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wig TOWN of SOUTHOLD ° BUILDING DEPARTMENT SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 529SS Date: 05/06/2026 Permission is hereby granted to: Orient Fire District 23300 Route 25 orient, NY 11957 To: Modify an existing wireless location for Verizon,to include modifying ground based and tower mounted equipment as applied for as per Planning Board approval. Additional certification may be required. Premises Located at: 23300 Route 25, Orient, NY 11957 SCTM# 18.-5-13.8 Pursuant to application dated 04/29/2026 and approved by the Building Inspector. To expire on 05/05/2028. Contractors: Required Inspections: Fees: WIRELESS COMMUNICATIONS -MODIFICATIONS $500.00 CO Commercial $100.00 Total $600.00 JA2) Building Inspector N6 ATC 373337 15333968 NR � 4 TOWN OF SOUTHOLD--BUILDING D:FPARTMEENT ° Town Hal.Annex.54375 Main Road P. 0. :Box 1179 Southold,NY 11971-0959 Telephone 63I 765-1502 Fax +63I 76.5-9502 4 -f.southc-�lc�t��.�nnti'.�c��- a Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector: 2'026' '1 - µ AH 9' 3m Applications and forms must be filled out irl their entirety.Incomplete r applications will not be accepted. ''Where the Applicant is not the owner,an N n v V Owner's Authorization farm(Page 2)shalt be completed. Date: OWNER(S)OF PROPERTY: Name:Orient Fire District American Tower SCrM#1000-0 18�00-05-00-013-008 Project Address.23300 Main Road, Orient, NY 11957 Phone##: Email Mailing Address: CONTACT PERSON: Name:Margie Weber w MailingAddress: � 40� Blu e dell PA 1 4 1777 ant Parkway �!'� Veva 17' Suite 22 N Phone#:215-416--0383 Email:mweber@nbclllc.com DESIGN PROFESSIONAL INFORMATION: Name:Patrick Barry Mailing Address:1 Fenton Main, Suite 300, Cary, NC 27511 Phone#:919-488-0112 Email: a CONTRACTOR I N FORMATI O W Name: Fast Track Electric Corp U Mailing Address: 3065 Lawson Blvd. Oceanside, NY 11572 Phone#:516.536.0575 Email: d.beirne@fasttrackelectric.net DESCRIPTION OF PROPOSED CONSTRUCTION REMOVE(6)ANTENNA(s)AND(6)DIPLEXER(S) INSTALL(3)ANTENNA(s) ❑New Structure OAddition RAlteration ©Repair DDemolition Estimated Cost of Project: []Other �e,00Q.00 Will the lot be re-graded? L]Yes RNo Will excess fill be removed from premises? ElYes SNo 0 1 w N ATC 373337 15333968 PROPERTY INFORMATION Existinguse of roe i intended use of ro e property:' Fire Dept�&Telecommunlcatlons� p p rtY saCYIE'. Zone or use district in which premises is situated, Are there any covenants and restrictions with respect to R-80 this property? CIYes BNo IF YES,PROVIDE A COPY. ❑ Check Box After R e 2 d i ng: The owner/contractor/design professional is responsible for aft drainage and storm water issues as provided by Chapter 236 of the Town Code.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 bulldlnp, additions,alteradons or for rernoval or demolition as herein described.The applicant agrees to comply with all applicable taws,ordinances,building code, housing node and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. .M aWeber Application Submitted B (print name. � Authorized Agent ❑Owner Signature of Applicant: Weber • STATE OF NEW YORK) SS: COUNTY OF 5 u f-fo k ; being duly sworn,deposes and says that(s)he is the applicant (Name of in ividual signing contract)above named, Mhe is the LIC cuflimi.�.5 � Contractor,Agent.,Corporate Officer.,etc.) � g P' 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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. i G Sworn before me this day of 20 ' Notary Public 8F.ANADE 1 i L TAPU N NOTAW PUBLIC.STATE OF N EW VOW V _ Reofttic n No.41 ' + P E RTfi " 1� ,�c t "ON�� fed in s►�ra�ol�c Cau* y ..,._.... _ �e. M.d ... �R�« .� m,�, »�� �,���>>..r..-.- rmss►lon MY Com Expires Febw+�y t ,.,,b (Where the applicant is not the owner , ` y ORIENT FIRE DISTRICT 23300 Main Road,Orient,l'vY I residing i n at 6 S ._.. Y5(-',1oC*"7*r'd�ohereby authorize N or B i di and Con sulting LL to apply on i� i my alfto the Town of Southold Building Department for approval as described herein r Owner's Signature 11 Date J Orient Fire District 1 Print Owner's Name 2 i f gomm OFFICE LOCATION: " NIAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 Mate Route 25 Southold, NY 11971 cor. Main Rd. &Youngs Ave.) Southold, NY coo Telephone: 631 765-1938 www.southoldtownny.gov boa r n, PLANNING BOARD OF°F'ICE rn TOWN OF S0UTHOLD 2026 1 „ MEMORANDUM To: Michael J. Verity, Chief Building Inspector From Heather M. Lanza, AICP, Planning Director Date: April 28, 2026 Rey planning Department Report Verizon Upgrades at Orient Fire District 23300 Main Load, Orient SCTM#1000-18.-5-13.8 The Planning Department has conducted a review of the proposed modifications pursuant to §280-74 B(2), and has received a report from our Wireless Technical Consultant, Cityscape, Inc. (see attached report dated April 27, 2026). The proposed Verizon equipment upgrade is in compliance with the General Requirements of§280-70. The proposed equipment upgrade will not result in any visible changes to the exterior, as it involves removing and replacing antennas and related components, with all feedlines routed internally through the shaft of the concealed monopole. In addition, replacements of ground equipment will be contained within the existing compound. Therefore, we recommend a Building Permit be issued for this application as soon as possible to meet the Federal shot clock for approvals of wireless facilities. Laserfiche File: Planning IApplications\Site Plans\Pending11000-18.r-5-13.8 Wireless Facility at Orient Fire District\Upgrades1100-18.-5-13.8 Thank you for your cooperation