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0040 REAR HIGHLAND AVENUE - BPA-16-693 The Commonwealth of Massachusetts IKA 1' 2—s 9 DE q 2o3A Department of Public Safety -n Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling �n (This Section For Official Use Only) y Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) qo ?-- Nlrr W LA1,/1_ AV - 94-ix--m MA AI we,4k f No.and Street City/Town Zip Code Name of Building(if applicable) L- SECTION 2:PROPOSED WORK Edition of MA State Code used_ If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair❑ 1 Alteration ❑ 1 Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ 1 Other Specify: Ue&aA/5£ ZMAI&T 47 �X n Are building plans and/or construction documents being supplied as part of this permit application? Yes 4!r- No ❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ No 60 Brief Description of Proposed Work Oil 1= �-0 p7 FiCBrcn -& yd EXl,,sr?N& +tl/r1✓h �[si, o>.S f}Gt ( v 0'✓l moll nrl- i T .A F OJ St-- - 13 —I -A SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation d Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SE N 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.R) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ H: Hi Hazard HI❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1❑ I-2❑ 1-3❑ I-4❑ M: Mercantile❑ R. Residential R-10 R-2❑ R-3❑ R4❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ HB ❑ IIIA ❑ HIB ❑ 1 TV ❑ 1 VA ❑ VB Cl SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information Sewage Disposal• Trench Permit: Debris Removal: P � Check if outside Flood Zone❑ Ind" municipal A trench will n Lic Disposal Site❑ v required❑or trench or sp `Ue P ' to or indentify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-wa : Hazards to Air Navigation: M m A Historic Condssion Review Process: Not Applicable Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No,& Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant per Does the building contain an Sprinkler System?: Special Stipulations: Jb[—�: © (--,owwlo)y weet-( 44i Ri • CAS 78�— �366p— q(offj� Appendix 2 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 for this.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 a licable 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 Plumbin include local connections 9 Gas(Natural,Pro are,Medical or other 10 SurveVed 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 P Architectural Access Review 521 CMRWorkers Com sation InsuranceHazardous Material Mfti ation Documentation Other S St `Other SOther S *Areas of Design or Construction for which plans are not complete at the time of application submittal most 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.Work started prior to approval may be subjected to triple the original permit fee. Registered Professional Contact Information Ch4vo-A CvAi ) &ko Name(Registrant) U Telephone No. a-mail address Registration Number 201 -1; i� d O POT nX4 hkrt� of �_ Cr- �0- rz-- Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-m address egistration Number ail 't w A/try gtro lu a t/�/riL/3G�c� St, ©h'7 o j Dat Street Address G Town State zipDiscipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zi Discipline Expiration Date SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Pi �sw. yr gokJ5N1 Wd- LI0"1Z ^'"ui W4 e 1470 Name(Print) No.and Street City/Town Zip Property er Contact n: _ 7gj Blob g�N6 Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the pr r owner hereby authorizes J os�i _ two, Stu ntcvKlvo 4-r-e xoA-,-PAL f Name Street Address City/Town State Zip to 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 2) building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑ands Sechon 10.1 Registered Professional 1L Responsiblefttorr�Construction Control 13VW a- 4���P. 1L �0'Q�CptNrxpn w�ca„Q Rl •�fih. ' ���r7s Name(Regis t f Z-0DiG✓O r, p Telepho `of e�utail addrerss RegisZ L- Numbe�_ f Street Address le Y{t/9 lStatte- Zip Discipline Expiration Date 10.2 General Contractor J L-E c-- 44,>-s s Company 1)ia� /� J! "U Name ofrgn sponsible for Construction `cense No.a d Type if Applicable AAAK Street Address City/Town State Zip Telephone No.(business) Telephone No. cell e-mail address SECTION 11:WORKERS'CONMENSATION 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 13 SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor Item and Materials) Total Construction Cost(from Item 6) 1.Building $ Building Permit Fee=Total Construction Cost x JL(Insert here 2.Electrical $ appropriate municipal factor)_$ /"Q 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum tee=$J3 (contact municipality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ �"Z! OVO (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By nng e below,I hereby attest under the pains and penalties of perjury that all of the information contained in this By accurate to the best of my knowledge and understanding. Jo Z, St,l S4- 1�/)w- �- g44 4ilO /� easepTin't an7d sigxt name ��� � �L �IT�rti� elephone No. Date Street Address N�, /� City/Town State Zip If 0 Municipal Inspector to fill out this section upon application approval• 0 ' 46 S ! Name Date s��cdRv® CERTIFICATE OF LIABILITY INSURANCE 9/30/20D SY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME. Lynn Blanchard, CIC,CISR FIAI/Cross Insurance PHONE . (603)669-3216 No.(603)645-4331 XCN1100 Elm Street IWRESS.lblanchard@crossagency.com INSURE $ AFFORDING COVERAGE NAIC N Manchester NH 03101 INSURERA:Gemini Ins CO INSURED INSURERBAllmerica Financial Benefit 41840 J Lee Associates, Inc. INSURERC:Torus National Ins Cc 420 Northboro Road Central INSURERD:Insuraace Company of the State of INSURER E: Marlborough MA 01752 INSURER F: COVERAGES CERTIFICATE NUMBER:J Lee 10-1-2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I NSR R TYPE OFINSURANCE A POLICY EFF POLICY EXP POLICY NUMBER MMID LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE Fx—I OCCUR PREMISES Ea occurrence $ 50,000 X VCGP080988 10/1/2015 10/1/2016 MED EXP(Any one Person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JEo- LOC PRODUCTS-COMPMP AGO $ 2,000,000 OTHER: Employee Berlefils $ 1,000,000 AUTOMOBILE UA6I1ITY COMBINED SINGLE LIMIT $ 1,000,000 Fa accident B X ANY AUTO BODILY INJURY(Per parson) $ ALL OWNED SCHEDULED ANVA287120 10/1/2015 10/1/2016 BODILY INJURY(Par aorlEent) $ AUTOS AUTOS X HIRED AUTOS NON-0WNED PROPERTY DAMAGE $ AUTOS Per actidam Unimuml motorist Bl split limit $ 1,000,000 X UMBRELLA WB NO EACH OCCURRENCE $ 5 000 000 C EXCESS me CLAIMS-MADE AGGREGATE $ 5 000 000 DED I I RETENTION 18972DI51ISS 10/1/2015 10/1/2016 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LWBIUW YIN STATUTE ER ANY PROPRIETORIPARTNEWEXECUTIVE NIA E.L.EACH ACCIDENT E 1 000 000 D OFFICEWMEMBER EXCLUDEVILN (Mantletoryla NH) W66180955 10/1/2015 10/1/2016 E.L DISEASE-EA EMPLOYE $ 1,000,000 M yeCRIPTI Nantler 3(a) !m NS E 6m El.DISEASE-POUCY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS ENov DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD IM,AddlBonal Remarks S Aaalule,my be aeaclmtl K more apace Is mqulred) REFERENCE OR PROJECT HERE. ******FOR INFORMATION ONLY.. . .HOLDER IS ADDITIONAL INSURED UNDER GENERAL LIABILITY (ON A PRIMARY S NON-CONTRIBUTORY BASIS) AND AUTO LIABILITY AS REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES UNDER GENERAL LIABILITY AND AUTO LIABILITY AS REQUIRED BY WRITTEN CONTRACT. UMBRELLA POLICY IS FOLLOW FORM. . .MR INFORMATIONAL PURPOSES ONLY****** Refer to policy for exclusionary endorsements and special provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FOR INFORMATION ONLY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FOR INFORMATION ONLY ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATION ONLY FOR INFORMATION ONLY AUTHORRED REPRESENTATIVE Michael Guarino/LM5 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS023(gmantt i I artment of PudOc Safety ; Reyulatibns and Standards t Massachusetts-Dep Board.of Building n.iyor - •--'- .. Cunstnrction SuP' License:CS.CV95 , luct,AglJRRLD y90 W®ter Street013'9 Pembroke WLA ey.01ration 07115120A7 °1.�'mmis5ioner I i i { The Commonwealth of Massachusetts / Department of IndustrialAccidents Office of Investigations I Congress Street, Suite 100 Boston,MA 02114-2017 u,p www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Orgmization/Individual): J Lee Associates Address:420 Northboro Road Central City/State/Zip:Marlborough, MA 01752 Phone #:781.467.9103 Are you an employer?Check the appropriate box: Type of project(required): I. ■❑ I am a employer with 't.""°°8 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ 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 g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P ri� 9. ❑ Building addition [No workers' comp. insurance comp. insurance? required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEI 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 13.❑� Other Cell Antenna Upgrade employees. [No workers' comp. insurance required.] *Any applicant that checks box#I 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 most 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: Insurance Company of the State of PA Policy#or Self-ins. Lie. #:WC066180955 Expiration Date: 10/1/2016 Job Site Address: -I 0 lL µ &M LA•vlp 4VF I SfYL 0 tu' City/State/Zip: A 4 d 1 9-70 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 urance coverage verification. I do here6y certify under the p9,44s and penalties of perjury that the information provided above is true and correct. Si afore• Date: 06/17/2016 Phone : 14679103 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure 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 of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information (if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. 1 # 617-727-4900 ext 7406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 7-2013 www.mass.gov/dia 1 a EMobile 15 Commerce Way . . . . STRUCTURAL ANALYSIS el . \ •FD f 1 1 r 4�1• L: Q � ar y .rY � 4 \ ♦' r .��. � ti �• i� �� �� Address: , ' • HIGHLAND AVE O SALEMj, MA 01970 a� i'` �• i D. CHAPPELL I�' ENGINEERING ASSOCIATES,LLC Civil-Structural-Land Surveying R.K.Executive Centre 0 201 Boston Post Road West 0 Suite 101 0 Marlborough,MA 01752 F7 = CHAPPELL l ENGINEERING L ASSOCIATES,LLC Civil•Structural•Land Surveying June 11,2015 •T•••Mobile- 15 Commerce Way Suite-B Norton, MA 02766 Structural Evaluation of Antenna Loads RE, Candidate Number 4DE9203A Candidate Name Fairweather Apartments Candidate Address 4011 Highland Ave. Salem. MA 01970 To whom it may concern: Chappell Engineering Associates, LLC has performed a structural analysis of the existing roof mounted ballast antenna frame at the above-referenced location. Based upon the site audit completed by others the existing antenna mounts consist of antenna pipe masts secured to the face of the existing stairwell penthouse (beta and gamma sectors)and antenna pipe masts secured to the existing roof-mounted ballast frame(alpha sector). The existing T-Mobile ballast frame currently support two(2)existing panel antennas per sector. T-Mobile currently proposes to re-configure the existing antenna configuration by installing one(1)additional 700MHz antenna at each of the three antenna sectors. The proposed antennas will be secured to the existing vacant antenna mounting pipes centered between the existing in-service antennas at the beta and gamma sectors. A new antenna mounting pipe will be required on the existing ballast frame at the alpha sector location. Chappell Engineering Associates, LLC has completed a stability analysis of the existing ballast frame for the proposed antenna installation detailed on our drawings. Site photos of the existing antenna ballast frames show the current baUast sleds contain twenty-three(23)blocks in the front tray and thirteen(13) blocks in the rear tray. Based upon our stability calculations,the existing ballast Mould be re-configured as follows: Tray Current Config. Proposed Config. Front 23 blocks 16 blocks Rear 13 blocks 20 blocks Furthermore,based upon our review of the existing antenna mounts,and our review of the proposed aggregate antenna and associated hardware loads,Chappell Engineering Associates, LLC has determined that the existing antenna mounts located on the stairwell penthouse has adequate capacity to support the proposed antenna configuration as detailed on our construction drawings.. The appropriate antenna mounting plan has been included in our drawings which are also enclosed for your convenience. Phobos of the existing antenna mounts have also been provided. If you have any questions regarding this matter, please do not hesitate to call. >] Salek, Y'g1i0PA1� ING SAM CML �, a798'P CIS/cjs R.K.Executive Centre■201 Boston Post Road West■Suite 101 ■Marlborough,MA 01752 t.508.481.7400■w .chappellengineering.com■f.508.481.7406 Site.Name/Number: Fairweather Apartments 4DE9203A r MCHAPPELL Site Address: OR Highland Ave ENOI I ERINQ CEA Job Number: 1447.049 L Qwasomwrss,l.ac Date: June 11,2015 Civil•$InlctUraLLantl Surveying Appurtenances Attached to Ballast Frame: Edcsson AIR Commscope Ericsson AIR MUS,11 Antenna Arlene. Antenna Depth,d= 8.0 in 7.1 in BA m 7.0 in in WdO,w= 12.0 in 11.9 in 12.0 in 17.0 in in Height,h= 56.0 in 96.4 in 56.0 in 20.0 in in Heigh ARL= 9it 9it 9ft 4fl R Weight= t001bs 50 Ins 1001bs 50.7 Ibs Ibs Design Code:ASCE 7 Z(Above Ground Lai= 70 ft 70 a 70 it 70 ft 70 It 70 It 70 it 70 it 70 it 70 It Height of Projection Area= 41 it 8.0 it 4.7 ft 17 ft 00 ft 00 ft 00 it 00 it BO it 0.0 ft Wdlh of Projection Area= 1.0 it 1.0 ft 1.0 ft 14 it 0.0 it OA It 0.0 It OO it BO it 00 it At(Pmjected Area of Gross)= 43 s.f. 80 s.f 47 si. 2A s.f. 0.0 if 0.0 s.f. 0.0 s.f. 0.0 s.f. 0.0 5.1. 0.0 s.f. Referenes Wind Veined,V= 107 mph 107 mph 107 mph 107 mph 107 mph 107 mph 107 mph 107 mph IN mph 107 mph Exposure= B B B B B B B B B B Section 6.58.3 G(Gust effect factor)= 0.85 0.85 085 0.85 OZ5 0.85 B85 0.85 0.85 am Section 6.58 CI(Force Coefiaem)= 1A 14 1.4 1A 1.4 1.4 IA 1.4 1A 1.4 16-20 W8-23 Kz(Exp sun Coefficients)= 1 1 1 1 1 1 1 1 1 1 6s66,Table 6-3 K1(Multigier)= 0 0 0 0 0 0 0 0 0 0 Feuds 62 K3(Multplier)= 0 0 0 0 0 0 0 0 0 0 Figure.6-2 K3(Mumgier)= 0 0 0 0 0 0 0 0 0 0 Figure 6-2 Ka(Topo,i Factot):(1+Kt'KTK3y`2= 1 1 1 1 1 1 1 1 1 1 Section 8.5.7.2 Kd= OAS 0.85 0.85 has 085 0.85 0.85 0.85 Bab am Table I(Impedance Faeo)= 1 1 1 1 1 1 1 1 1 1 Table 6-2 Gz=0025 'Kt KCV-2.1(pi= 24.9 Pat 24 9 psf 24.9 psf 24.9 psf 24.9 psr 249 Ref 249 pal 24.9 Psf 24.9 Psf 2C9 psf psf.Section B.5.10 Refedow Wind Pressure,p= 29.8 pill 298 Pat 298 Pat 29.6 Pat 29.6 Pat 29.8 psi 29.8 psf 29.8 sf 29.8 psf 29.8 pR F,Ibs= 138 235 139 70 0 0 0. 0 0 0 Required Minimum Ballast: Ballast Forme Georne Forme width= 7.1 it Frame depth= 8.42 It Central of Gontbagaatb IN.b= 0.67It Canboid of rear ballast W use.6= 7.75 it Frame Footprint Adis= 59.76 W2 Weight of steel forme= 425 Ibs Safety FeebrrorOiImfummg= 1.2 Total Appurtenance Wilt = 300.7 the LMW = teal ballast,elwred,Ibs LedW = 0." Wi Let Wr = 0,55 W F i r For Sfabiliy M.W,q <_ M., Maw,o <_ min-se., M..,ono a + Maam.1a.n M.-W <= Mhsnewy + 0.55(W)(d,) + 0.45(An(dp Q sarpg ror wr, M®with-Mrteme xly Wr Wf I s <= W (min based baed req'd) + 0.55 or+ 0.45M , Mau,isg= 5875A fl-Ibs 55.56 _ 55 dr ny,= 283.3 It Ibs 1 4.58 < W 055 d,= 4.28 fl 0.45 d1= 0.30fl Min.Total Ballast Req'd(Wn)^ 1228 his<= Wn df-/-/ 35 concrete Block WeighR Iles ea) dr r Min.Frent Ballast Req'd(Wti= W21bs 16 bloae 23 blocks From,:Depth Min.Rear Ballast Req'd(W,i= 61 = 19 blocks < 13 blocks Trial Loaded Frame Weight= 1951 Use Frame Geometry R.K.Evecutive Cenbe 1201 Boston Post Road West❑Suite 101❑Madborough,MA 01752 t.508.481.7400 0 www.Chappeilengineedng.com C f.508A81.7405 4 ,ri � K k» � •'Y � �c a � vy�ry h aT rM V+�4� y w fa. .aN rt r r . 5 it , ' • � 1r�rr1 1 3 �N� �7 r i Existing Gamma Sectors r CHAPPELL • ' ENGINEERING • � �ASSOCIATES,LLC Civil-Structural-Land Surveying June 9, 2016 •T•••Mol le• 15 Commerce Way Suite B Norton,MA 02766 Structural Evaluation of Antenna Loads RE: Candidate Number 4DE9203A Candidate Name Fairweather Apartments Candidate Address 40R Highland Ave Salem MA 01970 To whom it may concern: Chappell Engineering Associates, LLC has reviewed the existing antenna installation at the above referenced location. Based upon our site evaluation,the existing antenna mounts consist of antenna pipe masts secured to the face of the existing stairwell penthouse(beta and gamma sectors)and antenna pipe masts secured to the existing roof-mounted ballast frame (alpha sector). The current antenna configuration consists of: Sectors Antenn Dimensions(in) Location Alpha, Beta,Gamma (2) Ericsson AIR21 antennas 56.2H x 12.1W x 7.91) Existing Antenna support structure (1)Commscope LNX-6513DS 54.9H x 11.9W x 7.11) Existing Antenna support structure (1) RRUS-11 Remote Radio Head 20H x 17W x 7D Existing Antenna support structure T-Mobile currently proposes to re-configure the existing antennas to the final arrangement shown: Alpha,Beta,Gamma (1) Ericsson AIR21 antenna 56.2H x 12.1W x 7.91) Existing Antenna support structure (1)Commscwpe WX-6513DS 54.9H x 11.9W x 7.113 Existing Antenna support structure (1)Ericsson AIR32(866Aa/ll 56.61111 x 12.9W x 8.7D Existing Antenna support structure (1)RRUS-11 Remote Radio Head 20H x 17W x 7D Existing Antenna support structure The proposed antennas(noted in bold above)will be installed on the existing antenna mounts currently supporting the in- service antennas(to be replaced with new antennas). Additionally,three (3)supplemental DC cables will be run to the antenna locations. Based upon our site evaluation,a review of the calculations prepared by Chappell Engineering Associates for the initial antenna mount installation completed by T-Mobile in 2015,and a review of the proposed antenna sizes, Chappell Engineering Associates, LLC has determined that the existing structure has adequate capacity to support the proposed L1900 upgrade configuration as shown above. The proposed antennas represent a negligible increase in both the static and wind loaded conditions at the connections and on the overall stability of the antenna mounts: Photos of the existing antenna mounts as well as copies of the 2015 calculations are enclosed for your convenience. If you have any questions regarding this matter, please do not hesitate to call. Very truly yours, 0P CHAPP ENGINEERING SALEK CML .47M ent J Salek, P.E. 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