HomeMy WebLinkAbout1000-108.-4-11.3 (8) � . MAILING ADDRESS:
PLANNING BOARD MEMBERS O� SOUJ, P.O.Box 1179
DONALD J.WILCENSHI O�� yQl Southold, NY 11971
Chair � O
OFFICE LOCATION:
WILLIAM J.CREMERS � � Town Hall Annex
PIERCE RAFFERTY � • Q 54375 State Route 25
JAMES H.RICH III �` �
MARTIN H.SIDOR �� (cor.Main Rd. &Youngs Ave.)
��'QU���� Southold, NY
Telephone: 631 765-1938
www.southoldtownny.gov
PLANNING BOAR.D OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Michael J. Verity, Chief Building Inspector
From: Heather M. Lanza, AICP, Planning Director �'�---
Date: July 24, 2014
Re: Planning Department Report
AT&T Mobility LTE Modifications and Up-grades
415 Elijah's Lane, Mattituck
SCTM# 1�p00 — 108 —4— 11.3
Please note this memo is a correction of the memo sent on Jul rL18, 2014 and should
replace that memo as it contained incorrect information.
As an addendum to the attached SPUD, the Planning Department has conducted a
review of the proposed LTE modifications pursuant to §280-74 B.(2), and has received
a report from our Wireless Technical Consultant, Cityscape, Inc. (see attached repo�t).
Although, as our consultant points out, this proposed generator does not technically
meet our noise requirement in §280-70 J.(5), the intent of that noise requirement was to
have it be easily met by virtue of the large distances required to the property lines in�this
zoning district for new wireless facilities.
Due to this wireless antenna support structure being a pre-existing non-conforming
facility that the Planning Board recently agreed to allow to expand, and given that the
projected noise levels are very close to meeting the limits in the code despite the cell
tower being located in what is now a non-conforming location, the noise limit in §280-70 �
J. (5), should not be strictly applied in this case, and that the certificate of occupancy
and/or permit not be held up on the noise issue.
Thank you for your cooperation.
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Consultants, Inc.
7050 West Palmetto Park Road#15-652
Boca Raton,Florida 33433
Te1:877.438-2851 Fax:877.220-4593
July 9,2014
Heather M. Lanza, AICP
Planning Director
Town Hall Annex Building
53095 Route 25
Southold,New York 11971
RE: Carrier: New Cingular Wireless PCS,LLC.
AKA: AT&T Mobility
Site/Facility: NYNYNY0228
415 Elijah Lane, Mattituck,NY
Dear Ms. Lanza,
CityScape Consultants as the wireless telecommunications for the Town of Southold,
New York has reviewed the Equipment Noise Monitoring Report for the above mentioned
facility. AT&T Mobility requested and was approved to make modifications and upgrades to
the subject wireless communications facility.
In Section 280-70J(5): Wireless Communications Facilities:
`Noise from base equipment' and further Section 180-6: `Prevention of Noise;' the Town has a
specific requirement regarding the noise emitted from the subject facility. The specific
language states "Noise from base station equipment, including any backup generator, measures
less than 45 dB at all adjacent property lines. "
In Section 180-6: Prevention of Noise:
"No person shall create or cause to be emitted any noise pollution which when measured on a
sound-level meter from the property line of a complaining property owner exceeds the
following standards:
A. Sunday through Thursday:
(1) From 7:00 a.m. to 7:00 p.m., airborne or amplified sound in excess of 65
dBA;
(2) From 7:00 p.m. to 7:00 a.m., airborne or amplified sound in excess of 50
dBA.
B. Friday and Saturday:
(1) From 7:00 a.m. to 11:00 p.m., airborne or amplified sound in excess of 65
dBA;
(2) From 11:00 p.m. to 7:00 a.m., airborne or amplified sound in excess of 50
dBA.
/ � � •
Town of Southold
July 9,2014
Page 2
Conclusion:
The submitted noise report measurements were all conducted in dBA which is
applicable in the Town Codes for Section 180-6, but not Section 280-70J(5) which are
measured in dB. Being that dB is normally a showing of peak levels and dBA is normally an
average and not peak levels the difference in level rating scales is not reasonably applicable and
dBA and dB should be considered as comparable.
The sound levels were measured in three (3) locations along the fence. The generator
noise level at location # 1 (closest) was 54.4dB; location # 2 (middle) 51.7dB; and location #3
(farthest) was 53.6dB. All measurements and calculations are in compliance with Southold
noise codes during primarily daylight hours.
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The Southold noise code limits for nighttime hours are 45dB. Noise level at location #1
was exceeded by 9.4dB; location #2 was exceeded by 6.7dB; and location #3 was exceeded by
8.6dB. The test concluded that all locations failed compliance and the facility is in violation.
Based on the provided information the facility meets the Town's noise codes Sundays,
Mondays, Tuesdays, Wednesdays and Thursdays between 7:00 AM and 7:00 PM; Fridays and
Saturdays between 7:00 AM and 11:00 PM; but fails to meet the Town's noise standards in all
other hours, more specifically Mondays, Tuesdays, Wednesdays, and Thursdays from 7:OOPM
until 7:OOAM the following morning and Friday evenings from 11:OOPM until Saturday
mornings at 7:OOAM and Saturday evenings at 11:OOPM until Sunday mornings.
The Applicant should explore other methods to accomplish the Town Code and general
references the Town's noise requirements on a consistent level in the Town's Section 180-6 of
general noise levels.
Respectfully submitted,
Richard Edwards
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Town of Southold
July 9,2014
Page 3
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Noise Measuring Locations
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Consultants, Inc.
7050 West Palmetto Park Road#15-652
Boca Raton,Florida 33433
Te1:877.438-2851 Fax:877.220-4593
June 23, 2014
Heather M. Lanza,AICP
Planning Director
Town Hall Annex Building
53095 Route 25
Southold,New York 11971
RE: Carrier: New Cingular Wireless PCS,LLC.
AKA: AT&T Mobility , "
Site/Facility: NYNYNY0228 .,F.-- � -- �'
415 Elijah Lane,Mattituck,NY �
Dear Ms. Lanza,
CityScape Consultants as the wireless telecommunications for the Town of Southold, New
York has reviewed the Equipment Noise Monitoring Report for the above mentioned facility. AT&T
Mobility requested and was approved to make modifications and upgrades to the subject wireless
communications facility.
In Section 280-70J(5): Wireless Communications Facilities:
`Noise from base equipment' and further Section 180-6: `Prevention of Noise;' the Town has a
specific requirement regarding the noise emitted from the subject facility. The specific language
states "Noise from base station equipment, including any backup generator, measures less than 45
dB at all adjacent property lines. "
In Section 180-6: Prevention of Noise:
"No person shall create or cause to be emitted any noise pollution which when measured on a sound-
level meter from the property line of a complaining property owner exceeds the following standards:
A. Sunday through Thursday:
(1) From 7:00 a.m.to 7:00 p.m., airborne or amplified sound in excess of 65 dBA;
(2) From 7:00 p.m.to 7:00 a.m., airborne or amplified sound in excess of 50 dBA.
B. Friday and Saturday:
(1) From 7:00 a.m. to ll:00 p.m., airborne or amplified sound in excess of 65 dBA;
(2) From 11:00 p.m.to 7:00 a.m., airborne or amplified sound in excess of 50 dBA.
The controlling factor will be Section 280-70J(5) which is consistent at 45 dB. Please note the two
measurement standards are not consistent. There is a difference in dBA and dB[sometimes shown as dB(C)]
A-weighting (dBA) and C-weighting (dB)
You will often see noise levels given in dBA(A-weighted sound levels)instead of dB.Measurements in dBA,or
dB(A)as it is sometimes written,are decibel scale readings that have been adjusted to attempt to take into account
the varying sensitivity of the human ear to different frequencies of sound.(The main effect of the adjustment is that
low and very high frequencies are given less weight than on the standard decibel scale.)Many regulatory noise
limits are specified in terms of dBA,based on the belief that dBA is better correlated with the relative risk of noise-
induced hearing loss.
• �
Town of Southold
June 23,2014
Page 2
Standard Weighdng Networks
0
F� a
-5 � B and C
-10
o _t5 B
a -20
�" 25 A
� -30
:c -�
cX +t0
-45
� 50 100 200 500 1000 2000 5000 10,000
:':�q:�et�r:u iMa}
Image courtesy of US Deoer�mt of Labor
Compared with dB,A-weighted measurements underestimate the perceived loudness,annoyance factor,and stress-
inducing capability of noises with low frequency components,especially at moderate and high volumes of noise.*
Another system of adjustment is C-weighting,the dB scale.dB is sometimes used for specifying peak or impact
noise levels,such as gunfire.Unweighted dB readings are also used for this purpose; there is usually not much
difference between the two.
Loudness and Sound Intensity (Power)
The relative loudness that we perceive is a subjective psychological phenomenon,not something that can be
objectively measured.Most of us perceive one sound to be twice as loud as another one when they are about 10 dB
apart;for instance,a 60-dB air conditioner will sound twice as loud as a 50-dB refrigerator.Yet that 10-dB
difference represents a tenfold increase in intensity.A 70-dB dishwasher will sound about four times as loud as the
50-dB refrigerator,but in terms of acoustic intensity,the sound it makes is 100 times as powerful.
Here's another way of looking at it:If the sound from one typewriter registers 60 dB,then ten typewriters clacking
away would register 70 dB(not 600 dB!),and they would sound only twice as loud as one typewriter.You would
need 100 typewriters to reach a noise level of 80 dB,and together they would sound only four times as loud as a
single typewriter.
. . - - . . •. . .
60 d6 1x 1y
70 d6 10x 2y
80 d6 100x 4y
The potential for a sound to damage our hearing is proportional to its intensity,not its loudness.That's why it's
misleading to rely on our subjective perception of loudness as an indication of the risk to our hearing
• �
Town of Southold
June 23,2014
Page 3
dB Chart demonstrating typical levels of noise of various devices
dBA Examole Home &Yard Workshon &
Auuliances Construction
-healthy hearing threshold
-a pin dropping
-rustling leaves
-whisper
-babbling brook computer
-light traffic refrigerator
-conversational speech air conditioner
�shower dishwasher
'�'S toilet flushing vacuum cleaner
80 alarm clock garbage disposal
85 passing diesel truck snow blower
90 squeeze toy lawn mower arc welder
9�` inside subway car food processor belt sander
1�4 motorcycle (riding) handheld drill
'sporting event table saw
-rock band jackhammer
-emergency vehicle siren riveter
-thunderclap oxygen torch
-balloon popping
-peak stadium crowd noise
-air raid siren
-jet engine at takeoff
-firecracker
-fighter jet launch
-cap gun
-shotgun
-.357 magnum revolver
-safety airbag
-howitzer cannon
-rocket launch
�
�, sound waves become shock
waves
� •
Town of Southold
June 23,2014
Page 4
Conclusion:
The submitted noise report measurements were all conducted in dBA which is applicable in
the Town Codes for Section 180-6,but not Section 280-70J(5)which are measured in dB. Being that
dB is normally a showing of peak levels and dBA is normally an average and not peak levels the
difference in level rating scales is not reasonably applicable and dBA and dB should be considered as
comparable.
The sound levels in the three different locations are somewhat confusing until recognizing
that location 3 is in line with the output of the generator e�aust pipe, location 1 is on the opposite
side of the e�aust pipe and location 2 is physically closer but not in alignment with the eachaust pipe.
Based on measured sound levels taken at the facility's property limits the Town's compliance
are exceeded by as much as 10.9 dBA in ambient noise which apparently is from traffic and wind
alone. The average ambient noise level at the facility's property lines are 54.13 dBA. With the
Applicant's generator and all air conditioners operating simultaneously the average noise level at the
site is 56.87 dBA ar an average increase of 2.74 dBA.
Based on standard and general references the Town's noise requirements on a wireless
facility will be difficult if not impossible to maintain when general traffic and wind noise exceeds the
operating noise level of the wireless facility; furthermore the ambient noise level in locations with
average traffic patterns will be difficult to achieve on a consistent level in the Town's Section 180-6
of general noise levels. Regardless of the measurements, calculations and comparisons the Town
requires the noise level of wireless facilities a minimal of 5 dBA or a maximum of 20 dBA lower
than other operations, facilities and institutions. Without the generators the noise level exceeds the
allowable noise levels in the Town's codes. What is a solution? CityScape initially suggests the
separate standards for wireless facilities should be brought into agreement with the Town's general
noise level standards for two reasons:
(1) A maximum noise level of 45 dBA cannot be maintained consistently 24 hours a
day 7 days a week in many areas of the jurisdiction because the ambient noise
levels can currently exceed the permitted limits.
(2) The wireless facility noise level limits are not consistent with general noise level
limits for other services in the Town of Southold.
(3) The language in Section 180-6 requires there be a complaining properiy owner.
Regarding the subject application,the Town could require additional silencers be installed on
the existing generators, but such a requirement would not gain greater noise reduction below the
surrounding ambient noise levels will exceed the noise of the generators.
CityScape can only address the technical facts and the specifics within the ordinance; in this
situation it is likely there is no solution. Historically CityScape has recommended the noise limit for
generators not exceed 65 dBA at the property limits and that any testing shall be limited to only
between the hours of 9AM until 4PM Monday through Friday.
Respectfully submitted,
Richard Edwards
• �
Town of Southold
June 23,2014
Page 5
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State of New York . '•••�: �■•
Telecommunications Site Review Consuitants, inc.
Equipment Modifications 7050 W Palmetto Park Road#15-652
Boca Raton,Florida 33433
SECOND SUPPL/MENTAL Tel:877.43&2851 Fax:888.582-6075
September 11, 2013
Ms. Heather M. Lanza,AICP
Planning Director
Town Hall Annex Building
53095 Route 25
Southold,New York 11971
Re: Applicant: AT&T Mattituck(NYIVYNY0228)
Project Address: 415 Elijah's Lane,SCTM: 1000-108-4-11.3
Dear Ms. Lanza,
At the request of the Town of Southold,New York ("Southold"), CityScape Consultants,
Inc. ("CityScape"), in it's capacity as wireless telecommunications consultant for the Town, has
considered the merits, of site application provided by New Cingular Wireless PCS., LLC
("AT&T"), for the proposed addition and installation of new electronic equipment, antennas and
an emergency power SOkw diesel generator at an existing facility compound located at 415
Elijah's Lane in Southold.
AT&T proposes to add certain antenna and electronic equipment along with an
emergency power generator to the existing premises. There has been a concern the site has an
outstanding approval for a tower extension to be utilized by MetroPCS (T-Mobile); but the tower
extension has not yet been completed. CityScape Consultants has reviewed both proposed
changes. Regardless of the MetroPCS addition having been completed or not has no impact of the
permitting of the proposed AT&T changes because both of the structural analyses include the
composite of all changes. AT&T should be issued permits for their installation based on the
review recommendations from CityScape dated July 31�` and August 16t". All the previous
generator conditions remain:
1. AT&T shall secwe applicable electrical permits based on the submitted plans;
2. AT&T shall install sufficient noise suppression to maintain generator noise in compliance
with Town of Southold Code section § 180-6.
3. Testing of the generator shall follow regulations pursuant to section § 180-6 in Town of
Southold code. Sunday through Thursday from 7:00 am to 7:00 pm not to exceed 65 dBA;
from 7:00 pm to 7:00 am not to exceed 50 dBA;Friday and Saturday from 7:00 am to
11:00 pm not to exceed 65 dBA; and from 11:00 pm to 7:00 am not to exceed 50 dBA.
Respectfully submitted,
Richard L. Edwards
CityScape Consultants,Inc.
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Telecommunications Site Review Consultants, Inc.
Equipment Modifications-Generator 7050 W Palmetto Park Road#15-652
Boca Raton,Florida 33433
SUPPLIMENTAL Te1:877.438-2851 Fax:888.582-6075
August 16, 2013
Ms. Heather M. Lanza, AICP
Planning Director
Town Hall Annex Building
53095 Route 25
Southold,New York 11971
Re: Applicant: AT&T Mattituck(NYNYNY0228)
Project Address: 415 Elijah's Lane, SCTM: 1000-108-4-11.3
Dear Ms. Lanza,
At the request of the Town of Southold, New York ("Southold"), CityScape Consultants,
Inc. ("CityScape"), in it's capacity as wireless telecommunications consultant for the Town, has
considered the merits of site application provided by New Cingular Wireless PCS., LLC
("AT&T"), for the proposed addition and installation of an emergency power SOkw diesel
generator, so described in figure 1, at an existing facility compound located at 415 Elijah's Lane
in Southold.
AT&T proposes to add, adjacent to its existing equipment shelter, a new 6' x 10'
generator premises area to support the generator on a 4' x 8' concrete pad. After review of the
site plan proposed construction drawings, CityScape recommends approval of the above
referenced application with the following conditions:
1. AT&T shall secure applicable electrical permits based on the submitted plans;
2. AT&T shall install sufficient noise suppression to maintain generator noise in compliance
with Town of Southo(d Code section § 180-6.
3. Testing of the generator shall follow regulations pursuant to section § 180-6 in Town of
Southold code. Sunday through Thursday from 7:00 am to 7:00 pm not to exceed 65 dBA;
from 7:00 pm to 7:00 am not to exceed 50 dBA; Friday and Saturday from 7:00 am to
11:00 pm not to exceed 65 dBA; and from 11:00 pm to 7:00 am not to exceed 50 dBA.
Should you have any questions or comments pertaining to CityScape's review and analysis,please
contact the undersigned direct at 877-438-2851.
Respectfully submitted,
Richard L. Edwards
CityScape Consultants, Inc.
AT&T Mobility • � � �������
Site Ref AT&T NYNYNY0228 a O c`
Southold,New York
August 16,2013 Consultants, 111C.
Page 2 Telecommunications Site
Review SUPPLIMENTAL
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• �
MAILING ADDRESS:
PLANNING BOAR,D MEMBERS �OF S�UJ.y P.O. Box 1179
DONALD J.WILCENSKI �� 0l Southold, NY 11971
Chair � �
OFFICE LOCATION:
WILLIAM J.CREMERS � Town Hall Annex
PIERCE RAFFERTY G Q 54375 State Route 25
JAMES H.RICH III �Q � ,�a�� (cor.Main Rd. &Youngs Ave.)
MARTIN H.SIDOR ��Y('oU'�y��`�.� Southold,NY
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Telephone: 631 765-1938
Fax: 631 765-3136
PLANNING BOAR,D OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Michael J. Verity, Chief Building Inspector
From: Heather M. Lanza, AICP, Planning Director���
Date: August 8, 2013
Re: Planning Department Report
AT&T/New Cingular Wireless @ Baxter Generator
SCTM#1000-108-4-11.3
415 Elijah's Lane, Mattituck
As an addendum to the attached SPUD, the Planning Department has conducted a
review of the proposed generator addition pursuant to §280-74 B (2), and has received
a report from our wireless technical consultant, Cityscape, Inc. (see attached report).
We have the following recommendations for this application:
1. AT & T proposes to add, adjacent to its existing equipment shelter, a new 6' x 10'
generator premises area to support the generator on a 4' x 8' concrete pad. After
review of the proposed site plan construction drawings, we recommend a
building permit be issued for this application with the following conditions:
a. AT & T shall secure applicable electrical permits based on the submitted
plans;
b. AT &T shall install sufficient noise suppression to maintain generator
noise in compliance with the Town of Southold Code §180-6;
c. Testing of the generator shall follow regulations pursuant to §180-6 of the
Southold Town Code: Sunday through Thursday from 7:00 am to 7:00 pm,
not to exceed 65 d6A;from 7:00 pm to 7:00 am, not to exceed 50 dBA;
Friday and Saturday from 7:00 am to �1:00 pm, not to exceed 65 dBA;
and from 11:00 pm to 7:00 am not to exceed 50 dBA.
Thank you for your cooperation.
� -
. �
1�"WN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL BoardofHealth
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
----------'— Septic Form
� ((`�_ � � � � N.Y.S.D.E.C.
DU Trustees
Flood Permit
Examined �20 ��N � g 2013 Storm-Water Assessment Form
Contact: C�u ShcrG L S�orc V�11Ye�cSS�ZN� -
Approved �20 BLDG.DEPT. Mail to:�S CO M et'1"t+��C. �� .S A 1�C� .3Q"%
Disapproved a/c TOINN OF SOL'THOLD �QC������ , �>/ ���
Phone: �(b'.SS7''Z�qa
Expiration ,20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date ��t.hp_ o��] , 20��
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
acldition six months. Thereafter,a new permit shall be required.
APPLICATION IS HEREBY 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,or alterations or for removal or demolition as herein described.T'he
applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit
autharized inspectors on premises and in building for necessary inspections.
N wGn ular W�reles t�L "�7-►T"
ignature of applicant or name,if a '
s��r 3c�L ►f"^�+�d �iab���t�c���.
�'�ssso M�e��k Rd .l��,�;���, 1�P� (175�1
(Mailmg addre s ap ip cant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
'� . 1 i Ca-v�-}' i S I�SS e�
�
Name of owner of premises VV�l I i o.wj e�' �Tr Pa�;�;a xf-U- ���o�J�-�(, lf e.� ' Qy, �
(A on the tax roll or latest deed) J �C . bcc�r�c...r
ii w�i+c� I I ab�I�+-y c�w,pnu.y •-
If a �l�ant is a ce�t��, signature af duly authorized officer
�w -� � �'�/��LrCS$ S�L C � �
�y� l a
(Name and title of corporate.officer)
�a� Ma�l�Prestd�r,+cF$hcre ZS1aGr&iv�rc:itss�.�nc��}-gcn+�ra- A���i car�--�i
Builders License Na
Plumbers License No.
Electricians License No.
Other Trade's License Na
l. Location,�f land on which proposed work will be done: n n �,� -r,
�I� �l,,�Ah 'S �P fvia, i c��.
,. House Number Street Hamlet
� ,. r � , 3
':,C�ri'ty�'ax Map No. 1000 Section � b a Block � Lot
SubdivisiQn Filed Map No. Lot
� � •
- +r
2. State existing use and occupancy of premises and inte ded use a d occupancy of proposed construction:
a. Existing use and occupancy �n rr�erci a( hui ���v� pi,r�p� I i� v-�i !i d-� �,► r e��SS 1�Cc�►'i+r+u�"►i��tc�,v,f
c� ii f
b. Intended use and occupancy �bl i c (f�`�I i t� U1►rc IcSS fe �c t o�M u.n���.ft cn c' t f-c. �
3. Nature of work(check which applicable): New Building Addition�l qcneya�-z.�- Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost � GGO Fee ��
� $ � ��(To be paid on filing this application)
5. If dwelling, number of dwelling units N �' Number of dwelling units on each floor
If garage, number of cars
�,wImG�J 0..� y�ry��1�'1 q �
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.�k o���n�,;�'.�F..,�{�Jc�c�(, �
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories ��S +�� t1 @' ►v�c��p���,�xish� q
(6 -G�� X 2��-� }i New Gn�.t,(Q►'Wir�ItSS e����r�,y� Ct,rL�l • J
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
no C,�c�nq
8. Dimensions of entire new construction: Frdn� Rear Depth
Height Number of Stories nc c-��--�
9. Size of lot: Front ���y`���' �S Rear Depth
10. Date of Purchase �l �' �q'7 � Name of Former Owner� i 1 j i a�.1�1 ,� ,� x�et ��r
11. Zone or use district in which premises are situated j...) t�'i i�`e� �U S1 v1 eS L
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO�
13. Will lot be re-graded? YES NO�WiII excess fill be removed from premises?YES NO
y��rlla.wl J.�cv�cr,tiTr.�Ra�'ncla goy�+cr�i�chc�/�.boc�lcr, vT.
14. Names of Owner of premises �� '�ia„e P. Gcz��c-� Addresst.:�c°�iy� ���n- Phone No. Z" ZZ " � q 2.
Name of Architect� F nt � c Address� ��ss `""`" '� ' °phone No 7 �-' �- 3
Name of Contractor�Ia+2e-I+ i uch�er� Address 4� Su'� ��o Phone No. 2t2- Z --�
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVTDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF ��_ SSI�� )
�U. � being duly sworn,deposes and says that(s)he is the a�ic��iflf
(Name of indiv' ual signing contract)above named,
(�3�'� Presidenf �� S�'Ic►'P Z��crQ W��efe�c � � , .�1���t'�(�tsvt f -lW�ewGngu.��.�' �ltf�.le�.f
(Contractor,Agent,Corporate Office ,et .) ��S �(„(C- eSSt�
of said owner or owners,and is duly authorized to perform 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 knowledge and belief;and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn o before me this
,��Z C�day of -�1ti� 20�
� Victoria Brennan Esq
"�Jotary Public, State of NeK►York
V Notary Public Signature of Applican • 2822
�ualified in Nassau County
Corr�mission expires April 15,201�
/
DIG ALERT:
CODE COMPLIANCE . CALL FOR UNDERGROUND UTILITIES PRIOR TO DIGGING:
1 -800-272-4480
ALL WORK AND MATERIALS SHALL DE PERFORMED AND WSTALLED EMERGENCY: �
IN ACCORDANCE WITH THE CURRENT EDITIONS OF THE FOLLOWING
CODES AS ADOPTED BY THE LOCAL GOVERNING AUTHORITIES. CALL 911 . _ �
NOTHING IN THESE PLANS IS TO BE CONSTRUED TO PERMIT WORK � �
NOT CONFORMING TO THE LATEST EDITIONS OF THE FOLLOWING: a
0
� �— � � � �
L �
L 2010 BUILDING CODE OF NEW YORK STATE 6. 2010 PROPERTY MAINTENANCE J o �
2. 2010 EXISTING BUILDING CODE OF CODE OF NEW YORK STATE • � � � o � �
� �
� J W U' � �
NEW YORK STATE 7. 2010 FUEL GAS CODE '
OF NEW YORK STATE w ~
3. 2010 FIRE CODE OF NEW YORK STATE y— �
� NQ � m
4. 2010 PLUMBING CODE OF NEW YORK STATE 8. 2010 MECHANICAL CODE � �' � �
5. 2010 ENERGY CONSERVATION OF NEW YORK STATE � � � J X
CONSTRUCTION CODE OF NEW YORK STATE 9 2011 NATIONAL ELECTRIC � � N � ~ �
CODE WITH NY AMENDMENTS • — � N
IN THE EVENT OF ANY CONFLICT, THE MORE RESTRICTIVE CODE
PROVISION SHALL GOVERN.
�F rvt iv`
SHEET INDEX : ' �P S. STFLhO
' �� � � }� FL P�
. • SHEET # TITLE REV.# DATE � ,,i� � � '���;� *�
SITE NAME . MATTITUCK ( NYNYNY0228) T� T�T�E SHEET 3 06,, 3�� 3 �o� :�o:,���96�. ����
FA N U M B E R : 10075046 C1 GENERA� NOTES 3 06/13/13 R°FE55'°""�-
C2 OVERALL SITE PLAN 3 06/13/13 °o"�H°o'o�°MENTRSTA°�,oRAAN'TOF"
ELIJAHS LAN E C3 SIT� PLAN 3 06/13/13 APP���A9�E srATE ANo�oR �o�A� �AWs
MATTITUCK, NY 11952 C4 GE�IERATOR DETAILS 3 06/13/13
C�J C�VI � �ETAI �S �J �6�� 3�� 3 3 issu�o FOR coNsiRucTioN cnn s/�3/�3
PROJECTDESCRIPTION E1 ELECTRICAL SITE PLAN � DETAILS 3 06�13�13 � NOTFOR �oNSTa��T�ioN �AA5i3v�3
P�uMBiNc REouiREMENTs: ADD DIESEL GENERATOR, ASSOCIATED CONCRETE PAD E2 ONE— �INE DIAGRAM 3 06/13/13 ° "°T `°R �°NSTR��T'°" `"" 5'°",3
FaauTY Has No saNiTaRY oR POTaB�E warER AND UTILITY EQUIPMENT/FRAME TO EXISTING AT&T EQUIPMENT AREA Na. SubmIllallRevision App'C oa�a
E3 GROUNDING PLAN 3 06/13/13 o�aW�: �AA Date, oso3 ,3
Designed: Rce Date: os �a ia
E4 ELECTRICAL & GROUNDING DETAILS 3 06/13/13 Checked: 3cB oa�e: 0503 ,3
HANDICAP REQUIREMENTS:
FACILITY IS UNMANNED AND NOT FOR HUMAN ProjectNumber
327-061
HABITATION. HANDICAP ACCESS IS NOT REQUIRED DO NOT SCALE DRAWINGS .
i n f i n i g y G E N E R A L �Y N A M I C S Projecl Title
OCCUPANCY NOTE: e n g I fl e e f I n g ��/ CO�NTRACTOR SHALL VERIFY ALL PLANS AND EXISTING
V> . DIMENISIONS AND CONDITIONS ON THE JOB SITE AND SHALL MATTITUCK
T H I S F A C I L I T Y I S A N U N O C C U P I E D T E L E C O MMUNICATIONS W I r E I e S S S e r V I C e S I M M I E D I A T E L Y N O T I F Y T H E E N G I N E E R I N W R I T I N G O F A N Y (NYNYNY0228)
SWITCH THAT WILL ONLY BE OCCUPIED FOR BRIEF zz5s sEwE�� Mi�� Roao
INTERVALS W H E N M A I N T E N A N C E O R E Q U I P M E N T suITE � 3o DISCRIEPANCIES BEFORE PROCEEDING WITH THE WORK OR BE FAA #: 10075046
UPGRADES ARE REQUIRED. ONCE CONSTRUCTED AND MnRiEnA, cn soos2 RESPONSIB�E FOR SAME.
TEL: 678•444 •4463
FULLY OPERATIONAL, THE FACILITY WILL BE OCCUPIED Fnx: s�a•a4a•aa�2 ELIJAHSLANE
FOR LESS THAN 8 HOURS AT A TIME. SANITARY SEWER S I G NATU R E B LO C K MATTITUCK, NY 11952
IS NOT REQUIRED
Prepared Foc
P R OJ E CT I N D EX : °WNER,°WNER�S A�ENT
PROJECT TEAM : VICINITY MAP : �NOT Tp SCALE) � �+
'II�II���Iul����lij�� II' y� '���I � ��II'�i��„'���"'� �`"�, a, '� �"� " '�� '"� SITE NAME: MATTITUCK SIGNATURE �
APPLICANT: NEW CINGULAR WIRELESS PCS, LLC '�'��71� , � �I,��!a�G�I����I�� �,u��'�'�� � �i,�� � �'� �'-�f� � � � DATE E
�I� � SITE TYPE: GENERATOR ADDITION a "F��
J�iII����II���lll�� � iII��I�I��lu�9lilill�I�' � � I '� �.L�' `'°� GENERAL DYNAMI�S CONSTRUCTION � A�
CONTACT: ED WEISSMAN 'II��, ��I�� i,�Ilip� �,� � � l�?—� �`� �"�.`utc�bgue , , �j.� � LEASE AREA: 6'-0" X 10'-0" 0 •V
iinilli �� i����l i � �
PHONE: 201 -518-1970 ,i� i �, I�h�i�JJ��i , : �f�"� .� �_ �3� � Station � y �
il,,iii�ili�li , '�,� , C7 ' , ' FA NUMBER: 10075046 (NYNYNY0228) � °;
' �IiII'�IV� �i� � �� � � ' � � � �'� ,''. SIGNATURE DATE Q �
IIIIII�IIj°� ' � i;�'' � :, ��� , '� =' ' � � � ' � t �� �'n SITE ADDRESS: ELIJAHS LANE � � �
G��IIi�i � " ,'" -" � 48 ,�� rr� ,,,ti � `,��i�i,vl � MATTITUCK, NY 11952 AT&T MOBI�ITY Z �
CONSTRUCTION GENERAL DYNAMICS t ' , ,� ,I� y?Natervill� ' �fjS ' <<, Cutchd�taQ q;! TOWER OWNER: NEW CINGULAR WIRELESS PCS, LLC � �
MANAGER: ' ��, �� .� � SITE �' �a � � k�
�' ,2. i �l � �'�, �A ,.� ����j � �� �'s � ��� , JURISDICTION: TOWN OF SOUTHOLD SIONATURE DATE
p ��,., ,' �a'I�01'0 � ;'� � '�} � �I'��' ' �. ,. � � , '
Drawing Scale:
�" �a,��g �. � � � � � (25Jx��� ��i�� - � � � LATITUDE 40' 59' 57.79" N (NAD 83) nsNOTEo
CONTACT: MARIO LIRIANO N "`� ` � f�� � .,,, � NtY�v� Suffolk i ( )
PHONE: 201 -518-2352 �� �'i��� �� ',� ,�' � �� �I� LONGITUDE: 72' 30' 40.17" W NAD 83
y t� .i� i „,i �y � ..�i, 7r �I) �li II Ililii 'i� 'i Ilillll Date:
a i,ij,3 y �i � , ; ti i i iii IIII,I��',,i iip �F,,l��i� ,I, ,,'�iy��lj��;° CURRENT USE: TELECOMMUNICATIONS FACILITY SIGNATURE osiosna
ENGINEER: INFINIGY ENGINEERING _ �q„ DATE
2255 SEWELL MILL ROAD n �:° 1Ula�f�t�,lfe�.y��;{diiil�l �; . .-� ��}� '; ,�� '�l�Iv ; 'y � r'���� PROPOSED USE: TELECOMMUNICATIONS FACILITY �rewingTitle
0. � 1 i WIR�dL�4uCk � .'- ���n I144 �4 � � � I ��i i � � ' 1 �f r ''�r�l'll
I IIII"' PROPERTY TAX ID: SECTION 108, BLOCK 4, LOT 11 .3
SU�TrG � .3� � , p �, �Iat1011 li� d����' ���iliYe���i�l��i II���M,'li'liilf I lu �li �lli� ���� li�ll�ilil���
MARIETTA, GA 30062 � 4g � II ��� , ; "I� �'�'�u ���;���i ZONING DISTRICT: LIMITED BUSWESS TITLE SHEET
���;�--'; °nf �' N� '� � 'i,� iq������n ��,I�� �4 i ��I��Ill�i 4 ��i1 �'
CONTACT: RUSSELL BLACK � ' s ;,�' ;� �� ' ' " ,� i , ,�Illi� �,',�I�IIII�IiI�, ��II,I�illlllili�ll�� � i i��j ��i����i ��i^tlII!j
� �.,. , yu„� �inil I��,�Ip���ll;i��ly;il�li 'V��� °' ,� �iiil� ! „I iil�o, , !Ilii POWER COMPANY: LONG ISLAND POWER AUTHORITY SIGNATURE DATE
(678) 444-4463 ,,, v" � '��� � q �ti�l�i,� ,�� ,i �j���V,�q��� ��U;l,��i;i�;���y��ii��iii��i'���ifhllVj�;l�'��I; „ "'�i�'� �j��l�l���'�� �iiyi"!'ll ELEVATION: 70'± AMSL (NAD 88)
i i �milr �;a � I � hl� i !'', ' �lqi �I Ipl'�ii�� �II,III��i�l����l �������il�iV���" �I�II�� I i ������� ��� �II��
��V �-�25� �';!�� �. �a;�IIIVIIiI'��'������IV�i;�Ii��p�'�;"'I��.' IUI° ���r IIIIiI�II;;�I���''���i',i�ih_I, II��°������i���l„ ,i 'I��i ��I ���f ���II�^I�� PROPERTY OWNER: GOBIL, A PARTNERSHIP
�� � i Ij !��� ii ii�i u iilll� III i�ll�lll��� �; � � �I�� 'i��'�����' �piillll ���IIIr��I�IIIiI�; II 3 2 4 9�J M{��N R D A� DrewingNumber
' �� ��I������!����iill��l�i��� �II�I i��il�� iiii���'�����I�II��l�lili ����������lilllll� �'�I�i�i�l�l�lli iiii Ij�,��� nj�����Ili � '��
r ��� � ��y� � ��� ����; ��il �i��;ii'�� ���:il , li���ll�,ii�iii �ill!,��i ��� �� �u�������,��l��i'���� �� � �,-0�� �ii�i� CUTCHOGUE, NY 11935
� �I ���i II�IIIi�I II � �I i����� - ilh��l i iil� ia.tii( i �� i " � SIGNATURE DATE T�
� 'a ,i � �ii���ll��l��:�'� i U�iuul�l i�l��li�ltii�y �il�i I�� I�i���'4�I�uh �w, iil���;� �i'iii�uiili� ii �iII�PIi�iV��i�illiilli
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GENERAL PROJECT NOTES GENERAL CONSTRUCTION NOTES
1 . THE ENGINEER SHALL BE RESPONSIBLE FOR PROVIDING ALL FIELD LAYOUT 1 . GENERAL VJ
ON A ONE TIME BASIS. A. THESE DRAWINGS DO NOTINCLUDE NECESSARY COMPONENTS FOR CONSTRUCTION I CURING COMPOUNDS SHALL CONFORM TO ASTM C-309. . - �
2. THE CONTRACTOR SHALL TOPSOIL AND SEED ALL DISTURBED AREAS. SAFETY. J. ADMIXTURES SHALL CONFORM TO THE APPROPRIATE ASTM STANDARD AS o
B. CONTRACTOR SHALL DETERMINE EXACT LOCATION OF EXISTING UTILITIES REFERENCED IN ACI-301 . � a
3. THE PLANS SHOW SOME KNOWN SUBSURFACE STRUCTURES, ABOVE- BEFORE COMMENCING WORK. HE AGREES TO BE FULLY RESPONSIBLE FOR ANY � Nr� N
K. DO NOT WELD OR TACKWELD REINFORCING STEEL � � � o � �
GROUND STRUCTURES AND/OR UTILITIES BELIEVED TO EXIST IN AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY HIS FAILURE TO EXACTLY L. ALL DOWELS, ANCHOR QOLTS, EMBEDDED STEEL, ELECTRICAL CONDUITS, PIPE � � o o �' �
THE WORKING AREA, EXACT LOCATION OF WHICH MAY VARY FROM LOCATE AND PRESERVE UNDERGROUND UTILITIES. , � � � � �
THE LOCATIONS INDICATED. IN PARTICULAR, THE CONTRACTOR SLEEVES, PIPING, WATERSTOPS, INSERTS, GROUNDS AND ALL OTHER EMBEDDED � �
C. INCORRECTLY FABRICATED, DAMAGED, OR OTHERWISE MISFITTING OR ITEMS AND FORMED DETAILS SHALL 8E IN PLACE BEFORE START OF CONCRETE � � w � `r �
IS WARNED THAT THE EXACT OR EVEN APPROXIMATE LOCATION OF ,� w ~
SUCH PIPELWES, SUBSURFACE STRUCTURES AND�OR UTILITIES NONCONFORMING MATERIALS OR CONDITIONS SHALL BE REPORTED TO THE OWNER PLACEMENT. �� w � r � �
PRIOR TO REMEDIAL OR CORRECTIVE ACTION. ANY SUCH ACTION SHALL M. LOCATE ADDITIONAL CONSTRUCTION JOINTS REQUIRED TO FACILITATE �' C
IN THE AREA MAY BE SHOWN OR MAY NOT BE SHOWN; AND IT REQUIRE APPROVAL. � �' � J x
SHALL BE HIS RESPONSIBILITY TO PROCEED WITH GREAT CARE IN CONSTRUCTION AS ACCEPTABLE TO ENGINEER. PLACE REINFORCEMENT � c N Q � q
EXECUTING ANY WORK. 48 HOURS BEFORE YOU DIG, DRILL OR D. EACH CONTRACTOR SHALL COOPERATE WITH THE OWNER'S REPRESENTATIVE, AND CONTINUOUSLY THROUGH JOINT. N �
BLAST, CALL 1 -800-272-4480. COORDINATE HIS WORK WITH THE WORK OF OTHERS. N. REINFORCEMENT SHALL BE COLD BENT WHENEVER BENDING IS REQUIRED. , � �
4. THE ENGINEER SHALL BE NOTIFIED IN WRITING OF ANY E. ALL DAMAGED, MARRED, SCRAPED, ABRADED, ETC. AREAS OF EXISTING PAINT SHALL BE 0. PLACE CONCRETE IN A UNIFORM MANNER TO PREVENT THE FORMATION OF COLD
CONDITIONS THAT VARY FROM THOSE SHOWN ON THE PLANS. THE REPAIRED PER OWNERS REQUIREMENTS. OWNER SHALL APPROVE COLOR. JOINTS AND OTHER PLANES OF WEAKNESS. VIBRATE THE CONCRETE TO FULLY
CONTRACTOR'S WORK SHALL NOT VARY FROM THE PLANS WITHOUT EMBED REINFORCING. DO NOT USE VIBRATORS TO TRANSPORT CONCRETE THROUGH
THE EXPRESSED APPROVAL OF THE ENGINEER. CHUTES OR FORMWORK.
5. THE CONTRACTOR IS INSTRUCTED TO COOPERATE WITH ANY AND 2. EXCAVATIONS/FOUNDATION p. DO NOT PLACE C�NCRETE IN WATER, ICE, OR ON FROZEN GROUND.
ALL OTHER CONTRACTORS PERFORMING WORK ON THIS JOB SITE �
A. FOUNDATION EXCAVATION SHALL BE HAND-TRIMMED TO REMOVE LOOSE ��w
DURING THE PERFORMANCE OF THIS CONTRACT. Q. DO NOT ALLOW CONCRETE SUBBASE TO FREEZE DURING CONCRETE CURING AND ��-.-- y
MATERIALS. � �
SETTING PERIOD, OR FOR A MINIMUM OF 14 DAYS AFTER PLACEMENT. ,o �F;�P�
6. THE CONTRACTOR SHALL RESTORE ALL PUBLIC OR PRIVATE PROPERTY B. EXTERIOR FOUNDATION BACKFILL SHALL BE SELECTED GRANULAR FILL. R. FOR COLD-WEATF�ER AND HOT-WEATHER CONCRETE PLACEMENT, CONFORM TO � `
DAMAGED OR REMOVED TO AT LEAST AS GOOD OF CONDITION AS ALL STRUCTURAL BACKFILL AND SUBBASE UNDER SLABS-ON-GRADE AND APPLICABLE ACI CODES AND RECOMMENDATIONS. W EITHER CASE, MATERIALS � �"
GINEER. � - 487 COMPACTED TO A CONTAINING CHLORIDE, CALCIUM, SALTS, ETC. SHALL NOT BE USED. PROTECT \�; �, ��
BEFORE DISTURBED AS DETERMINED BY THE EN FOOTINGS SHALL BE "SW" OR BETTER PER ASTM D 2
7. THE CONTRACTOR SHALL COMPLY WITH ALL REQUIRED PERI�ITS. MINIMUM 95% STANDARD PROCTOR DENSITY PER ASTM D 698. FRESH CONCRETE FROM WEATHER FOR 7 DAYS MINIMUM. ��; jjd,�
,r, � . ,
8. THE CONTRACTOR SHALL BE RESPONSIBLE FOR OBTAINING, AND D. DO NOT PLACE FOOTINGS IN WATER OR ON FROZEN GROUND. 5. PROVIDE A STEEL TROWEL FINISH TO THE SLAB. -
INCURRING THE COST OF ALL REQUIRED PERMITS, INSPECTIONS, E. SOIL BEARING SURFACES, PREVIOUSLY ACCEPTED BY GEOTECHNICAL ENGINEER, T. ALL CONCRETE W�ORK SHALL BE IN ACCORDANCE WITH THE ACI 301 , ACI 318, uNnurHoeizeo n�TEannoN oa nooiTioN
CERTIFICATES, ETC. To rnis oocuM�N� is n via�nnou or
WHICH ARE ALLOWED TO BECOME SATURATED, FROZEN OR DISTURBED SHALL BE ACI 336, ASTM A184, ASTM A185, AND THE DESIGN & CONSTRUCTION nPPucno�e srnTe nrvo�oe �ocn� �nws
9. THE CONTRACTOR SHALL PROTECT EXISTING PROPERTY LINE REWORKED TO SATISFACTION OF GEOTECHNICAL ENGINEER. SPECIFICATION FOR CAST IN PLACE CONCRETE.
MONUMENTATION. ANY MONUMENTATION DISTURBED OR F. DO NOT ALLOW GROUND BENEATH FOOTINGS TO FREEZE. U. INSTALLATION OF CONCRETE ANCHORS SHALL BE IN ACCORDANCE WITH THE
DESTROYED, AS JUDGED BY THE ENGINEER OR OWNER SHALL BE G. FOOTING EXCAVATIONS SHALL BE CUT NEAT. MANUFACTURER'S WRITTEN SPECIFICATIONS. THE ANCHOR BOLTS, DOWEL, OR RODS
REPLACED AT THE CONTRACTOR'S EXPENSE UNDER THE SHALL CONFORM TO THE ANCHOR MANUFACTURER'S SPECIFICATIONS FOR MATERIAL 3 issueo Foa coNSTeucnou cnn s/ia/ia
SUPERVISION OF A LICENSED LAND SURVEYOR. STRENGTH, EMBEDMENT DEPTH, SPACING, AND EDGE DISTANCE OR AS DETAILED Z NOT Foa coNSTRucTion cnn s/io/i3
10. IT IS THE CONTRACTOR'S RESPONSIDILITY TO EXAMINE ALL PLAN SHEETS AND ON THE DRAWINGS. NO REBAR SHALL BE CUT WITHOUT PRIOR ENGINEERING i NOTFORcoNSTeucrioNcnns/ai/ia
SPECIFICATIONS, AND COORDINATE WORK WITH ALL CONTRACTS FOR THE SITE. 3. CONCRETE APPROVAL WHEN DRILLING HOLES IN CONCRETE EXPANSION BOLTS SHALL BE o NorFoecoNSTaucTioNcnns/oa�i3
11 . ALL TRENCH EXCAVATION AND ANY REQUIRED SHEETING AIVD SHORING SHALL BE DONE PROVIDED BY RAMSET�RAMHEAD, HILTI OR APPROVED EQUAL. IF THE No. suemmai�aevisio� noPd oate
IN ACCORDANCE WITH THE LATEST REVISIONS OF THE STATE/LOCAL CODE A. DESIGN AND CONSTRUCTION OF ALL CONCRETE ELEMENTS SHALL CONFORM TO MANUFACTURER'S SPECIFICATIONS AND DETAILS ARE FOUND TO CONFLICT WITH
THE LATEST EDITIONS OF THE FOLLOWING APPLICABLE CODES: AC 301 orewn: �AA oate os oa ia
AND OSHA REGULATIONS FOR CONSTRUCTION. "SPECIFICATIONS FOR STRUCTURAL CONCRETE FOR BUILDINGS'�; ACI 318, THAT SHOWN HEREIN, THE ENGINEER SHALL BE NOTIFIED IMMEDIATELY. oesigned: Rce Date: os oa ia
12 CONTRACTOR SHALL BE RESPONSIBLE FOR DEWATERING AND THE MAINTENANCE OF "BUILDING CODE REQUIREMENTS FOR REINFORCED CONCRETE". V. THE CONTRACTOR SHALL VERIFY FROST LINE AND FOOTING DEPTH REQUIREMENTS Checked: ece oate: os oa ia
SURFACE DRAINAGE DURING THE COURSE OF WORK. g, MIX DESIGN SHALL BE APPROVED BY OWNER'S REPRESENTATIVE PRIOR TO WITH THE JURISDICTION HAVING AUTHORITY PRIOR TO CONSTRUCTION. THE FOOTING
13. ALL UTILITY WORK INVOLVING CONNECTIONS TO EXISTING SYSTEMS SHALL BE PLACING CONCRETE. SHALL BEAR BELOW THE FROST LINE OR AT LEAST 12 INCHES BELOW GRADE, ProjectNumber 327-06�
COORDINATED WITH THE ENGINEER AND THE UTILITY OWNER. NOTIFY THE ENGINEER WHICHEVER IS GREATER.
AND THE UTILITY OWNER 24 HOURS BEFORE EACH AND EVERY CONNECTION TO C. CONCRETE SHALL BE NORMAL WEIGHT, 6� AIR ENTRAINED (t1 .5�) WITH A MAXIMUM W THE CONTRACTOR SHALL VERIFY ALL ELECTRICAL CONDUIT SIZES AND PENETRATION
q° SLUMP, AND HAVE A MINIMUM 28-DAY COMPRESSIVE STRENGTH OF 3000 PSI Project7it�e
EXISTING SYSTEMS IS MADE. UNLESS OTHERWISE NOTED. LOCATION PRIOR TO POURWG THE SLAB. REFER TO SHELTER MANUFACTURES'S
14. MAINTAIN FLOW FOR ALL EXISTING UTILITIES. SPECIFICATIONS FOR ADDITIONAL INFORMATION. MATTITUCK
D. MAXIMUM AGGREGATE SIZE SHALL BE 1 ". (NYNYNY0228)
15. ALL SITE FILL SHALL MEET SELECTED FILL STANDARDS UNLESS NOTED OTHERWISE E, THE FOLLOWING MATERIALS SHALL BE USED:
ON THE DRAWINGS. 4. STRUCTURAL NOTES/DESIGN CRITERIA: FAA #: 'IOO75O4F)
16. CONTRACTOR TO GRADE ALL AREAS ON THE SITE TO PROVIDE POSITIVE DRAINAGE PORTLAND CEMENT: ASTM C 150, TYPE I
AWAY FROM THE SITE AREA. REWFORCEMENT: ASTM A 615, GRADE 60 A. REFERENCED DESIGN CODES: ELIJAHSLANE
NORMAL WEIGHT AGGREGATE: ASTM C 33 -INTERNATIONAL BUILDING CODE-BUILDING/DWELLING CODE (LATEST EDITION) MA7TITUCK, NYN952
17. THE CONTRACTOR SHALL TAKE TIES TO ALL UTILITY CONI�IECTIONS AND PROVIDE WATER: DRINKA�LE
MARKED-UP AS-BUILT PLANS. AS-BUILT PLANS SHALL BE REVIEWED BY THE OWNER ADMIXTURES: NON-CHLORIDE CONTAINING -INTERNATIONAL BUILDING CODE-STRUCTURAL CODE (LATEST EDITION)
AND HIS REPRESENTATIVES, AND THE CONTRACTOR SHALL PROVIDE ANY CORRECTION -MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES (ASCE LATEST EDITION) preparedFor:
OR ADMISSIONS TO THE SATISFACTION OF THE OWNER AND HIS REPRESENTATIVES F. REINFORCING SHALL CONFORM TO ASTM A-615 WITH SUPPLEMENT. MINIMUM -AISC LOAD & RESdSTANCE FACTOR DESIGN (LRFD LATEST EDITION)
BEFORE UTILITIES WILL BE ACCEPTED. AS-BUILTS SHALL INCLUDE ALL POWER, YIELD STRENGTH Fy = 60 KSI. REINFORCING DETAILS SHALL BE IN -BUILDING CODE REQUIREMENTS FOR STRUCTURAL CONCRETE (ACI LATEST EDITION) � �
TELEPHONE, GROUNDING, ETC. ACCORDANCE WITH THE LATEST EDITION OF ACI 315.
' 18. NO OUTSIDE STORAGE ON SITE SHALL BE PERMITTED. G. CONCRETE COVER AROUND REINFORCING BARS (U.N.O.) SHALL BE: Q �
1 . CONCRETE CAST AGAINST AND PERMANENTLY EXPOSED EARTH........3" Z �
19. SITE GROUNDING SHALL COMPLY WITH AT&T GROUNDING STANDARDS, LATEST EDITION, �
2,.
AND COMPLY WITH AT&T GROUNDING CHECKLIST, LATEST VERSION. WHEN NATIONAL AND LOCAL 2. CONCRETE EXPOSED TO EARTH, WEATHER................. p
GROUNDING CODES ARE MORE STRINGENT THEY SHALL GOVERN. 3. SLABS....................................................3/4" �'
4. ALL OTHER CONCRETE.....................................1 1 /2" � �
20. THE COMPLETE BID PACKAGE INCLUDES THESE CONSTRUCTION DRAWINGS ALONG WITH THE � � ,
H. UNLESS INDICATED OTHERWISE ON THE DRAWINGS, REINFORCEMENT SPLICES �,
SPECIFICATIONS AND TOWER DRAWINGS. CONTRACTOR IS RESPONSIBLE FOR REVIEW OF TOTAL BID SHALL MEET CLASS B, TENSION LAP REQUIREMENTS IN ACCORDANCE WITH ALL W �
PACKAGE PRIOR TO BID SUBMITTAL. PROVISIONS OF ACI 318 LATEST EDITION, UNLESS NOTED OTHERWISE. Z °J
21 . FOR ITEMS THAT SHALL BE PROVIDED BY THE OWNER & INSTALLED BY THE CONTRACTOR, SEE "OWINER W `
SUPPLIED MATERIAL LIST" INSERTED IN THIS DRAWING PACKAGE. � �
22. RECORD DRAWINGS, MAINTAIN A RECORD OF ALL CHANGES, SUBSTITUTIONS BETWEEN WORK AS SPE�CIFIED orawingsca�e:
AND INSTALLED. RECORD CHANGES ON A CLEAN SET OF CONTRACT DRAWINGS WHICH SHALL BE TUIRNED ASNOTED
OVER TO THE CONSTRUCTION MANAGER UPON COMPLETION OF THE PROJECT.
23. THE CONTRACTOR SHALL VISIT THE SITE BEFORE BIDDING ON THE WORK CONTAINED IN THE DESIGN oate:
P AC K AGE. os�o3i�3
24. FOR OUTDOOR ATS, SECURE PROPOSED ATS TO EXISTING AT&T EQUIPMENT SHELTER USING UNISTRUT DrewingTine
AND 3�8"4 GALV. WEDGE ANCHORS.
25 SHALL�BE SUBJECT TO �NSPIEC TONADIURINGT�ONSTRUCTRON EAND FANAW AP ROVAKEBMANHE R. ALL W(ORK
GENERALNOTES
, CONSTRUCTION MANAGER.
26. THE CONTRACTOR SHALL PROVIDE ANY NECESSARY PROTECTION FOR EXISTING UTILITIES DURING COINSTRUCTION
27. THE CONTRACTOR SHALL BE RESPONSIBLE FOR REMOVING ALL WASTE DEBRIS AND VEGETATION FROM THE SITE. THE CONTRACTOR SHALL VISIT THE SITE BEFORE BIDDING
BURIAL AND�OR BURNING OF WASTE MATERIALS IS NOT ACCEPTABLE. ON THE WORK CONTAINED WITHIN THIS DESIGN PACKAGE. orawinyNumber
DISCREPANCIES AND OMISSIONS SHALL BE BROUGN7 TO C �
THE ENGINEER'S ATTENTION PRIOR TO BIDDING
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EXISTING 1fELECOMMUNICATION�I � �I
COMPOUND (SEE SHEET C3� I q � o I orawn: cnn oate: os os ia
� � , ^ � Designed: Rce pate: os oa ia
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_ ,� �� �� � Project Title
_ — _ � � _ _ - - - '�' �
_ MATTITUCK
s» i � (NYNYNY0228)
N/F JOSEPN NEM✓/LLE _ �6� 00" J I
48a as� _ � w I FAA #: 10075046
- - I
_ ELIJAHS LANE
_ I MATTITUCK, NY 11952
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Date:
05/03/13
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OVERALL SITE PLAN
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NEW AT&T MOBILITY i Nar Foa coNsrRucrioN cna s/ai/ia
EQUIPMENT SHELTER � j 6�-0�� x 10'-0" o Nor FOR consTRucrioN cnn s/oa�ia
I I� GENERATOR No s�bminai�ee�ism� nPpa oata
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DISTRIBUTION iPANEL � � EQUIPMENT SHELTER Designed: Rce oate: os oa ia
I � Checked: Rce Date' os oa ia
PROPOSED A T&T EXISTING MTS �
� � Project Number
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. �2�\2'��, �G1, E�'lSTIIV�'i I'I L—_- -_ J � , 327-061
60Hz, 200A ,ATS TELCO BOARD
I � „ Praject Title
, I I � MATTITUCK
� � . � . - (NYNYNY0228)
Exisr�Nc ME rER � � �� � � FAA #: 10075046
ELIJAHS LANE
EXISTIIWG COMPACT PROPOSED AT&T MnrrirucK, Nvi�saz
GENER;4TOR INTERFACE � � MOBIUTY
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, ' . Drawing Title
z DISCLAIMER SITE PLAN
D
� '� SITE PLAN THESE DRAWINGS WERE PRODUCED WITHOUT THE BENEFIT OF A
z CURRENT LAND SURVEY. ALL PROPERTY LINES, EASEMENTS, AND
� -- SCALE: SETBACKS SHALL BE VERIFIED PRIOR TO START OF Drawing Number
� CONSTRUCTION. INFINIGY DOES NOT GUARANTEE THE ACCURACY
q' a h' e' OF SAID PROPERTY LINES, EASEMENTS AND SETBACKS. C�
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CR17�3"7 TYP C12�6"7 2. 1�0 AMP BATTERY CHARGER ENCLOSED WITHIN CONTROL PANEL. �'�'ur��. i��N� "
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OVERALL LENGTH WrDTH 6. O�PTIONAL REMOTE EMERGENCY STOP SHIPPED LOOSE WITH GENERA-OR.
7. MIAIN LINE CIRCUIT BREAKER (MLCB), AC LOAD LEAD CONNECTION AND s issueo Foe wNsreucrioN cnn s/ia/ia
DISCHARGE AIR INTAKE P�UXILIARY 120/240V CONNECTION. z Nor FOR coNSTeucTioN cnn s/m/is
(SEE NOTE 15) S LEVEL 2A SOUND ATTENUATED ENCLOSURE STANDARD WITH GENERATOR. i Nor Foa coNSTRucrioN cna s/ai/is
� � � 9. Di00RS MUST BE ABLE TO OPEN 90 DEG. TO BE REMOVED. o NOT Foe coNsraucTioN cnn s�oa�ia
DIOORS ARE LOCAIED ON THG LEFT SIDE OF THE GENERATOR ONLY No, sunmittauRevis�on npPd oe�e
AIR INTAKE
�YP EACH SIDE 10. STUB—UPS: BASE TAi�K REQUIRES ALL STUB—UPS TO BE IN THE REAR Drawn: cna Date os oa i3
SEE NOTE 16) T"ANK STUB—UP AREA. Designed: Rce Date: os o3 ia
�� ������ ��� CONTROL PANEL ������� ���� I ������������������������ 11 'k' IS THE STUB UP AREA FOR THE MLCB AND NEUTRAL CONNtCT10N. Checked: aca Date: os oa ia
(NOTE 2) 12. 5EE DRAWING OC3850 FOR DUCT REMOVAL. REMOVAL OF FRONT
LOW VOLTAGE DIUCT WILL PROVIDE ACCESS TO MUFFLER ProjectNumber
0 o Cl1STOMER CONNECTIDN � 13. 120VAC ENGINE BLOCK HEATER. 327-06�
r � BOX CNOTE 3) 14. 2'10 GALLON USEABLE CAPACITY BASETANK STANDARD WITH GENERATOR.
1551 15. N4UST ALLOW FREE FLOW OF DISCHARGE AIR AND EXHAUST. SEE SPEC ProjectTitle
MLCB (NOTE 7) �HEET FOR MINIMUM AIR FLOW AND MAXIMUM RESTRICTION REQUIREMENTS
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� ��� . NIR FLOW AND MAXIMUM RESTRICTION REQUIREMENTS (NYNYNY0228)
17. IT IS THE RESPONSIBILITY OF THE INSTALLATION TECHNICIAN TO ENSURE
2516 THAT THL GENERATOR INSTALLATION COMPLIES WITH ALL APPLICABLE FAA #: 10075046
• ��� C99"7 , CODES, STANDARDS, AND REGULATIONS.
0 V E R A L L ELIJAHS LAN E
• HEIGHT MATTITUCK, NY 11952
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' 965 III I I � II LIFTING BRACKETS
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TANK LENGTH
Date:
LEFT SIDE VIEW 05I03/13
Orawing Title
GENERATOR DETAILS
' � GENERATOR DETAILS - 50 KW
Drewing Number
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(SEE SHEET C3) N �-� �
1/2" DIA.x6"x3" °C STAINLESS STEEL ANCHOR BOLTS ° r��70'�6 �`��G
(TYP. 8) MIN. 4" EMBEDMENT PLACEMENT BASED ON �FssioNP
MANUFACTURES SPECIFICATIONS. CONTRACTOR TO VERIFY 3/4" MIN. CHAMFER
UNAUTHORIZE� ALTERATION OR A��ITION
4'—O" X 8'—O" AT ALL EXPOSED EDGES naPucqe��srnrenNojoa �ocn�N�nws
- 10" THICK CONCRETE
N � SLAB ON GRADE
4 FINISH GRADE
. �1 � —�4 T r4_ ��
, , , , , , , ..\ �`:' 3 ISSUED FOR CONSTRl1CTI�N CAA 6/13/13
� �,` T_ _ � _ _ _ _ _ _ . '( , . 2 NOT FOR CONSTRl1CTI0N CAA 6/10/13
�— �� —? . �\ � 1 N�T FOR CONSTRUCTION CAA 5/31/13
� �\ �, #4 REBAR EACH WAY o NOT roa coNSTeucTioN cnn s/os/ia
No. SubmlttallRevlslon App'd Dale
�8' DEEP COMPACTED GRANULAR MATERIAL
Drawn� cnn Date. os oa ia
Designed: Rce Date: os oa ia
Checked: aco Date� os oa ia
NorEs.•
1. ACCESS SPACE, REOUIRED ON EACH SIDE OF THE GENERATOR lS FOR SERI/lCE AND
PROPER AIRFLOW. ProJect Number
327-061
2 FOR SIZE AND LOCATION OF ANCHORS AND OTNER REQUIREMENTS, SEE EQUIPMENT
UENDOR DRAWINGS. GENERATOR TO BE INSTALLED AS SHOWN ON CONCRETE SLAB.
3. ALLOWABLE SOIL BEARING PRESSURE = 2,500 PSF Projectrit�e
MATTITUCK
(NYNYNY0228)
1 GENERATOR PAD DETAILS FAA #: 10075046
— NOT TO SCALE
ELIJAHS LANE
MATTITUCK, NY 11952
Prepared For:
� TRE� N �
� -=-=_-=====- ; . Z �
z N I ________________ �UNDISTURBED SOIL } �
� =_________- � �,
-_-_�- __== J cmi
� I I "__=__=_-=_____ 6" MAGNETIC WARNING TAPE � ��
� ,
� COMPACTED BACKFILL Z �
W �
— COMPACTED SAND [� �
2" PVC POWER CONDUIT
1° PVC START CONDUIT Drewingscale:
1" PVC CONDUIT FOR
BLOCK HEATER AND 12 1 " PVC ALARM CONDUIT ASNOTED
BATTERY CHARGER
Dafe
18"
O5/03113
— SEPARATION DIMENSIONS MUST BE VERIFIED WITH LOCAL UTILITY C0. REQUIREMENTS. DrewingTitle
— COMPACTED SAND MAY BE REPLACED WITH LEAN CONCRETE (RED COLORED TOP)
CIVIL DETAILS
2 UTILITY TRENCH DETAIL
-- SC(iLE: Drawing Number
C5
�ENERAL ELECTRICAL NOTES:
1. SCOPE: PROUIDE LABOR, MATERIALS, AND EQUIPMENT ETC.,
REQUIRED TO COMPLETE THE INSTALLATION SHOWN ON THE ,
DRAWINGS.
2 CODES AND S7ANDARDS: INSTALLATION SHALL COMPLY WITH EXISTING CHAIN �
APPLICABLE LAWS AND ORDINANCES, UTIUTY COMPANY LINK FENCE �
REGULATIONS, AND APPLICABLE REQUIREMENTS OF LATES7 i ' � � Q
EDI TIONS OF: I _ o
A. NFC — NATIONAL FIRE CODES � `V "' N
B. NEC — NATIONAL ELECTRICAL CODE II � � J o o � �
C. OSHA — OCCUPATIONAL SAFETY & HEALTH ACT i EXISTING � '� "' � �
D. U L — U N D E R W R I T E R S L A B O R A T O R I E S i EXISTING C A R R I E R � � � � w � � �
E. NEMA — NATIONAL ELECTRIC MANUFACTURERS ASSOCIATION �i MONOPOLE EQUIPMENT ON c w � • •
F. SBC — STANDARD BUILDING CODE I EXISTING lCE � CONCRETE PAD �� •— �' � r � �
BRIDGE C
3. COORDINATION. COORDINATE WORK WITH OTNER TRADES. � � � N ¢ � �
N �
4. EXISTING SERUICES: DO NOT INTERRUP7 EXISTING SERUICES . �
�. � ', . _
WITHOUT WRITTEN PERMISSION OF TNE OWNER. �''� '
� � . �. . �\� , , ,�,� �` � EXISTING CARRIER
5. EQUIPMENT CONNECT ELECTRICALLY OPERATED EQUIPMENL EQUIPMEN7 PLATFORM i
6. RECORD DRAWINGS: MAINTAIN A RECORD OF ALL CNANGES, �
SUBSTITUTION BETWEEN WORK AS SPECIFIED AND INSTALLED.
RECORD CHANGES ON A CLEAN SET OF CONTRACT EXISTING 20"-0' X �"=_"
DOCUMENTS WHICH SHALL BE TURNED OUER TO THE 37'-6" AT&T �- °r NEW
CONSTRUCTION MANAGER UPON COMPLETION OF THE PROJECT � , � �� �� s� s Et��o
� EQUIPMENT SHELTER � //�;,%3' F,,, P
C� r ° � �
7. CUTTING AND PA7CHING: PR01/IDE CUTTING REQUIRED TO DO � i I '
THE WORK. DO NOT CUT MAJOR STRUC7URAL ELEMENTS � ' � � � � ' � � � M� ���,� �
WITNOUT APPROVAL PATCHING SHALL BE OF UALITY E UAL ,'� .
Q Q �
�
TO AND OF MATCHING APPEARANCE Wl7H EXISTING PROPOSED AT&T �J ���'0L% l
.'� — ' F�
CONSTRUCTION. MOBIUTY �`.'FFssioo��*`'�
50KW GENERATOR uNnurnoaizeo n�TERn`noN oR nooiTioN
, Ta rHis oocuMeNr is n via!nnoN oF
8. ALL CONDUIT BENDS SHALL BE A MlNIMUM OF 24" RADIUS. � ON 4'-0'� x 8''-0" I naaucae�e srn�E nNo/oR �ocn� �nws
RGS CONDWTS, WHEN SPECIFIED, SHALL MEET UL-6 FOR CONCRETE PA�D I
GALVANIZED STEEL ALL FITTINGS SHALL BE SUITABLE FOR I;. PROPOSED 2" EMT CONDUIT � ----i I
USE WITH THREADED RIGID CONDUI L CONDUITS INSIDE FROM EXISTING DISTRIBUTION I � � �,,�,.,,, I
PANEC TO PROPOSED ATS I ,I�,�.������� �j��,� � I
BUILDING AND ON ROOF SHALL BE GAL VANIZED RMC UNLESS � : , �.,�
I I s issueo Foa coNsmucriou cnn �/ia/ia
NOTED OTHERWISE. � � NEW A7&T MOBILITY 2 NOT Foa coNSTeucrioN cnn 6/io/ia
PROPOSED 2" EMT I 6 �—D" x 10'-0" � No� FOR coNSTeucrioN cnn s/m�ia
CONDUIT FOR POWER G�NERATOR o Nor FOR coNSTRucnoN cnn s/oa/ia
9. SUPPORTS: AS REQUIRED BY THE NEC. I
FEED FROM ATS I I P�REMISES AREA No s�nm�nauRe�isio� nPP�a oa�e
EXISTING 200 AMP
10. CONNECTORS FOR POWER CONDUCTORS: USE PRESSURE TYPE I � EXISTING CARRIER
DISTRIBUTlON PANEL Drewn: cnn Date: os os is
INSULATED TWIST—ON CONNECTORS FOR #70 AWG AND �I � � � EQUIPMENT SHELTER
SMALLER. USE SOLDERLESS MECNANICAL TERMINAL LUGS FOR � � Designed: rtce oate: as oa ia
#8 AWG AND LARGER. PROPOSED AT&T 120�24Q EXISTING MTS I III: i checked: Rca oate: os oa �3
7m, 60Nz, 200A ATS
EXISTING L- -F-�la----�
11. SERI/ICE: 240� 120V, SINGLE PNASE, 3 WIRE CONNECTION TELCO BOARD I III ProjectNumber
AVqILABLE FROM UTILITY COMPANY. COORDINATE AND PAY I III 327-067
ALL FEES. I III
— � � �� I Project Title
12. lN CASES WHERE TNE PANEL BOARD lS EQUIPPED WITH AN � � ' � � � � � � ^" �' � �` ��' �I '� �' ' I � � I III �.
INTERNAL ATS; THE CONTRACTOR IS RESPONSIBLE TO II � I I III MATTITUCK
DETERMINE THE FUNCTION AND OPEi7ATlON OF THE EXISTING � II I � � I III , `� I (NYNYNY0228)
ATS AND CONFIRM IF A NEW ATS lS REQUIRED. EXISTING METER �� � � � �
�� � I I ��I FAA #: 10075046
�
i il ' �
\ \ l PROPOSEQ 1 -1 SCH 40
SITE SPECIFIC CONSTRUCTION NOTES: ExisriNc coMPAcr � � � � �
GENERATOR INTERFACE �� � - - -- - �___—_______-�/ � PI/C CONDUIT FOR ELIJnHsv�NE
1. CONDUIT ROUTES SHOWN ON DRAWINGS ARE SCHEMATIC, AND ARE NOT � GENERATOR ALARMS. � MATTITUCK� NY71952
INTENDED TO DEPICT ALL FIELD CONDITIONS. CON7RACTOR SHALL l/ERIFY CONDUIT TO PENETRATE
FIELD CONDITIONS AND ROUTE NEW CONDUITS AS REQUIRED. KEEP PROPOSED (1)- 1 " SCH 40 PVC(OUTDOOR)/1" SHELTER AND ROU7E TO E4
� EMT(INDOOR) CONDUIT FOR BATTERY CHARGER PROPOSEQ 66 PUNCH BLOCK Prepared For:
CONDUIT RUNS AS SHORT AS POSSIBLE) � AND BLOCK HEArER CIRCUITS. CONDUIT TO ON EXISTING TELCO BOARD
PENETRATE SHELTER AND ROUTE INTO TNE PROPOSED (1)- 1 " SCN 40 [] �
2. PROPOSED CONCRETE PAD SHALL BE USED FOR THE INSTALLATION OF A E4 EXISTING DISTRIBUrION PANEL. EACH CIRCUIT PVC(OU7DOOR)/EMT(INDOOR) CONDUIT � E
SOKW GENERAC GENERATOR AS SHOWN. TO HAI/E 2 20 AMP SINGLE POLE BREAKERS
� � FOR GENERATOR START CIRCUITS. E4
3. ALL NEW CONDUITS INSTALLED AB01/E GRADE AND A7TACHED TO THE EXISTING EXISTING CONDUIT �TO ROUTE TO ATS Z �/��
EXTERIOR WALL OF THE EXISTING SHELTER SHALL BE GALVANIZED RlGID EQUIPMENT H—FRAME PROPOSED (1)-7_ "" SCH 40 PI/C p �V
CONDUIL 2—NOLE CONDUIT STRAPS SNALL BE USED AS REQUIRED TO (OUTDOOR),I�EMT(INDOOR) CONDUIT � J �
ENSURE NEW CONDUITS ARE HELD SECURELY IN PLACE. ALL HOLES AND FOR EMERGENCY POWER. CONDUIT "
ANCHORS SHALL BE SEALED WITH A CLEAR SILICONE SEALANT EXlS7/NG TO ROUTE 70 ATS E4 � � ,
BUILDING W
4 ALL BELOW GRADE CONDUIT TO BE SCHEDULE 40 PVC UNLESS NOTED i , 1 i Z �,
OTHERWISE. "
� �
5, ALL PROPOSED AB01/E GROUND EXTERIOR CONDUITS TO BE RIGID STEEL.
ALL PROPOSED INTERIOR CONDUITS TO BE EM7
Drawing Scale:
' ' - AS NOTED
6. CONTRACTOR SHALL PROI/IDE LB'S, JUNCTION BOXES, NEW CONDUIT &
CONDUCTORS REQUIRED TO MAKE CONNECTIONS TO AC LOAD CENTER, oate:
DISCONNECT & MANUAL TRANSFER SWITCH, AS REQUIRED. oaiosna
7. FLEXIBLE CONDUIT TO BE USED TO CONNECT GENERATOR AS NEEDED. orawin9Tine
8. REFRAIN FROM DRILLING IN70 ANY NEMA 3 ENCLOSURES.
Z ELECTRICAL SITE PLAN
g. ALL SHELTER PENETRATIONS TO BE MADE WATERTIGHT � AND DETAILS
�
�o. ac� aNCHORs � HaRowaRE ro eE sraiN�Ess srEE�. 0 1 ELECTRICAL SITE PLAN & DETAILS
17. CONTRACTOR TO INSTALL PLAS7/C BUSHING AT TNE ENDS OF ALL z — SCALE: orawingNumber
CONDUITS EN7ERING PROPOSED ATS & EXISTING DISTRIBUTION PANEL TO 4' o n' e' ♦
PREI/ENT DAMAGE 70 CONDUCTORS. E 1
ALARM ALARM ALARM ALARM �
DESCRIPTIONS INPUTS O O O OUTPUTS DESCRIPTIONS
PROPOSED 120/240, 10, 60Hz • — �
1 � 200A NEMA 3R ATS � �
WHT/B W a
GEN. SHUTDOWN/ � BW WHT � � � � '- � `V � �
L �
FAIL WH7 ORG � 3 � (3) 3/0 AWG (3) 3/0 AWG + (1 ) #6 GND EMERGENCY POWER TO TRANSFER SWITCH � J o o � �
cc COMMON GEN. r o �, o + (1 ) #4 GND � � M a �
� ALARM l aRG WHT , � � � Q � �
� WHT GRN � 5 � EXISTING 200A 1 PAIR #18 MULTI CONDUCTOR CABLE FOR GENERATOR START � w � � �
� w �
?� � GEN RUN ( GRN WHT � 6 � SERVICE DISCONNECT _ _ _ _ _ _ �� ,_ w � a � �
� � �
�' w WHT BRN � � � (NOTE 5 EXISTING � � - PROPOSED 50KW GENERATOR 120 240, 10, 60Hz w
LOW FUEL ) � � � cc -i X
0 0 o g o METER I I � �n Q w a
� � LEVEL ALARM BRN WHT o 9 o c N � � �
`` � WHT SLT 200A
� SPILL FILL SLT WHT � �a � n ' � �
m OVERFILL
� ! RED BLU � � � � M I I �
RUPTURED I DLU RED o 1z o
DASIN ALARM � I I
00 � 3 00
0 0 �¢ o o I I {f2 AWG SOLID TINNED GROUND �TYP.� _
00 � 5 00 /OF NEW �
EXISTING 200A — �E �
0 0 � 6 0 o SERVICE FEED - - �P �`/,s.srF�e o,p
0 0 � � o o �� — � `� ��"�+�,rys:� ,� �s �
00 � g oo i *
(3) 3/0 AWG I/
I + (1 ) #4 GND - I 6 PAIR (MIN) CAT-5 FOR ALARM CIRCUITS k' I �
NOTES: o o �g o o I �� �\ `
00 2Q oo �
1 . ;l1RNISH AND MOUNT 66-B3-50 BLOCK IN TELCO BOX OR �� ��'1096 ���
ON TELCO BACKBDARD NEAR EXISTING ALARM BLOCK. o o 'Z� o o �2� #12 AWG & �1 � #12 GND FOR BATTERY CHARGER �Ro�FS510��P�
0 0 22 0 o I � � �?_� #12 AWG � �1 � #12 GND FOR BLOCK HEATER
2 WIRE TO PROVIDE CONTINUITY WHEN CIRCUIT IS NORMAL
0 0 23 0 o EXISTING uNnuTnoaizEo ni.TEannoN oR aoomoN
3. INSTALL BRIDGING CLIPS (SIEMON—SAi-25 OR I ra rnis oocunneNr is n vm�nnoN aF
0 0 24 0 o MTS naaucne�e sTnrc nNo/ae i_ocn� �nws
EQUIVALENT) AS REOUIRED. �A
4, 7uRN encK nNo sroRE uNuseo coNouc7oRs o 0 26 � o �OA II� INTERIOR - EXISTING EQUIPMENT SHELTER
5. SUBCONTRACTOR SHALL COORDINATE WITH CONTRACTOR TO o o z7 0 0
DETERMINE CONNECTIONS TO EXISTINC BLOCK. o o .La o o EXISTING GENERATOR EXISTING FEED I 3 �sSUE� FOR CONSTRUCT�oN cnn s/�3/�3
0 0 29 0 o RECEPTACLE I TO BE ABANDONED ? Nor FOR coNSTRUcnoN cAA s/ai/ia
00 30 0o I I
0 NOT FOR CONSTRl1CTI0N CAA 5/03/13
0 0 3� o o No SubmIllellRevlalon App'd �a�e
0 0 32 0 o I � Drawre cnn Date: os oa ta
0 0 33 0 0 � — — — — — — — — — os oa ia
esigne : Rco a e;
Checked: Rce Date: os oa t3
0 34 0 0
0 0 35 � � EXISTING 120 240, 10 �
200A DISTRIBUTION PANEL PR01 OSED 66 BLOCK FOR GENERATOR ProjectNumber
0 0 36 0 o ALARM CIRCUITS (ON EXISTING TELCO 60ARD) 327-061
00 37 00
00 3g o0
Project Title
� � 39 � � MATTITUCK
� � 40 � � 2 ONE—LINE DIAGRAM (NYNYNY0228)
� � 41 � � -- NOT To scA�E FAA #: 10075046
00 ¢2 00
00 43 00
ELIJAHS LANE
0 o t�.4 0 o MATTITUCK, NY 11952
� 0 45 � � NOTES:
00 46 00
NOTE 3 0 0 47 0 0 1. CONTRACTOR TO CONFIRM THAT ALL EXISTING ELECTRICAL Prepared For.
0 0 ¢8 0 o EQUIPMENT � RATINGS ARE INSTALLED PER NEC AND LOCAL
JURISDICTION CODE. N �
00 4g oo � �
0 0 50 � � 2. CONTRACTOR SHALL FIELD VERIFY THE LOCATION OF THE MAIN f
O O O BONDING JUMPER AND GROUNDING ELECTRODE CONDUCTOR ARE Q �
INSTALLE� PROPERLY IF DISTURBED DURING CONSTRUCTION. }
3. FOR ALL INTERNAL WIRING AND ARRANGEMENT, PLEASE REFER T�0 0 �
DRAWINGS AND SPECIFICATIONS PROVIDED BY THE EQUIPMENT J �
66-B3-50 MANUFACTURER. � �� ,
4. PROVIDE SIGNS AT SERVICE ENTRANCE EQUIPMENT INDICATING THAT Z �
PLAN ELEVATION SITE HAS ON—SITE AUTOMATIC START STANDBY GENERATOR IN
ACCORDANCE WITH NEC ARTICLE 702.8. W �
L7 �
5. PROVIDE CIRCUIT BREAKERS FOR ATS AND PANELBOARD AS
� REQUIRED. Drawing Scale�
� 66 BLOCK GENERATOR ALARM ASSIGNMENTS s. �F NEw H—FRnME �s REQu�REo, eoNo n�� �Ecs nNo nTs cne�NiET ASNOTED
-- NOT TO SCALE 70 EXISTWG GROUNDING SYSTEM.
' Date:
7. COORDINATE ELECTRICAL SERVICE WITH UTILITY COMPANY AS osiaana
, REQUIRED.
Drawing Title
ONE-LINE DIAGRAM
Drawing Number
E2
GENERAL GROUNDING NOTES
1 . ALL GROUND CABLE IN CONCRETE OR THROUGH WALL SHALL BE IN 3�4" PVC CONDUIT. NO I T�1
METALLIC CONDUIT SHALL BE USED FOR GROUNDING CONDUCTOR SLEEVES. I L��
i �
2. GROUND ALL EXPOSED METALLIC OBJECTS USING A TWO—HOLE NEMA DRILLED CONNECTOR ' �
c �
a
SUCH AS THOMAS & BETTS �32207 OR APPROVED EQUAL. ^ _
0
� •L � � � �
3. ALL EXTERIOR GROUND CONDUCTORS INCLUDING GROUND RING SHALL BE �2 AWG SOLID J � � �
� J O O � �
BARE TINNED COPPER. MAKE ALL GROUND CONNECTIONS AS SHORT AND DIRECT AS � "' "� � �
POSSIBLE. AVOID SHARP BENDS. THE RADIUS OF ANY BEND SHALL NOT BE LESS THAN 8" �
�
� � JW C7 � �
AND THE INCWSIVE ANGLE OF ANY BEND SHALL NOT EXCEED 90'. GROUNDING i ``' ~
CONDUCTORS SHALL BE ROUTED DOWNWARD TOWARD THE BURIED GROUND RING. �~ C w = a � �
� � � � �
W
4. ALL BELOW GROUND EXTERNAL CONNECTIONS SHALL BE EXOTHERMICALLY WELDED. ALL 1�� ` " " � � ' � � � � � X
EXOTHERMIC WELDS TO BURIED GROUND RING SHALL BE THE PARALLEL—TYPE, EXCEPT FOR � N a ~ �
h � �
N
THE GROUND RODS WHICH ARE TEE—TYPE EXOTHERMIC WELDS. REPAIR ALL GALVANIZED , � �
SURFACES THAT HAVE BEEN DAMAGED BY EXOTHERMIC WELDING. USE SPRAY GALVANIZED '
SUCH AS HOLUB LECTROSOL #15-501 . '
� �. _l.__�_
5. WHERE MECHANICAL CONNECTORS (TWO—HOLE OR CLAMP) ARE USED, APPLY A LIBERAL �I
PROTECTIVE COATING OF A CONDUCTNE ANTI—OXIDE COMPOUND ON ALL CONNECTORS. �
PROVIDE LOCK WASHERS ON ALL MECHANICAL CONNECTORS. USE STAINLESS STEEL ��
HARDWARE THROUGHOUT. THOROUGHLY REMOVE ALL PAINT AND CLEAN ALL DIRT FROM / � _t oF NFw
/ Q� ,�SrF �o
SURFACES REQUIRING GROUND CONNECTORS, REPAINT TO MATCN EXISTING AFTER `e P
� �',,s� '� �s �
CONNECTION IS MADE TO MAINTAIN CORROSION RESISTANCE ALL GROUND CONNECTIONS ' �
� SHALL BE APPROVED FOR THE TYPES OF METALS BEING ATTACHED T0.
��, �� � �
NEW ATBcT MOBILl7'Y ' '' '
6. THE CONTRACTOR SHALL COORDINATE AS REQUIRED TO HAVE UTILITY COMPANY G � ` ��,�—'� �
REPRESENTATIVE AT THE SITE TO DISCONNECT THE UTILITY NEUTRAL FROM GROUNDING 6'-0'� x 10'-0" �� ��!rs_ioui/%
SYSTEM DURING FINAL INSPECTION SO THAT REQUIRED TESTING ON THE GROUND SYSTEM GENERATOR i
PREMISES AREA
CAN BE PERFORMED. THE CONTRACTOR SHALL PROVIDE NOTICE TO THE GD REPRESENTATIVE uNnuTHOHizEo n�rceaTiaN oR nuoirioN
(TWO) DAYS PRIOR TO FINAL TESTING. IF THE CONTRACTOR FAILS TO MAKE UTILIII' r � ro rHis oocuMeNr is n wo�nTioN oF
COMPANY REPRESENTATIVE AVAILABLE DURING THE FINAL TESTING, THE CONTRACTOR SHALL I I lil I„ I n�Pucnei_E sTnre nNo�oR �ocn� �nws
PAY THE COST FOR AN INDEPENDENT GROUNDING CONSULTANT TO PERFORM THE GROUND � �._ I�II , I!,I:i �
RESISTANCE TEST. GROUNDING CONSULTANT SHALL BE SELECTED BY THE GD GROUND PROPOSED PROPOSED AT&T
REPRESENTATIVE. IF THE UTILITY COMPANY REPRESENTATIVE FAILS TO APPEAR DUE TO NO ArS TO EXISTING � � MOBIUTY I
FAULT THE CONTRACTOR, NO PENALTY APPLY. GROUNDING SYS7'EM � � SOk'W GENERATOR
WITH �J2 SOLID BARE I I ON 4�-0" x 8'-0" 3 issuEo Fae coNsreucnoN cnn e/i3/ia
7. ALL MOUNTING HARDWARE SHALL BE STAINLESS STEEL TINNED COPPER WIRE CONCRETE PAD z NOT Foa coNSTeucnoN cnn e/�o/ia
I I I NOT FOR CONSTRUCTION CAA 5/31/13
8. THE GROUND CONDUCTORS SHALL BE RUN STRAIGHT FOR MINIMUM INDUCTANCE AND PROPOSED AT&r I I o NOT voa coNSTaucTioN cnn s�oa/,3
VOLTAGE DROP. SINCE CABLE BENDS INCREASE INDUCTANCE, THE MINIMUM REQUIRED 720\240, 10, � No SubmittallRevislon nPP�a oace
BENDING RADIUS IS 8 INCHES WHEN BENDS ARE UNAVOIDABLE. ALL METAL WORK WITHIN 10 60Hz, 200A ATS I \ I
FEET OF THE GROUND RING SHALL BE DIRECTLY BONDED TO THIS GROUND SYSTEM, orawn: can oate: os oa �s
WITHOUT USING SERIES OR DAISY CHAIN CONNECTION ARRANGEMENTS. c � — � J oesigned: Rce pate: os oa is
Checketl: Rca Date: os os ia
9. PAINT, ENAMEL, LACQUER AND OTHER ELECTRICALLY NON—CONDUCTIVE COATWGS SHALL BE , �,
REMOVED FROM THREADS AND SURFACE AREAS WHERE CONNECTIONS ARE MADE TO I , , I I ProjectNumber
ENSURE GOOD ELECTRICAL CONTINUITY. , I az�-osi
� , � � , Project Title
10. CONNECTIONS BETWEEN DISSIMILAR METALS SHALL NOT BE MADE UNLESS THE CONDUCTORS I
ARE SEPARATED BY A SUITABLE MATERIAL THAT IS A PART OF THE ATTACHMENT DEVICE
MATTITUCK
LISTED AND APPROVED FOR USE WITH THE SPECIFIC DISSIMILAR METALS MAY BE USED FOR PROP�SED �j2 SOLID (NYNYNY0228)
THE PURPOSE. BARE TINNED COPPER
WIRE iGROUND LEAD TO ; FAA #: 'I ��75�46
11 . ALL BELOW GRADE GROUND SYSTEM CONDUCTORS SHALL BE A MINIMUM DEPTH OF 30° SHELFER GROUND RING
(OR 6" BELOW THE FROST LINE, WHICHEVER IS GREATER). ELIJAHS �.4NE
MATTITUCK, NY 11952
12 GROUND RODS SHALL BE INSTALLED IF THE LEAD DISTANCE BETWEEN THE GENERATOR AND PROPOSED #2 SOLID BARE
SHELTER GROUND RING EXCEEDS 16'-0". GROUND RODS SHALL BE SPACED NOT MORE TINNED COPPER WIRE GROUND
THAN 16'-0" AN� NOT LESS THAN 6'-0" APART. LEAD FROM SLAB REINFORCING PreparedFor:
STEEL TO SHELTER GROUND RING N
13. ALL PROPOSED RIGID CONDUITS ROUTED INSIDE SHELTER SHALL HAVE A GROUND LEAD ti �
INSTALLED AND TIED TO THE EXISTING DOWN LEAD AT THE CORNER OF EQUIPMENT f �
SHELTER. a �
14. CONDUIT FROM EMERGENCY STOP TO ATS (RIGID) TO HAVE #2 SOLID TINNED GROUND TIED Z �
}
0
TO EXISTING SHELTER GROUND RING IN CONDUIT. I
J �
15. CONTRACTOR SHALL NOTIFY CONSTRUCTION MANAGER IMMEDIATELY IF THERE ARE ANY DIFFICULTIES I " � � ,
INSTALLING GROUNDING SYSTEM DUE TO FIELD CONDITIONS. W N
Z �
�
16. CONTRACTOR SHALL NOT COVER UP GROUND RING AND CONNECTIONS UNTIL AN INSPECTION HAS BEEN � W �
PERFORMED. COORDINATE INSPECTION WITH CONSTRUCTION MANAGER. � �
17. PROVIDE TESTING OF GROUN�ING SYSTEM AS DIRECTED BY CONSTRUCTION MANAGER. orawingsca�e:
� AS NOTHD
18. THE MAXIMUM ALLOWABLE RESISTANCE READING SHALL BE 5 ONMS TO GROUND. IF THE RESISTANCE
OF THE ENTIRE GROUNDING SYSTEM AS MEASURED AT THE ARRESTOR BRACKET EXCEEDS 5.0 OHMS, oate
THE ELECTRICAL CONTRACTOR AND OWNER'S REPRESENTATIVE SHALL BE NOTIFIED SO THAT ADDITIONAL O5/03/13
GROUND LOCATIONS CAN BE UTILIZED.
Drawing Title
19. COMPACT BACKFILL OF ALL TRENCHES FOR GROUNDING RING. SITE SOIL OR #57 STONE MAY BE USED
FOR BACKFILL MATERIALS. CONTRACTOR SHALL OBTAIN APPROVAL FOR BACKFILL MATERIALS TO BE Z�
USED FROM CONSTRUCTION MANAGER. D GROUNDWG PLAN
� � GROUNDING PLAN
z
� -- SCALE:
THE CONTRAC70R SHALL �ISIT THE SITE BEFORE BIDDING �
ON THE WORK CONTAINED WITHIN THIS DESIGN PACKAGE. a' o h' e' DrawingNumber
DISCREPANCIES AND OMISSIONS SHALL BE BROUGHT 70
THE ENGINEER'S ATTENTION PRIOR TO BIDDING E3
�
�
RIGID STEEL CONDUIT 36" OR 6" BELOW FREEZE � C o
PLUG FOR SPARE RIGID STEEL LINE. WHICHEVER IS GREATER �- GRADE � _ a
CONDUIT) CONDUIT COUPLING
/ � N ,7N
L � � ^
�_I/ � � O � d"
., . . , � ,. N J O O d- V
GRADE CONTINUOUS . � '� "' v �
FINISHED — N � ¢ � d'
WARNING TAPE GRADE w � � � �
V � . .
CADWELD �� C � v�i � � �
— — — S N \ . � Q AGGREGATE � � N � � �
COMPACTED EARTH �;.�, c° o � SURFACE � N
PVC SCHEDULE 40 BACKFILL � � �ic� . —
SIZE AS SHOWN ON o � z �
RIGID STEEL lAY0UT5 CONTINUOUS `O � �
r� w
CONDUIT GROUND RING m w
SIZED PER �
GROUNDING DETAI � oF NE��_
- z / �°�-��� ����\
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, RIGID STEEL TO GROUND ROD COPPERWELD �� � ' �.���
PVC ADAPTER 5�8"0x10'-0° LONG � 6��� �,;, � ��; ��
MIN. �'
� ��'�. - � �,, ,
,� r,���,��-;,,,,
� UNDERGROUND UTILITY STUB—UP �NA�rF�oR��Eo A�TERAT�oN'oR Aoo�noN
Nor ro scn�E 3 TRENCH DETAIL FOR GROUND LEAD T° T"'S °°°�ME"T 'S " �'°�^r'°N °F
APPLICA6LE STATE AN�/OR LOCAL LAWS
COPPER—CLAD STEEL Nor To scni_E
SEE SHEET E1 FOR LOCATION AND ADDITIONAL INFORMATION. 2 GROUND ROD �IF REQUIRED�
� NOT TO SCALE
3 ISSIIED FOR WNSIRUCiION CAA 6/13/13
2 NOT FOR CONSTRUCTION CAA 6/10/13
1 NOT FOR CONSTRUCiION CAA 5/31/13
0 NOT FOR CONSTRUCTION CAA 5/od/13
No Submtllal/Revlsion App'tl Dete
Drewn: cqq Date: os oa ia
Designed: i�co Date: os oa ia
Checked: ece Date: os os ia
Project Number
327-Ofi1
SHELTER WALL
FEED�ER Project Title
STEEL SLEEVE (TYP) MATTITUCK
(NYNYNY0228)
CAULK W/ PDXY PASTE FAA #: 10075046
ADHESIVE OR EQUIVALENT
ELIJAHS LANE
HYDf�A STOP 300 POLYURETHANE MATTITUCK, NY t195z
FOAMI GROUT OR EQUIVALENT
Prepared For:
' L7 �
� PIPE f �
(SIZE VARIES) TOWARD EARTH GROUND (DIRECT Z �
CURRENT FLOW CLOCKWISE FOR ALIL O
RINGS) �,
J °'
Q U
� �
1/2" (TYP) N04U 4" DIA (OR SMALLER� ELECTRICAL Z � ,
ME1fALLIC TUBING OR STE L CONDUIT W �
NOM� 1 " DIA (OR SMALLER) SCH 40 (OR �, �
4" (TYP) HEpVIER) STEEL PIPE
5 GROUND CONDUCTOR CONNECTION Drawing5cale:
-- NOT TO SCALE AS NOTED
NOTE: CONDUIT ANCHORAGE IS REQIUIRED
NEARBY TO PREVENT PIPE �ate:
MOVEMENT THRU PENETRATIO)N 05/03/13
Drawing Title
PIPE PENETRATION
� THRU SHELTER WAILL ELECTRICALAND
NOT TO SCALE
GROUNDING DETAILS
Drawing Number
E4
� FOR INTERNAL USE ONLY
SITE PLAW USE DETERMINATION
. Initial Determination r /�I�_
,� Date Sent:_1_
Date:_Z��-! /3 �
Project Name: ��� ,
, o ' c� M u�
Project Address: �
p /�.3 Zoning District: �_3._r___--
Suffolk Counry Tax Map No.:1000- / g -_�--
�� �
�
Ftequest: �
rs ' �_
� orting documentation as to
(Note: Copy
of Building ermit App���tion and supp
proposed use or uses should be submitted.) ,
Inikial Deterrriination as to whether use is P
ermitted: �
Initial Determination as to whether site plan is required: I �
/✓ .
gignatu�r of Building �nspecw�
Planning Depat�kment(P.D.) l�eferraL•
P.D. Date Reeeived: �
/
Date of Comment � �
Comments:
Signature of Planning Dept. Staff Reviewer
�:.,si nptPrmination
� ,�.
Date:_� �
Decision:
c�nnahirA nf R�iiltlind Insnar.tnr
1�il'�V!V bF,SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before apptying?
TO W N HALL Board of Health
SOUTHOLD�NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
�-,� �i` ��ti �� ��� �" � N.Y.S.D.E.C.
� ��`' �� `=' � �1 Trustees
I I Flood Permit
Examined ,20 U Stortn-Water Assessment Form
JUN 2 8 2013
Contach C�o S�crG Z S�crc U,11re�cSS�1.h C -
Approved ,20 Mail to: SSS O N�erri G�L Si d 1�C' 3G2
E�_�P. DFPi.
Disa roveda/c in���,,; ��c���tunin
pP __— --=- �CI.CCII-0 �� (�LY �J]CG,
Phone: S1b�S57'23qQ7
Expira[ion ,20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date � U ne �� , 20��
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship[o adjoining premises or public streets or
areas, and waterways.
a The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of[his application, the Building Inspector will issue a Building Permit to[he applicant. Such a permit
shall be kept on[he premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. [f no zoning amendments or other regulations affec[ing the
property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Depar[ment 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, or alterations or for removal or demolition as herein described. The
applicant agrees[o comply with all applicable laws, ordinances,building code,housing code, and regulations,and[o admit
authorized inspectors on premises and in building for necessary inspections.
NewGn4ular �I_�releSS PC� Ll- i "�i+"f" �
igna[ure of applicant or nanie, if a '
� ifm,+�d liab�i�h <<.�+{n�
��v SSSo (`�e�i"1cK � �'��C,_.u,_�v�� �N 117��
(Mailing addreS� s�s�p can[)
State whether appiicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Tf40i+�a.�i� iS ICSSee
Name of owner of premises �1Ji I I i o wi � �� S�. Qah-i cic� X�-er clnl���hcfa-�. � c��� ' Qy, �
i�w�r+cd f i ab� I�+y c<�,pa-.l (As on the tax roll or latest deed)
If ap�liFant is a ee�iert�Hen, signature ai duly authorized officer J "�`'�C . Ece��er
N[w : 9w.ur W�rU[SS f/� C
p,y . t n ,I
(Name and title of corporate officer)
Tku� Ha�i,Prestd<r+cF$hue2SMcreit,ircias,�hc .� h4cn+ {,� 14PP�ica.�-f
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
l. Location,�f land on which proposed work will be done: ,1
�tIS ��'�� �S �P Mat'� I i-fzi �L
House Number Street Hamlet
County Tax Map No. 1000 Section � � � Block � Lot � ) � �
Subdivision Filed Map No. Lot
}'�
�
2. State existing use and occupancy of premises and inteqded use a,nd occupancy of proposed construction:
a. Existinguseandoccupancy(_oN,merCi0.l h��� �c�in9 ��� �6��� ��� � ���/ w� 'z�esS -lrlc�c+�'��+�u-niCn-kcrJ'
�ici i�i-��
b. [ntended use and occupancy Q�bl i� (�'�i'�`/ ��Ye�eS S �e �C[t�+'i���Ca"�l rn 5 -�ci ���z.J
��e$cl
3. Nature of work(check which applicable): New Building Addition qcneYu+u' Alteration
Repair Removal Demolition Other Work�
(Description)
4. EstimatedCost �35 GGD Fee ��S
� ti'�j �! � �+�f3�• (To be paid on filing this application)
5. If dwelling, number of dwelling units N ff Number of dwelling units on each floor
If garage, number of cars q �
�G�nme2lc�l '�iN��iv1J
p�.91�c ufilih� w�•tlers
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. +P�«�,mu., .a�,�c�ac.l� r�
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories �'s �g �le' �,rn�p��e,�k�snny
lr� _p�� x 2��_(.� �� New C�n�.i.larWl�C-IeSSe�cai�V✓�¢J't�-0.lG�l �
D
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
rc CH�qC
8. Dimensions of entire new construction: Froht Rear Depth
Height Number of Stories �� �v,��,.�
9. Size of lot: Front /�� N���' � S Rear Depth
10. Date of Purchase u � �q� � Name of Former Owner (�V i 1� ��tTl ,�._��� r
1 1. Zone or use district in which premises are situated U n'i i�C-� �U $I hes� (L� 1
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO�
13. Will lot be re-graded? YES NO�WiII excess fill be removed from premises? YES NO_
W�i I i a m ,i.Fxv�+cr,Sr.�Da,rnc ia ge.k+crt-�chcr+ fl. (zc�I u, ��.
c.G a�a���J�j�s
14. Names of Owner of premises �d ;xUe R Gco���/ Address� Mai �r,.�t a Phone No. Z" ZZ " � 9 Z
Name of Architect.l.n�rnl £� i cen Address�k �Zss ""' �`� ' ° Phone No — 3
Name of Contractor�Iaf2e f+ i�,ieh�er'r Address 4s ` ° 5"'r i2�° Phone No. Zf 2- Z �
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* [F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF NaSSA
VO tAq � �v1 I being duly sworn, deposes and says that(s)he is the apry4icalSC
(Name of indiv' ual signing contract)above named,
(SjFF�is"the VrcSi�2nf e� S�'irP_Z��c.l'P UUt�Z�CSC �L „ rr*1L✓�-F+A '�,f�D ��cStn i -l�Cu��ln µ,iy CU' uVtte�eS�
(Contractor,Agent, Corporate Oftice , et J C S �u,C - LeSS t� "
of said owner or owners,and is duly authorized to perform 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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn o before me this
��day of SLItiA 20� �
n � Victoria Brennan Esq
��� C Jotary Public, State of New York
Notary Public Signature of Applican ' ��Z822
�2ualified in Nassau County
Commission expires April 15, 201�
�
TOWN OF SOUTHOLD
COUN'1'Y OF SUFFOLK: STATE OF NEW YORK
-------------------------------------------------------------------------------------X
In the Matter of the Application of New Cingular W ireless PCS, LLC AUTHORIZATION OF
OWNER
At the premises("Premises"):
a15 Elijah's Lane
Northwest corner of intersection of Elijah's Lane and State Route 25
Mattituck,New York
Sectio�� 108, Block 4, Lot 11.3
---------------------------------------------------------------------------------X
STATE OF NEW YORK )
) SS.:
COUNTY OF SUFFOLK )
W illiam J. Baxter, being duly sworn,deposes and says:
1 am the owner in fee of the premises known as Section 108, Block 4, Lot 113 (the "Premises"
here;after), and do hereby authorize New Cingular Wireless PCS, LLC ('AT&T' hereafter), and its
representatives to bring such applications for municipal approvals as may be necessary for the
upgrade/modification of its public utility wireless telecommunications facility. As such,l will fully cooperate
witl� AT&T and its agents in ob[aining any required Approvals.
By:
Sworn to before me this
1 day of�J�— , 201�
� NOTARY UBLIC
MIC ELLE DISTASIO
Notary Public,State of New York
No.4994753
�ualifietl in Suffolk Counry �
Commission Expires May 22,20
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STATE OF NEW YORK
WORKERS'COMPENSATION BOARD
CERTIFICATE OF PARTICII'ATION IN WORKERS' COMPENSATION
GROUP SELF-INSURANCE
i e.Legel Neme end Address of Business Participeting in Group I d.Business Telephone Number of Business rehrena in box"I e"
Self-Insunnm(Use Shal Addrcss Only) 212 828-1800
HATZEL&BUEHLER,INC. � I
45 Broadway,Suite#1240
New York,NY 10006 le.NYS Unemployment Inwrena Empbya Re�struion Number o!
Bwinas rehrenad in box"le'
I b.ERttYive Date of Membcrship in Ihe Group .� �,47�q�59
Policy Number 0209
I c.The Proprietor,PeMers or Execulive O�cers are I E Federel Employer ldentifialion Numba of Business rcferenxd in
included(only ehxk box ifdl parmeNoflers included) Box"le"
all excluded or certain partneNo�ars excluded
2.Neme end Address of Ihe Entity Requating Proof of Coverege(Entiry 3.Neme end Addrcu of Group Self-Insurer
Being Listed es CMifica�e Holder)
Town of Southold
53-95 Route 25
Box 1179 Electrlcal Employers Self Ins.Safety Plan
So�thold,NY I 1917 158-I l Harry Van Arsdale Jr.Avenue
Loc.: AT&T/GD Generator Project Flushing,NY 11365
Various sites in the Town of Southold,NY
This certifies that the business referenced above in box"1 a"is complying with the mandatory coverage requirements
of the New York State Worker's Compensation L,aw as a participating member of the Group Self-Insurer listed above
in box"3"and participation in such group self-insurance is still in force. The Group Self-Insurer's Administrator will
send this Certificate of Participation to the entity listed above as the certificate holder in box"2".
1'he Group Self-Insurer's Administrator will notify the above certificate holder within l0 days IF the membership of
the participant listed in box"la"terrninated. (These notices may be sent by regular mail.) Otherwise,this Certificate
is valid for a maximum of one year from the date certi£ed by the group self-insurer. ••
IJ'[his cert�cate is no longer valid according to the above guidelines mrd 1he business rejerenced in box "1 a"
continues to be named on a permir, license or contract issued by the certificate holder, the business must
provide the certifrcate ho/der either with a new certifrcate or other avthorized proof the business is complying
with�he manda[ory coverage requiremenls ojthe New York Slale Workers'Compensation Law. •
Uoder penslty of perjury,I certif�that I am an authorized representative of the Group Self-Iosurer referenced
above and t6at the business referenced in box"la"has the coversge as depicted on this form.
Certified by: Ciro J.Lupo
Certified by: � / �� 6/]0/2013
�s��� t�.>
Title: Chairman
Telephone Number: (718� 591-2800
GSI-105.2 (2-02) EE-17
WORKERS' COMPENSATION LAW
Sectioo 57 Restriction on issue of permits and t6e entering into contrects unless compensation is secured.
1. The head of a state or municipal deparhnent,board,commission or office authoriud or required by law to issue
any permit for or in connection with any work involving the employment of employees in a ha�ardous employment
defined by this chapter,and notwithstanding any genera)or special statute requiring or authorizing the issue of such
pertnits,shall not issue such pecmit unless proof duly subscribed by an insurance carrier is produced in a fortn
satisfactory to the chair,that compensation for all employees has been secured as provided by the chapter. Nothing
herein,however,shall be constructed as creating any liability on the part of such state or municipa)department,board,
commission or office to pay any compensation to any such employee if so employed.
2. The head of a state or municipal department, board,commission or office authorized or required by law to enter
into any contract for or in connection with any work involving the employment of employees in a hazardous
employment defined by the chapter,nohvithstanding any general or special statute requiring or authorizing any such
contract,shall enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a fortn
satisfactory to the chair,that compensation for all employees has been secured as provided by the chapter.
This is to certify that the Workers' CompensaHon and Employer's Lisbility Insurance issued to the named
insured is in force st t6is time and affords t6e tollowing coverage.
Limib of Lisbilitv
Workers' Compeosation Coverage "A"- Statutory
Employer's Liabiliry Coverage "B"- Unlimited •
Please oote: This certificate is valid only through the policy dates indicated above,OR a maximum of one year after
this fortn is approved by the authoriud representatives of the Group Self-Insurer. At the exp'vation of those dates,if
the business continues to be named on a permit or contract issued by the above government entiry,the business must
provide that govemment entity with a new Certificate. The business must also provide a new Certificate upon notice
of cancellation or change in status of the policy.
GSI-105.2 (2-02)Reverse EE-17
STATE OF NEW YORK
WORKERS'COMPENSATION BOARD
CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW
PART 1.To be com leted b Disabili Benefits Carrier or Licensed Iosunnce A ent of thst Carrier
la.Legal Neme end Addrcss of tnsured(Uu street address only) Ib.Business Telephone Number of Insured
Hatzel&Buehler,Inc. Ic.NVS Unemploymenc Insu'ance Employer Registration
45 Broadway,Suite#1240 Number of tnsured
New York,NY 10006
Id.Federal Employer ldentification Number of Insurcd or
Sociel Security Number
2.Name and Address if the Entity Requesting Proof of 3.Name of Insurance Carrier
Coverage(Entiry Being Listed as ihe Certificate Holder)
TownofSouthold 114349 �x.,�d�poy�.ku��w�oes.r�rvw
53095 Route 25 I561 I Hury V�n Md�b lr.Mswe
Flu�hing NY 11]65
Box 1179
Southold,NY 11971 36.Policy Number of entity listed in box"la":
Loc.: AT&T/GD Generator Project Z�
Various sites in the Town of Southold,NY 3c.Policy effeaive period:
1-I-67 to wlil terminated
4.Policy covers:
e.(X) All of the employer's employees eligible under the New York Disability Benefits Law
b.( ) Only the following cless of classes of the employer's employees:
Under prnalty of perjury,I certiCy thet 1 em an authoriud repreuntative or licensed egent of the insurence cerrier referenas above
and that the nemed insured has NYS Disabiliry Benefits insurence coverage es described above.
Dete Signed 6/10/2013 By: �� �
Isi�uwsdiowivam.iu'�whaiud��w��uWe orms Lkaud humro/�e�MNe ivwiun amwl
TelephoneNumber 718-591-2800 Title Chairman
IMPORTANT: If box"4a'is checked,end lhis fofm is signed by�he insurena certier's authoriud rcprcsentetive or NYS Licenud Insurence Agml of thet
cartier,this cenifiute is COMPLETE. Mail il direoUy to Ihe anifieete Iwlder.
If box"46"is ehecked,Nis anificete is NOT COMPLETE for pu'posa of Sation 220,Subd.6 of ihe Disability BrneOts Law. It must be meiled(or
complaion ro ihe Worker's Compensetion Boerd.DB Mens Accepunce Unit,20 Park Suce4 Albany,New York 12207
PART 2.To be com leted b NYS Worke�s' Com ensation Board Onl if boa"4b"of Part 1 6as been checked
State of New York
Workers'Compensation Board
According to information maintained by the NYS Workers'Compensation Board,Ihe above-named employer hes complied with the NYS
Disebiliry Benefits Lew with respect to all of his/her employees.
Date Signed By
(3iWtwe W N1"S Woekm'Comqwrion Boud EmploY>)
Telephone Number TiUe
Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of
those insurance carriers are authorized to issue Form DB-I20.1. Insurance brokers are NOT authorized to issue this fortn.
DB-120.1 (5-06)
EE-114 (Reverse)
, Additional Instructions for Form DB-120.1
By signing this form,the insurance carrier identified in box"3"on this form is certifying that it is insuring the business roferonced in
box`9a"for disabiliry benefits under the New York State Disabiliry Benefiu Law. The lnswance Carrier or its licensed agent will send
this Certificate of Insurance to the entity listed ac the certificete holder in box"2". Thls CerNJlcate Is valid jor the eadler of one ycar
aj�er thts jorm!s approved by the lnsurance carrier or tts/lcensed agent,or tlre po/lcy expiration dafe(isted in box 3c".
Please Note:Upon the cancellation of the disability brnefits policy indiceted on this fortn,if lhe business continues to be named on a permit,littnu or
contract issued by a certificate holder,Ne business must provide�hat arti6cate holder with a new Certificate ofNYS Disabiliry Benefits Coverage or
other authoriud proof that the business is complying with[he mandatory covelage requirementt of lhe New York Sta[e Disebility Benefits Law.
DISABILITY BENEFITS LAW
§220. Subd. 8
(a) The head of a state or municipal department, board,commission or office authorized or required by law to
issue any permit for or in connection with any work involving the employment of employees in emp(oyment as
defined in this article, and not withstanding any general or special statue requiring or authorizing this issue of
such permits,shall not issue such permit unless proof duly subscribed by an insurance carried is produced in a
form satisfactory to the chair,that the payment of disability benefits for all employees has been secured as
provided by tlus article. Nothing herein,however, shall be construed as creating any liability on the part of such
state or municipal deparhnent, board, commission or office to pay any disabiliTy benefits to any such employee
if so employed.
(b) The head of state or municipal department,board, commission or office authorized or required by law to
entet into any contract for or in connection with any work involving the employment of employees in
employment as defined in this article,and notwithstanding any general or special statute requiring or authorizing
any such contract,shall not enter into any such contract unless proof duly subscribed by an insurance carrier is
produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been
secured as provided by this article.
DB-120./ (S06)Reverse
EE-114
Client#: 290639 HATZEBUE
ACORD.� CERTIFICATE OF LIABILITY INSURANCE �TE�MINDD/YYW)
REVISED 06/13/I
THIS CERTIPICATE IS ISSUED AS A MAITER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELV OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERACaE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRE3ENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificata hoWer is an ADDITIONAL INSURED,the policy(ies)must be endoned.If SUBROGATION IS WAIVED,subject to
the terms antl conditlons of the policy,certain policies may requlre an endorsement A statement on this certltlwte does not confer rights to the
certiTieate holder in Iieu of such endorsement(s�.
PRODUCER
N ME:
USI Insurance Services(CL) PN�Ne 484 351�4600 610 5373974
630 WestGermantown Pike �i�° E": ac,No:
Suite 200 AD�RE55:
Plymouth Meeting, PA 19462 INSUREFyS�NFFORDINGCOVEMGE NAICp
ir+sunean:Zurich American Insurence Co. 16535
INSUREO iNsunena:Allied World Assurance Company 19489
Hatzel 8 Buehler, Inc. iNsuaeac:Federal Insurence Company 20281
45 Broadway ._--- ... .-------.._...------... ._._ .._...._ . .
INSURERD Illinois Union Insurence Co. 27960
Suite1240 ._._.. _.. ____. .—.___ . ..........----
__ _ .
New York,NY 10006 �NSURER E
._ _ _____ —._—_----
INSURERF: �� ��
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFV THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INOICATED. NOPMTHSTANDING ANV REQUIREMENT, TERM OR CONDITIONOF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS.
__—. — ___._. �� PREMSES RENTED —� ____ __.
INgR GENERIILLIFBILITY A�LSUB POLICYEFF POLICYE%P ( y ��On) 5
X COMMERCIALGENER�ABILITY � � I Eaoccurter¢e T �� � ���
LTR E ___ INSR NND_____ POLIC_Y_NUMBER MWD_D/riYY MMIDD/YYYY _ __�� _
A GL0831155812 3/01/2013 03/01I201 EACHOCCURRENCE a2 000 000
s100 000
CLAIMS-MADE X OCCUR MED EXP An one �S I O OOO
PERSONAL BADV INJURY 'E� OOO OOO
'� GENERALAGGREGATE SC�OOO�OOO
GEN'LAGGREGATELIMRAPPUESPER�. I PRODUCTS-COMPIOPAGG �SC�OOO�OOO
_._X PO����_C'+c�T_.IX.1���___, �S �
_.._ ._""_._.— _._._...._ __ '
/� iAUTOMOBIIELIABILITY BAp631155812 3/Ot/2013.03/01I201 EeawOeD`SINGIELIMIT ;5,�,000'OQQ
I� �X qNY NUTO BODILY INJURY(Per person) �E �
ALLOWNED SCHEDULED I BODILYINJURY(Peraccitlm�);E
AUTOS NO-0NTIED I PROPERTV DAMAGE
X HIREDAUTOS X qUT05 Peracci0en� ��E
IE
B )( UMBREILA LIPB X OCWR 03073505 3I01I2013 03/01/2014 EACMOCCURRENCE S25�����0
E%CE55 LIqB CLAIMS-MADE AGGREGATE 'EYS OOO OOO
—. __.. . ______— .__
DED X RETENTION S�O OOO �S
_-- _' __ ._' .__ _."_ ._____.._""—. _— .
WORKERSCOMVENSFl10N `hLSTATLL OTH-
FNDEMVLOYERS'LIA&LITY y�N
ANY PROPRIETORIPARTNERIE%ECUTNE E L EACH ACCIDENT E
OFFICERIMEMBER EXCLUDED? [� N I A
(MenGatory In NH) E.L.DISEASE�EA EMPLOVEEi E
I/yes descn�e untler
DESCRiPTiONOFOaEw.110rv5Daiow E1.DISEASE-POLICYLIMIT �E
C IContractors Equip 06615590 3/01I2013 03/07I207 LeasedlRented Limit:
52,200,000
D �Po11/Prof Liab. COOG24b52652007 3/07/2012 03/01/201 Limit:52 000 000
DESCRIPTON OF OPERAl10N51 LOCATIONS I VEHICLES(Atlac�RLORU 101,NUOttlonal Remarks Sc�etlule,If more space Is requiretl)
H&[3 01 AT&T GD(ienerator Projecl
Town of Southold is Additioiial Insured as respea�o G/l.,Automobile and Professional Liability.
CERTIFICATE HOLDER CANCELLATION
Tuwn uf Soulhold SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CqNCELLED BEFORE
53095 Roule 25 THE EXPIRATON OATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Dox I 179 ACCORDANCE WITH 7HE POLICY PROVISIONS.
Soulhold,NY 11971
AUTHORRED REPRESENTATIVE
�
�1988-2010 ACORD CORPORA710N.All rights reserved.
ACORD 25(2010I05) � p(� The ACORD name and logo are registered marks of ACORD
#59377630IM9346109 MDKEA
Shore 2 Shore Wireless Inc. ' (" � "'
5550 Merrick Road, Suite 302 � �� ��° �� � �� �
Massapequa, NY I 1758 � � ��
�s i6� ss�-as9s off�e JUN 2 8 2013 �
(516) 557-2397 fax �
June 28, 2013 el!��; �=��i
� rcr;���. ��„ �� r������ ��io
.�-.�:t� 1 --- —
Town of '
53095 Route 25
P.O. Box 1 179
Southold, New York I 1971
RE: New Cingular Wireless PCS, LLC ("AT&T") — Building Permit Application for site
NYNYNY0228 (FA# 10075046/ Site Name: Mattituck)
Premises: 415 Elijahs Lane
Mattituck, NY 1 1952
SCTM# Section 108, Block 4, Lot 1 1.3
Dear Sir or Madam:
Our office represents New Cingular Wireless PCS, LLC ("AT&T") with respect to its application
to add a SOkw diesel Generac generator to the existing public utility wireless telecommunications
facility at the subject premises. This generator addition is in direct response to the effects of
Hurricane Sandy. AT&T is now seeking to install generators on most of their cell sites
throughout Long Island so that in the event of an emergency their customers will have the much
needed cell service they require. With respect to the Building Permit Application, the following
are enclosed in this submittal package:
I) Building Permit Application signed by the applicant as well as an Owner's Authorization
letter signed by the property owner
2) Check in the amount of$385.00 (check# 0053) made payable to the Town of Southold
3) Four (4) sets of construction drawings dated June 13, 2013 and prepared by [nfinigy
Engineering
4) Two(2) property surveys and two(2) site plan pages showing location
5) Four(4)copies of SOkw Generac generator spec sheet
6) Contractor's insurance certificates naming the Town oJ ' head as the additional
insured. f �
� � u; �
Please call me at 516-765-0083 with any questions.
Thank you,
��OIi��UL/�/�
Ka ie Jac s_
Shore2 Shore Wireless, Inc.
516-557-2398- office
516-557-2397- fax
516-765-0083-cell
Katie@ B re n n an s hore.com
�
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NOW OR FORMERLY OF THE I NOTES:
COUNTY OF SUFFOLK TME°'�E'�°a°"F"s°"'�'°"""�F°".'"°"TMF°°���^^�°F�m
I E xOiu X1EXE�N N dWENi�C PIIRPOSE 4�D Ym uIEPEfCPE MEY
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s.cnscueurz xo�sxorm.�rsio.eunanurtco.
Only ceplee h m t�e w ot 1� my m
��.ie:�,.'a ie n:.�ai ea,',�K�ra'=�o.,.,ae.soi,nau ee
`�"..)°u SURVEY OF PROPERTY LOCATED AT:
u������,�_.����.,�,��� ���"��, �"m�° #415 ELIJAH LANE, MATTITUCK
.,,��o p�m,�e o ..w:,,. .�a�e�,o�o,
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`°"`'°"°°z`°`°u COUNTY OF SUFFOLK
CVCilcalon Inam ee nemm�gnl.y mot Pb au.q Mm CFRIIFY TO�
.�„U.. ,�,.<°oe.o,•o,��„�.
TOWN OF SOUTHOLD R������R�P'��� " ��rz �
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AREKSUftVEYINGCOMFANY sooi��.
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vouey so-.o,�, rvv nseo �oe No: .
LO'O" nsc—os212�M MTM DESIGN
TEL (516) ]92-66]6