HomeMy WebLinkAbout33136-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32520
Date: 08/08/07
THIS CERTIFIES that the building
ADDITION
Location of Property: 1810 NORTH
(HOUSE NO.)
County Tax Map No. 473889 Section 127
OAKWOOD DR
(STREET)
Block L-
LAUREL
(HAMLET)
Lot 8
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 7, 2007 pursuant to which
Building Permit No. 33136-Z
dated
JUNE 15, 2007
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" DECK & OUTDOOR SHOWER ADDITION TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR.
Tbe certificate is issued to ESTATE OF ELEANOR BASTONE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~ri~
Rev. 1/81
08/02/2007 10:28
6317653803
e2l AGAWAM ALBERTSON
PAGE 01
cJ-9 (~
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a~~g~~~~~;~T ~/lt~ ICIlZ. ir---f/i~&
TOWN HAT,L V / i' ~,
765-1802 !" ~ '1;( l
APPLICATION FOR CERTTFTCATE OF OCCUPANCY l~r~:veQ~~ ~ L~//
This applicat<ol\ must be filled in by typewriter or ink and .~ublnilted to the Building Department with the folloWi~~~4(). ,
'- ,
A. For new building or Dew Dse:
I. FiMI Stll'llCY of property with acourate location of all building.. property lines, streets. and unusual natural or
topo&raphic foMutCs.
2. Pinal Approval from Health Dept. of water supply aod sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board ofFlro Underwritel'll.
4. Swom statement from plumber certifying that the solder used in system contains less than 2110 of I % lead,
5. Commerei_l build~,lndustri'.1 building, multiple residences and simil... bUildings and instanations, a certificate
of Code CompHancc from arehltect or engineer r"pollslble for the building.
6. Submit Planning Board Approval of comploted site plan r"'luircrncnlll.
B. Fot existing bulldlnlls (prior to April 9, 1957) Don-eonforlnlnll uses, or buildings alld "pre-existing" land uses:
[. Accurate ,"rvey of property showing aU property lines, streets, building and unusual Mtutol or topographic
features.
2. A p"'perly completed aplllicallon and consenlto inspect signed by the applicsnl. If a CCltiflcstc of Occup.ncy is
denied, the Building Inspector .IulU state tho rClI$on. therefor in writinll' 10 the appllcsnl.
C. Fces
1. Cc~tifjeat. of Oocupallcy - Now dwellillg $25.00, AdclitiolUl to dwelling $25.00, Alteration. to dwelling $25.00,
Swunminll pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00,
2. Certi ficate of ()coup.ney on p1"(I-existlng Building - $100.00
3, Copy of Certificate of Oecupa,.,C)' . $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certlficatc of Occupancy .. Residential $15.00. Commercial $15,00
D.t.'~Egust 3,2007
X
New ConRlruction: ..._.__ Old or pre.existing Duildlnll' _...._ (check ono)
Locatioll of!'ropOlty:.... 1810 Nort~ Oakwood Drive Laurel New York
House No. Street Hamlet
OwneroI'Ownel'sofProperty: Esta:: of Eij:~~?;: ~~~~,?~~,,~?~veyed=~7/07 t~__
SuffolkCOIIl1(Y Tax Map No JOOO, Seclion __ 473889 ___Block 0006. _ Lot 008
Suhdivision
_ Filed Map. __. Lot;
15, 29..~Jlicant:2.state ..of Bast.one
Underwrite," Appmval: _ _ '_'.
Pelmit No. 3 31 3.~ Z
Health Depl. Approvai:
Dille of Pormit
June
Plam,h'A Bo"," Approval: "'___.
Roquest for: Temporary Certificate
Final Certificate:
..~~
~Plicant Sign.l.urc
David Rainer Executo r
Estate of Eleanor Bastone
Fec Submitted: $
25.00
~ 1;l.~5i
CO e '3J.5/l0
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
33136 Z
Date JUNE
15, 2007
permission is hereby granted to:
ESTATE OF BASTONE
LAUREL,NY
for
"AS BUILT" CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR
1810 NORTH OAKWOOD DR
LAUREL
at premises located at
County Tax Map No. 473889 Section 127
Block 0006
Lot No. 008
pursuant to application dated JUNE 7, 2007 and approved by the
Building Inspector to expire on DECEMBER 15, 2008.
Fee $
400.00
~ . c;:.~
/ 1-""'-4.. .
~ Authorized Signature
ORIGINAL
Rev. 5/8/02
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0233C
Date: August 3, 2007
THIS CERTIFIES that the existing 41 '9" xII '8" deck
At 1810 Oakwood Drive, Laurel, New York
Suffolk County Tax Map # 127-6-8
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 04/17/07 pursuant to which Trustees Permit # 6609 Dated 05/16/07.
Was issued, aud conforms to all of the requirements and conditions ofthe applicable
provisions of law. The project for which this certificate is being issued
is for the existing 41 '9" x 11 '8" deck.
The certificate is issued to Estate of Eleanor Bastone owner of the
aforesaid property.
r5?~
Authorized Signature
I
I
I C20 (Rev. 1{07)
I SURROGATE'S COURT OF THE STATE OF NE~/r ._ ~
I QUEENS COUNTY ~. ~/r::~m ~
File #: 00 13634' - 'r: 1 rJ7 7>- _
! I I ~ 1"1
I CERTIFICATE OF APPOINTMENT OF EXECUTOR~ 'i _ ")r l ., '/
liT IS HEREB: CERTIFIED that Letters in the estate of the Decedent named be1oY'IT~~en /(~//
Igranted by this court, as follows: - <<C._:.., ---J i
I 1
IName of Decedent: Eleanor Bastone Date of Death: September 03,2006
IDomicile of Decedent: Queens County
:Fiduciary Appointed: Debra Ann Bastone Walsh
!Mailing Address: 11 Harbour Lane
i Massapequa NY 11758
I \( I 01 nOl I 'II '\ 1(.0\ I \I\S \ \HIII( OJ OIUI) \om PAi\ IO('R \1)11 \\() \11( ROI'IU'1 BORDI R. I illS DO( l \11 '\ I \1 so II \S
1\\I....WlllllORISll\IIIBIRS.\RIHH.I\1 \\\11 IUI\Rh.O\H\l h., \\U \l III \1It. \1 RI \( 11\1 \OIDIi"IlRI
Jonathan Rainer
43 High Pasture Circle
Dix Hills NY 11746
David Rainer
8625 Kings Arms Way
Raleigh NC 27615
,
,
!
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iType of Letters Issued:
I
iLetters Issued On:
i
I Limitations:
i
LETTERS TESTAMENTARY
October 02, 2006
NONE
land such Letters are unrevoked and in full force as of this date.
Alicemarie E. Rice, Chief Clerk
Queens Surrogate's Court
This Certificate is Not Valid Without the Raised Seal of the Queens County Surrogate's Court
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IN TESTIMONY WHEREOF, I have hereunto set
my hand and affixed the seal of the Queens
Surrogate's Court at Jamaica, New York.
.
!Oated:
i
,
March 19, 2007
WITNESS, Hon. Robert L Nahman, Judge of the
Queens Surrogate's Court.
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1~1 YOre, STATE DEPA.I'(l11rN1' OJ!' E1:lVIRN1E:NTAL cctlSImVATION
Regu].atozy Affairs . ...
B1dg. 40, SUNY - fbalI 219
Stony J3roOk, New York 11794
(516) 751-7900
!UJ3E.Rl' F. F'IACKE
UJtmdssioner
\\-'tt\\\~ <::\--S()\'\S:x:V\C.
f.D. Bo'k YY(
\-\<\,"\-\\-\\)C\(, ~I W" ~
4/~dltgd-
fa\'. ~ .1So-s\oY\e.
~tl-~J. - ()~ II) c'(JY\<i. \-~C+- 0--. Ol'"\e- \.t\y~\t" Ch.DlG\l\y\c\ 0 Y\ f<lrc~ I
Ile: cx:~\-P6 DY).",~~-t- c;\~-e. O'~ 1~\):.cX\_'t\.O~cL Rd'J 4U(~I}
.. ~~\)\Q J 'S\)W CO'
Dear ~)\ < .
As a result of your inquiry concerning the above referenced parcel, t.lrls
Depart:Irent has CXlnducted an on-site inspection. ~'Je have found the oarcel ~
IP-:j '0 to be C00()IJe.. 10' e.OV\\OU'\ Q\?DlJ~ ~'E'~V\ See" IQu.Ql.
Therefore, pursuant to Part 661, Official eonpilation of Codes, Rules
and Regulations of the State of New York, Section 661.4 (b), no permit under
.Artic1e25 ('I'idal Netlands) of the EnvL.<J!.,ent:al Conservation Law is required.
Very truly yours, I /I .
~ -r.-l~k
DANIEL J. IA.l<Kn!
Regional Pennit 1\dninistrator
nJ4Icr
No\-t., ~Q..'(€.. \. <:> ~ \oQ., V\t\ Q5::~\'\~-\-'{\)~\t'{\. (J-(
. Q\.\'t,<u-..\-\OY\. p-Q\CW '\\r\.'€... \D' C6V\\oo<
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MARTIN F. SENDLEWSKI, A.I.A.
ARCHITECT - PLANNER
July 17,2007
Southold Town Building Department
PO Box 1179
Southold, NY 11971
Attn: George Gillen
Re: 1810 North Oakwood Drive, Laurel, NY 11948
Dear Mr. Gillen:
This office certifies that the spindles were installed at the above referenced property per
your field inspection requirements and that the existing footings for the deck are three (3)
feet below grade. I have also attached a photograph of said rails indicating completion of
this work in accordance with the code as required for the issuance of the final Certificate
of Occupancy.
Martin F.
r.
I
JUL L 6'7
; "--_..~....- ,'j
i_-2~:;=~~~~1\J:~~~~~~ 11901. (631] 727-5352 . FAX (631] 727-5335
3313hz-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONS11lUCTlON
REMARKS:
-Q- ~
[ ] ROUGH PLBG.
[ ] INSULATION
P<l FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE ISTANT PENETRATION
~Ptzl24-
DATE
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FIELD INSPECTION REPORT DATE I
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COMMENTS
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INSULATION PER N. Y.
STATE ENERGY CODE
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GRAPHIC SCALE ( iN FEET )
(2')- DENOTeS RLCO MAP LOT NUMBERS.
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. IJtIN""ORllfD AITrlMlro"l {J' ^OllllIOIl 10 IW' survEY 15 ^ VIOlAtiON or 5reTlON 720') Of lHf NEWYORI; STAlE [OUC^'ION lAW coms or Tltl~ 51J11:V{Y M/IJ' NO! 5CN"JNG "tr. 5UJ!.Yr.\'OR.,!", INr,lO ~
II"lnO',r>l"U ~""l !"II^H tlOl 1" CQW'IIlU:rO 10 N: ^ VAllI) lI~ur corY C[rllrIC^'ION5INOlCA'W 11(P.:fON 51t"ll Rlm OIIlY 10 ttl~ f'f~NIf'fR!">ON~ ralt WltOM Iltr 5UPVf.Y I~, rr.r"M'LO, NlD OtJ
ttl~"'1l pmttl" "rttAlr 10 Hlf IIllr (:O"WMIY, r.ovrPJjll.l[t/l/IL A.GrtlCr, MID IfNDlII(; ItI5H1UllOO t1SIW 11fN:ON. CfltltnCAfION511f1! NO! TRAWHfl/AN.f 10 NJOIlIONII.l IN"imllTlC'Itn OR 5lJn~.rOUnll
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.1 01 r~,rt~ ~~I()IMllt(rH.)Ij /lPf. lOR A ~,r'(CIlIC I'lIPJ'(Y,[ MID ~'"0Ult) NOI I'll Inw "S ^ OASIS roll' Cow.;l~UCIION or ffNCf5 OR: Olll(~ !",IP.UCIUPLS
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":,,.._~,J()'_ 1)1 lilt Imllll1l "1111 '-Arllr.t~ M'IT l'f<.r""'ltl Ill!. ,-reOI'D Pl';( r.tI'1l011 or till' SLlO/fClI'V0f1.rJT' fOPM'.l ^ MAliN MMlrAllT
f 1"-.IP'Il;W.t lilt', "IW\ll W^" 1"/1."""1 UI /ll:r{WPN"r Wlllt Iltf ClIrrlll! copr or l.rAUICf toP: IAlm sur.vrrolt<\ NX)l'IfO IW IlII
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TOPOGRAPHIC JUIU /"EY
MARTIN SENDLEWSKI
SUBDIVISION OF LOTS 52 & 53 "LAUREL PARK"
LAUREL, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NY
MARTIN SENDLEWSKI
,\'URVWfElJ FOR:
MAP OF.
LOCATION:
C1iRTlFllm TO:
JIJF/'VLK COIJNI'Y IlI,n: 1000
,we 127 /Jl.K. 06 (.or 08
1",,20'
~5/17/2~e7 12:45
6317653863
C21 AGAWAM ALBERTSON
PAGE 64
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH OLD, NY 11971
TEL: (631) 765-1801
FAX: (631) 765-9501
www. northfork.nettSoutholdl
BUILDING PERMIT APPLICATION CHECKl.IST
Do you have or need the following. b...fOnl applyill~?
Board of Health
4 ~cl'l of Building 11)'-(\11
Pl'-nn.in.e Board approval
SUf'Vey
Check
Septic Fonn--==:.
NYS.D.E.C.
Tl'Ulltee.'1__~._~
Contat'=
'77\ ?~~
PERMIT NO.
Exommcd ...J,t1&2017
App..ve<J I .204
Disapproved ale
~y ~/Ps.J.f:'
M,lllO: t:;L~",lf(Ik'"J'"
~(J. 4tU f1f ..101/1'101,..1> 11'171
rhone: (;;1/. "5-JlDO .
Expin\lion
J:~20~
L'l/;;;;'OI'
APPLICATION FOR BUILDING PERMIT
Date
/11# Y 17
.20<7-'1
INSTRUCTIONS
a Th.ll application MUST be completely tilled In hy typewTlter 01 in ink ilnd submitted to the Building Inspector with 4 .....
sets of plans. aceurate plot plan to scale Fee according to schedule t!}.~....--..........
b. Plot plan shQwmg location aflat and of hUlIdinQs on prCIIllses, relationship to adJolnlng premises or public streets or;; '.
areas. and waterways ')
c. The work covered by thIS appbcallon may not be commc:ncl::d before Issuance ot BlUldms Pcnnit.
d. Upon approval of dus application. the Build.ug Inspector w1I1Issue a Buildtn~ Permit tOlhc applicllnt Such a pemn
shall he kept on the premIses available for tnspectton throughout tbe work " "
e. No building shall be occupied oru!ted i1'l whole or in part for any purpose what!<<) ever until the Building Inspecto ' ,V
issues (II Certificate of Occupancy.
f. Every building permit shaH expire iftbc work authorized has not commenced within 12 months after the date oJ . . "
issuance or has not beeti complcted within 18 months from such date. If no zoning amendmentS or othtr reguJations affecting ~W"t1I...Ui -. "-'~'"'-k
property have beC1:1 enacted in the interim. the Building Inspector may authorize. in writing, the extension of the permit for an --" ,~__IJ:2t -Sgf r r
addition six months. Thereafter, a new permit shall be requIred. --........:' '7.,.;("1.
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, awl otha- applicable Laws, Ordinances or
RcauJations. for the construction ofbuiJdings, additions, or alteratiom or for removal or demolition as herein described. The
applieam agrees to comply with all applicable laws. ordinances, building eode, bousin code, and regulations, and to .
authorized inspectors on premises and in building fornecesslU}' inspections. Es ate 0 Elea
"
,
(Sil"ature of applicaru or Mme, if a co[}xuation)
athan Rainer Executor
A.1 Hi ~h P;:p::::rnrp ri r,.....l p
Dix Hl.'f"l'N';~Jforg~ 11746
State whether applicant is owner, lessee, agent. archite<;t. engineer, general contractor, electrician, plumber or builder
former owner, agent for present owner
~."r""A"i!" d' ,4"~"tJl4Il e(J""c-:y~o<. ~'/47 "....
Name of owner ofprcmises /11lfkTN./ ~ENDUlA1~1
. (A, on the tax roll or la,." deed)
If applicant is a corporation. signature of duly authorized officer
(Name and title of corporate officer)
Builder5 License No.
Plumbers License No.
Elecbician~ License No.
Other Trade's License No.
1. Location ofland on which proposed work wiU be done:
/'/() /1/. d,AkfPOOo O"IY~
Hou._ Number Stre_,
L..,,,.u-"- //9'9'1
Hamlet
Coun,y Tax Map No. 1000 Section / ~ 7
Subdivis.ion ,L~"re-/ .......41r..l- o'ftL~.
(Name)
I"
"':
Block iP
Filed Map No.
Lot
Lo,
J/L
05/17/2007 12:45
6317653803
C21 AGAWAM ALBERTSON
PAGE 05
2. Stote existing use and occupancy ofpremiscs and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~~ .t<<m'/v ~(A1e/fi,;q
, ..
b. Intended use and occupancy
<Me- .firmli'~ ....1V.//1~9
,
J. Nature of work (check which applicable): New Building.
Repair Removal Demolition
Addition
Other Work
Alteration
-'J- 6{//"'7' A"c..t'.
(lkscription)
.. Estimated Co~t ."
Fee
i, If dwelling, number of dwelling units
If garage, number of cars
(To be paid 011 filing this application)
Number of dwelling units on each 1I00r
i. Ifbu9jness~ commercial or mixed occupancy, specify nature and extent of each type of use.
1. Dimensions of existing sttucture~, if any: Front
Height Number of Stories
Rear
Depth
/
Dimanslons of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
t Dimensions of entire new construction: Front
Height Number of Stories ,/
Real"
Depth
). Size of lot: Front
Rear
Depth
0, Date of Purcbase
Name of Former Owner
I. Zonc or use district in which premises are situated
2. Doe') proposed ~mdructio" violate any zoning law, ordinance or regulation? YES_ NO~
3. Will lot be re-graded'? YES_. NO_Will e,cos. fill be removed from premise.? YES_ NO_
4. Names or Owner of premises
Name of Architect
Name of Contractor
Addres.
Address
Addres.
Phone No.
Phone No
Phone No.
5 a. I. this properly within 100 reet ofa tidal wetland or a fre.hwater wetland? 'YES_NO_
. IF YES, S'OUTH'OLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. I. this properly within 300 feet ofa tidal wetland? . YES NO
· IF YES, D.E.C. PERMITS MAY BE REQUIRED. --
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on properly is otlO feet or below, must provide topol!fllphicaJ data on survey.
9'ATE 'OF NEW YORK)
55:
COUNTY'OF NassC\u
Jona than Rainer beine duly swom. deposes and says that (~)hei&the8ppHcant
(Name of individual signing eantrect) above named.
Agent 'Of 'Owner
;)Hc is the
(Contractor. Agent. Corporate Officer, etc.)
r said owner or owners: and ,is duly 8ut~ri.zed to perfonn or have performed the !laid work and to make end file this applicationj
lal all !:latcmcnls C{lnlRlDl~ In thIS appllcahon llre '11J~ to the beSI of his knowledge and belief; and that the work will be
:rfonncd in the mDlmcr set forth in the: application fllcd therewith.
NO~ before me this
1/ dayof May
202007
STANlEY"'tlYER
NOTARY Pl'-'
02NA2853!::7,
COMMI:::::. c.
. "ORK
.:,UCTY.
- 30, 2007
STANLEY NAYER
NOTARY PUBltC OF NEW YORK
02NA2853575 OUAltFIED NASSAU CTY
COMMISSION EXPIRES APRil 30, 20Iiti
UjO
.'
1
41'-<1'
r \')s
il
-'
'3' 8" RAILlNe TO CODE
OCCUPANCY 0
USE~LJNLAWFUL STE
WffAoaT CERTlFI
.
=
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III
)
EXl5T1Ne HOOSE
_~,': ~'~~i::NT '9
.. ':, cOR TH"
, N
-",;;"
~
DECK PLAN
1/8" = I'
d;)
.'
THRU BOLT 2xl0
TO POST HI (2)
'3/8" DIA. BOLTS
HI HASHERS
TYPICAL.
/2X10 NAILER
w/////////fi
EXl5T1Ne HOOSE
DECK fRAMING PLAN
~
~
()
~ @J
~
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~~
)T:~:"; :--:-iON MUST
E ,:OF. C.O.
TION SHALL MEET Tf"
OF THE CODES OF NEV
i, ~O
CODE MAX
RISER" 1 1/2"
FIELD VERIFY.
ALL CONSTRue I N SHALL
I/8'MEBrTHE REQUIRE NTSO
2' x 6' ~ OF NEW YORK
TOP CERllFICA liON'
_ NAILING & CONNE
REQUIRED. ...
2) 2' x 4' CEDAR
NAILED TO VERTICAL CCA
't B~COM
.A L 'OONST
, QUIREME
RK STAT
ESIGN OR
5/8" x_b"
CEDAR DECK
2' x 4' VERTICAL CCA
2' x 12" CEDAR RIM J5T. "
GENERAL NOTES
~~'r~E
EXISTINe
SHEATHIN
Jal~l FLR.
4" x 4" CCA POST
THRU BOLT TO JOIST
EXISTIN
FOUND.
HALL
4x4 CCA POST
GRADE
12" CONGRET~ I I ~ [L
FOOTER ~ (:
~9
L-.JI'I)
RAtL..INe DeTAIL..
I. AlL t<<)Rk!iW.l. GOH=\.'t t-ITH 1M! tef 'I"ORk MAle lHP'ORH f'1RI!
PfICIM!!mClH NO II.IILDIHII GODe. c.oN'nUlGmR ItW.L c.oroRt*AT!:
_ _AU. __Ie _1l:>_AIN Cl!RTI'Il:ATI! Of'
OGGlPANG.... oN!I!MIU' C11' 1M! 0tfrI!IIt.
2. 0HI!R!lHJU OBTAI( Nt( NC AU. ra!II'.UfII!I) VARINt:.I!I. F'!IOIt'I P'Itdt n:
.Al1LHHe CGlftf'RN;1OR5 10 AfOCI!I!!D HnI Nt( Of- TtI! H:)Rk.
(2) ",.." PIA. BOLT" .. ALl....-............ - V" I!l> .... LIGel!lOP GOICTIlIG""," ...,..
;..I/U ~ Nl!:~H1tI1tI!!lYP!:ClP'fot:)N(l!I!tte._...J"IS7. H.J.
..11...."',., ( ) c;c,""....'''.-......._........-.."..-,...,_
'v nM::>I'lI::R5 TYP GOHI'I!NM_ __ ..<41&_..... ALL..........
.__JRll!I7ot1111!!f'IIO.I!ICf.
.. ...... ................__............omo............
IteTAIJ...!,t) 14 ~TRJC.T ~INCI!! Hnt 1M! tWu-1G11ASt5 JoWT11!H
5f'!r;IAGAnote ND IeTH.1AltCIN 1e1'llU::;11Ote IM:1UPltW ALL
~F<'JA~I!TG.
,. ~ CONTRAe11;Jle Sw.L ~ 1H!tR ~ II t<<IT1He TO TN!
OHeR!'"OR" MtMIH.fot PBtk:lO 0fI ON! 'reM.
e. nt! HPallTa:.T eHALL HoT -HAW c.otmtDL ~ ~ O(f NO etW.L
HOt... """"",,",flU! "'" ~"""'''''''.- toelltX>O.
TWflICil,e.~Oft~Oft projItlN'eTY ~
1M GGltN5CTtON ttnt nt! ~ OR P'ClR AoT& OR Of illICIt!! Cf' 1HI!
~mR.!UJ(;ONT'RN;'00R5 OR Nt( f'I!!IIteON Il!:Il'.o _.llll'" H<<
of nt! tt;lN::. OR fOR ne .....u. Of" Mr atf net 1t:1 (,NUt( OUT
Tlt!~IN~N4CiI!IHfH1It!IN11!Ht'OP'M!~1
~ IN TtfAT SHD Re!f"OI't5lBl.IN 16 nt!! 8Ol.I! Iif2I!IPON!NBlLlt'T"
OF nt!! GON"I1tACTOR.
1. GOMfYUrGT0R5 1'0 rl!LD vrta....... AU. GtJtDtT101e . ."....118
M MQ.JIRS) f'lOfIt ""^' ,J~ ~ NO HJ..ClH
"""~.
~Aftl~"
2' x 12' CCA~
1/:2- . 1'-0-
l rooJ"'-
NORTH OAKHOOD LAUREL, N.Y.
)[ SKI
"0101
)( ~~TE 4-11-01
)
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