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SS f``J•FFOITown of Southold Annex 9/18/2014 Y' P.O.Box 1179 54375 Main Road '$♦ �! Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37158 Date: 9/18/2014 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 2210 Gabriella Ct, Mattituck, SCTM#: 473889 Sec/Block/Lot: 108.4-7.48 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/28/2014 pursuant to which Building Permit No. 39152 dated 9/5/2014 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"DECK ADDITION TO A SINGLE FAMILY RESIDENCE AS APPLIED FOR The certificate is issued to Malone,Daniel&Malone,Christine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A orized Si atur f FOE Town of Southold Annex 9/18/2014 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37159 Date: 9/18/2014 THIS CERTIFIES that the building HOT TUB Location of Property: 2210 Gabriella Ct, Mattituck, SCTM#: 473889 Sec/Block/Lot: 108.4-7.48 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/28/2014 pursuant to which Building Permit No. 39152 dated 9/5/2014 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 HOT TUB TO A SINGLE FAMILY RESIDENCE AS APPLIED FOR The certificate is issued to Malone,Daniel&Malone,Christine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39152 09-10-2014 PLUMBERS CERTIFICATION DATED //A/on'Zd Signature ='rFo'- TOWN OF SOUTHOLD �t� tx jr BUILDING DEPARTMENT bow TOWN CLERK'S OFFICE 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#: 39152 Date: 9/5/2014 Permission is hereby granted to: Malone, Daniel & Malone, Christine 2210 Gabriella Ct Mattituck, NY 11952 To: construct an"As Built" Deck and Hot Tub as applied for At premises located at: 2210 Gabriella Ct, Mattituck SCTM # 473889 Sec/Block/Lot# 108.-4-7.48 Pursuant to application dated 8/28/2014 and approved by the Building Inspector. To expire on 3/6/2016. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $616.00 AS BUILT - SWIMMING POOL $500.00 CO -ADDITION TO DWELLING $50.00 CO - SWIMMING POOL $50.00 Total: $1,216.00 Buildin9 P Ins ector J� a b 4(3(4, D'SD-7 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: a 9 ( 0 6 fit.- �2 r I E!/v""� (,�'4, kA k-4 House No. ,, Street Hamlet Owner or Owners of Property: '"^`�� Suffolk County Tax Map No 1000, Section 1 0'g� Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate:_ (check one) Fee Submitted: $ Applicant Signatdrje *pf SO�Tyol, Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 G Southold,NY 11971-0959 • �p� roger.riche rtCa)-town.southoId.ny.us ��yeOUNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Malone Address: 2210 Gabriella Court City: Mattituck St: NY Zip: 11952 Building Permit#: 39152 Section: 108 Block: 4 Lot: 7.48 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 Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub X Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: AS BUILT----ELECTRICAL SURVEY----NO VISUAL DEFECTS---- Notes: GFCI protected disconnect for self contained hot tub------no other electrical work done on deck Inspector Signature: VDate: Sept 10 2014 81-Cert Electrical Compliance Form.xls pf SO(/r�o� aL \ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [� ] CAULKING REMARKS: DATE INSPECTOR ' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROU PLUMBING [ ] FOUNDATION 2ND [ ] ULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REM AR �-- �'-- DATE INSPECTOR vs0ti, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION IST RoyeH PLUMBING FOUNDATION 2ND U STINSPECTION FRAMING / STRAPPING FIN FIREPLACE & CHIMNEY FIRE FIRE RESISTANT CONSTRWTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION CAULKING REMARKS: A/,_�o 1_4 DATE - —INSPECTOR -,4 FIELD INSPECUON REPORT DATE COMMENTS FOUNDATION(1ST) FOUNDATION(2ND) ROUGH FR-4MINCt& PLUMBING I r• MUL•ATION PER N.Y. _� H STATE ENERGY CODE �. FINAL ADDZ'I'IONAL COMMENTS , l� 1 G fi 4S ; z c z d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey Sou tholdTown.NorthFork.net PERMIT NO. 39/S Check Septic Form MY.S.D.E.C. Trustees C.O.Application ��i Flood Permit Examined ,20 r Single&Separate Storm-Water Assessment Form Contact: Approved 200 Mail to: Disapproved a/c Phone: Expiration Jl 4 ,201(, / Building Inspector APPLICATION FOR BUILDING PERMIT �.INSTRUCTIONS Date -, 20 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 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be 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 0 Name of owner of premises VA Co/o._ (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 and on�yl�ic proposed work Wille done: VIA-411- „ � L - (it .� �,/ IA - 1UC House Number Street Hamlet County Tax Map No. 1000 Section r'� Block Lot 7 � Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and inten d use and occup ncy of proposed construction: a. Existing use and occupancy 1 1L 1,1� S) r,, a®I ��(.- -(o {-vL b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work S— 13(>)Lf V "�", (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 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 structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction,Front Rear rQ'p`- 0 Depth ,�x O i/ Height � 9- " Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 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 Address AA &Aj fVC.k Phone No. Name of ArchitectAddress Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C.PERMITS MAY BEIEQUIRED. 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: COUNTYOF fes, 74N `^' Gtr being duly sworn,deposes and says that(s)he is the applicant (Name of in ividual sigAing contract)6ove named, (S)He is the be- sl (Contractor,AgeM, 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. Sworp to before me this. day of 20 GONN c D BUNCH Notary Public Notary Public,State of New York Signa a of pl' ant No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2 g�j Scott A. Mussell ,�a°SU S � C'�OIRJMMAXIEIK SUPERVISOR MA 1\AkG 1E 1\\4 1ENT SOLtTHOLD TOWN HALL-P.O.Box 1179 d 53095 Main Road-SOUMOLD,NEW YORK 11971 'own ofSouthold CHAPTER 236 - STORMWATER MANAGEMENT-'WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT (CHECK ALL THAT APPLY) � Yes No ❑ A. Clearing, grubbing, grading or.tripping of land which affects more t than 5,000 square feet of ground surface. ❑ . 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 10.0 feet of horizontal distance. © D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. EIFTE. Site preparation within the .one-hundred year floodplain as depicted i on FIRM Map an a of watercourse. y ❑ . Installation of new -or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management , 4 Control Plan was received by the Town and the proposal includes 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 Talc 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 Check List Form to the Building Department with your Building Permit Application. Data APPLICANT: (Property Owner,Design Profeslonat.Agent,contractor,Other) S:C.T.M. #: DOOO NAME ® )C,/- l JQ s l - L—� t Section Block Lot FOR BUILDING DEPART`\1ENT USE O,NLi Concoct lnfornution: • Rckpme NumeA Reviewed By: 1 - - — — — — — — — — — — — — — — — — Date Property Address / Location of Construction Work: — — — — — — — — — — — — — I 16-1- Approved for processing Building Permit. D L� — — — � r! elt.16-1- C4. Stormwater Management Control Plan Not Required. l �1JG�_ ❑ Stormwater Management Control Plan is Required_ (Forward to Engineering Department for Review.) FORM - SMCP - TOS MAY 2014 q,\\pF Sd�/jy0 Town Hall Annex 41 41 Telephone(631)765-1802 is 54375 Main Roa0'(6111 69 P.O.Box 1179 G� Q roQer.rlchertf fou o .nV US Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: I . Address: j i Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: 04, r 1 S /?►� � *Address: D's- 0 r-1 o'b Y r f, .— *Cross Street: *Phone No.: i Permit No.: 1cl J Tax-Map District: 1000 Section: Block: Lot:-� i *BRIEF DESCRIPTION OF WORK(Please Print Clearly) i (Please Circle All That Apply) *Is job ready for inspection: YES/ NO Rough In Fina! *Do you need a Temp Certificate: YES/ NO Temp Information(If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 . 400 Other I . *New Service: Re-connect Underground Number of Meters Change of Service Overhead ' Additional Information: PAYMENT DUE WITH APPLICATION 82=Request for Inspection Form (} f 09/05/2014 14:00 6317347712 OLSEN PAGE 02/02 ItC i,N.NO. O15VICT,I= SECTION:IM O.-M.., 1.070):7 4P.. ,,n c3sAaa�snnE �ss.,00' a•AAX roKt IAH o � I Lei .1 � LOT 3 ` to) 7 C LOT r 0 I � xi'it J aBA'-,y E Dre. n ivti Im. �itG' =eN ..'ncxn.ntrcr '.J ° I ._n L1YIf It710 N Q' MAA�'SC to ASA,.•_ "WIVD fax. :n C9 N3?'40'90"X' N,N J(37.AP' .•-__ GABRIELLA COURT ME NA!£R'NPPt Y,St145,MYMELLS AND LYSSPft LocA rKr�s,'roar naf FRLtN FIELD OBS£Fvn rm.q AND OR BATA WFAIWO FROM OMCRS AREA;40 263d3R SQ,FT, or 0.92 A RF.S LirvnTIFAVWT,IR;-------------- HAP --_._.,-__---,-------�- 1-WADMCMSCD Al.aRATIDN M AP&WV TO'N'S ZLW11 r LT A NpAIM OF SCGVCN i9f,AW 7NC NEW K14X iTAT fOB•:A70N LAW. ca=Xs a,DRS 5,1R•.fY NAP NOT BvIFMU'+S tAMJ SIMVf TYTy CMDOSSEL JEAI..SHALL N01 BE CONSIO£AT >b}!A vALLO T'It COPT' XNARANTffS IN(1'C'A7£O NFRfO!/,$HA(1.PIAYf aV(Y f(. 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PLLC '- '` PTnfcx.lonN Land S—Tying And 0va1Xn PAX 168 AyUChaSna New York IIR3t nLi p 14 01 SCAI•f,1'--30 DAT'AUG. M. 70,4 —!!!-.___.-_ I'xvRX(Am JT14i-Indo NAI((Aml"a-Levo N.Y.S.ux.NO 0N07 nlepxxN V•n InlnrAn H N"Nr1 1,NMM1,w.T A I--.N,OyAryxk MALONE DECK 0 C) J F-- O U zz O C) w cn D Q z c� z w � D m a� G U _�z O EXISTING HOUSE o O TO REMAIN o N o EXISTING SLIDER W - z _) o 65 - UJ UJ EXISTING DECK w Lu Q N z o z EXISTING NOT TUB O Ln TO REMAIN; INSTALL DONE 4"X G" DECK BOARDS Q x AS PER MANUFACTURER HOT TUB w SPECIFICATIONS; COVER TO REMAIN. FENCE AROUND YARD * DOOR ALARMS AS PER CODE. 4"X 4" POST W/ 2"X 2" BALUSTERS * CAP RAIL TYPICAL ALL AREAS T v'UC, REQUIRED U — FCR POURED CONCRETE 2. ROUGH-FRAMING,PLUMBING, 5'9" STRAPPING, ELECTRICAL&CAULKING 3. INSULATION �...:, zo'-o° 4. FINAL-CONSTRUCTION &ELECTRICAL -= Il_1 �T BE COMPLETE FOR C.O. f— 3 � A! '177PTTHF RFO'-!IREME:NTS Thi C) ly YORK STATE. NOl z > Ln DESIGN OR CONSTRUCTiGN ERRORS. O z � U v DECK LAYOUT zz a m SCALE: 4" = I '-O" Q Q GENERAL NOTE: �... O • I certify that the information contained on these plans and drawings reflect work performed � ���� �- :M,L Yvw "` y and completed, as shown, to the best of my knowledge in accordance with NYS building codes. t1(CLOSE r OL TO CODE UPON CO,IPLETION r The contractor is responsible for ensuring that all completed work and construction meets or 7 ' BEFORE "WATER" exceeds federal, state and local codes, ordinances, regulations, etc. ELECTRICAL NOTE: ,, 4 a • All electrical work to be BOARD OF FIRE UNDERWRITERS approved and to include PAGE: installation of fixtures per specifications. GFI outlets required at exterior areas. Outlets as per code. All work done in strict accordance with the New York State Code by a licensed electrician. �s,,,, FE UP'.44,"1 -1i AL C) DZ LL, Lu � N Lu cn C) Q co z c� LLJ _z �Q oL U Q }- C C) m EXISTING 8" POURED CONCRETE FOUNDATION WALLS FOOTINGS TO REMAIN (Q L 0 0 � O O o 2"X 8" ACQ LEDGER BOLTED TO HOUSE FRAME @ I G" O.C.; 8'6' HANG D.J. FROM LEDGER w/TECOS W U zm 0 w N 0v c O 2 QD 4"X 4" AC POSTS BOLTED W -°" 9'-0" – 9'0" -0.1, THRU GIRD K. w N ASSUMED ONCRETE FOOTINGS W 3G" BELO GRADE (TYPICAL ALL) Z z 2- 2"X 10" ACQ GIRDER < x Q w \ N N � V \ / V 5'-3 1/2° OUTLINE OF DECK ABOV ; v 2"X 8" RIM BOARD WITH POSTS BOLTED FOR STRENGTH EXISTING HOUSE STRUCTURE TO REMAIN DECK " SECTIO 4'-4 1/2" 5'-9" 3'-2 1/2" 0 - 20'-0" 4"X 4" POST W/ 2"X 2" — Q� 2"X 8" ACQ LEDGER BOLTED BALUSTERS * CAP RAIL TO HOUSE FRAME @ I G" O.C.; (� — f RAM E PLAN HANG D.J. FROM LEDGER w/TECO W z � 2 X 8" RIM BOARD SCALE: in 4" = I '-O" FLOOR HEIGHT ._ 4"X G" DECK BOARDS BOLTED TCONTINUO ULPOSTOSUWHERE Q APPROX. SHOWN ON PLAN ((� 2"X 8" ACQ D.J. I G" O.C. Z > LCA N >. uw � PROVIDE CORROSION j GRADEi/ RESISTANT FLASHING — BETWEEN WALL It LEDGER 4"X 4" ACQ POSTS BOLTED o 2- 2" X 10" ACQ GIRDER THRU GIRDER. m BOLTED THKU POST O ASSUMED CONCRETE FOOTINGS zW = 3G" BELOW GRADE (TYPICAL ALL) Q D O N k CLIMATIC GEOGRAPHIC DESIGN CRITERIA DECK SECTION GROUND WIND SEISMIC FR05T WINTER ICE5HIELD SNOW SPEED DESIGN WEATHERING LINE TERMITE DECAY DE51GN UNDERLAYMENT FLOOD LOAD (MPH) CATEGORY DEPTH TEMP. REQUIRED HAZARDS SCALE: 4' = I '- 0" -' ,' MODERATE 5LIGHT TOPAGE: 45 LBS. 120 B SEVERE 3 IT. TO HEAVY MODERATE I I NONE