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42-079-002 (4)
114 GLENDALE RD COMMONWEALTH OF MASSACHUSETTS BP-2021-1734 Ma p:B lock:Lot:42-079-002 Permit: Alts Renovations CITY OF NORTHAMPTON Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-1734 PERMISSION IS HEREBY GRANTED TO: Project# Contractor: License: Est. Cost: $35000 JOSHUA BRODER Const.Class: Exp.Date: Use Group: Owner: AMERICAN TOWER CORPORATION Lot Size(sq.ft.) Zoning: SC Applicant: AMERICAN TOWER CORPORATION Applicant Address Phone: Insurance: P 0 BOX 723597 ATLANTA, GA 31139 ISSUED ON:08/19/2021 TO PERFORM THE FOLLOWING WORK: ANTENNAS AND RADIO HEADS, GROUND EQUIPMENT 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. Signature: (� TO r .A 1 • i Fees Paid: $245.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner -og, File #BP-2021-1734 APPLICANT/CONTACT PERSON: P O BOX 723597 ATLANTA, GA 31139 PROPERTY LOCATION 114 GLENDALE RD MAP:LOT 42-079-002 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERM IT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $245.00 Type of Construction: ANTENNAS AND RADIO HEADS, GROUND EQUIPMENT New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement orLicense 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON S APPLICATION BASED ON INFORMATION PRESENTED: XApproved 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 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 Pennit from Conservation Commission. Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay C19al Sign ure of Building Official 7.161 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. AUG 1 62021 T e Commonwealth of Massachusetts Office of Public Safety and Inspections �r of s� Massachusetts State Building Code(780 CMR) °`Ha',�� i� Pit A plication for any Building other than a One-or Two-Family Dwelling tio - (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION 114 Glendale Road Florence MA 01062 No.and Street City/Town Zip Code Name of Building(if applicable) 42-079-001/' Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here El or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify:C o lie Cabo Are building plans and/or construction documents being supplied as part of this permit application? Yes Of No 0 Is an Independent Structural Engineering Peer Review required? Yes 0 No tl Brief Description of Proposed Work Dish Wireless will be collocating on the existing tower by attaching antennas and radio heads and other equipment to the Tower. They will also be installing ground equipment inside there evicting lease area an the ground inside the fence in area 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) ❑ Existing Use Group(s): Proposed Use Group(s): /(10 CI a<r g 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 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4❑ H-5 0 I: Institutional I-1 0 1-2❑ I-3❑ I-4❑ M: Mercantile 0 R Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility EX Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ HA 0 IIB ® ILIA IIIB ❑ IV 0 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 0 Indicate municipal 0 required 0 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 Cf Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or Not Yes 0 No Xl SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): U Type of Construction:IIB Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner City of Northampton 114 Glendale RD Florence MA 01062 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: 413 -587 -4900 - - 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) Joshua Broder 413 822 1712 CS-108437 Name(Registrant) Telephone No. e-mail address Registration Number 16 Middle Street Portland MF 04101 10 Street Address City/Town State Zip Discipline Expir do ate 10.2 General Contractor Tilson Technology Management Inc Company Name Richard Buker Name of Person Responsible for Construction License No. and Type if Applicable 16 Middle Street Portland ME 04101 Street Address City/Town State Zip 413-822-1712 _ 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 RI No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor 35,000 and Materials) Total Construction Cost(from Item 6)_$ 1.Building $30,000 Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $5,000 appropriate m cipal fac =$ 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum f•• _$ Ry ,.ntact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $35,000 (contact municipality)and write check number here /3 /Cl SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to t of my knowledge and understanding. Darryl Gresham _ Agent 267 _304 -1349 7-29-21 Please print and sign name Title Telephone No. Date 1777 sentry pkwy w veva 17 ste 400 Blue Bell PA 19422 dgresham@nbclIc.com Street Address City/Town State Zip Email Address I Municipal Inspector to fill out this section upon application approval: 441 ` • I ' ';/$ Name to F � The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations �1- Lafayette City Center Vejkk-=: 2 Avenue de Lafayette, Boston,MA 02111-1750 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):Tilson Technology Management, Inc. Address: 16 Middle St.,4th Floor City/State/Zip:Portland, ME 04101 Phone#:207-591-6427 Are you an employer?Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 515 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 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 working for me in any capacity. employees and have workers' insurance.$ 9. ❑Building addition comp.[No workers'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 11.0 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' 13.0 Other Telecommunications comp.insurance required.] *Any applicant that checks box#l 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. tContractors 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:Liberty Mutual Fire Insurance Company, 175 Berkely Street, Boston, MA 02116 Policy#or Self-ins.Lic.#:WA2-65D-291916-031 Expiration Date:4/1/2022 Job Site Address: 114 Glendale Road City/State/Zip: Florence MA 01062 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 certi th ppins and penalties of perjury that the information provided above is true and correct. Signature: Date: Jun 11,2021 Phone#: (207)613-7346 Timothy Schneider,General Counsel Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): I❑Board of Health 2❑Building Department 30City/Town Clerk 4.0 Electrical Inspector 51:1Plumbing Inspector 6.0Other Contact Person: Phone#: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY Liberty Mutual. INSURANCE INFORMATION PAGE 1;s ank,rkr SIlt^4.1 Boi.lo., MA 021111 Issued by Liberty Mutual Fire Insurance Company (a stock oompany) 16588 Policy Number WA2-65D-291918.-031 Issuing Off.ce Lewiston, ME Renewal Of WA2-85D-291918-030 Issue Date 03,24,2021 Account Number 5-291916 Sub Account 0001 1 Insured and Mailing Address FEIN 01-0500537 Tilson Technology Management, Inc. NJ TIN 010509537000 16`.1 ddle Street 4th Floor Portland ME 04101 Risk ID 913719433 Association 9004 Status Corporation Other workplaces not shown above:See Item 4. Premium- Extension of Information Page 2 Policy Period The policy penod is from 04'012021 to 04.0112022 12:01 A.M standard time at the Insured's mailing address. 3. Coverage A Workers Compensation Insurance Part One of the policy applies to the Workers Compensation Law of the states I,sted here AL AZ AR CA CO CT FL GA ID IL IN IA KS KY LA ME MA MI MN MS MO MT NE NV NH NJ NM NY NC OR PA RI SC TN TX UT VT VA WV B Employers Liability Insurance: Part Two of the pot cy applies to work in each state listed in Item 3 A The limits of our Lability under Part Two are Badly Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease 5 1.000.000 policy limit Bodily Injury by Disease $ 1.000,000 each employee C. Other States Insurance Part Three of the policy apples to the states, if any, listed here All States except those listed in Item 3 A and the States of: ND OH WA WY D. This policy includes these endorsements and schedues See Item 3 Coverage D - Extension of Information Page 4. Premium: The premium for this policy vrll be determined by our Manuals of Rules. Classifications, Rates and Rat.ng Plans. NI Information required below is subject to verification and change by audit Classifications Code Premium Basis Total Rate per$100 Estimated Annual Number Estimated Annual Remuneraton of Remuneration Prem.,um See Extension of Informatwon Page Minimum Prem.um Total Estimated Annual Prenvum $ Premium will be bii'ed Monthly Deposit Premium $ Deposit Tax/Surchargo_,%Assessment S Producer 0002 000008 Countersigned by Authorized Rep (FL) MARSH USA INC 99 HIGH ST FL 13 BOSTON MA 021105021p•h WC 00 00 01 A T,1987 Natonal Cound on Compensation Ins,/a^ce,Inc WC 00 CO 01 B (CA) Ed 07.01..2011 A4I Rigt•,ts Reserved Par. 1 of 1 1 ® DATE(MMIDDIYYI^/) A�v CERTIFICATE OF LIABILITY INSURANCE 07/21/2021 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 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 MARSH USA,INC. NAME: FAX 99 HIGH STREET (A/c No.Eat): _ (A/C,No): BOSTON,MA 02110 E-MAIL Attn:Boston.certrequest@Marsh,com Fax:212-948-4377 ADDRESS: INSURER(S)AFFORDING COVERAGE _ NAIC# CN130061406-w/XS-GAWUX-21-22 INSURER A:Liberty Mutual Fire Insurance Company 23035 INSURED INSURER B:Endurance American Specialty Insurance Company 41718 Tilson Technology Management,Inc 16 Middle Street,4th Floor INSURER C: Portland,ME 04101 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-010819194-07 REVISION NUMBER: 6 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. INSR ADDL SUER POLICY EFF POLICY EXP TYPE OF INSURANCE LTRINSR WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY TB5-651-291916-021 04/01/2021 04/01/2022 EACH OCCURRENCE $ 2,000,000 DAMAGE RENTED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000. POLICY X jE LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY AS2-651-291916-011 04/01/2021 04/01/2022 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ - OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY . AUTOS ONLY (Per accident) $ B UMBRELLA LIAB 1X OCCUR ELD30001012502 04/01/2021 04/01/2022 EACH OCCURRENCE $ 3,000,000 X- EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000 DED RETENTION$0 _ $ A WORKERS COMPENSATION WA2-65D-291916-031 04/01/2021 04101/2022 x PER OOTH TUTE _ AND EMPLOYERS'LIABILITY ANYPROPRIETOPJPARTNERJEXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? I-N I N/A 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION Tilson Technology Management,Inc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 16 Middle Street,4th Floor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Portland,ME 04101 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. I Manashi Mukherjee _.N.its L . ©1988-2016 ACORD CORPORATION. All rights reserved. Eng.# 13682006_C2_02 May 20, 2021 Page 1 of 2 AMERICAN TOWERS CORPORATION Structural Evaluation ATC Site 15035 Reviewed By: Number&Name NORTHAMPTON LANDFILL MA,MA Carrier Site Number BOBDL00156A &Name BOBDL00156A Site Location 114 Glendale Road OF Mq3 Florence, MA 01062-9806, Hampshire County S 42.2956 N/72.7078 W c BRYAN K. q�yG Tower Description 198.9 ft Monopole ZANIER 'm p STRUC7U'AL it —, Basic Wind Speed 91 mph (3-second gust,VAso)/117 mph(3-second gust,VULT) No.51 :9 ti Basic Wind w/Ice 40 mph (3-second gust)w/1" radial ice concurrent ;Q ,S , Applicable Code ANSI/TIA-222-G/2015 IBC/Massachusetts State Building Code, '•- 9th Ed. 'SS/ONAL0* Evaluation Results: The loading in the tables below was evaluated with respect to the tower and foundation Authorized by "EOR" capacities. As future loading is added,or if actual loading is different from these tables, 20 May 2021 07:23:38 Cosign re-evaluation shall be required. This tower and foundation are adequate to support the below loads in conformance with specified requirements. Created By: Thomaspham Existing and Reserved Equipment Elev'(ft) Qty Equipment Mount Type Lines Carrier 2 Alcatel-Lucent 800 MHz RRH 1 Alcatel-Lucent MPR e Alcatel-Lucent ALU 800MHz External Notch 2 Filter (1)0.24" (6mm)Cat 197.0 2 Alcatel-Lucent 1900MHz RRH (65MHz) Low Profile Platform (4) 1 1/45Hybriflex SPRINT NEXTEL 2 Alcatel-Lucent TD-RRH8x20-25 w/Solar Shield Cable 1 RFS SB2-107AMPT 3 RFS APXVTM14-C-I20 3 RFS APXVSPP18-C-A20 3 Ericsson KRY 112 144/1 3 Ericsson RRUS 11 B12 (18) 1 5/8"Coax 187.0 3 Ericsson AIR 21, 1.3 M, B2A B4P Low Profile Platform T-MOBILE (1) 1 5/8" Hybriflex 3 Ericsson AIR 21, 1.3M, B4A B2P 3 Andrew LNX-6515D5-A1M 2 Raycap DC6-48-60-18-8F("Squid") 6 Powerwave Allgon TT19-08BP111-001 (1)0.39" (10mm) 6 Kathrein Scala 860 10025 Fiber Trunk 175.0 3 Ericsson RRUS 8843 B2, B66A Low Profile Platform (4)0.78"(19.7mm) AT&T MOBILITY 3 Kathrein Scala 80010966 8 AWG 6 3 CCI HPA65R-BU8A (12) 1 5/8"Coax 3 Kathrein Scala 800 10122 (2)3"conduit 3 Ericsson RRUS 4449 B5, B12 3 Samsung B2/B66A RRH-BR049 3 Samsung B5/B13 RRH-BRO4C (2) 1 1/4" Hybriflex 142.0 1 Raycap RVZDC-6627-PF-48 Low Profile Platform Cable VERIZON WIRELESS 6 Antel LPA-80063/4CF (10) 1 5/8"Coax 6 Commscope NHH-65C-R2B 135.0 3 RFS APXV18-206517 Flush (6)1 5/8"Coax METRO PCS INC ATC Tower Services,Inc. 3500 Regency Parkway,Suite 100-Cary,NC 27518—919-468-0112 Office—919-466-5414 Fax-www.americantower.com Eng.# 13682006_C2_02 May 20, 2021 Page 2 of 2 AMERICAN TOWERS CORPORATION Existing and Reserved Equipment Continued Elev.1(ft) Qty Equipment Mount Type Lines Carrier 1 Generic Radio/ODU 120.0 1 Generic 4' HP Dish 116.0 1 Generic 2' HP Dish Flush (1)1/2"Coax AT&T MOBILITY 1 Generic Radio/ODU (2)3/8"Coax 114.0 1 Generic 2' HP Dish 1 Generic Radio/ODU 73.0 1 PCTEL GPS-TMG-HR-26N Stand-Off (1) 1/2"Coax SPRINT NEXTEL Equipment to be Removed Elev.1(ft) Qty Equipment Mount Type Lines Carrier No loading was considered as removed as part of this analysis. Proposed Equipment Elev.1(ft) Qty Equipment Mount Type Lines Carrier 1 Commscope RDIDC-9181-PF-48 3 Fujitsu TA08025-B605 Triangular Platform with (1) 1.60" (40.6mm) 108.0 DISH WIRELESS L.L.C. 3 Fujitsu TA08025-B604 Handrails Hybrid 3 JMA Wireless MX08FR0665-21 1 Contracted elevations are shown for appurtenances within contracted installation tolerances.Appurtenances outside of contract limits are shown at installed elevations. Install proposed lines inside the pole shaft. ATC Tower Services,Inc. 3500 Regency Parkway,Suite 100-Cary,NC 27518—919-468-0112 Office—919-466-5414 Fax-www.americantower.com �■ TOTALLY COMMITTED. August 14, 2021 City of Northampton Building Department 212 Main Street Northampton MA 01060 Re: ATC #15035— Dish Wireless BOBDL00156A—114 Glendale Road Florence MA-Collocations Dear Building Department, Dish Wirelessis proposing to install 3 Antennas, 1 Tower Platform Mounts, 6 RRHs, 1 OVP, 1 Hybrid Cable, all to be installed on existing tower. Dish Wireless ground equipment will consist of installing 1 proposed metal platform, 1 Ice bridge, 1 PPC Cabinet, 1 Equipment Cabinet, 1 Power Conduit, 1 Telco Conduit, 1 Telco —Fiber Box, 1 GPS Unit, 1 Safety Switch if required, 1 Fiber Nid if required, 1 Meter Socket, all to installed in our existing lease area. Included for your review and approval are (2) sets of construction drawings,(2) copy's of the Structural Analysis and the Building Permit Application. Please let me know if you require additional information, and once the application is approved please notify me, so I can make arrangements for payment. can be reached at 2674044 t' : �, . :,4 Thank you for your assistance. Sincerely, Darryl Gresham Site Acquisition Associate Agent of Dish Wireless 1777 Sentry Parkway W, Veva 17 + Suite 400 + Blue Bell, PA 19422 + 267.460.0122 + www.networkbuilding.com