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Al, Yt%SCrFUN} ......+.g(ya� �e....... 702Co . Section 5 • RAN Equipment _ � Alpha Antenna View a"AANF4* ..* AiR AP"31 W...xa nrumR.a� YaW+eat+a„.H&93f0O7'. Pp 'rot” Bx'M+aundibdM0.FekEPmex»E t P HItiWe[>,Mmr . .. .....�». .ova. o-.........,r...�..... n.� @xtlawm Y 2 S banNaramfpx �R65@x5.J ,. (T . II%'M1drev»�j ._. __._.�: �R&,�iM� .. ...,. _.„ .........._ ... .. v..__. „_.. _....._ .. . ....... .. ..........::.... . ........,a ....... ' AwWxvt [LWti tfm&k (Ekm.»WYp FI(.3 aRowofn x 'Mtepna orex•amr ,.. sf> P`iMlhlbYtlWCfYNWMMW {3}F�M NrA�86P fR1Rtl2:+1 diP,6ti � ta<RtttiSOra tsIYwFlAxcsttv � fe�FAuxmew�eje��uzPm t r RAN CaNf 1UURATIQN ��( 4NF NiTTD SthF xa NN�N Al, Yt%SCrFUN} ......+.g(ya� �e....... 702Co _ � Alpha Antenna View AiR AP"31 W...xa nrumR.a� ; 'rot” ws txw ceauw ++. xywwo- „� um aRowofn x 'Mtepna orex•amr ,.. sf> t i cvvm s.. p % Atptf NMwMVA#LMrxx.N � I .b' f a '44 = t� 4NtG { ANTENNA CONFIGURA I ION SUPPLEMENTAL S'19hli rNR43€iC EYC`JISI{}N 1 NOIE. HM 41WhI CRhAMO Ht 01HLRS AND CRGVUIIt 8-601 0 BY RCAOEGTG4 C:p3R}MM1A NITNOUT E�lI". 170 GLENDALE RD BP -2017-0744 GIS a: COMMONWEALTH OF MASSACHUSETTS May 'Block: 42 - 089 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: CELL TOWER BUILDING PERMIT Permit BP -2017-0744 Project# JS -2017-001238 Est. Cost $15000.00 Fce� $150.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License., Use Group: HPC WIRELESS LLC 107527 Lot Size(sq. ft.): 2265120.00 Owner: T -Mobile Northeast LLC Zoning: Applicant: HPC WIRELESS LLC AT: 170 GLENDALE RD Applicant Address: Phone: Insurance: 42 MILL PLAIN RD (203) 797-1112 WC DANBURYCT ISSUED ON. 2/7/20760.00.00 TO PERFORM THE FOLLOWING WORK INSTALL 3 ANTENNAS & 3 RRUs TO THE EXISTING TOWER POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Smoke: Final: 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 Occuoancv Signature: FeeType: Date Paid: Amount: Building 12/7/20160:00:00 $150.00 212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272 Louis Hasbrouck — Building Commissioner File # BP -2017-0744 APPLICANT/CONTACT PERSON HPC WIRELESS LLC ADDRESS/PHONE 42 MILL PLAIN RD DANBURY (203) 797-1112 PROPERTY LOCATION 170 GLENDALE RD MAP 42 PARCEL 089 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST Accessory Structure Owner/ Statement or License 107527 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON NEe0 St6ctYLd NI C P(Ate INFO¢MATION PRESENTED: ✓Approved _ Additional permits required (see below) ,SEI F/kAA-1 L' 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 (L-", n / 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. Version l.7 Commercial Building Permit Mav 15. 2000 SECTION 7 - SITE INFORMATION Department use only City of Northampton Status of Permit: Building Department Curb CuYDrireway Permit 212 Main Street Sewer/Septic Availability Room 100 Watar/Wel Availability Northampton, MA 01060 Two Sets of Structural Pians phone 413-587-1240 Fax 413-587-1272 PWSlle Plants Other Spectty APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 7 - SITE INFORMATION 1.1 Prooerty Address' This section to be completed by office \ `�6 GIgN a\Z �04J Map Lot Unit ttvv�� 10ceNCZ.\1�1, Zone Overlay District q Elm SL District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: T-Mo\,\c (LLL yS lir AN �ciS°e\, RarN�4 1f1C` Name (Print) Current Mailing Address: Sog- GGI- 3\00 Signature Telephone 2.2 Authorized Agent: Name (Print) Current MailingngAddress. So$-6G1-3too Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only comeletedby permitapplicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total=(1+2+3+4+5) Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Date Building Commissioner/inspector of Buildings Version) 7 Commcocial 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 El Repairs Additions ❑ Accessory Building Exterior Alteration ❑ Existing Ground Sign ❑ New Signs [I Roo((ffti(Change of Use ❑ Other 6S CA 5 ct` II Brief Description ® 6N �C�a\Fp`-�ppr\t_ wcC1/ cpU S'S�5 Q� tNS`0.��"`s3 Of Proposed Work: \ 4 3au�zu 3wc" k'A' � aAJ s�,N SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A AssemblyElA-1 ElA-2 E]A-31:11A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A 2B 2C ❑ ❑ ❑ E Educational ❑ F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ M Mercantile ❑ 4 ❑ R Residential ❑ I R-1 ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility ❑ Specify. Specify: M Mixed Use ❑ S Special Use ❑ Specify: 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): Proposetl Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Fluor Area per Floor(sf) 1m . ""3,d2"" 2- 3 rd 3,0 4t" 4in Total Area (if) Total Proposed New Construction (all 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 [3 Private ❑ Zone Outside Flood Zoneunicipal ❑ M❑ On site disposal system❑ VercdnnI T rnmmcrrlol Rdldino Pa..nir Ma., 15 Mnn S. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side Rear La R: L: R: Building Ileight Bldg, Square Footage °o Open Space Footage (Lot area minus bids & paved parking) % N of Parking Spaces Fill: volume & Location) A. Has a Special Permit/Variance/Finding er been issued for/on the site? NO O DON'T KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Resist of Deeds? NO O DONT KNOW YES O IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained 0 , Date Issued: C. Do any signs exist on the property? YES O NO O 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 (D IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, exeava n, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 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 (Reglstmm). Registration Number Address Signature - - --- - Telephone Expiallon Date 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature T.Immme Expiation Date Name Am. of Respo s bilay Address RegisUat on Number Signature Telephone Expiration Data Name Area of Responsibility Address Registration Number Signature Telephone Expiation Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Dale 9.3 Contractor 1G�eneral \\p�. U,A\ Sj _ - _-.. __. Not Applicable❑ Company Na,mIe'. Responsible In Charge of Construction Address Sce_ \.C.cNSC Signature Telephone Version l.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) independent Structural Engineering Structural Peer Review Required Yes O No O SECTION 11 - OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I• - --- --- -- -- ---- --- -_—, as Owner of the subject property hereby authorize _.___—_ _--______ _. to aM on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 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 penaliesofpeLry. Print Name Q W�� Signature of OwnerlA an Dat D SECTION I2 -CO TRUCTION SERVICES Ij 10.1 Licensed Construction Suoervlsor: Name of License Holder. Not Applicable License Number Address Expiration Date Signature Telephone SECTION 13 -WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(e)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affitlavit will result in the denial of the issuance of three building permit. Signed Affidavit Attached Yes tJ No O City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: \n The debris will be transported by: The debris will be received by: Hi?C w, z�cSS Building permit number: Name of Permit Applicant Date Signature of The Consimeivenllh of Massachusetts Departlneld oflndustrldlAecirlen/s I Congress Street, Suile 100 Boston, MA 01114-2017 wlvinuill sgophlfo Workers' Compenselion Insurance AHmnvit: General Buslnesine. TO BE FILED WITH THE PERMITTING AIITHORI ff. g.oDlicant Information Please Print/ ]II B usineWOrganizatlon Name: HPC Wireless Services, LLC Address: 22 Shelter Rock Lane, Building C 06810 Are you an employer? Cheek the appropriate box: I. © I son a employer is, 55 employees (Fall and/ or pert -time)! 2.❑ I an, a sole promicWror pannerainp and have no employees working for me in arty capacity. (No workers' comp, insurance required] 3. ❑ We are a corporation and its officers have exemised their right ofexemption per c. 152, § 1(4), and we have an employees. [No workers' comp. Insurance required] 4. E3 We arc a non-profit organizmion, staffed by volunteers with no em iloveee. [No workers' comm. announce me. Photle 0: 203-797-1112 Business Type (required); 5. []Retail 6. ❑ RotanremBm/Eating Establishment 7. OIBtt and/or Sales (incl. real esmm, auto, coo) I. ❑ Non-profit 9. ❑ Entertainment 10.❑ Mmmfacturing 11.11 Health Cue 12.21 other Telecammunications •Amaaanxm rnotchecas tonal mat tlu mi on Nesnmm MowsAmnng RoxwRanx comaeauneopellryinf non annuutoomom uki.la m lmeeeremph+l tlremselvee, nut she cotporonienlw wherempleyas, axmrlm' mmpemanron polky ia,quirtdandswA en orgnniwtionsAauMcMck boxal. I an, all ceployer that sproviding workers'coewsuallon mantrrmcefornp•enrployees. Belmvlrnmpacyl,/ormallon. Insurance Company Name: Zurich American Insurance Company Insurer's Address:3 Exeaolive Park Drive, Suite 300 Bedford, NH. 03110 Policy a or Self -ins. Lie. a 552553804 Expiration Date: 7/6/2017 Attach a copy of [fie workers' compensation policy declaration page (showing the policy ..,.her and expiration dale). Pei I ne to secure coverage as required under Sco an 25A of MGL c. 152 can lead to the imposition of criminal penalties of fine tip to $ 1,500.00 and/or one-year imprisonment, m well as civil penalties in the faun ofa STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised tlnat a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. onrloonxel. Offidid use only. Do nor nvdlein dds area. lobe completer/by el& or Imwi off/clnl. City or Town: Pei mlt/Licenes a Issuing Aulhm'ity(eirde one): I. Board of Health 2. Building Department 3. Cllyfrown Clerk 4. Licensing Board 5. Selectmen's Office 6. Other Contact Person: Phone IONuchusMb , D"wbnat of Public cuddy Bard M B AMM"S RpulObau am dura. f'im.mcmm■ Lw:.c..: cshp-Io7neMx7 NOVA CRBVIOR 110 RIVOge AIA Pi B Southbridge AIA Canenrenor OONW2077 Client#: 1591098 141HPCMR ACORD- CERTIFICATE OF LIABILITY INSURANCE ° ATA (AI 111112'0" 7111!2074 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATWELY 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 ranNkate holder a an ADDITIONAL INSURED, the pelicylieal must be andoned. If SUBROGATION IS WAIVED, subject to DO, terms and conditions of the policy, certain paliclas may require an endmaemem. A statement on this certificate does not confer rights to the certificate holder in lieu of such anon orr mfid A BB&T-Atlantic Risk Management A' E,R.410�00�/00 LP,v"Ac H1866.649-3146 5860 Waterloo Road, Suite 240 _ — -- -- ---- - AomM:: jonnifer burton@bbandLcom Columbia, MD 21045 _ INNUIIEIa01,�FFORWXO CDVEMOE __ _ NAICR_ 4104804400 IxsuRERA: Cincinnati Specialty Underwrite 13037 --- INeNdORDso WauRER N: AIM. EXcess & Surplus Ina. 33189 HPC Wireless ees LLC - --- -- — - - wwRERc:ZurichAmericanlnsunneeCo 2]866 22ShelterRock Lane k La mpuREn o: Lloyds of London -FORIEGN Building INSURERS: Cincinnati Insurance Company 10677 Danbury, CT 06810 INSURERFHanover Insurance Company 22292 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY SHAT THE POLICIES OF NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIE POLICY PERIOD INDICATED. NO'WITHSTANDING ANY REQUIREMEN', TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TC WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ITR TYPE W INSURANCE IT L INN, POLICY NUMBER p�Xpe - mM 1071061201 LIMRB AW A dEHERAL useluTv I %. %'.CS00060023 )106/20140710612016 EACH OCCURRENCE 21,000,000 XI CONTAERGALGENEAPL!WBL'Y E a NTE _MGMaOE % OCGGR NED EIP µry om pxsonl_ flygg .XI SURD Ded: 2,500 - . _ PERSON eACV.NJPEI A1,000,000 _ GE Efl L BGNEGA'E 12,000,000 CAN'L ACGREGATF 151' T APPLIES PEP _ PRODUCTS-COMP,OP AGO 52,000,000 POL CY X.JE�C* j LGCS . E AUTSMOBM LEDADTY X X EBA0260662 710612014 07/06/2015 Eau iNE�OISING'EINIP (1,000,000 X,ANYAN1. S J 'P v $ ALL OWNED - SCHEDULED AVTCC AUTCs ACCII NJLR IPe : evil s xIH .AU -os I I AUros 37166120140710612016 EACL OC.LAEENCE 16000000 B UMBRELLA Lue X�occuR X �1 7MAX3EC50000535 X E1.CEaS LIAO j OAIxE.MbE 1I AGGREGATE 56,000,000 OED j RETE.I I f C ADRAERSOOMYENDATION X WC652553302 AND EMLOYERS UAMUTY 7MM1407106/2015%'I-s'ATu ICr. TORY LIMOS IER ANY PROPRIETOPrPAa'I-PEAECVTVE VIX 4 EX PLVDEC'� y INl "'HA=.NP - Ea"'HA=.NP f10$1,000-000O-ICENMEMBER MPNm.rmxm IIy4 OImN�rvL, - DESC_RIMpNOFOP£RPTIONfukv, _ _ _ _ _ EL] BE �O CV.IMi f1,000_, O.00 ;7/06/2014 F Irretsll. Floater X % RHOA0477807 _-.. 7/06/2014 07/06/2015 Limit: $1,000,000 D Professional LMb ''.. POIARK0300600 7/08/201407/06/2015 Per Claim E2M/Agg E2M D Pollution Liab PGIARK0300600 07106/2015 Per Claim S21101 / ARO E2M DEacnrnoN OroPERAnoxsl Lounoxsl vENIOLEe IAaAcn AcoRo tm,AmwNnn a.N.naxmmM. N Rlolsw.esM eRl+sul SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRWISIONS. 01988-2010 ACORD CORPORATION. All x A. ".' NOR1 1 oft 1 rte AGORD name And 1090 are re915tared marks of ACORD #S12796672/M'12656606 UOOL specified in the written contract cr agreement, the limits applicable to the additional insured are those specified in the Declarations of this Coverage Part. The limits of insurance are in- clusive of and not in addition to the limits of Insurance shown In the Declarations. D. With respect to the Insurance afforded to these additional Insureds, SECTION IV - COhMERCIAL GENERAL LIABILITY COW ORIONS, 4. Other Insurance is amended to include: Any coverage provided herein will be excess over any other valid and collectible insurance available to the addtlonal insured whether primary, excess, contingent or on any other basis unless you have agreed In a written contract or written agreement executed prior to any loss that this insurance will be primary. This irwrence will be noncontribulary only if you have so agreed in a written contract or written agreement executed prior to any loss and this coverage is determined to be Pri- mary. Includes copyrighted material of ISO CSGA 437 1108 Properties. Inc., with its permission. Page 2 of 2 ❑ MaeaehuaHte - Department of Public Belly Boar: of Bu11Eln0 ReI lallena all BtanCarGe L,..,„ CS.10 r, n l¢ense CB-iW537 C NOVA REVIER I IS A CR V EW PLAT R Southbridge MA 0155014 t' ...xmxwon., 06100/2017 Eng- Number OAA688697_C2_02 October 24 2016 ,Ctowee SeN s, , 3500page"ryI-V—y,5utte100-Cary,NC27518-9194680ll20m, 91s U65414Fay www.amen[anlOwer mm AMERICAN TOWER` Structural Evaluation Page 1 of 2 ATC Site Number & Name 15035, Northampton Landfill MA, MA Carrier Site Number&Name 4SH0213C, SH213/ATC Northampton _ Site Location Westhampton Road Florence, MA 01062-9806, Hampshire County 42.29556944 N /-72.70784444 W Tower Description 198.9 k Monopole Basic Wind Speed 95 mph (3 -Second Gust) Basic Wind Speed w/ Ice 40 mph (3 -Second Gust) w/ 1" ice Code ANSI/TIA-222-G/ 2009 IBC /Massachusetts State Building Code, 8"Edition Existing and Reserved Equipment Elevation'(R) Mourn BAD ON Antenna Mount Type UrXs Cartier 3 Alcatel -Lucent ALU 800MHz External Notch Filter 1 Alcatel -Lucent MPRs 3 Alcatel Lucent 800MHz RRH 197.0 197.0 3 Alcatel -Lucent 1900MHz RRH (4)11/4" Hybriflex Alcatel 1-ucent TD RRH8x20-25 w/Solar Low Profile Platform (1)0.24"Car s Sprint Nextel 3 Shield 1�__ RF5582-10JAMPT 3.__ RFSAPXVrM14-C-120 —. — 3 1 RFSAPXVSPPIS-C-A20 —. 3 3 Ericsson KRV 112144/1 �t--- 187.0 187.0 3 � 3Ericsson _ Ericsson AIR 21, 1.3 M, B2A B4P Low Profile Platform AIR 21,1.3M, 84A B2P (12)15/8" Coax h)15j8"Hybriflex T -Mobile 12 Kathrein 86010025 3 Ericsson RRUS-11800MHz 6 Powerwave TTI-D9BP311001 (12)15/8"Coax 175.0 175.0 1 Raycap 00648-60-18-9F. Low Profile Platform LZ) 0.78"8AWG b AT&T Mobility 6 Kathrein 80010122 (1) 0.39" Fiber Trunk 1 AndrewSBNH-iD6565C 2 Powenvave P65 -17 -XLH -RR 144.0 144.0 IF Telewave ANT150f2 Side Arm ll) 7/8"Coax City Of Northampton Police Dept 6 RFS FD9R6004/2C-31. 3 Antel BXA-171085-8BF-EDIN-X 142.D 1420 2 Antel 8XA-7D063/4CF Low Profile Platform (12)15/8"Coax Verizon 6 Ani LLPA-80063j4CF 1 Ante1 8XA-70063-6CF-EDIN-X 135.0 1359 3 RFSAPXV18-206517 Flush (6)15/8"Coax Metro PCS 1 120.0 120.0 Radio/DDU Flush (1)1/2" Coax 1 4' HP Dish 1 116.0 116.0 a Radio/)DU Flush (1)3/8"Coax AT&T Mobili H 1 Dish 1 114.0 114.0Dish Radio/DDD Flush (1)3/8"Coax 73.0 73.0 1 PCTEL GPS -TMG -HR -26N Flush (111/2"CoaxSprint Ne#el ,Ctowee SeN s, , 3500page"ryI-V—y,5utte100-Cary,NC27518-9194680ll20m, 91s U65414Fay www.amen[anlOwer mm A AMERICANTOWER' Equipment to be Removed Eng. Number OAA688687_C2_02 October 24 2016 Page 2 of 2 Elevatbn' (ft) Antenna Mount Type Lines Carrier Mount RADQi 187.0 187.0 - Ill) 1.28" Cable Bundle T- Mobile Proposed Equipment Elevation' (ft) Mount RAD 4N AntennaMount Type lines Carrier 18].0 187.0 3 Ericsson RRUS 11 B12 Low Profile Platform (6)15/8"Coax T -Mobile 3 Andrew LN%6515DS=AIM MM tnouelevation is defined as height above bottom of steel stroame to bottom of mount, RAD elevation is defined as center of antenna above grade level (AGL). Install proposed coax inside of the pole shaft. The existing and proposed loads listed in the tables above are compared to the tower's current design capacity or previous structural analysis. The tower should be re-evaluated as future loads are added or if actual loads are found different from those listed in the tables. The subject tower and foundation are adequate to support the above stated loads in conformance with specified requirements. IDB/AMS Renewed by Brvan Lanier PE Structural Team Leader Oct 25 2016 7:03 AM c0518n PTC rower SerW[ei, Ino. � 3500 Regency ParI—, Suitt 100 -Cary, NC 27519-919-468 0112 Office -919.466.541a Fax www. amenonlower mm 11/21/16 Hello, My name is Adam Wotfrey and recently T -Mobile hired my company to do work on their cell site located at 170 Glendale Road in Florence MA. The total cost of construction is $15,000. Can you please email the cost of the application fee? My email address is awolfrey@clinellc.com. I will promptly send you the application check. Thanks, Adam Wolfrey