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BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL .- ~,
co~PL~,ON OF THE WORK ^UTNOR,ZEO~ /~.~.~ ~ C~
Permission is hereby gronted to:
......... ............
......... './...Z. ...... Z~c~.././~ ....... ../-~a, ......
,o .......... ~.,~..,~./zaaT., .~......~-a~../. ~...:.~./~. ~..~ ......................
ot premises located et ...~..~.,~..~., ........ ~-::~.......~,-~--/ ............. .;....~.,~/. ·~.~.~...~'.Z~- ~-
County Tax Mop No. I000 Section ...~...~....~.. ....... Block ...~..~.. ....... Lot No..~./..~.. ..........
pursuont ,o opplicotion doted ....L~.~.Z.~ .................................. J.~.. , 19.Z.~.f, ond opproved by the
Building Inspector·
Fee $..Z~-...~...~
Rev. 6/30/80
Town OF SOUTHOLD · : .
No. Z10192
BUILDING DEPARTMENT
Town Clerk's Office.
Southold, N.Y.
Certificate
O[ C)ccupanw "
Date ....Ocg. 9.b.°.?;9 :! 80
amx~ Jrma"*-~'~"'~"~° that the lot. ~ ' .....: '
Location of Property ¢2~O Cedar Avon~ Street gouthold~ NoW Ygpk
House pJo. ' H~mler
County Tax Map No. 1000Section ...97Z: .... Block .... Q¢ ......... Lot ~ ; ~9 . .....
' JJ. ZS'
Subdivision., .~9P.~. ~gX .~ ~ ~ ........ Filed Map No, ', .Lot No( ~)., ~ J 5.z1.~9. ~ne.
eonfoms subsganbLall7 go ghe applicable p~ov~sioas o~ ghe ZonSng
Code of tho Town of Southold. ~e premises are lbb~ted in the .....
A Reszdengi 1 and Agrioultural Disteiet, a~d may: ~e used
for such uses as are presently authorized by the ~oning Code in such
distriot su~jeet to, howeYer, all of the requirements of the Zoning
Code.
Tho certificate is issuod
of the'~ ~"
~fore,~azd lot.
Rev~ 9/,9/80 c i '
POST bF~ICE BOX 20? - CRYSTAL. RIVER,. FLORIDA 32629
TELEI~HONE: (904 795-0777
Ap~'ril 28, 1983
Ian Haigh
18 Lucille Ave.
~lmont, NY 11003
Dear Mr. Haigh:
Thanks for your letter and, the R factor of ~he 6x8 is between
11.5 and 13. When this wood dries Gut (7-8~ years), the cells
are replaced with air and therefo~e-increas~es the R factor to
as high as R-22. The Log Home Guld~ has d~he extensive
research backed up by the U.S. -~re~u of T~stlng!Laboratories
that equates 6" log walls with th~ 6quival~nt Of jan R-18
R-20 on green logs, R-30-33 on dr~ ~ogs. Tiechni~ally, the
R factor is as stated above.
Many thanks and I'm looking forward to wor~ing with you.
Sterchi
TilE NEW 'fORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRIC!TY
85 JOHN STREET, NEW YORK, NEW YORK 10038
..~ ~..,,~.,,~,, ~-..,,z,,. N 630254
THIS CERTIFIES THAT
only the electrical equipment ~ described below and introduced by t~ applicant ~med on the above application number i~ t~ premises of
was examined on ~ 9 ~ ~%~ artd found to be in compliance with the requiretnet~ts of this Board.
FIXTURES RANGES OVBNS
FIXTURE SWITCHES
OUTLETS FLUORESCENT
EXHAUST FANS
28
DRYERS
NO OF CC, COND
PER ~
1
OTHER APPARAIUS:
}&>tom: l-F, 1-G.F.C.I.~ ~-~o~e Detector.
OF CC. COND
2/0
C
NO OF HI-LEG
OF HI-LEG
NO, ]F,NEUTRALS
OF NEUTRAL
2/O
Charles M. Hall Electric ~~---~¢~
780 Long Cr~k ~ive
~t~ld, N,Y. ll~tl Lic. ~7
Th~s cerhflcate must not be altered ~n an ~ ~1 ~ ~[
.... y manner; return to the office of the Board if ncorrect. Inspectors mayoe identified by their creaemims.~[g ~
COPY FOff B, UILDI~G DEPARTMENT. THIS COPY OF CERTIFICATE MUST NO[ B~ ALTERED IN AN~ MANNER.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved .... i .PermitNo.
Disapproved a/c ................................... 1~ ,
· (Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .q~..0~.~. ?.7 .......
INSTRUCTIONS
Application No..//0~.Q2~..O~. .......
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector·
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections· . . /~
''' i~i~n~r'e';f~~l~l'e; if a corporation') ....
J ve . ez , Z. .
(Mailing address of applicant) z.J
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder·
· ........................................................................................
Name of owner of premises . ~ R i.~ 1~.,..~. 0.rY....~.'..a.~.4.../4J.i.~.~ ..........................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
License No..DC.qg(b..~ ................
Builder's
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location oftand on which proposed work will be done ..................................................
. . d.d . ............ e..
House Number Street Hamlet
County Tax Map No. 1000 Section ...O. 7.~7 .......... Block ...2 ............. Lot...0./.~.°.q.O..O ......
.~.~.770.w.~ ................ Filed Map No. [[.7..~. ........ Lot ...O./.q, O. qP...
Subdivision . .~.o.o. 6 .~. ~..~. (Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction;
a. Existing use and occupancy
b. Intended use and occupancy .tP[~t.'thfl~.Cl..~e5
9.
10.
11.
12.
3. Nature of work (check which applicable): New Building . ..,~.. ...... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
(Description)
4. Estimated Cost.. . i ......................... Fee . ..-~ .........................
I ~, ~.. (to be paid on filing this ~a)~lication)z
5. If dwelling, number of dwelling[units .... ~': ......... Number of dwelling units on each floor..~.'~ ..........
If garage, number of cars P~.~'i ...................................................................
6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use . .'7'~.. .................
7. Dimensions of existing structures, if any: Front .rdD./l/.C ........ Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front .3/p.~.~ ............ Rear ..................
Depth ................... ;.. Height ..... . ................. Number of Stories ......................
Dimensions of entire new construction: Front .... ¢.~. ........ Rear .c/.~. ........... Depth ~.. ~. ...........
Height .. ~..O. ......... Number of Stories .../ .....................................................
aze of lot: Front . ./.g.O. ?.e.~ Rear.../?-.q .~e.?/. ......... Depth (~2~ ff.(..~.~. .
!)ate of Purchase . .&'. ¢. ~/~ ~..~ .:l.~. ~ O. ............. Name of Former Owner '~t(.$r~.l/'~ i ~/~ i~; ~.' ~ ~; ~/~
Zone or use district in which premises are situated .~gid. e:a t(,q ~. ........................................
Does proposed construction violate any zoning law, ordinance or regulation: ~/.c~ .............................
13. Will lot be regraded ~/..Q ..... i ..... ....~ .......... Will excess fill be removed from premises:~ Yes
14. Name of Owner of pr_em~ses~o~. ~: ~t ~.~ ~.R .~. ~., f.e_.. Address l~'.~. ,fl.~..]~ .g~, ~r//~,r. Phone No~.S'./~.~. 7 7~...qcP./qg...
Name of Architect .~s:~ .N~ 0. '~': .............. Address,~.o~.~.. ~.d~..L.q~..B.~?..~g: Phone No..~.6 7.~. Sfi.~. ....
Name of Contractor .[~e~t~. ~. ................. Address ................... Phone No
O
PLOT DIAGRAM
Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-back dimensions from
prope~y lines. Give street and block :number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE Or~ NEW~OR,~K, ,~
COUNTjfJ OF~..,.. ~.S
..... · ~"~ ............................ being duly sworn, deposes and says that he is the applicant
signing contract)
above named.
He is the ........................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owne~, ~d is duly authorized to perform or have performed the said work and to m~e ~d file this
application; .that all statements centred ~ this application are true to the best of his ~owledge and belief; and that the
work will be: performed in the m~ne~ set forth ~ the application filed therewith.
Sworn to before me this
.............. .... .........
OLD
BLDG. DEPT.
TOWN OF SOUTHOLD
SUFFOLK CO. HEALTH DEPT. APPROVAL
H.S. NO.
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DIS~SAL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
.
SUFFOLK CO. DEPT. OF HEALTH SERVICES
SUFFOLK COUNTY DEPT, OF HEALTH
~ SERVICES FOR APPROVAL OF
~ CONSTRUCTION ONLY
~ ~ SUFFOLK CO. TAX MAP ~SIGNATION:
~ DIST. SECT. BLOCK ~L. .
..... - .......... DEED: ~ P. ~0 ,.~ .;
VAN T
tEK .C.
LICEN~D~ LAND SURVEYORS .-
GREEN~T NEW YORK