HomeMy WebLinkAbout47852-Z ~ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
P
' BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 47852 Date: 5/24/2022
Permission is hereby granted to:
Waner Rosemarie
8310 Soundview Ave
_ _.wwww_...... ___ ................._............ .. __�...... _ wwwwwwwwwwwwwww................_._aaaa........._.�..._..-,._..._
Southold, NY 11971
To: construct accessory garage as applied for.
At premises located at:
8310 Soundview Ave. Southold.,
SCTM # 473889
Sec/Block/Lot# 59.-7-29.6
Pursuant to application dated 4/15/2022 and approved by the Building Inspector.
To expire on 11/23/2023.amm
Fees:
ACCESSORY $906.40
CO-ACCESSORY BUILDING $50.00
Total: ........ $956.40
...........-- L........................
Building Inspector
pFkkq ;
� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 letts://WWW sOU1hOldtovv
Date Received
APPLICATION FOR BUILDING PERMIT
Foi Office Use Only
PERMIT N0, Building Inspector:...........-...
UY
Applications and forms must be filled out in their entirety. Incomplete ;
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed. OF
Date:
OWNER(S)OF PROPERTY:
Narne: SCTM # I 000- - _ (p
Project Address:
Phone#: q"1 I Email:
Mailing Address: EAI.
CONTACT PERSON:
Name:
Mailing Address: Z;�2
Phone#: `' Email:Wi amLetItI
DESIGN PROFESSIONAL INFORMATION:
Name: AUJ-&-T:>
Mailing Address: 222
Phone#:
CONTRACTOR INFORMATION:
Name:
Mailing Address:. 27-56 5
Phone# � _C t Email: U41
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
[]Other $ _
Will the lot be re-graded? Xyes 0 N Will excess fill be removed from premises? ❑Yes IKNo
1
PROPERTY INFORMATION
Existing use of property: F�tL Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes YNo IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Cuss A misdemeanor pursuant to Section 2.101.45 of the New York State Penal Law..
Application Submitted By(print name): yf_ ♦ L.( Authorized Agent El Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF GJVFFt�71.IL _)
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the
(Contractor,Agent,Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this "
day of _ _ 202
Notary Public
SAM UARVEGA
o �tafGr Public,State of New York
PROPERTY OWNER AUTHOR I AT10 T!ls No.011VE6370422
(Where the applicant is not the owner) `, a:i ,� in Suffolk y29, ,
t>on�il�issiol�ExPi�eJanuary 2 ,2fi
I, residing at
. do hereby authorize to apply on
If to the Town of Sol ho Buildi epartment for approval as described herein.
Owner's Signature Date
L
e rr i
Print Owner's Name
2
-„,V, DATE(MM/DD/YYYY)
''" CERTIFICATE OF LIABILITY INSURANCE r 09(30/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If
SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s). C
PRODUCER CONTACT
Aon Risk Services Central, Inc. �. SNL--- ...--- .........w..�..._........................._....
AaC..----- ,I�: 0667 ZB3-7122 FAX C&007 363-0105 d
Chicago IL Office 4 �w._._ .__..._....... . S��www_:�A_�_w...� www a
200 East Randolph ADDRESS: _
Chicago IL 60601 USA
INSURERS)AFFORDING COVERAGE NAIC#
.,..,.......
....................... ..�._....
INSURED INSURERA: _ Zurich American Ins CO „ m w w 16535
Morton Buildings, Inc. INSURER B: American Zurich„ins Co 40142
252 West Adams Street ...w
Morton IL 61550 USA INSURER C: Great AmericanSecurity Ins Co 31135
INSURER D:
..
INSURER E:..,....,,_....W____ ,.., ..._...._._......,....w........_._._._
�
....
INSURER E.
COVERAGES CERTIFICATE NUMBER: 570089614952 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE HE POLICY PER01D
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
IN
TYPE OF INSURANCE 04so WV0 POLICY NUMBER MDDNYYYLIMITS
A X COMMERCIAL GENERAL LIABILITY GLO EACH OCCURRENCE $2,000,000
.......
CLAIMS-MADE OCCUR PRFMISt,5_. qSS,. r„�rence),,,,,,,,,,�, ,,,,,,,, $1,000,000
MED EXP(Any one person) $50,000
PERSONAL&ADV INJURY $2,000,000
_..»..,........... �........____..6 m
GE;Nt,Aad:dGREGATELIMITAP'�B'"%IESPER: GENERAL AGGREGATE $10,000,000 a
X POLICY PEO N LOC PRODUCTS-COMP/OPAGG Exuded m
0
OTHER: r
A AUTOMOBILE LIABILITY BAP 9376314 18 10/01/2021 10/01/2022 COMBINED SINGLE LIMIT $3,000,000
X ANY AUTO BODILY INJURY(Per person) Z
OWNED SCHEDULED BODILY INJURY(Per accident)AUTOS «0)„
'
AUTOS ONLY NON-OWNED PROPERTY DAMAGE p
HIRED AUTOS Per accident
ONLY AUTOS ONLY
d
C X UMBRELLALIAB X OCCUR UMBO 334 10/01 2 021 10 01 EACH OCCURRENCE $2,000,000 V
Umbrella Liability AGGREGATE $2,000,000
EXCESS LIAB CLAIMS-MADE „„„_„_,,,,,,,,,,„,„„,,,,„„„_ „„„_.......... �.
OED I IRETEN'T'ON
B WORKERS COMPENSATION AND WC937631118 1 1/ Z 1 16/01/2022 XH-
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE V 8 f AOS E . $1,000,000.._........
(Mandatory In NH) MA,WI EL,DISEASE EA EMPLOYEE $1,000,000
It yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000�-
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
Town Of Southold AUTHORIZED REPRESENTATIVE
PO BOX 962
Cutchogue NY 11935-1146 USA
tX�X//tea C i. 0
01988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
Workers'
YORK
Compensation CERTIFICATE OF
Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE
1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured
(309)263-7474
MORTON BUILDINGS,INC.
252 WEST ADAMS 200 1c.NYS Unemployment Insurance Employer Registration Number of
PO BOX 399
MORTON IL 61550 Insured
Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security
certain locations in New York State,i.e.,a Wrap-Up Policy) Number
37-0347310
w
2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder) AMERICAN ZURICH INSURANCE COMPANY
Town of Southhold 3b.Policy Number of Entity Listed in Box"I a"
WC 9376311-18
54375 Main Road
Southhold, NY, 11971
3c.Policy effective period
10-01-2021 to 10-01-2022
3d.The Proprietor,Partners or Executive Officers are
FX Included.(only check box if all partners/officers included)
all excluded or certain partners/officers excluded.
This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers'
compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A
on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send
this Certificate of Insurance to the entity listed above as the certificate holder in box"2".
.....................__ . ..,. .............w...ww.......................... ....... ................ _ww__............ �w_.........
Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if
cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of
the policy effective period? YES ❑x NO
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,
extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the
referenced policy.
This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect.
Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be
named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a
new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the
mandatory coverage requirements of the New York State Workers'Compensation Law.
Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced
above and that the named insured has the coverage as depicted on this form.
Approved by: Roger Levine
_w_........__......
(Print name of authorized representative or lice nsed„agent of,insurance.carrier),
Approved by: ��
Title: SVP Midwest Region Casualty
Telephone Number of authorized representative or licensed agent of insurance carrier: (847)605-6914
Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT
authorized to issue it.
C-105.2 (9-15) www.wcb.ny.gov
Workers' Compensation Law
Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured.
1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any
permit for or in connection with any work involving the employment of employees in a hazardous employment defined
by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits,
shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to
the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein,
however, shall be construed as creating any liability on the part of such state or municipal department, board,
commission or office to pay any compensation to any such employee if so employed.
2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into
any contract for or in connection with any work involving the employment of employees in a hazardous employment
defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall
not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory
to the chair, that compensation for all employees has been secured as provided by this chapter.
C-105.2 (9-15) REVERSE
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5OLZ446�u7
Generated by REScheck-Web Software
Compliance Certificate
Project 128109886 Robert Wagner
Energy Code: 2018 IECC
Location: Southold, New York
Construction Type: Single-family
Project Type: New Construction
Conditioned Floor Area: 2,016 ft2
Glazing Area 2%
Climate Zone: 4 (5572 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
8310 Soundview Ave Robert Wagner Allied Design A&E Group,P.C.
Southold, NY 11971 8310 Soundview Ave P.O.Box 110
Southold, NY 11971 Morton, IL 61550
Compliance: 7.3%Better Than Code Maximum UA: 286 Your UA: 267 Maximum SHGC: 0.40 Your SHGC: 0,22
The%,Better or Worse Than Code Index reflects how close to compH ante the house is based on code trade-off rules.
It t OES bar prr,Wde an estimate of energy use or cost relative to a raeniojurrr c;Cat hramt,
Slab-ort-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck.Each slab-on-grade
assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements.
Ceiling: Raised or Energy Truss 2,077 38.0 0.0 0.025 0.026 52 541
North Wall: Other 544 0.047 0.060 24 30
Walk Door:Solid Door(under 50%glazing) 20 0.350 0.320 7 6
Window-EWG-K-58:Vinyl Frame
SHGC:0.22 24 0280 0.320 7 8
South Wall:Other 544 0.047 0.060 24 31
Window-EWG-K-58:Vinyl Frame
SHGC: 0.22 24 0.280 0.320 7 8
West Wall: Other 660 0.047 0.060 31 40
East Wall: Other 660 0.047 0.060 18 23
Walk Door:Solid Door(under 50%glazing) 20 0.350 0.320 7 6
Overhead Door:Solid Door(under 50%glazing) 256 0.350 0.320 90 82
Floor:Slab-On-Grade(Unheated)
Insulation depth:4.0' 180 10.0 0.640 0.700 0 0
Project Title: 128109886 Robert Wagner .. mmNNN µ�FmN Report date: 05/23/22
Data filename: Page 1 of 2
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications, and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2018 IECC requirements in
REScheck Version :REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
ma
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Name-Title >M�lna,.tutta �, � Date
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100
............
Project Title: 12810198-......e_...,�ww_..
86 Robert Wagner .�...__.� .........._.. . ...�,,,-m .M...
g Report date: 05/23/22
Data filename: Page 2 of 2
U-Value Calculation for a Wood Framed Wall
(based on the Isothermal-planes Method from ASHREA's Fundamentals Handbook)
Bay Space 8 ft R-value %of Wall
Column Width 4.5 in Exterior Air Film 0.17 100.00%
Column Depth 5.5 in Exterior Sheathing 0 100.00%
Nailer Spacing 35.5 in Air Space 0.91 90.14%
Nailer Width 3.5 in Exterior Wall Framing 1.875 9.86%
Nailer Depth 1.5 in Insulation 19 95.31%
Stripping Spacing 30.5 in Column 6.875 4.69%
Stripping Width 3.5 in Interior Wall Framing 1.875 11.48%
Stripping Depth 1.5 in Air Space 0.91 88.52%
Wood R-Value 1.25 per inch Interior Sheathing 0 100.00%
Interior Air Film 0.68 100.00%
Layer Layer Components Layer Component Layer R-
Percentage R-Value Value
1 Exterior Air Film _0.170 0.170
2 Exterior Sheathing 0.000 0.000
3 Airspace 0.820 1.005
Exterior Wall Framing 0.185
4 Insulation 18.109 18,432
Column 0.322
5 Interior Wall Framing 0.215 1.021
Air Space 0.806
6 Interior Sheathing 0.000 0.000
7 Interior Air Film 0.680 0.680
Total Assembly R-Value 21.308
Total Assembly R-Value 21.3075
U-Factor 0.047
w,. � � �""+,e +4'"fpX •I ro,�,,+' p� ^".:, ,er^M'. n �m,iwv
OR
INSULATED,. ..� AIR PCEINTERIOR
CAVITYp ✓ AIR SPACE
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DCTERIOR�_m INTERIOR
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LAMINATED- m o NAILERS STRIPPING
" .,
COLUMN r""^� " ""��^ s'""�, EXTERIOR � """'• �1PFfERIQR
R AIR FILM rM AIR FILM
042024430.... [4391210004109S........._. .__ww_w.._._._._. ._._._._ .__ _ -....�-.._w_... .........n Type Span Pl-Hl Left OH Right OH EmOneerinag
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..... a....-.. . L S1 S2 #8.75x8.75 J #8.75x8.75 sl S2 H
#5x6.25 #18G-S518-8x18 #18G-MN18-7.5x16.25 #5x6.25
#IBG-5518-8x28
&18G-MN18-6.25x17.5 &18G-MN18-6.25x17.5
...................._.........,,...........
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EXCEPT AS SHOWN ALL PLATES ARE MN2020, # = PLATE SELECTED IN PLATE MONITOR
Scale:0.164"=1'
MiTek0 Onl-ne Plus- APPROX. TRUSS WEIGiiT: 455.3 LBS
Online Plus -- Version 30.0.069 Dur Fctrs - Lbr 0.90 Plt 0.90 Plates for each ply each face.
RUN DATE: 05-OCT-21 plf - Dead Live* From To Plate - MN20 Ga, Gross Area
TC V 32 0 0.01 41.8' Plate - S518 Ga, Gross Area
Southern Pine lumber design BC V 16 0 0.0' 41.8' Plate - MN18 Ga, Gross Area
values are those effective it Type Plt Size X Y
06-01-13 by SPIB//ALSC UON LC# 3 NonStandard Loading B MN20 2-5x 5.0 Ctr Ctr
CSI -Size- ----Lumber---- Dur Fctrs - Lbr 1.60 Plt 1.60 C# MM20 11.2x11.2 Ctr Ctr
TC 0.60 2x 8 SP-#1 plf - Dead Live* From To D# MN20 11.2x12.5 Ctr Ctr
-- 0.57 2x 8 SP-2400£-2.OE TC V 19 0 0.01 41,81 E MN20 11.2x1142 Ctr Ctr
A -C E -G BC V 10 0 0.01 41.81 F MN20 2.5x 5.0 Ctr Ctr
BC 0.64 2x 8 SP-2400f-2.OE TC N 0 96 0.0' 20.91 L# MN20 5-Ox 6.2 Ctr Ctr
WB 0.73 2x 4 SP-#1 TC N 0 92 20.9' 41.81 S2 MT8H 8.0x18,0 Ctr Ctr
WG --- 2x10 SP-#1 K# MN20 8.8x 8.8 Ctr Ctr
Membr CSI P Lbs Axl-CSI-2nd J# MN18 7.5x16.2 Ctr Ctr
Brace truss as follows: ----------Top Chords---------- I# MN20 8.8x 8.8 Ctr Ctr
O.C. From To A -B 0.57 8690 C 0.12 0.45 SI#MT8H 8.Dx18.0 Ctr Ctr
TC 24.011 0- 0- 0 41- 9- 0 B -C 0.46 8252 C 0.17 0.29 H# MN20 5.Ox 6.2 Ctr Ctr
BC 72.0" 0- 0- 0 41- 9- 0 C -D 0.60 7462 C 0.31 0.29
One 2x4 T-Brace D -E D.60 7462 C 0.31 0.29 # = Plate Monitor used
K -D D -I E -F 0.46 8252 C 0.17 0.29 Placement Tolerance Used 0.12 in.
Attach to 1-1/2f1 edge w/10d F -G 0.57 8690 C 0.12 0.45
nails at 611 O.C. T-Brace --------Bottom Chords--------- REFER TO ONLINE PLUS GENERAL
must cover 90% of web length A -L 0.64 7895 T 0.32 0.32 NOTES AND SYMBOLS SHEET FOR
and have a MOE >= 1.40E6. L -S2 0.54 7435 T 0.30 0.24 ADDITIONAL SPECIFICATIONS.
S2-K 0.52 7440 T 0.30 0.22
psf-Ld Dead Live K -J 0.27 5806 T 0.24 0.03 NOTES:
TC 4.0 20.0 J -I 0.27 5806 T 0.24 0,03 Trusses Manufactured by:
BC 2.0 0.0 I -SI 0.52 7440 T 0.30 0.22 Morton Buildings, Inc_
TC+BC 6.0 20.0 SI-H 0.54 7435 T 0.30 0.24 Analysis Conforms To:
Total 26.0 Spacing 96.011 H -G 0.64 7895 T 0.32 0,32 TPI 2007
Lumber Duration Factor 1.15 -------------Webs------------- Run vertical thru bottom chord
Plate Duration Factor 1.15 B -L 0.10 614 C Joint J
Fb Fc Ft Emin L -C 0.26 414 T Truss is designed for no
TC 1.00 1.00 1.00 1,00 C -K 0.73 1571 C ceiling load.
BC 1.00 1.00 1.00 1.00 K -D 0.35 2147 T 1T-Br NOTE: USER MODIFIED PLATES
J -D 0.18 953 T This design may have plates
Total Load Reactions (Lbs) D -I 0.35 2147 T 1T-Br selected through a plate
it Down Uplift Horiz- I -E 0.73 1571 C monitor.
A 4342 1378 G 35 R E -H 0.22 414 T Max comp. force 8690 Lbs
G 4342 1344 G H -F 0.10 614 C Max tens. force 7895 Lbs
G = Gravity Uplift connector FSate Fabrics Li on
TL Defl -0.7011 in I -H L/696 Tolerance = 10%
it Brg Size LL Defl -0.4811 in I -H L/999 This truss is designed for a
A 5.5'1 Hz Disp LL DL TL creep factor of 1.5 which
G 5.5" it G 0.211, 0.09" 0.301, is used to calculate total
Shear // Grain in A -B 0.54 load deflection.
LC# 2 Dead Load Check
Online Plus-P Copyrighl NtiTekO 1996-2017 Version 30.0.069 Engineering-Portrait 1015!2021 11:10:51 AM Page 1