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AST-0489-2022 Office Use Only ADDITION/ALTERATION PERMIT Permit#: AST. 04465 . 7-022 APPLICATION Permit Fee:$ Town of Queensbury 742 Bay Road,Queensbury,NY 12804 Invoice#: ?iQa� P:518-761-8256 www.gueensbury.net �f 1, Flood Zone? Y U Reviewed By":�/ _ Project Location: �26rDix Avenue Tax Map ID#: 303.15-1-37 Subdivision Name: _ (� cg PROJECT INFORMATION: AUG 0 TYPE: ElResidential ElCommercial, Proposed UseVVN OFQi-1=r-,.,- ❑ Single-Family ❑ Two-Family ❑ Multi-Family(#of units_) ❑ Townhouse ❑ Business Office ❑ Retail ❑ Industrial/Warehouse ❑ Garage (#of cars ) X Other(describe Telecommunication Equipment Modification ) 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: Removing 6 antennas,replacing with 9 new antennas,Removing 6 Remote Radio Heads and replacing with 9 Remote Radio Heads. See attached drawings for details. Addition/Alteration Application Revised March 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s):Verizon Wireless c/o Pyramid Network Services Mailing Address, C/S/Z:6615 Towpath Road, E. Syracuse, NY 13057 Cell Phone: (518 ) 653-2598 Land Line: Email: • Primary Owner(s):Name(s): Time Warner Cable Northeast/ KGI Wireless Mailing Address, C/S/Z: 7800 Cresent Executive Dr. Charlotte NC 28217 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 rm) Contact Name(s): Verizon Wireless Contractor Trade: Telecommunications Mailing Address, C/S/Z: 6615 Towpath Rd, E. Syracuse NY 13057 Cell Phone:_( ) Land Line: _( ) Email: "Workers' Comp documentation must be submitted with this application" Architect(s)/Engi nee r(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( ) Email: Contact Person for Compliance in regards to this project: Allison J. Squires Cell Phone: 518 ) 653-2598 Land Line: Email:asquiresO-pyramidns.com Addition/Alteration Application Revised March 2022 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $15,000.00 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 XNO Explain: 4. Are there any easements on the property? ❑ YES X NO SITE INFORMATION: Cell Tower-The below does not apply • Is this a corner lot? ❑ YES ❑ NO • Will the grade be changed as a result of the construction? ❑ YES ❑ NO • What is the water source? ❑ PUBLIC ❑ PRIVATE WELL • What type of wastewater system is on the parcel? ❑ SEWER ❑ PRIVATE SEPTIC DECLARATION: 1. 1 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. ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. 1 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. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 6.. 1 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 certificate of occupancy. I have read and agree to the above: �C7\���S PRINT NAME: l� SIGNATURE: DATE: 08/02/2022 Addition/Alteration Application Revised March 2022 BELL ATLANTIC MOBILE SYSTEMS LLC. TOWN OF QUEENSBURY a BUILDING DEPARTiVIENT V���n� d/b/ Based on our limited examination,compliance with our comments shall not be construed as �a, mSU�81°O ■ indicatmg the plans and speclficatlons are in 303.15-1-3 AST-0489-2022 full compliance with the Building Codes of Tectonic-1 Verizon Wireless/Pyramid Network New York State. o w� Iw verizon 227 Dix Ave Cell tower upgrades WORK OROFA NUNEER 11274.004 CB SITE NAME „ 1° N0. 1,2 ISSUE 11,' � S 0 02/24/22 FOR CONMENf D �r p„ � J ` 1 06/24/22 FOR CONSTRUCTION GLENS FALLS EAST o 2@22 j �� TOWN Or QUEENSBURY - - - - BUILDING e CODES DEPT. PROJECT NUMBER: 20212245836 �pV1i`� �'1 , &QUEEN, �='�i�'� auiL L�I�.C� �_���w Reviewed By: , i\° 5 � LOCATION CODE: 2699 Date: -- '' -� �, ��L P,� R�of DATE .0WAq� y0 �irN9� N iCallberCQUfsiDn Ar SITE ADDRESS: 227 DIX AVE sHT REV REVSION CONTRACTOR PMI REQUIREMENTS TdOrih COU;1'J f SU�ufU GLENS FALLS, NY 12801 DESCRIPTION t 777 N0: N0: DATE: PMI ACCESSED AT: HTTPS://PMI,VZWSMART.COM �I MUNICIPALITY: TOWN OF GLENS FALLS T-1 TITLE SHEET 1 01/24/22 SMART TOOL VENDOR PROJECT NUMBER: 10127920 COUNTY: WARREN VZW LOCATION CODE(PSLC): 269954 A V TAX MAP NUMBER: 303.15-1-37 +••PMI AND REQUIREMENTS ALSO EMBEDDED IN MOUNT ANALYSIS REPORT I C-1 SITE PLAN &NOTES 1 01/24/22 °,«E .V A U�MNM walmar t STRUCTURE 43.316097 a'a ux°sumnoa a.—M Or sccmx COORDINATES: —73.621897' C-2 ELEVATIONS 1 01/24/22 MOUNT MODIFICATION REQUIRED YES nos sueNHsmr+2 or ms rvEv VW sr �10H UiN1 j GROUND ELEVATION: 327't AMSL VZW APPROVED SMART KIT VENDORS Ega,;,n�; --.- C-3 ANTENNA ORIENTATION PLANS 1 01/24/22 REFER TO MOUNT MODIFICATION DRAWINGS PAGE FOR VZW SMART KIT vaarsamui wc+.Ein w wm suwemn R PROPERTY OWNER: TIME WARNER CABLE NORHEAST APPROVED VENDORS sau Tar eE wxsmram Va cans. .3 1 7800 CRESENT EXECUTIVE OR C-4 DETAILS & NOTES 1 01/24/22 g n CHARLOTTE, NC 28217 G3Tc!FrIL'1dSi9 KG WIRELESSS r.w sze w radium 9; - STRUCNRE OWNER: Dry SrIE°i BUILDING THREE, SUITE 370 MODIFICATION DRAWINGS ATTACHED (12—PAGES) NFORNA7 N s v_ 805 LAS CIMAS PARKWAY GLENS FALLS EAST 1 I AUSTIN.TX 78746-5697 FIN: 20212245836 APPLICANT: VERIZON WIRELESS =as(-Field Pat 1275 JOHN STREET, SUITE 100 LC: 269954 WEST HENRIETTA, NY 14586 SRE ADDRE5.4 CONTACT PERSON: ALEX BELL 227 DIX AVE e� CONTACT PHONE: (585) 321-5407 TOWN OF GLENS FALLS WARREN COUNTY = SITE INFORMATION NY 12801 IrlS� ..j ', ,;',Precis CQrp>� SH Lw Ur Cv I_i^ PI ', 1 PROJECT INFORMATION TITLE SHEET THE PROPOSED WORK ON AN EXISTING GUYED TOWER h CONSISTS OF: SHEET INDEX __ _ _ • REMOVE(6) EXISTING DUAL BAND RRHS SH NuN ""' - REMOVE (6) EXISTING ANTENNAS THIS SET OF PLANS SHALL NOT BE UTILIZED AS CONSTRUCTION INSTALL (3) C—BAND RRH/ANTENNA UNIT DOCUMENTS UNTIL ALL ITEMS OF CONCERN HAVE BEEN ADDRESSED �`TtBijly`1„�enTa� . INSTALL(6) PROPOSED PANEL ANTENNAS AND EACH OF THE DRAWINGS HAS BEEN REVISED AND ISSUED "FOR T-1 `' ~'�T�M~'� • INSTALL(3) PROPOSED CBRS RRH'S VICINITY MAP • INSTALL (2) PROPOSED SETS OF DUAL PANEL BRACKETS CONSTRUCTION" SITE NOTES GENERAL NOTES v�;�nJ 1. ALL WORK SHALL BE AS INDICATED ON THE DRAWINGS. 1, THIS PROJECT CONCERNS THE INSTALLATION, MAINTENANCE, AND OPERATION OF A PUBLIC UTILITY/PERSONAL WIRELESS SERVICE. 2. DEBRIS AND OTHER REFUSE SHALL BE REMOVED FROM 2, THE PROPOSED UPGRADE IS UNMANNED AND DOES NOT REQUIRE A MEANS OF WATER SUPPLY, SEWAGE DISPOSAL, OR HANDICAPPED ACCESS. THE SITE AND DISPOSED OF LEGALLY. lass�axN smEEt,stint 1m 3. THE PROPOSED UPGRADE IS MINIMAL, WILL CREATE NEGLIGIBLE ADDITIONAL STORMWATER RUNOFF, AND WILL,THEREFORE, NOT IMPACT THE wrn"wmrn�Nr uses EXISTING STORMWATER DRAINAGE SYSTEM. 4. THE PROPOSED UPGRADE DOES NOT INCLUDE OUTDOOR STORAGE, SOLID WASTE RECEPTACLES, OR PLUMBING. Tectonic-I 5. ADEQUATE PARKING EXISTS FOR ONE VEHICLE FOR MAINTENANCE OR EMERGENCY SERVICE ONCE A MONTH. 6. THERE ARE NO NEW STREETS, CURBS, SIDEWALKS, OR WALKWAYS PROPOSED. =x 7. THERE ARE NO COMMERCIAL SIGNS PROPOSED FOR THIS UPGRADE. NORTH ORIENTATION WORK ORDER NUMBER GB 11274.004 1. NORTH ORIENTATION ESTABLISHED NO. DATE ISSUE BY COMPASS OBSERVATION. 0 02/24/22 FOR COMMENT 1 06/24/22 FOR CONSTRUCTION x ��� EXISTING EQUIPMENT EXISTING GENERATOR x x I SHELTER (BY OTHERS) R`E1FwSED BY DATE IEXISTING GUYED TOWER o �OWAito I EXISTING EQUIPMENT H—FRAME Ar rx �5 EXISTING EQUIPMENT O N yt 5 ON CONCRETE SLAB EXISTING UTILITY BACKBOARD x � Ix EXISTING TRANSFORMER ZIP�QA 10106A EXISTING EQUIPMENT J x SHELTER (BY OTHERS), EXISTING ACCESS ° N �wEfts�+. FCA-1°- r GATE (TYP) iios suep�+sau s aF Ew rows s sic x EDUUTOx uw. EXISTING VERIZON WIRELESS EXISTING CONCRETE PAD (TYP) wREs a nas oacuxwr wimwr Eeaswne 18'X18.6' FENCED COMPOUND or iNE swNnnnu•xo mciNu wsossm SELL m NdPN4.ST/YP N BLUE OR ftm LYN iNE vxaR3SiaNN.wCNEW W Wm mTilVi SWLL Nat BE CONLOERm VH1a CORE. EXISTING STORAGE x EXISTING DOUBLE �'� CONTAINER R-N-sI..IN IN.... � S INFORMATK)N ACCESS GATE GLENS FALLS EAST x PN: 20212245836 L Ji> LC: 269954 SITE ADDRESS EXISTING GRAVEL x227 I A TOWN OF GLENS FALLS WARREN COUNTY x x x x x x x NY 12801 SMEETTULE NOTE: SITE INFORMATION BASED ON A SITE VISIT PERFORMED ON 01/22/22 BY SITE PLAN & NOTES TECTONIC ENGINEERING CONSULTANTS, GEOLOGISTS & LAND SURVEYORS, D.P.C. AND DRAWINGS BY NB+C DATED. 05/23/19. SITEPLAN SHEET NUMBER C—i SCALE: i" = 20 C NOTE. FOR ALL MOUNT MODIFICATION DETAILS AND SPECIFICATIONS, REFER TO THE MODIFICATION AND DESIGN DRAWING FOR EXISTING ANTENNA MOUNT PREPARED ■ BY TOWER ENGINEERING SOLUTIONS. L.L.C. DATED JAN 17. 2022. MODIFICATIONS V�I�O� TO THE EXISTING MOUNTS AS INDICATED THEREIN SHALL BE COMPLETED PRIOR TO THE INSTALLATION OF THE PROPOSED ANTENNAS AND EQUIPMENT. 12)5 ANN S1REtT,NTE IW WEST HENWErtA,111'IAl9B Tectonic� WORM ORDER NUMBER ,1274.004 11 OB NO. DATE ISSUE 0 02/24/22 FOR COMMENT 1 06/24/22 FOR CONSTRUCTION EXISTING GUYED TOWER EXISTING GUYED TOWER EXISTING VERIZON WIRELESS PROPOSED VERIZON WIRELESS 700/850—LTE/PCS—LTE ANTENNA TO 700/850—LTE/CBRS ANTENNA BE REMOVED (1/SECTOR-3 TOTAL) (1/SECTOR-3 TOTAL) PROPOSED VERIZON WIRELESS PROPOSED VERIZON WIRELESS PROPOSED VERIZON WIRELESS 700/850—LTE/AWS ANTENNA C—BAND RRH/ANTENNA UNIT 700/050—LTE/AWS ANTENNA (I/SECTOR-3 TOTAL) (1/SECTOR-3 TOTAL) (I/SECTOR-3 TOTAL) RELEASED BY OATS i EXISTING GUYED WIRE (TYP) EXISTING GUYED WIRE(TYP) YO 2 o a 3 O.o �0106� � O N = ymail O j Z N_ O O O UNMRHOtE2E0 OOR9 TO A 11aa: OR B OFAAiNO ixE SELL 0T A UOEROF ENfAN)�� ®MSIWI RR I OFAM�F NEW PORK SIEAIE N d o ^e O ¢ /J 8 _p��" 91 E sc'run ulox ui wiccw�Al.Qieos�E a o N - wEsswun vronm+RaR�wpo s�uaaEnc N OE O d 9WL HOL CN+LOFAFL V.WO COPCS. C-3i in In ` M 14 yes SITE INFORMATION 5 GLENS FALLS EAST (2) EXISTING 6x,2 HYBRID CABLES (2) EXISTING 6x12 HYBRID CABLES PN: 20212245836 LC: 269954 SITE ADDRESS EXISTING GRADE EXISTING GRADE 227 DIX AVE TOWN OF GLENS FALLS WARREN COUNTY _ NY 12801 5 EET TIRE EXISTING ELEVATION 2 PROPOSED ELEVATION ELEVATIONS C-2 SCALE: 1" = 30' C-2 SCALE: 1" = 30' SHEEJ NUMBER C-:2] 1 NOTE. FOR ALL MOUNT MODIFICATION DETAILS AND SPECIFICATIONS, REFER TO THE - MODIFICATION AND DESIGN DRAWING FOR EXISTING ANTENNA MOUNT PREPARED ■'z®� BY TOWER ENGINEERING SOLUTIONS, L.L.C. DATED JAN 17. 2022. MODIFICATIONS V� TO THE EXISTING MOUNTS AS INDICATED THEREIN SHALL BE COMPLETED PRIOR s NI TO THE INSTALLATION OF THE PROPOSED ANTENNAS AND EQUIPMENT. 12]5 REN SHHEET,SURE 100 WEST HENREiT0.NY 14566 yyyy__ Xy1_ Teaonic-1 - WORK ORDER NUMBER 11274.004 CB DCISTING VERIZON WIRELESS PROPOSED VERIZON WIRELESS NO. DATE ISSUE 700/850—LTE/PCS—LTE ANTENNA TO PROPOSED VERIZON WIRELESS 0 02/24/22 FOR COMMENT BE REMOVED (I/SECTOR-3 TOTAL) AWS/PCS DUAL BAND RRH (ABOVE) C—BAND RRH/ANTENNA UNIT a6/24/22 FOR CONSTRUCTION (1/SECTOR-3 TOTAL) (1/SECTOR-3 TOTAL) P PROPOSED VERIZON WIRELESS CBRS RRH MOUNTED USING BRACKETS&HARDWARE PROPOSED VERIZON WIRELESS S�G�OR- EXISTING RRHS TO BE REMOVED (MOUNTEDPBELOW.DSEE BY MANUFACTURER TAIL S0� ANTENNA(REPLACEM11/SECTOR 3/TOT L) LTE/CBRS P�Q`t'P 50 (2/SECTOR-6 TOTAL) SAC Q,t,P y0 EXISTING VERIZON WIRELESS p� PROPOSED VERIZON WIRELESS 700/850—LTE/PCS—LTE ANTENNA TO P�' REPLACEMENT AWS/700/850—LTE �BE REMOVED (I/SECTOR-3 TOTAL) ANTENNA(1/SECTOR-3 TOTAL) GAIMA SeCrOR 280 G�?'UA 3eCrOR ?g0. PROPOSED DUAL O , C t BRACKET KIT(ALPHA BETA SECTORS)NNA MOUNTING RE cecm BI DATE J (SEE DETAIL 2/C-4) EXISTING GUYED TOWER �Q'10. �,owagp y0 EXISTING VERIZON WIRELESS 12—CIRCUIT OVP UNIT MOUNTED PROPOSED VERIZON WIRELESS 700/850—LTE EXISTING VERIZON WIRELESS ON EXISTING STANDOFF EXISTING VERIZON WIRELESS DUAL BAND RRH (1/SECTOR-3 TOTAL) ir TIEBACK (1/SECTOR-3 TOTAL) TIEBACK (I/SECTOR-3 TOTAL) N, PROPOSED VERIZON WIRELESS SMART V—BRACIING KIT(1/SECTOR-3 TOTAL) Z 1 I cn 01OgA �o J N v EXISTING GUYED TOWER m m N EXISTING VERIZON WIRELESS Nxwwoarzm moxs W a Q A 11 m OR SU60MSIONEI oS tVI NEW WREN ST ON ON CIRCUIT OST UNIT MOUNTED OR 9 SU summax is n ownoN or sEaiary m ON EXISTING STANDOFF mu_— O Oi PROPOSED MOUNTING PIPE cwlm ov tHls ooaxEµ wrtHour A Exsunc p THE 9GNxNRE INN ORICINRL EnBOS A (1/SECTOR-3 TOTAL) R ORIfrNN.StNlP IN BLUE N - R RE➢Rllf 0 illE�ORSSONxL fNQNEEA OR IIN0 SURVEWR sH.0 xm eE mxsamm vNuo rnRiEs. NOTE: REMOVE (3) EXISTING 700/850—LTE/PCS—LTE. (3) 700/850/AWS ANTENNAS NR NSITE INFORMATION HEs REMOVE (6) EXISTING DUAL BAND RRHS GLENS FALLS EAST INSTALL(3) PROPOSED 700/850—LTE/CBRS, (3) 700/850—LTE/AWS ANTENNAS. INSTALL(6) PROPOSED DUAL BAND RRHS, (3) PROPOSED CBRS RRHS, PN: 20212245836 INSTALL (3) PROPOSED C—BAND RRH/ANTENNA UNITS LC: 269954 INSTALL (6) PROPOSED PANEL ANTENNAS SITE AOOR65 EXISTING ANTENNA ORIENTATION 2 PROPOSED ANTENNA ORIENTATION 227 DIX AVE TOWN OF GLENS FALLS c-3 SCALE: 1" = 5' c-3 SCALE: 1 = 5' WARREN COUNTY NY 12801 5— ANTENNA ORIENTATION PLANS SHEET NUMBER C-3 • ANTENNA AND CABLE SCHEDULE PROPOSED ANTENNA EXISTING ANTENNA EXISTING ANTENNA MOUNTING PIPE MOUNTING PIPE MOUNTING PIPE AZIMUTH # OF ANTENNA SECTOR STATUS FREQUENCY ANTENNA DATA (TRUE ANTENNA (�HEIGHT # OF CABLES CABLE NORTH) SEPER CTOR (AGL) LENGTH V' 'gOn PROPOSED VERIZON z':;;. PROPOSED VERIZON 4" C-BAND WIRELESS DUAL ��*- a3.';' WIRELESS DUAL POWER/FIBER FROM ALPHA PROPOSED 35.1" x 16.1"x 5.5", 87.1 LEIS 50' 1 132.5' 8' BAND RRH : ,,, BAND RRH PROPOSED RRH/ANTENNA OVP 'w�E'ssr x°enrc nNa�in's145�e6100 ?[ . a?' VERIZON WIRELESS EXISTING (, C-BAND RRH/ANTENNA ALPHA PROPOSED PCS-LTE/700/ 95.9" x 15" x 7.4", 92 LEIS 50' 1 130, JUMPERS TO RRH 8'/12' _µG..� BOOM (TYP) y)* MOUNTED USING 850-LTE/CBRS BRACKETS & HARDWARE AWS/700/ Tectonic- MANUFACTURER@I '+ « �'` _ PROVIDED BY ALPHA PROPOSED 95.9" z 15" x 7.4", 92 L85 50' 1 130' JUMPERS TO RRH 8'/12' 850-LTE PROPOSED VERIZON i.0 EXISTING C-BAND POWER FIBER FROM WIRELESS CBRS RRH b TIEBACK (TYP) BETA PROPOSED 35.1" z 16.1" x 5.5", 87.1 LBS 170' 1 132.5' / 8' r MOUNTED USING RRH/ANTENNA OVP ~•^=^ BRACKETS&HARDWARE PCS-LTE/700/ v�T...,.,,R am•_,� PROVIDED BY MANUFACTURER 1, BETA PROPOSED 95.9" x 15" x 7.4", 92 LBS 170' 1 130' JUMPERS TO RRH 8'/12' WORK1 ORDER NUMBER Fgyq 850-LTE/CBRS gv. E%ISTING 11274.004 DB O TIEBACK (TYP) AWS/700/ No. DATE ISSUE BETA PROPOSED 95.9" x 15" x 7.4", 92 LBS 170' 1 130, JUMPERS TO RRH B'/12' 1' 850-LTE 0 02/24/22 FOR COMMENT 1 06/24/22 FOR CONSTRUCTION EXISTING BOOM (TYP) '., EXISTING C- BAND POWER/FIBER FROM BOOM (TYP) GAMMA PROPOSED RRH/ANTENNA 35.1" x 16.1" x 5.5", 87.1 LBS 290' 1 132.5' OVP 8' ws��F PROPOSED VERIZON WIRELESS GAMMA PROPOSED PCS-LTE/7CO/ 95.9" x 15" x 7.4", 92 LBS 290' 1 130, JUMPERS TO RRH 8'/12' REPLACEMENT ANTENNA 850-LTE/CBRS WS/700/ GAMMA PROPOSED "A850-LTE 95.9" x 15"x 7.4", 92 LBS 290' 1 130' JUMPERS TO RRH 8'/12' NOTES: ANTENNA, RRH 8c OVP MOUNTING SECTIONS 1. CONTRACTOR TO TAG JUMPER CABLES AT BOTH ENDS WITH ANTENNA DESIGNATION AS PER COLOR CODING SHEET PROVIDED BY VERIZON WIRELESS AND AS DIRECTED BY VERIZON WIRELESS EQUIPMENT ENGINEER. C-4 SCALE: 1" = 3' 2. CONTRACTOR TO OBTAIN ALL ELECTRICAL AND MECHANICAL DOWNTILTS FROM THE FINAL RF ANTENNA DESIGN SHEET. RRH/OVP AND HYBRID SCHEDULE RELFASm Bf OA SECTOR STATUS UNITS UNIT DATA # OF CABLE TYPE # OF CABLE UNITS CABLES LENGTH hil- ALPHA EXISTING 6627 OVP 28.93" x 15.73"x 10.31", 32 LBS 1 EXISTING 6x12 HYBRID 2 160't t y PROPOSED ANTENNA MOUNTING PIPE -` ®� ALPHA PROPOSED 700/850-LTE RRH 15.0" X 15.0" X 9.1", 70,3 LBS 1 POWER/FIBER CABLE FROM OVP 1 10'>` ,�P NQWAR� ALPHA PROPOSED AWS/PCS RRH 15.0" X 15.0" X 10.0", 74.7 LBS 1 POWER/FIBER CABLE FROM OVP 1 10'f PROPOSED VERZON WIRELESS ALPHA PROPOSED CBRS RRH 14.4" x 5.5" x 16.2", 23.2 LBS 1 POWER/FIBER CABLE FROM OVP 1 10't Ar 0 N 700/850-LTE/AWS ANTENNA - �' BETA PROPOSED 700/850-LTE RRH 15.0"X 15.0" X 9.1", 70.3 LBS 1 POWER/FIBER CABLE FROM OVP 1 30'f PROPOSED VERIZON WIRELESS Z� 700/850-LTE&CDMA/PCS/CBRS BETA PROPOSED AWS/PCS RRH 15.0" X 15.0" % 10.0", 74.7 LEIS 1 POWER/FIBER CABLE FROM OVP 1 30'f r ,I ANTENNA BETA PROPOSED CBRS RRH 14.4" x 5.5" x 16.2", 23.2 LBS 1 POWER/FIBER CABLE FROM OVP 1 30,± �A 1010 %�li� PROPOSED BRACKET DUAL ANTENNA • MOUNTING KIT) (JMA P/N: 91900314 GAMMA PROPOSED 700/850-LTE RRH 15.0" X 15.0" X 9.1", 70.3 LBS 1 POWER/FIBER CABLE FROM OVP 1 30'3 1uNam,oarzm x moxs TO a OR APPROVED EQUAL R BMW NE a OF A ncENsm m ) (TYP OF 3 aNNE-w ) GAMMA PROPOSED AWS/PCS RRH 15.0" X 15.0" X 10.0", 74.7 LBS 1 POWER/FIBER CABLE FROM OVP 1 30'f OF Nw suR,�oR Is a r209 SUB­2 OF 1NE NEN TORKSSTAiE GAMMA I PROPOSED CBRS RRH 14.4" x 5.5" x 16.2", 23.2 LBS 1 POWER/FIBER CABLE FROM OVP 1 30'f muunox uw. NOTE: OFR-9GRATBRE aND µ OR­mB3..- OR SFN.OR-1-1-1 N SLUE OR F.NK 0 THE FROF6 CWL ENQNEER OR-B SORYEIOR ANTENNA AND HYBRID CABLE SCHEDULE BASED ONAN RF sNAu nar BEeE coxslD® I ' ANTENNA DESIGN SHEEP DATED 06/21/22, FUZE D: 16272254. JANTENNA MOUNTING NOTES 1. THE DESIGN AND CONSTRUCTION OF ANTENNA SUPPORTS SHALL CONFORM TO ANSI/TIA-222-H-2017 'STRUCTURAL STANDARDS FOR ANTENNA R SITE INroRMN.1-E SUPPORTING STRUCTURES, ANTENNAS AND SMALL WIND TURBINE SUPPORT STRUCTURES",THE BUILDING CODE OF NEW YORK STATE (CURRENT o EDITION) AND ALL OTHER APPLICABLE LOCAL, STATE, AND FEDERAL CODES. GLENS FALLS EAST 2. ALL STEEL MATERIALS SHALL BE GALVANIZED AFTER FABRICATION IN ACCORDANCE WITH ASTM A123 "ZINC (HOT-DIP GALVANIZED) COATINGS ON PN: 20212245836 2 M 0 U NTI N G KIT DETAIL IRON AND STEEL PRODUCTS", UNLESS OTHERWISE NOTED. LC: 269954 C-4 3. ALL BOLTS, ANCHORS AND MISCELLANEOUS HARDWARE SHALL BE GALVANIZED IN ACCORDANCE WITH ASTM A153 "ZINC-COATING (HOT-DIP) ON STIE ADORES SCALE: TUTS IRON AND STEEL HARDWARE", UNLESS OTHERWISE NOTED. 227 DIX AVE 4. DAMAGED GALVANIZED SURFACES SHALL BE REPAIRED BY COLD GALVANIZING IN ACCORDANCE WITH ASTM A780"REPAIR OF DAMAGED AND TOWN OF GLENS FALLS UNCOATED AREAS OF HOT-DIP GALVANIZED COATINGS',USING COLD GALVANIZING COMPOUND AS MANUFACTURED BY ZINGA-USA OR ZINC WARREN COUNTY KOTE, OR ENGINEER APPROVED EQUAL WITH A MINIMUM METALLIC ZINC CONTENT OF 95%BY WEIGHT IN DRY FILM. DRY FINISHED COATING NY 12801 THICKNESS SHALL BE 3 MILS MINIMUM. SHEET STRUCTURAL NOTES 5. ALL ANTENNA MOUNTS SHALL BE INSTALLED WITH DOUBLE NUTS AND SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER'S DETAILS & NOTES SPECIFICATIONS. 1. ALL WORK SHALL CONFORM TO ANSI/TIA-222-H-2017 'STRUCTURAL STANDARDS FOR ANTENNA SUPPORTING STRUCTURES, ANTENNAS AND 6. DESIGN OF THE ANTENNA MOUNTING BRACKETS, SUPPORTS,AND ALL COMPONENTS THEREOF AND ATTACHMENT THERETO SHALL BE THE SMALL WIND TURBINE SUPPORT STRUCTURES", THE 2020 BUILDING CODE OF NEW YORK STATE (CURRENT EDITION) AND ALL OTHER APPLICABLE RESPONSIBILITY OF THE MANUFACTURER. MANUFACTURER SHALL PROVIDE THE OWNER DRAWINGS DETAILING ALL COMPONENTS OF THE LOCAL, STATE, AND FEDERAL CODES. ASSEMBLY, INCLUDING CONNECTIONS, DESIGN LOADS, AND ALL OTHER PERTINENT DATA. MANUFACTURER SHALL ALSO PROVIDE THE OWNER WITH 6HEEf NUMBER 2. REFER TO POST-MODIFICATION ANTENNA MOUNT ANALYSIS REPORT AND PMI REQUIREMENTS PREPARED BY TOWER ENGINEERING SOLUTIONS., A STATEMENT OF COMPLIANCE, INDICATING THAT THE ANTENNA SUPPORTS HAVE BEEN DESIGNED IN ACCORDANCE WITH ANSI/TIA-222-H-2017 DATED JANUARY 17, 2022. STANDARDS.ALL SUBMISSIONS SHALL BEAR THE SIGNATURE AND SEAL OF A PROFESSIONAL ENGINEER LICENSED IN THE STATE OF NEW YORK. /\ C-4 Tectonic-1 PRACTICAL SOLOTIOUS.EICEPTI011AL SERVICE. Town of Queensbury Attn:John O'Brien—Director 742 Bay Road . Queensbury, New York 12804 April 13, 2023 RE: CONSTRUCTION CERTIFICATION LETTER BUILDING PERMIT:AST-0489-2022 VERIZON WIRELESS SITE NAME:GLENS FALLS EAST SITE ADDRESS: 227 DIX AVE, GLENS FALLS, NY 12801 TECTONIC W:O.: 11274.004 Dear Mr. O'Brien, Tectonic Engineering Consultants; Geologists &Land Surveyors, D.P.C. (Tectonic) has reviewed post- construction photos(dated March 22, 2623) provided by STARR Tower Solutions. The purpose of Tectonic's review was to ensure the work completed under this permit was performed in general conformance with the Construction Drawings (dated June 24, 2022) prepared by Tectonic.The conclusion of our review is that,to the best of my knowledge,the site has been completed in accordance with the approved drawings, except for the location of where the CBRS RRH was installed. The RRH was installed in position 1 as opposed to the plans showing position 2. This change has minimal effect on the structure,and the structure remains structurally sound. If you have any questions, please do not hesitate to contact the undersigned. Sincerely, Tectonic Engineering Consultants, Geologists & Land Surveyors, D.P.C. E ,rOW O CO 41 Adrian H.Massie, PE 90, Sr. Project Manager a m cc I � t _ z 2�. C-1 �o 10106" ROFES S1 ONP Project Contact Info 36 British American Boulevard,Suite 101 1 Latham,W 12110 518.783.1630 Tel 1518.783.1544 Fax tectonicengineering,com Equal Opportunity Employer