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
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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:
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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 »
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Page 4 of 4
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[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING VFIRE
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FIREPLACE & CHIMNEY SAFETY INSPECTION
( ] FIRE RESISTANT CONSTRUCTION [ ) FIRE RESISTANX(FIAL)
RATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL
CODE VIOLATION ( ) PRE C/O [ TAL
REMARKS:
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DATE INSPECTOR
TOWN OF SOUTHOLD PROPERTY RECORD
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OWNER S ' STREET VILLAGE I DIST. SUB. LOTnLZ-56L al,Adez Inc.,
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FORMER OWNER N E AC
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RES. SEAS. VL. FARM iCOMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMAR2 bV
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AGE BUILDING CONDITION
NEW 1 NORMAL BELOW ABOVE C
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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
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Total -DOCK
COLOR
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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
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;Type Roof Rooms 1 st Floor( BR. i
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Polk 3 °t x 4 - _ g I I Recreation Roorr Floor; Rooms 2nd FIN B. N
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Garage � L
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TotalC4I
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ��1 VILLAGE DIST SUB LOT _
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ACR. REMARKS
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TYPE OF BLD. _
PROP,O AS F - s�Jr
LAND IMP_ TOTAL DATE
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' 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
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