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HomeMy WebLinkAbout1000-35.-6-4 Rental Permit 1376 Owner: Brian Schiele , Chloe Schiele Occupied as: Single Family Dwelling Located at: 1510 Maple Ln Greenport 35.-6-4 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 Issued: 09/23/2025 Expiration: 09/23/2027 of a et official This Notice must be posted by the main entrance a ai times TOWN OF SOUTHOLD—BUILDING DEPARTMENT '1 Town Fall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 litt s://\~y. outholdto nn10 RENTAL PERMIT APPLICATION Rental Permit Fee$300(Application must be renewed ev o ye �� t� 13up � on BT WVn I�00thoid Section A. "`" `` 010 Property Information: Rental Property Address: 1510 Maple Lane, Greenport, NY 11944 Tax Map Number: 1000 SECTION 35 -BLOCK6 -LOT-4 - SECTION B. OWNER INFORMATION: Property Owner Name: Brian Schiele and Chloe Schiele Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 37 Do wood Lane 37 Do wo d Lane Rockville Centre„ NY 11570 Rockville Centre, NY 11570 Telephone Number(s): Daytime 516-456-1485 Evening 516-456-148EEmergeney 516-456-1485 Property Owner Email Address: bschiele@fhloans.com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Krista Jones Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: PO Box 163, Mattituck, NY 11952 Telephone Number(s): Daytime53'1-335-8°i75 Evening531-335-817EEmergency631-335-8175 Email Address: milistonepropertyservices@gmaii.com 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: Telephone Number(s): Daytime Evening 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: Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(s): Daytimew .w _ Evening _.._ Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1-single family residence 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: 8 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: `f IL?�-L� 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. V/I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold El 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 SUFFOLK) 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: c `� Property Owner's Signature: M Sworn to before me this;day of _ _ , 202i✓� 6iid—aT ubii' Signature and Original Notary Stamp Of StMe4y rrT1 Yar1 Wary�. tlo.OI o' 1r'Suffdk » 17, Page 4 of 4 fjf so 01= OUTHOLD EPT. w� 631-765-1802 .. 1 N S"O' P E Co';"k T I [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING VFIRE AL FIREPLACE & CHIMNEY SAFETY INSPECTION ( ] FIRE RESISTANT CONSTRUCTION [ ) FIRE RESISTANX(FIAL) RATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL CODE VIOLATION ( ) PRE C/O [ TAL REMARKS: l0� S .................. DATE INSPECTOR TOWN OF SOUTHOLD PROPERTY RECORD j 01 6) —A ................ OWNER S ' STREET VILLAGE I DIST. SUB. LOTnLZ-56L al,Adez Inc., j R FORMER OWNER N E AC S W TYPE gf—BUILDING Aft, RES. SEAS. VL. FARM iCOMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMAR2 bV V. f j -7- 4 WIL AGE BUILDING CONDITION NEW 1 NORMAL BELOW ABOVE C C:tom , Acre Value Per Value Acre Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD I House Plot DEPTH BULKHEAD • Total -DOCK COLOR I i f . J, 1 TRIM 41 _ f s s 35.-6-4 11/1/2014 .3 f F i1k I L ` I i `� ' Bath Dinette l M. Bldg. Y"3 ` �' l� 5 Foundation , 5 _ E xten's n ° t't o Basement 11 Floors i K. Extension I X "` Ext. Walls I Interior Finish LR. 1 Exte-nsion 3 0 X aa. rp�o� 8� U O 1' Fire Place Heat DR i tKa. . ;Type Roof Rooms 1 st Floor( BR. i rtkoP\ a,fsat� Polk 3 °t x 4 - _ g I I Recreation Roorr Floor; Rooms 2nd FIN B. N 94, Dormer Breezeway £Driveway I Garage � L Patio . TotalC4I `iCS A cc MVO r�. �� I SGTM Z2-12 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ��1 VILLAGE DIST SUB LOT _ ` F ACR. REMARKS � y TYPE OF BLD. _ PROP,O AS F - s�Jr LAND IMP_ TOTAL DATE 1(6 { e _ E — — FRONTAGE ON WATER HOUSE/LOT BULKHEAD _ TOTAL { ' Town of Southold 11/28/2018 P.O.Box 1179 f53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40074 Date: 11/28/2018 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 1510 Maple Ln., Greenport SCTM#: 473889 Sec/Block/Lot: 35.-64 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/8/2017 pursuant to which Building Permit No. 42316 dated 1/22/2018 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: one family dwelling with unfinished basement. ccavgg rcrz�t ij roar deck and attached gn-q r a e as a lied for. The certificate is issued to Esteves Holding Corp of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 11/26/2018 RO-17-0209 ELECTRICAL CERTIFICATE NO. 42316 10/25/2018 PLUMBERS CERTIFICATION DATED 11/20/2018 Andr l osio lci _............ urµ_....... ....._._�....... Mature