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Home My WebLink About1000-98.-1-1.2 A TOWN OF SOUTHOLD Rental Permit AX 0380 Owner Javier Fernandez & Lisa Marie McKeon Occupied as Single Family Dwelling Located at 5135 Indian Neck Ln Peconic 98.-1-1.2 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. 2/1/2023 ,r," Code Enforcement Official This Notice must be posted by the main entrance at all times ��& Is els % c z7 TOWN' OF SOUTHOLD BUILDING DEPT. ° a 63176518020 INSPECTION FOUNDATION 2ND INSULATION/CAULKING FRAMING /STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRIC AL) CODE VIOLATION PRE C/O ENTAL UX rrccwm � DATE 3 zINSPECTORs TOWN OF SOUTHOLD Rental Permit Permit No. 0380 Owner Javier Fernandez & Lisa Marie McKeon Occupied as Single Family Dwelling Located at 5135 Indian Neck Lane Peconic 98-1-1.2 Village S/13/1- Maximum /B/LMaximum 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. 1/30/2021 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road ' '> Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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: //c //.��/� c �J I E'Ck- LSIV /' fEC • IC. Py 11958 Tax Map Number: 1000 SECTION -BCO-CK. . , --LOT_ �. SECTION B. OWNER INFORMATION: Property Owner Name: (•l S P- mc & -1)#V(Ek e NA Vpcz, Property Owner Legal Address: Property Owner Mailing Address: 3:7-i?R I Do-crm e T V M T 3�-�3 R i_D4��S T1� UriCf- c.l0-`11R-•679 .49-T9 Jflme-p- RIS- .90S1 Telephone Number(s): Eve,rirrg . Emergency Property Owner Email Address: I i SQ . In C-Ge 0 3--,; cm Page 1.of S Town Hall Annex ` + Telephone(631)765-1802 54375 Main Road ` Fax(631)765-9502 P.O.Box 1179 _ VV Southold,NY 11971-0959 ^- Y �®U . •� � BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:,, r'j fl! Telephone Number(s): Daytime- Evening . Emergency , Email Address: 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, C);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." k l!C�-T\l R, 1D!IN I N 6--- -�- Rental Dwelling Unit Identifier: 2'Y E7 l N 7' Requested Maximum number of persons allowed to occupy Dwelling Unit:,(10, )'Wry Number of rooms in Rental Dwelling Unit: Use and Dimensions /off each room in Rental Dwelling Unit:—gyp 1 S S ;4 1�1 ►2 ti ��1� .� (Jr.� �� 1.0 L 1 'r 6' S� it `S9 g7 �,yl -rctt-t-tJ I a a ��. - -, itvik4 f-Vt-i a i s L-1 ul N 6 s Page 6 �'�M °� b g 1 Town Hall Annex y: ' Telephone 631 765-1802 s �• 54375 Main Road , ',' "k s Fax(631)76.5-9502 P.O.Box 1179 Southold,NY 11971-0959 ' 104U � . 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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold XI am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature roust be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) c,Is f - roc Ike-O-Ni & I \IFrV1 ay., rNOWDEcertify under penalty of perjury,the following, 0vvNer-S 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 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 401 P.O.Box 1179- Southold, 179Southold,NY 11971-0959 BUILDING DEPARTMENT TORN OF SOUTHOLD 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:_ h, S Q- `W ke v aN- Property Owner's Signature: Sworn o before me thisda f 20 13. f otary P ' ,{VC, i nature and rigina{ Notary Stamp p�1 � ��p//P No. C� 00811fled in 1G1 ,rxm"ission Ex095 7a Page 5 of 5 lqn Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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:. u �kl ya/zL, / MJProperty Owner's Signature: E Sworn to before me this,L day of J U-h Qr ;20!q Official Notary Pu is Signature and Original Notary Stamp EVELYN DACHILLE ti NOTARY PUBLIC-STATE OF NEW YORK No. 01DA6303426 ®Ualitled In Nassau County My Commiselon Expires r� ,; Page 5 of 5 Town Hall Annex Telephone(63 1)765-1802 54375 Main Road Fax(631)765-9502 P.O:Box 1179 ' m Southold,NY 1 197 1-0959 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 Pr essio aiseat required Architect or I n inee ,ficensed Nome Inspector must �avid� C xry'-01,vaiid currenfcerti lca#ion Rental PropertySCTM Number: I(P" W-0171?N I$ - 6L9CIC �-- • L-Olga"• ` Rental Property Address: S13 S WD,I ft2. J (JEC k C.R'N� �EC7M C ___,.y Owner/Name: LAVI e-9— A'f--'VF,RE _ . - Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Property Description (include all improvements indicated on survey) ONS ST�1� H'M - tnJ l.. �• w !.- �17 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 C ru ion Code of New York State. Print Name and TitleD .4 Ori re rM � � AV`AQ' C,`�..� Please place professional seal: 0, �• l a0F so — h�� * TOWN OF SOUTHOLD BUILDING DEPT. `ycoutm, 1765-1802 6k, - (,... INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ' [YFIRE ULATION/CAULKING FRAMING /STRAPPING [ AL R .&nFIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: lr C.CiU � AllDATE ?� INSPECTOR OF SOUIyo / # f TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 » : INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ' [ ] INSULATION/CAUL-KING [ ] FRAMING /STRAPPING [ ] INALxe� [ ] FIREPLACE & CHIMNEY ' [ FIRE SAFETY-INSPECTION [ ] 'FIRE RESISTANT CONSTRUCTION [" ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: s 7 DATE _ INSPECTOR Michael Macrina Architect , ❑ P.C., A.I.A. 144"x80"Sliding Door a I I 1 o o I M I I M 13'-5" I I ❑ I I I I BedrpOn #3 •T 1CV 0 Vaultlyde i5ilin � 21 Main Street Stony Brook, N.Y. 11790 Deck phone (631) 686-6585 fax (631)686-6786 email MMacrina@optonline.net I I bench web MMArchitectpc.com C3 I I These plans are an instrument of service and are x I I SD Outdoor the exclusive property of the architect. Shower Infringements of the concepts and design ideas M I I \ / presented on these drawings shall be prosecuted (3)24"X36" tae o the fullest extent of the low. Copyright 2016: \/' ;` Michael Mocrina Architect. All rights reserved, no --------- 9 part of the plans may be reproduced without the _ s. . expressed written consent of the architect 7. -——— ——————————————————— -------- 32"x60" :: 32"x60" Ori = New g� I "�o --J tov --� C\ICD Walk-In p�j 7'-7" i I +gyp, 0 sink j x ;!, 1,l closet rL I __-�- 9'-12 = i ---------- --------------- --------------- ---- 144"x80"Sliding Door -N o 00 , 1 Dn . i I B thrm. #1 Kitchen ref.91 I I I {- at,, x Bathrm. #2 I Hall SD CM -------------- ----------------------------------------- 161 --------------------------------------------- ----7 I --------------------------- ------------- �o., N ;� Date . _ + N ---------------------- ------------- �� O 07/29/19 Rental Plan + e In �o �o ------------------------------------------------------ SD Closet SD Bedroom #2 +�� Bedroom #1 Dining Room LivingRoom I - b � :ET-6"ceiling height Vaulted Ceiling �1 Vaulted Ceilin i Vaulted Ceiling ` X I I x BIDI O N Cl) 12'-81" Closet14'_21" (3)32"x60" 12'-5" 6'-4' 741" „ oo,, +�° No. Date Description (2)32"x60" �0' (2)32"x60" (3)32"x60" Project . 1 House Rental Floor Plans Bilco Door For Crawl Space First Floor Plan Data : plan north /4” = 1 '-O" Javier First Floor Plan = 1 ,488 sq- ft_ '*. Finished Basement = 569 sq_ ft_ Fernandez Unfinished Basement = 400 sq_ ft_ Access to Crawl Space Lisa L' rMcKeon ° ±6'-3"ul 5135 Indian Neck Lane c+� Vestibule Septic u f18'-11" Peconic, NY Closet -H 27"x 45" ' 104 +�� w.M.� Town of Southold In-swing casement Bedroom #4 0, n Partial existing egress window 2b drywall above \, - t7'-9"ceilin hei ht Cl. mechanical Suffolk County g g Drawn By : egress sD �o Unfinished N.P.M. window well f14'-9i" _ Stair Hall Utility Room Checked By Dehumidifier �, Boiler t8'-0"ceiling height ��1 M.A.M • • • • 14"Vent 4rr Crawl Space r;< t7'-3"ceiling height +� .:_.. o-, Sheet Title ' ---_------------------------------------------------------------------------------ -- - Floor Plans "' Play Room - -H.W.H ll� r Access to M t7'-9"ceiling height 1 Crawl Space Air Handler --------- ------------------------------------------------------------------------ Electrical _ 77 131'-0�" Water Oil Panel `a. 17'-3"ceiling height Shut Off a Tank Project. Job No. 32"x17" Fernandez-McKeon 1933 Scale: File Name : As Noted 1933- Rental Drawing No. Basement Plan plan north 1/4" = 1 '-O" TOWN OF SOUTHOLD PROPERTY RECORI OWNER STREET VILLAGE DIST. SUB. LOT Gluier Marl e- mc/<con ca FORMER OWNER N E ACR. S W TYPE OF BUILDING L-) L j RES. SEAS. VL. FARM I COMM. CB. mics. Mkt. Value LAND IMP. TOTAL DATE REMARKS 0dr 1500k ,06) Tq ,3 5Z_ 42 , ifo 0 11-j796-- ,,�41M .5-. y'I�It5, Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total Nos4 •4 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Halt Southold,N.Y. Certificate Of Occupancy No. . . . Z 14111. . . . . . . Date . . . . . . December. . x.9 .. .. . . . . . . 19 8 5 ., THIS CERTIFIES that the building . . . . . . . . . . . . . . . . New.Dwelling . . , . , , , , , , __ , _ _ , Location of Property 5135. , . . . . _ • . ,�ndi.an_Neck,Lane. , , . . , , . , • , . . . , Peconic House No. -Street Hamlet County Tax Map,No. 1000 Section . . 9$. . .. . .Block . . . 01 . . . . . . . . .Lot . . ..Q01.0.02 _. , . . Subdivision . . . . . . . . . . . . . .X. . . . . . . . . . . . . . . . Filed Map No. . .Lot No. . . .. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated • Mai . 29 . . . . • . . . . . , , 19 A5 pursuant to which Building Permit No. . 14 018 Z , . , . . . dated . . . .June. .7. . . . . . . . . • . . . • . • . 19 8 5 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 . . . . . . . . . . . . . . . . - . 77. ,New Private, One.Fami1X. Dwelling.77.7— .7 . . . . . .. . . . . . . . . . . . The certificate is issued to . . . ABEL,,, FRANK ,JR. &.FLORENCE , , , , ;, , , , , , , , , , , , , , , %weer, of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .80—SO--64 . . . . . . .. . . . . . . . . . . . . . . . . N7283-3 UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . .Pendia :-- . �u�t111 /.271 5 . • , . Building Inspector Rev.1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold,N.Y. Certificate Of Occupancy No . Z-_16228 _ Date . September. 29 : 19.87 . . THIS CERTIFIES that the building . DECK_ AD D I T I 0 N. . . . . . . . . . . . . . . . . . . . . . . . . Locationof Property , 5135 Indian Neck Lane. _ _ . , Peconic , .New _York House No. StreetHamlet County Tax Map No 1000 Section 09 8 . .Block 41 .Lot , , 1 . 2 . . , . . . . . . Subdivision . . . . _ . . . . . . .Filed Map No. . .Lot No . . . . . . . . . . conforms 'substantially to the Application for Building Permit heretofore filed in this office dated May. 5 , .19-8.7 . . , pursuant to which Building Permit No . . .5993. Z . . . . . . . dated , May 13 , 19 87 . 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 . . . . . . DECK ADDITION To EXISTING ONE FAMILY DWELLING The certificate is issued to FRANK & FLORENCE KULL (owner, of the aforesaid building Suffolk County Department of Health Approval . . . . N/A . .. . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . , , , i!A. PLUMBERS CERTIFICATION DATED: N/A . . ; . . Building Inspector Rev 1181 �pFFQI'��aG Town of Southold 5/19/2017 P.O.Box 1179 0 o 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38960 Date: 5/19/2017 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 5135 Indian Neck Ln.,Peconic SCTM#: 473889 Sec/Block/Lot: . 98.4-1.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/17/2016 pursuant to which Building Permit No. 40795 dated 6/24/2016 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: ADDITIONS AND ALTERATIONS INCLUDING REAR DECK TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Fernandez,Javier of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40795 05-11-2017 PLUMBERS CERTIFICATION DATED 05-18-2017 George J.Berry Jr ed Signature SAF " Town of Southold 1/30/2021 P.O.Box 1179 r 53095 Main Rd o� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41782 Date: 1/30/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 5135 Indian Neck Ln.,Peconic SCTM#: 473889 Sec/Block/Lot: 98.4-1.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated- 6/11/2019 pursuant-to which Building Permit No. 43883 dated 6/18/2019 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: "as built"finished basement(bedroom and playroom)to an existing one family dwelling as applied for. The certificate is issued to Fernandez,Javier&McKeon,'Lisa Marie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43883 10/28/2020 PLUMBERS CERTIFICATION DATED th e