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0065 SEA STREET EXT
Ex4 I� S i i I - Lauzon, Jeffrey { From:- Lauzon,Jeffrey Sent: Friday, April 20, 2018 10:30 AM To: 'npelletier@trmcom.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-18-881 Applicant, Please be advised that the above application is denied for the following reasons: 1) Plans submitted show an existing 19.5 foot pole replaced by a 45 foot pole which would require Zoning Board of Appeals approval (not included in submission). 2) New pole would require an engineered plan by a-Massachusetts design professional. Please do not hesitate to contact this office with any additional questions.Thank you. Jeffrey Lauzon Chief Local Inspector (508) 862-4034 jeffrey.lauzon(a)-town.barnstable.ma.us 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 13UILDING DEPT. Map v Parcel Application # Health Division MAR 27 2018 Date Issued Conservation Division ��n TOWN OF iARNSTABLE Applicationa'an.�� Planning Dept., Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Spy, cA- Project Street Address 6 �.� Nonoib,m R l-a(r0`� Village �nrno Owner &SUI)(0-.2 Address A_STA-V_ iiOr..44 Telephone Permit Request �f�c`z�,n (k,�aM JAQ, in Toz0(\i 4 w�l"e na a Cam. , .PCD pLpwWjVJc a �tvnA �21�2J14tS11`�C� r rts& 9-7 r*-h Square feet: 1st floor: existing proposed 2nd floor: existing _proposed-Q Fl Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 19 506 0 Construction Type Lot Size Grandfathered: ❑Yes )1 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) n Age of Existing Structure 0 Historic House: ❑Yes �4 No On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Y) )Pt Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) n Number of Baths: Full: existing_ new er Half: existing new Y--� ) Number of Bedrooms: existing —new 1 ^ Total Room Count (not including baths): existing newT First Floor Room Count n A Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other r ) 1 1 1 Central Air: ❑Yes A No Fireplaces: Existing—New�� Existing wood/coal stove: ❑Yes 7�(No t\ Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �T( Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes \4"No If yes, site plan review # Current Use M -u D4 Q Proposed Use 1 _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1 Telephone Number "� ��S Jr- 0040 Address c7, MtAA pi 5+ License# �'��-�°j�(pJs(or� Home`(mprovement Contractor# Email ��(J-Q,� ('t�.-�CY�f\C6`cn•�,t1YY1 Worker's Compensation # �.1 ,�h�, c to ct I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO g"'Nu r\,#a)0ly SIGNATURE DATE 3 q,0 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �p DATE CLOSED OUT f' ASSOCIATION PLAN NO. M� P, TOWN OF BA'RNSTABLE.BUILDING PERMIT APPLICATION ! - G r ,. Map L� Parcel �� r Application #. r Health Division Date Issued Conservation Division 'mil. Application FJ 3 J Planning Dept: Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner 1)iXrP Address Lho- AYTAY2 10r, Is lyn .tnn Telephone y _ Permit Request (,s-1,t � \AL(_ k,- <-roc 0 i, � c, C Y VY)CA .`C1��Z' ��� 1 ck-ukUft"�_ � (� L,k1 h\f(t 0 J h 4 . a t* Square feet: 1 st,floor: existing t proposed.�1� 2nd floor: existing proposed 0 1 A Total new Zoning District CC44`` Flood Plain Groundwater Overlay, Prcject Valuationl�\19 500' Construction Type - "'� Lot.Size-,.- Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type:. Single Family ❑ Two Family ❑ Multi-Family (# units) 11 . Age of Existing Structure >� - Historic House: ❑Yes �No On Old King's Highway: ❑Yes''A No Basement Type: ❑ Full 0 Crawl ❑Walkout ❑Other n )PT }} Basement Finished Area (sq.ft.) n 1 n Basement Unfinished Area (sq.ft) ` n.1 Number of Baths: Full: existing 0 A new 1 P Half: existing new � t 9 Number of Bedrooms: C\ �k existing —new Total Room Count (not including baths): existing i^� new 0 (A First Floor Room Count Heat Type and Fuel: 0 Gast ❑ Oil ❑Electric ❑ Other s Central Air: ❑Yes No Fireplaces: Existing New l Pt Existing wood/coalistove.:. ❑Yes U'No N1�P\Detached garage`0?existing kD new Pooh:0 existing ❑ new size _ Barn: 0 existing ❑ new size_ Attached gayyrage-U existing) ❑ new sizei Shed: ❑ existing ❑ new size_ Other: Pr 1 f J �: Zoning Boardiof Appeals Authorization ❑ Appeal# � `Recorded ❑ � - ,. Commercial ❑Yes r �Z//No If yes,. �, site plan review# Current Use )r(c Proposed Use 1I APPLICANT'INFORMATION (BUILDER OR HOMEOWNER) r Name Telephone Number Address L License # C?et lC ) �a Home Improvement Contractor# ` Y Email �(lr�.r�"1-Q���.�YYl(b�t�Y coy) Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r Y11Ck 00'e,e Yt I s '0 SIGNATURE DATE ►�4 Y E FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE a ask OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I l s APPENDIX IV- Form 1 APPLICATION AND POLE ATTACHMENT LICENSE Licensee VERIZON WIRELESS Street Address ONE VERIZON WAY,MAIL STOP 4AW100 City,State and Zip BASKING,RIDGE NEW JERSEY 07920 Dale 1/13/17 In accordance with the terms and conditions of the Pole Attachment Agreement,application is hereby made for a license to make 1 Antenna attachment(s)to polefl No Taglocated in the municipality of Itparitfis in the State of MASSACHUSETTS. This request will be designated Pole Attachment License Application Number HyannisSCOMA-403613 Attached are my power supply specifications if applicable.The cable's strand size is 0.5 and weight per foot of cable is 0.2. i C:uuru1unii.ul ttn Same hover/Sunnly Snacc l Licensee's Name(Print)VERIZON WIRELESS By: Name Barbara Kassabian k 3 i Signature 8cwUaYwKa43V.1>icuti NSTAR d/b/a EVERSOURCE Power Company Title Site Acquisition Tel.No.603-303-8001 1 Fax No. E-mail bassabian@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 J01 poles, _ attachments to FO'- poles, attachments to JU'poles, Power Supplies and other attachments located in the municipality of in the State of` ..__.. as indicated on the attached Form 3 Licenser's Name(Print) „w jQr0c, 0.w-W Signature AGREEMENT ID# Title i Date "� Tel.No. f 5 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 EVERSOURCi i f l i Form 2 AUTI-IgRI7ATION FOR FIELD SURVEY WORK Licensee: Verizon Wireless In accordance with Article III&Appendix I of the Pole Attachment Agreement, following is a summary of the charges which will apply to complete a field survey covering Pole Attachment License Application Number HyanniAC07MA-403623 in the municipality of tipa"11 s i[i the State of Massachusetts FIELD SURVEY CHARGES field Stirvey #Poles Unit Rate Total Field Survey Application Fee 1 pole $139.00 $ 139.00 (includes lstpole) Field Survey 2-200 Poles $ 13.45 ner Pole $ Additional Travel Time* $20000)Zr Day $ TOTAL Charges $$139.00 *Based on average of 75 poles surveyed per day,add$200.00 travel time for each additional day required to complete survey. Please note,if you calculated the cost incorrectly,your check will be returned and a new check for the correct amount must be received by this office in order to schedule the survey. If you need assistance,please call the HOTLINE on 800-340-9822. The required field survey covering Pole Attachment License Application# HvannisSC07MA-403623 is authorized.I am enclosing an advance payment in the amount of$ 139.00. Licensee's Name(Print)Barbara Kassabian Signature 43CWbCWGI�Xa440b&(-W Title Site Acquisition b Address 16 Chestnut St, Suite 420,Foxboro,MA 02035 Tel.No. 603-303-8001 Date VW17' i Revised 03/06/2015 Eversource Energy FORM 3—EVERSOURCE ITEMIZED Pole Make-Ready Work Charges PAGE OF RCE to Complete: Total Poles Surveyed Total Poles Requiring NSTAR Make-Ready Appendix IV Form 3 FIELD SURVEY J MAKE READY WORK FORM SURVEYORS: DATE OF SURVEY: CWO #: Verizon MUNIC:H annis STATE: MA Exch Code: Munic Code: Licensee Barbara Kassabian LICENSEE NAME: Verizon Wireless LICENSEE APPLICATION#: HyannisSC07MA-403623 EVERSOURCE ELCO NAME:EVERSOURCE NSTAR APPLICATION# LOCATION POLE# ATT OWNER ShTiP CHARGE WORK DESCRIPTION TEL RTE/STREET NAME Tel El F/C J.O. J.U. F.O. YES NO TASK#S / *Height List one pole per line P.S. Tei Ei Tel El Tel ET REMARKS of Att. Rise r 276 North St NiA NiA 11j TOTALS: • Hejgtxt of Attachment=Height of Licensee Attachment shan be 40"below.ELCO MGN unless otherwise noted here-*y Veiiian and EVERSOURCE survevar. Revised 03/06i2015 • Licensee to co ..Yete bold i&Ziciied areas a€zTit.I Provide ewnei-ship zn armalt*A f axown Revised 03/06/2015 � I I i EVERSE..URCE - Work Order Application i FOR KEN KENDRICK: Customer Request In-Service Date: 4/13/17 WO Received Date: _ Service Address:Street: ,276 North St Suite: Town: Hyannis Zip:02601 Customer Of Record: I Customer Responsible for Payment of Monthly Electric Bills Name to appear on Monthly Bill: Ceilco Partnersilp DBA—C/O Name: Verizon Wireless Billing Address: P.O.Box 2375,Spokane,WA 99210-2375 Telephone:_Tax ID Number: TBD a Existing Account or Meter Number(if applicable): i Property Owner Name(if different from above): Owner Address: ! Owner Phone Number: Party Responsible for Construction costs associated with work order(if different from above) Name:Verizon Wireless Address: 118 Flgnders.Road 3rd floor_,UVestboroudh,M,'6 Q1581 Phone Number 508-320-2017 Please Note that Articles of Incorporation are required for new commercial EVERSOURCE Customers Type of Service Requested: (Circle Appropriate) X New Service Service Upgrade Service Relocation Temporary Service Pole Relocation Disconnect/Reconnect Service Removal Metering Only OH Service from Pole, Pole#: UG Service from; Riser-Pole#: Padmount# i Customer Loading Brief Description of Work Attach (1): antenha,_(2) RRH/Cabinet and Type of Load New Connected Load in KVA W t11 er to the }pole. Will require 60 amo Sin /e Phase Three Phase single phase service. Lighting Electric heat Air Conditioning Refriaeration Cooking Electric Dryer Water Heater Computer Process Eauii). 14.4 Motors/Elevators Miscellaneous Totals 14.4 Number of Meters Required: Residential: Commercial: 1 Public: Main Switch Voltage: Amperage. Phase: a Service Voltage: Amperage:. Phase: Facility Type(le:school, hospital): Telecommunications New Building Square Feet: ALL 480V SERVICES REQUIRE COLD SEQUENCE MI",TERING(DISCONNECT SWITCH ON THE LINE SIDE OF THE METER If more than 1 meter is required, how will meters be labeled?(ie: Unit 1,2,etc, Unit A,B,etc.) Additional Equipment: Generator: KW: Phase: Purpose: Motor(S) : Total#: Largest HP: Phase: Locked Rotor AMP:, Type of Starting Compensation(choose one): Hard Soft Capacitor VFD *See Article 902 of EVERSOURCE Information and Requirements Book for Maximum LR current and Three Phase Protection* . Contact Name(circle appropriate): Customer/Contractor/Consultant: Barbara Kmabian Street Address: 1w6-Chestnut Street;Suite 420 City, State, Zip: Foxbarb MA 02035 Telephone: Best Time to Call:mo,i►ay_f?j&av:x Pager: Fax: ¢ Cell: 603-303-8001 Electrician: TBD License Number: I Business Name:Verizon Wireless Street I Address:Jj 8 Flanders Road..3rd Floor City, State,Zip: Westborough,MAA1581 Telephone: 608020,-2017 Best Time to Call: Pager: Fax: Cell: i Please note that by Interconnecting with the EVERSOURCE Distribution System the Customer of Record acknowledges that they have reviewed and are in compliance with the EVERSOURCE Information & Requirements for Electric Service(Blue Book). For New Commercial Services, New Residential Developments, New 13.8 kv Two Line Station Electric Service, please provide (2) copies of City/Town approved site plans that illustrates the new facility location and the proposed i location of the new utilities(electric,gas,water,sewer,telecommunications)and a One-Line Diagram. For Service Increases at existing facilities,please submit a One-Line Diagram if available. For New Residential Services where a pole must be set, please provide(2)copies of a site plan that illustrates the proposed location of the new facilities. I For Temporary Service Requests,please provide(2)copies of a site plan illustrating service location. You may Fax this Form or mail any additional correspondence to: EVERSOURCE ENERGY Electric and Gas One NSTAR Way Westwood,MA,02090 Tel: (781)441 —3851 Fax:(781)441-3194 Cell:339-987-7059 H, Kendrick SW340 FOR NSTAR USE ONL Y EVERSOURCE Revenue Allowance: EVERSOURCE Rate: '. KVA or KW rating of Existing Loads(if applicable): Existing Winter Peak Demand: Month/Date/Year: Existing Summer Peak Demand: Month/Date/Year:_ I LEASE EXHIBR: _. THIS LEASE IS SCHEMATIC IN NATURE AND 6 INTENDED TO PROVIDE GENERAL INFORMATION REGARDING THE ! ` '^• _ ' LOCATION AND SIZE OF THE PROPOSED A " WIRELESS COMMUNICATION FACILITY, THE SITE LAYOUT WILL BE FINALIZED UPON COMPLETION OF THE SITE SURVEY AND FACILITY DESIGN. to g s. C_TRUCTU NOTE A STRUCTURAL ANALYSIS SHALL BE PERFORMED ON EXISTING UTILITY POLE � - t � • .a PRIOR TO CONSTRUCTION AND SHALL BE THE RESPONSIBILITY OF UTILITY CO. ' j' F R LA1,1,6 N NOTE INSTALL ALL EQUIPMENT, MOUNTING _ ..< i „= ••. �' s "� *�. t ,.r �;, s r BRACKETS AND HARDWARE M _- ACCORDANCE WITH MANUFACTURER'S RECOMMENDATNNIS ELECTRICAL NOTE ' GENERAL WIRING DIAGRAM AND NOTES TAKEN FROM E—MEND BY JAMES F.GVAZDAU4(AS, RE DATED DECEMBER 1. 2015 w P u w�2> - t s COORDINATED NOTE- COORDINATES AND AMSL ELEVATION BASED FROM FAA-2C CERTIFICATION A ate' x r •« DATED 08/08/2016. A METES AND BOUNDS SURVEY WAS NOT CONDUCTED f A •r s ' r xs ° y' * T g rsT9,1A'tE 6 POLE DOES NOT FALL WTTHIN HIGHWAY PERIMETER LAYOUT. a, E LEGEND (F) = FUTURE(BIACIO (E) = EXISTING(YELLOW) (P) = PROPOSED(BLACK) APPROX. LOCATION (PI unLaX POLE (AGL) = ABOVE GROUND LEVEL TRUE NORTH (AMSL) = ABOVE MEAN SEA LEVEL NAD 83 LATITUDE. 41'39' 03.01' 1 SITE PLAN N.TS. = NOT TO SCALE NAD 83 LONGITUDE —70' 17' 33.42' MASSOOT HIGHWAY LAYOUT PLAN(WHITE) LE-1 SCALE 1'=50' 0. 25' S0 1T10 GROUND El"ATION: 30.0'AM5L HYAN N IS MA SC07 LEASE EXHIBIT DATE; 08/26/2016 . ~T DRAWN BY: JWH ADVANCED 1s erizonwirPless DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 276 NORTH STREET Civi:Et2inrring-SixDCv loom^n1 VERIZON WIRELESS HYANNIS MA - SCALE: 1"=50' 400 FRIBERG PARKWAY 02601 HYANNIS MA SC07 1 Surecying-Tc1ccommutica6ons WESTBOROUGH, MA 01581 SHEET.• 1 OF 5 PROPOSED ANTENNA SHALL BE 4'-0• MIN. FROM SECONDARY POWER AND 6'-0 MIN. FROM PRIMARY POWER O (P) 12.0.0 X 38.7 H ( ELEV. = 43.3±AGL 73 3't�5) NH DOM-X 38CR a NH360QM-DG-2XR ANTENNA 4i It MOUNTED TO (PXR ANTENNA ....... .�-�� � a MOUNTED TO (P) UTILITY POLE MOUNTED TO (P) UTILITY POLE _.. q,of( )A`N[£ NA (P)ANTENNA MOUNTING BRACKET ELEV. 41.6-.71.6i AMSL) (P) 45' TALL VERIZON (P) i4) JUMPERS IN UTILITY POLE TO REPLACE (P) ANTENNA GROUND WIRE 2' ll-GUARD 70P OF:(P) UTILITY POLE (E) 19.5'AGL GUY POLE (P) POWER WEATHERHEAD ELEV. =39.0;k AGL{69L0+A (P) POWER TO (P) METER FROM PROVIDER 1 (r` (P) 45'TALL VERIZON U11UTY POLE TO REPLACE (E) 19.5' AGL GUY POLES - (P)TELCO TO (P) RRHs FROM PROVIDER - (E) GUY WIRES TO BE E77kr-. Jas e T REATTACHED TO (P) UTILITY POLE x m- .3 ®ORIGINAL AGL IYP. OF (2) :,� (P) SAR-0 MOUNTED„ (P)AWS RRH, (P) 700 MHz RRH, (E) LIGHT TO REATTACHED TO _� V T TO (P) Ui1LTIY POLE (P)(2) DIPLEXERS do(P) DELTA (P) UTILITY POLE® ORIGINAL AGL,�^`(, va fi1 - AC/DC CONVERTER MOUNTED TO (P) FIBER, 2• U-GUARD TO (P) SAR-0 y (P) UTILITY POLE (P) AWS RRH, (P) 700 RRH, (P)(2) t`. L y DIPLEXERS k (P) DELTA AC/DC CONVERTER i (P)SAR-O MOUNTED 6 MOUNTED TO (P) unL111'POLE BOTTOM OF(P) RRH a E TO (P) UTILITY POLE,,' CONIVVM El EV. 12S�t AGL(F2 5 t:AMSL - r ;(P)AC/DC CONVERTER (P) ELEC. RGS MOUNT=DO TO (P POLE ) rvMOUNTED TO (P) UTILITY POLE CONDUIT TO (P) METER (P) 200 AMP METER (P) GROUND WIRE FROM (P) 1J=KET W/60 AMP ' METER TO P GROUND ROD 0?SNHECT MOUNTED N O b n(P) UDLTiY POLE m i (P) 200 AMP METER SOCKET W/60 AMP DISCONNECT (P) GROUND ROD MOUNTED TO (P) UDUT•t' POLE O PHOTO ELEVATION � -- LE-2 SCALE 1•=10' LEC�NC} (F) = Fl]r1,RE cx) ELEVATION (E) a COST."(;(W-)... INSTA(jJaTION NOTE: STRUCTURAL NOTE: (P) .. PROPOSED(6LAC7:) LE-2 SCALE: 1•=10' INSTALL ALL EQUIPMENT, MOUNTING A STRUCTURAL ANALYSIS SHALL BE BRACKETS AND HARDWARE IN PERFORMED ON EXISTING UTILITY POLE (AC) _ A341 GROUFtT>(EvEt 5 0` ACCORDANCE WITH MANUFACTURER'S PRIOR TO CONSTRUCTION AND SHALL (AUS€) g. AFO*MEAti SEA€E141 RECOMMENDATIONS BE THE RESPONSIBILITY OF UDLTTY CO. t1:T4 - N0T'TO SCALE ^R HYANNIS MA SC07 LEASE EXHIBIT DATE: 08/26/2016 DRAWN BY. JWH DVANCE:D VERIZON WIRE DRAWING NUMBER REVISION CHECKED BY: SNA E ENGINERING GROUP, P_C- 276 NORTH STREET CivilEngincerin g-SileDeveloment WIRELESS HYANNIS MA SCALE: AS NOTED P 400 FRt9ERG PARKWAY 02601 HYANNIS MA SC07 Z Sun•eying-Telecommuaications WESfBOROUGH, MA 01581 SHEET: 2 OF 5 INSTALUTION NOTE: (E) GUY WIRES TO BE ` (P)TELCO BELOW (E)RELOCATED Y POWER INSTALL All EQUIPMENT, MOUNTING REATTACHED TO (P) UTILITY POLE RELOCATED � (P) 12:0°s X 3B.7"H BRACKETS AND HARDWARE IN 0 ORIGINAL AGL,TIP. OF (2) NH3600).-DG-2XR ANTENNA ACCORDANCE WITH MANUFACTURER'S (P) SAR-0 MOUNTED TO MOUNTED TO (P) UTILRY POLE RECOMMENDATIONS (P)UTILITY POLE (P) PER MANUFACTURERS SPECS STRUCTUR�I N01E "�, A STRUCTURAL ANALYSIS SHALL BE PERFORMED ON EXISTING UTILITY POLE (P) 45'TALL VERIZON PRIOR TO CONSTRUCTION AND SHALL BE THE RESPONSIBILITY OF IJTILfTY CO. N)3600M-DG--2XR ANTENNA REPLACE UTILITY H (E) 195'AGL (P) AWS RRH, (P) PCS RRH, (P) AC/DC MOUNTED TO (P) UTILITY POLE GUY POLE _ CONVERTER, (2)(P) DELTA AC/DC MPEfE POWER M PROVIDER ' CONVERTERS, (2)(P) DIPLIXERS, 60A-2 POLE DISCONNECT SWfTCH FUSED WITH (P) 45'TALL VERIZON (3)-20A CIRCUIT BREAKERS & METER UTILITY POLE TO REPLACE SOCKET MOUNTED TO (P) UTILITY POLE (E) 19.5'AGL GUY POLE ANTENNA PLAN LE-3 scALE '•-`' S ANTENNA MOUNTING DETAIL �+ t2"-r{ 75• � LE-3 SCALE: 1•=4' ilia 1 T -'«,....` Y 1 y� y+ x COMMS•COPE NH35W4-DG-2XR 11 M WEIGHT: 33.7 LBS „ FROM --1 72- UP {1` POW S1 DE 21.Y «" 1 —.sY T1 510E RRH & EQUIPMENT MOUNTING INFORMATION DIMENSIONS: 7.6�i x 7.3 x 3.2'D LEGEND T AWS 9QN RRH WEIGHT: 6.6 LBS UMT WE WT 55.9 taS ITEM: DIMS: HxWxD WEGHT F) = FUTURE(LLA 1C) AWS 9OW RRH 25.8' x 11.8'x 72' 56.9LBS NOTE MOUNT DIPLEXERS TO BACKSIDE (E) flQSTING((t�Y) PCS RRH 21.5" x 12_D"x•75" 55.OLBS OF 50DBL-MNi BRKT DBL-MNT BRKT 27-0• x 3.0•x 2.0" 19.OLB5 i AR) ABIX GROUND LEVEL P) - PROPOSED , ANTENNA DETAIL 2 RRH DETAIL..Aws BRKT 33.0•x ,,.D•x 12.0• ,6.OLBs 3 DIPLEXER DETAIL • A#Sl ABOVE MEAN A LEVEL LE-3 SCALE N.T.S. LE-3 SCALE. N.T.S. PC'/70D BRKT 33 0"x 11.0"x 12.0• 16.OLBS SCALE: N.T.S. ( ) DELTA AC/DC CONY. 14.1• x 8.3•x 35" 14.1LBS N.T.A - NOT TO SCALE HYANNIS MA SC07 LEASE EXHIBIT DATE: 08/26/2016 DRAWN BY: JWH W— ADVANCED iierkqnvwreiess DRAWING NUMBER REVISION CHECKED BY: SNA ENGINE-EKING GROUP, P.C. 276 NORTH STREET i VERIZON WIRELESS HYANNIS MA SCALE: AS NOTED Civ l Engineering-Site Development 400 FRIBERG PARKWAY 02601 HYANNIS MA SC07 Surveying Telecommunications WESTBOROUGH, MA 01581 1 SHEET: 3 OF 5 ANTTJRNA a • Fj� SECONDARY POWER (2)(1)RECCAB (TOTACTAL 4F 4.TYPN ' t 2"UV RATED U-GUARD PER RRH WEATHER HEAD FIBER FRONTHAUL R BACKHAUL --- - w_..v _ i' _ (LEAVE 10 CONDUCTORS I� ��'��_.. '-`-'�.. FOR UTLY CO.TIE INS) FIBER DEMARK t ON POLE DIPLEXER DIPLEXER E FIBER JUMPERS IN 1-1/2'W RATED—moo DELTA AC/DC U-GUARD IF LENGTH EXCEEDS 4' t CONVERTER PCS RADIO HEAD SAR 0 n ix z AWS RADIO HEAD + �' (3)#5 AWG WIRE IN # 1-1/2-W RATED PVC FIBER JUMPED,TYP. DC POWER DC POWER—,--' OWER— $ AWG COPPER GROUND AC/DC CONVERTERI I 4 60A-2 POLE DISCONNECT SWITCH FUSED WITH (3)-20A CIRCUIT BREAIO:RS& METER SOCKET COMBINATION PER UTILITY CO. REOWREIENTS (NOTE: USE PROVIDEPDOEWETRA (S A NOTES)WG OPER GROUND MANUFACTURE'S WIRING HARNESS) _..� IN A" UV--RATED PVC Y410x10' CAPPER MECHANICAL OONNECRONS / CLAD GROUND ROD NOTES: r' I. 120/24OV, 1-PHASE,3 WIRE ELECTRICAL NDTE; USE MILBANK MODEL JU5818-RL-200S MUM SOCKET GENERAL WIRING DIAGRAM AND GENERAL WIRING DIAGRAM "°TES TAKEN FROM E-MEMO BY 2. 120/2p8V, 1 PHASE,3-WIRE GENERAL F. GVAZDAUSKAS, P.E. USE MILBANK MODEL#U5818-RL-200S METER SOCKET LE-4 SCALE: N.T.S. DATE DECEABER 1, 2015 WITH FIFTH TERMINAL KIT K5T : . HYANNIS MA SC07 LEASE EXHIBIT DATE 'D8f2fif216 R/ �/ALVITT?t85S' DRAWN BY: PH v A CED 276 NORTH STREET DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. VERRON WIRELESS HYANNIS MA SCALE.- AS NOTED Civil Engineering-Site Development 40p FRIBERG PARKWAY Surveying-Tetecommunicatkn3 WESTBOROUGH, MA 01581 02601 HYANNIS MA SC07 1 SHEEP: 4 OF 5 Mail Processing Center Aeronautical Study No. Federal Aviation Administration 2017-ANE-4393-OE Southwest Regional Office Obstruction Evaluation Group 10101 Hillwood Parkway Fort Worth, TX 76177 Issued Date: 12/08/2017 Nicole Pelletier TRM 16 Chestnut St. Foxboro, MA 02035 **DETERMINATION OF NO HAZARD TO AIR NAVIGATION ** The Federal Aviation Administration has conducted an aeronautical study under the provisions of 49 U.S.C., Section 44718 and if applicable Title 14 of the Code of Federal Regulations,part 77, concerning: Structure: Hyannis_SC07_NIA Location: Barnstable, MA Latitude: 41-39-03.01N NAD 83 Longitude: 70-17-3 3.42 W Heights: 30 feet site elevation(SE) 43 feet above ground level(AGL) 73 feet above mean sea level (AMSL) This aeronautical study revealed that the structure does not exceed obstruction standards and would not be a hazard to air navigation provided the following condition(s), if any, is(are)met: It is required that FAA Form 7460-2,Notice of Actual Construction or Alteration,be e-filed any time the project is abandoned or: At least 10 days prior to start of construction(7460-2,Part 1) X_Within 5 days after the construction reaches its greatest height(7460-2, Part 2) As a result of this structure being critical to flight safety, it is required that the FAA be kept appraised as to the status of the project. Failure to respond to periodic FAA inquiries could invalidate this determination. This aeronautical study included evaluation of a structure that exists at this time. Action will be taken to ensure aeronautical charts are updated to reflect the most current coordinates, elevation and height as indicated in the case description. Based on this evaluation, marking and lighting are not necessary for aviation safety. However, if marking/ lighting are accomplished on a voluntary basis, we recommend it be installed in accordance with FAA Advisory circular 70/7460-1 L Change 1. Any height exceeding 43 feet above ground level (73 feet above mean sea level),will result in a substantial adverse effect and would warrant a Determination of Hazard to Air Navigation. Page 1 of 7 u This determination expires on 06/08/2019 unless: (a) the construction is started(not necessarily completed) and FAA Form 7460-2,Notice of Actual Construction or Alteration, is received by this office. (b) extended, revised, or terminated by the issuing office. (c) the construction is subject to the licensing authority of the Federal Communications Commission (FCC) and an application for a construction permit has been filed, as required by the FCC, within 6 months of the date of this determination. In such case, the determination expires on the date prescribed by the FCC for completion of construction, or the date the FCC denies the application. NOTE: REQUEST FOR EXTENSION OF THE EFFECTIVE PERIOD OF THIS DETERMINATION MUST BE E-FILED AT LEAST 15 DAYS PRIOR TO THE EXPIRATION DATE. AFTER RE-EVALUATION OF CURRENT OPERATIONS IN THE AREA OF THE STRUCTURE TO DETERMINE THAT NO SIGNIFICANT AERONAUTICAL CHANGES HAVE OCCURRED, YOUR DETERMINATION MAY BE ELIGIBLE FOR ONE EXTENSION OF THE EFFECTIVE PERIOD. This determination is based, in part, on the foregoing description which includes specific coordinates, heights, frequency(ies) and power. Any changes in coordinates, heights, and frequencies or use of greater power, except those frequencies specified in the Colo Void Clause Coalition; Antenna System Co-Location; Voluntary Best Practices, effective 21 Nov 2007, will void this determination. Any future construction or alteration, including increase to heights,power, or the addition of other transmitters, requires separate notice to the FAA.This determination includes all previously filed frequencies and power for this structure. This determination does include temporary construction equipment such as cranes, derricks, etc., which may be used during actual construction of the structure. However,this equipment shall not exceed the overall heights as indicated above. Equipment which has a height greater than the studied structure requires separate notice to the FAA. This determination concerns the effect of this structure on the safe and efficient use of navigable airspace by aircraft and does not relieve the sponsor of compliance responsibilities relating to any law, ordinance, or regulation of any Federal, State, or local government body. A copy of this determination will be forwarded to the Federal Communications Commission(FCC)because the structure is subject to their licensing authority. If we can be of further assistance,please contact our office at(404) 305-6531, or darin.clipper@faa.gov. On any future correspondence concerning this matter,please refer to Aeronautical Study Number 2017-ANE-4393-OE. Signature Control No: 348824777-350837550 (DNE) Darin Clipper Specialist Attachment(s) Case Description Frequency Data Map(s) Page 2 of 7 C� ' n b cra CD w 0 J Case Description for ASN 2017-ANE-4393-OE V,erizon Wireless is looking to mount an antenna on an existing utility pole to help boost cell coverage in the area. These small cell antennas are to give better coverage without having to building a new cell tower in the area. Page 4 of 7 Frequency Data for ASN 2017-ANE-4393-OE LOW HIGH FREQUENCY ERP FREQUENCY FREQUENCY UNIT ERP UNIT 1710 2130 MHz 460.25 W Page 5 of 7 TOPO Map for ASN 2017-ANE-4393-OE AMC �^ �a����� �"`�� rr..:. { '" s 5 rr .�.# ��, �a�<�.. � f� ���$'�Y�� y F; z ��"� +�5 ,x �.•�3}�pk� f f .�Ir� � ��ci c<" '� � 4f � r•�� ,� ,�,., .��F r3� � ��a.r'�.nr..�`:€��� T.� � ��'� ��� "��,2"�a'�jE �"c�. ¢���1...� \i�r�.. �� -� .ter zm.�"�' �". "�,'�' �.• �s�t .�� 5 e} £.,�� ,F� ...i` J`;R ._ _.��,{" �.. �Ssas� r 2.,•' a, j+ r.y ^�.�'^� � H,. r' /r" y�� � ;{ "�3�'�.�fig^ s {, �'.! ��^"�r.�,, Y 5 ti•,i- i � ♦ � r sss a e re a9 �y�t � /�-' :. p��r:€� �.J'�T�? �"t�.r,� �, ,[� t p ��``` 6�' `i•"' re�."��,_ � ` � ."^`�." �zu.-"e��,'. Gr�.^ t G L,{ �• �,. 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Y.^+ 'y*z, �^u ) fir i!< �'� keK'e* ,x F�pt p ��> '�`$#�-a• - Pt r ,��5- �''"• r'rt � s� g j � . 4LJ ,' :. � . •`J —NK 1 � �A&B'UR' � `7 , ��,. ;.R vNs� ^aSIR � w'` ". 5'h '�' .ej.k i-"w.A�?. t. t✓A ,�., .r` A 'y Qo}i2 �r}.`, ✓ vi�. a , '- 1��� Viso," � ilr py -r�pa r sue'✓ ;r .}{, raiar fe a.�._ l ' — -m;- 77 ><' '�"r N T LT G KEPT s > U N �l I �t a�" t tia t ti '� § 3�'.'�" +� �..�, a �x t :a � �c� e'�+��" s L$ �'fi a !`6�' 9x,r '' �^�`� '' �•,�.�'�B. �5 �, ti * ��. ngo {� Page 6 of 7 Sectional Map for ASN 2017-ANE-4393-OE 509 Y 498) Brewster 1,03 3721, ) 77 a n r w At. � 8 CEIC C S F 4.70 � + ' ***4B0ARDI\4AN./Pft D (H", FRYANP ATIS 1 " - - PEAK .5 t 4 =pe NANTUC m Page 7 of 7 500 North Broadway ADVANCED East Providence, 5 02914 - Ph: 401-354-2403 ENGINEERING GROUP, P.C. Fax:401-633-6354 FAA 27C SURVEY CERTIFICATION Applicant: Bell Atlantic Mobile of Massachusetts Corporate (d.b.a. Verizon Wireless) 400 Freiberg Parkway Westborough, MA 01581 f(a Site Name: HYANNIS SC07 MA r �. .. �272018 Site Address: Utility Pole 276 North Street V` ` -+ Hyannis, MA 02601 ��NSTABLE Horizontal Datum: ® GPS survey ®Ground survey Vertical Datum: NAVD 1988(AMSL) ®GPS survey ®Ground survey Structure Type: ❑New Tower ❑Existing Tower ❑Roof Top ❑Water Tank ❑Smoke Stack ®Utility Pole Latitude: N 410 39' 03.01" NAD83 Longitude: W-700 17' 33.42" NAD83 Ground Elevation: 0' (AGL) 30.9 (AMSL) Top of Existing Utility Pole: 19.5' (AGL) 49.5' (AMSL) Centerline of Prop. Antennas: 41.6' (AGL) 71.6' (AMSL) Overall Height of Proposed Structure, Including Appurtenances: 43.3' (AGL) 73.3' (AMSL) Overall Height of Existing Structure, Including Appurtenances: 19.5' (AGL) 49.5' (AMSL) Certification: I.certify that the latitude and longitude are accurate to within +/-50 feet horizontally and that the ground elevation is accurate to within +/-20 feet vertically. The horizontal datum (coordinates) are expressed in terms of degrees, minutes, seconds and tenths of seconds. The vertical datum (heights) are expressed in terms of feet. Company: Advanced Engineering Group, PC Professional Engineer: Scott N.Adams, P.E.#46006 OF Date: 08-08-2016 scan s CrVL ? SIGNATURE/SEAL e B OOwireless March 20, 2018 Q�- Dear Sir/Madam: Re: Kevin Farrell/NEEC Please accept this letter as notification that Chris Mitchell working for Industrial Communications, of Marshfield, 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. Chris Mitchell/Industrial Communications 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 any TRM, Inc.'s activities on behalf of Verizon Wireless,feel free to contact me at 508-320-2017 or via email at sean.conwav@verizonwireless.com Respectfully, S e&vv Sean Conway Verizon Wireless Project Manager—Real Estate vet'§ t'1 wireless March 1,2018 Dear Sir/Madam: RE:TRM Please accept this letter as notification that TRM, Inc.of Foxborough, MA has been engaged to perform research on certain properties and real estate including submitting for zoning approval, building permits, and construction of Verizon Wireless ongoing network enhancement. TRM, Inc., is authorized to act on Verizon Wireless behalf for the purpose of filling 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 any TRM, Inc's activities on behalf of Verizon Wireless,feel free to contact me at 508-320-2017 or via email sean.conwav@verizionwireless.com Respectfully, Sean Conway Verizon Wireless Project Manager—Real Estate 41 n R Ic 'U"Put (mass'ach 1� , �Qe; aotm ell r a _III ' ' !— ` . 'Ia ' , , I _ -a— - 01h _ _ _ — — i n 'CE O' "Tfi ' •,'., p�,, IMP _ moilow 42, MWM_ �,Tq V, S .. _ # a� fix _ f o - � .. �f 3 "" _ ; MSS "f _ €'! I ,. ^ x a A� Ba uhrp kA Mill `k - .,- wagv8tai a iI kY� �v 1,$R, 1,0 ji The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston,,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/P.lumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):New England:Electrical Contracting.Corporation Address:?l 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.❑✓ 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. ❑New construction 2:ElI atn a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me'in.any.capacity. employees:and have workers' [No workers'comp.insurance comp.insurance.: 9. ,❑Building addition required:] .5..El We area corporation.and its 10:❑Electrical repairs or.additions 3.❑ 1 am a homeowner doing all work officers have exercised-their 11.❑Plumbing repairs or additions. myself.[No workers'comp. right of exemption per MGL 12.❑Roofrepairs insurance required.]t c. 152,§1(4),,and we have no employees.[No workers' 11❑Other comp'Ansurance required.] •Any'appl►cant that checks box 01 must also fill,out the section below showing their workers'compensation policy information- t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit new affidavit indicating such. t6ontractors that this box must attached an additional sheet showing the name of the sub-cont actorsi andl state whether or not entities have employees: If the sub-contractors have employew,:they must provide their workers'comp:,policy number. I am an employer that is:providing workers'compensation insurance fo.r my employees..Below is the policy and job sire information. Insurance Company Name?Zurich American Policy,#or Self-ins.I;ic.#:WC01.6169e1 Expiration Date:11/13/2018 Job Site Address: City/State/Zips Attach a copy of the workers compensation policy declaration.page,(showing the policy number and expiration date). 'I Failure to secure coverage as required under S..ection 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 i of up to$250.00 a day,against;the violator. Be advised that a copy of this statement may be forwarded to the Office of t Investigations of the DIA for insurance coverage verification. i I do hereb .ceH. - u y ,jr$er the mins and." aides o er'u that tle in ormalon 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.tuspector 6.Other Contact Person: Phone,#: Client#:23780 NEWEN16 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) 11H3/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS eERTIFICATE 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 J Smith Sullivan Insurance Group,Inc. PHONE 508 791-2241 FAX 508 797-3689 1 Mercantile StreetE-MAIL(A N Exc: vc,No ADDRESS: Jsmith@sullivangroup.com Suite 710 Worcester, MA 01608 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Ge.!.!Insurance Company INSURED INSURER B:North River 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. a INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY X X VCGP002970 11/13/2017 11113/2018 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $50,000 CLAIMS-MADE 1�OCCUR MED EXP(Any one person) $10,000 X BI/PD Ded:5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO LOC $ JECT D AUTOMOBILE LIABILITY X x AWND095849 11/13/2017 11/13/201 COMcci and SINGLE LIMIT E 1,000,000 ,accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED rx SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X rive Oth Car $ B X UMBRELLA LIAB X OCCUR x x 5811075702 11/13/2017 11/13/2018 EACH OCCURRENCE $5000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5 00O 000 DED RETENTION$ $ C WORKERS COMPENSATION x WC016169101 11/13/2017 11/13/201 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY T Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? a NIA (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 i� DESCRIPTION OF OPERATIONS I LOCATIONS I 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE T&4&447 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S333941/M333889 JJS Town of Barnstable Building Perit Post`This Gard So That,it is UisibleFrom;the Streets Approved;Plans Mustbe Retained an Job and thishCard Must�;beiKept Poste ■y■y�■ ° Where a Certcate of Occupancy is Required,such Bu�ldmg shall Not be Occup�ed.unt�laFinal Inspection has beenmade s Permit NO. B-20-123 Applicant Name: Christopher Mitchell Approvals Date Issued: 02/20/2020 Current Use: Structure Permit Type: 'Building-Addition/Alteration-Commercial Expiration Date: 08/20/2020 Foundation: Location: 65 SEA STREET EXT, HYANNIS Map/Lot 308-272 Zoning District: OM Sheathing: Owner on Record: VITELLI HOLDINGS LLC „' a Contractor Name` ,Christopher H Mitchell Framing: 1 Contractor License CS-052112 Address: 65 SEA STREET EXTENSION '. 2 HYANNIS, MA 02601rProject Cost: $ 12,500.00 Chimney: Description: installation of cell antenna and ancillary equipment on existing Permit Fee: $213.75 Eversource utility pole located in PROW on North Street Insulation: Fee�Paid $213.75 Project Review Req: As-Built must be submitted Per special Permit 2019 06 x Date 2/20/2020 final: AA desision#9 k� Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized byWs permit is commenced within six months'�after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documentsfohich this permit has been granted. Rough Gas: w All construction,alterations and changes of use of any building and structures shall be incompliance with the local zonmg':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. A F 15r ,= Y Electrical The Certificate of Occupancy will not be issued until all applicable signaturess by.the Building andyFire Officials are provided on thispermit. Minimum of Five Call Inspections Required for All Construction Work °' AP Service: 1.Foundation or Footing ; s, 2.Sheathing Inspection � .« Rough: pection �,. . i '• . . 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 Final: 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 unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). i';.. `i:, Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map -3 O'S Parcel -9,9 2— Application # Health Division Date Issued Conservation Division Application Foe Planning Dept. Permit Fee 4�jlA Date Definitive Plan Approved by Planning Board y)1� Historic - OKH _Preservation/ Hyannis Project Street Address j� S C4 .S T C'X i r Village&4?),✓1Vb 0-26101 Owner 1644k S tyyog Address Telephone j�� J�y /Y3.3 Permit Request :RE eaya- wof ®T DEC 0 7 2016 Square feet: 1 st floor: existing proposed 2nd floor: existing -p o>W BARNBTr8 a4-6w Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Ap 3tw SE6aLi/v% 11_oryS 14V(r%ON/ Telephone Number Address 1 MI^/T' AJ 1 kW E License # 0 �q�d � • Ax(J TA/5/E Home Improvement Contractor# Email !�,tG 0L.;/vimq 0 1�m RiL .G0r^'! Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE i' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. cxle wa7)Uv10MOerAl asaclm;s Otlice of Consumer Affairs&Business Regulation License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR i befb a the expnrat on ld.tta' If found return to: Registra5on1595g7 Type: Office of Consumer Affairs and Business Regulation ' = 10 Park Plaza-Suite,5170 Exp172 ben 5r1512018 DBA r Bost6n,INIA 02116 SEGOLIN'CONSTYC.it'N , ADILSON SEGb;JJNI�VM& 117 MINTON LANE iNEST BARNSTABLE,°MA� 668 Undersecretary =j Not va 1 thout signature Massachusetts Department of Public Safety - Board of Building Regulations and Standards. License: CSSL-099907 9 ;: Construction Supervisor Specialty yt{p( ADILSON SEGOLINI ! 117 MINTON LANE : : WEST BARNSTABLE MA..02668 Expiration: x Commissioner 1011412011T -- --- HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION.ONLY AND CONFERS NO RIGHTS'UPON THE CERTIFICATE HOLDER, THIS ERTIFICATE DOES NOT AFF111MATIVELY OR NEGATIVELY AMEND;:EXTEND.OR ALTER TILE COVERAGE AFFARDED By THE POLICIES FLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. APORTANT: If,the certificate holder is an ADDITIONAL INSURED,the poticy(ies)nwst be endorsed. If SUBROGATION IS WAIVED,subject to to terms and conditions of the policy,certain policies may recpjire an endorsement. A statemecit on this'certificate dces.not confer rights to-the- ertificate holder in lieu of such erdorspmengs)• CONTACT OUCER NAdIE: JZM HINDMAN Ohl el b Schl el Ins Broker PHONE afAfq;AX'N : (568y 771-0663 eg eg (508) "771-8381 d Main Street , . aDOREss . ` schlegelinsurarice@gmal.cam ast Yarmouth;; MA .`02673' rasur� s AFF0RDi+c covF.RAGI_ NAIL ri insURERA:NQ�[�''INSURANCE' COMPI�NY 1478877 t1RED 'I NSURER.B:AIM MUTUAL Adilson Segolin INSURER DBA SEGOLIPII CONSTRUCTION (i�URERD, , '�11? Minton Lane n�Rj�R E y .} r W¢BarnstabT@ .MA 02668 1818 IPiSt1RERF' OVERAGES Fx CERTIFIGATE:NUMBER ,' - . REVISION NUMBER: THIS;ISrTO CERTIFY TIiAT TI1E POUCfES OF IIVSURAAiCE IJSTED t3ELOW HAVE BEEN ISSUED TO THE INSURED_NAMED ABOVE FOR THE POLICY PERIOD tNOiCATED NOTWITIiSTAN,D�iG ARJ`l REQl11REMENT+,TERM'.aR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH'.RESPECT TO WHICH THIS a GCEF27�1CATE MAY BE ISSUED OR iV1i4Y PERTAQ�I,THE"INSURANCE'AFFORDED'BY,TI POLICIES DESCRIBED HEREIN-lS SUBJECT TO ALL THE TERRAS �EXCLUSICIi�ANDCOAlO1TiONS OF SUCH POl1CIES.LIaAtTS SHOWN MAIf HAVE BEEN REDUCED BY,PAID CIAiMS ' � -- SR ¢ x 7Y r ADDLiSUBR y- = LINTS " UCY EFF POUCY D(P r �_ . TR ��,. .- �TYPEOf-INSURANCE p� 4 ji ` �POLICY NUMBER Mfl�JY N>!YI1DpWW p;, ;;FERAL"''iaAa+Lmr `, 3 'MPT8486U 5/7/ 6 5/7/17 ,EACHoccURRENc€ s 1 000' 0:00 'Xx COlJMIERCW.GENEPAILIABIUTY CLA9V$?BADE X OOCUR ` IdBED E)�V(- one peson) S l O OOO 46 a £ s PERSONA &L ADV IPUURY S 1 QQO OOO GENERAL% (aENLACaEGATELiVl1T APPL�5PER PR PRODUCTS COi4�/OPAGG ?SrZ QOO "OQO � s,v �`" ,POL'ICY PRO• ' 01L�,.. � a -` fr a __ �• : .r ( ANYAUTO ! BODILY INJURY(Per person) ,S 1 ALL OWNcD SCHEDULED - i _ f j BODILY INJURY(Per accident)'S f AUTOS IdON-01NNE0 ! ! # {�PROPERTY DAMAGE S I HIRED AUTOS _AUTOS 1 eraccsderN) ## Is . UMBRELLA LJAB OOGUR { I EACH OCCURRENCE S _ EXCESSUAS CLAIMSAlADE 1 : I AGGREGATE $ DED. RETENTION S I S YWRKHf.S-COMPENSATION a 5/23I16 5/23/17 wC STATU- gm B IAWC 400 7026025-201 AND EMPLOYERS'L1A81UTY ANY PROFRIETORlPARTNER/E)�(XJTAfE N/A OFFIMMEMBERD(CL(DED?. LEACHACCIOEM S QO.000' a �E 1 pMandab'yin NH) E L DISEASE EA'EMIPIOYEE S 1 O OOO i(yyes.desaibe under DESCRIPTIONOFOPERATIONSbeinw + E.L.DISEASE=POLICYLtk9lT` SJ"OO.„OOO'a ra .� "E"ki PTION- QPERATIONS f LOCATIONS/YEHICLESS (Atlxh ACORD tOf AdfiitlorW RerieAa Sclredute dmore a oe isretpired) 3 Fa l 6ILSON `SEGOI;INI HAS ELECTED TO BE'�COVERED�K UNDER' HIS CURRENT WORKERS COMPENSATION z POLICY t � fPiY'OR MAY NOT BE ACTI`7E AT THE TIME OF SERVICE H "v ' .:-'�.. 'a %31 � tri,l ' � -.r" r �...� `a a ' �. - ,�" W0, v SH1C)ULD A t ttl! f HE A9LE t(E$�.` BEI�aPUi�6�E$3 $.EE D� EFORE } '3 � � � �` � ` 1kECPttiA`IISN� D1(TES?"t1E7QFF; t1itCEWiF.iBEDEiIZEDHit ����� �� � � �. � �"` � �� `� a►CCl3R6AN`GE;WJ•lii.Tk1EPOLlG� •� �• ` � � '" `� ^'' s�..t ' x ,z� •ge ,f s o .. �,.5 e +avv te RIZED JV ,� _ ¢ .a. s �¢ sk � � u� � tt 1 =it �iQ�� TTbN"A# r �1#>3 resertiAed :Icvgp,,{are,�agi�er�egd�r 1.M. C�J�1 4 i - Y.rav_...wr'tA:..-"-u-ir1\aYsx.Sfr.v � " •... •• _ The Commoinveakh qfAfa&wc1raxe&s . D,ep rbaeut c f rndkv rid Accide&r l?fflue Ofbnwakations. ' 600 Was1rhWm Sheet Boston,MA 02111 -- 1Prvt-V.ma LgVP1dia -hers' Co3pensafian.Insur ace Affidavit-Bmldeisi(�an&acturs/EIecfr cians hEmbers Applicant Infar iafian Please Print f. 1lv lime tu ' . ��EGO I-JAI*' 6 li/l rzll mAll Ate : t r}� �,i�rg`✓ L,�a� AZ Phone '16,0 Are you an employe r?:Checkthe appropriate bas: a Q_ -- 4- mp �eral contractorcontractorand I Type°f project(required): I �-Imo (yes wrtb �P ❑I ahave lured the xdbl cos�boss 6- ❑New e � full a�for art-lime).* 2.❑ I am a sole piopietoa orpsrtaw- listed on.the attached sheet. ?. ❑Remodeligg. ship and have no employees These sub-c=1ractors have S. ❑Demolition wotl7ag for mein any capacity. employees and bzve warke=rs' 9..❑B,ui1�addition [No 'Comp_rnaxa„ e, camp-%r,a�xrarxr 1 required_] 5. El We are a rorporatim and its M❑Electrical repairs or additions officers have exercised flair 3_❑ I am a laomeownet doing all work ' 1L❑Pluml7sag regaus or adslitions myself o workers' rbjht:of pfion per MGI.. ica�as�re required-]1 - c-1:52,§I(4�aadwehaveno 1..❑Roof repairs x� employees.[No wormers' 13.❑Other comxp.insmance require&& ' ¢y appticmH�et cbetlmsbox#1 mast else fiIlaotdte sedioabeiows3xouiag�eixwoxkexs'comp�m++ pe&cgiaEoxmsua� �ameaamers who submit sbis.eft I duey axe doing allweak said then bim outsideca:=Ra= st submit a=w affid:eit mdiestim rnr% TCaat<wft=t19cbe7rddsboxmaststtarh s.addili—1 shed showing the—of the and state whether arnatihoseenfitieshwe employees.I€thesab-t®:tmclaesbm emtployw-,d LLT=tstpnmidet3srs wades'gyp.gali�,auIDlses -Taman erripIayer flint is praurdirtg ivarifers'eoedrperLsrrfirrn utszira ecs fur xi}a emPFa3nees $etoty is fide pa cy rani jah site �formrrtiorZ Iasuramce Company Nam: �� 67-- Pobcy yrSelf-ice ri G.140o- 6 25-19 FxpiratinsDate: Z3 hy Job Site Address: ( T� VA W*V Cityl5tatel2sp: 0014 Q/ Attach a-copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.under Station 25A of MGL m 157-can lead to the imxpositioa of criminal penalties of a fine up to$L54D 00 aadfor o6i--r it impismnenk as w611 as riuil pemdaties itn fie fbn a of a STOP WORK ORDER and a fine of up-to$250.00 a day against the violator_ Be adsdsed that a copy of this statement maybe fmvmded fn the Office of Investigations offhe DIA far insurance coverage vecificatiorL I rfa ker-etry cer fy eudd:r the pains and panatfies of fperjW7 that tha info pr�ad�dtd aid correct Siffiature_ Date- ,zv Phase OBEciol ass and. Do jwt write in d s aged,to be minpLeterl by taifp srtown tr, ricral CRY or Town: FermhT&euse f Issuing A fimritg(dreIe one): d L Som of Heap r.13M14iing Depmtneat 3.Myfrown Clerk d.FIech ical hLVectm S.Phanbing Inspector C.Other Contact Person Phone 9: 6 laform,ation and Ins coons Maccarl;=e#iS Ge ral Laws cbapea I52 requires all employes b provide Workers'comzpe on for then employees. p •m this ,an arrpinyM is defm as-"_.every person in the s¢vice of another under any Mntcac t ofhire, eXpr=or implied,oral ar 72it " An eznp&yB-is defied as"an 12aMdmL p ,assocrafi n;ariporatim or other legal may,or Emy two or more of the faregoiag engaged is a Joint a tmpase,and inclncing the legal of a,deceased emlployer,or tlae receiver or trastee of an individual,patamship,association or otherlegal entity',employing mmPIDyees- However fhe owner of a.dweIIir g hone having not mare than tbrw apmtnents sad who resides fherein,or the occupant of the - dwaIliag house of mm&er who employs persons tm do mainlmaace,runsUnfi on cr repair work a a such dweI3ing house or on.the grounds or bmldmg appm-tenaot tamrAD shall not becanse of such employment be deemed to be an employer-" MCL chapter 152.§25C(6)also stems that"every stafe or local liceasimg agency shall withhold ffie issuance or renewal of a licersse or permit in operate a IIsmess or,fn constructbm7.d�iu the commonwealth for airy aPPlicantwho has not produced acceptable evidence of cnmpTiance with the ksurance.coverage required." Additionally,MCI.chapter 152,§25C(7)states—gmffim the •' 'XwcalE nofEgy ofits political subdielmons shall an into any contact fro tbz rf�sue ofpublic wok uml acceptable.evidence of cmpliance with the fnIMM ce. p .i' rMj=eme�s of this chaer have been pres eid in the acting �PPlican-Es Please fill out the,worloras' compensation affidavit completel(,by chwjdng-aLe boxes that apply to your sifnation anrl,,if nece^ss iL supply sab-coni=acEor{s)name(s), addresses)and phone msmbea(s) along with their ceatficatr-Cs)of insurance. Lmmifrd Liability CanVmnes(LLC)or Li ntedLiabgityPartammbips(LLP)WifhLnO employees other Haan th e members or paring are not reqaired to carry woikc&compensation i3=;mm If an LLC or I T P does have employees,a policy is required. Be advised that this a$dayitmaybe submitted to the Depaitrneat of Indnsbrial Accidents for confiraiaiion ofmsnzance coverage. Also be sure to sign and date the affidavit The affidavit should be retnmed to$ire city or town that the application for the permit or license,is being regnesbA not the Department of Indu •a Accidem-fs. Shnnldyou have any questions regardmg the Iaw or if3mu are rmlmredto obtain a woiiois' compensation policy,Please call tine Departmemt at fine number umber listed below. Self-msM-ed companies should entrr their self-fi ern-ance license number am the apprapdate]me. City or Town Officials Please be sore that the affidavit is complete;and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in.the event the Office oflnvestigaflas has to cozitac-t yam regarding the applicant Pleas a be sure to f ELl in the pen ll crose ntnnber which will be used.as a refute number. Iu-addition,an applicant that must submit multiple p=;tli;c=e appIit�Eiiams is aay givenyear;nee only submit one affidavit i adicaimg=ent policy mfornation(if necessary)and nndea`Job Site Address"the appli iiit'`JioLld r e"aII lacations in (c'LY or. Y; P town).'A copy of the-af5d6 thathas been-offficially sfampod cn markedbythe.ciiy ortovTn be provided to the applicant as proofthafa valid affidavit is on file for,fatz peanzts or licenSe& A new affidavitimist be filled out each year-Whero a home owner,or citizen is obt d ing a license or permit not xelafC;i:tD any btL mess or commercial ve�h�re (i.e_a dog license or permit to ban Ieaves etc-)said person is MOT req i red to complete his affidavit The Offi=ofTnve:S693fi=would liketo ffiank you.m advance for your cocperaionaadsbopld Yam have any gaesfions, please do not hesitafn to give us a call- The Department's address,telephone and fay'number: The CbMMWWMdft0fMaSSaChU&ettR �. °= I1e�m.�cif a1 Acc�d�nt� •"� Cff ace of InvedEgatio= Bwboz MA Oil11 Ted..4 617' -49OG Q:xt 406 or 1-977 M SRAM Fax 9 617 727'74 Revised 4-2"7 �g�drd SNYD � R EYE CARE & EYEWEAR Personalized quality care. Guaranteed. 12/7/16 To whom this may concern: This note serves to inform you that we authorize Segolini Construction to replace the roof on our office building located at 65 Sea St. Ext., Hyannis MA. Please don't hesitate to contact my office if you have any questions. Sincerely, Mark E. Snyder, OD !,.,lark E. Snyder, OD • 65 Sea St. Ext. • Hyannis, MA 02601 • (508) 775-0881 • Fax (508) 790-4311 Massachusetts Department of Environmental Protection Bureau of Waste Prevention•Air Quality BWP AQ 06 1100216507 Notification Prior to Construction or Demolition Asbestos Project Number# C.General Construction or Demolition Description(continued) The Asbestos Abatement Notification Number for this address is: This project F�jo- Constructionj Demolition is: 4/12/2015 4/15/2015 Project Start Date(MM/DD/YYYY) Project End Date(MM/DDNYYY) 8.For demolition and construction projects,indicate dust suppression techniques to be used Seeding j Wetting (J Covering rj Paving ❑ Shrouding Other-Specify: 9.For Emergency Demolition Operations,who is the MassDEP official who evaluated the emergency? Name of MassDEP Official Tide Date of Authorization(MM/DD/YYYY) MassDEP Waiver Number A Certification "I certify that I have personally VIN UBERTINI examined the foregoing and am Print Name familiar with the information VAN UBERTINI contained in this document and Authorized Signature all attachments and that,based VIN UBERTINI on my inquiry of those individuals immediately V44En/Tide O responsible for obtaining the VMIER information, I believe that the Representing information is true,accurate,and 3/12/2015 complete.I am aware that there Date(MM/DD/YYYY) are significant penalties for 3/112015 submitting false information, including possible fines and P.E.# imprisonment.The undersigned hereby states, under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of 3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel al Application Health Division Date Issued -3/7-/.S- Conservation Division Application Fee Planning Dept. Permit Fee' e Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ae Sf V_Xf&� s o n 1:4 u X n'V�s M A o Z 6 o Village (8o,-rn s Owner -D e�&L u& $►v ti j d t-r l S Address Telephone 5 0�d `I Lt - 14 3 3 \ Permit Request IQ ( rc AV10,J A �.i (Gtb,,n A ben 6N 9> IP -fh4oll r�. PCOZi R� taxi - QQp klC16 '(16'vvs b �&n C,&) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Pi roject=Valuation tCO Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other - Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name V-1 N Number Telephone r 6 r 7- i 7 p be Address L" � License# C S-0900-VZ Home Improvement Contractor# 3�3a Email M-YI "� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO XW SIGNATURE DATE j FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 4 ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME Y INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ` FINAL BUILDING v i DATE CLOSED OUT ASSOCIATION PLAN NO. The Commmts eakh of Mussachuseft ` Department of Indisftial Accidents , Office of Insw igations- NJ 600 FT'a"gtorr St met BostW4 MA.02111 wwmtmasygomIdia Workers''Compensation Insurance Affidavit: BuiIders/ContractorsfElectricianv?umbers Applkant Information Please Print Lmdbly Name N U41 tvs Add&ess: 11 � ci yrst� cz : I �e �o�I I e 17— v� Are you an employer?Check the appropriate box: . T of project r 4. I am a. contractor and I }'Pe P I (required): I.❑ I am a employer with en 6_ New construction employees(foil and/or part-time).* have hired.the sub-contractors 2.g I am a sole proprietor or partner listed on the attached sheet_ 7_ Remodeling ship and have no employees. These sob-contractors have 8_ ❑Demolition working for me in any capacity employees and have workers' 9. ❑Building addition [No workers'comp_insurance camp.*nail/Mn„ra l 5. ❑ We are a corporation and its 10_❑Electrical repairs or additions 3.❑ I am a homeowner doing all-work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'camp_ right of exemption per MGL 12.❑Roof repairs insurance require&]S. c.152,§1,(4),and we have no ' employees.[No workers' 13.0 Other comp_insurance required_]' •,9 nyapplic @iat checks box#1 mast also fill out the section below droving their vmders'compensaSon policy information_ F3rrmeoamers who submit this affidnit m&catmg they are doing sH we&and then hue outside coutzsctars most submit a new affidavit indicating such. If �Counacmrs�aecheck this bur most attached anadditional sheet showing the nmDeof the sub-oontracm¢s and:F=whetheror not those entities have employees. Ifthe sub-contractors haae employees,they mist provide their workers'comp.policy number. lam an smploysr thatis prm*Ung workers'congmLsation insnrance for my empIG!I ees. Below is fhe policy aed jab sire information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.under Section 25A of MGL tw 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 it STOP WORK ORDER and a fine of up to$250.00 a day against the violator_ Be.adt7sed that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification- Idohembycl r ruder '2s and penaNes of perjtcry that the iRfarrnati�rrt prmis$ed dbor�e is hus and.correct Signature- Date: Phone t,okiat use only. Do not taste in this area,to be campleted by city or town o fi`ciat City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of wealth 2.ceding Department 3.CtgtTou�sr►Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phan#: 6 of TME • 1wRN8TABLE, • 39. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO 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-a n all Q. J n u CL_e.r , as Owner of the subject property hereby authorize- V 1 h� IJDO�C��) l to act on nay,behalf, in all matters relative to work authorized by this building permit application for: C s Sew 54-- 14 (Address of Jo 3(z,t t Signature of qner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTORWbuilding permit formsEXPRESS.doc Revised 061313 d t YA T{"t 4dv..aTS`l+lK'? a r Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor r r�k License: CS-086288 VINCENT P UBEI 11 HELEN LANE Walpole MA 02091 % I 0 Expiration Commissioner 06/02/2015 k �a C_'/he 1*512J7707cL�/GCUECG���a���CLOOCGCl7,Ct1BC.7 Office ofeonsumer Affairs$c Business Reguiat1 ME IMPROVEMENT IMPROVEMENT CONTRACTOR gistration: 143230 Type: I, xpiration: ,6/25/20161;, DBA r ' I G M CONST I I. a I' VINCENT LIBERANI 11 HELEN LN ;. WALP,O ,MA 02081 Undersecret ary ;,� Massachusetts Department of Environmental Protection Bureau of Waste Prevention• Air Quality BWP AQ 06 Notification Prior to Construction or Demolition ❑ This is a revision to an existing form. Project ID for existing form to be revised: ❑ This job is being conducted under a Blanket Permit MassDEP assigned Blanket Authorization ID: 9J This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: r None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 Massachusetts Department of Environmental Protection f'4 Bureau of Waste Prevention• Air Quality BWP AQ 06 ,002,sso7 Notification Prior to Construction or Demolition Asbestos Project Number# A.Applicability A Construction or Demolition operation of an industrial,commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP), Bureau of Waste Prevention,Air Quality Division,under Regulations 310 CMR 7.09.Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09.Is this a fee exempt notification(city, town,district,municipal housing authority,state facility,owneroccupied residential property of four units or less)? Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? FJ Yes I-IIi No Type of Notification: Revision of an Existing Formj Cancellation of Project Instructions: 1.Blanket Permit Project Approval,if applicable: Approval ID# 1.All sections of this 2.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: form must be completed in order to Approval ID# comply with the Department of ,l p B. General Project Description Environmental 1.Facility Information: Protection notification SNYDER EYE CARE 65 SEA ST EXTENSION requirements of 310 CMR 7.09. Name of facility Street Address HYANNIS MA 026010000 6179019271 2.Submit Original Cityfrown State Zip Code Telephone Form To: Commonwealth of NANUBER11NI GC Massachusetts Facility Contact Person Contact Person Title Asbestos Program 6179019271 Ubertini@comcastnet P.O.Box 120087 Boston,MA Facility Contact Person Telephone Facility Contact Person Email 02112-0087 Facility Size: 1200 1 Square Feet Number of Floors Was the facility built prior to 1980? R1 Yes r__J No Describe the current or prior use of the facility: EYE DOCTORS OFFICE Is the facility a residential facility? UJ Yes RNo If yes,how many units? 2.Facility Owner: DONALD SNYDER 10 EAST ST Facility Owner Name Address HYANNIS MA 026010000 6179019271 City/Town State Zip Code Telephone NONE 65 SEA ST EXT On-Site Manager/Owner Representative Address Hyannis MA 02601 6179019271 City/town State Zip Code Telephone Revised:03/17/2014 Page 1.of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention •Air Quality i 100216507 BWP AQ 06 Notification Prior to Construction or Demolition Asbestos Project Number# B.General Project Description(continued) 3.General Contractor: VIN UBERTINI 11 HELEN LANE Name Address WALPOLE MA 020810000 6179019271 City/Town State Zip Code Telephone VAN UBERTINI 6179019271 General Contractor's On-site Manager/Foreman Telephone C. General Construction or Demolition Description General 1.Construction or demolition contractor: Statement:if asbestos is found VIN UBERTINI 11 HELEN LANE during a Construction Contractor Name Address or Demolition operation,all WALPOLE MA 020810000 6179019271 responsible parties City/Town State Zip Code Telephone must comply with 310 VAN UBERTINI 6179019271 CMR 7.00,7.09,7.15, and Chapter 21 E of Construction and Demolition On-site Manager Telephone the General Laws of the Commonwealth. 2.Licensed Contractor Supervisor: This would include, but would not bw VIN UBERTINI CS086288 limited to,filing an asbestos removal Supervisor Name License Number notification with the Department and/or a 3.Is the entire facility to be demolished? ❑Yes EJ No notice of release/threat of 4.Describe the area(s)to be demolished: release of a hazardous F. substance to the Department,ifI applicable. 5.If this a construction project,describe the building(s)or addition(s)to be constructed: MassDEP Use Only BLUEBEARD INSULATE AND PLASTER WALLSI Date Received �I 6.If this is a demolition or renovation project,were the structure(s)surveyed for the presence of Asbestos-Containing Material(ACM)? rJ Yes RJ No 7.Was asbestos containing material(ACM)found? UJ Yes rNo If a survey was conducted,who conducted the survey? Name Department of Labor Standards Certification Number Revised:03/17/2014 Page 2 of 3 Assessors map and lot number tNE r ................ Sewage Permit number -:./� ..................` 0 0 - House number ...:...lk'..� : .�. ....� � �. a SEPTIC E� G n rsasa L TAB @�} � � 9 i53�. \0 i w , a TOW!N OF •BAR.NS� � •TAB ��ALTIT C& t� � DE A.;ND #•` OUILDIN:G INSfiPECTOR r APPLICATION FOR PERMIT TO ,7to -1 TYPE OF CONSTRUCTION .W 52.0....a�� �'. .. .............. .........(K ::�.....ii 9. f ` TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. .• .......... SE.A..... `�...�.......... �.x..l..f .�.S.�.G.!�.� ...... .. xe�9AN. A.. ProposedUse 5.......... . ............ ...................... ...... .............................. NN (5•Zoning District .................................................. ........ ...:.....Fire District ...... �. ........ .. ...... . ............. Name of Owner ..� .,.. �N L b Y. S N �/� p E*O �L: S tr X T, d?. .N ls...... ....... ...... .A .... .............. !� .Address �I S [)I C J[C-owA) �o►"ouV4 RD. AiE'S7a/�;/'►1 L S" Name of Builder . ..............t.:........I.... ...... .........Address a.. ....F .......... .. Name of Architect ....Address' - C a rs c R 9,'TF_ Number of Rooms .......................�....... ..........:.......................Foundation ...................................^....: .. > IV � O / ry ., P................Roofng 51 �— ' ..............................................:......:......... ... ...Interior ......W6 q,q.....................`... ......... ... Floors .:................ Heating .. .�L�•Cj R..t................... ;Plumbing .....� .!J.� ..... ................. ..... .... ........... .....,+ Fireplace pp.................YY..Q.N. ...............................................A Approximate Cost: /.7r 0..0-a...;....^....................................: Definitive Plan Approved by Planning Board _ _________________ ______19________. Area ...eZ.�.�..... + Diagram of Lot and Building with Dimensions- Fee . . - �.............. SUBJECT TO APPROVAL OF BOARD OF HEALTH . 4 Ar xis I ,G 32X4 � X _j_ 5 =9 R _1 OCCUPANCY PERMITS REQUIRED FOR NEW .DWELLINGS �. I hereby agree to conform to all the Rules and' Regulations of the Town of Barnstable regarding the above construction. C� Name . ... ............. ..................................................... Construction Supervisor's License ................................:... SNYDER, DOMM P. i" 26969 - ADDITI9N '� No ................. Permit for... • Commercial Building ........................................................,,................ ..... location 65 Sea Street Ext. Hyannis ............................:. ......'.... H •• i ,� � �.,,. y '. ...........s.... ........................................................... ~ - Owner Donald P. Snyder Y Type of Construction. Frame................ ........ 4C "'./. ,tik :......... . ............. ............................................... yr Plot ..................... lot ................................ ,., R ' September 13, 84 Permit Granted --.................19 Date of Inspection ....:19 .,Date Completed .... 10 , h �.� - • .♦ -. 1}/ , .� `_ 1.1 � .r7 • 4 i 'Y + ,1• r is • .. /7 ti f .. .�w! '".�..�' _ .. � - ; �, "• .. .. _ * i ,�ram i . 174 `7 :.�i •...�`0. '#.q-',4 - - .. �" �, _ - fir} . ~ n..�'` • • ♦ .jam..• - _ • - ` - - �� - ! Assessor's map and lot number ............................................ Bpi THE T0� Sewage Permit number - :...,�+ e�............. ..... ] /1 . : B9HMAO& LE, i " House number (� > �Fl S�' � s .......................................... r... 4p 1639. \� • �0 M k- TOWN 'OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..................... ............................................................. TYPE OF CONSTRUCTION ......F,.n. ...... ... ........................ ......................... l l �� .... ... ...............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned., hereby applies for a permit according to the following information: Location .. �~ X T- � 5 (,G N. Y ./ .�.:.................... ........ ... ............................................................. .......... ..... j. ....... Proposed Use �. I,Q•l1, * .I.... .................... ZoningDistrict ....................:........................................:..........Fire District ...... ............................................. Name of Owner 'b....P.....55.N..YD�.!�,..Address ... .,� .5��1..5 r...�.�.L......... 1�RN N 15...... f Name of Builder �mA 5 �r m C KCawN .36.7� 56 .."ff R1� . /s1APS?ON /nluS ......................... .....................................Address ..J.... ..............................................,.. I` ) .- 1 1:1 r / - r, Nameof Architect ..................................................................Address. .................................................................................... 746 Numberof Rooms .......................)...:........:.............................Foundation .............................................................................. �>� N S�L S D ( �v Roofing ft5��/7 Exterior ................................................................................. ..................................................................................... 1,10ClD Floors .......................................................................................Interior ......�a Q................................................................ HeatingL C i......................................................... .............Plumbing ..... 6•nl ........................................ ................ Fireplace 6147 �t ................................................Approximate. Cost 00 Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area E ...:ze...*.:... ..-....... OO f Diagram of Lot and Building with Dimensions Fee .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH ' 71 A) 3 -22 4j 714 o D OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .........................i.................................................. M � G Construction Supervisor's License ..a...�...........�..� SNYDER, DONAILD P. A=308-272 . No 26969....... . Permit for ADDITION ...... . . .................................... .........C0RMrCid1..TL14 ............................ Location ...65...S.ea....S............treet........Ext........................ Sea.. . Hyannis........................................... Owner ....Cona.l.d..P.-...§pyA,��K.......................... ......... . .. Type of Construction ............................ ............................................................................... Plot ............................ Lot ................................ Permit Granted .....§!'R K...13........19 84 Date of Inspection ....................................19 Date Completed .......................................19 Assessor's map and lot number .......................................... SEPTIC S TEM MUST BE INSTALLED IN COMPLIANCE X WITH ARTICLE II STATE Sewage Permit number ..... ............................... SANITAR Y CODE AND TOWN REGULATIONS. TNETO��o 3 4 TOWN OF BARNSTABLE AA 8ASB9TeHLE, i � •�' 1639. •� BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....:........................................................................................................................ TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ... �T................1......................................1..'.........!��i.. ..................................................................... ProposedUse .....etd . r,.................................................................. .......................................................................I......................... �r..t Zoning District ........................................................................Fire District ...'1 .................................................................... Name of Owner 6ar-a CG rt, ..�m-. ....ta-'L C-t-1.................Address .S zr........1Lx.r.......14�.�"r°.0..5..... Name of Builder ...�'c'-•.a'.a �0`1J� alb .'./�Ga�I�S........................................:........................Address ........................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms �--- .......................Foundation �� �" - ........................................... ........... ................................................................. Exterior ...W.'. .:... -!1,!,!4,44& ..........................................Roofing ........A.4e'.. ,.4.. 'e"�� ................................................... Floors � /, ....................Interior .............ra�lu�.a._�` g ' � ........................................................Plumbing ®rst Heating .......................fir ......................... . ..................:................................. Fireplace ............. ...'........................................................Approximate Cost ..........f.. ..®.®......... ......................... Definitive Plan Approved by Planning Board ___________ _ __�_7______19__A! a Area ......... � .............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardingthe above construction. .. _ ..................... ' ... ............ Cape Cod Real Estate Exchange 11510 add to c'ercial No ................. Permit for ........................ ........... _ building r LocationSea .........treet........Fact�.......................... i Hyannis ............... ............................................................ r Owner .......... ape Cod..Real Estate Facchange ......... .................................... Type of Construction frame ................................................................................ Plot ............................ Lot ................................ Permit Granted ........AUgast..22............19 73 Date of Inspection ....................................19 Date Completed ... z9 ..?).......19 Cowl 67,*F- PERMIT REFUSED ................................................................ 19 ............................................................I.................. ............................................................................... i Approved ................................................ 19 ............................................................................... ............................................................................... TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION G (51.0 Map ® Parcel 7 Application # Health Division Date Issued PP Conservation Division Application Feet Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address (S S EN S"r CyM-11WS I I N Village LAI A ti&j r t pn Owner mAL-D Sligb6vLAM005 SM; Address 9 7a a S 000H �N5T- YdT'l ;Tr Telephone ,S�& a 7Y 1 33 CAS C oo AL fL 33 goy Permit Request 'PDA, i fJTd- Y %o0, `)dV ,d bA&I of wA dYL. yAwcaL-c 5rg uLrQ M.AE erC m Square feet: 1 st floor: existing proposed 2nd floor: existing proposed-v Total n R C-) Zoning District oo Flood Plain Groundwater Overlay Project Valuation T J DD Construction Type Lot Size '58t FT Grandfathered: ❑Yes ❑ No If es, attach su y I porting docuntation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) r� P'l Age of Existing Structure P. Historic House: ❑Yes )(No On Old King's Highway: ❑Yes ❑ No Basement Type: 0 Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing ® new Half: existing new Number of Bedrooms: 0 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: *Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial )(Yes ❑ No If yes, site plan review# Current Use Ga moAdhat %ALL Proposed Use 54v%nG: APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name lu. Telephone Number S-$ -7(o0 t9 11 Address C,( S`r License # CS - 01 Nc/ C $ A-'moo N S4502y LQFS Home Improvement Contractor# /a19 al y Y Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I-Z%.t-AJ 05 Y�4rziAtiOv .�►s�o s�+ L- i4eC�4 SIGNATURE `y`�+.� DATE 3- I 0 -1 S'- t I' e FOR OFFICIAL USE ONLY i; i APPLICATION# i ]DATE ISSUED i MAP%PARCEL NO. ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: I' FOUNDATION r FRAME i , INSULATION r FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING { DATE CLOSED OUT z.4 'F ASSOCIATION PLAN NO. e Restoration Services Inc. Fire, Smoke, Soot,Water Damage&Mold Remediation Services Cleaning • Deodorization • Reconstruction Specializing in Fire Restoration - All Work Guaranteed Access, Authorization and Direct Payment Request Form I (we) authorize WHALEN RESTORATION SERVICES to perform work as per estimate at property located at 65 Sea Street Extension, Hyannis, MA 02601 to repair damage caused by water on 2/14115 As owner(s) of this property, I (we) understand that I (we) must authorize this work. I (we) hereby authorize WHALEN RESTORATION SERVICES to perform this work and accept responsibility for payment upon completion. I (we) authorize and direct my Insurance Company Safety Policy No. BMA0014160 , to make payments directly to WHALEN RESTORATION SERVICES, Insurance Claim Specialists, for doing this work and to that extent I (we) assign the benefits applicable to this loss to WHALEN RESTORATION SERVICES. I (we) acknowledge receipt of a copy hereof: / � 2 rr 2-y r 7 OWNER DATED SIGVD OWNER WHALEN RESTOFb4TQON RtN SIGNED 22 American Way,South Dennis,MA 02660 Phone: (508)760-1911 Fax: (508)760-9995 • 1-800-244-2598 •E-Mail:restore@whalenrestorations.com Web Page:http://www.whalenrestorations.com OFFICE COPY=WHITE CUSTOMER COPY=YELLOW i • the COMrromwe"of Manackneft Deparl �ei�t of 1WON. �tddenb Ohs o!'1+► tg�to�s �� � ►��i�2rr1 OWN 6M.Sowde wock :a'Campmati"' "M A 1&vW"B�i /ContsacM 's/� bets NBtIIC Whalen Restoration Services Addrasa: 22 American Way Ci South Dennis, MA. 02660 . 508 760 1911 • PhM A: 1•(�=l,am a: ,witb 25 4 p„'I am s aod,I Tw itpi!ejeet.{r�9,dnd): 13-Ifewconowdon 2 ❑ I am s aole 4 � { orOnow, uaa�� Sh!°'e'1ave 8. DamolifFon m my° riY• and 0_ No;, 3.Q I am s6Oen000roer s• ❑ We aea s�ao�po s,,md lift: 0 Q additia�a s waorloaes' [ ' ' l i ❑'p tom,(W additiom E .. ,. � 12 p hoof # �, � S2, �Od o►e Lave oo 3a.'(� v ��,� -..-'"__�'y�#�5. �^T'�M�t+�"'� s -.�rs '.-, "�,h-'S r. yam#. k k'.�3x, �''•�.-,', 4ORM v .x 6� P'�l�LJ�sir I=Uf=W COMpy'Now Ace American Insurance Company paWy#or Uff-ift Lim iI: UB-5B894542-14 ExpkWou Mato: 4/1/15 Job Site Addmw ST Con A CCy StNdZip: YAAwl S • �b!M r�orioen'ct+ #,�'aq�isip�g sei lop Of ofyip�° .fQ.Oii'o > a Ftbe d t off 'R RKDR "and an" S I � � `�`ofthe`��►�for��� �� #�; �,.�� �� the OtRm of < 540i swum 4`-D �J--�� o d Fit�Yt IIarPodrrie'ft tirr-w�east Da 3 0 )r Aw CW or Tovm Per eO Isriios.aol (ctreb on): i. 'Of 8olkattb k. pepsrtme0t`3, 6r Other . Cft/To"Clark 4.Elft"*11109pector S.Plumbing Inspeetor ContutrPerm�:; Ptro�N: i �} Massachusetts -Department of Public Safetyea„r�,ra�troealflr,o�'c%�u �crc/rr%reCC Board of Building Regulations and Standards _ Mee of Consumer Affairs&Business Regulation Construction Supervisor ME ME IMPROVEMENT CONTRACTOR L _ gistration 129244 License: CS-074928 Type: xpiration 7/30/2015 Private Corporaho WILLIAM WHALAN �'� Whalen Restoration Services,lnc 122 POND BREWS MA%0263 William Whalen 22 American Way Expiration South Dennis,MA 02660 Undersecretary Commissioner 08/10/2016 s Unrestricted-Buildings of any use group which License or.registration valid for individul use only contain less than 35,000 Cubic feet(991m3)Of before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation enclosed space. 10 Park Plaza-Suite 5170 Boston,MA 02116 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Not valid without signature For DPs licensing information visit: www.Mass.Gov/DPS Fle:Theresa C81>i ,11ff1t1U9C3-TQ:K. Spelman, ligvftU 9qr;v01/&rAW SI &L508760b2 Fax S ►4@3/10/15 EST Pg 4-4 CERTIFICATE OF LIABILITY INSURANCE DATE(MMI00/VYYY) 03/10/2015 T R'TIFICATE 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),AUTHORI2ED REPRESENTATIVE OQ PRODUCER.AND JUE CER11FIgME IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. if SUBROGATION IS WAIVED,subject to the teens and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsements. PRODUCER CONTACT NAME: HUB fNTERNATIONAL NEW EN PHONE FAX 265 ORLEANS RD (AIC,No,Fit): (A/C,No): E=MAIL NORTH CHATHAM,MA 026SU ADDRESS: '17CKF INSURER(S)AFFORDING COVERAGE NAIC q INSURED INSURER A: ACE AMERICAN INSURANCE COMPANY WHALEN RF,STORATION SERVICES,INC.WHAEI.SERVICES, INSURER 8: INC DDA CHEMDRY BY WHALEN SERVICES INSURER C: 22 r\MERICAN WAY INSURER D:INSURER E: SOUTH DENNIS.MA 02660 INSUREn F: COVERAGES CERTIFICATE NUMBER: REVISION NuMBEn: THIS IS TO CERTIFY THAT THE POLICIESOF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED MANED ABOVE FOR THE POLICY PERIOD INDICATED.NOTVATHSTANDWG ANYREOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE. AFFGIIOED UY THE POLICIES DESCrUDEO HEREIN IS SUEWECT 70 ALL THE TERMS,FXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LWRS SHOWN MAY HALVE BEEN REDUCED OY PAID CLAI PAS. WSR ADD SUB POUCVEFFDATE POLICYEXPDAIE LTR TYPE OF INSURANCE L R POLICY NUMBER (M1&DD%YVYY) (MM,DDIVYYY) LOArTS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. DAMAGE TO RENTED $ PREMISES(Ea occwrence) 4EDEXP(Any Ono pelson) jS GEN'L AGGREGATE LIMITAPPLIES PER: PERSONAL 8 AOV INJURY $ ENERAL AGGREGATE S POLICY PROJECT O LOC PRCOUCTS-COMP/OP AGG $ AUTOMOBILE UABILITY CONBINEO SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per arcident) PROPERTY DAMAGE $ (Per accidenl) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS•MADE AGGREGATE $ DEDUCTIBLE $ RETENTION S g a WORKER'S COMPENSATION AND x VIC SIAIUIUHY OTHER EMPLOYER'S LIABILITY YM UB 58894542.14 0410tr2014 04/0f12015 LIMITS ANY PROPE MBER1EXCLUDFYEXECUTIVE N NIA E.L.EACH ACCIDENT S 1,000,ODO OFFICEWAIEldBER EXCLUDED? IMandalorylnNH) E.L.DISEASE•EA EMPLOYEE S 1,000,000 11 yes.describe under oESCHIPTIONOF DPERATIONSbelow E.L.DISEASE-POLICY LiMff S 1,000.000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAI.ITEMS THIS REPLACES ANY PRIOR CORTMCATE ISSLRTD TOTH➢CURTfITCATBHOLDITR AFFE-CITNO WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION � � ���� ""'"�"� DONALD SNYDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 65 SEA STREET EXTENSION BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL U DELIV D IN ACCORDANCE WITH THE POLICY PRO HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) The ACORO name and logo are registered marks of ACRF-168f3�201 ACQ--D CORP RA'�1�r' is eselved........ s LEASE EXHIBIT: THIS SE IS AND IS INTENDED' O PROVIDE GENERAL INFORMATION REGARDING THE 'A LOCATION AND SIZE OF THE PROPOSED <; WIRELESS COMMUNICATION FACILITY, , THE SITE LAYOUT WILL BE FINALIZED UPON COMPLETION OF THE SITE M, SURVEY AND FACILITY DESIGN. fi - x . STRUCTURAL NOTE: A STRUCTURAL ANALYSIS SHALL BE t► PERFORMED ON EXISTING UTILITY POLE , PRIOR TO CONSTRUCTION AND SHALL , • 9t . BE THE RESPONSIBILITY OF UTILITY CO. �; � • .W INSTALLATION NOTE: . INSTALL ALL EQUIPMENT, MOUNTING BRACKETS AND HARDWARE IN 's sj ° '4a kr ACCORDANCE WITH MANUFACTURER'S '�` ♦ • � H q��, � .1 RECOMMENDATIONS a ELECTRICAL NOTE :: , �,.rr � • xx GENERAL WIRING DIAGRAM AND NOTES > '> TAKEN FROM E—MEMO BY JAMES F. GVAZDAUSKAS, P.E. DATED JANUARY 12, 2017 �I it 6 > ,^as 4 COORDINATED NOTE: COORDINATES AND AMSL ELEVATION BASED FROM A FIELD SURVEY ON a t 07/31/2016. A METES AD BOUNDS A x R SURVEY WAS NOT CONDUCTED � � _m _♦ ♦ �; _ x T Tk • F r - 7 prn.) da a } x. i 5 e 1 B Now- r u. ^rc l yq, LEGEND > rk a. l x s (F) = FUTURE (BLACK) `` t (E) = EXISTING (YELLOW) (P) = PROPOSED (BLACK) APPROX. LOCATION (P) UTILITY POLE ._TRUE NORTH NOTE. (AGL) = ABOVE GROUND LEVEL SUBJECT POLE FALLS WITHIN THE TOWN (AMSL) = ABOVE MEAN SEA LEVEL. NAD 83 LATITUDE: 41' 39 03.01 1 SITE PLAN RIGHT OF WAY N.T.S. = NOT TO SCALE NAD 83 LONGITUDE: —70' 17' 33.42" LE-1 SCALE: 1"=50' 0 25' S0' 100' MASSDOT HIGHWAY LAYOUT PLAN (WHITE) GROUND ELEVATION: 30.0' AMSL HYAN N.IS MA SC07 LEASE EXHIBIT .* DATE: 02/10/2017DRAWN BY: JWH ^A- ADVANCED ver� wireiess DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 276 NORTH STREET Civil Engineering-Site Development 0 FRI N WIRELESS HYAN N IS •MA SCALE: 1"=50' Surveying-Telecommunications WESTBOR UGH, MAR01581 02601 HYANNIS MA SC07 3 SHEET: 1 OF 5 PROPOSED ANTENNA SHALL BE 4'-0" MIN. FROM SECONDARY POWER AND 6'-0 MIN. FROM PRIMARY POWER TOP OF (P) ANTENNA h ELEV. = 43.3'f AGL 73.3't AMSL) NH360QM-DG 2XR"ANTENNA (P) 12.0"0 X 38.7"H —' MOUNTED TO (P) UTILITY POLE NH360QM-DG-2XR ANTENNA OF (P) ANTENNA MOUNTED TO (P) UTILITY POLE `N—'—-�'—- -—-— (P) 45' TALL VERIZON ELEV. = 41.6 f 71.6't AMSL) UTILITY POLE TO REPLACE (P) ANTENNA MOUNTING BRACKET TOP OF (P) UTILITY POLE (E), 19.5' AGL GUY POLE RETPCABLE ION 2AX CABLES (TOTAL OF ANTENNA (P) POWER WEATHERHEAD ELEV. = 39.0't AGL (69.0't AMSL) (P) ANTENNA GROUND WIRE ----------------- (P) POWER TO (P) METER FROM PROVIDER TOP OF (E) GUY POLE ELEV. = 19.5't AGL (49.5't AMSL) P (P) 45' TALL VERIZON UTILITY POLE TO ---------------- (E) GUY WIRE --------------------- - REPLACE (E) 19.5' AGL GUY POLES ELEV. = 19.0'f AGL (49.0't AMSL) (P) TELCO TO (P) RRHs FROM PROVIDER - (E) SECONDARY POWER 51 ' (E) GUY WIRES TO BE ELEV. = 17.5t AGL (47.5'f AMSL) ; REATTACHED TO (P) UTILITY POLE (E) LIGHT ATTACHMENT ' ® ORIGINAL AGL, TYP. OF (2) ELEV. = 17.0't AGL (47.0'f AMSL) (P) RRH'S (TOTAL OF 2), (2)(P) (E) LIGHT TO BE REATTACHED TO DIPLEXERS, & (2)(P) DELTA (P) UTILITY POLE ® ORIGINAL AGL, _-_-� _ - � �� AC/DC CONVERTERS MOUNTED (P) RRH'S (TOTAL OF 2), (2)(P) DIPLEXERS, & TO (P) UTILITY POLE (P) FIBER. 2" U-GUARD TO (P) SAR-0 (2)(P) DELTA AC/DC CONVERTERS MOUNTED TO (E) ! (P) " COAX CABLES UTILITY POLE (TOTAL OF 4) TO DIPLEXERS �� BOTTOM OF (P) RRH (P) SAR-0 ELEV. = 12.5'f AGL (42.5'f AMSL) (P) ELEC. RsrS� (P) SAR-0 CONDUIT TO (P) METER 60A-2 POLE DISCONNECT SWITCH FUSED WITH I A -2 POLE DISCONNECT (3)-20A CIRCUIT BREAKERS & METER SOCKET „ SWITCH FUSED WITH (3)-20A I o N _ _ CIRCUIT BREAKERS & METER (P) GROUND WIRE FROM (P) , *�`,. _ SOCKET METER TO (P) GROUND ROD (P) GROUND ROD r i E GROUND LEVEL ELEV. = 0 t AGL 30.0'f AMSL 2 PHOTO ELEVATION LE-2 SCALE: 1"=10' . LEGEND (F) = FUTURE (BLACK) 1 ELEVATION - INSTALLATION NOTE: STRUCTURAL NOTE: (E) = EXISTING (GREY) LE-2 SCALE: 1"=10' INSTALL ALL EQUIPMENT, MOUNTING A STRUCTURAL ANALYSIS SHALL BE (P) = PROPOSED (BLACK) BRACKETS AND HARDWARE IN PERFORMED ON EXISTING UTILITY POLE (AGL) , = ABOVE GROUND LEVEL 0 5' 10' 20' ACCORDANCE WITH MANUFACTURER'S PRIOR TO CONSTRUCTION AND SHALL (AMSL) = ABOVE MEAN SEA LEVEL RECOMMENDATIONS BE THE RESPONSIBILITY OF UTILITY CO. N.T.S. = NOT TO SCALE HYAN N DATE: 02/10/2017 IS MA SC07 LEASE EXHIBIT DRAWN BY: JWH ADVANCED ver� wireiess DRAWING NUMBER REVISION CHECKED BY: SNA • ENGINEERING GROUP, P.C. '276 NORTH STREET VERIZON WIRELESS Civil Engineering-Site Development 400 F BG E PARKWAY HYAN N IS MA SCALE: AS NOTED Surveying-Telecommunications WESTBOROUGH, MA 01581 02601 HYANNIS MA SC07 3 SHEET: 2 OF 5 INSTALLATION NOTE: INSTALL ALL EQUIPMENT, MOUNTING 5� NH X 38.7"H NORM �G i1"0� � ( ) ONDY POWER �NH360QM-QM-DG-2XR ANTENNA BRACKETS AND HARDWARE IN E SE PFF MOUNTED TO (P) UTILITY POLE ACCORDANCE WITH MANUFACTURER'S RELOCATED (P) ANTENNA MOUNTING BRACKET RECOMMENDATIONS PER MANUFACTURERS SPECS (E) GUY WIRES TO BE (P) 45' TALL VERIZON STRUCTURAL NOTE: REATTACHED TO (P) UTILITY POLE UTILITY POLE TO REPLACE A STRUCTURAL ANALYSIS SHALL BE 0 ORIGINAL AGL, TYP. OF (2) (E) 19.5' AGL GUY POLE PERFORMED ON EXISTING UTILITY POLE (p) 12.0"0 X 38.7"H (P) 45' TALL VERIZON PRIOR TO CONSTRUCTION AND SHALL NH360QM-DG-2XR ANTENNA UTILITY POLE TO BE THE RESPONSIBILITY OF UTILITY CO. MOUNTED TO (P) UTILITY POLE (P) AWS RRH, (P) PCS RRH, (P) REPLACE (E) 19.5' AGL AC/DC CONVERTER, (2)(P) DELTA AC/DC GUY POLE (P) SAR-0 CONVERTERS, (2)(P) DIPLEXERS, 60 METER FROM PROVIDER AMP METER SOCKET W/DISCONNECT g MOUNTED TO (P) UTILITY POLE -------------•----_--- r TRUE NORTH .r 4 ANTENNA PLAN LE-3 SCALE: 1"=4' 5 ANTENNA MOUNTING DETAIL 12� LE-3 SCALE: 1"=4' eeOe_ e e 2 7.3" 12.0" a • e N000e e e - oe°e e e COMMSCOPE NH360QM-DG-2XR e e o 0 o e 0 DIMENSIONS: 12.0"0 x 38.7" WEIGHT: 33.7 LEIS TOP EBONT SIDE :e 3.2" PCS RRH wocHe sso Les. ;o �•.,, 1 z D 12.0' 7.6' 0 w .an e e e e e e s 16 0 °_ M pW—e-, ` e°e e e e _ ,i" - rarm . /�� P #' N °°eo 00 lJ '� Mg FRONT WIRELESS CONSTRUCTION. INC. ` e e e e e e POLE/WALL MOUNT FOR DUAL DIPLEXER. RADIO BRACKET LEGEND l A FRONT ME r ITEM DESCRIPTION QTY. DIMENSIONS: 7.6"H x 7.3W x 3.2"D 1 DOUBLE MOUNT 2 - 2 PCS RRH RACK / T AWS 90W RRH WEIGHT: 6.6 LEIS UNIT WEIGHT 67.0 LBS SUPPLIED HARDWARE AWS RRH RACK W/ (F) = FUTURE (BLACK) a SUPPLIED HARDWARE 1 NOTE: MOUNT DIPLEXERS TO BACKSIDE (E) = EXISTING (GREY) OF DBL-MNT BRKT (P) = PROPOSED (BLACK) , ANTENNA DETAIL 2 RRH DETAILS • 3 DIPLEXER DETAIL • (AGL) = ABOVE GROUND LEVEL LE-3 SCALE: N.T.S. (AMSL) = ABOVE MEAN SEA LEVEL LE-3 SCALE: N.T.S. LE-3 SCALE:.N.T.S. N.T.S. = NOT TO SCALE A^0171, V,- HYANNIS MA SC07 LEASE EXHIBIT DATE: 02/10/2017DRAWN BY: JWH ADVANCED verionwireleSS DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 276 NORTH STREET Civil Engineering-Site Development VERIZON WIRELESS HYANNIS MA SCALE: AS .NOTED g g P 400 FRIBERG PARKWAY 02601 HYANNIS MA SC07 Surveying-Telecommunications WESTBOROUGH, MA 01581 3 SHEET: 3 OF 5 PROPOSED ANTENNA ANTENNA , MOUNT/BRACKET ANTENNA GROUNDING (2) 1/2" COAX CABLES & (1) RET (DEPENDING ON ANTENNA- MODEL)IN 2" UV RATED U—GUARDS MODEL) SECONDARY LINES �N WEATHER HEAD (LEAVE 10' CONDUCTORS FOR UTILITY CO. TIE INS) FIBER FRONTHAUL & BACKHAUL FIBER DEMARC ON POLE (2) DIPLEXER FIBER JUMPERS IN 1-1/2" UV RATED U—GUARD IF LENGTH (4) 1/2" COAX EXCEEDS 4' . CABLES AWS RRH PCS (3)#6 AWG WIRE IN FIBER JUMPER (TYP.) RRH 1-1/4- UV RATED PVC DC POWER #2 AWG COPPER GROUND DELTA AC/DC CONVERTER (TYP. OF 2) WEATHER PROOF SQUARED CAT AC POWER NOTE: USE PROVIDED DELTA NO.: SDSA1175 SECONDARY SURGE MANUFACTURERS WIRING HARNESS ARRESTOR ON 20A 2P CIRCUIT BREAKER #2 AWG COPPER SQUARE D QO-100A, 8 SPACE, 16 CIR OUTDOORO GROUND IN 1/2" MAIN LOAD CENTER WITH COVER. 60A 2P MAIN UV—RATED PVC CIRCUIT BREAKER WITH (3) 20A, 2P BRANCH CIRCUIT BREAKERS (1 FOR SURGE ARRESTOR & (1) PER RRH) MILBANK CAT NO.: U2272—RL-5T9—BL SINGLE LEVER 120/24OV, 1� 3W 125A METER 3/4"000' COPPER CLAD GROUND ROD I ELECTRICAL NOTE: 1 GENERAL WIRING DIAGRAM OOTTtE-STAKEN"FRoME-MMEMO BY JAMES F. GVAZDAUSKAS, P.E. LE-4 SCALE: N.T.S.; DATED JANUARY 12, 2017 HYANNIS MA SC07 LEASE EXHIBIT DATE: 02/10/2017DRAWN BY: JWH ADVANCED verionwireless DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 276 NORTH STREET Civil Engineering-SiteDevelopment vERIZON WIRELESS HYANNIS MA 3 SCALE: AS NOTED 400 FRIBERG PARKWAY 02601 HYANNIS MA SC07 Surveying-Telecommunications WESTBOROUGH, MA 01581 I SHEET: 4 OF 5 - t • GENERAL NOTES ELECTRICAL AND GROUNDING NOTES STRUCTURAL NOTES: 1. exams Iwo INm�IIE N ACE 1 IS i Rir aE 6i u a" FM STEEL A BUILDING CODESIILCP �/Ascv. a/N►-mom L SINUND DISIMIR IN BCF$M WNW FM AND NUNS 4S A RIME)N L ALL ELICIRICAL II EMS SMLL BE ILL. RC10 OR USED AND PROCURED I N L CaawUCIOR SHALL VERIFY ALL DIMENSIONS AND C@DITDNS IN1HE I=PRIOR TO FABIICAM AND ERBCRONf OF ANYinACCORDANCE W NN NDCLMEIMI NS SFBCHRdM NEAUEmaOS. AFPM9E7IAI_ANY UMAIAL CONDITIONS SHALL BE RFPORIm 1C THE ATIENRION OF THE CONSIRucIaN MIANAGEt a I M RIOT IRA AND N0UNRN1 SIAGM m PRESERVE CURD ACCESS ON FOE a THE RECINrx W DIRK NGUBS ALL IAOOR AND MWBIK OEMM BY NaNNIS 3 DESIGN AND ooISIRU1CTaN OF STRINCTUWIL srm SHALL COMM TO 71E AMHJICaNI NSRME OF 57EELL CONs71RU1CRIDN 4. �PMEIT ro E NSIN ED a%UM Ran CENTER N ACCORDANCE WON AND SIWWN N UNcoEIRX WORN m FROM COFLETE OPERALNG AND ^sFagF MION FOR 7HE OENK FMNCIITOM AM EAECIION OF SITIICIURAL SIE><L IN BUIRMOS'. DIIUCIURAI.ANAIM 4 GBLBaL CONIRACIOIt SHALL PAY FES FOR PBID$AND IS RESpOLSBE FOR 4, SIRU UM AND msCaLANE OW SMEL SHALL CONFORM TO ASTM A30 S'IRIl UAL STEEL U LESS 01HEIIRSE 010100ED. & ADVANCED BIG EEWG MP.PA W6 NOT FERE ID A SIRUCFURAL ANALYSIS OF 00100011150 PEIM AM COOK DINIM OF NSPEi.11016 a MEET PIE SMALL CONFORM ro ASIM AI00'+COED-FORMED WEwED a SEAMI E3s CANDOR STEEL.SUNMRAU 7UBW. TIE DOW FCLE m CARRY RE ADOMONAL IDADIN GR40E A,OR ASrM A53 PIPE SIa3 3"AMID NOT-OIPPEI)ZING-COATED WEUIED AND SEAMLESS rfPE E OR S.GRACE a S aWIRCAL AND TACO W N OmaE A IWNDID AND OFOSID m INNER SIMLL PPE SM3 MWED,AM NOMINAL ACRUAL OUTSIDE DAMIEER 6 L41ROM E N DOER TINT NXMM RND SIR CUM OR SMILE 80 R IC(AS CODE)AND WIFE EMARED N LLIUD 10IT R ImIE METAL OR & SIRUCIURAL CON ECIION Oars SWILL BE HIGH SIRENCMH BOLTS(BEARING TYPE)AND CONFORM TO ASrn A325 HIGH NOMMEIALLIC CONDURS STRENIINH OX13 FOR sRRUCr w JONIS,I MUDN9 SUITABLE N UIS AND PUN HARDENED WASTERS'.ALL Boos SHALL BE a aRIID CMU SNMLL BE SC W1 40 PVC. s/I'CA.UON. 7. EEn RC&WAIN 9MLL BE COPPER WRH IYK NNW.111E ,OR RNI NSUIIIDN 7. ALL SIM MNIE IALS SHALL BE GALVANIZED AFTER FABRICATION N ACCORDANCE WITH ASIM A123'ZINC(HOT-DP & RUN E]EIIRLAL OCDUT OR CANE®NE171 ELELIRNJIL UNITY Or]MRtl010M GALVANIZED)COMM ON PON AND MEEt.PRODUCTS'.UNLESS OTHERWISE NOIFD. PORT AND PRQELT OWNER Cal SIZE PPC AS NDIONED ON 7HHS DRAWING. & ALL Ba1Sti ANCHORS AND MISCELLANEOUS HARDWARE SHALL BE GALIIAN 0 N ACCORDANCE WITH ASIM A153 SIC-CMTNO PROFNE RLL IEIM RLL ROFE.COMMODE 01AI ADON WIN UIM COPAL: (HOT-DIP)ON IRON NO SrEEL HwDNwIE;Naas ORHErrII6E ND L RUN MOO CONDUT OR CANE BEITM 7GERIO E UMN CEMARGODN PONE AND 9. FELD WELM ORILL HOLES.SAW=AND ALL DAMAGED ONYNN®SURFACES SHALL BE REPAIRED WITH AN ORGANIC ZMC PROFIT OWNER CELL SITE IEECO CABLE AND B6 CABNE7 AS NNDOED ON RE REPAIR PAINT COMPLYNC WIIH REp1AIEMEN S OF ASOM AM GMYAWM REPAIR PANT SHALL HANE 10 PERCENT ZINC BY NNWNN.POW RILL LEGGIN PILL ROPE AND 6REDIEE CON UT MEASINNB TAPE WEIGHT.ZINC BY DUNCAN GALVN90 G,GALVA EIRNHT PRaN91 Bf CROWN OR EQRVL.IHgOIESS OF APPLIED GAILVAMM N EACH MUM 7E DD OWN REPAIR PANT SHALL BE NOT MDT LDS IWN 4 COATS KIM 71 E TO ORY BE'IW@I CO"WITH A RLRULING COATING 10. NEE OONDUT BERIE>N BIS AND PROW ONEt CELL SIZE PPC AMID KI EII 913 AND mamESS REpUIRED BY ASTM A123 OR A153 AS APPLICABLE PROJECT OWNER OVE SIRE O SERWCE C F 7HI ARE INCUPS SH USE WC,SCR=1. 10. CONIRAcm SWL COMPLY WITH AIRS CODE FOR PROCEDURES,APPEARANCE AND wALLIY OF Wam AND FOR NEww 10 OOIDUT. ABOVE THE GROIRO PORTION OF 11Eg COIWIS SWL E FTC 00DUL USED N CORRECING WELDING.ALL WELDERS AND WELDING PROCESSES SHALL BE QUALM IN ACCORDANCE WITH AWS It ALL WAMITIR LOWS OUISDE SHILL MITE NBA 3R ENCDSARE STMDAIRD QUALFWION PROCENIAFS'.ALL WELDING SHALL BE DONE USING E7m0I E ECIIDDFS AND WELDING SHALL 1L PPC SINPILO BY PROHBCr MIDI OONELRN TOFL AM AND OLL WHERE W WELD SZES ARE NOT SHOWN,PRMINIMUMDE 111E MINN SIZE PER UBIE JL4 IN 7>E AM 1WIUAI.OF Sim CONSTRUCIINH•91H EDITION. to 010NDIG SKL COMPLY WM NEC Ad 210. ADDBNNNLY.GROIMM BONDING NO UGMNIG FROIEI:INN SIMLL E ONE N ACCORDANCE WITH*r-MOKE BLS SIRE 11. IIDORRECILY FARVATED.OAM M OR OITFRWISE MISFRRNO OR NONCONFORMING MR7EIIA S OR CONDITIONS SHALL BE G amm SWDMDS'. ROOM TO 11HE CON61R11 MN MANAGER PRIOR TO RELBDYIL OR CORRECINE ACDN.ANY SUCH ACTION SHALL REQUIRE CONISIRIICnON MANAGER APPROVAL 14. GROUND COAILVL CABLE OEM MI NUM AT BON ENDS USNB MKFA IURQB COAX CAGE GROUNDING N6 SIPRO BY FRMW OWNER 12. UIISIRUIS SHALL BE FORM STEEL CHAMM SMUT FRAMING AS MNaFACRM BY UNIMM CORP.WANK MI OR I& USE COFFER WINCED WIRE WITH 9W COLCR MU AID N FOR ABOVE WCE AF�SIM NEMI)EIRS SSHALL BE 1 I/B�I I/B5A2GA IMUMOITERWSE tGIE16 AND SHALL BE FGf-0P rxvAND3D WIRE FOR 000 Ma GR UNDNB _�M ONE 1a EPDXY ANCIM ASSEMBLY SHALL CONSIST OF 1/2'DIA EIER SIAILESS STEEL MOM ROD WITH WIS&WASHERS.AN 1& ALL GROUND OCIEL7DN6 m BE BINIOf IIY9NIND OOIFRBSDN TYPE CONNExGl6 KMI A LY 7NIRFADFD BMW,A SCREEN AMBLE NO A BUY ADHESIVE 7HE ANCHORING S MElM SHALL BE THE HR W-20 II� OR COO EINBETIIC Waa Do Na ALLOW BALE COFFER DIRE m E IN oONOACf AND OR FK-NERD SYSI E6 U6 SPE>rF®AN UK)OR DORM APPROVE)BDUAL WITH 4-1/4'MIN.EIEFDYF11f DEPTHL WIN talwq<IZED STEEL 14, MOON N BOLISi SHALL CONFORM TO FEDERAL SPBCFICIBION FF-S-325,GROUP I,7YPE 4,CLASS 4 HL71 Nwc Bat I 17. ROUTE GROMM OONDUCIg6 AUIMR 7E SINIRIEST AND SIRN6IREST PATH POWE, OR APPROVED EOUA L B6TALUBION SHALL BE N ACCORDANCE WITH 7HE MAMN:ACIURWS RECOMMENDATIONS.MINIMUM air AS OnERwSE NDWEIL GICNDIIG LEADS SHOULD NEAR E BBB 9 RSIIT EMI MMDIf SHALL E MftE AND ONE HALF(3 1/2)NCH IM MOLE AIM MIRE AT IBM IY RABOB BIDS./6WIE CAN E BEAT A3 I RAMS WHEN NECF5&W.BOO ANY METAL OBHECIS SOHN I FEET OF FROM IL GRAVEL SUB BASE AND CONCETE SHALL BE PLACED AGAINST UNDI MEN)SOL OM EMUNFMEB OR CABNE7 m MUSIER G OI=BAR ON RDOIICNG RN0. I& COME =10 eRC ND OM SWILL E MADE WON 1111)HOLE OWNEZIONN I& CONCRETE FOR FENCE AND ICE BRIDGE SUPPORT SHALL BE 3000 PSI AIR ENIRAIFD(4II-"NORMAL WEIGHT CONCREM TYPE COFFER LUM APPLY ONCE Name CO R)U D ro ALL 1mYi706 17. ALL CAST N PLACE OOMCE7E SILL BE MO077 AND PIAIED N ACCORDANCE WITH THE REDUIBMEiIS OF Aq 318 AND IL BOZO ANRBOM MCUM G BRAMA COAWAL CABLE GROWN IRIS,AND ALMA m EDB ACI 301. RACED NOR TIE MOM LOCWpL 2a APPLY O1mE NanG C0MPG11D TO ALL OCFRFS9oMM TYPE AROUND OouEITDNs I& 7HE FOUDWNG MINIMUM CONC ERE COVER OVER FEWFCRCING SIM SHALL BE AS FCLLOW6 Naas NOTED O HEIMM' ONNcREm CAST AGAINST FARM-3 NC HEL 21. OONIRA010R SHALL PROVIDE AND NNINL ION N&CMIAL ELETTRONC MAINER SYSBM CONCREIE E7P08ED TO EARN OR WATER MO BADS OYFR EACH GROUND ROD AND BONDING PONT BEWEN WIND 70 W AND LARGER-..........---2 INCHES W MONCRILE GROINIVIB 10110 AND EDINPMEFT(IRCU O D NAB. AND SMALLER r . 1 1/2 INCHES 21 OONIRACIOR SIM JEST OOMMEIED GROUND SYSTEM AND RIM REWLIS FIR ALL E3POSED EDGES BALL BE PROVIDED MIIH A 3/4"0/4'CFAIM UNLESS NOTED ONEIWSE. FROST GIBE-OUT DOCNERAION. B OHMS MINIMA WISDIICE RETLAIBD. 2a CONIRACOR SIY1LL OONDUCI`MOM 00%AIO INA REUNLN-W NO NSWDE- IL UNFIT SWILL COMPLY WITH 1HE RE1011IRE ENB OF 7HE AAERICAN NS U E OF iWH1Et 00NIS3RIVION AND 7HE MIONAL To47BLT MFASNEBN6(SWEEP IBM AS NB70ND REMIS FOR PAOA=GIBE Off FORE.4r PROOUCISi ASSOCATICIft NPMONAL DESIGN SPEICRCAIIOM FOR WOW CONFRucRTOM. ALL UAW SHALL BE PREMIRE 7ROM AND SHALL BE SIRUACIURAL GRADE N0.2 OR BETTER. 1 •- i I /10/2017 HYANNIS MA SC07 LEASE EXHIBIT DATE:DRAWN BY: 02 02 ADVANCED JWH ver� onwireless DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 276 NORTH STREET Civil Engineering-Site Development VERIZON WIRELESS HYANNIS MA SCALE: AS NOTED 400 FRIBERG PARKWAY ''02601 HYANNIS MA SC07 3 Surveying-Telecommunications WESTBOROUGH, MA 01581 ' SHEET: 5 OF 5 r y 50V C LEASE EXHIBIT: „ THIS LEASE IS SCHEMATIC IN NATURE - -- r �"� it AND IS INTENDED -TO PROVIDE " GENERAL INFORMATION REGARDING THE ` LOCATION AND SIZE OF THE PROPOSED WIRELESS COMMUNICATION FACILITY, THE SITE LAYOUT WILL BE FINALIZED UPON COMPLETION OF THE SITE SURVEY AND FACILITY DESIGN. el �^ � STRUCTURAL NOTE: A STRUCTURAL ANALYSIS SHALLBE PERFORMED ON EXISTING UTILITY POLE PRIOR TO CONSTRUCTION AND SHALL ' BE THE RESPONSIBILITY OF UTILITY CO. INSTALLATION NOTE: . INSTALL ALL EQUIPMENT, MOUNTING ". ' ® w BRACKETS AND HARDWARE IN � ' .��• • - �"t � x '� ACCORDANCE WITH MANUFACTURER'S y • • RECOMMENDATIONS z a ELECTRICAL NOTE : n, k GENERAL WIRING DIAGRAM AND NOTES H 31 a 4 TAKEN FROM E—MEMO BY JAMES F. = `' GVAZDAUSKAS, P.E. n DATED JANUARY 12, 2017 , a � COORDINATED NOTE: 1 U—1� �' • COORDINATES AND AMSL ELEVATION .• • :•, BASED FROM A FIELD SURVEY ON - 07/31/2016. A METES AND BOUNDS ` •. - , �. , a - e SURVEY WAS NOT CONDUCTED 44 a M1 Yi n t #� , _ e _ r a-- . .. . o .. Y " `• a ' a � � LEGEND � � �� ,. :,- ��,��; � �i� ��� FUTURE (BLACK) O = EXISTING (YELLOW) (P) = PROPOSED (BLACK) APPROX. LOCATION (P) UTILITY POLE TRUE NORTH MQIE: (AGL) = ABOVE GROUND LEVEL SUBJECT POLE FALLS WITHIN THE TOWN (AMSL) = ABOVE MEAN SEA LEVEL NAD 83 LATITUDE: .41' 39 03.01 1 SITE PLAN RIGHT OF WAY N.T.S. = NOT TO SCALE NAD 83 LONGITUDE: —70' 17' 33.42' MASSDOT HIGHWAY LAYOUT PLAN (WHITE) LE-1 SCALE: 1'=50' 0 25' 50' 100, GROUND ELEVATION: 30.0' AMSL ' HYANNIS MA SC07 LEASE EXHIBIT DATE: 02/10/2017 DRAWN BY: JWH ® ver►zonw1reless ADVANCED DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 276 NORTH STREET CivilG Engineering-Site Development VERIZON WIRELESS HYANNIS MA SCALE: 1"=50' g g P 400 FRIBERG PARKWAY 02601 HYANNIS MA SC07 3 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET: 1 OF 5 PROPOSED ANTENNA SHALL BE 4'-0" MIN. FROM SECONDARY POWER AND 6'-0 MIN. FROM PRIMARY POWER TOP OF (P) ANTENNAS ELEV. = 43.3'f AGL 73.3't AMSL) (P) 12.0"0 X 38J"H NH360QM—DG-2XR ANTENNA (P) 12.0"0 X 38.7"H ---\ MOUNTED TO (P) UTILITY POLE NH360QM-DG-2XR ANTENNA rL OF (P) ANTENNA MOUNTED TO (P) UTILITY POLE -—---—- -—"— - (P) 45' TALL VERIZON ELEV. 41.6 t 71.6't AMSL) UTILITY POLE TO REPLACE (P) ANTENNA MOUNTING BRACKET TOP OF (P) UTILITY POLE (E) 19.5' AGL GUY POLE RETPCABLE IOAX N 2CpBES (TOTAL OFULGUARD TO (P)2ANTEN(NA (P) POWER WEATHERHEAD ELEV. = 39.0't AGL (69.0't AMSL) (P) ANTENNA GROUND WIRE ------------------ (P) POWER TO (P) METER FROM PROVIDER TOP OF (E) GUY POLE ELEV. 19.5't AGL (49.5't AMSL) (P) 45' TALL VERIZON UTILITY POLE TO ___________________ (E) GUY WIRE ------------- ------- REPLACE (E) 19.5' AGL GUY POLES ELEV. = 19.0'f AGL (49.0't AMSL) (P) TELCO TO (P) RRHs FROM PROVIDER (E) SECONDARY POWER m (E) GUY WIRES TO BE ELEV. = 17.5'f AGL (47.5'f REATTACHED TO (P) UTILITY POLE (E) LIGHT ATTACHMENT �� m � � �� . ® ORIGINAL AGL, TYP. OF (2) ELEV. = 17.p'f AGL (47.p't AMSL) (P) RRH'S (TOTAL OF 2), (2)(P) (E) LIGHT TO BE REATTACHED TO ----- - �y" DIPLEXERS, & (2)(P) DELTA (P) UTILITY POLE ® ORIGINAL AGL, _ _. AC/DC CONVERTERS MOUNTED (P) RRH'S (TOTAL OF 2), (2)(P) DIPLEXERS, & TO (P) UTILITY POLE (P) FIBER. 2" U—GUARD TO (P) SAR-0 (2)(P) DELTA AC/DC CONVERTERS MOUNTED TO (E) " UTILITY POLES t� _ (P) Xi COAX CABLES ��� : T (TOTAL OF 4) TO DIPLEXERS BOTTOM OF (P) RRH ' (P) SAR-0 , ELEV_. = 12.5'f AGL (42.5'f AMSL)' r � (P) ELEC. R (P) SAR—O CONDUIT TO (P) METER 60A-2 POLE DISCONNECT SWITCH FUSED WITH I i 60A-2 POLE DISCONNECT (3)-20A CIRCUIT BREAKERS & METER SOCKET _ Un a . SWITCH FUSED WITH (3)-20A CIRCUIT BREAKERS & METER (P) GROUND WIRE FROM (P) 06 SOCKET METER TO (P) GROUND ROD ? �� (P) GROUND ROD I I E GROUND LEVEL „.x-,, ti.... ELEV. = O't AGL (30.0't AMSL * o co 2 PHOTO ELEVATION LE-2 SCALE: 1"=10'- LEGEN D (F) = FUTURE (BLACK) , E L E VAT I O N INSTALLATION NOTE: STRUCTURAL NOTE: (E) = EXISTING (GREY) LE-2 SCALE: 1"=10' ' INSTALL ALL EQUIPMENT, MOUNTING A STRUCTURAL ANALYSIS SHALL BE (P) = PROPOSED (BLACK) BRACKETS AND HARDWARE IN PERFORMED ON EXISTING UTILITY POLE (AGL) = ABOVE GROUND LEVEL 0 5' 10' 20' ACCORDANCE WITH MANUFACTURER'S• PRIOR TO CONSTRUCTION AND SHALL (AMSL) = ABOVE MEAN SEA LEVEL RECOMMENDATIONS BE THE RESPONSIBILITY OF UTILITY CO. N.T.S. = NOT TO SCALE ` DATE: 02/10/2017 HYANNIS{ MA SC07 LEASE EXHIBIT DRAWN BY- JWH ® verfZnwireless ADVAl\CED DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 276 NORTH STREET' CivilG Engineering-SiteDevelo R VERIZON WIRELESS HYANNIS MA SCALE: AS NOTED g g P 400 FRIBERG PARKWAY 02601 HYANNIS MA SC07 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET: 2 OF 5 INSTALLATION NOTE: INSTALL ALL EQUIPMENT, MOUNTING S� (P) 12.0"� X 38.7"H NORM \G FLOC I (E) SECONDYEPOWER' NH360QM—DG-2XR ANTENNA BRACKETS AND HARDWARE IN PFF MOUNTED TO (P) UTILITY POLE ACCORDANCE WITH MANUFACTURER'S RELOCATED (P) ANTENNA MOUNTING BRACKET RECOMMENDATIONS PER MANUFACTURERS SPECS (E) GUY WIRES TO BE (P) 45' TALL VERIZON STRUCTURAL NOTE: REATTACHED TO (P) UTILITY POLE UTILITY POLE TO REPLACE A STRUCTURAL ANALYSIS SHALL BE ® ORIGINAL AGL, TYP. OF (2) (E) 19.5' AGL GUY POLE PERFORMED ON EXISTING UTILITY POLE (P) 12.0"� X 38.7"H (P) 45' TALL VERIZON PRIOR TO CONSTRUCTION AND SHALL NH360QM—DG-2XR ANTENNA UTILITY POLE TO BE THE RESPONSIBILITY OF UTILITY CO., MOUNTED TO, (P) UTILITY POLE (P) AWS RRH, (P) PCS RRH, (P) REPLACE (E) 19.5' AGL AC/DC CONVERTER, (2)(P) DELTA AC/DC GUY POLE (P) SAR-0 CONVERTERS, (2)(P) DIPLEXERS, 60 (P) POWER TO I AMP METER SOCKET W/DISCONNECT METER FROM PROVIDER N ----------- ` MOUNTED TO (P) UTILITY -POLE r ' TRUE NORTH { ;r 4 ANTENNA PLAN i .r LE-3 SCALE: 1"=4' 5 ANTENNA MOUNTING DETAIL 2• LE-3 SCALE: 1"=4' oeOe oo .o e e 2 7.3" 1 2.0" G N e°ee ee Oe •O _-� 7 COMMSCOPE NH360QM-DG-2XR13 DIMENSIONS: 12.0"0 x 38.7" WEIGHT: 33.7 LEIS ' e e p 6 p -� ° TOP FRONT13.2" PT* RRH �1 wE1cHr. sso tes. 12,0' 7,6' 2 p M e_o o_o_ o_e_ _ N eeoo 0 0 �j" • D (u °000 e000 0 0 o e o 0 0 0 8 , FRONT WIRELESS CONSTRUCTION, INC. lama e e e POLE/WALL MOUNT FOR DUAL DIPLEXER 1DE ITEM DESCRIPTION RADIO BRACKET LEGEND ` FRONT 5 oTr. DIMENSIONS: 7.6"H x ,7.3"W x,3.2"D �. 1 DOUBLE MOUNT 2 AWS 90W RRH PCS RRH RACK W/ WEIGHT: 6.6 LBS UNIT WEIGHT 67.0 LBS 1 ' 2 SUPPLIED HARDWARE (F) = FUTURE (BLACK) 3 AWS um IRACK E NOTE: MOUNT DIPLEXERS TO BACKSIDE (E) = EXISTING (GREY) ' OF DBL—MNT BRKT E (P) = PROPOSED (BLACK) 1 ANTENNA DETAIL 2 RRH DETAILS 3 DIPLEXER DETAIL (AGL) = ABOVE GROUND LEVEL LE-3 SCALE: N.T.S. (AMSL) = ABOVE MEAN SEA LEVEL LE-3 SCALE: N.T.S. LE-3 SCALE: N.T.S. N.T.S. = NOT TO SCALE HYAN N IS, MA SC07 LEASE EXHIBIT DATE: 02/10/2017 DRAWN BY: JWH Z%IADVANCED verrZonwireless DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 276. NORTH STREET VERIZON WIRELESS HYANNIS MA SCALE: AS NOTED Civil Engineering-Site Development 400 FRIBERG PARKWAY Surveying-Telecommunications WESTBOROUGH, MA 01581 fi 02601 HYANNIS MA SC07 3 SHEET: 3 OF 5 PROPOSED ANTENNA ANTENNA MOUNT/BRACKET ANTENNA GROUNDING (2) 1/2' COAX CABLES & (1) RET (DEPENDING ON ANTENNA - CABLE IN 2" UV RATED U—GUARDS MODEL) SECONDARY LINES - �N WEATHER HEAD (LEAVE 10' CONDUCTORS FOR UTILITY CO. TIE INS) .. FIBER FRONTHAUL & BACKHAUL ` x " FIBER DEMARC ON POLE (2) DIPLEXER FIBER JUMPERS IN 1-1/2" UV RATED U—GUARD IF LENGTH (4) 1/2" COAX EXCEEDS 4' CABLES AWS RRH PCS (3)#6 AWG WIRE IN FIBER JUMPER (TYP.) RRH 1-1/4' W RATED PVC DC POWER #2 AWG COPPER GROUND DELTA AC/DC CONVERTER (TYP-) (TYP. OF 2) WEATHER PROOF SQUARE D CAT AC POWER NOTE: USE PROVIDED DELTA NO.: SDSA1175 SECONDARY SURGE MANUFACTURERS WIRING HARNESS ARRESTOR ON 20A 2P CIRCUIT BREAKER #2 AWG COPPER SQUARE D QO-100A, 8 SPACE, 16 CIR OUTDOOR OM7 GROUND IN 1/2' MAIN LOAD CENTER WITH COVER. 60A 2P MAIN UV—RATED PVC CIRCUIT BREAKER WITH (3) 20A, 2P BRANCH CIRCUIT BREAKERS (1 FOR SURGE ARRESTOR'& (1) PER RRH) _ MIL.BANK CAT NO.: - µ r U2272—RL-5T9-BL SINGLE LEVER 120/24OV, 1� 3W 125A METER `: } 3/4"0x10' COPPER ,CLAD GROUND ROD ELECTRICAL NOTE: GENERAL WIRING.DIAGRAM AND 1 GENERAL WIRING 'DIAGRAM NOTES TAKEN FROM E-MEMO BY JAMES F. GVAZDAUSKAS, P.E. LE-4 SCALE: N.T.S. DATED JANUARY 12, 2017 DATE: 02/10/2017 HYAN N ISMA SC07 LEASE EXHIBIT DRAWN BY: �wH veri Onwireless fAvADVANCED DRAWING NUMBER REVISION CHECKED BY: SNA ENGINEERING GROUP, P.C. 276 NORTH STREET VERIZON WIRELESS HYANNIS MA SCALE: AS NOTED Civil Engineering-Site Development 400 FRIBERG PARKWAY 02601 HYANNIS 'MA SC07 3 Surveying-Telecommunications WESTBOROUGH, MA 01581 SHEET- 4 OF 5 GENERAL NOTES ELECTRICAL AND GROUNDING NOTES STRUCTURAL NOTES: 1. DESIGN RBCUREIENTS ME PER SLOE BU M CODE AND APPUCABE`SUI REEN1%ANSI/ASCE7.WnA-=-G 1. ��Et� S IYID IW�IIrE N N OOIDNICE 1. E L ERIOAL CO E O AS ELL AS 11 W 71E ID7�1E7113 OF CO wDONL STRUCTURAL STANDMDS FOR SIM ANOM SUPPORTING SM0UREL RECONIIIENDAIML E113CINCIL cauE(NH:)AS TELL l6 APRIODE 9711E MD LDGL CODES. 2. GROM 8DER.IIOININIT PIPES MD Ob(INS APRI ABLE)N 2. ALL IEUECIFI L 13816 SWILL K UL AFFIRM OR UM MD FROM PER L CONT ACOR SHALL VERIFY ALL MOWN AND CONDITIONS N THE FIELD PRIOR TO FABRIG710N AND ERECTION OF ANY ADCOIDNLE WIN IMNRFACIL ER'S 8MMUE DAllp6 SEOIRCM REQUIREMENTS. MATERIAL ANY UNUSUAL CONDITIONS SAL BE REPORTED TO LIE ATFENDON OF THE coNmichON MANAGER 3 16DLL BlUIP ERI AND MNNIIM IRACKIS W RESEIK R1610 ACCESS ON PRE 3. THE ELECTRICAL IDIR NODS ALL LABOR MD MOM GESDItAD D MM 3. DESIGN AND CONSTRUCTION OF STRUCTURAL STEEL 91ML GONFNN M THE AIERICAN INSTITUTE OF SIM CONSTRUCTION AND AND I MURI G NCDDIBIL TON W PROVECOMPLETE COMPLETE OFERATW AND NATION FOR THE DETAIL FAMCK ION AND ERECTION OF STRUCTURAL STEEL FOR M LDNGB'. 4. r TO BE MSKLED AAIM a VFIiQRi TbID CENTER N ACCRONCE MIH SI 4. SIRUCRURAL AND MISCOIMEDUS STEEL SHALL GONFGRY W ASIM A36 STAICTIML STEEL,UNLESS GT ERNISE NNGTED. 4. GF11ElIL CONTRACTOR SHALL PAY FEB FOR PIDIDS,AND s IESP016HB1E FOR L ADVMICD ENCIDIWIC CROUP P.C.HAS NOT PEFFDRI®A SINICIUA MKM OF GBDIINIG SAD PERMITS MD COLIONOM OF RSPEL9ID16. L SIM PPE SHALL CONFORM M ASTM A400 SOLD-FORMED Wf1Dm NM SEAIIESS GTEIGN SIM SIRIMIRAL 7U19W.. THE E>a5 W PRE W CANT THE ADDITIONAL LD10ID GRADE A.OR ASM A53 PPE STEEL ELAGK AND"Or-DPPFD ZINC-CMTED WEIIDFD AND SEAMLESS TYPE E OR S.GRADE L L ELECIRM AND 1ELC0 MIND GUISE A FU OND NO EXPOSED W WEAVER SIM PPE SAS INDICATED A E N011W.ACTUAL OUTSIDE DIA EIER 6 LARGIR BE N MR TICHT GMLAIIIIIED RIGID SIR MOM OR SOIME BD PVC PONTIEDk OOOQ MD HERE RB7IFED IN LIQUID TIGHT FUME METAL Olt L ITTR UCNRAL CON EETION BOLTS OWL BE HIGH STRENGTH BOLTS WAR M'RM AND CONFORM TO A5M AY13'HIGH WNWIS STRENGTH BOLTS FOR SREICIURAL JOMS,INCLUDING SUITABLE NUTS AND RAIN HARDENED WASTERS! ALL BOLTS 94ML BE L BORED OWN SAIL BE SMILE 40 PVC. '5/6'NIL LION. v 7. ELETRI L BIIID SILL BE OOPPER ITN TYPE MR.7101t.A THIN IMMADOL 7. ALL STEEL YIOERIA S SHALL BE GALVANIZED AFTER FARVAION N ACCORDANCE WTIH ASTM M23 ANC(HOT-DP GALVANIZED)MA79 B ON NON AND STEEL PROOU'W UNLESS OTfRWW NOTED. L ME11EIN CRDUr OR CABLE®MEEK EIIIOIIIC/L UTILITY DflMIMION POINT AND PROW=0 CELL SITE PPC AS INDICTED ON MILS DRIrBIL L ALL BOL1%ANCHORS AND MISCEUANEDUS HAIDNARE SHALL BE GALVANIZED N ACCORDANCE MAIM ASM A153'ZIiC-CCAING FRON DE RILL UNITIN FULL ROPE OOOIOIN7E NSWLAIDN TRH UTILITY CO FAW OW-DP)ON IRON AND STEEL INNDWAW.UNLESS O1FQiMISE NOTED. r - L RON lELCO CONDUIT OR CANE BEIVA N TELEPHONE UTNTY DEMAIM POUR AND 9. FED MM DRILL HOLES.SAW CUTS AND ALL DAMAGED GALWOZED SURFACES SHALL BE REPI AIRED NRM AN ORGANIC ZINC' PROJECT ME IELO R CELL SITE D CIVET MD 116 COW AS NDICOM ON ILLS REPAIR PA1B COMPLYNG WITH RBpUREIEIOS OF ASM A78M GALNNIIG RERAN PAIR SHALL HAVE W PE]tCENr ZINC BY DI E7Y71 NROADE RILL LENGTH RILL,ROPE NO GREEHIEE CONDUITMPAVAIUID TAPE WFLNT.ZINC BY DUNCAN GALW UM GALVA MIGHT'PRILIUM BY CROWN OR EIQUAL.TFICIOtESS OF APPLIED GAWMIZIN0 lt REPAIR PAINT SHALL BE NOT WT LESS 71IW 4 COATS(ALLDM!TIME TO DRY BETWEEN OCA79)WRH A RESULTING CORING 10. NE1E CONDUIT BUM BIS AND PMW MR CELL SITE PPC NO EL]IEIEIII 1113 AND THIONESS REQUIRED BY ASM A123 OR A153 AS APIPLICARE FROM OM CELL SITE 1E101)SERIECE MU ARE 111DERGROUD USE PVC.SCHEDULE 10. CONTRACTOR SHILL COMPLY WITH AWS CODE FOR PROCEDURES.APPEARANCE11Y AND QUM OF WELDS.AND FOR METHODS 40 OO RIFT ABOVE 71E GROUND FORM OF THESE ONDUIS OftCE PVC GDIDNL USED N CORRMFING WILDING.ALL WELDERS AND WaDND PROCESSES SHALL BE QUALM N ACCORDANCE WITH AM 11. ALL EUINPMENr IDCAIED OUTSIDE SWL IMIE NELN 1R ENCIDSUUE \ 'SFA DARD QUALFICA"PROCEDUItE.S'.ALL WELDING SMALL BE ORE ME EM BMTR00ES AND WELDING SHALL 12. RFC SIFPIED BY'FRDFCT OVER CONFORM TO W AND DLL WHERE FILLET WEIR SIZES ARE NOT SHOWN,PROVIDE ME MINIMUM SIZE PER TABLE&4 N THE MSC'MANUML OF STEEL COISTRUCIION'.9M EDRIOIL I& GROUNDING SIMLL COFLY NTH NM ART. 2O0. ADDTIONNLY,6ROIRDiOD,BDIIDND AND UGHTM PROIEEIIDN SHILL BE DOME N ACOOIDNICE NTH 7-YOBIE 86 SITE 11. NOORREIMY FABRICO ,DAMAGED OR 01HfRW6E MISFRIING OR NONCONFORMING WTEEIAIS OR CONDITIONS TALL BE GRONIDND SBIDATDB'. RONSTgUCIIOIN THE cGIR D ROOM oNshOm MANAGER PRIOR TO REDIAL OR CORRFNE LT ACM ANY SUCH ACTION TA ILL RIEQU E 14, GROUND CWK CANE 9BDS WNIY a BOTH ERM U91D MKFACIUEr6 CaNI - ME GROUIfAID N6 S LIED N PRCELT OM AIR 12. UNbTNITS SHALL BE FORTED STEEL CHARM STTM FRAMING AS MANFACILNED BY UN6RL1r CORP.WAYMEE,MI OR } �/� EOUAL.STRUT IEMEIERS SHILL BE 1 5/nI 5/nIM.UNLESS MEOW NDTIA AID SHALL BE FDr-0P GALYMM 1L 6ROAIDNG�W 'N0 SOD LAIRD COPPER TIE AFTEIt FABRICATOR. FOR®IOW GRADE ORWIIDID 116 ON 11E OIEIMN0. I& EPDXY MN:FIOR ASS7]]LY SHALL OOWW OF 1/Y DIAMETER SPILESS SFE11 ANCHOR ROD WIN NITS&WASTERS.AN 1L ALL GROUND OOIIECTIDI6 W BE BINIDY FIYIIDUD OOIFR651N TYPE CONNBCIORS IMMINKLY THREADED,NSERr.A SCREEN JTUSE AND A EPDXY AIDNSIVE TIE ANCHORING SYSIE7M SHALL BE THE HIL71-HIT W-20 DIOTENICDIDIHERIC� MELD. W RIOT MIDI BARE OMEIR WIFE W BE IN ON IW AND Oft MIL'-150 MEW(AS SPECIFIED AN OWL)OR ENGINEERS APPROVED EQUAL WITH 4-1/4'MN BMW"DEPTH 14. EWANSION DOLLS SHALL CONFORM W FEDERAL SPEICIF=ION FF-S-325.GROUP I.7YPE 4 CLASS I.HL71 KINK BOLT B 17. ROUTE MMDED OOIDICIRtS AM THE SNORIEST MID SI AIGITEST P.OH PGSSELE OR APPROVED W AI.O STML47M SHALL BE N ACCORDANCE WITH 7HE YAMIFACNRFR'S Rt COMMENQpIOML MINIMUM DCFPr AS OiNRNSE ROOMED. GRRIOIG UM MUD NE1ER BE 11W a NON E MEIED1ENT SHILL BE 1H REE AND GI ME HALF(3 1/2)INCHES. MOLE E AUI=M11E AT LEAST 112-11101111115 WM/6MIE CAN BE MT a Ir RADIUS WHIN NBCSSW.BOND MIT METAL OBITS WIRNI 6 FEET OF RDB.T 1L GRAVEL SUB BASE AND 0ONW40E SMALL BE RACED AGOW LNDWURBIO SOIL GNER EQUIPMENT OR CIIBIQ W MISFER MM BUR OR G80Up1'NNL IL CRIECIDN6 W GROND BATS SALL BE HIDE NTH TOO HOE ORFRFSSN 1L CONCRETE FOR FENCE AND ICE EWE SUPPORT TALL BE MOO PSI AIR ENTRAINED(4X-GLUT NORMAL WEIGHT OOMOREM TYPE OWFER UJIG& APPLY SLOE I MBRIM ORPOUD W ALL LOCATE �- 17. ALL CM IN PUCE CONCRETE TALL EE NDEO AND PLACED IN ACCORDANCE WITH T MEN'THE REQUIREMENTS OF AC1 318 MD 1L BIRD MIIELUA HOUITID MM-K ODADRL CUE ROOD IO6.AND YLRA 70 B78 i AC1 301. � RACED D"THE ANTENNA LOCAIDNL 20. MY WIDE TUBING COMPOUND W ALL COIFIES9R1 TYPE RO110 OOIBTIDI6 1L THE FOLIMI G MINIMUM CONCRETE COVER OVER REINFORL'I G SIM SNAIL BE AS FOLLOWS UILESS NOTED WHOM CONCRETE CAST AGOW FIRM-3 NOES 21. OONIRACIOR SIALL FROMM AND INSO LL RN DR CIIOIAL EIESNONC MARIER SOM CONCRETE MUSED W FARM OR WATER 8AI3 OVER EACH RROND ROD AND BONDING PORT BEIIEERR EMW 1UHER/ AND LARGER___._..._._2 INCHES MOOPRE RDUOIB MID AND ERNPM6T MUM RIK 1 9 AND SMALLER-1 1/2 NOES I 2L OONTRACM SU TEST OOPLETED GIDUD SYSTM AND FEM RI NLS FOR ALL EXPOSED ED6E5 SHILL BE PROVIDED I11H A 31ex3/4'CFNNFER UNLESS NOTED OMERNIM PROW ROSE-OUT DOOIUDIRON. 5 00 MONRIF RESIMMM RELINED. 23. CONTIMIOR TALL CONDUCT MUM COAX MD UA REFUF1*- g NO DISBIDE- IL WME R SHALL COMPLY WIN 71E REQUREEMIS OF THE AMERIC/N NSTIIUTE OF TAEIE1t CONSTRUCTION AND 1FE M70K 10-FAIT WALREIENS PEEP 1E"AND MM RMILIS FOR PROACT CIM RT. FOREST PRODUCTS AS90CA n NATIONAL DESIGN SPECERA71011 FOR WOOD C0611R CML ALL LUMEIETt SHALL BE PRESSURE 7WAIED AND SAL BE SIRtUCMRAL GRADE N0.2 OR BETTER r DATE: 02/10/2017 ' HYANNIS' MA SC07 LEASE EXHIBIT DRAWN BY: JWH verffon ENGINEERING GROUP, P.C. 276 'NORTH STREET _ , DRAWING NUMBER REVISION CHECKED BY: SNA ADVANCED - VER¢ON WIRELESS HYANNIS MA SCALE: AS NOTED Civil Engineering-Site Development 460 FRIBERG PARKWAY HYANNIS, MA SC07 3 Surveying-Telecommunications WESTBOROUGH. MA of 5s1 02601 SHEET: 5 OF 5 f t_11l_QING DE E I. MAR 27 2018 R = ` OWN OF BARNSTABL� r tf .iL t 1 i t S + I (1j t 4 I t 'trio - I I' C�-c, i� } `? �� 'F �1 �F t Ili 3 t t i � � �.• i �� r'L�ufih i� y J 1'►�.t„ � � i r fQ ; r -;wr (I. , { �1 i i t s ; ' t aF f s rs } I . , 4 4 1� 1 , s i Y