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Home My WebLink About1000-88.-2-20 s OWN OF SOUTHOLD Rental Permit 4 0789 Owner William Litton II & Kimberly Litton Occupied as Single Family Dwelling Located at 9502 N Bayview Rd Southold 88.-2-20 Maximum Permitted Occupancy 8 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. 12/12/2022 rrc2t Official This Notice must be posted by the main entrance at all times Town Hall Annex �i� Telephone(631)765-1802 54375 Main Road n Fax(631)765-9502 P.O.Box 1179 r Southold,NY 11971-0959 " o� � BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -E LOCK--- —,.. „-LOT --- SECTION B. OWNER INFORMATION: 1� S` � � r • l Property Owner Name: o % ''�� uv..M .... Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime J GEvenin _ ,Emergenc � 1 5581 Property Owner Email Address: Page 1 of 5 Town Hall Annex v�k Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT T'O . OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:.. N 0 Address of Authorized Agent (no P.O. Mailing Address of Authorized Agent: Telephone Number (s): Daytime , Me,e,,,,,,,,eMOM,,,µ Evening,o l k _W Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent no P.O. Boxes):,,._,,,,,_ Mailing Address of Authorized Agent:.m Telephone Number (s): Daytime I .,, Evening _N �k _ Emergency__ Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: __......,._,�I ... _ __.w_.... ._...............w.. _........_ _ __ . Address of Managing Agent (no P.O. Boxes):.,.,,..--.- J ........ .._._. ..�........_..� ._............ ..... .._.. _ ,.. Page 2 of 5 rt � a Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 r BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:_._ e Telephone Number (s)• Daytime /k Evening_, W Emergency Email Address: , ( A __.......... w._...._. _.nrva ._w_.._ ...-___--- m__._�... _.w._..._......_._._..��.. .... . ._ m . SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property:..._.. 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." 0111001 Rental Dwelling Unit Identifier: w _�I .. _ � .._. .............. Requested Maximum number of persons allowed to occupy Dwelling Un Number of rooms in Rental Dwelling Unit: _.._. _ ra _.............m_.. ........ _ _._....._.w _ Use and Dimensions of each room in Rental Dwelling Unit: , oo —_ .... .`.. . .._µ .µ ._ ...�.�_..... ..._. , �._ ._ _ .... . Page 3 of 5 , s' Town Hall Annex 4% Telephone(631)765-1802 54375 Main Roads Fax(631)765-9502 P.O.Box 1179 �, y �� "' Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) g I ( �` a , 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 Page 4 of 5 Town Hall Annex r� Telephone(631)765-1802 54375 Main Road p Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name:k Property Owner's Signature: Sworn to befo me this-E day of u M 20 Zi Official Notary Public Signat re and Original Notary Stamp DAWN 111 Nolary P` rale til Florida Com Wono GG 2W81 My axpir Aug.13.2 Page 5 of 5 oeloe so TOWN OF S UT OLD BUILDING I 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PTBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] TIRE SAFETY INS" [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII CODE VIOLATION [ ] P / [toTF 0 REMARKS. Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 OUNTI � BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Pro essLonal seal re ulred Lor Architect or Engineer licensed Dome inspector must rovide copy of valid current certl cationRental Rental Property Address:SCTIVI Number: .,w. . �..��....... .�.�. �.a� �. 4Property P Y Owner/Name: L Rental Dwelling Unit Identifier:,t .))a Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) 4 4 "k Property Description (include all improvements indicated on survey) On ,. I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Print Name and title SDAP, Original Sigrif tune Please place professional seal: k Uhl V— z; € # F s Mana'i.Hvr Ell #[# - I `� 3 # °. -• : j 1 * € t #€ i ii (nv)ms-eav e'- *� 1111 � 1 �_es. . Ensemv 7 I € 3ity- y 1 s awe:#v x[ s xs t '-.� _>..__m__,. ,.,�..,. # c _ I x — luaaa Ck Z. 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E »" ii as s a ms 6= e e_ 1 � € , ' 41 u wa • ------------ Ni a [ Z m k�l € �' '�-cam= _ ��t�,-� -±��- •? �"`� .�. � I�s �i s � -�= - `^ �. .. � .• m "' .T IM- SCTM # TOWN OF SOUTHOLD PROPERTY RECORD CARO ISS OWNER STREET } VILLAGE DIST, SUB. LOT � 0_ ACR. REMARKS LA 4 , � F TYPE OF BLD. PROP. CLASS LAND IMP, TOTAL DATE f 1I FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL TOWN OF SOUTHOLD PROPERTY RECORD CARD ' OWNER STREET Wit _ VILLAGE DIST- SUBS LOT Dllll ` a ACR REMARKS TYPE OF BLD_ -ozrek co SOP LAS — LAND IMP, TOTAL DATE Liz rp _ to r 1 o- F f _ f ,P.hh f .% L! _ - ' .tea? � �._-..3f,t.+' � �� i t Vi� �� _`' - - �#-��`r `) _ _ � � 4 �i '✓ - _ _ � 3 g r r 4: �1 - FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND I BULKHEAD HOUSE/LOT I TOTAL COLOR 11, lit 24 Y I t TRIM r � • 07 16 s- F e _ Bidg- 21e, x ?T L= , 'r=` G Foundation - Bath e Dinette E r Extr€sion w �• =� _ a _ Basement oors Kit. -\Y $SLAB �.-� O. 3 �ExtenSin „ Ext Walls me r Finish L.R Extension �' 6 Fire Place Heat D.R. Patio Woodstove BR. m E 1 3 t l ffF Dormer Fin. B. Porch �,•�, v `7 r ; Deck Attic BreezewayI ; Rooms 1st Floor Garage Driveway Rooms 2nd Floor F -�-B S A fi jVC °t J> Pool - i : .� - e . ' . COLOR ti 1 I TRIM } 88.-2-20 2/12/2020 am - SO. FT. Fin"B" 1st Floor 2nd Floor TOTAL " ` r i Foundation aTHER Bath Lt Dinette M. Bldg. A-5'!bFULL COMBO � �-� 'N ' Basement PARTIAL Floors Kit. Extension Finished B. Interior Finish L.R. $. Extension FP/WBS Heat D.R. J Garage ` - �' /t LD Ext. Walls BR_ i 14 Nr- Baths �� Po rct �� Dormer ' j Roof Fam. Rm. Y I Deck/Patt Foyer Solar } Laundry A.C./GEN _ ,.. i 0.B. , ; 5tbry/ dy �J .............. . ..................... Town of Southold 12/30/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 - —----------------------......................... .............................. ................. ................ .......................... CERTIFICATE OF OCCUPANCY No: 41719 Date: 12/30/2020 THIS CERTIFIES that the building SINGLE FAMILY DWELLING .. ....................... Location of Property: 9502 N Bayview Rd., Southold ......................... SCTM#: 473889 Sec/Block/Lot: 88.-2-20 .......... Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/14/2011 pursuant to which Building Permit No. 42921 dated 8/6/2018 ........... 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: re-construction of an family dwe Ulng with unfinishedbas�-rqqpt fr9pt.g. rche�s.-rgg-r-.Aec-k-,, g!AdwLshower.,scar The certificate is issued to Litton 11,William&Kimberly ......... ..... ........ .............. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF]HEALTH APPROVAL R10-18-0106 11/12/2020 . ..........--- ELECTRICAL CERTIFICATE NO. 42921 10/23/2019 ........... PLUMBERS CERTIFICATION DATED 10/31/2019 J ~e Gamal .......... uth 67. Signature Town of Southold 1/30/2021 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41792 Date: 1/30/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 9502 N Bayview Rd., Southold SCTM#: 473889 Sec/Block/Lot: 88.-2-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated p g ...m...._...____..._ ._ 3/27/2019 pursuant to which Building Permit No. 43641mmmm mm^^...w dated 4/12/2019 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: acs e or g ca nd swiMaun .pgol.fe�aiced tea pc ]e as a lied fear., The certificate is issued to Litton H,William&Kimberly of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43641 10/15/2019 PLUMBERS CERTIFICATION DATED ata... ....._... . ... _.... gay re Town of Southold 12/9/2022 P.O.Sox 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43 672 Date: 12/9/2022 THIS CERTIFIES that the building ACCESSORY Location of Property: 9502 N Bayview Rd., Southold SCTM#: 473889 Sec/Block/Lot: 88.-2-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/28/2014 pursuant to which Building Permit No. 45467 dated 11/18/2020 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: was built"access, tore laiti�c�ic�,g� �p � c�fclr: The certificate is issued to Litton II,William&Kimberly of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t�ao " d tut• _.._�.v....--_._......�� January 22, 2021 Town of Southold Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Re: Rental Permit Application—9502 N. Bayview Road Southold NY 11971 Please find attached the Rental Permit Application for our home located at 9502 N. Bayview Road, Southold, NY 11971. We have completed the forms and provided the requested documents except for the Certificate of Occupancy for the Pool. We did not receive initial sign-off due to wrong in-pool alarms and were told to submit photos of in-pool alarms once received. We have purchased the alarms and sent pictures to Tracey Dwyer. A copy of the inspection and the pictures are included herein. Please add Certificate of Occupancy to the file once signed. Thank you for your attention to this and please do not hesitate to contact us at 678-570-7640 if you have any questions. William Edwin Litton, II Kimberly S on Litton