HomeMy WebLinkAbout1000-75.-5-14.1 (1/2022) TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971414159 f` l
Telephone (631) 765-1802 Fax (631) 765-9502 h I s: /ww .s,out:lioldtoy,vtit'i,
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Date Received
APPLICATION BUILDS IT -Q o.0
For Office Use Only
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PERMIT NO Building Inspector:
BUIV r)R,IG IDEPT
TOWN Gil SOU iT Ot..1)
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: 11-3-2021
OWNER(S) OF PROPERTY"
..._ame Town of Southold_._.. .. _.___._._ SCTMW#NN100o 75-5-14.001
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..... ... . .. . ... .............
Project Address: 165 Peconic Lane
_ ..........
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Phone# 631765 1800 —.. ........ry ... . _... ..._...... .._..... ....�_.�. _. ,,_ _ ._..._.__ -
Mailing Address:41405 Route 25, Peconic, NY 11958
CONTACT PERSON.
Name: Patrins
ck O'Rourke Centerline Communications
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Mailing Address:5550 Merrick Road, Massapequa, NY 11758
Phone#:516-263-8817 Email:Patrick@Brennanshore.com
DESIGN PROFESSIONAL INFORMATION:
Name:KMB Design Group
Mailing Address:1800 Route 34, Suite 209, Wall, NJ 07719
Phone#:732-280 5623 Email
CONTRACTOR INFORMATION:
__... .... __ ....... ..------
acoTelecommunications
Name:Jbs Teleications Inc.
....... _ _ .... _ __.
Mailing Address: 1000 Wilshire Blvd., Los Angeles, CA 90017 j
Phone#:213-228-8295 Email. j
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I DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ®Addition [—]Alteration ❑Repair ❑Demolition Estimated Cost of Project
❑other $25,000
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Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes [A No
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(PROPERTY INFORMATION
ExistingIntended use of pro ert :
' u.SE'of property"police E3tarlioi7(F'ublic Utility Cornrnunic;ation�>ile r p }�
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Zone or use district in which premises is situated: Are there any covenants acid reast:ricth i�µ..a h rdspbctl(..') __
IR-80IR-80 this property? f IYes I.ANo IF YES, PROVIDE A COPY.
F Check Box After Reading. 'The owner/contractor/design professional is responsible for alll drainage and storm water issues as provided by
Chapter 236 of the Town code. APPLICATION IS HEREBY MADE to the Bu'ilding Department for the'issuance of a Building Pernnit pursuant to the Building Zone
Ordinance of the'rown of Southold,.Suffolk,County,New York and other applicable Paws,ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herePrr described.The applicant agrees to comply With all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized Inspectors on premises and in building(s)for necessary inspections.False staternents made herein are
punishable as a Class A raisdemeanor pursuant:to Section 21.0.45 of the INew York State PTenall Law.
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Aplphc:aflon Submitted By (,print B�cp�fPt' e): �.,�� � L)k ti AtutkOorozeaf Agent (�Q��rner
Signature of AlppRocarutl' a � ate: � f
STATE OF NEW YORK)
COUNTY OF I
.. h " pc' � cart a . belB . duly sworn, deBoses and il
(Narne of IrldCVltlur3lrSl,..,Cnin; contract) r)I)oVE YnarXled, �
(S)he Is the „ I� �.
(Contractor, Agent, Corporate Officer, etc:.) 1/1, tM i
of said owner or owners, and is duly authorized to perforrrn orhave performed the said work arid to ma,ake and file this
application; that all staternents contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therevvith,
yWolrun Ilncrfole I11-ne Lhil.s
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dayor A14yfJ
Notary PI,Ibhcc
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PROI)EIITY OWNER At II HORIZA I ION
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(Where the applicant is not the owner)
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my Vrlr=lhalf Ilea ihie G ornrin of ” oL.flh6d Iliuildlnr; for apr,,)Iroval w, dusciiJbcd IhcreiIin.
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OrnrMrcr`s `, .rffUlr0 Ia ;ic
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Ownar"s Narno
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Centerline Communications LLC
5550 Merrick Road, Suite 302
Massapequa, NY 11758
December 30,2021
BY HAND DF,,--,'T
Town of Southold i'"OiM W,130U8HOLI)
Town Hall
Southold,NY 11971
Brian Cummings-Town Planner
RE: New Cingular Wireless PCS,LLC(AT&T)—Building Permit Application
AT&T site NYNYNY0229
Premises: 165 Peconic Lane
Southold,NY 11971
Section 75,Block 5,Lot 14.001
To whom it may concern:
Our office represents New Cingular Wireless PCS,LLC(AT&T)with respect to its Application to modify its existing
public utility wireless telecommunication facility at the subject premises. As shown in the plans submitted to the
Town, the upgrade requires only minor modifications to the existing facility. With respect to the Building Permit
Application,the following are enclosed in this submittal package;
1) Building Permit Application&Applicant Consent form**Please note the Town of Southold is the property
owner**
2) Four(4)set of signed and sealed construction drawings,prepared by KMB Design Group dated 12/23/2021,
including site plans and elevations
4) A check for$4,000 (91222)as a consultant review Escrow fee.
5) Certificates of Insurance from the contractor
6) Application for Certificate of Occupancy form
Section 6409 of the Federal Middle Class Tax Relief and Job Creation Act ("Section 6409") was adopted in 2012.
Under Section 6409, your city retains discretionary zoning review over the construction of new towers, but simple
collocations and/or equipment upgrades at existing telecommunications facilities must be approved, no later than
February 29,2022. The new law provides that:
"A State or local government may not deny, and shall approve, any eligible facilities request for a
modification of an existing wireless tower or base station that does not substantially change the physical
dimensions of such tower or base station."
The federal law defines an "eligible facilities request" as "(A) collocation of new transmis, ui itnent: (B)
removal of transmission equipment; or(C) replacement of transmission equipment."
Also,the Federal Communications Commission issued a Wireless Infrastructure Report and Order on October
17, 2014 ("FCC Order") which established regulations that clarify and streamline the municipal approval
process for eligible facilities requests under Section 6409. A copy of the FCC Order is enclosed herewith.
The FCC Order clarifies that municipal review of an eligible facilities request is limited to determining whether the
request falls within Section 6409:
"a State or local government may require the applicant to provide documentation or information
only to the extent reasonably related to determining whether the request meets the
requirements of this section [Section 64091. A State or local govermnent may not require an
applicant to submit any other documentation, including but not limited to documentation
Centerline Communications LLC
5550 Merrick Road, Suite 302
Massapequa, NY 11758
intended to illustrate theneed for such wireless facilities or tojustify the business decision to modify
such wireless facilities,"47 C.F.R. 1.4000 1(c)(1)
The FCC Order also specifies that the term "base station" includes any structure that "supports or houses"
communications equipment. Since this structure already supports communications equipment,it is considered
a"base station" tinder Section 6409
fVl c A f. ria !Lidcr,,Sectiotk 6409
AT&T's application qualifies as an eligible facilities request under Section 6409 because the proposed installation
involves"an existing wireless tower or base station that does not substantially change the physical dimensions of such
tower or base station,"
As shown on the plans prepared by KMB Design Group, dated 12/23/2021, AT&T's proposed installation consist
principally of the following elements:
Install a Natural Gas Generator inside AT&T's leased premises at the base of the communication tower,
Accordingly,AT&T's installation involves the"collocation of new transmission equipment"and that will not increase
T
the height of the tower nor the dimensions of the equipment compound. As a result, the installation "does not
substantially change the physical dimensions of such tower or base station." Therefore, these proposed equipment
upgrades constitute an"eligible facilities request" tinder Section 6409,and must be approved.
Timeline for Revicys, and ALJILiL(L�!jj
We would like to highlight an important timing requirement for processing this application. The FCC Order
determined that a municipality must act on an eligible facilities request within sixty (60) days of receiving the
application. 47 CYR 1.40001(c)(2)(Emphasis added). (Note,the sixty (60)-day period is also known as the"Shot
Clock"). 'Thus, the city must approve this application within sixty (60) days of its receipt, no later than February
29,2022. The FCC Order provides that upon a municipality's failure to act prior to expiration of the Shot Clock,the
"request shall be deemed granted" and AT&T will be legally entitled to proceed with construction. 47 C.RR.
1.40001(c)(4).
Note that the FCC Order does allow the Shot Clock to be tolled if an application is incomplete. However, in order to
do so, a municipality must provide w-ren--ittnotice that the application is incomplete within thirty (30) days of the
submittal. 47 C.F.R. 1.40001(c)(3)(i). The notice must"clearly and specifically"describe the missing documents or
information,47 CYR I A0001(c)(3)(i), and, as previously rnentioned, such documentation must be necessary to the
determination of whether the application qualifies as an eligible facilities request. If the municipality requests
additional information after the first thirty (30) days have passed, we will still provide any "reasonably related"
infori-nation allowed under the FCC Order, but the Shot Clock will not be tolled.
In light of the foregoing,AT&T'respectfully requests that its proposed equipment upgrades be approved.
In the meantime,if you have any questions,please feel free to call or email me. Thank you for your cooperation,
sincere�y
10d
[,AA is O'Rourke
Slte Acquisition on behalf(.)fA,'11'&,,T
5 l6-26 3-8l 1'7
TOWN Of, S(M TITIOLD
C',U JNTY (,..)F S'(JFF0t.X: STATE OFNEW YORK.
In the Matter of the Application of New Cingular Wireless P(,S., .L.LC
AUTHORIZATION OF OWNER
At the premises:
41405 Route 25 aka 165 Pec onic Larre
Peconic,NY
Section 75, 13loc.11, 5, Lot 14.001
STATE OFNEW YORK.
) ss
C01 JNTY OF' SUFFOIX.
ff, being duily sworru., der.:Poses and. says;
I ain the APPLICANTit'i fee of the prcniises k.i.,j.own as Section 75, Block. 5, 1,ot 14.1 (the
"Premises" hereafter), atad do ii,creby atithorize New Cingular Wireless, P(.,'.S, I....,LC (AT&P
faereafl.er), an.d. its reg--)r,esentatives to bring such. applications for mutd.cipal approvals as rn.,Ay be
necessaty for constructing or in on the Prernises such aritennas,supp(:Astruetures,and reated
equiprri,eiat as AT&T may require l'or the establ.isfunent of its publie utility wireless
facility. As st.,tcl-i, I will fully cooperate with AT&I'and its agents in obtaining
any required Approvals.
By
Ltd dayof 2021
Sworti. U..) before riac �s
...... JS�
fill
NOTARY 11TJB1JC
Form Ido.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Hual survey of property with accurate location of all buildings,property lines,streets,and unusual natural or
topographic reatlrres.
2. Final ApprovO flora Health I)ept.(if water supply and sewerai;t,-disposal(S-9 fornO,
3. Approval of eke ugaallation frarn Board of Fire Undemqitars.
4. Sworn staternent ftorn plumber certifying that ffic solder,used in systern contain z less than 2/10 of 1%lead,
5. Commercial building,industrial building,multiple residenres=1 sivular builclings and installations,a C01tificate
of Cme Compliance froin ambitect or engincei responsible 6!)r the building.
6. Sulinut Planning Board Approval of comptuted Site plana Mplirernents.
B. For existing buildings(prior to April 9,1957)non-conforming uses,or buil(lings and"pre existing"land uses:
1. Accutater�ut-vey,ofproileltyst,Otiviitgall property tiiaes,strciir,building,ptidunusual r)atural(wrtopovr,,iph,ic
features. ertificate of Occupancy is
2. A properly completed application and c0aeerit tc�inspect signed by the applicant-If a C
demied,the Building Inspectorshall state the,reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-14ew i1welling S50.00,Addition r to dwelling$50,00,Aherntions to dwelling$50,00,
Swinjoung pool$50.00,Accessory budding$50,00,Additions to nccessory building S50 00,Sizinesses$50-00.
2. fk'tertjrjcutc of Occupancy on Pre-existirig Building- $100.00
3. Copy of Certificate efOccuparicy-$25
4. Updated Certificate of Occupancy,- $50,00
5. Ternpoiary Certificate of Ocrupmjcy.1tesidrutial$15.00,Commercial$15.00
Date.
New Construction: Old or,Pre-existing Building: (check one)
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Location of Property:—.Yzy
-�J-1-1111111
House No. Street Hamlet
Owneror Owners ofProperty:.--.:N1."Jj S00iq&-y .......--...... ........ . . ......
Suffolk County Tax Map No 1000,Section ------
Block .........5�........... Lot
--—--
Subdivision Filed Map.
Permit No. Date of Permit_ Applicant--
Health Dept.Approval: ................... Underwriters Approval:_,
Planning Board Approval: ........ ....
Request for. Temporary Certificate_ Final Certificate,: (check one)
Fee Submitted:
.......... -----........
Applicant Signature
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971414159 f` l
Telephone (631) 765-1802 Fax (631) 765-9502 h I s: /ww .s,out:lioldtoy,vtit'i,
r
Date Received
APPLICATION BUILDS IT -Q o.0
For Office Use Only
J/
PERMIT NO Building Inspector:
BUIV r)R,IG IDEPT
TOWN Gil SOU iT Ot..1)
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: 11-3-2021
OWNER(S) OF PROPERTY"
..._ame Town of Southold_._.. .. _.___._._ SCTMW#NN100o 75-5-14.001
�I
..... ... . .. . ... .............
Project Address: 165 Peconic Lane
_ ..........
� Email
Phone# 631765 1800 —.. ........ry ... . _... ..._...... .._..... ....�_.�. _. ,,_ _ ._..._.__ -
Mailing Address:41405 Route 25, Peconic, NY 11958
CONTACT PERSON.
Name: Patrins
ck O'Rourke Centerline Communications
4 ... . _--------------
e c_........ enne ..._mu __.... .._._.
Mailing Address:5550 Merrick Road, Massapequa, NY 11758
Phone#:516-263-8817 Email:Patrick@Brennanshore.com
DESIGN PROFESSIONAL INFORMATION:
Name:KMB Design Group
Mailing Address:1800 Route 34, Suite 209, Wall, NJ 07719
Phone#:732-280 5623 Email
CONTRACTOR INFORMATION:
__... .... __ ....... ..------
acoTelecommunications
Name:Jbs Teleications Inc.
....... _ _ .... _ __.
Mailing Address: 1000 Wilshire Blvd., Los Angeles, CA 90017 j
Phone#:213-228-8295 Email. j
l
I DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ®Addition [—]Alteration ❑Repair ❑Demolition Estimated Cost of Project
❑other $25,000
I
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes [A No
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