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HomeMy WebLinkAbout0960 MAIN ST./RTE 6A(W.BARN.) �1 CpC� t`�o���► 5-�-- - �mpacL OD °y.. UPC 12543 0 ._.. No. 53LOR ra` MOgTu..w MM Vy 120 I9 11n r c� �d �1 h a can vets a,�'o✓� Zvi a rso� y l Jkeo(6odX S'ho tea(� r a n Ccc./'S �f� � Y �VL o.s f1y of e la-t li ckow mr, ha v{ wr 40 epvrd 4OVt �,,YJJCW-e a � �s f. Some vne� 3- Y y da Y , `7ht s o car, is h6L(-ey,.l 6'Am 4 4ie- 9'6o rr7f- 7D rnu, 3 Town of Barnstable ,, r __a Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept + DARN'3YARM '- _ e si6MASK. Posted Until Final Inspection Has Been Made. Permit 3p° ue' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until va Final Inspection has been made. Permit No. B-18-3656 Applicant Name: Kevin Farrell Approvals Date Issued: 01/10/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 07/10/2019 Foundation: Location: 960 MAIN ST./RTE 6A(W.BARN.),WEST BARNST ABLE_Map/Lot: 156-025 Zoning District: SPLIT Sheathing: Owner on Record: GRAY,SAMANTHA A Contractor Name: KEVIN J FARRELL Framing: 1 Address: PO BOX 140 Contractor License: CS=096560 2 WEST BARNSTABLE, MA 02668 ; T Est. Project Cost: $ 12,500.00 Chimney: Description: Installation of wireless antenna and ancillary equipment on Permit Fee: $213.75 Eversource utility pole(#6545) located next to 960 Main Street, Insulation: Fee Paid:` $213.75 West Barnstable. Date: ( �I 1/10/2019 Final: Project Review Req: J Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: I Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Electrical This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Service: F The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided'on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work:' 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: I Town of Barnstable Building Post This Card'So That it is Visible From the Street;Approved Plans Must be Retained on Job and this Card Must 6e4Kept MAS& • Posted,Unfil Final Inspection Has Been Made. 1639. -f r Permit Where a`Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made..'' Permit No. B-17-4325 Applicant Name: KEVIN 1 FARRELL Approvals Date Issued: 01/22/2018 Current Use: Structure - Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 07/22/2018 Foundation: Location: 960 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE Map/Lot: 156-025 _ Zoning District: SPLIT Sheathing: Owner on Record: GRAY,SAMANTHA A Contractor Name: KEVIN 1 FARRELL Framing: 1 Address: PO BOX 140 TM Contractor License: CS'-096560 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $12,500.00 Chimney: Description: Verizon will be mounting wireless antenna and ancillary equiptment Permit Fee: $213.75 on an existing eversource utility pole. Pole located next to'address: t Insulation: 960 Main Street,WB, MA Pole#6545 Fee Paid:` $213.75 LDate: �/ 1/22/2018 Final: Project Review Req: r'` Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. :C ---- /r Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this/permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION pp Ma ' `� Parcel : A lication # p i 2L l� r Health Division � �. Date Issued p Conservation Division , Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis C Project Street Address lon (` a m`s(- (�1PC-� r�1S'tG�� aa(p(o Village ( -6a(r6ta6n LD_ Owner r'LY�Jfce Address D&CYYI�} Telephone Permit Request V-eXk7,h'n toLU Wire. Tn an -0)(140CA pAMW SOD-CA h,l��c� (¢ Gee )Ocaf4 rLalo Square feet: 1 st floor: existingl10--proposed oT 2nd floor: existing proposed _Total ne*-- Zoning District Flood Plain Y) Groundwater Overlay _ Project Valuatio 195 , 00 Construction Type Lot Size r7 PA Grandfathered: ❑Yes V No If yes, attach supporting documentation. Dwelling Type:' Single Family ❑ Two Family ❑ Multi-Family (# units) 30) Age of Existing Structure Historic House: ❑Yes \Q7No On Old King's Highway:-❑Yes�\a No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other h 1[l Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.it) Number of Baths: Full: existing Y\ r-i new Half: existing 1 nevti o 00 w Number of Bedrooms: n Pr existing _new Total Room Count (not including baths): existing , new h First Floor Roo Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric , ❑ Other w a Central Air: ❑Yes l No Fireplaces: Existing r+ New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size >4 Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: n Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# tio, Current Use -e_ Proposed Use - Ld, (a APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name inF Reiff Telephone Number qv Address 4A i&a0JQJ 0-� License# a—(,)9 (B S—to 0 (suer ,m,6 Home Improvement Contractor# Email nn-CdYn C,MY Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ry�s-�ae Ste! ��`�ra:►1r2 mam �.2.v�c u� SIGNATURE DATE FOR OFFICIAL USE ONLY - J APPLICATION # DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE _ OWNER ' �. DATE OF INSPECTION: > FOUNDATION FRAME t r INSULATION _ FIREPLACE w ELECTRICAL: ROUGH FINAL PLUMBING: -ROUGH FINAL + ` .GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 1 ASSOCIATION PLAN NO. .,� Town of Barnstable,Planning&Development Departmej r E v k iU -. I I Old_Kings Highway Historic District Co lttee # 200 Main Street,Hyannis,Massachusetts 02601 U DEC ?`l ?ill I Phone 508.862.4787 Email erin.logan@t6wn.baimmstabletma.us CERTIFICATE OF EXEMPTION PANNING&.DF` " Application is'hereby made,with`four(4),complete sets,for tllc.issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Nlassachusctts,1973,as amended,for proposed work as des ciibed below and on plans,drawings,or photographs accompanying this application: Date Address of Proposed work.Assessor's Map and lot# u-4,l1k4 1145 House# 4(9514.5 Street QIaO Main,2- Village: West 13nrn5habL% This application is for an exemption of the proposed construction on the grounds that work: ❑ Will not be visible from any way or public place Is within a categ&y-declared exempt by the Old Kings Highway.Regional Historic District Commission ❑ Other DescriptioriofProposed Work: ylm?hn i 11 11, m er a. Ljy- 1e5(' a0+er) e'. aA GX-callepy nA,\r,cc q la0 nUin S1-, l,trst (�a(ns aWln 410 W25� ) - Agent or contractor(please print): 6nna14i Fayc- 1k hf1a1eaelytmr Tel.no. JOL q Address 4 a Mwelnz , r &f yer, m A Owner(please print): zkfey t oad Tel no. 7�t-4q I-3�$1 Owners mailing address: mA Signed,Owner/Contractor/Agent Checklist O Four complete sets of the application and supporting documentation �Q S u10,00 Filing Fee(see attached schedule) For Committee Use Only This Certificate is hereby A.PPROVEDI DENIED Date: (� Committee Members Signatures: APPROV D JAN 10 2118 Tu • Barnstable Old tring's Highway Conditions of approval Committee OK!lExemprion tam 1017 .l I I r Y 1 1 Massachusetts Department of Public Safety ty Board i f Building Regulationsand tan ar s a License: CS-4D96560 Construction Suprvisor KEVIN J FAR ELL w� 42 MEADOW ST fr ► ARVER !MA 02330 y Expiration: t _ The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 ` iv;vw.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):New England Electrical Contracting Corporation Address:21 Marion Drive City/State/Zip:Kingston MA 02364 Phone#:781-585-0040 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 48 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8• ❑Demolition workingfor me in capacity. employees and have workers' y p n'• 9. ❑Building addition [No workers'comp.insurance comp.insurance) required.] 5. ❑ We are a corporation and its 10:❑ Electrical repairs or additions 3.❑ I am a homeowner doing-all work officers have exercised their I I.❑Plumbing repairs or additions. myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.'insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensatiompolicy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside,contractors must submit anew affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is.providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Zurich American Poticy#or Self,-ins.Lic.#:WC016169,1 Expiration Date-11/13/2018 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify u,rdner the pains and allies o(Xer'u2 that t/ie in ormation provided above is true and correct Si nature: Date Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Client#:23780 NEWEN16 DATE(MM/DDNYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 11/13/2017 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(ies)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: J Smith Sullivan Insurance Group,Inc. PHONE 508 791-2241 FAX 508 797-3689 A/C No Ext: A/C No 1 Mercantile Street E-MAIL ADDRESS: rou Jsmith sullivang p•com Suite 710 INSURERS AFFORDING COVERAGE NAIC# Worcester,MA 01608 INSURER A:Geminl Insurance Company INSURED INSURER B:North RNer Insurance Company New England Electrical Contracting Corp INSURER C:Zurich American 21 Marion Drive INSURER D;Hanover Insurance Company Kingston,MA 02364 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR INS D POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENERALLIABILfTY X X VCGP002970 11/13/2017 11/1312018 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES EaEoNccurrence $50 000 CLAIMS-MADE FXI OCCUR MED EXP(Any one person) $1 O 000 X BI/PDDed:5,000 PERSONAL&ADV INJURY $1000000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO- JECT LOC $ D AUTOMOBILE LIABILITY x x AWND095849 1/13/2017 11/13/201 EaacddeniSINGLELIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE P $ AUTOS er accident X rive Oth Car $ B X UMBRELLA LIAB X OCCUR x x 5811075702 11/13/2017 11/1312018 EACH OCCURRENCE $5 OOO OOO EXCESS LIAB CLAIMS-MADE AGGREGATE $5 000 000 DED RETENTION$ $ C WORKERS COMPENSATION x WC016169101 1/13/2017 11/13/2018 X I WCSTATU- OTH IR AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1 000 000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Cert Holder named as additional insured. Policies are primary and non contributory.Policies include Waiver of subrogation. CERTIFICATE HOLDER CANCELLATION Sample of Master SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S333941/M333889 JJS 1 veriZnwireless May 9,2017 Dear Sir/Madam: Re: Kevin Farrell/NEEC Please accept this letter as notification that Keven Farrell working for NEEC, of Kingston, MA has been engaged to perform research on certain properties and real estate including submitting for zoning approval, building permits,and construction for Verizon Wireless'ongoing network enhancement. Keven Farrell / NEEC is authorized to act on Verizon Wireless behalf for the purpose of filing and consummating any zoning and/or building permit applications necessary to obtain approval of the applicable jurisdiction for the installation and/or modification of Verizon Wireless' communication Facilities. Should you have any questions regarding this please contact me at 508-942-7503 or via email at nnpelletier@trmcom.com. Zectofully, Sean Conway Verizon Wireless Project Mamanger—Real Eastate I i wwroZBOnwireless July 2, 2015 Dear Sir/Madam: Re: TRM, Inc. Please accept this letter as notification that TRM, Inc.,of Foxborough, Massachusetts has been engaged to.perform research on certain prop.erties;and real estate includin sIubmitting:for zoning approval, building permits and negotiating real estate agreements as well as engage in certain engineering analysis and.construction for-Verizon Wireless'.ongoing network enhancement. TRM, Inc-is[authorized to act on Verizon.Wireless'behalf for the purpose of filing acid:consummating any zoning and/or`building permit applications necessary.to obtain approval of the applicable jurisdiction for the installation and/or modification of Verizon Wireless'communications facilities. Should you have anyquestions regarding any TRM, ft'.'Sactivities--on behalf of Verizoh.Wireless,.feet free'to contact me.at 508-32072017or via.email;at sean;conwa y@..yerizonwireless.com. Resp tfully, Sean.Conway Verizon'Wireless :Project Manager-Real Estate a H U DSON De'sign Group LLC I 2-C CERTIFICATION Client: Verizon Wireless 118 Flanders Rd. Westborough, MA 01581 Site Name: BARNSTABLE_SC04_MA Site Address: 960 MAIN STREET z WEST BARNSTABLE, MA 02668 O 00 -v a Type of Survey: X GPS Survey X Ground Survey Cn t,v aao Horizontal Datum: NAD83 -expressed in degrees of Latitude and Longitude C) M, Vertical Datum: NAVD88 -expressed in feet Above Mean Sea Level (AMSL) Structure Type: Self-Support Tower Monopole Tower .Guyed Tower Wood Pole Water Tank Smoke Stack Roof Top Church Steeple Temporary Site Silo X Other Utility Pole Center of Proposed Antenna Array: Latitude 410 42' 29.82" N Longitude 700 22' 20.78"W Ground Elevation at Structure: 0' (AGL) 40'-0"(AMSL) Top of Structure-Existing Utility Pole: 29'-0" (AGL) 69'-0" (AMSL) Rad Center of Proposed Verizon Antenna: 34'-6" (AGL) 74'-6" (AMSL) Overall Height of Structure,Including appurtenances: 36'-2"(AGL) 76'-2"(AMSL) (Top of Proposed Verizon Antennas) Certification: I certify that the latitude and the longitude are accurate to within+/-50 feet horizontally,and that the ground elevation is accurate to within+/-20 feet vertically. The horizontal coordinates are based upon the North American Datum of 1983 (NAD 83)and are expressed in degrees of Latitude. ' '' ;ude.The elevations are based on the North American Vertical Datum of ssed;in feet Above Mean Sea Level (AMSL). "DANIEL P ' HAMh4 Signature: CIVIL aniel P Date: October 25, 2017 �SSiONALG� " p:978.557.5553 f:978.336.5586 a:45 Beechwood Drive,N.Andover,MA 01845 p:413.588.8139 f:413.517.0590 a:116 Pleasant Street,Ste 302,Easthampton,MA 01027 APPENDIX IV Form 1 APPLICATION AND POLE ATTACHMENT LICENSE Licensee Verizon Wireless Street Address One Verizon Way,Mail Stop 4AW 100 City,State and Zip Basking Ridge,NJ 07920 Date ii/lo/i5 In accordance with the terms and conditions of the Pole Attachment Agreement,application is hereby made for a license to make 1 antenna,RRWCabinet and meter attachments to poles and 1 Power Supply(ies)and other attachments located in the municipality of W.Barnstable in the State of MA This request will be designated Pole Attachment License Application Number BarnstableSCO A-388898 Attached are my power supply specifications if applicable.The cable's strand size is 0.5 a` weight pep . C:) foot of cable is 0.2. .. Z t;lt q Comtht nicatiotr Space X Power'GSoa wsaace co z O Licensee's Name(Print)Barbara Kassabian 7av Z Signature 8cwb wa KR4babUVt, NSTAR d/b/a EVERSOURCE o0 Power Company Title Site Acquisition 0 M Tel.No. 603-303-8001 Fax No: E-mail bkassabian@trmcom.com *********************For licensor use,do not write below this Pole Attachment License Application Number is hereby granted to make the attachments described in this application to attachments to JOI poles, attachments to F02 poles, attachments to JUI poles,. Power Supplies and other attachments located in the municipality of i.in the State of as indicated on the attached Form 3. Licensor's Name(Print) ? f Signatures n;1 (AGREEMENT ID#) Title o Q(`'V lS C,A- Date Tel.No. The Licensee shall submit an original copy of this application to Verizon New England Inc. and NSTAR Electric Company d/b/a EVERSOURCE ENERGY. Revised 02/23/2015 NSTAR d/b/a EVERSOURCE Town of Barnstable RECEIPT S-. ' 200 Main Street, Hyannis MA 02601 508-862-4038 36}q FOMo�° Application for Building Permit Application No: TB-17-4325 Date Recieved: 12/14/2017 Job Location: 960 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE Permit For: Building-Addition/Alteration-Commercial Contractor's Name: o State Lic. No: Address: , , Applicant Phone: (Home)Owner's Name: GRAY,SAMANTHA A Phone: (Home)Owner's Address: PO BOX 140, WEST BARNSTABLE, MA 02668 Work Description: Verizon will be mounting wireless antenna and ancillary equiptment on an existing eversource utility pole. Pole located next to address: 960 Main Street,WB, MA Pole#6545 H z O — =p Total Value Of Work To Be Performed: $12,500.00 00 ca Structure Size: 0.00 0.00 0.003 csr+ N Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued, it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: 12/14/2017 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $12,500.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $163.75 ... _......... ._......... _......... ................. ..--_._.... --........._......_..._..._...- - ---- --... .._..... -........................................ ......................._.._....._.__....._._............ ............ _..... -...--- Total Permit Fee Paid: $0.00 - � ��.. I TOwn of,$arnstable,Planning&D`e�elgpme A Depat trie V i✓ �� '� Old Kug's Highway Historic Distnet C:o ee . 200 Main Street,Hyannis,Massachusetts 02601. DEC % l 3 i it Phone 508.862.4787 Email.erinao ati towli.barnstable inajis CERTIFICATE OF EXEMPTION . PLANNING& Application is'hereby made,with four(.4)complete sets;for the.issuance of a.Ccrtificate of Exemption under Section.6 and 7 of Chapter. 479,Acts and Resolves of biassaehusctts;1973,as am4dcnd for proposed work'ns deiciibed,tiolow and!on plans,drswings,or oh!Dtogtuphs: accompanying this application: Date Address of Proposed work,.Ass=soi's'Map and lot:# u#,Ijh4 o4p--- WyS House'# A(A6 street. Qla0 main 6k' Village; Uk6 8&er*}ab[Q.. T6is'applccahoti;is for ageaemptlon of the proposed construction on the gr9unds;tlatwork: Wiil not lie vistble:ftom anyway or publtc.place : is within.a category declared exempt,liy the O1d,ICtugs Htghway.Regional Iitstonc:Dtstrict.Conamisston El Other Doscription.ofPcoposedWork Vett2nn c,�clt jQp, m ;..rrF�rr. a i.liCelS. ar�+pnstJ.. tlidlet"ii n A A✓.e�� R L-A t[1L►ir) s1, 1,�.1 P t..t Q f C7�r}Aial4 t Q, y5 Agent or contractor(please print): &rne4vFn(vC l /fly1))e,?e1k+2C Tel:no... Address Ha rry tin z9� eMver— m A Owner(please print): Tel no. 7�i-qq '3gSI Owners mailing address: KA ecL mA Signed,Owner/Contractor/Agent Checklist 0 Four comptcte sets of the application and supporttng documentation $; 40 ;Filing Fee(see aitached schedule) For Committee Usc 0oly' . Thts Gertcf'icate is heieby APPROVED/DENIED 'Date Committee Nietnbers'Signatures; APPROVED .1" 0 201$ Tc Bamstabkt Old rc;s,y^;s Highwav Conditions of approval Cnrt�nlittee OW Ewmprfon Forni 2017 Legend LOA _Parcels • r .: � , e Town Boundary Railroad Tracks f f / Buildings Painted Lines Parking Lots f #68 tr Paved unpa,ed r'1 Driveways l #0 =• �Paved #21 'unpaved Roads J #976 fr'� 0 Paved Road thpaved Road #52 E6 fridge #} #902 ^r ■Paved'Mewan Streams Marsh #f 897 _ s•#9 6 ,` #4 V2 �` 10 Water Bodies 0 905 990 11000 t: r.. t #1022 J' #-975 ! N p fir, i r`l ``�.``•`,.., r `£ t 1 r� � � 4 y < t#255 1 f r� �4 2C82• y`,4�w� � �` #27 �� 94049 i . ~ #2469 _ Map printed on: 12/21/2017 This map is for illustration purposes.only.It is not 'Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or ' representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does iiot represent. not.true property boundaries and do not represent 367 Main Street,.Hyanna,MA o26ot O 167: 333 an on-the-ground survey.It may be generalized;maymat accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 167 feet 0 cartographic errors or omissions. gis@toAm.barnstab1e.ma.us 960 MAIN ST. , WEST BABNSTABLE, MA 02668 X W BARNSTABLE SC04 MAUj — — a HUDSON Design Group LLC Tabs ca Paw aaurnd.r axs ET9Nrse to Pb f ._�..__. /_36/W4 .w _ -. _.............. aoe-1 _. Heoafas 5tatso<,a ilNids af0e of Nd9l.aoy NORiH PROPOSED-rMSr.AWENM AM amm unury Paz win PROPOSED PaW-R AND -71 rZ RUNS FROU CHECKED Bn EXbTNO UTIM POLE 35/&U I MOVED BY: IX'N EMST"UTILM Pr SUBMITTALS 11 WWI,r fmm m uoes a ru mrswa a > aM/a aaac rfa mwrs r f IQIH{A lanaaa 10 N1afMa C � 1gM1Yu mdm DADA O R ay(u ufa maa _— SARNSTA©LE SC04 NA art nroassx 980 E4fY1 ST, WiSt D STAaF-MA 026G9 KEY PLAN RUD INSPECMN DATE: 09-23--2015 a xv�x N KEY PLAN �_'�A^PROJOMaTE W'. NO 41 29.P"[' C+?3RD1`UTFS: VIM 21"20.'W ffiffi?L h TeP OF v eFn ANTENNA �Ap ANA:T575.OF.THE CIpICfi'I OF THE PI/N IS oWCRAYYA7IC R euTUfte EXISTING STRUCTURE TO SUPPORT THE AND IS QMNDED TO PROVIDE GENERAL 76'-2'f A.LLSl PROPOSED.LOADING HAS NOT BEEN INFORMATION REGARDING THE LOCATION AND . PROPOSED �(t) COYPLTLD,BY'HUDSON DESIGN GROUP,LL_ SIZE OF THE PROPOSED WIRELESS I7LS POSED ANRRiNA _ ANTENNA 36.7Th12'I - OMWRGS ARE SUBJECT TO CHANCE PENONC COMMUNICATION FACRM.THE SITE LAYOUT WALL Y EIEY..34'-6•t A.G.L �J OUiWYE OF'A SfFtUCiURAi ANALYSIS, Shy AND FACILITY DESIGN,N OF SITE W -74'-6'f AALS.L Z SHOP 01tAWiNGS OF FINAL EXTENSION "'AND OR':ANTQINA YOUNt TO BE PROVIDED �l PROPOSED 31H FTBFROLASS GG 'OF RECORD PRIOR TO LU EXTENSION CONSTFLIIGRON, COORDINATES: UT: N!1.42'29.H2' COORDIW17E5• LONG W70O 22'20.76POLE ' ;; HUDSON ctLv.- 28'-O'2 AOL \ Deslgn.GroupLL.0 69'=0'S A.M.SL. .. / 1 / 1 6ctoraOooM? ..'..LpgaV11U U 1 PROPOSED 12'e X 38XH •' F OTN>ysP/ U 1 PROPOSED LESSEE(1)WEA7t¢RNFAD NiiET/NA MOUNTED ON TOP I I OF'ETtT511NC'MI6Jtt'POLE I REV:. IB'-6't.A:C.L .• 1 U 6W-B'S AM.S.L L PROPOSED tcss E.(1)-J2 AWO;COPPER OWIR WIRE 1♦' PROPOSED LESSEE.(2))1f•.CO2'1L%U-GUARD - PROPOSED 3H.iLB�GLASS LTLV.-26'=7 S AG.L .. ♦ A/ AND(1)AM CAME 14O 88'-7'><AMSl ♦♦- (A60 GBIE TO BE USED INTUIT THE RET CAPABI£ " ' _ AH CA .I TO E P20PO5ED AN%.YOD A". �-ExLslI6 RF'ENGINEER PRIOR TO CONSTRUCTION.) GUY PROPOSED FIBER•RUN FIRdI.EXISTRD Umm POLE- 34 644. PROPOSED 4'CLEARANCE FROM SEOOt1DMY POWER @OSiiNO`FO>fFlt LNC ' E1.EV 21�-0 t A M 81-0t AliSl {J��/F�cmr 1 m 1mF PROPOSED 1E55EE((3))/O.ARO',MRES NSmE T ELEV. 20'--0 3 A.C.I. PROP'DSeD IFSSEE.(1)LN RATED 1 um +' ED'-0'S ALdS.L - SCJL 40 PVC,CONOWf . PROPOSED FIBER .. - EYU577NG,U7X1ff LINE; PROPOSED DS CONNECTED A f'BiBYF1O PRROYmER.. .. ICI PRWmER P3U'3HtX:i:UY WIRE' J � ' N * PROPOffO t655EE FIBER JUMPERS a c (FRONIHALA NX.BACFONMUL), ey MS�PDEMOVIC��.BO% CHEIM£D BY;' Jx 93 X N PROPOSED LESSEE(2).fi11GLE PWlBE RBOfiFIEH,... .:.. COIN ctFD'F BER 1(1Tp0T1 _ m-" Gm APP (AC/DC'CONVERTER), AL OF.2 0.'RI/R BRACKEt1 ... Bf P18ER PROv�ER PROPOSED LESSEE OfPLEXER: ' (TOTAL OF Z ItOTH FLsIRACKE,siT/E ,Y:.._ - SUBMITTALS pRCpOSfD'(2)IESSEE RFJJGTE R/D10 WAD(MO BY SIDE ON BAgN'�'eftACftET) INSTALLED'I�'E.B PROPOSED LESSEE REMO 4n rR ;mad 4r .. RAGA NFAD(RRH) _ PROPOSED t.ESSEE(i)SERVICE.ACOREGA710N ROUTER ((TTppTAL GF'2.BOUT . ( .. INSIDE.O CK DY S E ; y7lAr Io®..E Aa A'J>Q�v INSIDE BRMSR'n. PROPOSED LESSEE(1)60 Aw _POE DISpIHNECT PROPOSED IFSSEE(1 60 SWITCH AM AND(3)20 AMP.2 POLE-;Cp= - .. AYP 2-POLE DISCONNECT - BREAKERS SRTTCH LASED AND(J)20 >i«:t O IDmatd la 4TM4m, "o PROPOSED LES=(t).MrrLA MAIL WAIt1_BYPASS. - a1m 2-PORE/PiCLNT- ' .o HM/M MH 41�1 (METER SH41 NOT BE MOUNTED':OH.STREW SIDE) .. PROPOSED LESSEE(_�___ 'NiR.WlO LLLlFR YARN WITHmrA�a WNSTABLE;_Sq," MA . 11'-8't(ACL) .. (METER SWILL.NOT BE . - MINIMUM to THE MOUNTLO ON STREET SIDE) _ ... EXW=UTIUTY POLE BOTTOM OF 6545 F1R/1PLLFNT EAISD!NC UTIItt E . a5as vrt A9oR6a' PROPOSED LESSEE:(1)'/2 AYA COPPER -0•B, .960�MAIN ST. ..'.:'. GROUND-MWE INSIDE Yi•IN RATED PVC: ( 6 - WEST R4tNSTA6LE:'MA.02869 ����gg�g�Rro I IveL . YEtty.- o'—D•i AO.L - T— sr_t — — '❑ 1 -`i— _I I— A &ELEV TION PHOTO 40'—WI AMS.L Intl"rRovosEo OR cLoLAtiio m GRGAB:cOPPER'CUD1X10UN0 Rom.V.IF. �ELEVATION �1 q 1 6 TOT EXI NG PHOTO D A(L 2.2bd4 SCALE!1/2'-1,-0- L-2 I1><17 SCALE IH•-Y-O' -- SCA:e H.T.s L-2 LPA6E EXM181T m A T DIAGRAMMATIC GENERAL R NATURE _ . lNr M INTENDED TO PROVIDE GENERAL PROPOSED LESSEE INFORMATION PROPOSED TEE LOCATION AND PROPOSED(`S 511E THE COMMUNICATION FACILCO WIRELESS X 1--7.5'—�I --1 32• I'-� �55EE RRN'S 5 BEFINIZEDU FACILITY.THELET SITE SrTE Y(0.1 W L1 r ( /DC COINEATER$) RE SURVEY AND UPON COMPLETION OF 5(fE I _ SURVEY MID FACR7n'DESIGN. N ® I ul PROPOSED LESSEE TRIICTIAK E 7.O•Il.r �; (1)IdETER MAAI �THE CAPACITY or THE —) IE, WITH KN14AS5(N.L..) �EXISTING STRUCTURE TO SUPPORT THE PROPOSED LAWINC HAS NOT BEEN DDRRA%7L1E ARSE SUBJECT CRANCO GEPEi D-G H U D S O N OUTCOME OF A STRUCTURAL ANALYSIS. Design Group LLC 2.SHOP DRAWINGS Of FINAL EXTENSION n.m.unNert Iu:"IQ EXISTING UTILITY POLE ANp/OR M7TENNA YOIRiT TO BE PRPADED 700/AWS OPIEXER-8.8.185 654S iD INEEA OF RECORD PRIOR TO CONSTRUCTION. \�O PROPOSED S DIPLEXER DETAIL + _ +• WOA>T MotaNTED io RIDK BRACKET SCALE:N.T.S L-3 PT cC .�NOTES: ""'UN 120-24OV. 14HASE 3 WORE: ST 1C USE MILBANK MODEL NO.: U2272 RL-ST9-SL METER !f ro ..,Cr•1 r SOCKET jl RRH PLAN �1 p s i Y 3 Fuf R 22x3s SG IE: USE SQUARE D MODEL No.: 11.17 SCALE 1/2--1"d 00816C10QFt8CP LOAD CENTER O).ASO MORE-. BE USED.WITH THE RET CAP ANTENNA VERIFY P.ROP'OSED.ANTENNA (1)PROPOSED MODEL WITH RP ENGINEER PRIOR TO ARIENNA WIT CONSTRUC170N.) . _i (2)16•COAX CABLES SECONDARY L�RY PROoN I SITAR 1 � 2 w A FORS l If WEATHER HEAD(LEAVE ANTENNA 1 COAX.CABLE$AND U-CUARC CABLE r,([)--r^l�tD, IV CONDUCTORS FOR CHECKED BY. (3].7 LBS) 11) 11 - UTILITY CO.TIE IRS) APPROVED BY-. g DI71. B BACNUL ��B AWG WIRE IN _ .. 4. - 1-MIT.SDI.EO + yGF ySr ° SUBMITTALS: (1)FIBER OEARC. IN RATED PVC _ - ON POLE m. aAs mminw' w 1 Y C� AHIFlpA IT R_1. _ =r_ T - _; FIBER JUMPERS (2)IXPlE1cFR5 1STAND-OFF Vn nmAOAn� O. i A5UM 111 a i 3 E ,= l4)K COAX CARIES N 1 Ni®1 Na,oaT r _ R 2 4=cN (1)SERVICE AGCREGATION I IUNI- �. .ROUTER(SIR) (2)RRHS . ' ANTENNA /j�, # - $ ,� a NARW-Z Gem . 3/8-TpgE. I(k MOUNTING PLATE HAS, M,. L `ns FORMED PLATE CENTER SfAWl65. CT n , r) _`. FlBEA'JWCPEAS(TYPJ w[wW UPPER PIVO7 PLATE) CENTER SPHERICAL �c�r BARNSTABLE_SC04_MA s/16 t1acKPIVOT roRMED PUTS (LOWER PIVOT PLATE 1/4-THICK 7�RRH AWS RRH _ OC POWER n12..+D�ER PLATE WH3 ESS CON9TA(1CTK)K INC.f8ACK-UP POLFJWALL MOUNT FOR DUAL REcmuxS(AC/DC CONNVERRAS)-RADIO BRACKET (TOTAL OP 2) �1 960 MAIN ST.REM DESCRIP ION OTT. TOWL RRH BRACKET1r.DS¢•- 19'IDS WEST BARNSTABLE.lA 02OWt MQUHT T 1 T00 RRH-21.61$1TZYl(9T-57.2 LOS (1)6d1 2-PoEE.U(SCONNECT5/16-TIOWE 00-OR AWS RRN , AWS RPo/-2SAwX1 NW-3*0-58.9 LDS SWITCH rUSED AND FORMED PLATE 2 RACK W/.SUPPLIED 1 2 RECTIFIER-14.11h6.3"WkL5b-14.1 LOS (3)2 A POLE CWCUTT BREAXERS /2 AWC COPPER PROPOSED 3w ARE. / ROUTER-2.8•H.T311k10V- - (SEE ELECTRNx-NOTES) O GROUND INSIDE EQUIPMENT DETAILS . AM RRH RACK W/ 2 OPIEXEA-7.61M7.31 x%5*O-6.6 TES $•UV RATED PVC EXTENSION 3 SUPPLIED HARDWARET METER MAIN WITH BYPASS 'COPPER ANTENNA MOUNT DETAIL(2) CLAD tAo caoturo ROD . SCALE.B.T.s L-3 RRH&MOUNTING BRACKET 4 'SCALE:N.T.S L-3 GENERAL.WIRING DIAGRAM-01AL RRHs s SCALE N.T.S L_3 L-3' _ t x_ W r sr awd.r.�eacr-�wm*mY+<cMm•+��w+�• "Table 6Mk Pdea t gW.Leder Codes—Typl.A App11ca11.0010W me .m � oxlm:.e.ISNlsyor cc••e1q rp1��U�aN W - �, H U D S O N 4a•uau ® �rrt•+ms.n.�P geriq IInA �?mm LMOW -N.e�N.M�iMIF YN . y �« •••'•••'CNN e.t••� «..,r:+era�e� gym, o.I�..o..maaao:snno..++a D6SIg(1 Group LLC ....+..�•.W.,-...mom... ,�• � ® .e��.-.r. �.iNweYNbWr�l•n1C Mw�q»w wNlul.fti.�l+nYC• 9misw<F�Ai - .leXbl!MmM.M 0 Rqq - �� tAs.•r yw1Me�� -Ybm pm �mNnr•r YRwO+.-�Y,WrN r�iepK\•MIMI ♦e C1C�iLwvr. . i�..0 ��� � �P rtemw�a.i�'es b+R,y M'Y•.W^r•+1 .. t �. rr.bbr,.•eea�r VPme.uewlwtw.Y•nwfro 6 � cm she AR�w W21-5o 100 FT W5-1 _ (30m) WORK ZONE BUFFER ,L�3:... A B �«+ �r J APPRMM BY: oPN SUBMITTALS 77 : W0/0 A9e06 ra coamm a 1 Ie1Ce N O1Y10r O . - BARNSTABLE_SC04_MA ::: dlc.foxes: .. .. .:: 960 WUN ST. .. riFST 9ARNMOLr MA 02666 WORK ZONE SAFETY TRAFFIC PLAN WORK'ZONE 9AFETYTRAFFIC PLAN �11 _ '. L-4 SGLLE:''M.T.S' - L-4 . Town of.Barnstable � Building s' Post This Card So�Thai W1, Visible From the Street-Approved'Plans>Must be=Retained=on.Job�and this.Card Must be Kept *� Posted Untinal tnspection.Has�Been Made. � ".^ - ` : � Where aCertificafe of Occupanry is Required;such~:Bu'ildingspall Not be:Occupied`untila Final lnspecfion has been made. Permit Permit No. B-17-1694 Applicant_Name: GRAY,SAMANTHA A Approvals Date.lssued: 06/19/2017 Current Use: Structure :Permit Type: Building-Shed-Residential-200 sf and,under Expiration Date: 12/19/2017 Foundation: Location: 960 MAIN ST./RT66A(W.6ARN.).WEST,BARNS Map/Lot: 156-025 Zoning.District:' SPLIT Sheathing: Owner on Record: GRAY,SAMANTHAA Framing: 1 Contractorm Address: PO BOX 140 �� � , . Contractor Ucense 2 WEST BARNSTABLE,MA;02668. _ Est Project Cost: $0:00 Chimney: Description:. install a 8x10.shedPermit fEe: $35.00 Insulation: Project Review Req: install a,8x10 shed feePaida $35 00 al. r Dater�.� '6/19/2017 Final: y Plium s Aough'Plumbing. u „ Building Official Final Plumbing: c - fg _ This permit shall be deemed.abandoned and invalid unless the work authorized by,, is commenced within six inonths.afte issuance. � n Rough Gas: All work authorized by this permit shall conform to the approved appl atndthe approved construction documenor whh 's permit has been granted. All construction,alterations and changes of use of any building and structures shall:be in compliance with the local zonin&by I5Ws.'and codes. - final Gas: This permit shall be displayed in a location clearly visible from access street orroad wand shall be.maintainedopenfor publie;in`spection for the'entire duration of the work until the completion of the same: _ N - Electrical The Certificate of Occupancy will:not'be issued until all applicablesign Officials are provided o�n thesis permit. Service' Minimum of Five Call inspections Required for All Construction Work: K 1.foundation or Footing a Rough: 2.Sheathing Inspection 3.All fireplaces must be inspected at the throat level before firest;flue'liniog is'installed final: 4.Wiring&Plumbing Inspections to be completed prior to Frame:lnspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation - 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations: Health Work shall not proceed until the Inspector has approved the various stages of construction. final: "Persons.contracting With.Lin registered contractors.donothave access-to the.guaran"ty fund"Jas set forth in MGL c.142A). Fire Department Building plans are to.be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable INE r � Regulatory Services Richard V.Scali,Director - S" MAS& Building Division �. g g Pail Roma,Building Commissioner 200 Main'Street, Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 Fax: 1508-790-6230 0 Zw PERAIM — FEE: $35.00 ' l-n C.7 SHED REGISTRATION RESIDENTIAL ONLY o •.200 square feet or less ZLO Location of shed(address) . Village a aILA t ^2 ` Property owner's name Telephone number /0 Size of 9hed Map/Parce # Si Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) c � • Sign off hours for'Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-she&eg REV:06/20/16 q r Town of Bamstable Old King's Highway Historic District Committee kASK 200 Main Street,Hyannis,Massachusetts 02601 RECERTED (508) 8624787 Fax(508) 8624784 CERTIFICATE OF EXEMPTION GROWTH MANAGEMENT Application is hereby made,with four(4)complete sets,for the issaance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts,1973,as amended,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date Address of Proposed work, Assessor's Map and lot# House# Street Village: V*0Cf of 1h f 0 This application is.for an exemption of the proposed construction on the grounds that work.- El Will not be visible from any way or public place ❑., Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission ' -Other Description of Proposed Work: � X • �az20L ^ '21eci rn.Atcke71r, s477,1,r Gznj,f- 110;Bch A/oL tw. a �, rra�„Yl c,,P �n b o.CA-ro Agent or contractor(please print): Co Ac TeL no. Address Owner(please print):=5G—M n�9r4 l rf g.N i Tel no. . Owners mailing address: C% ]L C7 Signed,Owner/Contractor/Agent. For Committee Use Only This Certificate is hereby Approved/De meld Date: 2- Committee Members Signa PPROIV PPROV�g FEB 2 2 2017 Town of Barnstable Any conditions of approval: Old King's+thw4y Committee C V)oc.me and SettingsldecollikV ocal SetringslTempormylntemerFilesl0LKI10KHEzemprion Form 07.doc L y, 1 i Jf & ( y 7 r r'' `" � G�f�I t?�l � f P _ • • • e i e . . now a " � Legend i4 Parcels Town Boundary 156056 - Railroad Tracks 35 Buildings Painted Lines Parking Lots Pared 1 S E A5 Unpaved N 2 t 15G02500i Driveways 40 Paved 1560� unpaved Roads 90 ®Badges 13 Paved Roads Unpaved Roads Streams �. Marsh r^J 4' 179001002 Water Bodies x996�-0' �7v ✓�1� . r 029 179001001 CuO 15503E1 17300 A , Map printed on: 1/25/2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town Of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 02601 O 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the reap 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale:1 inch= 83 feet 0 cartographic errors or omissions. gis@town.barnstabk.ma.us I �� :, --- �.1 1 7 �a�� 1 i ..s ,, �. ti � rod �� � � .� .� � -a.... i n+e Town of Barnstable *Permit# o'F . Expires 6 mo fro►n issue date �T Regulatory Services Fee r M . • • + SAMSPABM � MASS. m Thomas F.Geiler,Director iOjFc MAy�' Building Division Tom Perry,CBO, Building Commissioner �0( 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION -' RESIDENTIAL ONLY g Not Valid without Red X-Press Imprint Map/parcel Number (JbL. Property Address q6e® R�-- (,04 e st R f.IV T'A` c Residential Value of Work-$- &/Q o ___M nimum fee of$35.00 for work under$6000.00, Owner's Name&Address ; . Contractor's Name Telephone Number Home Improvement Contractor License#(if ap icable) � CEmail: Construction Supervisor's License#(if applicable) Z_S (/ ! gw"rkman's Compensation Insurance Check one: ❑ I am a sole proprietor Xv®®ESS PERMIT ❑ I am the Homeowner l�r""ii``ii ��77 PERMIT &ZT'I have Worker's Compensation Insurance Insurance Company Name AUG - 2 2013 Workman's Comp.Policy# TOWN F.BARN�TABLE Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to Ro elm w`C L 4j0 dtr1LL- ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission.. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFUZS\FORMS\building permit formsT)MRES . oc Revised 061313 R .The Commonwealth of Massachusetts Dwparftwnt of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 wwm mass gov/dia Workers' Compensation Insurance Affidavits Builders/ContrackwsfElectricians/Phunbers Applicant Information Please Print I,eyibiy Name r -M City/Sta&Zip: /es� (S AJ?.wYT.4 6 Z 4 _ Phone#_- Are you an employer?Checkthe appropriate box: t✓Z 6 8 Type of project(required): 1* I am a employer with V 4- ❑ I am.a general contractor and I . employees(full and/or part-time)-* have hired the sub-camhnctors 6. New construction 2.❑ I am a sole proprietor orpartner- listed on the attached sheet. I ❑Remodeling ship and have no employees. These sot-contractors have 8. ❑Demolition wading for me in any capacity. employees and have workers' [No woticers'comp-insurance comp.insnrance.7 9. �Building addition required-] 5. ❑ We are a corporation and its 14.❑Electrical repairs or additions 3_❑ I am a homeowner doing all work officers have emercised their 11_.0 Plumbing repairs or additions myself[No worms comp- right of esempticia per MGL 12_❑Roof repairs insurance required.]i c_.152, §1(41 and we have no employ-[No workers'� 13.❑Other camp-insurance required-] •Any applicaart that sheds bout ff1 mast also till out the section below shauiogthea wodere coI-atiaa Percy k&—tiam 1 Homeaaraers who submit this affldnrff militating they are doing all wc*and tben him outside contcsctors mmst submit a new a8idzm indicating mch- Iconuacton that chest tors boat mast xttached as additional sheet shnwmg the mime of the sob-cmoatacmw and state wbether oraot those entities haae employees. If the sub-contractors La«employees,they must pnndde their workers'comp.policy mtmber. I am an employer that is pravidiV workers'conTerisalion:insurance far my emplaywe& Below is th6 policy sled job site information Insurance Company Name: Policy#or Self-ins.Uc.#: Expiration Date: /(Oc.� Job Site Address: 64 City/State/Zip:1/(�AS] ���7 JM-,Attach a copy of the workers'comptmsation policy declaration page(showing the.policy number and expiration date). Failure to secure coverage as required under Section 25A of MUL r 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year unp isonment,as well as civil penalties in 1he fora of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statment may be forwarded to the Office of Inuestigatiems of the DIA far insurance coverage verificatiaL I do hereby cerhfjr ur the pains and pen ahYas of perjury that the info rmaMm pt oW&d"above is true and correct �t dig! Date: �- 3 Phone#: OJozcial use only.. Do not rime in this area,to be completed by city or tmm ooigat City or Town: Perndtffkenise# Issuing Authority(drele one): 1.Board of Health 3.ceding Department 3.CSty/rown Clerk 4.Electrical Inspector S.Phunbing Inspector -- 6.Other Contact Person: Phone#: rah, Town of Barnstable Regulatory Services y�S g Thomas F.Geiler,Director 161g6 �6 ram' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, P iC— M ��� �� , as Owner of the subject property hereby authorize GiG" ." to act on my behalf, in all matters relative to work authorized by building petna (Address of job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner ' Signature of Applicant Print Name Print Name j O 13 Date Q:F0RMS:0WNMER1v=0NM0I.S 62012 Town of Barnstable Regulatory Services R.RNSM&I .'. : Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: village number street "HOMEOWNER": name home phone# work phone#. 1 CURRENT MAILING ADDRESS: cityttown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts-as supervisor. DEFINPPION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on,which there is;or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm strictures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to.the Building Official on a form acceptable to the Building Official,that he/she sliall be responsible for all such work performed under the building permit. (Section 109.1.1) bility for compliance with the State Building Code and other applicable codes, The undersigned"homeowner"assumes responsi bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is . ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities-of a Supervisor. On the last page of;this issue is a form currently used by several towns. You may care t.amend and adopt such a form/certification for use in your community. C:\Users\decoU&\AppDaffi\Local\Microsoft\Vrmdows\Temporary Internet F>ties\ContentOutlook\QRE6ZUBN\EX2RESS.doc Revised 053012 ..rrwrrun.. VI NN Irav 14 V4.4/ 1 r.YU6 R9ghtfax N3-1 7/31/2013 6:52J19 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATEtMM/1371Q112111. YI ICATE IS ISSUED AS A FORMATION ONLY AND CO RIGHTS UPON THE ChRTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEN D,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 0ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED NTATIVE R PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain polities may require and endorsement. A statement on this certificate does not Confer rights to tha certificate holder In lieu of such andorsomant s. PRODUCER CONTACT NAME: PAUL PETERS AGENCY INC PHONE FAX 630 FALMOUTH ROAD INC.No,Ed►: —][FAX Not: c EMAIL MASHPEE,MA 02649 ADDRESS: 2BLBR INSURERS)AFFORDING COVERAGE NAIC IN INSURED INSURER A: ACB AlsommCANINSURANCB cowANY MACKEY,THOMAS P DBA TOM MACKEY FRAMING INSURER 5: INSURER C: INSURER D: 135 CEDAR STREET INSURER E: WEST BARNSTABLE,MA 02668 INSURER F: COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: TO CERFIFY THAT THE POUCM OF INSURA P Ot"ISSUED TO THEINSURED NAMED ADO DO INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE IBSUic OR MAY PERTAIN. THE INSURANCE AFFORDED BY TNEPOLICIfis DESCRIBED HEREIN IB SUBJECT TO ALL THE TERMS.D(CLUSIONS AND CONOIYIONS OF SUCH POLICES, LINTB SHOWN VAY HAVE BEEN REDUCED BY PAO CLAM. WSR ADD SUS POLICV EFF OATE POLICY OW DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMDDIYYW) (INC1rt MYYY) LIMITS OFIJERAL LIABILITY EACH OCCURRENCE 9 COMMERCIAL GENERAL UABILITY AMAGE TO RENTED S CLAIMS MADE E]OCCUR. 3REMAES(Ea occurrence) PENERAI (Arty one person) S LB ADVINJURV $ GEN'L AGGREGATE LIMIT APPUES PER: AGGREGATE $ POLICY PROJECT LOC S-COMP/OP AGG S AUTOMOBILE UABIUTY D BWGLEANY AUTO acoldcrt) ALL OWNED AUTOS 130DILY INJURY 6 SCHEDULE AUTOS Par person) MIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident PROPERTY DAMAGE $ (Par accident) UMBRELLA LIAR OCCUR J?/27/20M14 OCCURRENCE S EXCESS LIAR ClAIMB•MADE EGATE $ DEDUCTIBLE RETENTION S S A WORKER'S COMPENSATION AND we sTATUrORY OT/¢R EMPLOYER'$LIABILITY YIN U&4774PB83-13 OV2712019 uMlrs ANY PROPERITORIPARTNERIFXECUTIYE N!A ACH ACCIDETIT $ 100000 OFFICERIMEMBER EXCLUDE07 "adelorylnNH) ISEASE-EA EMPLOYEE $ 100.000 Uyne,deerAbe LmdarOESCRIPTION OF OPERATIONS b.lw ISEASE-POLICY LIMB S 500.000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICEFSIRESTRICTIONSISPECIAL ITEMS Tffi9 RBPLACBS ANY PPIOR CERTtMCATB MSUBD TO THE CBRTIPICATE EOLDERAFFECTwo WOB88R9 COMP COVERAGE. TFH WORKBR9 COMPENSATION POLICY D0319 NOT PROVIDE COVBRAOH FOR MACIMY,THOMAS P. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE BLDG DEPT SMOULO ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED 200 MAIN ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL OELN IN ACCORDANCE WITH THE POLICY PRO AUTHORIZED REPRESENTATIVE HYANMS,MA 02601 e ACORD name and logo are registered mars of iCORD fved. Massachusetts -Department oT Fubiic Safety 1 - Board of Building Regulations and Standards Comaructinn SuPer`"if1r .'i "license: CS-094616 TflOMAS P MACNEY 135 CEDAR ST = W BARNSTABLF M 02668 - oiration 7D- '''�.....J� ` .. O8tm/2014 f .` ntTicenf Cnna mer ffaira Business Regulation License:or registration valid for iadividul use only m_. 4WA.IMa OVEMENT-CO_ CTOR before the expiration date If found return to: r -kegistrati n 15Ti65. Type 'Office.of.Consumer Affairs and Business Regulation . EO Park Plaza-Suite 5170 m Expiratio a 1/5/2313 DBA Boston;MA 02116 TO -V'ACKEY FRA ING THOMAS MACr.tY: - 135 CEDAR STR.EET �� W.BARNSTABLE,MA 02668 Undersecretary Not valid without signature Parcel Detail Page 1 of 3 F lTHE 'ro�. i, BAAISTARLE1} yODp MASS. ,«109. rF� i Logged In As: Parcel Detail Thursday,July 11 2013 Parcel Lookup Parcel Info _I Developer i Parcel ID 156-025 Lot Location 1960 MAIN ST./RTE 6A(W.BARN.) ( Pri Frontage 1300 Sec Road I Sec Frontage�- Village WEST BARNSTABLE I Fire District JW BARNSTABLE Town sewer exists at this address I No I Road Index[0955 Interactive `s` Map Owner Info Owner I MCELHANEY, RICHARD &MARY ANN I Co-Owner Streetl 168 WATCH HILL ROAD I Street2 I City WESTERLY I State FRI Zip 02891 Country Land Info _ Acres 116.58 use jSingleFam MDL-01 I Zoning SPLIT WBVBD;F� Nghbd 10108 u� Topography Level I Road I Paved I Utilities IGas,Well,Septic I Location Construction Info Building 1 of 1 Year 1912 —I Root fable/Hip J Ex Wood Shingle Built 1 Struct Wall Living 1654 Roof Asph/F GIs/Cmp I AC(None I �,n;,; Area Cover Type Style Convention—all Int Bed WaII Plastered I Rooms 4 Bedrooms Int Bath UAT Model I Residential I Floor Hardwood ( Rooms 1 Full+ 1 H I r J Grade Average I Type Hot Water I RoomTotas 7 Rooms I ie Stories 12 Stories Heat Oil Found- Stone Walls Fuel ation t24 4 Gross 3520 Area 1 ,w Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10435 7/11/2013 Parcel Detail Page 2 of 3 IIIssue Date I Purpose I Permit# I Amount I Insp Date I Comments II Visit History Date Who Purpose 4/23/2009 12:00:00 AM Jeff Rudziak In Office Review 10/17/2008 12:00:00 AM Nancy Finch In Office Review 2/14/2008 12:00:00 AM Paul Talbot Cyclical Inspection 7/30/2007 12:00:00 AM Karen Perry In Office Review 6/29/200712:00:00 AM Nancy Finch Meas/Est 5/30/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 11/15/1987 12:00:00 AM IML I Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 11/15/1994 MCELHANEY, RICHARD&MARY ANN 9436/298 $1 2 3/15/1994 MCELHANEY, MARY ANN 9072/136 $1 3 12/15/1990 ALEXANDRE, MARY S& 7383/343 $1 4 1/15/1990 ALEXANDRE, MARY S& 7030/255 $1 5 ALEXANDRE, MARY S M-792 9072/136 $1 6 ALEXANDRE, RAYMOND M-792 9051/082 $1 7 JALEXANDER, MARY S 3082/183 $011 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2013 $125,200 $28,300 $0 $385,400 $538,900 2 2012 $123,800 $27,200 $0 $452,200 $603,200 3 2011 $164,300 $3,300 $1,000 $452,200 $620,800 4 2010 $164,200 $3,300 $1,100 $477,500 $646,100 5 2009 $194,700 $2,400 $500 $724,600 $922,200 6 2008 $174,900 $2,400 $400 $1,020,100 $1,197,800 8 2007 $219,700 $2,400 $400 $1,442,200 $1,664,700 9 2006 $187,800 $2,400 $400 $1,425,700 $1,616,300 10 2005 $162,400 $2,300 $400 $950,300 $1,115,400 11 2004 $136,000 $2,300 $400 $950,300 $1,089,000 12 2003 $118,300 $2,300 $400 $481,700 $602,700 13 2002 $118,300 $2,300 $400 $481,700 $602,700 14 2001 $118,300 $2,400 $400 $481,700 $602,800 15 2000 $68,000 $2,200 $100 $220,400 $290,700 16 1999 $68,000 $2,200 $100 $220,400 $290,700 17 1998 $68,000 $2,200 $100 $220,100 $290,400 18 1997 $68,400 $0 $0 $221,400 $289,900 19 1996 $68,400 $0 $0 $221,400 $289,900 20 1995 $68,400 $0 $0 $221,400 $289,900 21 1994 $72,200 $0 $0 $199,400 $271,700 22 1993 $72,200 $0 $0 $206,400 $278,700 23 1992 $82,100 $0 $0 $221,400 $303,600 24 1991 $62,400 $0 $0 $495,900 $558,400 25 1990 $62,400 $0 $0 $495,900 $558,400 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10435 7/11/2013 Li OW7120070247 '�`•06/17rzM7�2'SOR , -P `�'+ !r{', ';.+ � ♦apt �hyx F* }� `"1,"d `'• s` � �Y p �7!, p. `•t� � '�A, ��'' #.{. I y - a ,1 F�r� ✓ 3 Yet• f� n :� ��. ' �� m, '�oarnlrzoo?,orn9 ?! K 1���' a 3!+��r3rK 4 n ,.J"'•+���,�f�: � -�., i4eh�N .rJ� � 't d�:r'• - i - m ST. , 960 MAIN WEST BARNSTABLE , MA 02668 = W BARN STAB LE SC04 MA W - - a W J HAG HUDSON Design Group LLC 4$BEECHWOOD DRIVE iEL 19781$$7S$$3 93 N.ANDOVER,MA 0184$ FAX;197813365586 Telco Co Pole Number # 6545 Electric Co Pole # {� 35/654 Layout Plan Number 708-4 Nearest Stations 95-96 Latitude (N) 41' 42' 29.82" Longitude (W) 70' 22' 20.78" Which94 side of Highway NORTH PROPOSED LESSEE ANTENNA AND ANt 95 LESSEE EQUIPMENT MOUNTED TO IXISTING UTILITY POLE 654S LOCATION LINES • LAYOUT4 STATE HIGHWAY 9.6 PROPOSED POWER AND97 CHECKED BY: JX FIBER RUNS FROM IXISTING UTILITY POLE98APPROVED BY: DPH 399 5/654 EXISTING UTILITY POLE SUBMITTALS 35/654 •• RLv. DATE DESCRIPfpN Bf 101 5 10/23/17 REVISED MG AND ADDRESS Er 4 02/02/17 REVISED PER LATEST STANDS MR 3 12/22/15 REVWNS PER ODIOJFNIS IYt ` 2 10/22/15 REV610NS PER C0101EN15 CP 1 10/13/15 REVIsa11s PER cowEDlls a 0 10/02/15 LEASE DHIV JR SRE NAME: BARN STAB LE—SC 04_MA SITE ADDRESS: 960 MAIN ST. WEST BARNSTABLE. MA 02668 SHEET TITLE KEY PLAN 1,V 53� '�' FIELD INSPECTION DATE: 09-23-2015 Z O O SHEET NUMBER �2 ~z N KEY PLAN 1 APPROXIMATE LAT: N41' 42' �29�82"SCALE: N.T.S L-1 COORDINATES: LONG: W70' 22' 78" A1 TOP OF PROPOSED ANTENNA STRUCTURAL NOTE: LEASE EXHIBIT: ELEV. = 36'-2"t A.G.L 1. AN ANALYSIS OF THE CAPACITY OF THE THIS LEASE PLAN IS DIAGRAMMATIC IN NATURE 76'-2"t A.M.S.L EXISTING STRUCTURE TO SUPPORT THE AND IS INTENDED TO PROVIDE GENERAL PROPOSED LESSEE (1) PROPOSED LOADING HAS NOT BEEN INFORMATION REGARDING THE LOCATION AND ANTENNA 387"Hx12'0 COMPLETED BY HUDSON DESIGN GROUP, LLC. SIZE OF THE PROPOSED WIRELESS X �OF . PROPOSED ANTENNA _ DRAWINGS ARE SUBJECT TO CHANGE PENDING COMMUNICATION FACILITY. THE SITE LAYOUT WILL W Y ELEV. = 34'-6"f A.G.L OUTCOME OF A STRUCTURAL ANALYSIS. BE FINALIZED UPON COMPLETION OF SITE W 74'-6"f A.M.S.L SURVEY AND FACILITY DESIGN. 2. SHOP DRAWINGS OF FINAL EXTENSION V) o AND/OR ANTENNA MOUNT TO BE PROVIDED Q PROPOSED 3'H FIBERGLASS TO ENGINEER OF RECORD PRIOR TO W ° EXTENSION CONSTRUCTION. APPROXIMATE LAT: N41' 42' 29.82" J COORDINATES: LONG: W70' 22' 20.78" Hi� TOP OF EXISTING UTILITY POLE ELEV. = 29'-0"t A.G.L H U D S O N 69'—O"t A.M.S.L �' ; ° �� - -- Design Group LLC 45 BEECHWOOD DRIVE TEL:(9781557-5553 i PROPOSED 12"0 X 38.7"H N.ANDOVER,MA 01845 FAX:1978133"W PROPOSED LESSEE (1) WEATHERHEAD ANTENNA MOUNTED ON TOP EX ISTING GUY WIRE I I • ELEV. = 28'-8"t A.G.L I I OF EXISTING UTILITY POLE 68'-8"t A.M.S.L I1\ i PROPOSED LESSEE (1) #2 AWG COPPER GROUND WIRE EXISTING POWER LINE ' PROPOSED LESSEE (2) Xz" COAX PROPOSED 3'H FIBERGLASS ELEV. = 26'-7"t A.G.L �� I AND (1) AISG CABLE INSIDE 2" U—GUARD EXTENSION 66'-7"t A.M.S.L �� I I i (AISG CABLE TO BE USED WITH THE RET CAPABLE I — / ANTENNA. VERIFY PROPOSED ANTENNA MODEL WITH _��EXISTING ' RF ENGINEER PRIOR TO CONSTRUCTION.) GUY WIRE PROPOSED FIBER RUN FROM EXISTING UTILITY POLE 35 654 I PROPOSED 4' CLEARANCE FROM SECONDARY POWER EXISTING POWER LINE ' ELEV. = 21'-0"f A.G.L i 61'-0"f A.M.S.L EXISTING UTILITY LINE I PROPOSED LESSEE (3) #6 AWG WIRES INSIDE r ) ELEV. = 20'—O"t A.G.L I PROPOSED LESSEE (1) UV RATED 1" MIN. e ' 60'—O"t A.M.S.L i SCH. 40 PVC CONDUIT iI I I PROPOSED FIBER f EXISTING UTILITY 1 i I LINE PROPOSED DEMARC BOX BY FIBER PROVIDER, CONNECTED TO FIBER ABOVE BY FIBER PROVIDER I C EXISTING GUY WIRE '►• f BY * * PROPOSED LESSEE FIBER JUMPERS I (FRONTHAUL & BACKHAUL) PROPOSED DEMARC BOX � "�// CHECKED BY: JX I BY FIBER PROVIDER, n n N PROPOSED LESSEE (2) SINGLE PHASE RECTIFIER I CONNECTED TO FIBER APPROVED BY: DPH (AC/DC CONVERTER) (TOTAL OF 2 WITHIN BRACKET) I ABOVE BY FIBER PROVIDER PROPOSED LESSEE DIPLEXER 1 (TOTAL OF 2, BOTH INSTALLED SIDE 1, PROPOSED (2) LESSEE REMOTE RADIO HEAD (RRH) I I BY SIDE ON BACK OF BRACKET) i SUBMITTALS (INSTALLED INSIDE BRACKET) _ PROPOSED LESSEE REMOTE I {t REV. DATE DPnoN RADIO HEAD (RRH) PROPOSED LESSEE (1) SERVICE AGGREGATION ROUTER I (TOTAL OF 2, BOTH (� INSTALLED SIDE BY SIDE INSIDE BRACKET) I. l .,�' 4 02/02/17 REWSED PER LATEST STANDS IA (SAR) I 5 10/23/17 ROUSED BRIG AND ADDRESS EE PROPOSED LESSEE (1) 60 AMP 2—POLE DISCONNECT I LJ SWITCH FUSED AND (3) 20 AMP 2—POLE CIRCUIT J PROPOSED LESSEE (1) 60 3 12/22/1s WfW6 PER COWITS BREAKERS AMP 2—POLE DISCONNECT 2 10/22/15 MIS05 PER COIOIEXIS PROPOSED LESSEE (1) METER MAIN WITH BYPASS SWITCH FUSED AND (3) 20 1 10/13/15 REIMM PER COMMDos(METER SHALL NOT BE MOUNTED ON STREET SIDE) REAKERS AMP 2—POLE CIRCUR0 1o/oz/1s �Ewoerr e PROPOSED LESSEE (1) SFE NAME: METER MAIN WITH BYPASS BARN STAB LE_SC04_MA MINIMUM TO THE (METER SHALL NOT BE _.. :; t (AGL) MOUNTED ON STREET SIDE) 1 " MINIMUM EXISTING UTILITY POLE BOTTOM OF 654S EQUIPMENT EXISTING UTILITY POLE 6545 PROPOSED LESSEE (1) #2 AWG COPPER SITE ADDRESS: GROUND WIRE INSIDE Xt" UV RATED PVC 8'-6" 960 MAIN ST. (AGL) n,^ •_, WEST BARNSTABLE. MA 02668 SHEET TIRE cRouND LEVEL -- - ELEVATION & PHOTO EIEV. = 0'-0"t A.G.L I I-1 I I=1 I I--!I I _I I —III=1 I I—I 11=1 11=1 I I.—' 40'—o'•t A.M.S.L _III=1fri III-IIII-r-III=III--III-III -- PROPOSED OR EXISTING ' I fl,— I I—III=I I II=III—I I I—I %"0x8' COPPER CLAD I I Ij I-jr�I I iI I-)11 — SHEET NUMBER GROUND ROD, V.I.F. ELEVATION 1 GRAPHIC SCALE �_� 2204 SCALE: 1/2"=1'—O" L-2 1 2 a s FEEI EXISTING PHOTO DETAIL 2 11x17 SCALE: 1/4"=V-0" SCALE: N.T.S L-2 LEASE EXHIBIT: M THIS LEASE PLAN IS DIAGRAMMATIC IN NATURE AND IS INTENDED TO PROVIDE GENERAL INFORMATION REGARDING THE LOCATION AND PROPOSED LESSEE PROPOSED (2) SIZE OF THE PROPOSED WIRELESS X 7.3"—�{ ---1 3.2" LESSEE RRH'S (2) RECTIFIERS COMMUNICATION FACILITY. THE SITE LAYOUT WILL W o ❑ o I (AC/DC CONVERTERS) BE FINALIZED UPON COMPLETION OF SITE W DE1SURVEY AND FACILITY DESIGN. (] PROPOSED LESSEE W STRUCTURAL NOTE: 7.6" 11.7"IE (1) METER MAIN 1. ANALYSIS OF THE CAPACITY OF THE EX WITH BYPASS (BELOW) EXISTING STRUCTURE TO SUPPORT THE PROPOSED LOADING HAS NOT BEEN COMPLETED BY HUDSON DESIGN GROUP, LLC. DRAWINGS ARE SUBJECT TO CHANGE PENDING H U D S O N OUTCOME OF A STRUCTURAL ANALYSIS. Design Group LLC 2.SHOP DRAWINGS OF FINAL EXTENSION 45BEECHWOODDRIVE TEL:(9781557.5553 EXISTING UTILITY POLE AND/OR ANTENNA MOUNT TO BE PROVIDED N.ANDOVER,MA 01845 FAX:1978)33655M 700/AWS DIPLEXER — 6.6 LBS 654S TO ENGINEER OF RECORD PRIOR TO CONSTRUCTION. PROPOSED LESSEE `\F� (2) DIPLEXERS DIPLEXER DETAIL 1 14'53 OW OF MOUNTED TO RRH BRACKET SCALE: N.T.S L-3 -' _r A7/ /H ELECTRICAL NOTES: '4 l"WF 120-240V, 1—PHASE, 3 WIRE: �r LUP `S� F/C USE MILBANK MODEL NO.: 'A F_z U2272—RL-5T9—BL METER SOCKET GRAPHIC SCALE RRH PLAN I l 0 .s 1 2 3 FEET "= L-3 USE SQUARE D MODEL NO.: 22x34 SCALE: 1 1'—O" 11x17 SCALE: 1/2"=1'-0" 00816L100RBCP LOAD CENTER (1) AISG CABLE (TO BE USED WITH THE RET CAPABLE ANTENNA. VERIFY PROPOSED ANTENNA (1) PROPOSED MODEL WITH RF ENGINEER PRIOR TO ANTENNA 12.0 CONSTRUCTION.) :O 2 (2) Y2- COAX CABLES = \ 2 SECONDARY 2 POWER LINES PROPOSED �' 1 �N i SMALL ELL �.;-�11 2" UV RATED U—GUARD FOR WEATHER HEAD (LEAVE CHECKED BY: JX COAX CABLES AND AISG CABLE 10' CONDUCTORS FOR (33.7 LBS) " i i O` ��•,\ 11U UTILITY CO. TIE INS) APPROVED BY: DPH FIBER FRONTHAUL �---2 & BACKHAUL (3) #6 AWG WIRE IN t ..�1 '•� _ .^� t a n �� 1" MIN. SCH. 40 SUBMITTALS '3 :p 1' =r 1 ¢js= " UV RATED PVC �< 1 o o o c== __ (1) FIBER DEMARC REv. DATE o6aa9noN er 2 ON POLE ANTENNA __ _ =9' (2) DIPLEXERS STAND—OFF 2 ___= 1 —— c___'t D FIBER JUMPERS ' ——— _ _ _— s to/u/n REVISED RRts aro aooR6s Er ASSEMBLY O i i , _—c_ o o ____ f — (4) J4" COAX CABLES o�02/n REVIsm unsr swios wt © 3 iz/zz/ts REVWONs aEfL coLOLE}!t5 L82 1 SERVICE AGGREGATION 2 10/zz/15 REVWNS PER COLo1fHt5 CP ( ) 1 10/IS/15 REV610NS PER cotnLExls cP ANTENNA ROUTER (SAR) (2) RRHS o to/oz/ts LEASE Ew®Ir R 3/8" THICK I MOUNTING PLATE FORMED PLATE 3 la ' = SITE NAME: UPPER PIVOT PLATE) o I CENTER STANLESS E;❑` J-y J` , FIBER JUMPERS (TYP.) STEEL SPHERICAL ��;I. � 1, zz� G' 5/16^ THICK PIVOT 3 �d . BARNSTABLE_SC04_MA FORMED PLATE (LOWER PIVOT PLATE n BACK UP PLATE WIRELESS CONSTRUCTION, INC..4- THICK DC POWER GROUND (#2 AWG YP.COPPER u 700 RRH AWS RRH RECTIFIERS (AC/DC CONVERTERS) POLE/WALL MOUNT FOR DUAL 0 ® RADIO BRACKET (TOTAL OF 2) RE ADDRESS: 960 MAIN ST. ITEM DESCRIPTION QTY. (2) DUAL RRH BRACKET — 27"x3"x2" — 19 LBS �� WEST BARNSTABLE, MA 02668 1 MOUNT 2 (1) 700 RRH — 21.6"HX12-WX9"D — 57.2 LBS 5/16" THICK 700 OR AWS RRH 1 AWS RRH — 25.8"HX12"WX7.3"D — 56.9 LBS SW 60A 2—POLE DISCONNECT -� -® ( ) SWITCH FUSED AND SHEET TITLE FORMED PLATE 2 RACK W/ SUPPLIED 1 (2) RECTIFIER — 14.1"Hx8.3"Wx3.5"D — 14.1 LBS (3) 20A 2—POLE CIRCUIT BREAKERS O #2 AWG COPPER HARDWARE (1) ROUTER — 2.6"Hx15"Wx10"D —. SEE ELECTRICAL NOTES) GROUND INSIDE PROPOSED 3'H ( EQUIPMENT DETAILS EXTENSION 3 AWS RRH RACK W/ 1 (2) DIPLEXER — 7.6"Hx7.3Wx2.6"D — 6.6 LBS J¢" UV RATED PVC SUPPLIED HARDWARE METER MAIN WITH BYPASS %"0x8' COPPER ANTENNA MOUNT DETAIL CLAD GROUND ROD - SCALE: N.T.S L-3 RRH &MOUNTING BRACKET 4 SHEEP NUMBER SCALE: N.T.S L-3 GENERAL WIRING DIAGRAM -DUAL RRHs 5 _ SCALE: N.T.S L-3 • m 2 W W Table 6H-2- Meaning of Symbols on Typical Application Diagrams Table.6W3. Meaning of Letter Codes''on Typical Application Diagrams ® Auuw Uuard p—{E ii 6wdrxhRnc:o Distance Between Signs- Speed(S) Taper Lenglh(L)In feet Q Road Type Aric•N upalp suVpaMta ValWt 9i anam'adn IWt A B C 'AS' LU O O O tsn m tacmpdvmi eP I g ) 40 mph or lase L=— J H ro yaat4a ._Baayaatyrrm sunpal aanar Urban(nig 6speed' 350 feet 350 feel 350'ket .60 Survrycr Urban(high apead)• �350 feet 350 feet 350 feat 45 mpn.ormore t— 'W$ ■ cnannolbng.de l•.e O Tamp-nba'br ® Rawl ;SOD feat SO00fee SDO feet H U D S O N Drawn chunan ® Tanp-a y ba In.xnn rmniny ngni� P/liare:i =.tapar IengBr in feet � E:xpressway/FreahraY 1,000 feat- t,500 feel. 2',640 feel W=width ofoNset In feet Drmionor t-npbrwv autliod5uar Design Group LLC L� Tadk a paleslrCncigna S =posted speed limit,or off-peak 85th•percer ile �► Dlieclbn o7 iretl: ttt Spaetl ntegory to ba tleta'mined try hlghi'.oY agency speed prior to work starting,,or the anticipated The columnheadin s A.B.and we the dim shasn in Figures 6H-1 throw h 6H•46.The A dimension is the opemtehg speed In mph 45 BEECHWOOD DRIVE IEL: 978 557-5553 Flegaar crick-rrhaimiedetlenuat_r 90 I I f~ d5ianraa from the transition or pant of restriction to the first sign.The B dimension isihe dietarrcebolvieenNe first and N.ANDOVER.PnA 01g45 FAX:(978)33b55g6 ® Wptr 3 barlpaua secarn!signs.The 0 dimension is the distance betr.'eerr the second and third signs.(The"fast sign"' the sign In a I40.1-Bt—nire dsvka ^ threa�aign series that is dosest to the TTC zone.The"tfad sifin is the s.gn that is furlhest upstream from the TTC zone.) iFla9veal, _lU7 'dlarnig licM' Q Lunuift"naldi[ohnelW'.ii datim ® a -.vwX epax �. Lurmraire PararnBrt mNTthgS'1nal5hWk1 UB {� �•,Vark hjci re \\\\\ rerrt�rep kr alonytaat phoum 1UGHT ROAD silouma NARROWS -1:00 100 FT ZZ W21—5a W5-1 (30m) WORK ZONE BUFFER L-/3. /� B CHECKED BY: JX APPROVED BY: DPH fill - - - � SUBMITTALS REV. GATE I OESCR1PIgN Eff �♦ ® �� 5 10/23/17 REVISED MM AND AWR SS ET 4 02/02/17 REVISED PER LATEST STANDS lot 3 12/22/15 REVISIONS PER COMMENTS lot 2 10/22/15 REV150NS PER CO MEN15 CP 1 10/13/15 RE\'M PER COEMERIS CP 0 1 10/02/15 ILEAM 00M JR SITE NAME: BARN STAB LE_SC04_MA SITE ADDRESS: 960 MAIN ST. WEST BARNSTABLE, MA 02668 SHEET TITLE WORK ZONE SAFETY TRAFFIC PLAN SHEET NUMBER WORK ZONE SAFETYTRAFFIC PLAN @ L-4 SCALE: N.T.S L-4 I TOXIN OF BARNSTABLE 1018 JAN 18 Pik 3. 40 _ t}IVISIOrY I I . t W 960 MAIN ST. , WEST BARNSTABLE MA 02668 = W BARN STAB LE SC04 MA cq W _ _ a J HAG HUDSON Design Group LLC ziv 45 BEECHw000ORIVE 1EL:19'%8155%.5553 N.ANOOVER,MA 01843 FAX:197813365586 91 Telco Co Pole Number # 6545 92 Electric Co Pole # # 35/654 Layout Plan Number 708-4 Nearest Stations 95-96 Latitude (N) 41' 42' 29.82" Longitude20.78" Which side of Highway NORTH 94 Ab 95 PROPOSED LESSEE ANTENNA AND LESSEE EQUIPMENT MOUNTED TO IXISTING UTILITY POLE 654S LOCATION LINES OF LAYOUTSTATE HIGHWAY +i PROPOSED POWER AND97 CHECKED BY: JX 98 FlBER RUNS FROM EXISTING UTWTY POLE 35/654 APPROVED BY: DPH 99 EXISTING UTILITY POLE SUBMITTALS 35/654 100 REV. DATE I OESCPoPIION By • 5 10/23/17 REVISED R M AND ADDRESS ET 4 OV02/17 REUSED PER LATEST STANDS W2 3 12/22/15 REVWNS PER 00109ATS MR 2 10/22/15 W4MS PER ODWE NTS CP 1 10/13/15 REVSgtS PER C0101ENIS CP 0 10/02/15 LEASE mm JR SRE NAME: BARN STAB LE_SC04_MA SITE ADDRESS: 960 MAIN ST. WEST BARNSTABLE, MA 02668 SHEET TM.E KEY PLAN 14'53 u" Uj FIELD INSPECTION DATE: 09-23-2015 S 4�CC SHEET NUMBER QZ QfZ N KEY PLAN 1 APPROXIMATE LAT: N41' 42' 29.82" SCALE: N.T.S L-1 COORDINATES: LONG: W70 22' 20.78" • ($TOP OF PROPOSED ANTENNA STRUCTURAL NOTE: LEASE EXHIBIT: ELEV. = 36'-2"t A.G.L 1. AN ANALYSIS OF THE CAPACITY OF THE THIS LEASE PLAN IS DIAGRAMMATIC IN NATURE 76'-2"t A.M.S.L EXISTING STRUCTURE TO SUPPORT THE AND IS INTENDED TO PROVIDE GENERAL _ PROPOSED LESSEE (1) PROPOSED LOADING HAS NOT BEEN INFORMATION REGARDING THE LOCATION AND ANTENNA 38.7"Hx12"0 COMPLETED BY HUDSON DESIGN GROUP, LLC. SIZE OF THE PROPOSED WIRELESS x OF PROPOSED ANTENNA DRAWINGS ARE SUBJECT TO CHANGE PENDING COMMUNICATION FACILITY. THE SITE LAYOUT WILL W Y ELEV. = 34'-6"t A.G.L OUTCOME OF A STRUCTURAL ANALYSIS. BE FINALIZED UPON COMPLETION OF SITE 74'-6"f A.M.S.L SURVEY AND FACILITY DESIGN. Uj 2.SHOP DRAWINGS OF FINAL EXTENSION ° AND/OR ANTENNA MOUNT TO BE PROVIDED Q PROPOSED 3'H FIBERGLASS TO ENGINEER OF RECORD PRIOR TO W EXTENSION CONSTRUCTION. APPROXIMATE LAT: N41' 42 29.82" J COORDINATES: LONG: W70' 22' 20.78" TOP OF EXISTING UTILITY POLE ELEV. = 29'-0"t A.G.L H U D S O N 69'-0"t A.M.S.L ; ; : \�� - - Design Group LLC I 45 BEECHWOODORIVE TEL:(918)557-5553 I I PROPOSED LESSEE (1) WEATHERHEAD PROPOSED 12"0 X 38.7"H N.AND0 ER,MA 01845 FAX:1978I 3365M6 EXISTING GUY WIRE ; I I ANTENNA MOUNTED ON TOP ELEV. = 28'-8"t A.G.L ' I I 1 OF EXISTING UTILITY POLE 68'-8"t A.M.S.L 1�1 PROPOSED LESSEE (1) #2 AWG COPPER GROUND WIRE EXISTING POWER LINE PROPOSED LESSEE 2 X- COAX PROPOSED SH FIBERGLASS I ELEV. = 26'-7"t A.G.L I i AND (1) AISG CABLE INSIDE 2" U-GUARD EXTENSION 66'-7"t A.M.S.L �� I i (AISG CABLE TO BE USED WITH THE RET CAPABLE ANTENNA. VERIFY PROPOSED ANTENNA MODEL WITH /_�`b ISTING_ -_ RF ENGINEER PRIOR TO CONSTRUCTION.) / GUY WIRE PROPOSED FIBER RUN FROM EXISTING UTILITY POLE 35 654 ELEV. = 21'-O't A.G.L ij PROPOSED 4' CLEARANCE FROM SECONDARY POWER EXISTING POWER LINE 61'-O"f A.M.S.L O EXISTING UTILITY LINE i PROPOSED LESSEE (3) #6 AWG WIRES INSIDE ) ELEV. = 20'-0"t A.G.L I PROPOSED LESSEE (1) W RATED 1" MIN. 60'-0"t A.M.S.L I SCH. 40 PVC CONDUIT I PROPOSED FIBER ; I EXISTING UTILITY I LINE PROPOSED DEMARC BOX BY FIBER IKE R, ���/// CONNECTED TO FIBER ABOVE BY FIVIDER i ' r I EXISTING GUY WIRE '► � �` -H -H PROPOSED LESSEE FIBER JUMPERS lcq (FRONTHAUL & BACKHAUL) I '1 o PROPOSED DEMARC BOX BY FIBER PROVIDER, k/ CHECKED BY: JX n r�i N PROPOSED LESSEE (2) SINGLE PHAIFIER ' CONNECTED TO FIBER (AC/DC CONVERTER) (TOTAL OF 2 RACKET) ABOVE BY FIBER PROVIDER 6 APPROVED BY: DPH PROPOSED LESSEE DIPLEXER i r I (TOTAL OF 2, BOTH INSTALLED SIDE + PROPOSED (2) LESSEE REMOTE RAD (RRH) I BY SIDE ON BACK OF BRACKET) T SUBMITTALS (INSTALLED INSIDE BRACKET) PROPOSED LESSEE REMOTE ! RE CATE DESMn0N I RADIO HEAD (RRH) I PROPOSED LESSEE (1) SERVICE AGN ROUTER ' (TOTAL OF 2, BOTH fI ( ) INSTALLED SIDE BY SIDE 1' tt INSIDE BRACKET) Il s 10/23/0 MISED MNS AND Ass Er PROPOSED LESSEE (1) 60 AMP 2- ISCONNECT 1; ' 4 02/02/17 WSED PER LATEST STANDS Lot SWITCH FUSED AND (3) 20 AMP 2- IRCUIT PROPOSED LESSEE (1) 60 3 12/22/15 RE WIS PER oowENISJIR BREAKERS AMP 2-POLE DISCONNECTSWITCH FUSED AND (3) 20z 1o/2z/Is REvmoEs PER cowB+rsPROPOSED LESSEE (1) METER MAINYPASS AMP 2-POLE CIRCUIT , 1 1o/13/15 REvsM PER ODWAM(METER SHALL NOT BE MOUNTED ON STREET SIDE) BREAKERS o 10/02/1s tusE EXRIBIT PROPOSED LESSEE (1) t SME NAME: METER MAIN WITH BYPASS 11'-6"t (AGL) (METER SHALL NOT BE BARN STABLE_SC04_MA MINIMUM TO THE MOUNTED ON STREET SIDE) ' EXISTING UTILITY POLE BOTTOM OF 654S EQUIPMENT EXISTING UTILITY POLE PROPOSED LESSEE (1) #2 AWG COPPER 654S SrrE ADDRESS: GROUND WIRE INSIDE X" UV RATED PVC 8'-6" ? •:-ti 960 MAIN ST. (AGL) WEST BARNSTABLE. MA 02668 SHEET TITT.E ($ELEv.GROUND LEVEL �_ �:. a~- { 0 = ELEVATION & PHOTO E 0'-0"f A.G.L 'I—III=1 I I— I I—I I —III=1 I I—III—III—III. 40'-O"t A.M.S.L —III—i I—I f I—II I I—I:I 11=III—III—'I' oY PROPOSED OR EXISTING I,!I I=I I'=I I'El I I—I I %'Ox8' COPPER CLAD -III I= IIJI I� -j I I—III-1 I SHEET NUMBER GROUND ROD, V.I.F. - GRAPHIC SCALE ��G n ELEVATION 1 0 1 2 4 6 FEET ^ 22x34 SCALE: 1/2"=1'-O" L-2 EXISTING PHOTO DETAIL I L l 11 x 17 SCALE: 1/4"=V-0" SCALE: N.T.S L-2 LEASE EXHIBIT: M THIS LEASE PLAN IS DIAGRAMMATIC IN NATURE •.. AND IS INTENDED TO PROVIDE GENERAL PROPOSED (2) 1 PROPOSED LESSEE INFORMATION REGARDING THE LOCATION AND 7.3" ----1 3.2" LESSEE RRH'S (2) RECTIFIERS SIZE OF THE PROPOSED WIRELESS X COMMUNICATION FACILITY. THE SITE LAYOUT WILL W O 0 (AC/DC CONVERTERS) BE FINALIZED UPON COMPLETION OF SITE Cl SURVEY AND FACILITY DESIGN. LU O PROPOSED LESSEE W STRUCTURAL NOTE: 7.6" 11.7" E (1) METER MAIN 1. AN ANALYSIS OF THE CAPACITY OF THE WITH BYPASS (BELOW) EXISTING STRUCTURE TO SUPPORT THE PROPOSED LOADING HAS NOT BEEN COMPLETED BY HUDSON DESIGN GROUP, LLC. OO O rpm^ DRAWINGS ARE SUBJECT TO CHANGE PENDING H U D S O N OUTCOME OF A STRUCTURAL ANALYSIS. Design Group LLC 2.SHOP DRAWINGS OF FINAL EXTENSION 458EECHWOOD DRIVE TEL:1978)557-5553 EXISTING UTILITY POLE AND/OR ANTENNA MOUNT TO BE PROVIDED N.ANDOVER.MA 01845 FAX:(978)3365W 700/AWS DIPLEXER — 6.6 LBS 654S TO ENGINEER OF RECORD PRIOR TO CONSTRUCTION. PROPOSED LESSEE `\Fz (2) DIPLEXERS DIPLEXER DETAIL 1 14'53 O�VOP MOUNTED TO RRH BRACKET SCALE: N.T.S L-3 A7J T ELECTRICAL NOTES: �? x '4� `'`�P 120-24OV, 1—PHASE, 3 WIRE: �a NSr. F�L' USE MILBANK MODEL NO.: 2� z U2272—RL-5T9—BL METER .2 X RRH PLAN �� GRAPHIC SCALE SOCKET 2 0 .5 1 2 3 FEET L-3 USE SQUARE D MODEL NO.: 22x34 SCALE: 1"=1'-0" 11x17 SCALE: 1/2"=1'-0" 00816L100RBCP LOAD CENTER (1) AISG CABLE (TO BE USED WITH THE RET CAPABLE ANTENNA. VERIFY PROPOSED ANTENNA (1) PROPOSED MODEL WITH RF ENGINEER PRIOR TO ANTENNA 12"0 CONSTRUCTION.) ;O 2 i (2) Y2" COAX CABLES 1.0 SECONDARY Tt' POWER LINES PROPOSED 1 �N Q AM N—NACELL �.0!! 2" UV RATED U—GUARD FOR WEATHER HEAD (LEAVE CHECKED BY: JX °Nnt (33.7 LBS) e Q Q N ' !1U COAX CABLES AND AISG CABLE UTILITYNDO.CTER INS)FOR :B``�• �• _ FIBER FRONTHAUL �� APPROVED BY: DPH & BACKHAUL (3) #6 AWG WIRE IN �� 1" MIN. SCH. 40 SUBMITTALS .3 '� r' _ (1) FIBER DEMARC UV RATED PVC TO, DATE DESCRIMN ar ON POLE a Q __ __; (2) DIPLEXERS ANTENNA STAND—OFF 2 C =c _ _° FIBER JUMPERS s 10/23/17 REVISED WIS AND ADDRESS ET ASSEMBLY (4) Xz" COAX CABLES a o2/oz/n �vn PER taTESr srANOs !m `, _— I• —d I 3 12/22/15 REVISIONS PER COAQIENIS IQt 2 10/22/15 REVISIONS PER CO10kNfS CP _' ` t., (1) SERVICE AGGREGATION t 1o/13/u RE MIS PER COMMIDITS OP ANTENNA ROUTER (SAR) (2) RRHS o to/oz/ts LEASE E08&f rR 3/8" THICK I MOUNTING PLATE — 1 FORMED PLATE FIBER JUMPERS TYP. WE NAME: UPPER PIVOT PLATE) o CENTER STAINLESS =I; _ �I, = k ( ) STEEL SPHERICAL 5/16 THICK i; PIVOT 3 F' �� ,b '" 2—Z BARNSTABLE_SC04_MA FORMED PLATE (LOWER PIVOT PLATE ° 1/4" THICK DC POWER #2 AWG COPPER eztzz:zBACK—UP PLATE WIRELESS CONSTRUCTION, INC. 700 RRH AWS RRH RECTIFIERS (AC/DC CONVERTERS) GROUND (TYP.) POLE/WALL MOUNT FOR DUAL SflE ADDRESS: 0 _ ® RADIO BRACKET ' (TOTAL OF 2) �� 960 MAIN ST. ITEM DESCRIPTION QTY. (2) DUAL RRH BRACKET — 27"x3"x2" — 19 LBS WEST BARNSTABLE, MA 02668 1 MOUNT 2 (1) 700 RRH — 21.6"HX12 WX9"D — 57.2 LBS (1) 60A 2—POLE DISCONNECT 5/16' THICK ® 700 OR AWS RRH (1) AWS RRH — 25.8"HX12"WX7.3"D — 56.9 LEIS SWITCH FUSED AND SHEET WILE FORMED PLATE 2 RACK W/ SUPPLIED 1 (2) RECTIFIER — 14.1"Hx8.3"Wx3.5"D — 14.1 LBS (3) 20A 2—POLE CIRCUIT BREAKERS O #2 AWG COPPER HARDWARE (1) ROUTER — 2.6"Hx15"Wx10"D — SEE ELECTRICAL NOTES) GROUND INSIDE EXTENSION PROPOSED 3'H 3 AWS RRH RACK W/ 1 (2) DIPLEXER — 7.6"Hx7.3"Wx2.6"D — 6.6 LBS ( J¢" UV RATED PVC EQUIPMENT DETAILS SUPPLIED HARDWARE METER MAIN WITH BYPASS %"0x8' COPPER ANTENNA MOUNT DETAIL 3 - CLAD GROUND ROD SCALE: N.T.S L-3 RRH &MOUNTING BRACKET 4 SHEET NUMBER SCALE: N.T.S L-3 ` GENERAL WIRING DIAGRAM -DUAL RRHsr5 It SCALE: N.T.S L-3 I L._3 a S r � ■mom 2 Iss— W W Table 61-4-2_ Meaning of Symbols on Typical Application Diagrams Table.61-1-3. Meaning of Letter Codes on Typical Application Diagrams N ® A aw b.x_d Bnmrxvcnec P ) P g! ) Distance Between Signs`" Speed 5 Taper Length L In feet W Road Type t60 A ICN ede eLl%ylpllelWl M Sign i111—'adng Mij) 11 A B C 40 mph or Is. L. b0 J O 00 t nrnm 2ridg nT.rn) Urban Bow 6peed)• �100 rest 100 feet 100 feet �� fhanyaatia svnya styn m"suhllD:l l:adsr (D Surveyor - Ulbon(high speed)' '350 feet 050taet 350 feet 45mph.oimoie L= 'WS ■ rNa"ngli ngae,�— 0 T—peiarybaui., ® Rural 500I.et SOOFeeI Saoleet H U D S O N .Green cusnion ® TWYporalybaRlBr'AtIh V.VMngllga: Whore L --taper of offset it feel . Ezpresaway-/Freelr4y ,1,000 kat 1,500 feet 2;6401eet W='.vidth oroffsetlmfeet I . DiimirioftempomrytretfieOstur 'de:fko1Dadastry-Ulal S=postedspeed limit,oreff-peak85th-percentile Design Group LLC Speed mlegorylo be determined by hi0hi-my agency speed prior to work starting,or the anticipated y Dlledan of freffh i operating speed In mph 45 BEECHWOOD DRIVE iEL:I97BI 557-5553 aucq•moimied attemlatcr "The distance he the s&gsA.B.ond'C t 618redimen tonashists gn.Th es 6H•1throughsisthie•6.distance The Adimeasthe is the f~ Fleggal ® distance he.Me-transition or paint ql restriction to the'frst sign.The Bdimension i6 the distance Dery een the first and N.ANDOVER,MA 01845 FAX:(976)3365586 ® Type 3ba—U. ..it signs.The C dimension IS the distance beWeen the second 811E third signs:.(The'first Sign-IS the sign In a Hlgh•lerel,earn"vg demo. threecign series that is doses)to the TTC zoos.The'ttdrd sign'is the sign that is fur lhestupstream from the TTC-zone) (Flag Ir..) 10-4 Ilgm Q Lwglludinal uh—WiAng dwba ® ' Workgpd;X Lulnimire \\\\� Pa'remer tcia I.,r'SIag3•th3t shouU Ue r� ,,.York sclic!D er—d l lo:ig:ar:pru;ed Rislrt ROAD SHOULDIM, NARROWS _ 1 W -1" 100 FT W21-50, 5 (30m) WORK ZONE BUFFER ICHECKED BY: JX APPROVED BY: DPH SUBMITTALS REV. DATE DFSCRI]IIM Br r � sssssstlll� 5 10/23/17 REVISED WES AND ADDRESS ET 4 02/02/17 REVISED PER LATEST STANDS dJR - 3 12/22/15 REVWS PER C01WDR5 2 ID/22/15 RVAM4S PER C0101ENI5 1 10/13/15 W4MS PER 00MMMIS 0 10/02/15 LEASE DODBR SITE NAME: BARN STAB LE_SC04_MA SITE ADDRESS: 960 MAIN ST. WEST BARNSTABLE, MA 02668 SHEET TITLE WORK ZONE SAFETY TRAFFIC PLAN SHEET NUMBER WORK ZONE SAFETYTRAFFIC PLAN L-4. SCALE: N.T.S 1 L-4 t TOWN OF BARNSTABLE 7018 JAN 18 Pil 3,. 40 DYVISION i i i �4 i