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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 DECEMBER 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.
Buildin nspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 485 OLD WOODS PATH SOUTHOLD, N.Y.
number & street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) JAMES• MAGUIRE
OCCUPANCY SINGLE FAMILY —
type J owner-tenant
ADMITTED BY: KATHLEEN KLOTZER ACCOMPANIED BY:. SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-87-1-4
SOURCE OF REQUEST: DONALD McGAYHEY, ATTY DATE: NOV. 13, 1996
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME STORIES 2 ; EXITS 2
FOUNDATION BRICK CELLAR PART. CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 2 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) ONE UTILITY ROOM SIDE MUD ROOM
PORCH TYPE FRONT SCREENED DECK, TYPE PATIO
BREEZEWAY FIREPLACE NO GARAGE
DOMESTIC HOTWATER XX TYPE HEATER ELECTRIC AIRCONDITIONING
TYPE HEAT OIL WARM AIR HOTWATER XX
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. 1-1/2 WOOD FRAME STORAGE, TYPE CONST. WOOD SUFn
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
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VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP #10046 - CO Z-9325 - ACCESSORY GARAGE
INSPECTED BY DATE OF INSPECTION NOV. 14, 1996
";"' - xg�
J NM. BOUFIS TIME START 9:50 AM END 10: 10 AM
Form No. 6 -- - -_
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL 2 Ig�
765-1802
APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept, of water supply and sewerage-disposal(S-9 form) .
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1 . Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - .25v�•
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . .November„13,, 1,996. . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building, house.,. . arae & shed
Location of Property. . .4 . .Old. Woods .Path., .Southold.,. . New York . . . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
James J. Maguire, Jr. , Robert J. Maguire, Patricia A. Marion
Onwer or Owners of Property, &. Jane,M..Maguire.Kehoe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . 87. . . . . . . . .Block. . . . 1. . . . . . . . . . .Lot. . . .4. . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . : . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Pre-CO
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .X . . . . . . .
Fee Submitted: $. . .100:00. . . . . . . . . . . . . . . . . . . . .
.. �
ald M.� cGay s agent Don CANT a
CONSENT
TO
INSPECTION
Donald M. McGayhey, Esq. the undersigned,
agent of Owner(s) Name(s)
do(es) hereby state:
agent fo
That the undersigned (is) (xtas� the owner(s) of the premises in the Town
of Southold located at 485 Old Woods Path, Southold, New York
which is shown and designated on the Suffolk
County tax snap as District 1000, Section 87 , Block 1 Lot 4
That the undersigned (has) (1mmO filed, 'or caused to be filed, an applica-
tion in the Southold Town.Building Inspector's Office for the following:
pre-existing C.O. for house, garage and shed
That the undersigned do(es) hereby give consent to the Building Inspectors
of the 'Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any i.nforniati.on obtained In tine conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the To of Southold.
I) etc cl
-]�- (si natu e)
Donald M. McGayhey
(print name)
(signature)
(print name)
I
\41- N
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co 00
R G�O� o Z
ti.� 6y � ti
0 f o
Z ,� Q SUR VEY FOR
� �0 z THOMA S A. BANNON
AT SOUTH HARBOR
O Gt 0�� G� �'0 wo � o
�� P, � o TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 87- 01- 04
° Scale: 1" = 40'
s g6 Q 0 o Nov. 8, 1996
10.0
P
9�
II
S• L V
CERTIFIED TOf
(j THOMAS A. BANNON
�c 3 �- !� 00 �� BNY MORTGAGE COMPANY, INC.
(� �( �( COMMONWEALTH LAND TITLE INSURANCE CO.
0` PECONIC ABSTRACT, INC.
CIC
Z IN
ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION
'n— OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW,
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICA TIONS N.Y` lC. NO. 49618
G HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF p
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ECONI
ZOl2 WHOSE SIGNATURE APPEARS HEREON. (516) 76
AREA _ 25,711 S O ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY, P: 0. BOX 9
• ft. MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY 1230 TRA VELER STREET
% OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS INSPECTED' AND SOUTHOLD N.Y. I1971
BROUGHT-TO-DATEO ARE NOT IN COMPLIANCE WITH THE LAW.
96 - 298
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
Al
LOCATION: 94t�� 1 'lcoe
0 o'
number & street municipality)
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) .�
OCCUPANCY
(type) owner-tenant
ADMITTED BY: � ,'t ����� ACCOMPANIED BY:
KEY AVAILABLE loon SUFF.CO. TAX MAP NO. I~
SOURCE OF REQUEST: 6 DATE:
DWELLING:
TYPE OF CONSTRUCTION J /" �/� � STORIES # EXITS
FOUNDATION 12-1,(j L CELLAR CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 2ND FLR. 3RD FLR. —BATHROOM (s) TOILET ROOM (s) / /1/'CJ UTILITY ROOM /D N ,[/�
L2
PORCH TYPE7 - G� — DECK, TYPE PATIO
BREEZEWAY FIREPLACE /S�/p GARAGE
DOMESTIC HOTWATER TYPE HEATER / -- AIRCONDITIONING
TYPE HEAT f/, WARM AIR - HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. �'�a--- �'���� f, j STORAGE, TYPE CONST �1(L'3t_z j
SWIMMING POOL GUEST, TYPE CONST. --
OTHER:
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VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY DATE OF INSPECTION
TIME START �;}'�® / END �� o
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIS_
T. SUB. LOT
GO V7rL_ f; 7t,
FORMER OWNER N r E ACR.
C\ L1/A:� & )lo-
S Aw- TYPE OF BUILDING
1V
RES, SEAS. VL.
FARM comm. CB, MIE Mkt. Value
e2
LAND IMP. TOTAL DATE REMARKS
000
0
7
Or,;
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value. Per Value
Acre
Tillable . FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
Housq,pot_
BULKHEAD
Total
DOCK
COLOR 14.i ,
TRIM na.a-,�_•
fir
M. Bldg. —— ——— -- — — — -- -
Extension _ --—— -- — - —
.— /4, K 3 / ; 3 d — - — ——--——
Extension -
--- -X --
Extension — — —
Foundation IT cam, Bath Dinette
Porch Basement
A1� Y Floors
Porch Ext. Walls
--- - _--�1► 7d TD ' �jo �j S �,� Interior Finish U LR,
Breezeway ZO 2 6 Fire Place —
----- --- -- --- ------,6✓ O Heat — t�� DR.
Garage Z Type Roof Rooms 1st Floor — -`= BR.
Patio SL Recreation Room Rooms 2nd Floor FIN. B
' O. B. Dormer
_— �✓�o o A/C Dormer
Total -- —
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