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Home My WebLink About1000-87.-1-4 TOWN OF SOUTHOLD Rental Permit 1145 Owner Hollander JR Liv. Trt. Occupied as Accessory Apartment Located at 485 Old Woods Path Southold 87.-1-4 Maximum Permitted Occupancy 2 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 5/31/2024U��%ML e r ine -t ficial This Notice must be posted by the main entrance at all times to 3 $04N4,44 OWN OF SOUTHOLD—BUILDING DEPARTMENT j V"&4 0 T Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 / rir,,. ;It;k Telephone (631) 765-1802 Fax (631) 765-9502 tjqM. L)yWA,sr tit ��►Ldtqw ip j�0,0-5 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two year Section A. Property Information: Rental Property Address- 1 I Y I j 1-71 old wa, j :&f� 56U 0 Tax Map Number: 1000 SECTION --BLOCK SECTION B. OWNER INFORMATION: Property Owner Name- Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) o-o 0,44 ,,� l 7-1 Telephone Number (s): Daytime—la——�39 Evening_ Emergency. Property Owner Email Address: — h h i — Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: U lJi For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier (for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 1 JC rv�, SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold :AJ"(?, ❑ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOL,K)I certify under penalty of perjury, the following: 1. 1 am the owner of the property identified in "Section A" of this application. 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: " -- Property Owner's Signatt ... � .. .._wrv. Sworn to before me this0" y of \ lit 20a`( n Official Notary Public Signature and Original Notary Stamp C,ONNIE D.BUNCH Notary Public.State Of Nevv Yori N10,01l tl f 86050 county Page 4 of 4 Qualified in Suffolk. are r l ulur Fxp!FGS April l4. .. . /V Town Hall Annex Telephone (631)765-1802 ,",� '" ��rt 54375 Main Road h , P. O. Box 1179 a" Southold, NY 11971-0959 +» " w r�µ BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: o w'. � t Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: TOWN OF SOUTHOLD BUILDING q4�!r cip wa W 5"444 631 -765-18 2 � ' '�' - t INSPEC ION [ ] FOUNDATION 1ST ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAL [ ] FRAMING STRAPPING [ FINAL ] FIREPLACE CHIMNEY' [ ] T SAFETY I [ ] FIRERESISTANT CONSTRUCTION FIE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit CODE VIOLATION ] PT CO [ REMARKS: DATElmxkq,,, I NSPEC T A-103 k 9 4 1/4 ... f �1 4 KITCHEN SF 0 8 _....... _.. DN MECH 3 T-5 1/2" 3'- 10" 34 SF _ ....... ... _....._. .._... ._ VV H bo LIVING/DINING ROOM 2 A-102 320 SF..�.�..., ....4�... ... „_...,,. .. ..�w�.... i I i A-101 3 U ' o„ 4 6S ,... 12'-43/4" a BATHROOM , _. 5CD ... M I 38 SF .BEDROOM ........�... A - - 122 SF p IN I� ....... .._ ... . — . —. CL � 7 t 6 SF FIRST FLOOR PLANPLAN 1 1 -0 A-103 TOWN OF SOUTHOLD PROPER j �{ D CARD WNE ;7k TREE 1 VILLAGE T, SUB_ LOT f JORMR OWN N E ACR. -Or �._ e S TYPE OF BUILDING EAS, VL. ? FARM I COMM. CB. MILS. Mkt. Value I LAND IMP. F TOTAL DATE REMARKS s ;. t g F f E e 3 _ 4 i g E P s � q 1 ¥ pp e' d AGE e BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre � �` � Tillable FRONTAGE ON WATER NA 4- Woodland FRONTAGE ON ROAD ^ AA11 Meadowl.and DEPTH House, BULKHEAD Total DOCK i I C0 L 01 -4 s 1 v� # F 1 ; E 1 # M. Bldg. I i Extension - 1 ', # -_--�� E I f Extension i n r � f � E Extension 1 i E Foundation ! IBoth I Dinette Porch lBosement _ (Floors I<, t Porch _ Ext, Walls rio Finish 1 W Into r nish LR. Breezeway — Fire Place @£ f Heat F CDR: -- Garage Type Roof Rcarrts 1st Floor ER. I i Patio !Recreation Rocm = !Rooms 2nd Floor 1 FNi B O, B� ----,Dormer Driveway t Total f I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24764 Date DECEMBER 2 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 485 OLD WOODS PATH SOUTHOLD N.Y,„ House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24764 dated DE ER 2 1996 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 ONE FAMILY DWELLING & ACCESSORY WOOD SHED The certificate is issued to JAMES J. MAGUIRE JR. & ORS. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. BuildinyOOlnepector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SotMiOLD HOUSING CODE INSPECTION REPORT LOCATION: 485 OLD WOODS PATH SOUTHOLD, N.Y. r & street municipality SUBDIVISIONMAP NO.---...... LOT(s)". NAME OF OWNER (s) JAMES MAGUIRE OCCUPANCY SINGLE FAMILY ............ ET owner-tenant ADMITTED BY: KATHLEEN KLOTZER ACCOMPANIED KEY AVAILABLF ......... -TAX MAP NO.�l.-IQQQm$7=�J.-A..---.-.., ,. SOURCE OF REQUEST. DONALD KcGAYHEY ATTY DATE: .,,,NOV ........... www .......... ... ............ '5WECLfid": TYPE—OF 60NSTRUCTTON WOOD FRAME # STORIES 2 # EXITS 2 FOUNDATION BRICK CELLAR w PART._,.'_ CRAWL SPACE-,,,,,,,,,,. TOTAL ROOMS: IST FLR. 4 2ND FLR- 2 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) ONE UTILITY ROOM SIDE HUD ROOM PORCH TYPF FRONT SCREENED�-'' DECK. TYPE _,....... PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER w XX TYPE HEATER ELECTRIC AIRCONDITTONING TYPE UEAT OIL WARM AIR HOTWATER. OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1-1 2A.W.jFR_W STORAGE, TYPE CONST.__k-DOD,_jS=,._- SWIMMING POOL-----'—-. ............., GUEST, TYPE CONST._,,,___, OTHER:----- ...... ----------------- ---------- VIOLATIONS: CHAPTER 45 N.Y- STATE UNIFORM FIRE PREVENTION & BUILDING CODE ................. ...... LOCATION DESCRIPTIONSEC. . ............ .............. .............. ................. ............ REMARKS: BP #10046 CO Z-9325 ACCESSORY GARAGE INSPECTED BY DATE OF INSPECTION NOV. 14, 1996 M- BOUFIS TIME START 9:50 AM END 10.10 AM I r0= No. 4 TOWN OF SO OLD BUU,DING DEPARTMM Town Clerles Office Southold, N. Y. Certificate Of Occupancy No. . . . Z9325 , , Date . . .Uec emb.er. .4. . . . . . . . . . . 19. 78 10. THIS CERTIFIES that the buildinglocated at . . ? . Private Rd.. . . . » SZKN*3 Map No. Block No. . . . . . . . . . .Lot No. . . .. . . . » . . . . . . . . . . . . . » . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .November .30. . . . . .. 19. 78 pursuant to which Building Permit No. . !0046Z dated . . •Deoembear• . .4. . . . . . .. 19.7.8., was issued, and conforms to all of the require- ments of the applicable provisions of the law.The occupancy for which this certificate is issued is . . . . . . . . .. PAq§,:�ox'Y. .Struc x° . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . The certificate is issued to . . . . . . . . . . . . J q-Tmp's. '!4z&r a . . . . . . . . . . . . . . . . .. . . . . . . . . . (owner, knotardenald4cc of the aforesaid building. Suffolk County Department of Health Approval . . . . , . . . . • • » . _K/R . • . . • . . » . . . . . 74 UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . » . . . . . . . . . . . . . HOUSE NUMBER . . . . . .485 . . . . Street . . . . . . . .Primate. Road h. 1 A . . . . . . . . . . . . . B g Inspector County Tax Number 1000-087-1-4 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29352 Date: 04/09/03 THIS CERTIFIES that the building ALTERATIONS Location of Property: _ ww 485 OLD WOODS PATH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 47889 Section 87 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV 1BERR16, 2001 pursuant to which Building Permit No. 27936-Z dated DECEM13ER 3, 2001 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 "AS BUILT" ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARK F & CAROL A SZ NAX (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAI. N A ....... ELECTRICAL CERTIFICATE NO. 1038g044 03 11 02 PLUMBERS CERTIFICATION DATED N/A V ji nature ..w........._. Rev. 1/81