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Home My WebLink About1000-114.-6-15 s TOWN OF SOUTHOLD Rental Permit �' 1190 Owner Anthony Stalters Occupied as Single Family Dwelling Located at 970 Village Lane Mattituck 114-6-15 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. 8/30/2024 %4-- 'cle E orc Official This Notice must be posted by the main entrance at all times ( I 7--9 -� w TOWN OF SOUTHOLD—BUILDING DEPARTMENT W Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 htt s://\v\ .�o'ut ioldtoAnn . ov RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every ZrspE E JUL 1 6 202 Section A. Building Department Property Information: Town of Southold Rental Property Address: Villages Lccvr\x, c :-, ,+k, Tax Map Number: 1000 SECTION 114 -BLOCK 06 -LOT 15.0 _ SECTION B. OWNER INFORMATION: Property Owner Name: Anthony Stalters- new owner Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 1040 Scuttlehole Rd PO Box 1895 Brid eham ton ICY 11932 631-278-6482 Telephone Number (s): Daytime Evening, Emergency Property Owner Email Address: ajstalters@hotmail.com t2)C)b Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Ema)I Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelhng unit, if any Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: I°" Telephone Number (s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or rare rental units) Dame of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): Daytime Eveping Emergency Email Address: Page 2of4 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 Adderrdttrrr." Rental Dwelling Unit Identifier: 970 Village lane Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 persons Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Ft, Bedroom #3- 206 s . Ft, bedroom #4 -172 sq. Ft. SECTION C. 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. XI am requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ lam 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 SUFFOLK) i AnthonyStalters ,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: AnthonyStalters Property Owner's Signature: Sworn to before me thisM day of JU L4 ----,,� 20a4 Official Notary Public Signature and Original Notary Stamp Alison M.Grunewald Notary Public State of New York Suffolk County #01 GR6029132 Term Expires Aug.9,20i5 Page 4 of 4 SCTM # - TOWN OF SOUTHOLD PROPERTY REO 31a,{j OWNER STREET CpC- VILLAGE uia i. SUB LOT ACR. REMARKS L. TYPE OF BLD. NCI_ �bm PROP. CLASS LAND IMP, u TOTAL DATE �-- FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL TOWN OF SOUTHOLD PROPERTY RECOR � OWNER STREET STREET VILLAGE DIST> SUB. LOT # �' 014 FORMER OWNER Kuhn 4 ,tea N E - ACR. S W TYPE OF BUILDING RES. D SEAS. IVL. IFARM -COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS i m - AGE BUILDINZOND1 N t`t0 _ ts� � � NEW NORMAL F BELOW ABOVE FARM Acre I Value Per Value Acre = Tillable I - 3 Tillable 2 l Tillable 3 ? i Woodland Swampland (FRONTAGE ON WATER Brushland I FRONTAGE ON ROAD House Plot DEPTH .� ... I BULKHEAD Total DOCK i ti l 71,e - fa COLOR i TRIM i I I 3 114.-6-15 10/2/2023 M. Bldg. X L _ 7 �S ��' Foundation S G. Bath a3� ( Dinette Extension K.o - Extension Ext. Walls Interior Finish 'LR. Extension 'Fire Place Heat .,' / S CDR. [may{/�/{ = o 'A T l YPe Roof ( ;Rooms 1st Floor j BR. f Porch ( , j ! Zecreation Room Rooms 2nd Floor; !FIN B Ph a J b 1 - 5-0 Dormerv- i 1�� ! 00 Driveway Garage 3 Potia� - t ( > a 0 = oz(9 o. B. Tota I s 77F�v- Buildina lie artmeut Appligation AUTHORIZATION (Where the Applicant is not the Owner) I,A--4 .... residing at Print ro er"s name (Mailing Address ( P PAY ) (M g ) do hereby authorize AI*1661, � . (Agent) to apply on my behalf to the Southold Building Department. �y oZ.0� (Owner's Si atore) (Date) An, h0n (Prial Owner's Marne) soft y WIA TOWNOF Ti�O .Ct BUILDING LEFT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. - [ ] FOUNDATION 2ND [XFIRE LATION/CAULII''NG FRAMING /STRAPPING [ L FIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN TRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O ] RENTAL �,� � ' , n � ��, it � /�/�// �. ��j� r,�,/ ;i,%/�/1 M Nml9 j/ // // �w //i /////�%� r, /,�� ',,; r rii� � I V ii/ // ri//// � � ,,� � v �w e / rr I / ii r �� r rria !'ri/%i�/ r �r'i��%/%� fi /%/l /r a ri%rr/ rr% �O r r Jr 0 �G'a �/////i��ii�/J%/IJIr �l��6r� '�iA7�' r�� /%� l�r�� r�i%ii r O/iI///lid /r / ��/� r ////%///i�////�� /�%i �r l�p//r� ,,,,,,�i �� . „��r ��%//%% /%/j/�/��/ %/iiv,, ,i �� /i% /Gi��%�i%%r�� /�r�� %%// ./ r/i/�,+a�,e ,,, /r rrr %%/%/i��iii /%///�ri/�� /rr �ri�ii��/rrr aia%iiiii��ar ar/�/%j��i iiii ,r ' %� �� rr/ rrr/// i /i ii;, � / r < /r/iiiiiiii ri /i�� r rave ,, r /%// ,,,,,, //ii- r %%/ >, ,,, � „�� .,,,,, �//„ii rri/rr��1/ �fj/ ,..,�/ rrr � ram, ,. r r ,/�o�oi,,,r�i%/�// ��%%%/j;/��j� ��„� �� ,r � / ,,;' i r'�,, / � i,i �;;, / �/ � � � „err/�r� ' �. ��j// �// �,,., ; �' l!�� fJ, � u �/ W �� r� 1 tf ,�;% � r�� fit% p �% Yt� � � � f i � , / /�, �, �, /`��i %� / i,� i///r rrrr ////�� r%//r� fir/ r ��f/rrrri% ��/�///ri/r�%�j //% / � �/i��iii' %r/ r�/�� r% r ///�7liii /ri/i//�// ' i /// ��,, ,,,� �/ / �/ir�rr iviii �j��j/��%//�rrrrr i�r / rr , rr//iri�/� r ��/i r�/i r��i/�i//��//i/ '�iiii�//fi/iiii/��%ii' r r/,/��%�/��;' rrr, ��ff��/�1�/% /�� O 1 , /�, �F �/ �� I�ii ' ��,�� f' �,��j �j % r� f l fill r / r ii a r / r / / /G' I „ r Pal If r rri//rii� y li r i i/%/ i r , r I r p i / i „,, ,,.r, i ✓ 1 l ,,,/ r ////, r '.rill, / ,i/' i r/i / r .../,✓ / / ,,,/. / r .✓/i /// � // /// / /� ..rrrr/ ,... ' i / / rrr / / / f , / i ,,. ,/..' / ,:r / ,.,, % � ✓rrii ,�”' .,,,,roil/ /i, /; .:,...//// /% / / / ✓ /rrr ,,, / / // /� /,;,,,,, r >, / aoi /i N AUK ; 024. G� �r k e p y F � o III r l „ / r i �llf / /No //� // v � tU6 � 1 ,�✓/% 1Q r/l�c,�/l/ � I i � r f r r ii j M i 0' 1� AUG9 2024 ri rJ i AUG pxuuuwW "" �u mwiwuonv� wows � r f 1 l y f I if I VORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . . �° f . . . . Date . . . . . . . . . . . . . . . . . . . . . .. 19.73. THIS CERTIFIES that the building located at ." #kg . . . . . . . . . . . . . Street Map No.Y * lock No. . . . . . . . . . .Lot No. . IS . . . . . 1tti Y..► . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . , . . . . . . . . . .;1 . q. . 9., 19.73. pursuant to which Building Permit No. . . dated . . . . . . . . . . . .; 11. ., 19.73•, 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 me . " y. 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . 1r, A .ra .B. . . . . . . it . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Q . . . . 9?.3. .14 Ao. 74 . . . . . UNDERWRITERS CERTIFICATE No.. . . . i�02 Oct 2M 1973 HOUSE NUMBER. . !R?0. . . . . . .Street. . . . . ' ':dues .18 Alb� . . . . . . . . . . . Building hilt *etor FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. Z 1W5 7 5 5W , . W . . . . . Date . . . . . M a Y. •1.5 . 19 8 7. . . .. . . . . .. THIS CERTIFIES that the building . . . . ,Dormer a d d i t ion • . . . . . . . . . . . . . . . . • . . . . . . . Location of Property 970, VILLAGE. LANE W . • • • , , , , MATTIT CK� • . . ��.///�yyy �y • W Y W • d W N 0. k . '� •T"79.o✓ e�� i Rouse No. Street 4. . . . . .Block , b .Lot , 015 County Tax Map No. 1000 Section . • - 1 • . . • • • . . . . . . . . •' . VILLAGE MANOR .Filed Map No. 3669 .Lot No. ].... . . . . . . . .. Subdivision. . I . . . . . . . , . . . conforms substantially to the Application for Building Permit heretofore fled in this office dated Mar. 21�� „1.s S s. pursuant to which Building Permit No. . . . �. . . . . . . . . . . . . . . . . . . . . . .. . . dated . . . • May ,2 ,. .19 S 6. , . . . , 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 . . . . . . . . . Dormer for bathroom & finish 2nd floor � story ; . • , , . , • . . . , . . , . . • . .. . . . .. . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . . . .. .'�O NBX J v a , VXXX" ` . , . ". . ' . ` . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . N/A . . . . . . . . • . . . . . • . . . . . • . .• • W • • . W UNDERWRITERS CERTIFICATE NO. . . . . . . . . W . . . .1,d0 6 9 310 . , . . , , FL XaMRS CERTIFICATION -RATED—. 5/ 13/86 . . . W . . • , . . . .'. . . . . . . . . . . . Building Inspector Rev.1181 0 ,. FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . Z 3373 . . . . . . . . Date . . . . . .April.. . . . . . . . . . . . . . . . . . . .. 198. . THIS CERTIFIES that the building . . . . . . M ition. . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . Location of Property 97a . . . . . . . . . . . . . Visl.age Lane Mattituck House No. .' t tiamlei County Tax Map No. ]ODU Section . .114. . . . . . .Block . . .96. . . . . . . . . . .Lot . . . . . . . . . . . Subdivision. . . . . . . . .K. . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated 19 .84 pursuant to which Building Permit No. . . .. . . . . . . . . dated . . .. . . .gi4L,y. . . . . 3 . , . . . . . . . . 19 8 ,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 . .. . . . . . . ,Deg]c, Ac#Ajon, to,pcAgtir1q ,One ,Family, Dwellincj , , . , . . . . . . µ . . . . . . The certificate is issued to . . . . . . . . . . . . . . . . . A 11N.j. 11 N ; JOB, , . . . » . , , . . . . . . . . . d`e�tnrraer�i of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . .N/A. . . . . . . . . . .. . . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . .N/A. . . . . . . . . . . . . . . . . . . . . . . . . .. . YON V ` . . . . . . . . . . . . . . . . . . . » . . . . . . . . . . . . . . . . . . Building Inspector Rev.11s1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N..Y. CERTIFICATE OF OCCUPANCY No E-19811 Date MARCH 239 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 970 VILLAGE LANE NATTITUCK N,Y. House No. Street Hamlet County Tax Map No. 1O00 Section 114 Block 6 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH iB 1991pursuant to which Building Permit No. 1972 -E —dated CH 19 1991. 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 ACCESSORY SHED AS BUILT The certificate is issued to HENRY B. & JOANNE KUHN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NA UNDERWRITERS CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED N A Building Inspector If Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY Nos Z-225517 Date: 02/04/98 THIS CERTIFIES that the building A/G POOL & FENCE Location of Property: 970 VILLAGE LA 1ATTITUCK (ROUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 6 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 24 1995 pursuant to which Building Permit No. 22810-Z-Z dated JUNE B 1995 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 ABOVE GROUND SWIMMING POOL WITH FENCE & DECK AS APPLIED FOR. The certificate is issued to THOMAS A DM40POULOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N419457 05/09/97 PLUMBERS CERTIFICATION DATED N/A w � Bui ing Ins :tor Rev. 1/81 REVISIONS: 1 at� I 27' ui Z 10'-11" Q i z J N ui_-_ —_ —at ®a_- --------- _ - 4 o_om ACCESSPAN ACCESS PANEL F a Q Y � J U ui a J z F SITTING ROOM BATHROOM I 90 SF 67 SF SKY SKY LIGHT} i LIGHTI O EXISTING Q BEDROOM 4 C� g cr) ONE STORY 172 SF o (ATTIC) U. r ACCESS TO ATTIC ' U CLO CLOSET c* ACCESS PANEL — PROJECT: 202-10 .HAWN BY:RC CHECKED BY:EW DATE:JUN.25,2024 SCALE: "=T-0" SH EE—NO: SECOND FLOOR PLAN N 04 56' ui LLJ CLO 28 SF 4 KITCHEN DINING BEDROOM 3 280 SF 180 S F I 200 SF T7 BATHROOM 45 SF 5D c? CLO 'I CLO 0 0 QN CLO LL CLO LIVING 0 SD ROOM GARAGE 180 SF 145 SF BEDROOM BEDROOM 2 100 SF 116SF UP PORCH PROJECT: 2024-010 DRAWN BY:RC CHECKED BY:EW DATE: JUN.25,2024 SCALE: T-9' SHEET NO: GROUND FLOOR PLAN 03 REVISIONS: 3i 3 (( E 19'-8" 24'-10 I z J N UP a W r' U r FOUNDATION WALL,TYP Q Y J U � J � UTILITY STORAGE Lu > 472 SF 692 SF m a COLUMNS,TYP z Q 267 SF ' O O LL Z W `L Z74 W G m UP d' ct PROJECT: 2024-010 DRAWN BY:RC CHECKED BY:EW DATE: JUN-25,2024 SCALE: A=I- SHEET NO: BASEMENT FLOOR PLAN N 02