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42-089 (12) $ C &, %4',.:. :.,c, ,,,..., , . 696-900 MHz BXA-70063-6CF-EDIN-X X-Pol I FET Panel I 63° I 14.5 dBd BXA-70063-6CF-EDIN-3 BXA-70063-6CF-EDIN-4 BXA-70063-6CF-EDIN-5 . iI 4 Tjtp, . c 3° I Vertical I 750 MHz 4° I Vertical I 750 MHz 5° I Vertical I 750 MHz 135 I. .. 3° I Vertical I 850 MHz 4° I Vertical I 850 MHz 5° I Vertical I 850 MHz BXA-70063-6CF-EDIN-6 BXA-70063-6CF-EDIN-8 BXA-70063-6CF-EDIN-10 . . 5M10 5. •I25 100 30 1311 00 I. 50 6° I Vertical I 750 MHz 8° I Vertical I 750 MHz 10° I Vertical I 750 MHz .$,. , •130 5.1 110 . 120 121 125 33 511 951 6° I Vertical I 850 MHz 8° I Vertical I 850 MHz 10° I Vertical I 850 MHz Quoted performance parameters are provided to offer typical or range values only and may vary as a result of normal manufacturing and operational conditions Extreme operational conditions and/or stress on structural supports is beyond our control Such conditions may result in damage to this product Improvements to product may be made without notice REV0310 www.amphenol-antennas.com 2 of 2 J 1 f 696-900 MHz - & - 1N)c.,G BXA-70063-6CF-EDIN-X Rail LJS X :At JCS,ed ele IP,al ri,,Aa'a Ar t ice+.Is also 3 a Iat,e ti it NE r uim r,ua; X-Pol I FET Panel I 63° I 14.5 dBd Re , LIN ,Itn NE 1r a r.,,naaI ne= Electrical Characteristics 696-900 MHz Frequency bands 696-806 MHz 806-900 MHz Polarization ±45° Horizontal beamwidth 65° 63° Vertical beamwidth 13° 11 Gain 14.0 dBd(16.1 dBi) 14.5 dBd(16.6 dBi) Electrical downtilt(X) 0.2,3,4,5.6,8,10 Impedance 500 VSWR 51.35:1 Upper sidelobe suppression(0°) -18.3 dB -18.2 dB Front-to-back ratio(+1-30°) -33.4 dB -36.3 dB Null fill 5%(-26.02 dB) Isolation between ports <-25 dB Input power 500 W Lightning protection Direct Ground Connector(s) 2 Ports/EDIN or NE/Female/Center(Back) Mechanical Characteristics Dimensions Length x Width x Depth ' 1804 x 285 x 132 mm 71.0 x 11.2 x 5.2 in Depth with z-brackets 172 mm 6.8 in g Weight without mounting brackets 7.9 kg 17 lbs Survival wind speed >201 km/hr >125 mph ',..4 Wind area Front:0.51 m2 Side:0.24 m2 Front: 5.5ft2 Side: 2.6 ft2 Wind load @ 161 km/hr(100 mph) Front: 759 N Side: 391 N Front: 169 lbf Side: 89 lbf Mounting Options Part Number Fits Pipe Diameter Weight 3-Point Mounting Bracket Kit 36210003 50-160 mm 2.0-6.3 in 6.3 kg 14 lbs 3-Point Downtilt Bracket Kit(0-14°) 36210004 50-160 mm 2.0-6.3 in 7.3 kg 16 lbs Downtilt Mounting Applications A mounting bracket and downtilt bracket kit must be ordered for downtilt applications Concealment Configurations For concealment configurations,order BXA-70063-6CF-EDIN-X-FP BXA-70063-6CF-EDIN-X BXA-70063-6CF-EDIN-0 BXA-70063-6CF-EDIN-2 e ,,„ ,„ .. ),, .„, ° ��\A,,, Horizontal 1 750 MHz 0° I Vertical 1 750 MHz 2° I Vertical 1 750 MHz IA -611 • _,( ,-, 130 Horizontal 1 850 MHz 0° I Vertical 1 850 MHz 2° I Vertical 1 850 MHz Quoted performance parameters are provided to offer typical or range values only and may vary as a result of normal manufacturing and operational conditions. Extreme operational conditions and/or stress on structural supports is beyond our control. Such conditions may result in damage to this product. Improvements to product may be made without notice 1 of 2 www.amphenol-antennas.com REV0310 A - 696-900 MHz BXA-70063-4 C F-E D I N-X X-Pot I FET Panel 163° 1 13.0 dBd BXA-70063-4CF-EDIN-6 BXA-70063-4CF-EDIN-8 BXA-70063-4CF-EDIN-9 St'), ...(: =D 1,0 t 5e 6° I Vertical 1 750 MHz 8° I Vertical 1 750 MHz 9° I Vertical 1 750 MHz 4,1 )0 : 12), .4 )1., V 40 6° I Vertical 1 850 MHz 8° I Vertical 1 850 MHz 9° I Vertical 1 850 MHz BXA-70063-4CF-EDIN-10 BXA-70063-4CF-EDIN-12 BXA-70063-4CF-EDIN-14 5ttp cl(L. 2)0 1,,0 4.4' 150 1SC 1, 120 CO iit . Oil 100 I Vertical 1 750 MHz 12° I Vertical 1 750 MHz 14° I Vertical 1 750 MHz -.V •,50 iisa, -150 -.' #irvfuo. 41110° 120 EC 110 .0 120 be V 91 10° I Vertical 1 850 MHz 12° I Vertical 1 850 MHz 14° I Vertical 1 850 MHz Quoted performance parameters are provided to offer typical or range values only and may vary as a result of normal manufacturing and operational conditions. Extreme operational conditions and/or stress on structural supports is beyond our control. Such conditions may result in damage to this product. Improvements to product may be made without notice. REV0310 www.amphenol-antennas.com 2 of 2 ikibrAt5Ve .3. 696-900 MHz C BXA-70063-4CF-EDIN-X Repl.,.,r X ,N,tt,aes,reace:tnc;alonwnfdt Aniermzr,n also ati,allahle with NE cnnnectees X-Pol I FET Panel I 63° 1 13.0 dBd Rep EDiy A'th NE in the rn°p°',111A'b." Electrical Characteristics 696-900 MHz Frequency bands 696-806 MHz 806-900 MHz Polarization ±45° tr Horizontal beamwidth 65° 63° Vertical beamwidth 17° 15° Gain 12.5 dBd(14.6 dBi) 13.0 dBd(15.1 dBi) Electrical downtilt(X) 0,2,4,5,6,8,9,10,12,14 Impedance 500 `' VSWR 51.35:1 Upper sidelobe suppression(0°) -16.3 dB -22.1 dB Front-to-back ratio(+/-30°) -36.1 dB -34.9 dB Null fill. 5%(-26.02 dB) Isolation between ports <-30 dB Input power 500 W Lightning protection Direct Ground Connector(s) 2 Ports/EDIN or NE/Female/Center(Back) Mechanical Characteristics Dimensions Length x Width x Depth ! 1205 x 285 x 133 mm 47.4 x 11.2 x 5.2 in Depth with z-brackets 173 mm 6.8 in Weight without mounting brackets 4.5 kg 9.9 lbs Survival wind speed >201 km/hr >125 mph Wind area Front:0.34 m2 Side:0.16 m2 Front: 3.7 ft2 Side: 1.7 ft' Wind load @ 161 km/hr(100 mph) Front: 498 N Side: 260 N Front: 111 lbf Side: 55 lbf Mounting Options Part Number Fits Pipe Diameter Weight 2-Point Mounting Bracket Kit , 36210002 50-160 mm 2.0-6.3 in 4.5 kg 10 lbs 2-Point Downtilt Bracket Kit(0-20°) , 36114003 50-160 mm 2.0-6.3 in 4.9 kg 11 lbs Downtilt Mounting Applications A mounting bracket and downtilt bracket kit must be ordered for downtilt applications Concealment Configurations For concealment configurations,order BXA-70063-4CF-EDIN-X-FP BXA-70063-4CF-EDIN-X BXA-70063-4CF-EDIN-0 BXA-70063-4CF-EDIN-2 BXA-70063-4CF-EDIN-4 BXA-70063-4CF-EDIN-5 S. , 1. <CD,IRO k Horizontal 1 750 MHz 0° I Vertical 1 750 MHz 2° I Vertical 1 750 MHz 4° I Vertical 1 750 MHz 5° I Vertical 1 750 MHz -30 1. .30 ISO -.10 150 ...c6 180 0 19o' r Horizontal 1 850 MHz 0° I Vertical 1 850 MHz 2° I Vertical 1 850 MHz 4° I Vertical 1 850 MHz 5° I Vertical 1 850 MHz Quoted performance parameters are provided to offer typical or range values only and may vary as a result of normal manufacturing and operational conditions Extreme operational conditions and/or stress on structural supports is beyond our control. Such conditions may result in damage to this product. Improvements to product may be made without notice. 1 of 2 www.amphenol-antennas.com REV0310 LETTER OF AUTHORIZATION SITE NO:15035 SITE NAME:NORTHAMPTON LANDFILL MA,MA , ADDRESS: Westhampton Rd. Florence,MA 01062-9806 I,Richard Rossi,Vice President,Contract Management of American Tower*,owner of the tower • facility located at the address identified above(the"Tower Facility"),do hereby authorize BELL ATLANTIC MOBILE OF MASSACHUSETTS CORP.; LTD D/B/A VERIZON WIRELESS, its . successors and assigns, ("VERIZON WIRELESS") and/or its agent, to act as American Tower's non-exclusive agent for the sole purpose of filing and consummating any land-use or building permit application(s) necessary to obtain approval of the applicable jurisdiction for VERIZON WIRELESS's installation of its antennas and related telecommunications equipment on the existing tower and Tower Facility. This installation shall not affect adjoining Iands and will occur only within the area Ieased by American Tower. We understand that this application may be denied,modified or approved with conditions. The above authorization is limited to the acceptance by VERIZON WIRELESS only of conditions related to VERIZON WIRELESS's installation,provided that any such conditions of approval or modifications will be the sole responsibility of VERIZON WIRELESS. The above authorization does not permit VERIZON WIRELESS to modify or alter any existing permit(s)and/or zoning or land-use conditions or impose any additional conditions unrelated to VERIZON WIRELESS's installation of telecommunications equipment without the prior written approval of American Tower. Signature: A 1101) Print Name: •icha . • si Vic: • ident,Contract Management • - • -rican Tower* NOTARY BLOCK Commonwealth of MASSACHUSETTS County of Middlesex This instrument was acknowledged before me by Richard Rossi, Vice President, Contract Management of American Tower (Tower Facility owner),personally known to me(or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same. WITNESS my hand and, ��q,f;pijiJ���a,�this day of , 201 NOTARY SEAL 1 j�i�i o•N;M.EX TF+iN s CJ. ,�. _ sfl, ao t G i Notary Public /46;61-11-k �o/{��`c-✓ O \yt'/ `° My Commission Expires: c'�/t''•( Z-.,I, ' American TO We 1ii441'e�� fined as American Towers LLC and any of its affiliates or subsidiaries. �'''''SSp`wj.{' �o∎`*, ATC Project#528583 The Commonwealth of Massachusetts Department of Industrial Accidents It_ ! = . Office of Investigations =N�. 600 Washington Street ". _•._ .. Boston, MA 02111 ""4-`1E �0 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): a _r'` A " - • Address: A 4j 0.,,,�� ti-- City/State/Zip: ` . • 2_3. Phone #:�,'?� 3 -3 .( Are you an employer?Check the appropriate box: Type of project(required): 104,am a employer with 5 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. I=1 New construction listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' g y 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 12.0 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: lv pfcCj � Y\1O ; r-e_ 15 (',:o Policy#or Self-ins. Lic.#: WC c\C\ )\ 0\ 9 Expiration Date: M\k Lk` ) Job Site Address: 170 Glendale Road/Landfill City/State/Zip: Northampton, MA 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 cer ' nder the pai s and ,enalties of perjury that the information provided above is true and correct. Signature: VIA Date: JLU4lu.. 1 1 9_01 Phone#: k -243 -3 Z-1.∎ II 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#: Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ' See attached Letter of Authorization - - -- , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date d/b/a Verizon Wireless Ellen W. Freyman on behalf of Bell Atlantic Mobile of Massachusetts Corporatio Ltd. I, as Owner/Authorized �. Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Ellen W. Freyman Print . by: ��j� AL , ��� �ja1�JJ3 Signature of Owner/ gent autze. agent Date SECTION 12-CONSTRUCT' .ERVICES 10.1 Licensed Construction Supervisor: Berkshire Wireless Not Applicable ❑ Name of License Holder.. Dennis Teichert CS 71466 License Number 480 Pleasant Street, Lee,MA 01238 p 04/14/2015 Address & Expiration Date x(413)441-4837 Signature Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit 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. Signed Affidavit Attached Yes 0 No 0 Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES Q IF YES, date issued: 06/22/2000 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained © , Date Issued: C. Do any signs exist on the property? YES © NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs 0 Roofing❑ Change of Use❑ Other 0 Brief Description Verizon Wireless is removing 1 antenna panel and replacing it with l upgraded antenna Of Proposed Work: Lpanel, on an existing telecommunications tower. SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 1:1 A-2 ❑ A-3 ❑ 1A I ❑ A-4 ❑ A-5 ❑ 1 B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R4 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ - U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use 19 Specify: Cell Site COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1S' st 2nd 2nd 3rd 3rd 4th 4th Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone Municipal ❑ On site disposal system Versionl.7 Commercial Building Permit May 15,2000 Department use only - ,, - - - --A City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit `� �� 212 Main Street Sewer/Septic Availability r �,,� , Room 100 Water/Well Availability >`,� orthampton, MA 01060 Two Sets of Structural Plans of N°NS"� phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 170 Glendale Road(Landfill),Northampton Map 4 7 Lot 6 oi Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: (Tower Owner) American Tower 0 10 Presidential Way,Woburn, MA 0 Name(Print) Current Mailing Address: Signature See attached letter Telephone 2.2 Authorized Agent: Bell Atlantic Mobile of Massachusetts Corporation, Ltd. d/b/a Verizon Wireless 0 99 East River Drive,East Hartford, CT 06108 u Name(Print) Current Mailing Address: (413) 737-1131 Signature _eve '.— Telephone au orl.-. 9- SECTION 3-ESTIMATE I CON CTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee IM 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection ^0�t 6. Total=(1 +2+3+4+5) '-E/ at:�.QU Check Number `/'//AT ti,c, This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2013-1241 APPLICANT/CONTACT PERSON SHATZ, SCHWARTZ&FENTIN,PC ADDRESS/PHONE 1441 MAIN ST SPRINGFIELD (413)737-1131 PROPERTY LOCATION 170 GLENDALE RD MAP 42 PARCEL 089 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �o � VV/ Fee Paid Typeof Construction: REPLACE 1 VERIZON ANTENNA PANEL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 71466 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQRMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit 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 6 A i3 Signature of Building 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. 170 GLENDALE RD BP-2013-1241 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:42-089 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: renovation BUILDING PERMIT Permit# BP-2013-1241 Project# JS-2013-002049 Est. Cost: $4000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BERKSHIRE WIRELESS 71466 Lot Size(sq. ft.): 2265120.00 Owner: NORTHAMPTON CITY OF LEACHATE TREATMENT FACILITY Zoning: Applicant: SHATZ, SCHWARTZ & FENTIN, PC AT: 170 GLENDALE Applicant Address: Phone: Insurance: 1441 MAIN ST (413) 737-1131 WC SPRINGFIELDMA01103 ISSUED ON:7/3/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE 1 VERIZON ANTENNA PANEL 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 7/3/2013 0:00:00 $55.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner