HomeMy WebLinkAbout51988-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 51988 Date: 06/11/2025
Permission is hereby granted to:
Laurel Stone Sply Plus Inc
6865 Route 25
Mattituck, NY 11952
To:
modify equipment at the existing wireless communication facility as applied for per Planning
approval.
Premises Located at:
7055 Route 25, Laurel, NY 11948
SCTM# 122.-6-35.4
Pursuant to application dated 04/30/2025 and approved by the Building Inspector..
To expire on 06/11/2027.
Contractors:
Required Inspections:
Fees:
WIRELESS COMMUNICATIONS -MODIFICATIONS $500.00
CO Commercial $100.00
Total $600.00
i' Ong Inspector
F00� 6�dt "„�
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 lamtt :/fwrw.soautht�ldt�owtiuil. � ',
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
AP 3 0 V5
PERMIT NO. Building Inspector:
ty. P 411 I �
Applications and forms must be filled out in their entire Incomplete 1136
applications will not be accepted. Where the Applicant is not the owner,an` -Town 0
Owners Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name: : u . u =SCTM#1000-122-6-35.4
Project Address:7055 Main Road, Mattituck, NY 11952
Phone#: 61 3 ` _ 1-y 3 q ® Email„
Mailing Address: ti
CONTACT PERSON:
Name:Patrick O'Rourke
Mailing Address:5550 Merrick Road, suite 302, Massapequa, NY 11758
Phone#:516-263-8817 Email:porourke@clinellc.com
DESIGN PROFESSIONAL INFORMATION:
Name:KMB Design Group
Mailing Address:1800 Route 34, Wall NJ 07719
Phone#:732-280-5623 Email:tmazur@kmbdg.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other 15,000
Will the lot be re-graded? ❑Yes ANo Will excess fill be removed from premises? ❑Yes BNo
1
PROPERTY INFORMATION
Existing use of property:COITIIT unication tower Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes BNo IF YES, PROVIDE A COPY.
❑ Check BOX After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPLICATION IS HE MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
housingcode and regulations and to adroit authorized inspectors on premises and In buildings)for necessary Inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York state Penal Law.
Application Submitted By(print name):Patrick O'Rourke RAUtlw7edrent ❑Owner
Signature of Applicant: "(� " Date: C
STATE OF NEW YORK)
,,/ SS:
COUNTY OF /"��5 1
oal( * 0&",
-) being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Ov
(Contracto Age' Corporate Officer,etc.)
of said owner or owners, and is duly authorized to p warm or have performed the said work and to make and file this
application;that all statements 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 O ation file therewith.
00
v.Sworn before me this ��' tr y �I
pia
Y A
_LLday of0 cw *i M
" c �« Notary Public
PROPERTY 0WAOR MT& HORIZAT)' MN
(Where the applicant is not the owner) /
I �v II , II �' I V a CO, n C _(v� ij ti
I, a h 9` C c
1 I ld �'J°' residing at I
f Patrick O'Rourke/Centerline Communications
do hereby authorize to apply on
my beh Iftot Town of Southold Building Department for approval as described herein.
w I's Signature Date
Print Owner's Name
2
MAILING ADDRESS:
PLANNING BOARD MEMBERS + P.O. Box 1179
JAMES H.RICH III ��� Southold, NY 11971
Chairman
OFFICE LOCATION:
MIAJEALOUS-DANK Town Hall Annex
PIERCE RAFFERTY 54375 State Route 25
MARTIN H.SIDOR (cor. Main Rd. &Youngs Ave.)
DONALD J.WILCENSKI ' Po Southold, NY
Telephone: 631 765-1938
www.southoldtownny.gov
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Michael J. Verity, Chief Building Inspector
From: Heather M. Lanza, AICP, Planning Director ?�U
Date, June 10, 2025
Re Planning Department Report
Equipment Upgrade for AT&T at Laurel Stone
7055 Main Road, Mattituck SCTM#1000-122.-6-35.4
The Planning Department has conducted a review of the proposed modifications
pursuant to §280-74 B(2), and has received a report from our Wireless Technical
Consultant, Cityscape, Inc. (see attached report dated June 9, 2025).
The proposed AT&T equipment upgrade is in compliance with the General
Requirements of§280-70. The proposed equipment upgrade will not result in any visible
changes to the exterior, as it involves removing and replacing antennas and related
components, with all feedlines routed internally through the shaft of the concealed
monopole. In addition, replacements of ground equipment will be contained within the
existing compound on the concrete pad.
Therefore, we recommend a Building Permit be issued for this application as soon as
possible to meet the Federal shot clock for approvals of wireless facilities.
Laserfiche File: Plan ning\Applications\Site Plans\Pending\1000-122.-6-35.4 Wireless
Facility at Laurel Stone\Upgrades
Thank you for your cooperation,