 soy �a IND s�, g g7 _ S� = gapil aai g-3a"W�ps; s Ngo�� 11sg BW$ � W o 111 aeg ; g g � r3 a � "e Nig€i€ a snnogg a s �og' � � 3e e� �" ma MIR MIR t o � § �< s s :� a �� 4 �� I � U - U - APPURTENANCES MAY INTERFERE TOWER MODIFICATION SCHEDULE WITH PROPOSED MODIFICATIONS. ALL MODIFICATIONS TO BE INSTALLEDNOBOTTOM TOP ELEV. —•�v n.riwrunn� CONTINUOUSLY THROUGH EXISTING . TYPE OF MODIFICATION ELEV.(FT) (FT) 152.0, EOUIPMESEL ALL NOTED STING I 9 TAUATINI OF NEW REPEAGEMENT DPGOlW.9.SEE S-2 FOR DEEMS. 143.4. 146A. OTHERYRSEj.ALL EXISTING Norm I�.1460• 1 EQUIPMENT NOT TO BE DAMAGED OR .T TAKEN OFF AIR DURING INSTALLATION. 2 MSTI 1.OF MEW REPUCEM DMWNNS.SEE S-2 FOR OEfNLS 96A4 101.0. i p J� f1J ANTENNA GRAPHICS NOT SHOWN FOR TOWER FINISH:GALVANIZED BA n 1360' CLARITY,SEE STRUCTURAL ANALYSIS REPORT FOR EXISTING ANTENNA LOADING. 6v0O A.� T •Nr nn ''yyee�pp J 1-).R-im»w � P T —l1a1—e5o0 A4B.". . 9y02 J.DMW 1KTPE /4 N45S4GNu5ER5 DC N9.4>696 Pz!nv bUwx em Al �J CNECNE96v: OIG Is eo o AE As I,.Town,IIKs 14M 14m J f; :1 6* S S hitt e vY�E �l+r}D art eAunus 4�t 000— 50.° THE INNRWTVI COMNNN m 069 Sfl OF 9 ENT5 b HTOPpEtrm 4rc I� 49.0' BE RFPROWCEO[MrglE ql,yryTO V� /7j 4 P4Rf OF 1HESE dMWMG9—.n1E PEMu5561H 0I R)N d4CwEFUHG.AK;. �� 3pp.. 5 PR9r9RITE0. l� J �. EXISTING ODIDi WICHOR(A) _ s R 1450.(0) 14ORTHA OVER 0; 0-- EMSTWO INNER INCNdt(A) SRE HUIBER: R-65.0'.(0) MA01085•A y 10.0 S6E ADOR63: 3DD CHESTNUT STREET I \ NORTH ANDOVER.MA 01645 I EMISTHG MNER GVY MOIUS 1` EXISTING INNDt ANOCR(G) FXIm.I..NiL110R(B) WET 1RLE ILII'' (SEE INC119R IAITXiI) -1 R-B5.0'.(0) R-65.0'.(0) -' EqS OUTER ANCHgi(C) EX1S@4GOUIFA--IB) MOOFICA90H SCHEDULE, —E(SEE ANCHOR R-145.0—M)OUTER '.(0) R-145.0'.(9) TOWER ELEVATION ANCHOR LAYOUT SHEET SCALE:NTS SM N SER - S-1 f I MK-1 REPLACEMENT DIAGONAL SCHEDULE ELEVATION EXISTING PROPOSED ESTIMATEDBOLT SIZE MOLE SIZE GAGE EDGE BOLT MEMBER MEMBER LENGTH,A' UNE- DISTANCE- GRADE Fs R 143.1'4 TO 148.0'5 (])LI 3/1%1 3/4X3/16 (])L2%2%1/4 3'-10.1 (11) 0% �/✓�)5/6.1%1 I/2• 11/16.6 1 1/8• 1 i/1• A49 98.6'1 TO 101.0'3 (3)LI 3/01 3/4%]/I6 (3)12%Z%1/1 3'-t0.1 (6)5/6.6 X 1 1/2• 11/18'6 1 1/8• I 1/V• M90% �� r,N� 96.0'1 TO 96.6'1 (3)Ll 3/4X1]/1%]/16 (3)L21F1%1/4 3'-10.1 (8)5/8.6 X 1 1/Z' 11/18.6 1 t/6• 1 1/4• M90% (eoel Mwevw e6u,.n ]BAYS REWIRE DMGWAL REPUCEMFRT VW V Why •CONTPICE is REID VERFY LE TO PRIOR TO NAIEPML ORDERS •OGTAJJCE TMC HEFT OF CENTER TO BOLT OF BOLT HOLE •••EDGE OGTMCE fROY CENTER OF BOLT HOLE TO EDGE OF CWNECIFD PMT, O Pa(ria To-m.Inc. Rlann�° A9 SWI L� I-4 Date', J J.OW1w HOLT,PAD..P.E.09/18/i4 Synalu,e._____.i��'-�"�' – Nus.cHusETrs Lc.xo..Ts9e wx T: M c�clMner: me t46wD11D0 e-1 NEW OITINC ENFM OLA TO BE SUBMITTALS EXRREP DVLONAL TOM E%IS5W FEEIXME LMOERS TO BE RE-IN9fAOED US6tG OTHM IUADWME REDUCED W/IARGUt TO NM WGDFFN$WHERE PoSSBIE Q REPLACED IN ALL O1HDi LOCAn016 w/IVB• REP= YEYBER . AS NECESSMY.CkRt&TOR RESP011$BlE FDR ALL PMIS ASSOCMIEp WTIII SEE SCHEDULE W OR SHEEt _ '. - TFYPoRUtY 8 FlNLL COIJf 8 CIMANG LADDER SUPPOItf. FOR OETA15. l�•, 00 I., TOP OF MSGWARW(T1P.)A �B••—} —A E I .____.______ IM EI£v.5EE 5LNE01� —(y� EDGE OEifMCE EDGE ORTAHCE `J + REPINE COSTMO BOLT W/NfB WLT AND LOCH _______ _ ___�____ INE OFOmJAnON CONIYRLOMINB WASHER SEE M.M. = SLT OF 000WEMfi R PROPRIETAT'BT ON IHS SNEET FOR COMPACTOR YAY BE REOUREO IN,—WC.0 OX-OU OR WeS TD ORWtS. TO BONE OUT ElOS11N0 9/18Y COMING••• IWIE SQE wPee PMI OF MSE DRAWJX,S—THE DYP) HOLE 10 ACCONOMTE NEW (F REQUIRED) FlELD GRILL• (SEE SCHEDIIIL) y PE pMRYGN OF FnH ENGIREERHG 61C. 5/BY BOLT.(mJ U s RJHRIRO. SNOP DRILL SRE RUDE: BM Q MSTNLAigN TTYP1 n D GDHW TI)F TMRE PROPER OR Ga OX TVo Y XATIOIOD CIR M NORTH ANDOVER AFTER NOlE—FOR IS mm. F ••'B•WE SUGGESF THE MEDNINART CM LENGTN R r LONGER TNW WR E TED LENGTH SnE NUMBER. FOR MEMBERS 10.OR UM.M 12•FOR MEMBERS GREATER T11UJ 10'. MA01D85-A •••COPING MAY BE REOMRED:COMIC NOT M E%CEEO'W-OUT'P1ANE OF BOLT NOTE AS SNOWH. 50E A00RE55: DIAGONAL REPLACEMENT DIAGONAL 300 CHESTNUT STREET ELEVATION VIEW FRONT VIEW NORTH ANDOVER,MA 01945 R ELEVATION MK•1 DETAIL SHE."a 8Z NTS B-2 NTS DIAGONAL REFIACEMENT DETAILS SHEEP WmOER S-2 THE MODIFICATIONS DEPICTED ON THESE DRAWINGS ARE BASED ON FOR INQUIRIES REGARDING THE CONTENT OF THESE THE COMPLETED BY FOHENGINEERNEO IN INC.,PROJUCTUO.146A LYSIS BRYCE D.PATE Mr..IFICATION DRAWINGS,PLEASE CONTACT STEVEN STRICKLAND COMPLETED BY FDH ENGINEERING, .,PROJECT NO.146AVI1400 WITH THE FDH CONSTRUCTION DEPARTMENT(919)755-1012 DATED AUGUST 12,2014. CHRISTOPHER T.FLOWERS o„ o THIS REPORT WAS BASED ON A SPECIFIC ANTENNA AND COAX 01/14/2015 MmrA« CONFIGURATION PROVIDED BY THE TOWER OWNER.ANY CHANCE TO THIS INFORMATION MUST BE REVIEWED BY FDH ENGINEERING,INC. SBA ALL DIMENSIONS.MEASUREMENTS,QUANTITIES.PART NUMBERS ANO Mrw,r, bT ••�' COWANTENNA PLACEMENTS TO BE FIELD VERIFIED BY CONTRACTOR (Nro�•n-srz PRIOR TO MATERIAL ORDERS AND CONSTRUCTION. a 4y J PROJECT DESCRIPTION: MODIFICATION DRAWINGS FOR A 152' GUYED TOWER ,N•ap.� l 09/19/1! DARRIn HOLr,PID.,P. Nu— PT SBA - suBM rtALs anon. SITE NAME: ---- NORTH ANDOVER SHEET INDEX DN Cory- W TNR SITE NUMBER: SE*DE DROC�tIMEISIS PROPRKT—B, SNr. a wcPaacucEo a°M,w�°«cCans�i.�To MA01085-A N0.14 —DESCRIPTION PAv or T cf` AEncs I Iry 5E MISSION OF FOH D.GiNEFAwC.INC T-1 mLE SHEET P.-TSO. N-1 POST CarsTRUonoN INSPECTION NOTE$ SITE ADDRESS: N-2 GENERX-NOTES 300 CHESTNUT STREET S-1 MODI—ON SCHEDULE NORTH ANDOVER NORTH ANDOVER,MA 01845 S-2 DIAGONAL REPLACEMENT D—US — ----— srE rvwacR. COORDINATES: --- MAO 1085-A LATITUDE: 42.6689° SITE ADDRESS: LONGITUDE: -71.1088° BOD CHESTNUT STREET NORTH ANDOVER,MA 01845 INIIJ'ITT TITLE SHEET SHEET"MS' T-1 BRYCE D.PATE POST CONSTRUCTION INSPECTION NOTES: GENERAL PCI CHECKLIST I. THE POST CONSTRUCTION INSPECTON(PCI)IS A NSUAL INSPECTION OF TOWER weaa.oT MODIFICATIONS AND A RENEW OF CONSTRUCTION INSPECTIONS AND OTHER REPORTS COIISIHTIOII/INSiAl1ATI0N TO ENSURE THE INSTALLATION WAS CONSTNUCTEO IN ACCORDANCE WIN THE CONTRACT INSPECUcUCS AND TESTING EFFORT REM DOCUMENTS.NAMELY THE MODIFICATION DRAWINGS,AS DESIGNED BY THE ENGINEER OF nN�mrae OUIRED RECORD(EOR). 2. THE PCI IS TO CONFIRM INSTALLATION CONFIGURATION AND WORKMANSHIP ONLY AND IS PRE-CONSTRUCTION NOT A REVIEW OF THE MODIFICATION DESIGN RSELF,NOR DOES THE PCI INSPECTOR L� A TAKE OWNERSHIP OF THE MODIFICATION DESIGN. OWNERSHIP OF THE STRUCTURAL J /•� X PCI CHECKUST DRAWING MDIM.Es CATION DESIGN EFFECTMENESS MIO INTEGRITY RESIDES WT1 THE EOR AT ALL uT AGMNIA EOR APPROVED SHOP DRAWNGS B. ALL PCI'S SHALL BE CONDUCTED BY A PCI INSPECTOR TAT IS APPROVED TO lero h�iabT N/A FABRICATION MSPECTION PERFORM ELEVATED WORK FOR FOM ENGINEERING,INC. --- 4. TO ENSURE THAT THE REOUIREMENn OF THE PCI ARE MET,IT IS VT&THAT THE N/A FABRICATOR CERTIFIED WELD INSPECTION GENERAL CONTRACTOR(GC)AND THE PCI INSPECTOfl BEGIN COMMUNICATING AND -- COORDINATING AS SOON AS A PC IS RECEMEO. IT IS EXPECTED THAT FACH PARTY X MATERIAL TEST REPORT(MTR) WILL BE PROACTIVE IN REACHING OUT TO THE OTHER PARRY. IF CONTACT INFORMATION IS NOT KNOWN,CONTACT YOUR NH POINT OF CONTACT(POC). N/A FABRICATOR NDE INSPECTION 5. REFER TO CCR-01:CONTRACTOR CLOSEOUT REQUIREMENT FOR TURNER DETAILS N/A NDE REPORT OF MONOPOLE BASE PLATE(AS REOUIRED) M'D REOVIREMENTS- dA� X vncKlNc suss PCI INSPECTOR IN ADDRIGN&TESTING AND INSPECTIONS: 1. THE PCI INSPECTOR IS REOUIRED TO CONTACT THE GC AS SOON Al RECEMNG A PO 'YL FOR THE PCI TO,AT A MINIMUM: .OARRIN HO 09/19/11 •RENEW THE REQUIREMENT OF THE PCI CHECKLISTETTG CONSTRUCTION WORK WIN THE GC TO DEVELOP A SCHEDULE TO CONDUCT ON-SITE INSPECTIONS, INCLUDING FOUNDATION INSPECTIONS X CONSTRUCTION INSPECTIONS 2. THE PCI INSPECTOR IS RESPONSIBLE FOR COLLECTING ALL GENERAL COMTWCTOR(GC) OLl INSPECTION AND TEST REPORTS,RENEWING THE DOCUMENTS FOR ADHERENCE TO ME -ENG APP­ N/A FOUNDATION WSPECTION5 CONTRACT DOCUMENTS,CONDUCTING THE IN-FIELD INSPECTIONS,AND SUBMITTING THE PCI REPORT TO FAH. N/A CONCRETE COMP.STRENGTH AND SLUMP TEST SUBMITTALS N/A POST INSTALLED ANCHOR RDD VERIFICATION CORRECTION OF FAILING PCI'S N/A BASE PLATE GROUT VERIFICATION 1. IF THE MODIFICATION NISTALIATON WOULD FAIL THE PCI(•F.VLED-),THE CC SHML WORK WITH FBI TO COORDINATE A REMEDIATION PLAN N ONE OF TWO WAYS: — N/A CONTRACTOR'S CERTIFIED WELD INSPECTION CORRECT FAILING ISSUES TO COMPLY WITH THE SPECIFICATIONS CONTAMNED IN THE N/A EARTHWORK:UFT AND DENSITY ORIGINAL CONTRACT DOCUMENTS AND COORDINATE A SUPPLEMENT PCI. •OR,WITH FGN's APPRWAL,THE GC MAY WORK WMA THE EOR TO RE-ANAL-E X ON SITE COLD GALVAN12ING VERIFICATION THE MODIFICATION/REINFORCEMENT USING THE AS-BUILT CONDNON. ENs N/A cur WIRE TIoN REPORT REQUIRED PHOTOS aN IIOrrtuNEO w rws SLT OEDOCUMENTS IS PgOPgILTARr B/ X GC AS-BUILT DOCUMENTS I. BETWEEN THE GC ANO THE PCI INSPECTOR TIE FOLLOW NG PHOTOGRAPHS.ATA BETU,E REPT.OOD AOOUTME WKECOgSiµYrO MINIMUM,ARE TO BE TAKEN AND INCLUDED IN THE PCI REPORT: BE R ADDITIONAL TESTING AND INSPECTIONS: PRE-CONSTRUCTION GENERAL SITE CONDITION PE pMISRl SIOBh�TON ENGINEERIN'C,WCE •PHOTOGRAPHS DURING THE REINFORCEMENT MODIFICATION CONSTRUCTION/ERECTION 11 . INSPECTION ANDRAW MAT _ POST-CONSTRUCTION .. PHOFOR OF ALL CRITICAL DETAILS NAME •• FOUNCATON MODIFICATIONS NORTH ANDOVER X PCI INSPECTOR REDLINE OR RECORD DRAWNG(S) ••WELD PREPARATION ••BOLT INSTALIATON AND TONGUE N/A POST INSTALLED ANCHOR ROD PULL-OUT TESTING •• FINAL INSTALLED CONDITON SURFACE COATING REPAIR SITE NUMBER: X PHOTOGRAPHS POST CONSTRUCTION PHOTOGRAPHS MA01085-A FlNAI_INRELD CON MON ADDITIONAL TESTNC AND INSPECRONS: PHOTOS OF ELNATED MODIFICATIONS TAKEN FROM THE GROUND SHALL BE -- CONSIDERED IMADEODATE. 300 CHESTNUT STREET NOTE:X DENOTES A DOCUMENT NEEDED FOR THE PCI REPORT NORTHANDOVER,MA01845 N/A DENOTES A DOCUMENT NAT IS NOT REQUIRED FOR THE PCI REPORT IMEET TITLE POST CONSTRUCTION INSPECTION NOTES SHEET NUMBER N-1 GENERAL NOTE& STEEL: COLD GALVANIZATIONISURFACE PREPARATION NOTES: 1. ALL WORK SHALL BE DONE IN ACCORDANCE WITH ALL APPLICABLE 1. ALL STRUCTURAL STEEL SHALL BE FABRICATED AND ERECTED IN 1. CONTRACTOR TO USE ZINGA OR ZRC COLD GALVAMU.DON gRYCE D.PATE FEDERAL,STATE AND LOCAL CODES MR D ORDINANCES. IS THE ACCORDANCE WITH THE LATEST AISC CODE AND ASTM COMPOUNDS OR APPRONED EOVNALENT. CONTRACTOR'S RESPONSIBILITY TO OBTAIN ALL PERMITS NECESSARY SPECIFICATIONS. TO COMPLETE THE PROJECT AN0 ABIDE BY ALL COHNIONS AND 2. PREPARE RUSTED/CORRODED SURFACE FOR TREATMENT FAx eieTsslasi REOIIREMENTS OF THE PERMITS. 'ALL STEEL ANGLE SHALL BE ASTM A36(Fy-36KSI)UNLESS ACCORDING TO MANUFACTURE'S RECOMMENDATIONS. OTHERMSE SPECIFIED. x wry x 2. THC CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFICATION OF 3. CONTRACTOR TO APPLY(2)COATS OF COLD GALVANIZATION ALL DIMENSIONS.ELEVATIONS AND EXISTING CONDITIONS AT THE 2. ALL CONNECTIONS OF STRUCTURAL STEEL MENBERS SHALL BE COMPOUND PER MANUFACNREA'S RECOMMENDADON.DRYING SITE 8 ORE ORDERING ANY MATERIALS OR DOING ANY WORK. NO MADE USINC SPECIFIED WELDS WITH WELDING ELECTRODES E-7OXX AND CURING TIMES MUST BE UTL2ED PER MANUFACTURER'S EXTRA CHARGE OR COMPENSATION SHALL BE ALLOWED DUE TO OR SPECIFIED HIGH STRENGTH BOLTS TO BE ASM A325N,THREAD RED NENDANA. OIFFERENCE BETWEEN ACTUAL DIMENSIONS AND DIMENSIONS INCLUDED WITH SHEAR PLANE(UNLESS OTHERWISE NOTED), INDICATED ON THE CONSTRUCTION DRAWINGS. ANY SUCH 1. APpLT ALL COATINGS BY BRUSH IN CALK W1IN0 CONDITIONS. C� A DISCREPANCY IN DIMENSION WHICH MAY BE FOUND SHALL BE 3. ALL BOLTED CONNECTIONS TO BE INSTALLED TO A SNUG-TIGHTENED THE USE OF AEROSOL IS NOT PERMITTED. SUDMITTED TO FOR ENGINEERING FOR CONSIDERATION BEFORE THE CONDITION IN ACCORDANCE WITH AISC 13 PART 16.2. CONTRACTOR PROCEEDS WITH THE WORK IN THE AFFECTED AREAS. 'SPECIFICATION FOR STRUCTURAL JOINTS-NG ASM A335 OR 5. IF THE TOWER IS PAINTED.BRUSH PAINT ALL SEATED AREAS wxv.rvw A190 BOLTS•.SECDON 8.1,UNLESS OTHERWISE SPECKLED. WHEN TO MATCH TOWER AFTER COLD CALVANRATION CONPoUNO IS bT J. INCORRECTLY ANG MATERIALS DAMAGED.OTHERWISE HALL BE R OR 'X•TWE BOLTS ARE USED.CONTRACTOR MAY BE REQUIRED TO ALLOWED TO CURE. (mo'wr xss[ NON-CONFORMING wTERUR AND CONDITIONS SHALL BE REPORTED STACK ADOITONAL WASHERS TO OBTAIN PROPER SNUG TIGHT TO RONON.ENGINEERING PRIOR TO ANY REMEDIAL E IN CORRECTIVE INSTALANON. ALL NUTS SHALL BE HEAVE HEX UNLESS OTHERWISE ACTON. ACTIONS SHALL REOURE FOR ENGINEERING NOTED. + APP � N+ 4. IT IS THE CONTRACTOR'S SOF RESPONERRUTT TO DETERMINE 4. ALL STEEL,AFTER FAERICATON.SHALL BE HOT DIPPED GALVANIZED ERECTION PROCEDURE AND SEOUIRGE i0 ENSURE THE SAFETY OF PER ASM A-123. ALL DAMAGED SURFACES,WELDED ARDS AND THE STRUCTURE FUND ITS COMPONENT PARTS DURING ERELTON AUTHORIZED NO MEMBERS OR PMTS(EXISTING OR COW AID/OR FIELD MODIFI TEMPORARY THIS INCLUDES.BUT IS NOT UMRED GA�jy�1lIZING COMPOUND ACE NG MULTIPLE SHALL BE PANTED WITH lNWUMS OFF IZMCLS DRY FILM 1 T0,ME ADDITION OF TFMPOFARY BRACING.GUYS OR TIE DOWNS PER ASTM A 760. THAT MAY BE NECESSARY,SUCH MATERIAL SHALL BE REMOVED 4NIR� AFTER THE COMPLETION OF THE PROJECT. 5. ALL SHOP AND FIELD WELDING SHALL BE DONE BY WELDERS 5. CONTRACTOR SHALL PROMPTLY REMOVE ANY k ALL DEBRIS FROM OUALIMD AS DESCRIBED IN THE'AMERICAN WELDING EOOET'S �1 Rl�mp• SITE AND RESTORE AS BEST AS POSSIBLE TO PRECONSTRUCTION STANDARD QUALIFICATION PROCEDURE'TO PERFORM THE TYPE OF CONGI AGN. WORK REQUIRED.CONTRACTOR IS REQUIRED TO PROVIDE FDH ''HAIL ENGINEERING,INC.WITH A PASSING CERTFIED WEIOING INSPECTION 09/19/14 CONTRACTOR QUALIFICATION NOTES: FOR ALL WELDS. N SARI H09 Plo. i� 1. ALL REPAIRS SHALL BE PERFORMEDBY A TOWER COWFUG ON WITH 6. STRULL CTURAL STEEL MAY NOT BE TORCH CLT FOR FABRICATION.A RT MINIMUM 5 YEARS EXPERIENCE W TOWER ERECTOR AND STEEL FABRICATION MUST FOLLOW ASC STANDARDS. CHECKED By DLC RETROFIT ANO WIN WORKING KNOWLEDGE OF THE ANS1/TIA-222-G MISC.NOTES: C `STRUCTURAL STANDARD FOR ANTENNA SUPPORTING STRUCTURESjoll AND ANTENNAS'. 1. AL MOI)IN ATONS ARE ASSUMED TO BE MADE ON AN EMPTY _______ _ TOWER. CONTACTOR IS REEFOSIBLE TO MAKE PRMISKINS TO 2. CONTRACTOR IS RESPONSIBLE FOR AL CONSTRUCTION MEANS AND SURPOm OR WORK AROUND EXITING ANTENNAS AND METHODS. SHOULD THE CONTRACTOR REOUIRE DIRECT TRAIISMISSION LINES. NOOFICATONS MUST HE CONTINUOUS SUBMITTALS CONSULTATION,FOR ENGINEERING,INC.IS A—TO OFFER THROUGH ALL AREAS SHOWN. SERNCES BASED UPON AN AGREED FEE FOR THE WORK REWIRED. 3. ALL SUBMITTAL INFORMATION MUST BE SENT TO MH ENGINEERING, 2. COINCTOR O!FIELD VERIFY AL DIMENSIONS PRIOR TO INC.6521 MERIDIEN DRIVE,RALEIGH NO,27616,TEL(919) CONSIRUCD ------ 755-1012,FAX.(919)755-1031.E-MAL INFOOFDH-INC.COM. FABRICATION NOTES: ANY VARIATION OF THESE SPECIFICATIONS OR DRAWINGS WRnOUT UI CONSENT FROM FDH ENGINEERING,INC.WILL VOID ANY 1. ALL DINSONS ARE PRELIMINARY UNTIL FIE —T LD EO BY RLSPONSIBILTTY OR LIABILITY FOR DAMAGE(MATERIAL OR PHYSICAL) CONTRACTOR.ANY CHANGES MUST BE APPROVED BY ENGINEER OF TOWARDS FOH ENGINEERING,INC. RECORD IN WRITING PRION TO FABRICATION AND INSTAlUTION. _ 4. ALL CONSTRUCTION TO BE IN ACCORDANCE WITH THE TIA-1019-A 2. NEW STEEL NE4BERS MUST HAVE SINGLE DRILLED HOLES.SLOITED STANDARD. AND DOUBLE DRILLED HOLES ARE NOT ACCEPTABLE MEANS OF - FABRILADON. SET OF DOCAUMEN E IS PROGflIET_BY JOB SITE SAFETY S NOTES: RE RETE—CTON OR CAUSING TO SUBSTITUTES AND/OR EQUALS: INCOR ANY 1. NENTHER THE PROFESSIONAL ACTMTIES OF FOR ENGINEERING,INC. PARK F TH s GRA C WITH Tx NOR THE PRESENCE OF FOR ENGINEERING.INC.OR EMPLOYEES 1. IF CONTNACNOR WISHES TO FURNSH OR USE A SUBSTITUTE ITEM PE MISSION OF FGH ENGIREEFInC.TINC E AND SUB-CONSULTANTS AT THE CONSTRUCTION SITE,SHAG OF MATERIAL OR EOUIPMENT,CONTRACTOR SHALL FIRST MANE IS cROHIpITEO. REIJEME THE GENERAL CONTRACTOR AND OR SUBCONTRACTORS AND WRITTEN APPLICATION TO ENGINEER OF RECORD FOR ACCEPTANCE ANYOTHER ENTITY OF THEIR OBUGATONS,DUTIES AND THEREOF.CERFNNG THAT TE PROPOSED SUBSTITUTE WILL REEPONSIBIUTIES INCLUDING,BUT NOT UNITED T0,CONSTRUCTION PERFORIN ADEQUATELY THE FUNCTIONS AND ACHIEVE THE RESULTS SITE A , MEANS METHODS,SEOUENLE,TECHNIOVES OR PROCEDURES CALLED FOR BY THE GENERAL DESIGN,BE SIMILAR IN SUBSTANCE NECESSARY FOR PERFORMING,SUPERINTENDING OR COORDINATING TO THAT SPECIFIED AND SUITED TO THE SAME USE AS THAT NORTH ANDOVER ALL FORD RE OF THE WORK OF CONSTRUCTION IN ACCORDANCE SPECIFIED. ALL VARIATIONS OF THE PROPOSED SUBSTITUTE FROM WITH THE CONTRACT DOCUMENTS AND ANY HEALTH OR SAFETY THAT SPEOFIEO WILL BE IDENTIFIED IN THE APPUCATION AND PHECAUDONS REOUIRED BY ANY REGULATORY AGENCIES.THE AVAILABLE MAINTENANCE,REPAIR AND REPLACEMENT SERACE WILL SITE INMBFR: GENERAL CONTRACTOR AND OR SUBCONTHACTOR IS SOLELY BE INDICATED. THE APPUCATKRN WILL ALSO COWAN AN OEMIZFD RESPONSIBLE FOR JOB SAFET',ANp WARRANTS THAT TRIS INTENT ESDunTE OF ALL COSTS OR CREDRS TINT WILL RESULT DIRECTLY MA01085-A IS EMDENi BY ACCEPTING THIS WORK. OR INDIRECTLY FROM ACCEPTANCE OF SUCHHUBS IME INCLUDING COSTS OF REDESIGN AND OWNS OF OTHER CONTRACTORS AFFECTED BY THE RESULTING CHANGE.ALL OF WHICH WILL BE SITE ADDRESS. CONSIDERED BY ENGINEER OF RECORD IN EVALUAHON OF THE PROPOSED SUBSTITUTE. ENGINEER OF RECORD MAY REQUIRE 300 CHESTNUT STREET CONRACIC TO FURNISH ADDITIONAL DATA ABOUT THE PROPOSED NORTH ANOOVER,MA 01845 SUBSTIME. SWET IT. GENERL NOTES N-2 • APPURTENANCESMAY INTERFERE TOWER MODIFICATION SCHEDULE WITH PROPOSED MODIFICATIONS. ALL MODIFICATIONS TO BEINSTALLED NO. TYPE OF MODIFICATION BOTTOM TOP ELEV. CONTINUOUSLY THROUGH EXISTING ELEV.(FT) (FT) ,FSA• EQUIPMENT(UNLESS NOTED --- - `ce �•� OI OTHERWISE).AL I EXISTING IINSTIllAMM'OF NEM REP.C.—01 SEE S-2 FOR DETAILS. 1Al- 146.Of EQUIPMENT NOT--------- OBEDAMAG **LOCATION CORRECT" ED OR y 146.. 1 TAKEN OFF AIR DURING INSTALLATION. INSfA11AFKIN OF NEW REPLACEMENT OIACE-1.SEE 5-3 FOR GETALS, 56.0t 10I- SBAANTENNA GRAPHICS NOT SHOWN FOR TOWER FINISH:GALVANIZED CLARITY.SEE STRUCTURAL ANALYSIS Vi • µ c REPORT FOR EXISTING ANTENNA LOADING. Ixo)4eT-zilz v 126.0• J'e **ALL INSTALLED&IN GOOD CONDITION'* ag 116.0 6 aiw 1Da.0 hmn4° byAt "LOCATION RRECT** i.GARFINHOST.Pl,o..PE.09/19/11 LIC. NO,11- 9 6°.°' CLC SO. P101ECT- SUBMITALS _ rf wrz w nn E6pp4 Oa` THE INIORUAiION CMRAND).N THIS SET OF OOCU.-G IS n� NATURE REPRODUCTION OR CAUSING FO V ORA WMW ll T PROHDTEO IC THE �nN Of FDH Et ENGINEERING.WC. � ,a�0 C 1-1 ExSDNRR OUTER ANCHOR(A) SITE Nu- -145.0'3(0) A; NORTHANDOVER 20.0' DISDNG INNER ANCHOR(A) SRE NUUBFP: R-85.0'1(0) MA01085-A 10.0 V KESS 300 CHESTNUT STREET h OV \\ NORTH ANDOVER,MA 01845 EXISTING INNE)(C) EX SRNG WNER.ICHOR(B)ENI(SEE INNER CUT RADIUS R-85. R-85.0'3(0)(SEE ANCHOR UYOUT)E% NG—P GUY RADIUS EXISTING OUTER ANCHOR EXISHNC OUTER NCHOR(0) MODIFICATION SCHEDULE (SEF ANCHOR IAYO1) R-145.'2(0) R-145.0'3(0) TOWER ELEVATION ANCHOR LAYOUT GHEE'uN.CR SCALE:NTS SCALE:NTS S-1 `*ALL INSTALLED&IN GOOD CONDITION" . MK-1 REPLACEMENT DIAGONAL SCHEDULE BOLT SIZE HOLE SIZE ELEVATION EXISTING PROPOSED ESTIMATED GAGE EDGE BOLT MEMBER MEMBER LENGTH.A' LINE^ DISTANCE•" GRADE 143.4'*i0 146.0'± (3)LI 3/4X1 3/4%3/18 (3)L2x2x1/4 3'-101± (6)V".%1 /2' +1/16'0 1 1/8' 1 /4- A49OX �+r•' 98.6'±TO 101.0'3 (3)L+3/4X1 3/03/16 (3)L2%2S1/{ ]'-10•± (6)5/8'0 x 1 1/2' I1/I6'0 1 1/8" 1 1/4• A— (OnMe9�a�Yv� 98.0'±i0 98.6'± (3)L 3/01 3/4X3/16 _ (3)12x2%1/{ 3'_10'! (6)51VO%1 1/2'L1/16'o I+/8' -1 1/4 A- 3 BAYS REQUIRE GIAGONAL REPLACEMENT 11q 4A •COMRACTOR TO DEI➢VERIFY LENGTH PRIOR TO MATERIAL ORDERS. •`DISTANCE FROM HEEL OF ANGLE TO CENTER OF BOLT HOLE. •" EDGE DISTANCE*ROM LENTER OF BOLT HOLE TO EDGE OF CONNECTED PART. 1 Oj {lFl11A@ bOAI 09!19/14 OA¢flIN NCL*.PnO..P.E. fli NOR REPLACEMENT DIAGONAL. SUBMITTALS EXISTING DIAGONAL TO BE 11 NO FEFDUNE UDDEAS TO B£RE-1NSTA 1 USING E11-NG--E REPLACED W/LARGER TO NEW DIAGONALS WHERE POSSIBLE L REPLACED IN ALL OTHER LOCATIONS DIACONAL MEMBER. AS NECESSARY.CONTRACTOR RESPONSIBLE TOR ALL PARR ASSOCIATED WITH - - -- - SEE SCHEDULE ON THIS SHEET TEMPORARY k FINAL COAX h CLIMBING IAODER SUPPORT. FOR DETAILS. 0 00 �00 TOP OFINSTALLATI(MI WLE �B•• - EDGE DISTANCE A EDGE DISTANCE -'--{O ELLV:SLE SCNE REPUCE EXISTING BOLI F- ____ H .1.Mnn H ON*uu iN T- W/NLAG BOXI,UID LOCH F- ------- - ---- - SE'CE REPRODUCTION POR CAU—TO HASHER.SEE SCHEDULE GO —TOR MAY BE REOUIRED z NAFUPEIS EPR0011CRON OR CAU—TO ON THIS SHEET FOR TO BORE OUT EXISDNG 9/16•a t#N EOf OGUCED TR E,—OR All COPING•`• HOLE vZET1111 DEMRS. HOLE TO ACCOMODAM NEW (IF REQUIRED) FIELD GRILL• (SEF SCHEDULE) U PERM SIGN OF EOH ENCwEERiTCu INCf Doli.(IYP.) -HOR n50. SHOP DRILL c SIZE NNIE' IOo---.------------_j00 BTM.W INSTALLATIO • ESITYARD G.--CONTRACTOR TO FIELD VERITY LOCAHON OF THIS HOLE PRIOR TO NORTH ANDOVER E_'E, DRIWNG HOLE TO ENSURE PROPER FR. CONTRACTOR TO RELD CUT EXCESS MATERIAL AFTER HOLE LOCATON IS V£RIFIEO. ••18'N£SUGGEST THE PPEUMINARY CUT LENGTH IS 6'LONGER THAN WR ESIMATM LENGTH 6rtE xUUB£P. 1-- FOR MEMBERS 10'OR LESS,k 12"FOR IS GREATER THAN 10'. MAO 085-A •••COPING MAY BE REOUIREO:—NO NOT TO EXCEED`TEAR-OUT'PLANE OF BOLT HOLE AS SHOWN. DIAGONAL 300 CHESTNUT STREET DIAGONAL REPIACEMENL ELEVATION VIEW FRONT VIEW NORTH ANDOVER,MA 01845 ELEVATION **ALL INSTALLED&IN GOOD CONDITION" MR+ DETAIL �S NTS S2 NTS DIAGONAL REPLALEMERT DETAILS SHEEP NI,M.M S-2 0 I Charles Teal From: John Wood Sent: Friday,December 19,2014 1:04 PM To: Jeffrey Johnson;Dino Chirco Cc: Steven Strickland Subject: RE:North Andover MA01085-A-Location of New Diagonals-Inside/Outside Face Installing the diagonals inside the tower w91 be accept". John P.Wood,P.E. Senior Project Engineer FDH Engineering,Inc. 6521 Meridien Drive Raleigh,NC 27616 Office:919.755.1012 Mobile:919.610.8489 Fax:919.755.1031 Email:iwood(a!fdh4nc.corn www.fdhencineerina.com Raleigh-St.Louis-Baton Rouge•Irvine•DaytomPhcenix From:Jeffrey Johnson Sent:Friday,December 19,2014 12:08 PM To:Dino Chirco Cc:Steven Strickland;John Wood Subject:North Andover MA01085-A-Location of New Diagonals-Inside/Outside Face Dino: Please read statement below from subcontractor... "Due to the upsize in angle and change in edge/gauge distance the angles will need coping.Using the maximum allowed cope by Fdh standards the piece wouldn't clear being on the outside of the tower.My solution was to place the angles on the inside as seen in the photo.This shouldn't affect tower integrity." This solution is for all nine(9)diagonals at Elevations 96 to 98,98 to 101,and 143 to 146.They will all be installed on the inside face,rather than the outside face. Please review and advise if this will be acceptable ASAP.The subcontractor is on-site and expects to complete this mod today. Thanks, Jeffrey D.Johnson,P.E. t NORTH Town of 5. : : ¢ Andover p - "" 0% No. - * �' A;h. _ tio!�k ver, Mass,% Apt w�cw 1. �.4 AERy ATED ok"r (5 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ....................... BUILDING INSPECTOR . . ...... .... .... � Foundation has.permission to erect .....................�.. buildings on ... .... ...................... g Rough to be occupied as ..... ..�.�......1.. ......HAA4944"Um..................................... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N STARTS Rough � .............................. Service ............ .... . ........ ....... BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. PREPARED BY: THE MODIFICATIONS DEPICTED ON THESE DRAWINGS ARE BASED ON FOR INQUIRIES REGARDING THE CONTENT OF THESE ` THE RECOMMENDATIONS OUTLINED IN THE STRUCTURAL ANALYSIS MODIFICATION DRAWINGS, PLEASE CONTACT STEVEN STRICKLAND � 652+ C DRIVE RALEIGH,GH,NC 27616 PHOE:975 COMPLETED BY FDH ENGINEERING,INC.,PROJECT NO.146AY11400 WITH THE FDH CONSTRUCTION DEPARTMENT(919)755-1012 FAX:919175551+031 DATED AUGUST 12,2014. ENGINEERING INNOVATION THIS REPORT WAS BASED ON A SPECIFIC ANTENNA AND COAX CONFIGURATION PROVIDED BY THE TOWER OWNER.ANY CHANGE TO PREPARED FOR: THIS INFORMATION MUST BE REVIEWED BY FDH ENGINEERING,INC. 5900 SOUND SBA ALL DIMENSIONS,MEASUREMENTS,QUANTITIES,PART NUMBERS AND BOCA RATTON,N FL 33487 PARKWAY, NW COAX/ANTENNA PLACEMENTS TO BE FIELD VERIFIED BY CONTRACTOR (800) 487-SITE PRIOR TO MATERIAL ORDERS AND CONSTRUCTION. OF PROJECT DESCRIPTION: MODIFICATION DRAWINGS ML FOR A 152' GUYED TOWER ""' 913 1 SOL MAL ems' J. DARRIN HOLT, PhD., P.E.09/19/14 MASSACHUSETTS LIC. NO. 47696 DRAWN BY: RT CHECKED BY: DLC [jam'j, 1 ENG APPV'D: JDH V _ + PROJECT NO: 146D901400 vvv SUBMITTALS DATE DESCRIPTION REV 09/18/14 CONSTRUCTION 0 SITE NAME: NORTH ANDOVER SHEET INDEX THE INFORMATION CONTAINED IN THIS SITE NUMBER: SET OF DOCUMENTS IS PROPRIETARY BY NATURE. REPRODUCTION OR CAUSING TO SHT. BE REPRODUCED THE WHOLE OR ANY MA01085-A NO. DESCRIPTION PART OF THESE DRAWINGS WITHOUT THE PERMISSION OF FDH ENGINEERING, INC. T-1 TITLE SHEET IS PROHIBITED. N-1 POST CONSTRUCTION INSPECTION NOTES SITE ADDRESS: SITE NAME: N-2 GENERAL NOTES 300 CHESTNUT STREET S-1 MODIFICATION SCHEDULE NORTH ANDOVER NORTH ANDOVER, MA 01845 S-2 DIAGONAL REPLACEMENT DETAILS SITE NUMBER: COORDINATES: MA01085-A LATITUDE: 42.6689° LONGITUDE: -71.1088' SITE ADDRESS: 300 CHESTNUT STREET NORTH ANDOVER,MA 01845 SHEET TITLE TITLE SHEET SHEET NUMBER T-1 PREPARED BY: POST CONSTRUCTION INSPECTION NOTES: 6521 MERIDIEN DRIVE GENERALRALEIGH,NC 27616 )AA PHONE:919-755-1012 FAX:919-755-1071 PCI CHECKLIST 1. THE POST CONSTRUCTION INSPECTION (PCI) IS A VISUAL INSPECTION OF TOWER MODIFICATIONS AND A REVIEW OF CONSTRUCTION INSPECTIONS AND OTHER REPORTS E N G I N E E R I N G INNOVATION TO ENSURETHE INSTALLATION WAS CONSTRUCTED IN ACCORDANCE WITH THE CONTRACT CONSTRUCTION/INSTALLATION DOCUMENTS, NAMELY THE MODIFICATION DRAWINGS, AS DESIGNED BY THE ENGINEER OF PREPARED FOR: INSPECTIONS AND TESTING REPORT ITEM RECORD (EOR). REQUIRED 2. THE PCI IS TO CONFIRM INSTALLATION CONFIGURATION AND WORKMANSHIP ONLY AND IS PRE-CONSTRUCTION NOT A REVIEW OF THE MODIFICATION DESIGN ITSELF, NOR DOES THE PCI INSPECTOR TAKE OWNERSHIP OF THE MODIFICATION DESIGN. OWNERSHIP OF THE STRUCTURAL S B A X PCI CHECKLIST DRAWING MODIFICATION DESIGN EFFECTIVENESS AND INTEGRITY RESIDES WITH THE EOR AT ALL TIMES. 5900 BROKEN SOUND PARKWAY, NW BOCA RATON, FL 33487 N/A EOR APPROVED SHOP DRAWINGS 3. ALL PCI'S SHALL BE CONDUCTED BY A PCI INSPECTOR THAT IS APPROVED TO (800) 487-SITE N/A FABRICATION INSPECTION PERFORM ELEVATED WORK FOR FDH ENGINEERING, INC. 4. TO ENSURE THAT THE REQUIREMENTS OF THE PCI ARE MET, IT IS VITAL THAT THE �rrtH Opp N/A FABRICATOR CERTIFIED WELD INSPECTION GENERAL CONTRACTOR (GC) AND THE PCI INSPECTOR BEGIN COMMUNICATING AND COORDINATING AS SOON AS A PO IS RECEIVED. IT IS EXPECTED THAT EACH PARTY X MATERIAL TEST REPORT (MTR) WILL BE PROACTIVE IN REACHING OUT TO THE OTHER PARTY. IF CONTACT INFORMATION IS NOT KNOWN, CONTACT YOUR FDH POINT OF CONTACT (POC). .4 a N/A FABRICATOR NDE INSPECTION 5. REFER TO CCR-01 : CONTRACTOR CLOSEOUT REQUIREMENTS FOR FURTHER DETAILS N/A NDE REPORT OF MONOPOLE BASE PLATE (AS REQUIRED) AND REQUIREMENTS. moe X PACKING SLIPS PCI INSPECTOR ° Fgistsaav � ADDITIONAL TESTING AND INSPECTIONS: 1. THE PCI INSPECTOR IS REQUIRED TO CONTACT THE GC AS SOON AS RECEIVING A PO roMAL FOR THE PCI TO, AT A MINIMUM: 09/19/14 J. DARRIN HOLT, PhD., P.E. • REVIEW THE REQUIREMENTS OF THE PCI CHECKLIST MASSACHUSETTS LIC. NO. 47696 •CONSTRUCTION NCLUD NGFOUNDATION INSPECTIONS WITH SCHEDULE TO CONDUCT ON-SITE INSPECTIONS. DRAWN BY: RT CHECKED BY: DLC X CONSTRUCTION INSPECTIONS 2. THE PCI INSPECTOR IS RESPONSIBLE FOR COLLECTING ALL GENERAL CONTRACTOR (GC) ENG APPV'D: JDH INSPECTION AND TEST REPORTS, REVIEWING THE DOCUMENTS FOR ADHERENCE TO THE N/A FOUNDATION INSPECTIONS CONTRACT DOCUMENTS, CONDUCTING THE IN-FIELD INSPECTIONS, AND SUBMITTING THE PROJECT NO: 146D901400 PCI REPORT TO FDH. N/A CONCRETE COMP. STRENGTH AND SLUMP TESTS SUBMITTALS N/A POST INSTALLED ANCHOR ROD VERIFICATION CORRECTION OF FAILING PCIS DATE DESCRIPTION REV 09/18/14 CONSTRUCTION 0 N/A BASE PLATE GROUT VERIFICATION 1. IF THE MODIFICATION INSTALLATION WOULD FAIL THE PCI ("FAILED PCI"), THE GC SHALL WORK WITH FDH TO COORDINATE A REMEDIATION PLAN IN ONE OF TWO WAYS: N/A CONTRACTOR'S CERTIFIED WELD INSPECTION • CORRECT FAILING ISSUES TO COMPLY WITH THE SPECIFICATIONS CONTAINED IN THE N/A EARTHWORK: LIFT AND DENSITY ORIGINAL CONTRACT DOCUMENTS AND COORDINATE A SUPPLEMENT PCI. • OR, WITH FDH'S APPROVAL, THE GC MAY WORK WITH THE EOR TO RE-ANALYZE X ON SITE COLD GALVANIZING VERIFICATION THE MODIFICATION/REINFORCEMENT USING THE AS-BUILT CONDITION. N/A GUY WIRE TENSION REPORT REQUIRED PHOTOS THE INFORMATION CONTAINED IN THIS SET OF DOCUMENTS IS PROPRIETARY BY X GC AS-BUILT DOCUMENTS 1. BETWEEN THE GC AND THE PCI INSPECTOR THE FOLLOWING PHOTOGRAPHS, AT A NATURE. REPRODUCTION OR CAUSING TO BE REPRODUCED THE WHOLE OR ANY MINIMUM, ARE TO BE TAKEN AND INCLUDED IN THE PCI REPORT: PART OF THESE DRAWINGS WITHOUT THE ADDITIONAL TESTING AND INSPECTIONS: PRE-CONSTRUCTION GENERAL SITE CONDITION PERMISSION OF FDH ENGINEERING, INC. S PROHIBITED. • PHOTOGRAPHS DURING THE REINFORCEMENT MODIFICATION CONSTRUCTION/ERECTION AND INSPECTION •• RAW MATERIALS SITE NAME: POST-CONSTRUCTION .. PHOTOS OF ALL CRITICAL DETAILS •• FOUNDATION MODIFICATIONS NORTH ANDOVER X PCI INSPECTOR REDLINE OR RECORD DRAWING(S) •• WELD PREPARATION •• BOLT INSTALLATION AND TORQUE N/A POST INSTALLED ANCHOR ROD PULL-OUT TESTING •• FINAL INSTALLED CONDITION • SURFACE COATING REPAIR SITE NUMBER: X PHOTOGRAPHS POST CONSTRUCTION PHOTOGRAPHS MA01085-A •• FINAL INFIELD CONDITION ADDITIONAL TESTING AND INSPECTIONS: 2. PHOTOS OF ELEVATED MODIFICATIONS TAKEN FROM THE GROUND SHALL BE CONSIDERED INADEQUATE. SITE ADDRESS: 300 CHESTNUT STREET NOTE: X DENOTES A DOCUMENT NEEDED FOR THE PCI REPORT NORTH ANDOVER,MA 01845 N/A DENOTES A DOCUMENT THAT IS NOT REQUIRED FOR THE PCI REPORT SHEET TITLE POST CONSTRUCTION INSPECTION NOTES SHEET NUMBER N-1 Y r GENERAL NOTES: STEEL: COLD GALVANIZATION/SURFACE PREPARATION NOTES: PREPARED BY: 1. ALL WORK SHALL BE DONE IN ACCORDANCE WITH ALL APPLICABLE 1. ALL STRUCTURAL STEEL SHALL BE FABRICATED AND ERECTED IN 1. CONTRACTOR TO USE ZINGA OR ZRC COLD GALVANIZATION FEDERAL, STATE AND LOCAL CODES AND ORDINANCES. IT IS THE ACCORDANCE WITH THE LATEST AISC CODE AND ASTM COMPOUNDS OR APPROVED EQUIVALENT. r' 6521 NlERIoIEN DRIVE CONTRACTOR'S RESPONSIBILITY TO OBTAIN ALL PERMITS NECESSARY SPECIFICATIONS. Ir-{ RALEIGH,NC 27616 PHONE:919-7551012 TO COMPLETE THE PROJECT AND ABIDE BY ALL CONDITIONS AND 2. PREPARE RUSTED/CORRODED SURFACE FOR TREATMENT FAX:s19-7s5-1031 REQUIREMENTS OF THE PERMITS. *ALL STEEL ANGLE SHALL BE ASTM A36 (Fy=36KS1) UNLESS ACCORDING TO MANUFACTURE'S RECOMMENDATIONS. -- OTHERWISE SPECIFIED. ENGINEERING INNOVATION 2. THE CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFICATION OF 3. CONTRACTOR TO APPLY (2) COATS OF COLD GALVANIZATION ALL DIMENSIONS, ELEVATIONS AND EXISTING CONDITIONS AT THE 2. ALL CONNECTIONS OF STRUCTURAL STEEL MEMBERS SHALL BE COMPOUND PER MANUFACTURER'S RECOMMENDATION. DRYING SITE BEFORE ORDERING ANY MATERIALS OR DOING ANY WORK. NO MADE USING SPECIFIED WELDS WITH WELDING ELECTRODES E-70XX PREPARED FOR: EXTRA CHARGE OR COMPENSATION SHALL BE ALLOWED DUE TO OR SPECIFIED HIGH STRENGTH BOLTS TO BE ASTM A325N, THREAD AND CURING TIMES MUST BE UTILIZED PER MANUFACTURER'S RECOMMENDATION. DIFFERENCE BETWEEN ACTUAL DIMENSIONS AND DIMENSIONS INCLUDED WITH SHEAR PLANE (UNLESS OTHERWISE NOTED). INDICATED ON THE CONSTRUCTION DRAWINGS. ANY SUCH 4. APPLY ALL COATINGS BY BRUSH IN CALM WIND CONDITIONS. 1� DISCREPANCY IN DIMENSION WHICH MAY BE FOUND SHALL BE 3. ALL BOLTED CONNECTIONS TO BE INSTALLED TO A SNUG-TIGHTENED THE USE OF AEROSOL IS NOT PERMITTED. SV SUBMITTED TO FDH ENGINEERING FOR CONSIDERATION BEFORE THE CONDITION IN ACCORDANCE WITH AISC 13 PART 16.2, CONTRACTOR PROCEEDS WITH THE WORK IN THE AFFECTED AREAS. "SPECIFICATION FOR STRUCTURAL JOINTS USING ASTM A325 OR 5. IF THE TOWER IS PAINTED, BRUSH PAINT ALL TREATED AREAS 5900 BROKEN SOUND PARKWAY, NW A490 BOLTS", SECTION 8.1, UNLESS OTHERWISE SPECIFIED. WHEN TO MATCH TOWER AFTER COLD GALVANIZATION COMPOUND IS BOCA RATON, FL 33487 3. INCORRECTLY FABRICATED, DAMAGED, OTHERWISE MISFITTING, OR "X" TYPE BOLTS ARE USED, CONTRACTOR MAY BE REQUIRED TO ALLOWED TO CURE. (800) 487—SITE NON-CONFORMING MATERIALS AND CONDITIONS SHALL BE REPORTED STACK ADDITIONAL WASHERS TO OBTAIN PROPER SNUG TIGHT TO FDH ENGINEERING PRIOR TO ANY REMEDIAL OR CORRECTIVE INSTALLATION. ALL NUTS SHALL BE HEAVY HEX UNLESS OTHERWISE ACTION. ALL ACTIONS SHALL REQUIRE FDH ENGINEERING NOTED. APPROVAL. `t1{OF 4. ALL STEEL, AFTER FABRICATION, SHALL BE HOT DIPPED GALVANIZED 4. IT IS THE CONTRACTOR'S SOLE RESPONSIBILITY TO DETERMINE PER ASTM A-123. ALL DAMAGED SURFACES, WELDED AREAS AND 00 ERECTION PROCEDURE AND SEQUENCE TO ENSURE THE SAFETY OF THE STRUCTURE AND ITS COMPONENT PARTS DURING ERECTION AUTHORIZED NON-GALVANIZED MEMBERS OR PARTS (EXISTING OR w AND/OR FIELD MODIFICATIONS. THIS INCLUDES, BUT IS NOT LIMITED NEW) SHALL BE PAINTED WITH MULTIPLE COATS OF ZRC COLD H T TO, THE ADDITION OF TEMPORARY BRACING, GUYS OR TIE DOWNS GALVANIZING COMPOUND ACHEIVING A MINIMUM OF 4 MILS DRY FILM L THAT MAY BE NECESSARY. SUCH MATERIAL SHALL BE REMOVED PER ASTM A 780. Nolte AFTER THE COMPLETION OF THE PROJECT. 5. ALL SHOP AND FIELD WELDING SHALL BE DONE BY WELDERS 5. CONTRACTOR SHALL PROMPTLY REMOVE ANY & ALL DEBRIS FROM QUALIFIED AS DESCRIBED IN THE "AMERICAN WELDING SOCIETY'S #lots4E° SITE AND RESTORE AS BEST AS POSSIBLE TO PRECONSTRUCTION STANDARD QUALIFICATION PROCEDURE" TO PERFORM THE TYPE OF a►ONAL ti�C► CONDITION. WORK REQUIRED. CONTRACTOR IS REQUIRED TO PROVIDE FDH ENGINEERING, INC. WITH A PASSING CERTIFIED WELDING INSPECTION 09/19/14 CONTRACTOR QUALIFICATION NOTES: FOR ALL WELDS. J. DARRIN HOLT, PhD., P.E. MASSACHUSETTS LIC. NO. 47696 1. ALL REPAIRS SHALL BE PERFORMED BY A TOWER CONTRACTOR WITH 6. STRUCTURAL STEEL MAY NOT BE TORCH CUT FOR FABRICATION. ALL A MINIMUM 5 YEARS EXPERIENCE IN TOWER ERECTION AND STEEL FABRICATION MUST FOLLOW AISC STANDARDS. DRAWN BY: RT RETROFIT AND WITH WORKING KNOWLEDGE OF THE ANSI/TIA-222-G MISC.NOTES: CHECKED BY: DLC "STRUCTURAL STANDARD FOR ANTENNA SUPPORTING STRUCTURES ENG APPV'D: JDH AND ANTENNAS". 1. ALL MODIFICATIONS ARE ASSUMED TO BE MADE ON AN EMPTY PROJECT NO: 146D901400 2. CONTRACTOR IS RESPONSIBLE FOR ALL CONSTRUCTION MEANS AND TOWER. CONTRACTOR IS RESPONSIBLE TO MAKE PROVISIONS TO METHODS. SHOULD THE CONTRACTOR REQUIRE DIRECT SUPPORT OR WORK AROUND EXISTING ANTENNAS AND CONSULTATION, FDH ENGINEERING, INC. IS WILLING EC OFFER TRANSMISSION LINES. MODIFICATIONS MUST BE CONTINUOUS SUBMITTALS SERVICES BASED UPON AN AGREED FEE FOR THE WORK REQUIRED. THROUGH ALL AREAS SHOWN. DATE DESCRIPTION REV 09/18/14 CONSTRUCTION 0 3. ALL SUBMITTAL INFORMATION MUST BE SENT TO FDH ENGINEERING, 2. CONTRACTOR FIELD VERIFY ALL DIMENSIONS PRIOR TO CONSTRUCTION. INC. 6521 MERIDIEN DRIVE, RALEIGH NC, 27616, TEL. (919) 755-1012, FAX. (919) 755-1031, E-MAIL INFO®FDH-INC.COM. FABRICATION NOTES: ANY VARIATION OF THESE SPECIFICATIONS OR DRAWINGS WITHOUT CONSENT FROM FDH ENGINEERING, INC. WILL VOID ANY 1. ALL DIMENSIONS ARE PRELIMINARY UNTIL FIELD VERIFIED BY RESPONSIBILITY OR LIABILITY FOR DAMAGE (MATERIAL OR PHYSICAL) CONTRACTOR. ANY CHANGES MUST BE APPROVED BY ENGINEER OF TOWARDS FDH ENGINEERING, INC. RECORD IN WRITING PRIOR TO FABRICATION AND INSTALLATION. 4. ALL CONSTRUCTION TO BE IN ACCORDANCE WITH THE TIA-1019-A 2, NEW STEEL MEMBERS MUST HAVE SINGLE DRILLED HOLES. SLOTTED STANDARD. AND DOUBLE DRILLED HOLES ARE NOT ACCEPTABLE MEANS OF THE INFORMATION CONTAINED IN THIS JOB SITE SAFETY&NOTES: FABRICATION. SET OF DOCUMENTS IS PROPRIETARY BY NATURE. REPRODUCTION OR CAUSING TO SUBSTITUTES AND/OR EQUALS: BE REPRODUCED THE WHOLE OR ANY 1. NEITHER THE PROFESSIONAL ACTIVITIES OF FDH ENGINEERING, INC. PART OF THESE DRAWINGS WITHOUT THE NOR THE PRESENCE OF FDH ENGINEERING, INC. OR EMPLOYEES 1. IF CONTRACTOR WISHES TO FURNISH OR USE A SUBSTITUTE ITEM PERMISSION OF FDH ENGINEERING, INC. AND SUB-CONSULTANTS AT THE CONSTRUCTION SITE, SHALL OF MATERIAL OR EQUIPMENT, CONTRACTOR SHALL FIRST MAKE IS PROHIBITED. RELIEVE THE GENERAL CONTRACTOR AND OR SUBCONTRACTORS AND WRITTEN APPLICATION TO ENGINEER OF RECORD FOR ACCEPTANCE ANY OTHER ENTITY OF THEIR OBLIGATIONS, DUTIES AND THEREOF, CERTIFYING THAT THE PROPOSED SUBSTITUTE WILL RESPONSIBILITIES INCLUDING, BUT NOT LIMITED TO, CONSTRUCTION PERFORM ADEQUATELY THE FUNCTIONS AND ACHIEVE THE RESULTS SITE NAME: MEANS, METHODS, SEQUENCE, TECHNIQUES OR PROCEDURES CALLED FOR BY THE GENERAL DESIGN, BE SIMILAR IN SUBSTANCE NECESSARY FOR PERFORMING, SUPERINTENDING OR COORDINATING TO THAT SPECIFIED AND SUITED TO THE SAME USE AS THAT NORTH ANDOVER ALL PORTIONS OF THE WORK OF CONSTRUCTION IN ACCORDANCE SPECIFIED. ALL VARIATIONS OF THE PROPOSED SUBSTITUTE FROM WITH THE CONTRACT DOCUMENTS AND ANY HEALTH OR SAFETY THAT SPECIFIED WILL BE IDENTIFIED IN THE APPLICATION AND PRECAUTIONS REQUIRED BY ANY REGULATORY AGENCIES. THE AVAILABLE MAINTENANCE, REPAIR AND REPLACEMENT SERVICE WILL SITE NUMBER: GENERAL CONTRACTOR AND OR SUBCONTRACTOR IS SOLELY BE INDICATED. THE APPLICATION WILL ALSO CONTAIN AN ITEMIZED RESPONSIBLE FOR JOB SAFETY, AND WARRANTS THAT THIS INTENT ESTIMATE OF ALL COSTS OR CREDITS THAT WILL RESULT DIRECTLY MA01085-A IS EVIDENT BY ACCEPTING THIS WORK. OR INDIRECTLY FROM ACCEPTANCE OF SUCH SUBSTITUTE INCLUDING COSTS OF REDESIGN AND CLAIMS OF OTHER CONTRACTORS AFFECTED BY THE RESULTING CHANGE, ALL OF WHICH WILL BE SITE ADDRESS: CONSIDERED BY ENGINEER OF RECORD IN EVALUATION OF THE PROPOSED SUBSTITUTE. ENGINEER OF RECORD MAY REQUIRE 300 CHESTNUT STREET CONTRACTOR TO FURNISH ADDITIONAL DATA ABOUT THE PROPOSED NORTH ANDOVER,MA 01845 SUBSTITUTE. SHEET TITLE GENERAL NOTES SHEET NUMBER N-2 PREPARED BY: • APPURTENANCES MAY INTERFERE TOWER MODIFICATION SCHEDULE 6521 MERIDIEN DRIVE PROPOSED MODIFICATIONS. --{[ -� RALEIGH,NC DRIVE PHONE:919-755-1012 BOTTOM TOP ELEV. FAX:919_755-1031 • ALL MODIFICATIONS TO BE INSTALLED NO. TYPE OF MODIFICATION ELEV.(FT) (FT) CONTINUOUSLY THROUGH EXISTING ENGINEERING INNOVATION 152.0' EQUIPMENT(UNLESS NOTED OTHERWISE). ALL EXISTING 1 INSTALLATION OF NEW REPLACEMENT DIAGONALS. SEE S-2 FOR DETAILS. 143.41 146.0± ) PREPARED FOR: EQUIPMENT NOT TO BE DAMAGED OR 1 TAKEN OFF AIR DURING INSTALLATION. 2 INSTALLATION OF NEW REPLACEMENT DIAGONALS. SEE S-2 FOR DETAILS. 96.0± 101.0± ESBA• ANTENNA GRAPHICS NOT SHOWN FOR TOWER FINISH:GALVANIZED CLARITY.SEE STRUCTURAL ANALYSIS 5900 - Fsy REPORT FOR EXISTING ANTENNA BOCA RATTON,N FL 33487 SOUND PARKWAY, NW LOADING. (800) 487-SITE A> Agh 126.0' 7111r- ysi ,�tlt OF \\.1 O� 116.01 I1 C11 H iR L X106.0 F8i0T6R6V Ayres lir— roMAE 1r� 2 09/19/14 h 96.0' J.M HOLT, PhD., P.E. � MASSACHUSETTS LIC. N0. 47696 90.0 DRAWN BY: RT CHECKED BY: DLC (-f ENG APPV'D: JDH i A- 80.0 TA PROJECT NO: 146D901400 r, SUBMITTALS F DATE DESCRIPTION REV 70.0, yS 09/18/14 CONSTRUCTION 0 Os THE INFORMATION CONTAINED IN THIS SET OFDOCUMENTS IS PROPRIETARY BY NATURE. REPRODUCTION OR CAUSING TO 1!9 qO r BE REPRODUCED THE WHOLE WITHOUT ANY Y—�-� ? PERMISSION OF FDH EPART OF THESE ING N ENGS R NG, INC E FIST/NG IS PROHIBITED. —30'0 7�?' EXISTING OUTER ANCHOR (A) FyS R=145.0'1 (0) SITE NAME: `709 NORTH ANDOVER 20.0 EXISTING INNER ANCHOR (A) SITE NUMBER: R=85.0'± (0) MA01085-A 100' Y SITE ADDRESS: 300 CHESTNUT STREET O,p' NORTH ANDOVER,MA 01845 EXISTING INNER GUY RADIUS EXISTING INNER ANCHOR (C) EXISTING INNER ANCHOR (B) SHEET TITLE R=85.0'± (0) R=85.0'± (0) (SEE ANCHOR LAYOUT) EXISTING OUTER ANCHOR (C) EXISTING OUTER NCHOR (B) MODIFICATION SCHEDULE EXISTING OUTER GUY RADIUS R=145.0'± (0) R=145.0'± (0) (SEE ANCHOR LAYOUT) TOWER ELEVATION ANCHOR LAYOUT SHEET NUMBER SCALE: NTS SCALE: NTS S-1 a , PREPARED BY: f, 6521 MERIDIEN DRIVE RALEIGH,NC 27616 r � PHONE:919-755-1012 FAX:919-755-1031 MK-1 REPLACEMENT DIAGONAL SCHEDULE ENGINEERING INNOVATION PREPARED FOR: EXISTING PROPOSED ESTIMATED GAGE EDGE BOLT ELEVATION MEMBER MEMBER LENGTH,A* BOLT SIZE HOLE SIZE LINE** DISTANCE*** GRADE 143.4'+ TO 146.0'± (3) L1 3/4X1 3/4X3/16 (3) L2X2X1/4 3'-10"± (6) 5/8"0 X 1 1/2" 11/16"0 1 1/8" 1 1/4" A49OX S BA A. 5900 BROKEN 98.6'± TO 101.0'± (3) L1 3/4X1 3/4X3/16 (3) L2X2X1/4 3'-10"± (6) 5/8"0 X 1 1/2" 11/16"0 1 1/8" 1 1/4" A49OX BOCA RATTON,, FL0334D87 ARKWAY, NW (800) 487-SITE 96.0'+ TO 98.6'± (3) L1 3/4X1 3/4X3/16 (3) L2X2X1/4 3'-10"± (6) 5/8"0 X 1 1/2" 11/16"0 1 1/8" 1 1/4" A49OX 3 BAYS REQUIRE DIAGONAL REPLACEMENT OF �� *CONTRACTOR TO FIELD VERIFY LENGTH PRIOR TO MATERIAL ORDERS. **DISTANCE FROM HEEL OF ANGLE TO CENTER OF BOLT HOLE. �1 ***EDGE DISTANCE FROM CENTER OF BOLT HOLE TO EDGE OF CONNECTED PART. M N L 47m �'*a �F87li EPti9 �� aro MALS° 09/19/14 J. DARRIN HOLT, PhD., P.E. MASSACHUSETTS LIC. NO. 47696 DRAWN BY: RT CHECKED BY: DLC ENG APPV'D: JDH PROJECT NO: 146D901400 MK-1 NEW REPLACEMENT DIAGONAL. SUBMITTALS EXISTING DIAGONAL TO BE EXISTING FEEDLINE LADDERS TO BE RE-INSTALLED USING EXISTING HARDWARE DATE DESCRIPTION REV REPLACED W/ LARGER TO NEW DIAGONALS WHERE POSSIBLE & REPLACED IN ALL OTHER LOCATIONS 09/18/14 CONSTRUCTION 0 DIAGONAL MEMBER. AS NECESSARY. CONTRACTOR RESPONSIBLE FOR ALL PARTS ASSOCIATED WITH SEE SCHEDULE ON THIS SHEET TEMPORARY & FINAL COAX & CLIMBING LADDER SUPPORT. FOR DETAILS. 11 TOP OF INSTALLATION (TYP.) B** A ELEV: SEE SCHEDULE EDGE DISTANCE EDGE DISTANCE REPLACE EXISTING BOLT r � THE INFORMATION CONTAINED IN THIS W/ NEW BOLT AND LOCK -- SET OF DOCUMENTS IS PROPRIETARY BY WASHER. SEE SCHEDULECONTRACTOR MAY BE REQUIRED z NATURE. REPRODUCTION OR CAUSING TO ON THIS SHEET FOR i BE REPRODUCED THE WHOLE OR ANY TO BORE OUT EXISTING 9/16"0 COPING *** HOLE SIZE PERMISSION OF FDH ENGINEERING, INC. DETAILS. HOLE TO ACCOMODATE NEW IF REQUIRED) FIELD DRILL* (SEE SCHEDULE) w PART OF THESE DRAWINGS WITHOUT THE (TYP.) 5/8"0 BOLT. (TYP.) ( IS PROHIBITED. I SHOP DRILL SITE NAME: BTM. OF INSTALLATION (TYP.) * ESTIMATED HOLE LOCATION. CONTRACTOR TO FIELD VERIFY LOCATION OF THIS HOLE PRIOR TO NORTH ANDOVER - -- --... ELEV: SEE SCHEDULE DRILLING HOLE TO ENSURE PROPER FIT. CONTRACTOR TO FIELD CUT EXCESS MATERIAL fes; C AFTER HOLE LOCATION IS VERIFIED. ** "B" WE SUGGEST THE PRELIMINARY CUT LENGTH IS 6" LONGER THAN OUR ESTIMATED LENGTH SITE NUMBER: FOR MEMBERS 10' OR LESS, & 12" FOR MEMBERS GREATER THAN 10'. MA01085-A ■** COPING MAY BE REQUIRED; COPING NOT TO EXCEED "TEAR-OUT" PLANE OF BOLT HOLE AS SHOWN. SITE ADDRESS: DIAGONAL REPLACEMENT DIAGONAL 300 CHESTNUT STREET ELEVATION VIEW FRONT VIEW NORTH ANDOVER,MA 01845 1 ELEVATION MK-1 DETAIL SHEET TITLE S-2 NTS S-2 NTS DIAGONAL REPLACEMENT DETAILS SHEET NUMBER S-2 Request for Building Permit—Cell Tower at 300 Chestnut St, North Andover, MA Outline of Work to be done: 1. Replace existing diagonals with larger diagonal member 2. Replace existing bolt with new bolt and lock washer 12/4/2014 State of Massachusetts Dept of Public Safety—Tom Riley 617-826-5223 says that bldg. regulation 107.6.1.1 states that under Construction Control lobs for Commercial facilities, cell towers are exempt from having a contractor's license 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS 1.00: continued 107.6.1.1 Specialized Structures. Telecommunication towers,wind turbine towers,and similar structures are engineered structures and shall be subject to the requirements of section 107.6. 107.6.2 Registered Design Professional Services. 107.6.2.1 Design. All plans, computations and specifications involving new construction,alterations,repairs,expansions or additions or change in use or occupancy of existing buildings shall be prepared by or under the direct supervision of a registered design professional and shall bear his or her signature and seal (see Section 107.1.1). Said signature and seal shall signify that the plans,computations and specifications meet the applicable provisions of this code and accepted engineering practices. Any alternative means and methods which deviate from prescriptive requirements of this code shall be submitted to the building official for approval in a narrative form separate from the plans. 107.6.2.2 Construction. The registered design professionals who are responsible for the design,plans,calculations,and specifications,theirdesignee or the registered design professionals who have been retained for construction phase services,shall perform the following tasks: 1. Review, 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. 2. Perform the duties for registered design professionals in Chapter 17: Structural Tests and Special Inspections. 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. The permit application shall not be deemed completed until all of the construction documents required by this code have been submitted. Documentation indicating that work complies with the plans and specifications shall be provided at the completion of each phase when required by the building official. Upon completion of the work, the registered design: professional shall file a final document to the building official indicating that, to the best of his or her knowledge and belief, the work has been performed in accordance with the approved plans and this code. Forms for construction control when required by the building official shall be those found at www.1nass.gov/dps. 107.6.2.3 Structural Tests and Special inspections. Structural tests and special inspection shall be provided in accordance with Chapter 17: Structural Tests and Special Inspections. 107.6.2.4 Non Structural System Test and Inspection. Tests and inspections of non structural systems shall be performed in accordance with applicable engineering practice standards, referenced standards listed in Chapter 35: Referenced Standards, or as otherwise specified in this code. 107.6.3 Construction Contractor Services. The actual construction of the work shall be the responsibility of the general contractor as identified on the approved permit and shall involve the following: 1. Execution of all work in accordance with the approved construction documents. 2. Execution and control of all means and methods of construction in a safe and satisfactory manner in accordance with all applicable local,state,and federal statutes and A iV.l\J.A..J.A. IIIV I VI\IYN IJ JµtJ..I V IJ II I JJrAJVIIJ VSs&"jVVAAA �.V.IJM M....V..,.vvv,...0«.,...,..,«.....«......,...j....., removal or demolition involving any activity regulated by any provision of 780 CMR,shall be licensed in accordance with 780 CMR 110.85. Individuals engaged in the supervision of the field erection of manufactured buildings in accordance with 780 CMR I IO.R3, shall be licensed as construction supervisors. Exception. Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR I 1 O.R5,provided that if a homeowner engages a person(s)for hire to do such work,then such homeowner shall act as supervisor. This exception shall not apply to the field erection of a manufactured buildings constructed pursuant to 780 CMR 1 I O.U. Note. Any Licensed Construction Supervisor who contracts to do work for a homeowner shall be responsible for performing said work in accordance with 780 CMR and manufacture's recommendations,as applicable,whether or not the licensed contractor secured the permit for said work. 110.115.1.3.2 Exemptions. A construction supervisor's license is not required for: 1. construction of swimming pools,the erection of signs,the erection of tents; 2. projects which arc subject to construction control pursuant to Chapter 1 of the International Building Code 2009 with Massachusetts Amendments(780 CMR 1.00); 3. agricultural buildings which are not open to the public or otherwise made available for public use; 4. registered design professionals provided such comply with the construction supervisor oversight requirements set forth in 780 CMR 110.85 generally and 750 CMR I IO.R5.2.12,as applicable; 5. Massachusetts certified building officials,provided such certification is current and they comply with the oversight requirements of 780 CMR 110.115 generally and 780 CMR I IO.R5.2.12, as applicable. 6. the practice of any trade licensed by agencies of the commonwealth(see M.G.L.c. 112, § 81 R), provided that any such work is within the scope of said license including,but not limited to wiring, plumbing gas fitting, fire protection systems,pipefitting, HVAC and refrigeration equipment. 110.R5.1.3.3 Municipal Requirements. No municipality shall be prohibited from requiring a license for those individuals engaged in directly supervising persons engaged in construction,reconstruction, alteration, repair, removal or demolition in those categories of building and structures for which 780 CMR 110.R5 does not require a license. 110.85.1.4 Administration and Enforcement. The BBRS shall administer and enforce the provisions of 780 CMR I l 0.115. The BBRS or those designated by it shall administer examinations,under 780 CMR 110.115, of persons desirous of being registered as qualified to receive a license as a construction supervisor. 5.2 REGISTRATION AND LICENSING 110.115.2.1 Qualifications. A construction supervisor license candidate shall demonstrate that he or she has had at least three years of experience in their field. This experience must have been completed within the ten-year period prior to the date of application. Successful completion of certain educational programs may satisfy one to two years of required experience. In addition,all applicants are required to successfully pass an examination in order to receive a license. For a list of the pre exam qualifications access the examination application noted in 780 CMR I I O.R5.2.2. Exception:An individual holding a current certification per the requirements of 780 CMR l 10.117 shall be allowed to submit an application for an unrestricted construction supervisor license without the need for examination. 110.115.2.2 Examinations. Examinations shall be held only by appointment. All exam applications must be filed in accordance with the construction supervisor license examination application found at www.mass.eovldps. 8/6/10 780 CMR-Eighth Edition-274 x J w�`'ti .�°�f ��%rf��.��rr�s•c .r�rr�Yorr, . ��r�ststrclrrs��ll�s• C7.�/�r�" William Francis Galvin Secretary of the Commonwealth Date:May 18, 2011 To Whom It May Concern : I hereby certify that according to the records of this office, PATRIOT TOWERS, INC. a corporation organized under the laws of NEW YORK on December 01, 2001 ,was qualified to do business in the Commonwealth of Massachusetts on May lb, 2011 ,pursuant to the General Laws. I also certify that said corporation is still qualified to do business in this Commonwealth. In testimony of which, I have hereunto affixed the Great Seal of the Commonwealth on the date first above written. Secretary of the Commonwealth Certificate Number: 11051179490 Verify this Certificate at:http:/Icorp.scc.state.iiia.us,`corp/Ccrtificaics/Verify.asp Processed by: nmo PATRI-6 OP ID: E6 A`CO'RO` CERTIFICATE OF LIABILITY INSURANCE F DATE MM/ 11//17122014014 ) 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 certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Brown 8r Brown of New York,Inc NAME: Erica Walter 45 East Avenue PHONE .585-697-1431 ac Nol:585-697-1444 Rochester, NY 14604 E-ADMDRERLE erica.walter@bbrochester.com Tim Pullis SS: INSURERS AFFORDING COVERAGE NAIC# INSURER Ajechnology Insurance Co. 42376 INSURED Patriot Towers Inc. INSURER B:Markel Insurance Co 38970 870 Scottsville Road INSURERC:AGCS Marine Insurance Co 22837 Scottsville,NY 14546 INSURER 0: INSURER E: COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP L TYPE OF INSURANCE POLICYNUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000. B X COMMERCIAL GENERAL LIABILITY 3C41040 01/02/2014 01/02/2015 pREMISEs Ea occurrence $ 50+00 CLAIMS-MADE Fx] OCCUR MED EXP(Anyone person) $ 10,00 X Contractual Liabi PERSONAL BADV INJURY $ 1,000,00 X XCU GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 17 POLICY X PRC 0L1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 00 Ea accident + + A X ANY AUTO TPP1059235 01/02/2014 01/0212015 BODILY INJURY(Per person) $ ALLOWNED SCHEDULED P BODILY INJURY(Per accident AUTOS AUTOS ( ) $ X HIRED AUTOS Ix NON-OWNED PROPERTY DAMAGE $ AUTOS PER ACCIDENT X HCPD $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMBS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MENIBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Equipment Floater MZ19305553 01/02/2014 01/02/2015 Leased 200,00 Install 100,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 300 Chestnut St North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ...... ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Client#: 16080 PATRITOW ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/14/2014 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 certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: The Flanders Group PHONE 585 381-8070 1- West Brook Building E-MAIL IC ` Ext): A/C No: 585-381-3565 2850 Clover Street ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Pittsford, NY 14534 INSURERA:Merchants Mutual Ins.Co. 23329 INSURED Patriot Towers Inc. INSURER B:New Hampshire Ins Co 23841 870 Scottsville-Chili Road INSURERC: Scottsville, NY 14546 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER ADDLSUBR MM/DDY EFF MM/DDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occu ence $ CLAIMS-MADE �OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident A X UMBRELLA LIAB X OCCUR CUP0001030 1/02/2014 01102/2015 EACH OCCURRENCE $9,000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $9,000,000 DED I X RETENTION$$10,000 $ B WORKERS COMPENSATION X WC66455602 1/02/2014 01/02/201 X WC STATU- IF OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT I$1,000,000 OFFICER/MEMBER EXCLUDED? � N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT 1$1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Evidence of Insurance in Force. Blanket Waiver of Subrogation applies to Workers Compensation. CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 Chestnut Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE � C ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S73733/M60722 KSH Date '1 Town of North Andover Your permit has been sent back to you for the following reasons: 1) Check amount incorrect / 2) No copy of current license mbf Neeb 3) Insurance Binder not on file or expired 4) No Workers' Compensation Insurance Affadavit Forme sl� b5 Please call with any questions 978-688-9545. Fax 978-688-9542 Workers'Compensation Form and Schedule of Fees can be found on the Town of North Andover Website under Building Department. Mailing Address: 1600 Osgood Street, Building 20,Suite 2035, North Andover, MA 01845 f - The Commonwealth of Massachusetts - .Deparhn&ztofludush-iglAccid nts Office oflnvestigations 600 Washington Street .Boston,MA.02111 www.massgovIdla Workers' Compensation Insurance Affidavit:Builders/ContractorsfElectricians/Plumbers Applicant Information Please Print 1,eaibly Name(Business/0Mntiatzon&d1v1dad): Patriot Towers .Ad&egg' 870 Scottsville-Chili Road Ci! r/State/Zlp: Scottsville,NY 14546 Phone#: 585-889-3391 Are you an employer?Check the appropriate box: Type of project(required): 1.C[ i am a employer with 70 4. Q I am a general contractor and I d, Q New construction employees(full aad/or part time).* have hiredthe sub-contractors 'd Remae 2.Q I am a sola proprietor or partner- listed on the attached sheet:t 7. � ship and have no employees These sub-contractors have H. Q Demolition working forme in any capacity. workers'comp.insurance. g, Q Building addition (No workers'comp.insurance 5. Q We are a corporation and its required.] officers have exercised their 10.[]Electrical repairs or additions 3.Q I am a homeowner doing all work right of exemptiouperMGL 11.[]I'lutnbingrepairs or additions myself.(No workers'comp. c.152,§I(4),and wehaveno 12.Q Roofrepairs insurance required.]t employees.[No Workers' Ix�13. other Cell Tower Maintenance comp.insurance required) ++--�� !Any applicant that checks box#1 mast also fill outtho section below showing their wars'eompeusadoa policy inf relation, t'Homeowners who subruit this affidavit indicating thO biro doing ail work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that cherdcthis box must attached an additional sheet showing the name of tho sub-contractors and their worlo:rs'comp.policy infoanation. X ain an employer that is providing workers'compensation hisurance for my employees Below is the policy and joh site infortnadan. Insurance Company Name: Merchanats Mutual Ins.Co WC66455602 Policy#oar Self ins.Lic.##: Fixpiration Date. 1/2/15 lob Site Address: City/SfatalZip: 300 Chestnut St North Andover,MA 01845 Attach a copy of the workers'compensationpolicy declarations page(showing the policy number and expiration date). Failure to secure coverage as required.under Section 25A ofMOL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or ones-year imprisonment;as well as civil penalties in the form of a STOP WORIC ORDER and a fine ofup to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certo under the pales acrd penalfles ofperjury that the injbmiction provided above is true and correct. Si . f' Douglas Harradine Date: 12/8/14 'hone#• s�gs " ��j'Q -��d Official use only. Do riot write in tirls area,to be completed by city or town official City or Town: PermitlLicense# lssuingAuthority(circle one): 1.Board of Health 2.Building Department 3.Cityffown Clerk 4.EIectriical Inspector S.Plumbing Inspector 6.Other - - Contact Person: Phone##: