HomeMy WebLinkAbout53023-Z TOWN of SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD., NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT CAN THE PREMISES
WITH ONE SET OF APPROVED PANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 53023 Date: 05/27/2026
Permission is hereby granted to:
Our Lady of Crake RC Ch
Po BOX 425
Fishers Island, IVY 06390
To:
install a generator as applied for with Planning approval.
Premises Located at:
233 Alpine Ave, Fishers Island, NY 06390
SCTM#9.-7-11.1
Pursuant to application dated 05/27/2026 and approved by the Building Inspector.
To expire on 05/26/2028.
Contractors:
Required Inspections:
Fees:
GENERATOR $125.00
CO C mmercial $100.00
Total S225.00
r
Bu'Rffwfig Inspector
m TO 'VN( F C IJTHC LT BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 1 1 97 1-0959
ny ; Telephone(631) 765-1802 Fax (631) 765-9502, ,,,tt�D � "`W' /W.Sou ho d. owr.agy
yVil
Date Received
APPLWATION FOR BUILDING PERMIT
II -,e a r91°p
For Office Use Only
ff M AY 2 6 2026L*J
PERMIT NO. r Building Inector:
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date,#
OWNER(S)OF PROPERTY:
Name: LadySCTM#1JCJC�- - -
Cur of Church ? 11 .1
Project Address:233 Alpine Avenue (a/k/a Oriental Avenue & Ettrick Avenue)
Phone#:(631) 788-7353 Email:
Mailing Address:Al ine Avenue, Fishers Island, New York 06390
CONTACT PERSON:
Name:India DeCarmine, Esq., Amato Law Group, PLLC
Mailing Address:8 6 Old Country Road, Suite 901 , Garden City, New York 11530
Phone#: 51 227-6363 Email:idecarmine@amatofirm.com
...........
DESIGN PROFESSIONAL INFORMATION:
Name:,Structural Consulting Services, P.C.
Mailing Address:67 Federal Road, Brookfield, Connecticut 06804
Phone#: 2O3 740-7578 Email:ifahey@scs-pc.com
CONTRACTOR INFORMATION:
Name: ---
e-c
Mailing Address:
Phone T,: r Email:
DESCRIPTION 6F PROPOSED CONSTRUCTION
❑New Structure OAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
C1 Other collocation of public utility wireless communication facility I ene rc,,,�v r- $
Will the lot be re-graded? DYes ®No Will excess fill be removed from premises? ❑Yes @RNo
PROPERTY INFORMATION
h h hi I,i 1111*06"hi om—
Existing use of property: church and public utility wireless � Intended use of property:same as eXlsting
communication facility Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Residential T- ' this property? *Yes r-lNo IF YES, PROVIDE A COPY.
11 Check BoxAfter Reading'. The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by
Chapter 236 of the Town Code. APPLICATION IS 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,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,,building code,,
housing code and regulations and to admit authorized inspectors on premises and In building(s)for necessary Inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. W1
New York SMSA Limited Partnership
Application Submitted By(print n' me): d/b/a Verizon Wireless RAuthorized Agent ElOwner
Signature of Applicant: 13,�.. . ..... Date:
Name:Teresa Garci,
STATE OF NEW YORK) Title: Senior Engineer Spec-Real Estate Property Management NY Metro
SS:
COUNTY OF
Teresa Garcia, on behalf of New York SMSA
Limited Partnership d/b/a Verizon Wireless being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the lessee
(Contractor.,Agent,Corporate Officer,etc.)
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.
Sworn before me this
C) day of A- In" 20 rnw
Wtary Public
SHANNON ENNIST-MUCCI SHANNON ENNIST-MUCCI
Notary Public, State of New York Notary Public, State of New Yo
No. OIEN6247179 Qualified in Ulster County No. 01EN6247179
P ROPERTYOWN ER AUTHORIZA T I ON Qualified in Ulster Cou
Commission Expires August 22, my
here applicantis not the owner) Commission Expires August 21,
Tit
I, on behalf of Our Lady of Grace Church residing at
e00j00-: New York SMSA Limited Partnership
10 ALA Ll� I do hereby authorize d/b/a Verizon Wireless to apply on
7U, 'd Building I a, �es i'bed herein.
MY b�, alf So old Building Department for approval
Our La.d Y�bf urc
vi,
/00
miners Signatur Date
t em 4"'A /� ,
Print Owner's Name&Title
2
OFFICE LOCATION. NLk11_JNG ADDRESS:
Town:Hall Annex O P.O.Box 1179
oy,P�Ah
r
4375 State Route Southold,NY"11971
(cor.Main Rd. &Youngs Ave.) iP
a Telephone: 631 765-1935
Southold,NY
u www.southoldtownny-gov
N '
9V A, 4 A
e'OU;Vi
m
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Michael J. Verity, Chief Building Inspector
From Heather M. Lanza, AICP, Planning Director
Date: June 4, 2021
Re: Planning Department Report
Ver1zon Wireless @ Our Lady of
Grace Church
SCTM#1 000-9.4-11.1
Oriental Avenue, Fishers Island
The Planning
Department Dep �+artment has onductedreview,of the proposed application pursuant
Bw p from our Wireless Technical Consultant,
to §28,0-74 �2 � end ���� �������� �� o .
It Scap , Inc. (seeattached report dated a�rchl 1,1 J 2.020
"erl�zon improvements as shown, on the Site Plan dated March, 1 2018
The proposed p ��
and last revised March 31, 2021 are in cornpliance lth�the en�eral e����re�rne is of
§2,80-70* therefore, we recommend a Buildib, r It be issued fort is application i
the StructuralAnalysis Report dated January o the,acou� cal
accordance �t
studY analysis dated February 3, 2021, and the following conditions:
1. The equipment con pound s�hall be entirely concealed from vie with se
evergreens consistlir of at least twenty (20),, staggered, -� high ark,
Arborvitae as s n on the site plan; and
2. 'The ev r r�een screening around the gro�und equipment co p un� s all 'b
e ntaln s roe d for the life of this facility,. The, r e s shall, �t in, a
pp
healthy condition. Dead or downed �tr �s shall e replaced within six (6) months
so that all equipment, shelters, fences, dates`and other associated structures are
not visible from any vantage point; and
3. preplacements The steeple roof shall match the existing roofing in style, color and
texture; and
4. Noise from base equipment, including the backup generator, shall measure less
than 45dB at all adjacent property lines; and
5. The facility shall remain secured and protected from unauthorized persons.
6. No exterior lights were reviewed or approved in connections with this application,,
Any exterior lights on or around the outside of this area must be reviewed and
approved by the Planning Board and must meet Town Code §172 Exterior
Lighting.
7. Prior to the issuance of a Certificate of Occupancy, a final site inspection is
required to ensure conformity with the Site Plan.
Thank you for your cooperation.,