HomeMy WebLinkAbout39083-Z 4 Town of Southold Annex 8/20/2014
P.O.Box 1179
54375 Main Road
AL 1 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37096 Date: 8/20/2014
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 275 Champlin Pl, Greenport,
SCTM#: 473889 Sec/Block/Lot: 34.-3-24
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/23/2014 pursuant to which Building Permit No. 39083 dated 8/4/2014
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"ACCESSORY NON-HABITABLE TWO-CAR GARAGE AS APPLIED FOR
The certificate is issued to Jester,Robert&Jester,Diane
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39083 08-18-2014
PLUMBERS CERTIFICATION DATED
AurArd Si ature
rte. TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
4 SOUTHOLD, NY
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#: 39083 Date: 8/4/2014
Permission is hereby granted to:
Jester, Robert & Jester, Diane
21 Sound Rd
Greenport, NY 11944
To: construct an "as built" accessory non habitable garage as applied for
At premises located at:
275 Champlin PI, Greenport
SCTM # 473889
Sec/Block/Lot# 34.-3-24
Pursuant to application dated 7/23/2014 and approved by the Building Inspector.
To expire on 2/3/2016.
Fees:
AS BUILT -ACCESSORY $657.60
CO -ACCESSORY BUILDING $50.00
Total: $707.60
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 building or new use:
1. 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 2/10 of 1% 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:
1. 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
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00, 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
Date. JoW 2-S 2-dl
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 1�9 V 5_
House No. ttreet Hamlet
Owner or Owners of Property: �Q 5
Suffolk County Tax Map No 1000, Section Block `2j Lot a
Subdivision cc Filed Map. Lot:
Permit No. �(`�0 3 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ so - QoV
Applicant Signat re
SOUlyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 iQ roger.riche rtCcD_town.southoId.ny.us
Southold,NY 11971-0959 COUM'N,�a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Diane Jester
Address: 314 Champlin Place---(275 Champlin Place) City: Greenport St: NY Zip: 11944
Building Permit#: 39083 Section: 34 Block: 3 Lot: 24
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic X Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 9 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 5 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture 7 Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 4 Twist Lock El Exit Fixtures �] TVSS
Other Equipment: AS BUILT----ELECTRICAL SURVEY-------NO VISUAL DEFECTS
Notes:
Inspector Signature: Date: Aug 18 2014
81-Cert Electrical Compliance Form.xls
�pF SOpr�o
a
TOWN OF SO HOLD BU DIN DEPT.
765-1802
IN
[ ] FOUNDATION 1 ST [ ] ROU PLUMBING
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ]
FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
112
DATE INSPECTOR
i
OF SOUjy�lo
ro
nn 6
�l
TOWN OF SOUTHOLD BUILDING D PT. 1`b
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) JX ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
FIELD INSPE ON I'onT DATE CONINB NTS
y
FOUNDA!70N(IST)
G
....r.....ww.7rr:�.rrr...rrrrrr W
FOUNDATION(2ND)
J
rA
ROUGH FRAAMQ& y
PLUMBING
. py
INSULATION PER N.Y. . .
H
STATE ENERGY CODE
FINAL ,
• m
GOWN OF-SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
WILDING DEPARTMENT Do you have or need the following,before applying?
GOWN HALL• ._'L Board of Health
30UTHOLD,NY 11971 4 sets of Building Plans
CEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
3outholdTown.NorthFork.net PERMIT NO. 9 O$ 3 Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined � ,20LL Storm-Water Assessment Form
Contact:
Approved 4q20 Mail to:
Disapproved a/c - ,
Phone:
Expiration__:,J4 ,20 �t
B;uildtg Inspector
APPLICATION FOR BUILDING PERMIT
JUL 23 2014
Date JV wl 0�3 ;20`
INSTRUCTIONS
I
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 waterways.
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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within,l,8 months from such:date.Jf no zoning.amendments or other,regulations affecting the
property have been enacted im the interim,the Building Inspector,may authorize,in writing,the extension oflhe permit for an
addition six months. Thereafter,a new permitshallbe required,.
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.,
`(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises r �✓I(ri1NIC�-�
(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 wk will be done:
S U►-tarnc.� C o
House'Number Street Raml&
County Tax Map No. 1000 Section ' _Block �J Lot
Subdivision Filed Map No. Lot
2. State existing use and,occupancy of premises and intended use and occuancy of proposed construction: --
a., Existing use and occupancy -�-cL►wtl I�.Q,SKp�I�-C�. v�
f
b. Intended use and occupancy ,�'�-�►
3. Nature of work(check which applicable): New Building Addition
Re air Alteration
P Removal Demolition Other Work - L
4. Estimated Cost De ription)
Fee
5. If dwelling, number of dwellingunits (To be paid on filing this application)
Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing str4ctures, if any: Front _Rea_ , �f Depth
Height___ �Q/ -0 � -- Number of Stories `--
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: FrontRear Depth
Height -Number of Stories
9. Size of lot: Frontg / Rear_ 10. a Depth Q /
10. Date of Purchase i�1 Name of Former Owner
11. Zone or use district in which premises are situated �—
12. Does proposed construction violate any zoning law,,ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO
14. Names of-Owner of premises. - .J.�S. Addraess L�T7- J&b Phone No.
Name of Architect_ �Iw1 , Address --
Phone No
Name of Contractor Address Phone No.
15 a. Is this property within-100 feet of tidal wetland'or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES'&D.E.C. PERMITS MAY
QUIRED.
L—
b. Is this property within 3`00 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.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the 511.2 Y1—
(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 to b�f fore me this c
� �r day of 20/
( CONNIE BUNCH
.Iif�C Q
Notary
Public, State of New York
Nota Public 01 BU618505
Notary Qualified in Suffolk Countyyc�'" Si ture of p licant
Commission Expires April 14, —
Scott A. Russell a10SUFFQ/f ST(OIKIMMA IEREL
SUPERVISOR MA\NA\(G 1E1\\41ENr]F
SOUTHOLD TOWN HALL-P.O.Box 1179 v'
a
53095 Main Road-SOUTHOLD,NEWYORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT.WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes NO (CHECK ALL THAT APPL`n
❑ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
El
B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
t D. Site preparation within 100 feet of wetlands, beach, bluff or coastal !
erosion hazard area.
preparation within the .one-hundred-year f loodplain as depicted
. ❑� E. Site re S P P I
on FIRM Map of any watercourse. ;
w resurfaced impervious surfaces of 1,000 square
± ❑�F. Installation of new or p �
feet or more, unless prior approval of a Stormwater Management
} Control Plan was received by the Town and the proposal includes
I
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Cbeck List Form to the Building Department with your Building Permit Application.
- ----- -- -=--------- _. _- ..
� ates C r.V. 1000
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other)
District
NAME: tk) —�
Q� Section Block Lot
FOR BUILDING DEPARTMENT L(SE ONLi`
q1 i�- S-& . 7
Contact)nrormation: -
R•kvnonr Numanl
Reviewed By:
Date: - 1 '—
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — —
al `�1��' I � � Approved for processing Building Permit.
G> Vii Un ��-� Stormwater Management Control Plan Not Required.
/1✓� Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM I SMCP-TOS MAY 2014
pF SO(/j�ol
0
Town Full Annex Telephone(631)765-1802
54375 Main Road cis (631)765- 50
P.O.Box 1179 G @ 0r-richertifoxwn.sout�i 06 nV us
Southold,NY 11971-09590 �O
l'YC,4UMy,�
BUILDING DEPARTMENT
L TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
'Name: �i/ ( Te c y- 275
*Address- '
*Cross Street:`
*Phone No.:
Permit No.: 6
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Plea Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES / NO Rough In Final
*Do you need a Temp Certificate: YES / NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
to
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB. LOT
FORMER OWNER
E R. -
_ S W TYPE OF BUILDING
RES.,,216 SEAS. ( VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
I
i!U .G7, c3 n
-,
Ilk
ZZIF
AGE BUILDING CONDITION
NEW NORMAL I BELOW ABOVE
FARM Acre Value Per Vclue i
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland ! DEPTH
House Plot BULKHEAD
Total's — I DOCK
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pm
■■..... ■ eRAN ON
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:• Floors
••
Heat
Rooms 2nd Floor
: r•
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i
SURVEY OF PROPERTY N
SITUATE : NEAR THE VILLAGE Of GREENPORT e
TOWN : 50UTHOLD w E
SUffOLK COUNTY, NY
SURVEYED 12-4-2013 S
SUFFOLK COUNTY TAX #
1000 - 34 - 3 - 24
CERTIFIED T0:
DIANE G. JESTER
ROBERT W. JESTER
&.
0 RFORMON
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NOTES: U—thari-d aR—ti— or addition to o s -y
mop bearing o licensed lands veyar's sealu is a
® JOHN C. E H LE RS LAND SURVEYOR
violation °`section wYork Statedv E'.. z, of the
New York Slate Education law."
PIPE FOUND
CIIAINLINK FENCE "only copies from the original of this survey
morked with on original of the loud surveyor's
STOCKADE FENCE stomped seal shall be considered to be valid true
copies'•
_--r--- WIRE FENCE G EA5T MAIN 5TREET N,Y.5. LIC. NO. 50202
"Cerlificaiions indicated hereon signify that this
Area = 13 025 S Ft. survey was prepared in accordance with the ex
Sq. KIVEKI-IfN.Y. 1 1 501 3GO-8288 Fax 3G9-8287 y the Code of State
for land Surveys adapted
Area = 0.299 Acres by the New York Stale ns:a iocon of Pro fessianol
Land Surveyors. Said certifications shall run only
GRAPHIC SCALE I"= 20' longislandland5urveyor.com o the person for wham the survey is prepared,
and on his beholf to the title company, govemmen--
tul agency and lendinginstitution listed heroon, and
o the assignees of the gentling institution. Certifi--
tions are not transferable to additional institutions
-- s ami v:3v:m•r. c u ani ooc� a eo.uis-ioi
JE5TER RE51DENCE
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SCALE: 4" = I '-0" SCALE: 4" = I ,-oil
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EYids CE�-oa
D E J -�t' B.P. #_3 9_0�3
F Ego BYE
NOTIFY BUILDING DEPARTMENT AT ;3j4z
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: fFOUNDATION- X
3 I AFRI EL PHOTO 1 FOR POURED CONO EEQUIRED
78 i
� OF GARAGE AS IT I5 2. ROUGH-FRAMING,PLUMB'P.
STRAPPING, ELECTRICAL &'C _I. K 13. INSUTIONj
" CURRENTLY EX15T1 NG i L 4. FINAL-CONSTRUCTION &ELECTRI1rrL E W '`
C' MUST BE COMPLETE FOR C.O. i° TI?Ow
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NF"iin
YORK STATE. NOT RESPONSIB!E F'_)R 11_I Z
DESIGN OR CONSTRUCTION ERROR'S
CERTIFICATION J m
CERTIFICATION OF
GENERAL NOTE: REQUIRED. to
U z
These plans and drawings reflect certify work and construction of an existing garage. O 3
The work was completed in 1977 and was done as a repair and replacement to a previous, Q U z
dilapidated barn. The construction work is shown to the best of my knowledge.
z /zn o
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1�
v' ELECTRICAL NOTE: Fn Ln
w
• Electrical work to be BOARD OF FIRE UNDERWRITERS approved and to include C)
installation of fixtures per specifications. GFI outlets required at exterior areas. Outlets as per
code. Work was done in strict accordance with the New York State Code by a licensed electrician.
PAGE:
I
22'-O"
2"X 4" STUD FRAME GABLE
END EXTERIOR WALLS TO
22'-O" REMAIN w/ SHEATHING 4�SIDING
6.I 6
171-17-1777777111111 7777,1-111111,1777111111711
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CONCRETE FOOTING 8 I I 0 o
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8 CONCRETE BLOCK I g N
FOUNDATION WALL i 8 2 ' 211 @ X
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Al2"X 4" STUD FRAME EXTERIOR 2"X 6" C.T. I U
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SHEATHING CONTINUOUS AROUND
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GAUGE WIRE (TYP. ALL AREAS , 2"X 6" R.R O U
WITHIN GARAGE) I @ I G" O.C.LLJI
I 2"X 6" R.R. N
i @ 16" O.C.
Lu
Al SECTION Q
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—EXISTING I G'-O" OVERHEAD GARAGE DOOR WALL TO REMAI C
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3'-0" POURED CONCRETE
Lu w
APRON @ GARAGE DOOR I
V J
PLAN ATTIC ROOF PLAN W
GARAGE2"X 8" RIDGE
SCALE: 4" "
= I '-0
SCALE: 4" = 1 ,-u
APPROX. RIDGE
—• DE5ICN 0AP CALCULA IONS
G•
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ATTICS WITH STORAGE— 40
SHEATHING 2"X 6" C.T. @ 48" O.C. .
R J 3MS(&H TITAN'5,Ltt,?11'I;C.Robm5), 4�? U
SLIEI'Itl IC?Olti Z
I �
ATTIC =
STORAGE CD CPIti>=RIA FOR C.ALCULATIOt'�l OF"DEA€ LOAD 'y
ACTUAL WF_IGHTS,of 14A°TI�RIAL5 REFERENUP TO`A.L A.: U Ln
AIG ITE'CT00I;GRAI'hJQ`5fAHIDARO Lu z
o + F-- –
4" PLYWOOD SUBFLOOP, _ATTIC SUBFLOOR
°' (IC9tV
2'X 12" G.J. @ 16" O.C. WALL PLATE
—' GROUND 5NOW LOAD 1 = (� •
2- 2"X 12" HEADERS U z
ABOVE DOORS 5EI5ivIIC O
3
17 51.G l CATI GCaW
GARAGE Z Z
UNFINISHED WIND o
2"X 4" STUD FRAME WALL @ s
16" O.C. w/ 8" CDX PLYWD. ° W040 SPI EFS 1 C3 r r t _
SHEATHING, HOUSE WRAP Lu ATf C7RY n
WOOD SIDING ON EXTERIOR W
4" P.CONG. SLAB ON
2"X 6" CCA SILL PLATE COMPACTED FILL WITH
OVER TERMITE SHIELD W.W.M. 6 X 6/ I O X I O GARAGE SLAB �✓ `` CI LIIti1A C AND GEoGPAPHIC DENG� . R.ITI~I IA.
GAUGE WIRE
GRADE .. dvEr��'Hfl?NG,, SELF>E;
8" CONCRETE BLOCK ° {r TERMITE
MC7L�EP:ATE TO t�EAVY
FOUNDATION WALL W/ I D1 ISA`:' LIG T TQ IdoDIE TE_
FOOTING (TYPICAL ALL AREAS) _, FOOTING f PAGE:
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:LAY
- . A5 TR mAtl UrACIUKEIiCl 6 :UOf-P,
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BUILDINGSECTION "All
LOflDAA
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SCALE: 4"