HomeMy WebLinkAbout32689-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32768
Date: 12/03/07
THIS CERTIFIES that the building
ADDITION
Location of Property: 715 LIBERTY
(HOUSE NO.)
County Tax Map No. 473889 Section 79
LA
(STREET)
Block 6
SOUTHOLD
(HAMLET)
Lot 6
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
FEBRUARY 1, 2007 pursuant to which
Building Permit No. 32689-Z
dated
FEBRUARY 1, 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 PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MICHAEL & NICOLE A. CONNOLLY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMEI!lT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
7495
03/07/07
PLUMBERS CERTIFICATION DATED
N/A
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Rev. 1/81
.,
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department With the following:
A. For new bnilding or new nse:
I, Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features,
2. Final Approval from Health Dept of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters,
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements,
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features,
2, A properly completed application and consent to inspect signed by the applicant If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant
C. Fees
I, Certificate of Occupancy - New dwelling $25,00, Additions to dwelling $25,00, Alterations to dwelling $25,00,
Swimming pool $25,00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50,00.
2, Certificate of Occupancy on Pre-existing Building - $100,00
3, Copy of Certificate of Occupancy - $.25
4, Updated Certificate of Occupancy - $50,00
5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
7!1?;)6/
, ~
Date.
New Construction:
Location of Property:
11$'
House No.
Old or Pre-existing Building: .......-
L I b......L L6-.....
o Street
(check one)
<;,~ v...+Bo I J
Hamlet
Owner or Owners of Property: ~ l ctt& oJ -:r .q N l LDtsL L011 (l~llr'
Suffolk County Tax Map No 1000, Section
Block
Lot
Subdivision
Permit No.
Date of Permit
Filed Map, Lot:
Applicant: YY(1 t... 'vu... It 'b r:. m u' ~/
Underwriters Approval:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ $ 2 5
Final Certificate:
~
( check one)
~. )JLf 7cj
~o -E. 32ft; Y
Nassau Suffolk Electrical Inspections, Inc.
505-C Lincoln St. Riverhead, New York 11901 · Tel: 631-813-2890. Fax: 631-813-2891
Application: 7495
Issued to: Connolly
Date:3/7 /07
Address: 715 Liberty Lane
Village: Southold
Introduced By:: EECO Electric
License#:2781-E
was examined and approved up to the above date and was in compliance with the NEC
New t-brre
Baserrent
1st RoorlRl
2nd floor
ResidentiallRl
Coorrercial
Pool
HcHub
Del <?sage
Pddtion
Switches Receptacles Fixtures G.F.1. Range Hood Smoke
Detectors
2
Fans Dishwasher Washer/Am ps o ryer/Am ps Oven Carbon
Range/Amps Monoxide
Furnace Oil Gas H eat Zones Whirlpool Bell
Transformers
Meter Amps Phase Motors
ther Equipment: Porch
Out Res
.;y~n~(iIec&-wa/!7M/>'Vw_ &>
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This certificate must not be altered
in any manner
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
t><i FINAL I-e :
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
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DATE II - } 0 - 01
INSPECTOR ~ ~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL 4.:
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
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REMARKS: f/ ~
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DATE
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INSPECTOR ~ ~
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE R~ CONSTRUCTION
REMARKS:
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[ ] ROUGH PLBG.
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[ ] IN~ATION
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INSPECTOR
FIELD INSPECTION REPORT DATE
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COMMENTS
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RES.;?/O I VL. FARM COMM. CIl. MICS. Mkt. Value
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LAND IMP. TOTAL J DATE REMARKS
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Meadowland DEPTH I <rO
House Plot IlULKHEAD
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Total DOCK
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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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.
32689 Z
Date FEBRUARY
1, 2007
permission is hereby granted to:
MICHAEL & NICOLE A. CONNOLLY
715 LIBERTY LANE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A PORCH ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR. (REPLACES BP #28405-Z)
at premises located at
715 LIBERTY LA
SOUTHOLD
County Tax Map No. 473889 Section 079
Block 0006
Lot No. 006
pursuant to application dated FEBRUARY
1, 2007 and approved by the
Building Inspector to expire on AUGUST
Fee $
150.00
1, 2008.
Au
ORIGINAL
Rev. 5/8/02
... ~PS Version 4- [ow...:I~.41cD
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER STREET 71.5 VILLAGE DIST. sua. LOT
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S P I -' W TYPE OF BUILDING
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LAND IMP. TOTAL / DATE REMARKS
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
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Tillable FRONTAGE ON WATER
Woodland FRONT AGE ON ROAD IS" a ~ ~.r_c) ~ vO
Meadowland I DEPTH ( C'O
House Plot BULKHEAD
Total DOCK
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Extension '7x/oZ y,c .'7....2
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Extension
Foundation c:.B Both I Dinette
Porch Bosement ,c; t/ L. ...:. Floors t) ,.q. k K.
Perek-;1, . /2;t.. 16 .. J 9 i. z.r' 4y Ext. Walls /9SP SA4-')I~/" Interior Finish SHEEf frJoC/ ,J-R.
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Breezeway Fire Place JI/ ,A Heat Jlu.! DR.
Garoge /~ /'.2 d : J(,,/j ItJO oJ (p <J Type Roof Rooms 1 st Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B
O. B. I Dormer Drivewoy
Total I q'OtJj) v :/
COLOR "'RF D
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BUilDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
BoardofHea1th
3 sets of Building Plans
Plsnning Board approval
Survey
Check
Septic Fonn
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
3~0~~
PERMITN~
Examined
Approved
Disapproved ale
-'S 10
20 1/
1) , 20....1.-
Mail to:
Phone:
Expiration
Date
6 /~O
, 20 Dd-
-
INSTRUCTIONS
:::rY) 1 d,-t", . ~ MJ.~ j
(Signature of . or name, if a coo;ration)
7/S 14).u~u. $0 {.-l',lJ,o/J. r/14
. . g address of applicant) /
S tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
VLOne.
Name of owner of premises rYJltlhCi"/ J, and rll<1.ol-e.. II, tJonno//7'-
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
/15 L/b~r-j...7 Lt1n~_
House Number Street
S(')U% n / d
Hamlet
7C7
Block fp
Filed Map No.
.-,-
G;;,'
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Lot
Lot
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County Tax Map No. 1000 Section
Subdivision
1.l0Y\',
(Name)
c; '.;. ~,
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~., 51 J (J 17~
b. Intended use and occupancy
f,~C;ld"n~
Addition ./
Other Work
Alteration
3. Nature of work (check which applicable): New Bui1din~
Repair Removal Demolition
4. Estimated Cost #..9- ()('JT)
(Description)
Fee
. 5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, co=ercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front .l..} q' ~. Rear.t/ q I 9,1
Height ::; J ' Number of Stories _ /,t;L
Depth -3D1 k:<lp .
/
Dimensions of
Depth
cture with alterations or additions: Front .</9 1 q q
1 Height ,Q I 1 Number of Stories
Rear L.j(F 9/1
//~?
81
Depth _
8. Dimensions of entire new construction: Front ..-9.. I I
Height <;( I Number of Stories
9. Size oflot: Front J <) () I
Rear I ,~ 0 I
Depth /00 I
10. Date of Purchase D(J(' /9/" q Name of Former Owner
11. Zone or use district in which premises are situated [-2,,;Zs Ida rJ'lcJ
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L
13. Will lot be re-graded? YES_NO -1. Will excess fill be removed from premises? YES_NO -.L.
14. Names of Owner of premises m. (ton no//y Address7/SL,t/1,m:Lb,'j;ry~A'hone No. &31 71",",,> -;:;d(oCJ
Name of Architect Address ' Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO /'
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO _
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
n1,;".lU!Ld J. eo fJ = being duly sworn, deposes and says that (s)he is the applicant
(Name of individUal si . contract) above named,
(S)He is the
() LOn e.
(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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn FB. b9fore me this~/
.:fa~ ~YOf !2!:f:;f... 20 ~.J
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/ Notary Public /
BA1lETTE CORNINe.
Notary Public, State Of New Yo"
No.01C05792800
Qualified In Suffolk coun!r. _, . 11 .
Commission ExpirelUfVU/' 51 ~"tJ~
-W) tc-k~~
Signature Applicant
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=ASffOTED
DATE: 2.f> B.P. ..;?BY' 06~
FEE:.1i C;-o BY:~
NOTIFY BUILDING DEPARTMENT AT
765-18029 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. Four~OATION . TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH. FRAMING" PLUMBING
3. INSULATION
4. FINAL . CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHAU MEET
THE REQUIREMENTS OF THE N.T.
STATE CONSTRUCTION a ENERGY
COD~ NOT RESPONSIBLE FOR
" . . , '. .: :.:. ;'. ESIGlalR CONSTRUCTION ERRORS
.' <0.' ~ '. ~":.' _. .:: ~ "': ....,.._
..' --:-,..- '.;'. . ~'" . :i" .
..' :<:./.::':tf'.,".' ..\' y~ ~~
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'.._ ~~: ': ,..:..' :.....:' ...... :. ...., - - . :... ~"" , 'S g
:": ~:::.' '. :.,. :.., "':'. ,;:
~
-<
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
....
....
~
I\l
CU8TOM VIEW
CU8TOMER - IlIVERI9D NY
[)Jr, TE Q&11I02 REF 0120-011
....
....
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84 LIJIIIIIlER DEt<< DESIGN IlU'T.
BEAM LAYOUT
CU8TOliEFl .. FlIVERHEAD NY
DATE 05/11102 REF 0820-05
84 LUMBER DECK DESICN DEPT.
A d -
.B :! -
BEAM
LABEL
A
D
BEAU
LENGllt
POST
CQUNT
3
3
POST
BPAClNrJ
21'
:!I'
la' 4 114.
la' . II..
F(lIIt .pad~ it ITlItIMIltd c..,wr19-tIIIt..
Depttl ~ pNt~~rett 100M -- 38 i.....
I
MAY 11 2002 11: 32
84 Lumber- Co
I' ]Q 314'
4-' e lie'
r ]Q 3/04'
PFlGE.03
,
CUT LlfH
CUSTOMER -- RIVERHEAD NY
DATE 06/11102 REF 0620-0&
A A A A A A A
LABEL
LENG'Tl-l
A jots1 CJ5) 7' 9'"
B leClQer" 7' 8-
MAY 11 2002 11: 32
#
BEVELS
[
c
I.l4 LUM6ER DECK DESIQN DEPT.
A A A A A A
LABEL
C llCldger
D leager"
E l~ger
~G11-I
21'
" 8-
21'
84 Lurrber Co
BEVELS
PAGE. 04
PLAN VIEW
CUSTOMER .- FlIVEAHEAD Wi
DATE 06/11/02 REF 0620-05
BA LUMBER CECK DESIGN CEPT
2]'
:i
Co
;t
-l
.,.
I--
l..OAD J.tID SUPPORT: Y g.. dedi: will .",port a 66 !'SF Iv. IMIl P..l. han 36' """"~lI'ld
post s",JIIIi:,
DECI< AM) POST JoEIQHT: Yeu sll.t.d a heijll 01 24' rJllm th. t.p D' .aki~ to _I er-td.
TI'II blp of the ftck ...port posts willlhnf.. lit 1&.26' ablY' "llUnd Ievll. V... ..1_pII'Ml
alii p~vl'" Il'Iformatian far u_ or III1pId 1f'01I'ld.
JOISTS. 8fIt jollt. III toll of 11I-. .. Ul\t. tc. Wltll.
NOTE: Th'...n may r~ril't blN ~rt.., tM 11Iiclgi~ a..tw..1l ion. Yl>1I mGterio .,t ilKtJcIM
tile Iltet...y iteft'IQ. 1M .IlIGe.ttd ..ill i. "ot G filitll\ed .uldil~ iliaI'\, Y IlU tl't! r6llpiNIIle filr
all mllallUl'llrrwrde lleing agll'llcl, tal wrlfyllll hrl iIlo .1I..n 19nd aay llUNlilulian. or m_ficoll_
UII:It ytlll mli:.J milt. ct ItlCaI IIuld"lIg ~.. mil rtqw"'rMnU. To ...ify that 1Iw 4P.lll!lllllld d.....
II1d lilY lI\IballtuliDna III medl1bliorw, irr c_onl wilh cllIlI:ftl_ vi till c_lllll:tian lite.
revilw 11M _lID wiih ]1'1- a!1:h'Kl "'0 _~ YIIUI arclillC!: r. prOlll1 con.lruclion IIIIlI 181
of mallri. il 1f1. structul'l.
e. Iur. to .allaw h dick clnnlldian dlt.a awllabll frlm y.r .!:enI al_pIIaIl
,
MAY 11 2002 11: 33
84 Lumber Co
PAGE. as
BILL OF MATERIALS --- LUMBER
CUS'TOMER: RIVERHEAD NY
DATE: 05/11/02 DESIGN: 0620-05 REF: 0213100S.ZIP
SALESMAN # MIKE CONNELL
---------------------------------------------------------------------------
COMPONENT SKU QUANTITY DESCRIPTION WOOD TYPE
---------------------------------------------------------------------------
DECKING 546OS06 lS EA 5/4X6 S' PT
DECKING 5461406 9EA 5/4X6 14' PT
DECKING 5461606 9EA 5/4X6 16' PT
STAIR STRINGER 2121206 1 EA 2X12 12 ' PT
STAIR TREAD 546OS06 3EA 5/4X6 S' PT
STAIR RISER 106OS06 lEA 1X6 S' PT
BEAMS 20S1206 SEA 2X8 12' PT
JOISTS 20S0806 15 EA 2X8 8' PT
RIM BOARD 20S0S06 4EA 2X8 S' PT
RIM BOARD 2081406 2EA 2X8 14' PT
GROUND POSTS 4041006 3EA 4X4 10' PT
MAY 11 2002 11: 33
84 Lumber Co
PAGE. 06
BILL OF MATERIALS --- OTHER MATERIALS
.
.
CUSTOMER: RIVERHEAD NY
DATE: 05/11/02 DESIGN: 0620-05 REF: 02131008.ZIP
SALESMAN # MIKE CONNELL
COMPONENT
SKU
BEAM BRACKET
160 NAILS
80 NAILS.
DECK STAIN
LAG SCREW
WASHER
JOIST HANGER NAILS
BEAM BOLT, 8IN
NUT
CONCRETE,60LB
5542300
92135
92127
5545100
834768
834816
90859
834810
834712
34101
.
MAY 11 2002 11: 33
QUANTITY DESCRIPTION
8EA
9 LBS
7 LBS
2 GAL
llEA
23 EA
1 BAGS
12 EA
12 EA
6 BAGS
SIMPSON POST CAP
3 1/2" GALV. NAILS
2 1/2" GALV. NAILS
CLEAR EXT. WOOD FINISH
1/2"X7" LAG SCREW
1/2" WASHER
GALV. J HANGER NAILS
1/2"x8" CAR BOLT
1/2" NUT
CONCRETE, 60 LB BAG
84 Lumber Co
PAGE.a7
BILL OF MATERIALS
. "
,
CUSTOMER: RIVERHEAD NY
DATE: 05/11/02 DESIGN: 0620-05 REF: 02131008.ZIP
SALESMAN # MIKE CONNELL
UNAVAILABLE COMPONENTS
NO SKU FOR COMPONENT [SONO TUBE] - 3 REQUESTED
NO SKU FOR COMPONENT [TIE-DOWN STRAP] - 68 REQUESTED
SUMMARY
LUMBER MATERIALS
OTHER MATERIALS
TOTAL
s
S
s
0.00
0.00
0.00
PRICE VALID TODAY ONLY
DECK FASTENING SYSTEM
NAILS
---------------------------------------------------------------------------
WOOD TYPES USED IN DECK
---------------------------------------------------------------------------
DECK PLANKS
JOISTS
FASCIA
LEDGERS
BEAMS
GROUND POSTS
STRINGERS
STAIR TREADS
STAIR RISERS
PRESSURE-TREATED
PRESSURE-TREATED
PRESSURE-TREATED
PRESSURE-TREATED
PRESSURE-TREATED
PRESSURE-TREATED
PRESSURE-TREATED
PRESSURE-TREATED
PRESSURE-TREATED
.
MAY 11 2002 11:33
84 Lumber Co
PAGE. 00