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23B-046 (287) BP-2022-1220 30 LOCUST ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23B-046-001 CITY.OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-1220 PERMISSIONIS HEREBY GRANTE I TO: Project# EP-2022-0745 Contractor: License: Est. Cost: 25000 BETACOM INC 116676 Const.Class: Exp.Date: 12/19/2025 Use Group: Owner: COOLEY DICKINSON HOSPITAL INI Lot Size (sq.ft.) Zoning: M/WP Applicant: BETACOM INC Applicant Address Phone: Insurance: 9331 EAST FOWLER AVE (813)986-4922 WC6-Z51-292367-022 THONOTOSASSA, FLORIDA 33592 ISSUED ON:09/29/2022 TO PERFORM THE FOLLOWING WORK: replace 3 antennas POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL TIO$ OF ANY OF ITS RULES AND REGULATIONS. Signature: 10 i7-1 )2. t . i ! Fees Paid: S175.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner • _ Z —0k File #BP-2022-1220 APPLICANT/CONTACT PERSON:BETACOM INC 9331 EAST FOWLER AVE THONOTOSASSA, FLORIDA 33592(813)986-4922 PROPERTY LOCATION 30 LOCUST ST MAP:LOT 23B-046-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out • Fee Paid $175.00 Type of Construction: replace 3 antennas New Construction Non StructuralRenovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan TH FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I RMATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan MajorProject: Site Plan AND/OR SpecialPermit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: - • Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee • Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay y il+ 1 9 Signkture of :uilding Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. r ________ �'1.: ' 4 P.-21- 172.0 �� � SEP T e Commonwealth of Massachusetts I6 �t? Office of Public Safety and Inspections -, �� 2 Massachusetts State Building Code(780 CMR) do cops Building Pe it plication for any Building other than a One-or Two-Family Dwelling RiNAM?pGspoTioNs (This Section For Official Use Only) Building Permit Number. so Date Applied: Building Official: SECTION 1:LOCATION 30 LOCUST ST NORTHAMPTON 01060 No.and Street City/Town Zip Code Name of Building(if applicable) 23B 046 001 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration O Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0 Is an Independent Structural Engineering Peer Review required? Yes 0 N o 0 Brief Description of Proposed Work:Replace 3 antennas,Install(3)RRUs,Remove(6)Coax,Install(3)Hybrid lines,Replace(1)Cabinet,and Install(1)Battery cabinet SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft) Total Area(sq.ft.)and Total Height(ft) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational ❑ F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2❑ I-3 0 I-4 0 M: Mercantile 0 R: Residential R-10 R-2 0 R-3 P R-4 0 S: Storage S-1 0 S-2 0 U: Utility O Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA El IB ❑ IIA ❑ IIBO IIIA ❑ IIIB ❑ IV CI VA 0 VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal: A trench will not be Licensed Disposal Site 0 Public 0 Check if outside Flood Zone lil Indicate municipal❑ required O or trench or specify: Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable O Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No lil Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: N/A Special Stipulations: Design Occupant Load per Floor and Assembly space: N/A PIFI Name and Address of Property OwnerSECTION 9: PROPERTY OWNER AUTHORIZATION COOLEY DICKINSON HOSPITAL INC 30 LOCUST STREET NORTHAMPTON, MA 01060 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Betacom Inc Company Name Charles R Zeldenthuis CS-116676 Name of Person Responsible for Construction License No. and Type if Applicable 42996 Zeldenthuis RD Crawford CO 81415 Street Address City/Town State Zip 813 986 4922 - _ permits@betacominc.com Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes O No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor Item and Materials) Total Construction Cost(from Item 6)=$25,000 1.Building $15,000 Building Permit Fee=Total Construction Cost x """ (Insert here 2.Electrical $10,000 appropriate municipal factor)=$175.00 . 3.Plumbing $ 100.00 Minimum 4.Mechanical (HVAC) $ Note: fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to CITY OF NORTHAMPTON 6.Total Cost $25,000 (contact municipality)and write check number here-361 77 y SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Charles Zeldenthius 813 -986. 4922 9/6/22 Please print and sign name Title Telephone No. Date 42996 Zeldenthius Rd Crawford Co 81415 permits@betacom.com Street Address City/Town State Zip Email Address q Municipal Inspector to fill out this section upon application approval: l'J ''1 '199d\ Name Dhte City of Northampton ,MAMY;°H S ••'' Massachusetts 4, '<<G ; DEPARTMENT OF BUILDING INSPECTIONS ?. 212 Main Street • Municipal Building �'.+ ' Northampton, MA 01060 rfY CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: CTDI - 30 Forbes Rd. Northborough, MA The debris will be transported by: Name of Hauler: Betacom Signature of Applicant: Charles Zeldenthius Date: 9/6/22 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street �'•�'�_, Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Betacom Incorporated Address: 9331 East Fowler Avenue City/State/Zip: Thonotosassa, FL 33592 Phone #: 813-986-4922 Are you an employer? Check the appropriate box: Type of project(required): I.E1 I am a employer with 346 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' p 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: The First Liberty Insurance Corporation Policy#or Self-ins.Lic.#: WC6-Z51-292367-022 Expiration Date: 01/01/2023 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. �a-fraLCL .— - Date: 02/16/2022 Signature: Phone#: 813-986-4922 Official use only. Do not icrite in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: PPIPPr Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing(include local connections) 9 Gas(Natural,Propane,Medical or other) 10 Surveyed Site Plan(Utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review(521 CMR) 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information Derek J Creaser 617 306-3034 dcreaser@clinellc.com 49195 Name(Registrant) Telephone No. e-mail address Registration Number 750 W Center St Suite 301 West Bridgewater MA 02379 Civil Street Address City/Town State /il, Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals. T-Mobile Northeast LLC,a subsidiary of T-Mobile USA, Inc. New EnglanJ Market August 9, 2022 VIA EMAIL Cooley Dickinson Hospital, Inc. 30 Locust Street Northampton, MA 01060 ATTN: Laurie Lamoureux jkslater@cooleydickinson.org Re: Lease Agreement dated January 4, 2010 (the "Lease") by and between Cooley Dickinson Hospital, Inc. ("Landlord") and MetroPCS Massachusetts, LLC ("MetroPCS") as successor-in-interest to Youghiogheny Communications Northeast LLC Site Number: 4SHM073A("Site") Site Address: Cooley Dickinson Hospital at 30 Locust Street, Northampton, MA 01060 ("Property") Dear Jonathan, T-Mobile is in the process of updating certain equipment that supports its wireless telecommunications network. As part of this effort, T-Mobile will need to perform work at the' above- referenced Property. The purpose of this letter is to obtain Cooley Dickinson Hospital's consent to perform this work, which consists of swapping (3) antennas; adding (3) RRUs; adding (3) 6x24 hybrid cables; removing (6) coax cables and (1) RBS 2106 cabinet; and adding (1) 6160 cabinet and (1) B1601 battery backup cabinet within the existing lease area. Attached please find proposed plans and structural for these proposed modifications. Please signify your approval by signing and dating one (1) original of this Consent Letter in the space provided below. Kindly return the Consent Letter via email to smattheis@pmass.com at your earliest convenience. Should you have any questions, please contact Sean Mattheis at 770.843.9891. Thank you in advance for your cooperation in this matter. Very truly yours, Sean Mattheis, T-Mobile c/o PM&A, a Centerline Communications, LLC Company Project Manager 1000 Holcomb Woods Parkway Suite 210 Roswell, GA 30076 Acknowledged, Accepted and Agreed: By: oZ Laurie R. Lamoureux Date: 8-10-2022 Please provide a contact name and telephone number for Cooley Dickinson Hospital, Inc., so T-Mobile can schedule the necessary work. Contact Name & Number Jon Slater, Director of Facilities, 413-582-2312 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/30/2021 Irra CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 Angie Carter NAME: Brown&Brown of Florida,Inc. PHONE Ext): (727)461-6044 FAX Np►: (727)442-7695 (A/C,No,Pinellas Division E-MAIL acarter@bbpinellas.com ADDRESS: 83 Park Place Blvd,Suite 101 INSURER(S)AFFORDING COVERAGE NAIC# Clearwater FL 33759 INSURER A: The First Liberty Insurance Corporation 33588 INSURED INSURER B: Liberty Insurance Corporation ! 42404 Betacom,Inc. INSURER C: Liberty Mutual Fire Insurance Company 23035 9331 E.Fowler Ave. INSURER D: INSURER E: Thonotosassa FL 33592 INSURER F: COVERAGES CERTIFICATE NUMBER: CL21123086098 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY FERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMIDD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE $ 1,000,000 TED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence)r $ 500,000 MED EXP(Any one person) $ 5,000 A TB6-Z51-292367-022 01/01/2022 01/01/2023 PERSONAL 8,ADV INJURY 1 $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO LOC PRODUCTS-COMP/OP AG $ 2,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) I X ANY AUTO BODILY INJURY(Per person $ B OWNED SCHEDULED AS7-Z51-292367-012 01/01/2022 01/01/2023 BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY f Per accident) X PIP 10,000 - $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS-MADE WC6-Z51-292367-072 01/01/2022 01/01/2023 AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? N N/A WC6-Z51-292367-022 01/01/2022 01/01/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIM T $ , , Builder's Risk(Special Form) C YM2-Z51-292367-032 01/01/2022 01/01/2023 (Special Form) $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN FOR INFORMATIONAL PURPOSES ONLY ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -a : �_ -- 2�� ny?"1-.-.-— I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A 750 West Center Street, Suite 301 �1 CENTERLINE West Bridgewater, MA 02379 , COMMUNICATIONS n 781.713.4725 Structural Analysis Report Site ID: 4SHM073A Site Name: CooleyHospital RT Project Name: L600 Address: 30 Locust Street Northampton, MA 01060 Client: - Mobile NORTHEAST, LLC 15 Commerce Way, Suite B Norton, MA 02766 OF DEREK CREASE" Date: 3/30/2022 �I�I 0 Digitally signed by: Derek J. Creaser, P.E. DN: CN = Derek J. Creaser, P.E. email = dcreaser@¢linellc.com C = US 0 = Centerline Communications OU = Director - A&E Services Date: 2022.03.31 17:16:49 -04'00' 4:1%� CENTERLINE vCOMMUNICATIONS Scope of Work: Centerline Communications was authorized by T-Mobile Northeast LLC to perform an analysis of the existing structure to determine its capacity to support the proposed and existing T-Mobile equipment/appurtenances listed in this report. Final Appurtenances Configuration: Elevation Positions Azimuth Quantity Appurtenance Sector (ft) (degrees) 72 MP1 60 1 AIR21 KRC118023- 1 B2A B4P Antenna 73 MP2 60 1 840590966 Antenna Sector 1 72 MP3 60 1 AIR21 KRC118023- 1 B2P B4A Antenna 73 MP2 60 1 RRUS 4480 B71+B85 72 - 150 1 AIR21 KRC118023- 1 B2A B4P Antenna 73 - 150 1 840590966 Antenna Sector 2 72 - 150 1 AIR21 KRC118023- 1 B2P B4A Antenna 73 - 150 1 RRUS 4480 B71+B85 63 MP1 290 1 840590966 Antenna 64 - 290 1 AIR21 KRC118023- 1 B2A B4P Antenna Sector 3 64 - 290 1 AIR21 KRC118023- 1 B2P B4A Antenna 63 MP1 290 1 RRUS 4480 B71+B85 Notes: 1. MP represent Mount Pipe. 2. Existing Appurtenance 3. Proposed Appurtenance Proposed Equipment Cabinets: (1) Ericsson 6160 Cabinet(Max. Weight=605 lbs.) (1) Ericsson B160 Cabinet (Max.Weight= 1900 lbs.) (1) PPC(Approx.Weight= 150 lbs.) Existing Equipment Cabinets: (1) Cabinet(Max.Weight= 1000 lbs.) (1) FIF Rack(Max. Weight=300 lbs.) (1) Transformer(Approx.Weight=450 lbs.) al•1 CENTERLINE vCOMMUNICATIONS Design Criteria: Design Codes: Massachusetts State Building Code 9th Edition 2015 International Building Code ASCE 7-10 TIA-222-G Standards Ultimate Design Wind Speed (V",t) 117 mph Nominal Design Wind Speed (Vasd) 91 mph Wind Speed with Ice 50 mph Ice Thickness 1.0 in. Exposure Category B _ Topographic Category 1 Risk Category II Site Soil Class(Assumed) D—Stiff Soil Seismic Design Category B _Spectral Response Acceleration Parameter at a Short Periods, Ss 0.171 g Spectral Response Acceleration Parameter at a Period of 1 Second, Si 0.066 g Short Period Site Coefficient, Fa 1.60 Long Period Site Coefficient, Fy 2.40 Ground Snow Load, Pg 40 psf Minimum Flat Roof Snow Load, Pf 35 psf *Refer to calculations for additional design criteria. Equipment Support Recommendations_ The new equipment cabinets are proposed to be installed on the existing equipment room located inside existing building.The existing RBS6201 cabinet and electrical panel are proposed to be removed. Based on the Structural Analysis by Advanced Engineering Group,dated 09/08/2014,the roof is comprised of 4" concrete with steel decking and W8x18 / W10x22 beams at 4'-4" spacing. The slab is on 1-1/2" inverted 22GA. Galv. B-deck W/6x6-6/6 W.W.F. and#4 12"at bottom in flutes. ii;%O, CENTERLINE COMMUNICATIONS Conclusion: Based on the results of the analysis, we have determined that the existing structure is adequate to support the proposed T-Mobile equipment loading. Stress Ratio Overall Result Roof Loading under Ballast Sled Mount 68% PASS Existing Roof Steel Joist 89% PASS Existing Roof W8x18 Beam 47% PASS Existing Roof W12x26 Beam 96% PASS Equipment Area Load 92% PASS Reference Documents: • T-Mobile 4SHM073A_L600_5_draft, dated 12/28/2021 • Construction Drawings Report by Advanced Engineering Group, dated,05/30/2014 • Structural Analysis by Advanced Engineering Group, dated 09/08/2014 • Structural Analysis by Advanced Engineering Group, dated 05/30/2017 Assumptions and Limitations: • The calculations performed by Centerline Communications are limited to the structural members in these calculations only. • The equipment area is assumed to be located directly over adequate structural supports i.e. building columns, load bearing walls, roof beams,etc. • The analysis is only for the T-Mobile equipment loading listed in the report. • The calculation assumes all structural members to be in good condition i.e. no damage, rust, or other defects. PV' '�°�I' CENTERLI E vCOMMUNICATI Mf Photos: r ,..09 I \ .-711.1H i . I 1 ES 0 - i, . MOT09 1 :@A Existing T-Mobile Equipment Area i';•1 CENTERLINE VCOMMUNICATIONS Design Calculations SITE NUMBER: 4SHM073A ,,� L SITE NAME:CooleyHospital RT Er•1 CENTERLINE DATE:03/29/2022 `, to„,.,1.11C4..01,3 BY: DV CHECKED BY:JG Check of the Roof Loading with Ballast Sled Mount 1) EPD membrane roof = 1.6 psf 2)4" NW.concrete&steel decking = 61 psf 3)2" Rigid insulation = 1.6 psf 4)Misc.&Hung = 10 psf 5) Fireproofing = 10 psf Total roof dead Load Dlr= 84.2 psf Snow Load Sir= 35 psf Total weight of ballast sled Wb= 2377.4 lb Area load of sled onto roof = 56 sqf Uniform sled roof Load Wus 42.5 psf Roof has 4"concrete with steel decking and W8x18/W10x22 beams at 4'-4"spacing Allowable concrete unit Load = 238 psf Total roof loading = 161.7 psf < 238.0 psf OK Check Steel Joist 14K1 between cols 2/3 at 13'-4"span W/2'-11-5/8"spacing Joist 14K1 unit weight DLiaK1= 5.2 plf Joist trib.Width Wjt= 3 ft Allowable 14K1 Joist unit Load = 550 lb/ft Uniform Roof Load on Joist with Wrjoist= 490 lb/ft < 550.0 psf " OK 36"span Centerline Communications Project Title: 4SHM073A 750 West Center Street,Suite 301 Engineer: DV West Bridgewater,MA 02379 Project ID: 781.713.4725 Project Descr:W8x18 Steel beam Printed:29 MAR 2022, 6 06PN Steel Beam File:W8-18 calclulation.ec6 Software copyright ENERCALC,INC.1983-2020,BuiId:12.20.8.2. Lic.#:KW-06013597 Centerline Communications DESCRIPTION: W8x18 Beam-Beta Sector CODE REFERENCES Calculations per AISC 360-10, IBC 2012, CBC 2013, ASCE 7-10 Load Combination Set: IBC 2015 Material Properties Analysis Method: Allowable Strength Design Fy:Steel Yield: 36.0 ksi Beam Bracing: Beam is Fully Braced against lateral-torsional buckling E:Modulus: 29,000.0 ksi Bending Axis: Major Axis Bending D(0.135962) a a a a a S(0.15155) c D(0.36372) a -- -- --- ---a- _.. .__ -. . s- -- - - - -a -- - _.._. --- a K W8x18 rTTIT Span= 13.333 ft r1T1T Applied Loads Service loads entered. Load Factors will be applied for calculations Beam self weight calculated and added to loading Uniform Load: D=0.0840 ksf, Tributary Width=4.330 ft,(dead load) Uniform Load: S=0.0350 ksf, Tributary Width=4.330 ft Uniform Load: D=0.03390 ksf,Extent=3.170-->>10.170 ft, Tributary Width=4.330 ft DESIGN SUMMARY Design OK Maximum Bending Stress Ratio = 0.465: 1 Maximum Shear Stress Ratio= 0.150 : 1 Section used for this span• W8x18 Section used for this span W8x18 Ma:Applied 14.187 k-ft Va:Applied 4.031 k Mn/Omega:Allowable 30.539 k-ft Vn/Omega:Allowable 26.960 k Load Combination +D+S Load Combination +D+S Location of maximum on span 6.667ft Location of maximum on span 13.333 ft Span#where maximum occurs Span#1 Span#where maximum occurs Span#1 Maximum Deflection Max Downward Transient Deflection 0.060 in Ratio= 2,653>=360 Max Upward Transient Deflection 0.000 in Ratio= 0<360 Max Downward Total Deflection 0.252 in Ratio= 635 >=180 Max Upward Total Deflection 0.000 in Ratio= 0<180 Maximum Forces &Stresses for Load Combinations Load Combination Max Stress Ratios Summary of Moment Values Summary of Shear Values Segment Length Span# M V Mmax+ Mmax- Ma Max Mnx Mnx/Omega Cb Rm Va Max Vnx Vnx/Omega D Only Dsgn.L= 13.33 ft 1 0.354 0.112 10.82 10.82 51.00 30.54 1.00 1.00 3.02 40.44 26.96 +D+S Dsgn.L= 13.33 ft 1 0.465 0.150 14.19 14.19 51.00 30.54 1.00 1.00 4.03 40.44 26.96 +D+0.750S Dsgn.L= 13.33 ft 1 0.437 0.140 13.35 13.35 51.00 30.54 1.00 1.00 3.78 40.44 26.96 +0.60D Dsgn.L= 13.33 ft 1 0.213 0.067 6.49 6.49 51.00 30.54 1.00 1.00 1.81 40.44 26.96 Overall Maximum Deflections Load Combination Span Max.""Defl Location in Span Load Combination Max."+"Defl Location in Span +D+S 1 0.2522 6.705 0.0000 0.000 Vertical Reactions Support notation:Far left is#1 Values in KIPS Load Combination Support 1 Support 2 Overall MAXimum 4.030 4.031 Overall MINimum 1.010 1.010 D Only 3.020 3.020 Centerline Communications Project Title: 4SHMO73A 750 West Center Street,Suite 301 Engineer: DV West Bridgewater,MA 02379 Project ID: 781.713.4725 Project Descr:W8x18 Steel beam Printed:29 MAR 2022, 6:06PN Steel Beam File:W8-18 caldulation.ec6 Software copyright ENERCALC,INC.1983-2020,Build:12.20.8.22 Lic.#:KW-06013597 Centerline Communications DESORPTION: W8x18 Beam-Beta Sector Vertical Reactions Support notation:Far left is#1 Values in KIPS Load Combination Support 1 Support 2 +D+S 4.030 4.031 +D+0.7505 3.777 3.778 +0.60D 1.812 1.812 S Only 1.010 1.010 Steel Section Properties : W8x18 Depth = 8.140 in I xx E 61.90 in"4 J = 0.172 in"4 Web Thick = 0.230 in S xx 15.20 in"3 Cw = 122a00 in"6 Flange Width = 5.250 in R xx = 3.430 in Flange Thick = 0.330 in Zx = 17.000 in"3 Area = 5.260 in"2 I yy = 7.970 in"4 Weight = 17.905 plf S yy = 3.040 in"3 Wno = 10.300 in"2 Kdesign = 0.630 in R yy = 1.230 in Sw = 4.440 in"4 K1 = 0.563 in Zy = 4.660 in"3 Qf = 3.230 in"3 its = 1.430 in Qw = 8.570 in"3 Ycg = 4.070 in 14 11 u_ 7 L 11/11##11111irlimmm--1 E rr ', . i\s' ---Inuill\ E 4 4 MEMBER...» 1,30 2,63 3,96 5,30 6.63 796 9,30 10,63 11,96 13,29 Distance(ft) a()Only I+D+S I+D+6,7S6S I+6,66D Centerline Communications Project Title: 4SHM073A 750 West Center Street,Suite 301 Engineer: DV West Bridgewater,MA 02379 Project ID: 781.713.4725 Project Descr:W8x18 Steel beam Printed:29 MAR 2022, 6:06PN Steel Beam File:W8-18 calclulation.ec6 Software copyright ENERCALC,INC.1983-2020,Build:12.20.8.2' Lic.#:KW-06013597 Centerline Communications DESCRIPT1ON: W8x18 Beam-Beta Sector 4,1 2,1 - MEMBER•••» 1 I r N 1 to •2,1 •4,1 130 2,63 3,96 530 6,63 7,96 9,30 10,63 11,96 13,29 Distance(ft) DOnIy I+D+S I+D+6,7SDS I+6.66D MEMBER...> .0,06 2 •0,13 r 0 •0,19 •0,26 1.26 2,55 3.85 5,14 6,44 7,73 9.03 10,32 11,62 12,91 Distance(ft) 6Only I+D+S I+6+6,7S6S I+6.666 I SOnly Centerline Communications Project Title: 4SHM073A 750 West Center Street,Suite 301 Engineer: DV West Bridgewater,MA 02379 Project ID: 781.713.4725 Project Descr:W8x18 Steel beam Printed:29 MAR 2022, 6:18PM Steel Beam Software Software copyright ENERCALC,INC.1983.2020,Build:12.20.8.2, Lic.#:KW-06013597 Centerline Communications DESCRIPTION: W12x26 Beam-Alpha Sector CODE REFERENCES Calculations per AISC 360-10, IBC 2012, CBC 2013, ASCE 7-10 Load Combination Set: IBC 2015 Material Properties _ Analysis Method: Allowable Strength Design Fy:Steel Yield: 36.0 ksi Beam Bracing: Beam bracing is defined as a set spacing over all spans E:Modulus: 29,000.0 ksi Bending Axis: Major Axis Bending Unbraced Lengths Note: User has selected to conside First Brace starts at 5.0 ft from Left-Most support Regular spacing of lateral supports on length of beam= ft D(0.2373) S(0.53375) b b b a S(O.5$3375) D(u 08) o D(u 08) b D(0 08) ----- -� 0(0 08) ! a b e I b I 1 D(0.35075)8 I D(0.35075)8 8 - 1 8 8 8 X M df !✓( W12x26 W12x26 �T Span=19-670 ft Span=5.0 ft Applied Loads Service loads entered.Load Factors will be applie for calculations Beam self weight calculated and added to loading Load for Span Number 1 Uniform Load: D=0.0230 ksf, Tributary Width=15.250 ft,(dead load) Uniform Load: S=0.0350 ksf, Tributary Width=15.250 ft Uniform Load: D=0.03390 ksf,Extent=9.920-->>18.920 ft, Tributary Width=7.0 ft Point Load: D=0.080 k @ 4.0 ft Point Load: D=0.080 k @ 8.0 ft Point Load: D=0.080k@ 12.0 ft Point Load: D=0.080k@ 16.0 ft Load for Span Number 2 Uniform Load: D=0.0230 ksf, Tributary Width=15.250 ft,(dead load) Uniform Load: S=0.0350 ksf, Tributary Width=15.250 ft DESIGN SUMMARY Design OK Maximum Bending Stress Ratio = 0.964: 1 Maximum Shear Stress Ratio= 0.279 : 1 Section used for this span W12x26 Section used for this span W12x26 Ma:Applied 44.886 k-ft Va:Applied 11.262 k Mn/Omega:Allowable 46.574 k-ft Vn/Omega:Allowable 40.406 k Load Combination +D+S Load Combination +D+S Location of maximum on span 9.835ft Location of maximum on span 19.670 ft Span#where maximum occurs Span#1 Span#where maximum occurs Span#1 Maximum Deflection Max Downward Transient Deflection 0.259 in Ratio= 912>=360 Max Upward Transient Deflection -0.171 in Ratio= 701 >=360 Max Downward Total Deflection 0.519 in Ratio= 455 >=180 Max Upward Total Deflection -0.361 in Ratio= 332 >=180 Centerline Communications Project Title: 4SHM073A 750 West Center Street,Suite 301 Engineer: DV West Bridgewater,MA 02379 Project ID: 781.713.4725 Project Descr:W8x18 Steel beam Printed:29 MAR 2022, 6 18PN Steel Beam File:W12-26 caldulation.ec6 Software copyright ENERCALC,INC.1983-2020,Build:12.20.8.2, Lic.#:KW-06013597 Centerline Communications DESCRIPTION: W12x26 Beam-Alpha Sector Maximum Forces &Stresses for Load Combinations Load Combination Max Stress Ratios Summary of Moment Values Summary of Shear Values Segment Length Span# M V Mmax+ Mmax- Ma Max Mnx Mnx/Omega Cb Rm Va Max Vnx Vnx/Omega D Only Dsgn.L= 18.88 ft 1 0.489 0.133 22.51 -0.36 22.51 76.86 46.02 1.14 1.00 5.37 60.61 40.41 Dsgn.L= 0.79 ft 1 0.070 0.140 -0.00 -4.71 4.71 111.60 66.83 1.60 1.00 5.67 60.61 40.41 Dsgn.L= 5.00 ft 2 0.070 0.047 -4.71 4.71 111.60 66.83 1.00 1.00 1.88 60.61 40.41 +D+S Dsgn.L= 18.65 ft 1 0.964 0.254 44.89 -0.35 44.89 77.78 46.57 1.14 1.00 10.27 60.61 40.41 Dsgn.L= 1.02 ft 1 0.170 0.279 -0.00 -11.38 11.38 111.60 66.83 1.62 1.00 11.26 60.61 40.41 Dsgn.L= 5.00 ft 2 0.170 0.113 -11.38 11.38 111.60 66.83 1.00 1.00 4.55 60.61 40.41 +D+0.750S Dsgn.L= 18.65 ft 1 0.843 0.223 39.27 -0.04 39.27 77.78 46.57 1.14 1.00 9.01 60.61 40.41 Dsgn.L= 1.02 ft 1 0.145 0.244 -0.00 -9.71 9.71 111.60 66.83 1.65 1.00 9.87 60.61 40.41 Dsgn.L= 5.00 ft 2 0.145 0.096 -9.71 9.71 111.60 66.83 1.00 1.00 3.89 60.61 40.41 +0.60D Dsgn.L= 18.88 ft 1 0.293 0.080 13.50 -0.22 13.50 76.86 46.02 1.14 1.00 3.22 60.61 40.41 Dsgn.L= 0.79 ft 1 0.042 0.084 -0.00 -2.83 2.83 111.60 66.83 1.60 1.00 3.40 60.61 40.41 Dsgn.L= 5.00 ft 2 0.042 0.028 -2.83 2.83 111.60 66.83 1.00 1.00 1.13 60.61 40.41 Overall Maximum Deflections Load Combination Span Max."2 Defl Location in Span Load Combination Max."+"Defl Location in Span +D+5 1 0.5187 9.756 0.0000 0.000 2 0.0000 9.756 +D+S -0.3614 5.000 Vertical Reactions Support notation:Far left is#1 Values in KIPS Load Combination Support 1 Support 2 Support 3 Overall MAXimum 9.104 15.815 Overall MINimum 2.516 4.534 D Only 4.194 7.557 +D+S 9.104 15.815 +D+0.7505 7.876 13.751 +0.60D ' 2.516 4.534 S Only 4.910 8.257 Steel Section Properties : W12x26 Depth = 12.200 in I xx E 204.00 in"4 J = 0.300 in"4 Web Thick = 0.230 in S xx 33.40 in"3 Cw = 607.00 in"6 Flange Width = 6.490 in R xx = 5.170 in Flange Thick = 0.380 in Zx = 37.200 in"3 Area = 7.650 in"2 I yy = 17.300 in"4 Weight = 26.041 plf S yy = 5.340 in"3 Wno = 19.200 in"2 Kdesign = 0.680 in R yy = 1.510 in Sw = 11.800 in"4 K1 = 0.750 in Zy = 8.170 in"3 Of = 7.030 in"3 rts = 1.750 in Qw = 18.300 in"3 Ycg = 6.100 in Centerline Communications Project Title: 4SHM073A 750 West Center Street,Suite 301 Engineer: DV West Bridgewater,MA 02379 Project ID: 781.713.4725 Project Descr:W8x18 Steel beam Printed:29 MAR 2022. 6:18PN Steel Beam File:W12-26 caldulation.ec6 Software copyright ENERCALC,INC.1983-2020,Build:12.20.8.2, Lic.#:KW-06013597 Centerline Communications DESCRIPTION: W12x26 Beam-Alpha Sector 46 31 U- 17 C 0 o 3 • MEMBER•••>> 12 2,36 4,80 7,24 9,68 12,12 1456 16.99 19,43 21.85 24,29 Distance(ft) D4nly I+D+S I+D+D.7SDS I+6,66D 4 MEMBER...›› Y •1 w. • L 63 t yr •6 •11 236 4,80 7,24 9,68 12.12 14.56 16.99 19,43 '41.85 24,29 Distance(ft) 8 D Only I+D+S I+6+6.7SDS I+6.66D Centerline Communications Project Title: 4SHM073A 750 West Center Street,Suite 301 Engineer: DV West Bridgewater,MA 02379 Project ID: 781.713.4725 Project Descr:W8x18 Steel beam Printed 29 MAR 2022, 6 18PN Steel Beam File:W12-26 caldulation.ec6 Software copyright ENERCALC,INC.1983-2020,BuiId:12.20.8.2, Lic.#:KW-06013597 Centerline Communications DESCRIP'T1CN: W12x26 Beam-Alpha Sector 036 0,14 MEMBER•••>> 2 •0,09 U- 0 .031 .0,53 236 4,80 7.24 9.68 12.12 14,56 1699 19,43 22.05 24,53 Distance(ft) DOrly I+D+S I+D+DJSnS 1+6,66D I SOnly SITE NUMBER: 4SHM073A SITE NAME:CooleyHospital RT II�% CENTElRLINE DATE:03/29/2022 `of c ownurIcAtIowf BY: DV CHECKED BY:JG List of the Equipment 1) Ericsson 6160 Cabinet = 605 lbs 2) Ericsson B160 Cabinet = 1900 lbs 3) PPC = 150 lbs 4)Cabinet = 1000 lbs 5) FIF Rack = 300 lbs 6)Transformer 450 Total Weight Deq= 4405 lbs Equipment Area load = 60 sqf Distribuited Load Peq 73.4 psf Allowable area Load(IBC 2015-Table 1607. = 80 psf Check = 73.4 psf < 80.0 psf OK Equipment Area Load Usage = 92% OK V CENTERLINE COMMUNICATIONS m f f x x f f Y N N r Y f Y ; VBx18 `IV/ \r- 8' w12x26(CONT.) /// i SECTOR 'A' ` /4 �AZIMUTH 30' r co *ilimi:(1. m �- m N m ; itcc . Z., f f o i --10• ` D ` i w12x14 VBx18 Vex18 - 19'-8' 1?'-0- 12'-D' 11 ® 13 14 Partial Roof Plan View — Alpha Sector 4 LONC. SLAB Uh 2"kIGID INSLL ON 1-1/2" INVERTED 22 1-1/2" INVERTED 22 GA. GALV. 8-DECK IN GA GALV. 8-DECKING V 8x24 1'-0' UW12x14 ll 7 co lk.. \\k\Ntill # \ :. : P. a (..) V8x24 ,'0,,,' x O s�"G N J I w12x14 W8x1B 4•-4' 1 Partial Roof Plan View — Beta Sector