HomeMy WebLinkAbout28091-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28385 Date: 05/01/02
THIS CERTIFIES that the building ADDITION
Location of Property: 2885 MINNEHAHA BLVD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 87 Block 3 Lot 32
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 14, 2002 pursuant to which
Building Permit No. 28091-Z dated FEBRUARY 19, 2002
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 DECK ADDITION (375 SQ. FT) TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to ALEXANDRA JONES & MARGARET GILBERT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
/Authpfrized Signature
Rev. 1/81
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. 28091 Z Date FEBRUARY 19, 2002
Permission is hereby granted to:
ALEXANDRA JONES & MARGARET GIL
2718 YORK CT
SOUTHLAKE,TX 76092
for
CONSTRUCTION OF A 375 SQUARE FOOT DECK ADDITION TO AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at 2885 MINNEHAHA BLVD SOUTHOLD
County Tax Map No. 473889 Section 087 Block 0003 Lot No. 032
pursuant to application dated FEBRUARY 14, 2002 and approved by the
Building Inspector.
Fee $ 150 . 00
" /7 -
A Sig
ORIGINAL
Rev. 2/19/98
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT 12002 .r
TOWN HALL C
-e I
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 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:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and a 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$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. Photocopy of Certificate of Occupancy-$0.25
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: � , !'V 1 /,f / f P Ila a &z,o"b
House No. j Street Hamlet
Owner or Owners of Property: j G Qa4lbr v
Suffolk County Tax Map No 1000, Section .g Block ��a' Lot Q
Subdivision Filed Map. Lot:
Permit No. 2- QDate of Permit. 2-Applicant: L j;,VA Nby-Q J_0r'l/4'
Health Dept.Approval: nderwriters Approval: N /r"
Planning Board Approval: /� I
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ ac
UL �- Applic t Signat
.BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: .Z//$/02
DATE SUBMITTED: _/,1!5(/02
APPLICANT NAME: �a�s
SCTM# DISTRICT: 1,000 SECTION: BLOCK: j LOT: V
STREET:2f$5 Mlkwewq CITY: ,jjvi oeo SUBDIV. NAME: &A'
PROJECT DESCRIPTION: rx
ESTIMATED PROJECT COST: 3��0
ARCHITECT/ENGINEER: N� FAST TRACK?
SINGLE &SEPARATE CERTIFICATION-REQUIRED? AO NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 711.
ZONING DISTRICT: e-go CONFORMING? w�
/s 62'1
REQ. LOT SIZE:yO'°" ACT. LOT SIZE: REQ. LOT COV. -2-,t ACT. LOT COV. /.?'o
REQ. FRONT 3s PROP. FRONT ccs REQ SIDE SIDE
REQ. REAR 3 f PROP. REAR <9
WATER FRONT? 1 DESCRIPTION:
PANEL #: /6G FLOOD ZONEAMOn
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES O NO, ED #)��" DTE:_/_/_ PERMIT#:R10-
TOWN SEPTIC RECEIPT: Y or N
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES
SOUTHOLD TOWN TRUSTEES: YES AQ
TOWN ZONING BOARD APPROVAL: YES
TOWN PLAN. BOARD APPROVAL: YES o
TOWN HISTORICAL PRE (SPLIA): YES o
NYS ENERGY: YES ORQ�: lov '`_
EGRESS (18 H min.? 4 sq total) VENT (SQ. FT. 'x 4%) LIGHT (SQ. FT. x 8%)
BUILDING PERMITS OPEN/EXPIRED: BPS/g -Z/C/0 Z-, � ��, ✓
HAVE PRE CO'S : Y OR N BP -Z/C/o Z- ,
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR Ze. SF
SECOND FLR SF INIT OTHER TOTAL
TOTAL: 200 SF FEE FEE FEE
COTSF)- L SF)= SF X $ — =$ +$ — +$ — = $ 15-0
—law
c5 J
SBY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS
5 BUREAU OF ELECTRICITY
S 40 FULTON STREET -- NEW YORK, NY 10038
5
5 CERTIFIES THAT
J Upon the application of upon premises owned by
5
5
TOP GUN ELECTRIC *S CHAMBRI HOMES
5 P.O. BOX 1464 2885 MINNEHAHN BLVD
5 SOUTHOLD, NY 11971, SOUTHOLD, NY 11971
5 Located at 2885 MINNEHAHN BLVD SOUTHOLD, NY 11971
5
5 Application Nmber. 1042360 Certificate Number: 1042360
SSection: Block: Lot: Building Permit27418 BDC: NS11
5
Described as a Residential occupancy,wherein the premises electrical system consisting of
�5 electrical devices and wiring,described below, located in/on the premises at:
5 Basement,First Floor,Second Floor,Attached Garage,Outside,Pool/Spa,
5
5
5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was
�5+ found to be in compliance therewith on the 29th Day of March,2002.
5 Name QTY Rate Ratine Circuit Tie
�55 Alarm and Emergency Equipment
C Sensor 1 Carbon Monoxide
Sensor 5 Smoke
5 Appliances and Accessories
Range 1 10.4 KW
�5+ Dish Washer 1 1..2 KW
5 Exhaust Fan 2 F.H.P.
5 Furnace 1 3 F.H.P.
5 Hydro Massage Tub,Residential 1
5 Wiring and Devices
Outlet 26 Fixture
5 Receptacle 47 General Purpose
5 Switch 34 General Purpose
Fixture 26 Incandescent
5 Receptacle 1 20 Special
5 Receptacle 1 30 Special
rj GFCI Circuit Breaker 4 seal
Paddle Fan 4
Continued on Next Page 1 of 2
5
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5
a
e
VP
5 '
5 BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS
SBUREAU OF ELECTRICITY
5 40 FULTON STREET — NEW YORK, NY 10038
5
5 CERTIFIES THAT
5 5 Upon the application of upon premises owned by
e5
5 TOP GUN ELECTRIC *S CHAMBRI HOMES
P.O. BOX 1464 2885 MINNEHAHN BLVD
5 SOUTHOLD, NY 11971, SOUTHOLD, NY 11971
c�5 Located at
2885 MINNEHAHN BLVD SOUTHOLD, NY 11971
5 Application Number: 1042360 Certificate Number. 1042360
5
SSection: Block: Lot: Building Permit:27418BDC: NS11
5
5 Described as a Residential occupancy,wherein the premises electrical system consisting of
electrical devices and wiring,described below, located in/on the premises at:
5 5 Basement,First Floor,Second Floor,Attached Garage,Outside,Pool/Spa,
5
5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was
C5 found to be in compliance therewith on the 29th Day of March,2002.
5 Name 01Y Rate Rating Cir it Tie
5 Service
5 1 Phase 3W Service Rating 150 Amperes
5 Service Disconnect: 1 150 CB
5 Meters: 1
(Swimming Pool):This certificgte covers compliance at the date of inspection only. Because of unusual environments it is advisable to have
5 frequent test and/or repairs made by a qualified person.
5
5
5
5
5
5
5
S seal
5
5 2 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
S
a
M•iso2
suauiNa DE".
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ j 1 CATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS: /-- C-D
DATE INSP .�
a
FIELD INSPECTION REPORT DATE COMMENTS
b
C
FOUNDATION(1ST) � y
--------------------------------
FOUNDATION
------------------------------FOUNDATION(2ND)
Z
O
y
ROUGH FRAMING& t�
PLUMBING
c
r
INSULATION PER N.Y. -3
STATE ENERGY CODE
J
4
FINAL
ADDITIONAL COMMENTS
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BUILDING DEPARTAfM Do you have or noel the following;before apply
TOWN HALL Board of8aalth
SOUTHOLD,NY 11971 X3 sets ofBulA&WFI=
TEL: 765-1802 , 1Cho*PERMIT NO.
septic F02m
N'Y.S.D.B.C,
Tsetses
Examined '20 Contact:.
Approved ,20 Mail to: SzeDib 1T Ye
Disapproved a/c ✓! LL i(/
Phone:
�dinghVecWr
�•,' ' '.' _ APPLICATION FOR BUILDING PE tWr
`4 �t t t,anLO
Date , 2092—
.INSTRUCTIONS
a. This application MUST be coxapietely Mod in by typewriter or in ink and subn*ted to the Building Inspector with
sets of plans, accurate-plot plan to scale.Fee according to schbdule.
b,plot plan showing location of lot and of buildings on proses,relationship.to adjoining premisps or public streets c
areas, and waterways.
c. The work covered by this applicadou may not be con==oed'bct=issuanco of Building Prot.
d..Upon approval of this applicadom,the Bu9diag bspcotor.will'issua aBuWmg Peot to the applicant. Such a perm
shall be kept on the premises ava fable for mon d¢uughout the work.
e:No building shall be occupiod or used in wholo•or in part for any purpose what-so-ever until a Certificate of Occupa
is issued by the R�"�Inspector,
APPLICATION IS.HEREBY MADE io the Buftog Dcpmtment for thz issuance of a Bu ldmg Permit pursuant to the
Building Zone Ordinance of.thc'Towu of Southold,Suffolk Coimty,Now York,and other applicable Laws,Ordinances or
Regulations, for the cion of b='kh gs,adtioas,or alterations or for removal or demolitim as herein described. The
applicant agrees to comply with all applicable laws,oadhimoes,building code; code,and rggWations,and to admit
authorized inspectors.on premises and in bmldmg for nec==y=pectwm
(S7gas�m or==,if a corporation)
.4v%e Mez-o/,,
94=1mg a3drm of apph"ntV1r,'7YI
State whether applicant is.owner,lessee,'agent,arcbitoct,engineer,general contractor, electrician,plumber or.builder
d�✓✓ �AA it va
Name of owner of premises ! r l
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly autho#zed officer
(Name and title of corporate offow)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No,
1. Location of land., l which pro workbe
s ' ,114 hq
R House Number Street Hamlet
County Tax Map No. 1000 Section Log Block Lot '
Subdivision FHbd Map No: "' ' Lot "
(N*e)
r
2. State existing use slid occnpa�apOfpriaes . ided and oasacq ofpmposed ornon:
a. pxisft-use wd oomipincy
b. Inter use and occupancy '
3. Nature of work..(c4eck which Wlicable):New Bm'kUrig' ' Addon �J Alteration.
Repair Removal________ Dnolition Other Work
(Description)
4. Estimated Cost Fee
(to be paid on filing this application)
5. If dwelling, number of dwellingunits -
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 stuchmles,if Mr.Frout • Rear D
Height Number of
Dimensions of same structure with aiterAons or addrdons: FrontRear
Depth HsigtrtNumber of Stories 2--
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Storias
9.. Size of lot: Front A0 Rear Depth
10. Date of Purchase _Name of Fowler Owner '.S
11. Zone or use district in'which premises are situated
12. Does proposed construction violate any zoning law,mdiamce or regulation:
13. Will lot be re-graded W'Ili excess fill be removed.firnn premises: ' YES NO
14. Names of Owner ofpx Address PAnr,e No.
Name.of Architect • Address Phone No
Name of Contractor _Address Phone No:
15. Is thisproperty within 100 feet of a tidal wetland? *YES • NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQ
16. Provide survey,to scale,with accurate foundation plan and distances to property lines. _
.s'ee �-! TAC 4676 L
17. If elevation of any-point on property is at 10 feet or below,mast provide topographical data on sufrvey.
STATE OF NEW YORK
SS:
COUN'T'Y OFSJW
jh ` 8 duly sworn,deposes azfd says that(s)he is the applicant
(Name of individual contract)above named,
(S)He is the Al A
(Contraatnr,AqkLt Corporate Offic w,.etc.)'
of said owner or owners,and is duly authajed to pmfo=or have p om3ed the said work and to mako and file thislica•ti
that all statements conft ed in Ibis application are true to the best of his kwwl �'
performed in the manner'set forth in the application filed thetewid3 �and be1u�and that the work will be
Sworn to before me this
day of
Notary Public S.
cant'
LYNDA M. BOHN
NOTARY PUBLIC,State of New Yatk
No.01806020932
Qualified in Suffolk.Cburft
Term Expires March 8,20 '
SURVEY OF PROPERTY
TEST HOLE DATA SITUATELAUGHINGDWATER
(TEST HOLE DUG 9Y ON FENWARY 13. 2001)
a. r ��� � Q� TOWN OF SOUTHOLD
1°""g"° O �^ SUFFOLK COUNTY, NEW YORK
�0P" S.C. TAX No. 1000-87-03-32
y
s �c SCALE 1'=301
FEBRUARY 27, 2001
M10a+'W-W sw sm MARCH 9, 2001 REVISED PROPOSED HOUSE LOCATION
�• AREA = 15,624.16 sq. ft.
r 0.359 ac.
ar aaowt TLT IL
7r
�M SOMI TLT IL
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>r PROPOSED SEPTIC SYSTEM DETAIL
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nii al-i cstlwMtolo i AIEwM lIfstAE. MW (431)727-200 Fox (631)727-1727
= 8008EE Or ROIQ OF WAYS OFRW LOWED AT AAIB=AGINf:SS
°R EA9M44ons a 44100611. LF
MOT SIIOwI/Aw NO17 aIAAArI[E0. 1300 IbM101E A1w4AE P.O. Bwt 1131
RIME*". Now York 11901 RkwMa4 Mw Ywk 11901-0995
03'clur
AS NOTED
AFP,� VED
ul 4.
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B.P. 9 92^4.1
DATE
u
OF OCCUPANCY FEE: BY.
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
I ROUGH - FRAMING & PLUMBING
a INSULATION
4 FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
:11 ALL CONSTRUCTION SHALL MEET
HE REQUIREMENTS OF THE N.Y.
E CONSTRUCTION & ENERGY
Co NOT RESPONSIBLE FOR
DESI CONSTRUCTION ERRORS
,A
'10, T-ttot-zl
Z�-,S 4q Lp
cool�
fLn.11 IE�.v rE-1JI >' Lr_1fAFPf>
hr, Ar)v
Pt. TE VA7T1.11T(:t; f! r
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Lf,-)AE) AIJD SUPPORT Your deck will support a 10 I'SF live Iend. rosis have 48" below groun,J
post support.
DFCK LVID rUST HFIGHT You sohcted a holght of 7" (min the top of decking to levo) gro?ind
The (or) of the deck support posts will therefore be 2125" above ground level Your salesperson
can provide information for uneven or sloped ground
JOISTS cot joists on top of bertm�- IF" rnntei to enter
NOTE The design may require knPe hrares and bridging between joists Your materials IrGf inri-)d—
ti,e necPCcCry items The dez,gn )^ not a frnrc-zhod hurldrng plan You are reczpon¢iblP for
rill rneri-irnm-n(s being r(,rroct for vorifyinq 1h,11 the dr•sigo }and Tiny substitutions or rt,nrJrfiratin•lc
that you rrol e1 rneols all Inrnl building (^ Jr and re.quilernor,tc To verify that tho suggest-,J desrin
of),) any �: ,b •ht.utrons or rr)cdiflrnbon�. r,� con-r!�ler,t with conditions at the construction site,
tevlpw tho 4--tan wrfh your architect nlcn cfnsull yn,)r nrchrfoct for proper con�trurlion and u"e
of rr?of�wil in fFlr• -trrichiro
P" r.i.e I,, f(Pnw If?p 'Jork '7voll"P. from v.rr rt-)re sale-zl?(11COrl
}
r
DE� c"gP'K'� Dec< REF. . 7IP
ht'r:PIEE;R STRESS FACTOR COMPOSITE
TY PF i /E FACTOR LOAD LOAD
-------------------------------------------------------
JOISTS 2X8 DEFLECTION 73 PSF
16IN BENDING 462 PSF
SHEAR 288 PSF
COMPRESSION 324 PSF 73 PSF
BEAMS 2-2X8 DEFLECTION 81 PSF
BENDING 57 PSF
SHEAR 50 PSF
COMPRESSION 281 PSF 50 PSF
BOLTS MIN SHEAR 1416 PSF 1416 PSF
POSTS 4X4 STABILITY 406 PSF 406 PSF
-----------------------------------
TOTAL LOAD 50 PSF
DEAD LOAD 10 PSF
LIVE LOAD 40 PSF
-------------------------------------------------------
STRINGER 2X12 DEFLECTION 462 PSF
BENDING 319 PSF
SHEAR 197 PSF
COMPRESSION 729 PSF
-----------------------------------
TOTAL LOAD 197 PSF
DEAD LOAD 10 PSF
LIVE LOAD 187 PSF \
-------------------------------------------
------------
STRINGER 2X12 DEFLECTION 500 PSF �LN1J l{ BLS
BENDING 346 PSF
SHEAR 214 PSF
�.
COMPRESSION 790 PSF _
-----------------------------------
TOTAL LOAD 214 PSF
DEAD LOAD 10 PSF
LIVE LOAD 204 PSF
-------------------------------------------------------
Y
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208
� ±� ' `,`�s-o�� view .
1s OMCEP.
-T. S T rd CT-j
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PLAN VIEW FENNY LUMBER
CUSTOMER -- PO BOX 1440
DATEZ MATTUTCK. NY
(631) 298 - 8559
r Z5r
do qo
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LOAD AND SUPPORT: Your deck will support a 40 PSF live load. Posts have 48" below-ground
post support.
DECK AND POST HEIGHT You selected a height of 32" from the top of decking to level ground
The top of the deck support posts will therefore be 21.25" above ground level. Your salesperson
can provide information for uneven or sloped ground.
JOISTS- Set joists on top of beams. 16" center to center
NOTE: The design may require knee braces and bridging between joists. Your materials list includes
the necessary items. The suggested design is not a finished building plan. You are responsible for
all measurements being correct. for verifying that the design (and any substitutions or modifications
that you make) meets all local building codes and requirements. To verify that the suggested design.
and any substitutions or modifications. is consistent with conditions at the construction site.
review the design with your architect. Also consult your architect for proper construction and use
of materials in the structure
Be sure to follow the deck construction detail available from your store salesperson.
STRESS ANALYSIS `
CUSTOMER: •' CpEc 1 -�
DATE: " Z�� try DESIGN: REF: ' . ZIP
SALESMAN # oZ 97&S N� �!-�q K 4 Q�
oma'-
--------------------------------------------------
------------------------------------ ----- -
MEMBER STRESS FACTOR COMPOSITE
TYPE SIZE FACTOR LOAD LOAD
-------------------------------------------------------
JOISTS 2X8 DEFLECTION 73 PSF
16IN BENDING 462 PSF
SHEAR 288 PSF
COMPRESSION 324 PSF 73 PSF
I
BEAMS 2-2X8 DEFLECTION 81 PSF
BENDING 57 PSF
SHEAR 50 PSF
COMPRESSION 281 PSF 50 PSF
BOLTS 1/2IN SHEAR 1416 PSF 1416 PSF
POSTS 4X4 STABILITY 406 PSF 406 PSF
-----------------------------------
TOTAL LOAD 50 PSF
DEAD LOAD 10 PSF
LIVE LOAD 40 PSF
-------------------------------------------------------
STRINGER
------------------------------------------------------
STRINGER 2X12 DEFLECTION 462 PSF
BENDING 319 PSF
SHEAR 197 PSF
COMPRESSION 729 PSF
-----------------------------------
TOTAL LOAD 197 PSF
DEAD LOAD 10 PSF
LIVE LOAD 187 PSF
--------------------------------------------------------
STRINGER 2X12 DEFLECTION 500 PSF
BENDING 346 PSF
SHEAR 214 PSF '
COMPRESSION 790 PSF
-----------------------------------
TOTAL LOAD 214 PSF
DEAD LOAD 10 PSF
LIVE LOAD 204 PSF
-------------------------------------------------------