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20211186 133 Lawrence Wireless Antenna Application Na+IC" November 22,2021 TOTALLY COMMITTED. City of Saratoga Springs Design Review Commission City Hall—474 Broadway Saratoga Springs, NY 12866-2296 RE: T-Mobile Northeast LLC Design Review Commission Application—T-Mobile Wireless Antenna Facility Modification 3SAA082A—Location 133 Lawrence Street,Saratoga Springs, NY 12866 Dear Ms.Tucker, Please enclosed the following documentation as application for the Design Review Commission Review for the above- referenced site: (1)A completed DRC application dated 11/15/21 (2)Check 47375 in the amount of$140.00 dated 11/16/21 as remittance for the fees (3) Contractor's Insurance Documents including: (a)Certificate of General Liability certificate and (b)C-105.2 NYS Workers' Compensation Insurance certificate. (4)Color Photo Simulations prepared by Carpenter Consulting Group dated November 2021. [2 Copies] (5)Signed Structural Analysis completed by A-Prime Engineering dated 9/8/21. [2 Copies] (6)Sealed/stamped Construction Drawings prepared by Carpenter Consulting Group dated 10/1/21. [2 Copies] After the Review, I would appreciate you either e-mailing or faxing a copy of the approval when it has been completed along with sending the original to my attention at the address below. Please feel free to contact me if you have any additional questions or concerns or wish to review additional documentation. Thank you for your time and attention to this matter. Sincerely, Chris McDonough Site Acquisition Specialist NETWORK BUILDING + CONSULTING 1777 Sentry Parkway W I Veva 17—Suite 4001 Blue Bell, PA 119422 M 717.947.01491P 267.460.0122 x2008 iruK urriut ur. oi **/ANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED** / K f OG.1 .S,J (Application#) %� ��/ '��� CITY OF SARATOGA SPRINGS DESIGN REVIEW COMMISSION j CITY HALL-474 BROADWAY (Date received) - '4 SARATOGA SPRINGS, NEW YORK 12866-2296 /^JCOAORATEO ,91‘' TEL: 518-587-3550 X2533 www.saratoga-springs.org (Project Title) APPLICATION FOR: ARCHITECTURAL/ HISTORIC REVIEW Staff Review APPLICANT(S)* OWNER(S) (/f not app//cant) ATTORNEY/AGENT Name T-Mobile Northeast, LLC Empire Site Communicaion Marla- Address 103 Monarch Dr 211 Delaware Ave Liverpool NY 13088 Delmar, NY 12054 Phone 717-947-0149 / 518-857-0502 / / Email cmcdonough@nbcllc.com tbutler@empiresite.com Identify primary contact person: B Applicant 0 Owner 0 Attorney/Agent *An applicant must be the property owner, lessee, or one with an option to lease or purchase the property in question. Applicant's interest in premises: 0 Owner 8 Lessee 0 Under option to lease or purchase PROPERTY INFORMATION Property Address/Location: 133 Lawrence Street Tax Parcel #: 1 65• -3 - 1 1 - 1 (for example: /65.52—4—37) Date Acquired by Owner: 12/31/08 Current Zoning District: PUD - Property use: 0 Residential 0 Non-residential/mixed-use Type of Review: 0 Architectural 0 Historic 0 Extension/modification (of current approval) Modify existing wireless antenna facility. No increase in height of the facility. Summary description of proposed action: swap 3 antennas, add 6 radios, and 3 fiber cabls. New cabinet Has a previous application been filed with the DRC for this property? II No 0 Yes-date(s)? -App. No.(s)? Revised 01/2021 s_ I _.-.--,� TSCCONS-02 KLISHM A^� DATE(MM/DD/YYYY) lv(J'R CERTIFICATE OF LIABILITY INSURANCE 10/25/2021 THIS CERTIFICAl; I-`;ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOKOT 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 Paige Mullins Insurance Office of America (A/CO, Ext): (607)338-1254 I FAX No):(607)754-9797 31 Lewis Street E-MAIL Suite 201 ADDREss:Paige.Mullins@ioausa.com Binghamton,NY 13901 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Union Fire Insurance Company of Pittsburg PA 19445 INSURED INSURERB:ACE American Insurance Company 22667 TSC Construction,LLC INSURER c:Zurich American Insurance Company 16535 TSC Contracting,LLC 123 Brown Street INSURER D:Travelers Property Casualty Company of America 25674 Johnson City,NY 13790 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X X GL 329-22-49 9/1/2021 9/1/2022 DAMAGETO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO-T LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JEC $ OTHER: COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO X X CA 454-48-30 9/1/2021 9/1/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY ROPERT ntDAMAGE(Per ) $ AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE X x N1107411A 002 9/1/2021 9/1/2022AGGREGATE $ 2,000,000 DED X RETENTION$ 10,000 $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N X WC 025-89-3697 9/1/2021 9/1/2022E.L.EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y N f A OFFICER/MEMBER EXCLUDED? 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 $ C Excess Liability X x AEC 0265068-04 9/1/2021 9/1/2022 Occurence/Aggregate 9,000,000 D Installation Floater QT-660-09012021-PHX-21 9/1/2021 9/1/2022 Limit 350,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Site#:3SAA082A Site Address:133 Lawrence Street,Saratoga Springs,NY 12866 City of Saratoga Springs and all other parties as required by written contract are additional insured on a primary and noncontributory basis including completed operations in regard to general liability per form#CG 2010,form#CG 2033,form#CG 2037,&form#CG 2001,in regard to auto per form#94199& form#74445,in regard to umbrella per form#XS 41887A,and in regard to excess per form#U-EXS-420-A NY.A Waiver of Subrogation applies in favor of the certificate holder,owner and all other parties as required by written contract in regard to general liability per form#CG 24 04,in regard to auto per form SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Saratoga Springs /1 474 Broadway t!/t-d �„ ISaratoga Springs,NY 12866 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 Q -v m 7;, 0 „s p m m --+ m C -a !4 n. Z m > W rt nr r' p * wE. ^ 0 0� 1 o F 2 , n N fD E W :: m D `". n ITf GI ro o D Z n r v r -1 70 x o u, m as G1 C1 !> M mo W ? ' m OZZ O rm 1 m tilc c v V N Z r rn Z 70xv) tn co r 0 vmi m m C r7'I O V m z — g 0 Z Z DwCD � r r7'I w m z ' l _ D co m Z g mm E , w0, ornmill C . >zo � � DN� mi r 00 � Z NNo _1 D 10 Xi m < 1— —4 m r m v m O1 m — rn m D v D 01 m O Z °° F A cn -�I 70 '� 0 r V z o 73 Z r Cn H r m D D =, -‹ �w m D V/ . , NO N C C D cn X ph M IFT , SITE NA EmBuR) SITE I.D. NL .: 3 sAA0 Dig!Safely. New York 811 wow Am,.I.l„,e.ryork, ICOI RAN TEMPLATE: 67 A&L TEMPLATE: 67E5 VICINITY MAP tv PROJECT INFORMATION - 1. PROJECT ADDRESS: 133 LA 2.PROJECT TAX ACCOUNT NO.: 3.ZONING JURISDICTION: CITY 4.ZONING DISTRICT: (PUD) P 5.POWER COMPANY: NATIONAL 6.TELEPHONE COMPANY: VERI FACILITY INFORMATION s FACILITY TYPE: EXISTING BUILD s,:;:Imo, - PROPOSED USE: UNATTENDED PROJECT --IEGe FACILITY: (1-2) VISITS PER M L OCA TION/ Q SCOPE OF WORK I. .- REPLACE EXISI1NG RBS 3106 CABINET ,,,,,,4 —..,..4' OF (1)CSR OAR-F&(1)CSR IXRE V2(0 JL AAD INDOOR SPD BOX.ADD(3)6024 �r A1R6449 ANTENNAS.SWAP(3)AIR 21 ANT 44605. ii-,j Saratoga 1, ,T1 &PaloClub ,<m REFERENCES 7 _-__u +s:�° 1. SARATOGA COUNTY GIS MAPP ©.- —'----=" - 2.A SITE VISIT BY CCG 8/12/21 U 3.REDS SHEET DATED 8/4/21. APPROVAL BLOCK PROPERTY OWNER a'wR 1 Saratoga Racetrack9 SITE ACQUISITION v z' CONSTRUCTION MANAGER • cf DIRECTIONS TO SITE • v - TARE THE RAMP ON THE LETT FOR I-90 E AT EXIT 27,HEAD RIGHT ON THE RAMP FOR NY-JO TOWARD AMSTERDAM.TURN RIOIT ONTO NY-JO/STATE HIOIWAY JO.BEAR RICHT ONTO NY-67/CHURCH ST.TURN ZONING LEFT ONTO MIDDLE UNE RO/COUNTY MIT-59.TURN RIGHT OVTD NY-29/ROUTE 29. TURN LEFT ONTO BEST APE TURN RICHT OV YD NY-9N/CHURCH ST.TURN LEFT ONTO SEWARD ST.TURN RICHT ONTO CLEMENT ACE.TURN RIGHT ONTO DAN/EL ST.TURN RIGHT TO STAY ON DANIEL ST RF ENGINEER T • •Mobile' T-Mobile Northeast,LLC 103 Monarch Drive Liverpool,NY 13088 (315)453-1340 Ni �' M TOTALLY COMMITTED. Network Building+Consulting,LLC 100 Apollo Drive,Suite 303 Chelmsford,MA 01824 (987)856-8308 E C CG CARPENCONSULTER CONSULTING DEVELOPMENT DESIGN APT DEVELOPMENT DATE' ROUP DRB 8/25/21 I�� APPROVED BE: PROIHT NO: DWC 21-N-080 IBER E ' '. „ 2A n = v, g ., z 0 yY - 7txo - 1-4 A998E P6230 = 3F, 1XAIR+1OP IECT INDEX CONSULTANT TEAM x PROJECT DIRECTORY IEET, SARATOGA SPRINGS, NY 12866 ROOFTOP MANAGER: EMPIRE SITE COMMUNICATION CONTACT: THOMAS BUTLER ' - 11.1 ADDRESS: MANAGEMENT, INC. TELE.: (518) 857-0502 GA SPRINGS 211 DELAWARE AVENUE DEVELOP. DELMAR, NY 12054 ID NE(.I/ IONE: (800) 867-4272 � APPLICANT: T-MOBILE NORTHEAST, LLC CONTACT: PETER BERIE P p,Y`( V. q 99 TELE.: (315) 263-1882 PHONE: (800) 837-4966 ADDRESS; 103 MONARCH DRIVE CO \� �6G 1-- LIVERPOOL, NY 13088 * Q �.;-_, BUILDING LOCATION: PROJECT MANAGER: NETWORK BUILDING+ CONSULTING, LLC CONTACT:SHARON EUSTACE r1 LAT: 43'05' 21.2” (43.08923056') ADDRESS: 1777 SENTRY PARKWAY WEST 0 Hl NICATIONS LONG:-73'47' 28.7" (-73.79131112') TELE.: (215) 680-8855 'I_ W VEVA 17, SUITE 400 1n CHNICIAN GROUND ELEV:356'± BLUE BELL, PA 19422 ER `�""--‘-' 6. CIVIL ENGINEER: CARPENTER CONSULTING GROUP CONTACT: DON CARPENTER �O ?089075 e SON RACK.ADD(2)BB 6648'5.(1)PSU 4813.(1)CSR 7210 SAS-MxP, ADDRESS: 17 INDUSTRIAL STREET TELE.: p \' RBS 5601 WITH W30.ADD INDOOR 6230 CABINET AND 4 RECTIFIERS. ROCHESTER, NEW YORK 14614 (585)-370-9516 ROFESSI`-' ID KEEP EXISTING 3X6 HOS CABLES FOR SPARE.SWAP(3)AIR21 WITH(3) (3)8'OCTOPORT ANTENNAS.ADD(3)RADIOS 44805&ADD(3)RADIO SHEET INDEX -01-21 SHEET REV. REV. SITE INFORMATION NO. DESCRIPTION NO. DATE SITE 1.0.8 NUMBER: T-1 TITLE SHEET 2 9/29/21 3SAA082A SITE NAME: C-1A EXISTING SITE PLAN 2 9/29/21 EMBURY APT C-1B PROPOSED SITE PLAN 2 9/29/21 SITE ADDRESS: g 133 LAWRENCE STREET RE E C-2 ELEVATION & ANTENNA SCHEDULE 2 9/29/21 SARATOGA SPRINGS,NY 12866 E KK 55 SITE TYPE: %12 aC C-3 EQUIPMENT PLAN & DETAILS 2 9/29/21 ROOFTOP ❑ ❑ ❑ C-4 ANTENNA SPEC'S & DETAILS 2 9/29/21 DATE SHEET TITLE ❑ ❑ ❑ C-5 SITE DETAILS 2 9/29/21 DATE ❑ ❑ ❑ TITLE SHEET DATE El ❑ ElDATE SHEET NUMBER - DATE El El T-1 Date: September 8,2021 L M V L E N G I N E E R I N G Sharon Eustace Network Building + Consulting Albul Engineering, LLC 1777 Sentry Parkway,Veva 17, Suite 210 3840 E. Robinson Road Blue Bell, PA 19422 Amherst, NY 14228 (215) 680-8855 (716) 650-8147 dalbul@albuleng.com Subject: Equipment Platform and Building Elements Structural Analysis Report T-Mobile Site Number: 3SAA082A Site Name: Embury_Apt Albul Engineering Project Number: 2021AE-022-SA Rev.1 Site Data: 133 Lawrence Street, Saratoga Springs, NY, Saratoga County Latitude: 43° 05' 21.23", Longitude: -73°47' 28.72" 138.25-Foot-Tall Building Dear Ms. Eustace, Per your request, Albul Engineering has performed a structural analysis to evaluate the structural capacity of the existing equipment platform on the above referenced building for the addition of wireless telecommunication appurtenances by T-Mobile.The analysis has been performed in accordance with the AISC-LRFD 15th Edition and TIA-222-H standards, and local code requirements based upon an ultimate 3-second gust wind speed of 109 mph. Upon reviewing the results of this analysis, it is our opinion that the existing equipment platform and building elements do meet the specified AISC and TIA code requirements. The existing equipment platform and building elements are there for deemed adequate to support the proposed loading listed in this report. We at Albul Engineering appreciate the opportunity of providing our continuing professional services to Network Building + Consulting and T-Mobile. If you have any questions or need further assistance on this or any other projects, please give us a call. Sincerely, QY V� y0 co g - ec .� W IC, �,, 089075 Q, °FEs sl 0NP Dmitriy Albul, P.E. jor Director of Engineering 09-08-21 I n cn Z 0 cn x m xi —I P m -I r O H u M INE u)�oc2 . oyo -10 .v , EC D4"- Domm Q2 nn -o c "I "I z� DD ,_ 70 m to D O N -Ipm� � m - n O N DT0)ya Hb X) o 1 .:1••=. C ��<D co S X o e C�� a Dm v C) IiMiiMi N �v�iOD o o > FDI- rn -o to { T m E cn r g O -0 W . 1 1Jcn�-0 —IO O C) (J) �n Z > < G 5) r E 11 co w UM MI CD Z Z ZZ C� 0- cr 0 0 c) w - - G) ' 3 x� W o Cr) it D ill• Co 0 N a D � 2 Z 01 C.0 01 rn n o -‹ g -I .-p 01 ~ O) o o N Oo0 o rn o N o —n co o e s -0 0) A0 0 i-'..,-.' p 0 y+ N m a) — Cut on dotted line. Instructions Click-N-Ship® Label Record 1.Each Click-N-Ship®label is unique. Labels are to be USPS TRACKING#: used as printed and used only once. DO NOT PHOTO 9405 5036 9930 0069 3609 77 COPY OR ALTER LABEL. Priority Mail®Postage: $8.70 Trans.#: 548939861 2.Place your label so it does not wrap around the edge of Print Date: 11/22/2021 Total: $8.70 the package. Ship Date: 11/22/2021 Expected Delivery Date: 11/27/2021 3.Adhere your label to the package. A self-adhesive label is recommended. If tape or glue is used,DO NOT TAPE OVER BARCODE. Be sure all edges are secure. From: CHRISTOPHER MCDONOUGH NETWORK,BUILDING&CONSULTING 4.To mail your package with PC Postage®,you 25 W SLOKOM AVE may schedule a Package Pickup online,hand to CHRISTIANA PA 17509-1601 your letter carrier,take to a Post Office TA/,or drop in a USPS collection box. To: CITY OF SARATOGA SPRNGS 5.Mail your package on the"Ship Date"you DESIGN REVIEW COMMISSION selected when creating this label. 474 BROADWAY STE 15 SARATOGA SPGS NY 12866-2296 `Retail Pricing Priority Mail rates apply. There is no fee for USPS Tracking®service on Priority Mail service with use of this electronic rate shipping label.Refunds for unused postage paid labels can be requested online 30 days from the print date. STATES POSTALOSTAL SERVICE® Thank you for shipping with the United States Postal Service! Check the status of your shipment on the USPS Tracking®page at usps.com