HomeMy WebLinkAbout40940-Z g�yFFOt,�co Town of Southold 8/9/2017
G
y P.O.Box 1179
a
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39114 Date: 8/8/2017
THIS CERTIFIES that the building ALTERATION
Location of Property: 575 Watersedge Way, Southold
SCTM#: 473889 Sec/Block/Lot: 88.-5-61.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/1/2016 pursuant to which Building Permit No. 40940 dated 8/29/2016
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:
SECOND FLOOR DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Psarros, Stamatios
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40940 07-27-2017
PLUMBERS CERTIFICATION DATED
0 Out ' d Signature
i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 40940 Date: 8/29/2016
Permission is hereby granted to:
Psarros, Stamatios
264 Sylvia Ln
Allentown, PA 18104
To: construct additions and alterations to an existing single family dwelling as applied for.
At premises located at:
575 Watersedge Way, Southold
SCTM # 473889
Sec/Block/Lot# 88.-5-61.2
Pursuant to application dated 8/1/2016 and approved by the Building Inspector.
To expire on 2/28/2018.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $465.20
CO -ADDITION TO DWELLING $50.00
Total: $515.20
B ilding 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 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 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. jV 1(d to, 201 �o
New Construction: Old or Pre-existing Building: (check one)
Location of Property: &�q 5j V pj 4wj ,Q,, (a o 201)4kv
House No. Street Hamlet
Owner or Owners of Property: llwroGj
Suffolk County Tax Map No 1000, Section �� Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
ealth Dept.Approval: Underwriters Approval:
ming Board Approval:
\t for: Temporary Certificate Final Certificate: (check one)
tted: $ S(�
Applican gn to e
pF 30Vj�®�®
Town Hall Annex Telephone(631)765-1802
54375 Main Road CAR Fax(631)765-9502
P.O.Box 1179 ® �� roger.richert(a�town.southold.ny.us
Southold,NY 11971-0959
®441, NT`1,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Psarros, Stamatios
Address: 575 Watersedge Way city,Southold st: New York zip: 11971
Building Permit* 40940 Section: $$ Block: 5 Lot: 61.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Platinum East Electric License No: 34091-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 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 FixtureTime Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Power to Outdoor Barbecue, Outdoor Lights at Second Floor Deck.
Notes:
Inspector Signature: Date: July 27, 2017
0-Cert Electrical Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[\/FOUNDATION I ST ] ROUGH PLUMBING
] FOUNDATION-2ND INSULATION
FRAMING / STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION CAULKING
REMARKS:
1��n�
LYty
DATE4 — INSPECTO
SOUT�o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLSG.
rUNDATION 2ND [ ] INSULATION
AMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL
REMARKS: 6�Wl'rljsh
DATE INSPECTOR�*L
50U1,y0
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION -
FOUNDATION
1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ULATION
[ ] FRAMING / STRAPPING [,y FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) L]4ELECTRICAL (FINAL)
REMARKS: ` V��'
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DATE INSPECTOR
FIELD INSPECTION REPORT I DATE COMMENTS
Al
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FOUNDATION(IST)
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TQWN 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
SoutholdTown.NorthFork.net PERMIT NO. O Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 20 Storm-Water Assessment Form
Contact: 66 11
Approved 20 Mail to: Qik VI �/✓
Disapproved a/c
Phone:
Expiration ,20
® 12C gvla
D Building Insp ctor
AUG ® 1 2016 APPLICATION FOR BUILDING PE -
BUMD]mDE". Date 60 [�J 2U ,20 (o
TOWN OF SOU'MMD INSTRUCTIONS
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 dater If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspectof may authorize,in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be required.',,,,,*.P
APPLICATION IS HEREBY MADE to the Building De'rartment 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 �g�t V�'0 5
(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. Locatior�f��d on which,proposed� �work will be done: � 4. �
1 q 0v
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot 1. a—
Subdivision ' Filed Map No. Lot
-7%
2. State existing use and occupancy of premises and rot=' !M
use and occupancy of proposed construction:
a. Existing use and occupancy SI /1-o,1e I'D Sl("Ce, tih
b. Intended use and occupancy Stare w / 01,&&k- 6 ULK qg
3. Nature of work(check which applicable):New Building Addition Alteration_
Repair Removal Demolition Other Work
(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 5F '- 3 Rear - 3 Depth S -3
Height -0 Number of Stories
Dimensions ofa structure with alterations or additions: Front SF '--,� Rear -5--1 ' 3
Depth sa Height 5 O Number of Stories o1
8. Dimensions of entire new construction: Front Rear o� 6 x IF- S Depth
Height ZQ - / '' -J — Number of Stories 1 U'/a/ 'x/O Aiun
9. Size of lot: Front 90 Rear Depth 19 7
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated P- 7/o
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 P—IsjL r g, Address Phone No.
Name of Architect Address 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 X7NO
* 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.
18. Are there any covenants and restrictions with respect to this property? * YES Nwk7
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
Ox rl 'b)w` 'J'r being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(Contractor,Agent, Corporate aficer,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 before me
day of 20_4_
/\J/`- CONNIE D.BUNCH
Rte of New York
Notary Public Noteff
No.01 BUSS 65050 Signature of Ap ant
()uaiified in&j"County1fel)
Commission ExpiMs April
FFQ
Scott A. Russell ,��°su Ir� ST 1R,.MWA\T]E]R..
SUPERVISOR 0MA NA.G IEMLENT
SOUTHOLD TOWN HALL-P.O.Box 1179 u' �
53095 Main Road-SOUTIiOLD,NEW YORK 11971
° Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORD SHEET
AUG 0 2 2016 ( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE AIT' OF THE FOIWWINGG-
Yes No (CHECK ALL THAT APPLY)
❑ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑
�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.
D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ E. Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
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 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 Check List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner.Design Professional,Agent,Contractor,Other) S.C.T•M' #: 1�00 Date-
APPLICANT: ktj2—
NAME a � 'Section Block
I ` Q *"* FOR BUILDING DEPARTMENT USE ONLY****
Contact Information: � '^ I ��- a J o� '( �
Rekphme Numbrc! ,h` T
Reviewed By
— — — — — — — — — — — — — — — — 77
Property Address/Location of Construction Work: — — — — — — — —Date:
— — — — — — — —
Approved for processing Building Permit.
(� � �✓ �� w Stormwater Management Control Plan Not Required.
Soo�/� Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
FORM * SMCP-TOS MAY 2014
APPLICANT: S.C.T.M.#: 1000
(Property Owner,Design Professional,Agent,Contractor,Other) �—s a —By bQS � CHAPTER 236
Stormwater Management Control Plan CHECK LIST
,NAME, Section Block Lot a S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application.
P1WWPnnl ate: o * The applicant must provide a Complete Explanation and/or Reason for not providing
116, "�0 �_ap > all Information that has been Required by the following Checklist!
Sgnalwr Idephorc mnLcr
1. A Site Plan drawn to scale Not Less that 60'to the inch MUSTYENO If You answered No or NA to any Item, Please Provide Justification Here!
show all of the following items: NA If you need additional room for explanations, Please Provide additional Papei
a. Location & Description of Property Boundaries
b. Total Site Acreage.
c. Existing- Natural & Man Made Features within 500 L.F.
of the Site Boundary as required by §236-17(C)(2).
d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. DRAINAGE jWSPECETIONS ARE REQUIRE-1-3
�]
e. Limits of Clearing & Area of Proposed Land Disturbance. 0
f. Existing & Proposed Contours of the Site (Minimum z intervals)
g. Location of all existing& proposed structures, roads, f3aWill,
driveways, sidewalks, drainage improvements& utilities. that the drainage
h. Spot Grades & Finish Floor Elevations for all existing &
proposed structures.
1. Location of proposed Swimming Pool and discharge ring.
j. Location of proposed Soil Stockpile Area(s). 0
k. Location of proposed Construction Entrance/Staging Area W. C®NTFt®`S
I. Location of proposed concrete washout area(s). Shallincludnot a iimitedto:
M. Location of all proposed erosion&sediment control measures. acne Construction
2. Stoi mwater Management Control Plan must include Calculations showing 511t Fencing,stabilization
that the stormwater improvements are sized to capture,store,and infiltrate Seediexposed and/or in
active on-site the run-oft'from all impervious surfaces generated by a two(21 inch '
rainfall/storm event.
3. Details&Sectional Drawings I'or stormwater pract ices are required for approval.
Items requiring details shall include but not be limited to:
a. Erosion & Sediment Controls.
b. Construction Entrance & Site Access.
c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.)
d. Leaching Structures (e. .infiltration basins,swales,etc.)
**** FOR ENGINEERING DEP NT USE ONLY Additional Information is Required 2a
Reviewed & 1 F1 Stormwater Management Contro� GDEP�.. — — -
i Not Complete.
Approved By: — — — — — — — — — — — — — — — — —
1 0 Stormwater Management ContTRMPTAWPP
Date: -g-(� SMCP has been approved by the Engineering Department
i
®��OF SOU��®C
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959
®lyc®U01�ct�
June 6, 2017
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Stamatios Psarros
264 Sylvia Lane
Allentown PA 18104
Re: 575 Watersedge Way, Southold
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy%
Application for Certificate of Occupancy. (Enclosed)
4VC't*1r1IcaI Underwriters Certificate.
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 40940 —Addition/Alteration
SURVEY OF DESCRIBED PROPERTY
SITUATED .AT
1� 5F�OLK' CWN 4UNTYF SQUTFIOI,D
1VEiY YORK-- -
WATER�•,{ r�r�r�7�t�'r �t SC.T.M. NO. 1000-88-5-61.2
SEDGE WAY - --- �� � UPLAND AREA = 17,333 SQ. YT.'
(50' WIDE) ���� '� CERTLMD-TO-
APRON D GRAVEL ���per- SANDY PSARROSSTAMATIOS G.' SARROS
�r,� THE SECURITY TI W GUARANTEE CORPORATION
S 66°2'10"E 80,0 ' N 66022'10"if SCTIC, INC. ZE N0. 3309 — 3OF BALTIMORE
7'I794
559.02' FIRST PRIOR177 BANK, ITS SUCCESSORS AND
OR ASSIGNS, ATIMA, 2 W. LIBERTY BLVD, STE.104,
iq MALVERN. PA 19355
GDARAWM OR CE7D1F1A WE ARE Nor TRAP9MQLE UNDERGROUND DBtrAES
CA MEMS ear shvm AND UTNtr PDLE LCC4=6 ARE Nor GUAWRM
a! DRIVEiFeY 1HE OFFSET DA(RMW S)JMWN RREDN FMU ME SMUCRRIS4 W 7HE PROPERLY LWES
ARE FOR SPECIFIC PURPOSE AND USE MEREFURE ARE NDT U WOM M GUIDE'ME
O 0=110M OF FENCE%RUAWNG WALLS,POOLS PAT= PLAMM ARM%
a Muck ADWW To MDM AND OTHER CONSMUCRON, 7HE Ext W=of RUDIT
k, DF WAV$ Kfi7LWA5 AND/OR FA9E7WE M of RECORD. W ANY,Nor SHM
21. 1 S• ARE Nor GUMAMEED
GAR. AW
AL7ERARON OR ADaW Ta TH'g SURVLY 14 A NOLARON OF
1 1',2 8• SEC►10N 7T09 Of 7HE NEW YORK STATE IDUCADaN LAW, COPES DF 1i&4 SURVEY AMP
E8.6 Mar BERING 7HH LAND SURVEYORS SJ M RME AND RED WK OR RMCSSED SEAL MU.
Nor BE COfi67DERM A TRUE VALID Carr.
ALL LOCATIONS of AND OWMICES TU WE=AND CEsMV=ARE Be LOGIrIDNS
2 STY FROM HO IAErER5 FMD OWE NAIMS AND/OR WPORUMN GUAWED FROU
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RICHARD WILNELM AND assocwTEs
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Center Moriches, NY 77934 7B6 W. Montauk Highway
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PSECCAFI CO VOPTONLI NE NET
N.Y.S. UC. NO. 049287
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SCTM: 1000-88-5-G 1 .2
Information taken from
survey prepared by
Pat T. Seccaflco, L.S. EMBED FILTER CLOTH
EXISTING HOUSE
Center Moriches, New York MIN. GII INTO GROUND z
dated March 3 1 , 2015
TO REMAIN z � �
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PROPERTY AREAS: - � V-- �
Exi5t:in 'Lot area: 1 7 333 5c[.ft.
g NOTE:
House exi5tin 2420 !5 ft. \ :
( g)' --- \ MAXIMUM DRAINAGE AREA cn
Patio (existing): 355 scat. \
Existing lot coverage: I G•0°Io 15'-9 I/2" \ 1 /2 ACRE / .I 00 LINEAR FEET ` * � �° `��� z
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Deckoverpatioon racle: 3555g.ft. ��I ,
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Total new area: 3505cl.ft. - li 1 1 1 1 1 i i 1 1 1 1 i i 1 i o Ii i i i l i i i 1 i i it - ,.
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2). Girders for deck Joists to be bolted or anchored to each post or pier With washers and nuts.
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COMPLIES WITH THE INTENT OF THE CODE AND THE MATERIAL OFFERED IS LOAD (MPH) CATEGORY DEPTH TEMP. REQUIRED HAZARDS PAGE:
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THE DIVISION OF CODE ENFORCEMENT AND ADMINISTRATIONS FINDS THIS PRODUCT 45 LBS. 120 B SEVERE 3 FT. TO HEAVY MODERATE 11 NONE -
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