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AST-0749-2021 Office Use Only J ADDITION/ALTERATION PERMIT Permit#: p 1 - 2021 APPLICATION Permit Fee: $ 1425 Town of Queensbury 742 Bay Road,Queensbury, NY 12804 Invoice#: P:518-761-8256 www.queensbury.net Flood Zone? Y ICI Reviewed By' 40 Project Location: 106 Luzerne Road Queensbury, New York 12804 Tax Map ID #: 309.9-2-7 Subdivis Sr I L MAY 14 2822 PROJECT INFORMATION: TOWN OFtU _N,. BUILDING.61-0 OD,�pSESRY TYPE: Residential x Commercial, Proposed Use: Single-Family Two-Family Multi-Family (# of units ) Townhouse Business Office Retail Industrial/Warehouse Garage (# of cars ) x Other (describe U ) Modify Eligible Wireless Facility ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: 1st floor: 2nd floor: 2nd floor: 3rd floor: 3rd floor: Basement (habitable space): Basement (habitable space): Total sq ft: Total sq ft: Scope of work to be done: Install antennas,ancillary tower and ground equipment etc.at an unmanned wireless facility with no change to structure height or ground space. Tower Scope of Work:Remove(3)antennas and(1)antenna mount.Install:(3)Panel Antennas,(1)Platform Mount,Proposed Jumpers,(6)RRUs,(1)OVP,(1)Hybrid Cabli Ground Scope of Work:(1)Metal Platform,(1)Ice Bridge,(1)PPC,(1)Equipment Cabinet,(1)Power Conduit,(1)Telco Conduit,(1)Telco Fiber Box,(1)GPS Unit,(1)Safety Switch(1)Fiber NID and(1)Meter in existing socket. RECEIVED MAY 13 2022 TOWN OF QUEENsRIJktY PLANNING OfF)ct 4" Addition/Alteration Application Revised January 2021 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $70,000 2. Source of Heat (circle one): Gas Oil Propane Solar Other N/A Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application 3. Are there any structures not shown on the plot plan? YES x NO Explain: 4. Are there any easements on the property? YES NO N/A SITE INFORMATION: • Is this a corner lot? YES x NO • Will the grade be changed as a result of the construction? YES x NO • What is the water source? PUBLIC PRIVATE WELL N/A • What type of wastewater system is on the parcel? SEWER PRIVATE SEPTIC N/A DECLARATION: 1. I acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be completed within a 12 month period. Any changes to the approved plans prior to/during construction will require the submittal of amended plans, additional reviews and re-approval. 2. If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100% of the fee is retained. 3. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. I certify that the application, plans and supporting materials are atrue and a complete statement and/or description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 5. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 6. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: Colin Robinson, agent for Dish Wireless LLC r SIGNATURE: �1.1--n' �' ' '�n' DATE: 5/10/2022 Addition/Alteration Application Revised January 2021 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • • Applicant: Name(s): Colin Robinson, agent for Dish Wireless LLC Mailing Address, C/S/Z: 100 Apollo Drive I Suite 303 I Chelmsford,MA 101824 Cell Phone: ( 360- )561-3311 Land Line: ( Email: crobinson@nbcllc.com • Primary Owner(s): Name(s): 106 LUZERNE ROAD,LLC Mailing Address, C/S/Z: 443 West Mountain Rd Queensbury,NY 12804 Cell Phone: ( ) - _ Land Line: ( Email: ❑ Check if all work will be performed by property owner only • Contractor(s): (List all additional contractors on the back of this form) Contact Name(s): Crown Castle International Contractor Trade: Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: Email: **Workers' Comp documentation must be submitted with this application** • Architect(s)/Engineer(s): Business Name: French and Parrello Associates Contact Name(s): Peter Tardy Mailing Address, C/S/Z: 1800 Route 34 Suite 101 Wall NJ 07719 Cell Phone: ( ) Land Line: ( ) 732-312-9800 Email: Colin Robinson,agent of Dish Wireless LLC Contact Person for Compliance in regards to this project: Cell Phone: ( ) 360-561-3311 Land Line: ( Email: crobinson@nbcllc.com Addition/Alteration Application Revised January 2021 4 -PraT---t) 9t- 2O21 EcEtiV CROWN Date: July 25, 2021 i CASTLE OCT 0 7 2021 Crown Castle 2000 Corporate Drive TOBUI p NO&ENS CODES�Y Canonsburg, PA 15317 (724)416-2000 Subject: Structural Analysis Report Carrier Designation: DISH Network Co-Locate Site Number: ALALB00047A Site Name: NY-CCI-T-874643 Crown Castle Designation: BU Number: 874643 Site Name: GLENS FALLS-WEST JDE Job Number: 651748 Work Order Number: 1998938 Order Number: 558535 Rev. 0 Engineering Firm Designation: Crown Castle Project Number: 1998938 Site Data: 106 Luzerne Road, Queensbury, WARREN County, NY Latitude 43° 18'13.284", Longitude -73°40'45.012" 145 Foot- Monopole Tower Crown Castle is pleased to submit this "Structural Analysis Report" to determine the structural integrity of the above-mentioned tower. The purpose of the analysis is to determine acceptability of the tower stress level. Based on our analysis we have determined the tower stress level for the structure and foundation, under the following load case, to be: LC5: Proposed Equipment Configuration Sufficient Capacity This analysis has been performed in accordance with the 2020 New York State Uniform Code based upon an ultimate 3-second gust wind speed of 109 mph. Applicable Standard references and design criteria are listed in Section 2 -"Analysis Criteria". Structural analysis prepared by: Roy Zhou Respectfully submitted by: It is a violation d cf do law"section 7 09 o the te acle 1y (\(:‘ F EEW Y � e of the State Education Law"for any person to alter any --)illo1n._aa ci document that bears the seal of a professional engineer. unless the person is acting under the direction of a licensedpl... N,hN /�aribel Dentinger, P.E. professional engineer. Q ` CSenior Project Engineer ' t1• �10 Digitally signed by r lr �`f }_ tx Maribel Maribel Dentinger C7 ��, �I WLi ate:2021.07.25 f "' T�m " Dentinger( 10:39:31 04'00' FO 134717 <st•� tnxTower Report-version 8.1.1.0 July 25, 2021 145 Ft Monopole Tower Structural Analysis CCI BU No 874643 Project Number 1998938, Order 558535, Revision 0 Page 2 TABLE OF CONTENTS 1) INTRODUCTION 2)ANALYSIS CRITERIA Table 1 - Proposed Equipment Configuration Table 2 -Other Considered Equipment 3)ANALYSIS PROCEDURE Table 3 - Documents Provided 3.1)Analysis Method 3.2)Assumptions 4) ANALYSIS RESULTS Table 4 -Section Capacity(Summary) Table 5—Tower Component Stresses vs. Capacity—LC5 4.1) Recommendations 5)APPENDIX A tnxTower Output 6) APPENDIX B Base Level Drawing 7) APPENDIX C Additional Calculations tnxTower Report-version 8.1.1.0 July 25, 2021 145 Ft Monopole Tower Structural Analysis CCI BU No 874643 Project Number 1998938, Order 558535, Revision 0 Page 3 1) INTRODUCTION This tower is a 145 ft Monopole tower designed by PIROD MANUFACTURES INC.. 2)ANALYSIS CRITERIA TIA-222 Revision: TIA-222-H Risk Category: II Wind Speed: 109 mph Exposure Category: C Topographic Factor: 1 Ice Thickness: 1 in Wind Speed with Ice: 40 mph Service Wind Speed: 60 mph Table 1 -Proposed Equipment Configuration Center • Number Number Feed Mounting Line of Antenna Antenna Model of Feed Line Level (ft) Elevation Manufacturer (ft) Antennas Lines Size (in) 3 I fujitsu TA08025-B604 3 fujitsu TA08025-B605 133.0 133.0 3 jma wireless IMX08FRO665-21 w/ Mount Pipe 1 1-1/2 1 raycap I RDIDC-9181-PF-48 I1 I tower mounts I Commscope MC-PK8-DSH Table 2 -Other Considered Equipment Center Number Number Feed Mounting" Line of Antenna Antenna Model of Feed Line Level (ft) Elevation Antennas Manufacturer Lines Size (in) (ft) I 3 I alcatel lucent RRH2X50-800 3 alcatel lucent I TD-RRH8X20-25 3 commscope I DT465B-2XR w/Mount Pipe 149.0 powerwave P40-16-XLPP-RR-A w/Mount 3 1-1/4 148.0 1 technologies Pipe 1 7/8 2 rfs celwave APXVSPP18-C-A20 w/Mount Pipe 148.0 1 tower mount Pirod 4-way platfrom mount 3 alcatel lucent 800MHz 2X50W RRH W/FILTER 143.0 143.0 3 alcatel lucent PCS 1900MHz 4x45W-65MHz 1 tower mounts Side Arm Mount [SO 102-3] 14.0 15.0 1 lucent KS24019-L112A w/Mount Pipe 1 1/2 14.0 I 2 I tower mounts I Side Arm Mount [SO 701-1] 3)ANALYSIS PROCEDURE Table 3 -Documents Provided tnxTower Report-version 8.1.1.0 July 25, 2021 145 Ft Monopole Tower Structural Analysis CCI BU No 874643 Project Number 1998938, Order 558535, Revision 0 Page 4 Document Reference Source Tower Manufacturing Drawings I 1453715 I CCI Sites Foundation Drawings 1453752 CCI Sites Geotech Report I 2162089 I CCI Sites 3.1) Analysis Method tnxTower(version 8.1.1.0), a commercially available analysis software package, was used to create a three-dimensional model of the tower and calculate member stresses for various loading cases. Selected output from the analysis is included in Appendix A. When applicable, Crown Castle has calculated and provided the effective area for panel antennas using approved methods following the intent of the TIA-222 standard. 3.2) Assumptions 1) Tower and structures were maintained in accordance with the TIA-222 Standard. 2) The configuration of antennas, transmission cables, mounts and other appurtenances are as specified in Tables 1 and 2 and the referenced drawings. 3) Base and flange plate design methodology of the manufacturer has been reviewed and found to be an acceptable means of designing to resist the full capacity of the bolts and shaft. This analysis may be affected if any assumptions are not valid or have been made in error. Crown Castle should be notified to determine the effect on the structural integrity of the tower. 4)ANALYSIS RESULTS Table 4-Section Capacity (Summary) Section Elevation(ft) Component Type Size Critical P(K) SF*P allow % Pass/Fail No. Element (K) Capacity L1 I 145-120 Pole P24x3/8 1 I -9.995 1104.673 24.8 Pass L2 120-100 Pole P30x3/8 2 -13.219 1376.613 33.7 Pass L3 100-80 Pole P36x3/8 3 -17.032 1564.605 38.0 Pass L4 80-60 Pole P42x3/8 4 -21.432 1752.313 40.5 Pass L5 60-40 Pole P48x3/8 5 -26.419 1939.864 42.1 Pass L6 40-20 Pole P54x3/8 6 -31.994 2127.300 43.2 Pass L7 20-0 Pole P60x3/8 7 -38.359 2314.651 44.0 Pass Summary Pole(L7) 44.0 Pass l I I Rating= 44.0 Pass Table 5 -Tower Component Stresses vs. Capacity—LC5 Notes Component Elevation(ft) . % Capacity Pass/Fail 1, 3 I Flange Connection I 120 I 29.2 I Pass 1, 3 Flange Connection 100 40.1 Pass 1, 3 Flange Connection 80 45.2 Pass 1, 3 Flange Connection 60 47.9 Pass 1, 3 Flange Connection 40 _ 49.4 Pass I 1, 2 I Flange Connection I 20 I 43.2 I Pass tnxTower Report-version 8.1.1.0 July 25, 2021 145 Ft Monopole Tower Structural Analysis CCI BU No 874643 Project Number 1998938, Order 558535, Revision 0 Page 5 Notes Component _ • Elevation (ft) % Capacity Pass/Fail • 1 I Anchor Rods I 0 40.8 Pass 1, 4 Base Plate 0 44.0 Pass 1 I Base Foundation (Structure) 0 35.2 Pass 1 I Base Foundation (Soil Interaction) I 0 I 48.5 I Pass• Structure Rating(max from all;components) = 49.4% • Notes: 1) See additional documentation in"Appendix C—Additional Calculations"for calculations supporting the%capacity consumed. 2) Flange plates are assumed to have the same capacity as their respective shaft. 3) Flange plates are assumed to have the same capacity as their respective bolts. 4) Base plates are assumed to have the same capacity as their respective shaft. 4.1) Recommendations The tower and its foundation have sufficient capacity to carry the proposed load configuration. No' modifications are required at this time. tnxTower Report-version 8.1.1.0 1800 Route 34,Suite 101 Wall Township,New Jersey 07719 T.732.312.9800 F:732.312.9801 Al fpaengineers.com FRENCH & PARRELLO ASSOCIATES November 27, 2023 TOWN OF Y 742 Bay Road Queensbury, NY 12804 Tel. (518) 761-8256 RE: Verification of Construction 1 106 Luzerne Road Queensbury, NY 12804 FPA No. 2438H.001.057 To Whom It May Concern: As per your request, French & Parrello Associates (FPA) has reviewed the post construction photos of the Crown Castle communications facility at 106 Luzerne Road, Queensbury, NY 12804 for the above referenced project to verify that the proposed modifications were constructed in accordance with the as-built construction drawings dated January 16, 2022. Based on our review, the installation has been constructed in general conformance with the above referenced plans. Should you require anything further regarding the above, please do not hesitate to contact me. " Very truly yours, " �N J. ¢ LLASSOCIATES � Peter J.Tardy, PE Senior Vice President ° NY Professional Engineering License No. 079612 EINGIIINIEEIRIING AND CONSULTING SINCE 1974