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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22227 Date MARCH 29, 1993
THIS CERTIFIES that the building ADDITION
Location of Property 320 DEPOT LANE / 29325 MAIN ROAD, CUTCHOGUE, NY
House No. Street Hamlet
County Tax Map No. 1000 Section 102 Block 2 Lot 12.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 17, 1992 pursuant to which
Building Permit No. 21162-Z dated DECEMBER 21, 1992
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is INDOOR PUBLIC POOL & TWO (2) BATHROOMS IN HEALTH CLUB AS
APPLIED FOR.
The certificate is issued to DEPOT ENTERPRISES, INC.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL APPROVED OCTOBER 16, 1987
UNDERWRITERS CERTIFICATE NO. N 117972 MARCH 12, 1990
PLUMBERS CERTIFICATION DATED OCTOBER 27, 1992
13uilding Inspector
Rev. 1/81
MAR 2 3M TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TpriL TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. : 2f........
NEW CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING VACANT LAND
Location of Property..3~Q..~:~.V4e ..............CV-W 7~.k~"1 M aC•7C
HOUSE NO. STREET VHAMLET"
Owner or Owners of Property.... Q eJJS L i~fw ctXr
_V
County Tax Map No. 1000 Section .~Q Block g.... Lot p?d
Subdivision
~~jj Filed Map Lot.........11nn.
Permit No.AJJ 6'i~&ate of Permit/AJ?'.//~plicant ..k{.
Health Dept. Appro al.. Underwriters ApprovaAAAAl~l2~1.7.,'~
Planning Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted: Xile e.l~
APPLICANT...
X70
rev. 10/14/88
1135044 THE NEW YORK BOARD OF FIRE UNDERWRITERS
pm BUREAU OF ELECTRICITY '
85 JOHN STREET, NEW YORK. NEW YORK 10038
Date March 12, 1990 Application No. on file
THIS CERTIFIES THAT 674006-90 N117972
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
Joseph Lizewski, 320 Depot Lane, Cutchogue, N.Y.
in thefollowinR location: q Basement ? 1st FL ? 2nd FT. Section Black Lot
was examined on February S, 1990 and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS IICEPTACLES SWITCHES INCANDESCENT FLUCRESCENi OTHER AMT. K. W.. AMT. K. W. T. K.W. T. K. W.
AMT. H.P.
16 5 6 16
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS YU UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K. W. OIL H. P. GA$ H. P. AMT. NO. A. W. G. AMT. AMp. AMT. AMpS. TRANS. AMT. H. P. SYSTEMS AMT. WATTS
NO. OF FEET
SERVICE DISCONNECT NO. OF S E R V 1 C E
AA4 AMp. TYPE METER 1 R TW 1 ,e 3W 3.6 3W 3,1 4W NO. OF CC. COND. A. W G. NO. OF NI-LEG A. W. G. NO. Of NEUTRALS A. W. G.
EQUIP. PER a OF CC. COND. OF MI.LEG OF NEUTRAL
OTHER APPARATUS:
Panelboard/s:1-6cir. 100amp.,1-5cir. 100amp.
Motor/a:1-3hp
1-300watt Pool light with 12volt transformer
SWIMMING POOL: This certificate covers epmpliance at the date of inspection only.
Because of unusual environments it is advisable to have frequent test/and or repairs i
made by a qualified person.
5-G.F.C.I.
Francis McCaffery
4010 Bridge Lane CHINIS E MANAGER
Box 245 Lic.1145 E 11
Cutchogue, N.Y. 11935 Pet
This certificate most not be altered in any manner; return to the office of the Bbbfd if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORK xa s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
WN° 21162Z Date ..:.Asg- -:.1........, 19.x.
Permission is hereby granted to: L
I ..5~4
1
16
to ...~~~V i1 5. "^a....t.tndl.:t`,Fi '1 prStf. 5..... ..~'l X....`k.....t3e 0& ...t?..... .
v ?lets 1ltln.d....... ...4rQ Al ~r...^..A
of premises located at. +3V . L. X-1 A .
~3°?s ......SQ 'w
.
County Tax Mop No. 1000 Section Lq. 4-:..... Block .....0.4:....... Lot No..J A~1... 1
pursuant to application dated .SArn a4 197.;?r., and approved by the
Building Inspector.
Fee 3'~....
in~--=
ctor
Rev. 6/30/80
1:.LD E•••i.;:i ~i !i•t LNTC
H
ODUDATION (13t)
c
OUNDATION (2nd)
OUCH FRAME & CAI
.PLUMBING
y
I m
n
IlSULATIO ;1 PER N. Y. • •
STATE ENERGY
CODE
m
.ter
• O y
FINAL I -
ADDITIONAL COMMENTS:
m
' x
H \
• O
a
• a r
y pQ
COUNTY OF SUFFOLK Q d [ D
i= ~
~CYN sE
~y
;mot
PATRICK G. HALPIN
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES DAVID HARRIS. M.D.. M.P.H.
COMMISSIONER
April 20, 1988
Mr. Leon Rosenthal, AIA
859 Sunrise Highway
Babylon, NY 11704
Dear Mr. Rosenthal:
SUBJECT: APPROVAL OF CHANGES TO PLANS FOR INDOOR SWIMMING POOL;
VILLAGE COMMONS, LOCATED AT NORTHEAST CORNER OF
DEPOT LANE AND MAIN ROAD, CUTCHOGUE
This letter is in response to your recent request for approval
of three changes you propose to make to the above referenced
pool. It is my understanding that these changes are:
1. Install an underwater light to conform to latest electrical
codes.
2. Change the steps as shown on the new plan sheet.
3. Install a pressure gauge on both supply and return lines.
Please be advised that these changes are acceptable and have
been approved (two copies of plan sheet #2 are enclosed).
After construction has progressed to the point that the piping
has been completed in accordance with the approved plans, an
inspection by this office must be done before backfilling can
begin. This inspection can be arranged by calling me or
James Whitney at tel: (516) 348-2897
~
gal/ D v
Very truly yours,
A /
Richard Markel, P.E. r/
Bureau of Groundwater Resources
RM/jb
Enclosy~es
CC: 'Building Department, Town of Southold
Village Commons, Inc.
225 RABRO DRIVE EAST
HAUPPAUGE, N.Y. It 788
15161346-2900
348-2897
s
COUNTY OF SUFFOLK
PATRICK G. HALPIN
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES DAVID HARRIS. M.D.. M.P.H.
COMMISSIONER
May 14, 1990
MAY 16 W
Mr. Leon Rosenthal, A.I.A.
859 Sunrise Highway BLDG DEPT. °
Babylon, N. Y. 11788 TOWN Up souff oLb
Dear Mr. Rosenthal,
SUBJECT: POOL LOCATED AT THE VILLAGE COMMONS, CUTCHOGUE,
The above referenced pool was inspected by a representative of
this office on May 7, 1990. It was found that the pool was
substantially constructed according to the approved plans. We are
also in receipt of your certification letter (dated March 29,
1990 - indicating that this facility was constructed according to
the approved plans) and the New York Board of Fire Underwriters
Certificate.
Having completed these requirements, it is the determination of
this office that the above referenced pool is approved.
Please be aware that an annual operating permit must also be
received from the department's Bureau of Marine Resources. This
can be obtained by contacting:
Dr. Robert Nuzzi
Chief, Bureau of Marine Resources
Suffolk County Department of Health Services
County Center
Riverhead, NY 11901
Tel: (516) 548-3330 or 3331
Ve t Z41, rs,
Richar P.E. f
Bureau of Groundwater Resources j
cc: Building Department, Town of Southold
Village Commons, Inc., R.R.#2, 29235 Main Rd., Cutchogue,
N.Y. 11935
BUREAU OF DRINKING WATER
225 RABRO DRIVE EAST
HAUPPAUGE. NEW YORK 11788
(516) 348-2776 }k4(4(
1
12, 1 TOWN OF SOUTHOLD PROPERTA ECORD/CARD
OWNER STREET 2 3 6 ' VILLAGE DIST. SUB. LOT
r;Se .i-r)C - a n /~e a d C vac yo- a e,!-c k-I''Ole
FO ER OWNER U L;zxe ski` N, E ACR.
S W 1~elc~ 0.N - TYPE OF BUILDING
KAf~-.wd 410 OWICZ A/:tV g_ , ,-dfw0 LIZFvvSKI
RES. SEAS. VL. FARM ' C0/19M. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS f ~p
~SSa o/P~f4e.6 aCd <!c a 7L
6 u a Co/nw6v,!(
U^~ T
/QQ )lpd 0 6Q0 7J !if/d /2, 63-1 0~3Y 446 %n kl JJ-
/864 ,2 Q 7d0 L?//J/ 0 5-113177 Ow S e ;.s- %o SrPE~p E Pr~~.et[
!
0 0 3 ! v p i ~C v ? !c / 17 Y & 5 'J- 3mL,voi 41,>,uHe 4-ihc. 838?;0155 J'Z O,JGUi
~p~ a UO 3100 /3 0 0 /1/s "~L Sa as ~r. Z/ZCws-1/
J"1 3 0 14 /1 3 v I G COND T O Z 7 E33 r~. olC1~S C, rr3c~~ yocJ:
N -N ~ CO
ORMAL , BLOW B Z
~4 - V 1
CoCikGUC(n ~l CCAIiLV!-Uc)A
FARM Acre Value Per Value
1.5 o O i-4- A e ~ r'aLc~ a „ t~- l 1 ~i o
Tillable Ufu. 2j Zuti ~ A -7&41 E-8 8P#!S / /pile vee born -[rare ma4in bl(J•`,
Tillable 21,S6 Z y s-o.y. 3 0 4a YZ Ov'97-)-11420 U
e. ws k ~ ~}o I~ero~}- ~~Dr~'sc C. /y~L
Tillable 3
Woodland ~j2 00/3 -~~nJC'7~iS~l+lci ~Qrn
Swampland FRONTAGE ON WATER
~,aYa10~r~.ConS CIe~Q+av~'MS~~'-
Brushland FRONTAGE ON ROAD ~~"0 @ bU - ~7 p0 ~J ? a <
E1 at -A ~ac
House Plot_ ~Gv DEPTH y~
BULKHEAD I Sc wv f
/c1 w / 7o-a
Total DOCK
0 34 to
COLOR
1 X l
TRIM
4
-
z - t• ate, d
lr T4 K P.
a
Foundation 0 Bath ! Dinette
ih Z- -2 x 3 5 = 9 0$ asement Floors K.
Extension x I h = Z<Ib 52 , 2-r 'l `f -7, 1 -
2. I C. Ext. Walls Interior Finish LR.
Extension' I X 2'2 2>
x Fire Place Heat DR.
P5 < S
xt io w 884 --q, 7-f' 37S7 I
4 P 'OU C, 2 S ,9 7 2 yPe Roof ,4(!,L Rooms 1st Floor BR.
'',a ,•a z c.••
Fo`"mss Z :1 ~e ZS 170 U ecreation Room Rooms 2nd Floor FIN. B.
r'
LT
~5 ~F-4 z = ag
Porch" Dormer
Breezeway Driveway
Garage Z 17-7
Patio Ic 2 f
0. B. N'q 2- Aft
Total ; t e -71 -7-7
s
'7 7
A oR Ck~,q
2-
t-H
-17 1
COUNTY OF SUFFOLK D OW
tI
NOY 2 TIM
al_nc. nr=pr.
~~A ~cwN aF s~urHan -
PATRICK G. HALPIN
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES
DAVID HARRIS, M.D., M.P.H.
COMMISSIONER
May 14, 1990
Mr. Leon Rosenthal, A.I.A.
859 Sunrise Highway
Babylon, N.Y. 11788
Dear Mr. Rosenthal,
SUBJECT: POOL LOCATED AT THE VILLAGE COMMONS, CUTCHOGUE,
The above referenced pool was inspected by a representative of
this office on May 7, 1990. It was found that the pool was
substantially constructed according to the approved plans. We are
also in receipt of your certification letter (dated March 29,
1990 - indicating that this facility was constructed according to
the approved plans) and the New York Board of Fire Underwriters
Certificate.
Having completed these requirements, it is the determination of
this office that the above referenced pool is approved.
Please be aware that an annual operating permit must also be
received from the department's Bureau of Marine Resources. This
can be obtained by contacting:
Dr. Robert Nuzzi
Chief, Bureau of Marine Resources
Suffolk County Department of Health Services
County Center
Riverhead, NY 11901
Tel: (516) 548-3330 or 3331
Ke t Zar~
rs r el
, P.E.
Bureau of Groundwater Resources
cc: Building Department, Town of Southold
Village Commons, Inc., R.R.#2, 29235 Main Rd., Cutchogue,
N.Y. 11935
BUREAU DF DRINKING WATER
223 RABRO DRIVE EAST pp
HAUPPAUGE. NEW YORK 11788 V~
13181 348-2778
BOARD OF HEALTH
FORM NO,1 7 SETS OF PLANS
TOWN OF SOUTHOLD SURVEY . .
BUILDING DEPARTMENT CHECK
TOWN HALL SEPTIC F0R:1
SOUTHOLD, N.Y. 11971
TEL.: 7651802 t:oT I FY ;
f_.xamincdA).1.,,..s), i9q;L IL TO:
MA
%pproved 1911-Permit No.4
Disapproved a/c .........................aip
or)
APPLIC
ATION FOR BUILDING PERMIT
Date ..............t.~.., 19
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspe ic r, with 3
is 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 p streets
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ition.
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 issued a Building Permit to the applicant. Such permit
.all 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 whatever until a Certificate of Occupancy
.all have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
gilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
=gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
ie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
mit authorized inspectors on premises and in building for necessary in Hcio
(Si
app i an .t, name, if a corporation)
(Mailing address of applicant)
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
aJ......G~a~r!aC~.
y,r
ame of owner of premises , • • • b-~~ V s e 5
(as on ttie tax roll or latest deed)
applica t is a c?rporation, signature of duly authorized officer.
am, title of corporate officer)
Builder's License No .
Plumber's License No .
Electrician's License No .
Other Trade's License No .
Location of land on which proposed work will be done.
Ifouse Number Z~........... P'....1_.c~ o)
Street Hamlet
County Tax Map No. 1000 Section .0).~ Block
Lot... ~
Subdivision Filed Alap No.
Lot
(Name)
State existing use and occupancy of premises and innt(e~nde~d use and occupancy of proposed construction:
a. Existing use and occupancy s-. Z
b. InLended use and occupancy ~wa.~ °,r!
3..Nai8te of work (check which applicable): New Buildin
Repair g Addition tion
• • • • • Removal Demolition Other Work orork .
4. Estimated Cost . (Description)
Fee................
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor ,
If garage, number of cars .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions of existing structures, if any: Front .
Height Rear Depth...............
Number of Stories
Dimensions of same structure with alterations or additions: Front
Rear.....
Depth Height...................... Number of Stories..............:.......
8. Dimensions of entire new construction: Front .
Height . Number of Stories . , , • ............Rear Depth
9• Size of lot: Front
Rear.......
10. Date of Purchase Depth
""'••••••••••••••••••••••..Name ofFormer Owner
11. Zone or use district in which premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation: .
13, Will lot be regraded Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .
Name of Architect Address ...................Phone No............... .
Address Phone No................
Name of Contractor Address
15. Is this property within 300 feet of a tidal wetland? * " " ••o......No....
*If yes, Southold Town Trustees Permit may be required. CiPLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
PATE OF NEW RKK,,I--;~--..
OUNTY OF :<t`S.S
z~`/ • • • • ` • L?ze4~,, 57 being duly sworn, deposes and says that he is the applicant
Name f ( individual signing contract)
ove named.
is the ..........................'P. '
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
plication; that all statements contained in this application are true to the best of his knowledge and belief, and that the
)rk will be performed in the manner set forth in the application filed therewith.
om to before me this
/
o? R `t h .....day of. ~.?7?, 191_
Lary Public, County
\ C.
'L!L.%3Esii ANi4i -VILLE ...piii
Notary Public, State of New York gnature of applicant)
No. 52-8125350, Suffolk County
Term Expires October 31, 19
h O O L. DATA j
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