HomeMy WebLinkAbout40144-Z ��
��o�guFFQj/( Town of Southold 10/25/2017
P.O.Box 1179
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d' T 53095 Main Rd
��✓.jj0� ��o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39315 Date: 10/25/2017
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 9475 Route 25, Mattituck
SCTM#: 473889 See/Block/Lot: 122.-6-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/24/2015 pursuant to which Building Permit No. 40144 dated 10/2/2015
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:
INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Hughes,Michael&Hughes,Therese
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40144 09-21-2017
PLUMBERS CERTIFICATION DATED 10-16-2017 ames Orlowski
'Vv— - •
06 o . ed Signature
o�SUFFutX�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . 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#: 40144 Date: 10/2/2015
Permission is hereby granted to:
Hughes, Michael & Hughes, Therese
PO BOX 528
Mattituck, NY 11952
To: construct interior alterations to an existing single family dwelling as applied for.
At premises located at:
9475 Route 25, Mattituck
SCTM # 473889
Sec/Block/Lot# 122.-6-14
Pursuant to application dated 9/24/2015 and approved by the Building Inspector.
To expire on 4/2/2017.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
l
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 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.
New Construction: Old or Pre-existing Building: (check one)
Location of Property:g Wi n /z
House No. Street Hamlet
Owner or Owners of Property: (/kl c /la--e-j ,,-
Suffolk
Suffolk County Tax Map No 1000, Section O`4- Block lU Lot 1
Subdivision // Filed Map. Lot:
Permit No. `4 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary/Certificate Final Certificate: (check one)
Fee Submitted: $ V °�
Applicant SignatutV
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.richert(D-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Hughes
Address: 9475 Route 25 city,Mattituck st: New York zip: 11952
Building Permit#: 40144 Section: 122 Block. 6 Lot 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Dickinson Electric License No: 4415-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 150A Heat GAS Duplec Recpt 21 Ceiling Fixtures 9 HID Fixtures
Service 3 ph Hot Water GAS GFCI Recpt 4 Wall Fixtures 8 Smoke Detectors 3
Main Panel 150A A/C Condenser 1 Single Recpt 1 Recessed Fixtures 11 CO Detectors 1
Sub Panel A/C Blower 1 Range Recpt 20A Fluorescent Fixture Pumps
Transformer Appliances DW Dryer Recpt 30A Emergency FixtureSP Time Clocks
Disconnect 150A Switches 15 Twist Lock Exit Fixtures TVSS
Other Equipment: 1150A Overhead Service, 2- Exhaust Gans, 4- Paddle Fans, 4- ARC Fault
Circuit Breakers, 4- Combination ARC Fault/ GFCI Circuit Breakers,
Notes 1- GFCI Circuit Breaker.
Inspector Signature: Date: September 21, 2017
0-Cert Electrical Compliance Form.xls
o��oF•soUTyo
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Town Hall Annex `` n Telephone(631)765-1802
54375 Main Road F
P.O.Box 1179 Fax(631)765-9502
';
Southold,NY 11971-0959
OCT 242017
BUILDING DEPARTMENT
TOVvrN OF SOUTHOLD � ��, TT/yf77 Qtgpr�t
I.MgJ�A1�C$�PJg"Y.�
TOWN OF SOUTHOLD
CERTIFICATION
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Date:
Building Permit No. 'G��4q i
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Owner: MIJcn���C Q,, �el�&- /�e S j
(Please-print)
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Plumber: J4ZA-t3 (2VIOvSCf )' J C'. jL4,-1 b/rh( i
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J �"(/►�7f11 C
(Please print) J
I certify that the solder used in the water supply system contains Ies than 2/10 of I%
lead. }
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(Plumb ignature) i
Sworn to before me this
day of o 07Colo C� , 20CT�
SHARON MALER
�• NOTARY PUBLIC NATE OF NEW YORK
Notary Public,S>(��F�I..ILCol�nty SUFFOLK COUNTY '
I
LIC.#01 MA625220
COMM.EXP. 12
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SOplyOlo
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ i] ELECTRICAL (FINAL)
REMARKS:
DATE 21 INSPECTOR
BOE SO(/T�,
�yc0UM1,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ])NSULATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS. I r �i lg
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DATE 0 INSPECTOR
Condon Engineering, P.C.
New York State Licensed Professional Engineers
1755 Sigsbee Road 631-298-1986
Mattituck, New York 11952 Fax 631-298-2651
condonengineering.com
September 28, 2017
Mr. Mike Verity o RC[EDV[2 DD
Chief Building Inspector
Southold Town Building Department SEP 2 9 2017
53095 Route 25
P.O. Box 1179
Southold, New York 11971 BUILDING DEPT.
Dear Mr. Verity: TOWN OF SOUTHOLD
Re: BP 40144 Hughes Residence 9475 Main Road Mattituck
During the renovation of the building I inspected the framing, the plumbing, and the insulation
installations. The framing was all found to be structurally sound and in compliance with the plans.
Inspection of the plumbing found it to be free of any leakage and installed in accordance with
Code. Inspection of the insulation found it to be properly installed.
If you have any questions, please call me at 631-298-1986.
Yours truly,
ao
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STATE ENERGY . .
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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_ I 'Survey'
SoutholdTown.NorthFork.net PERMIT NO. �J� `' �' Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ''' ,20 Single&Separate
J / - Storm Water Assessment Form
( �J Contact:
Approved 120 i Mail to:
Disapproved a/c < _ a +—~,,
Pio
Expiration ,20_L7_� I I 2 LSI I
S�� 4 2015
Building Inspector
?i-DG DEPT
APPLICATION-FOR BUILDING'PE
Date ` -/ , 20
INSTRUCTIONS—
a. This application MUST be completely filled in by`typewfiterbr iii ink�dnd-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.brefore issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a`Building Permit to ilia 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*Hole or in,pai't'for'any purpose what'so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorizecl'has not commenced within fTmonths after the date of
issuance or has not been completed within 18 months from-such.d'ate:'If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspectopmay 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 B,uilding'Dpep ft,issuance of a Building Permit pursuant to the
Building Zone Ordinance of the ToWn,of-Syotzthold,Suffglk--County;New Xork,.and other applicable Laws;Prdinances,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.
i (]ina
P6
lgturfe o]f app ican r name,if a corporation)
t (Mailing'address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises WC
s'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. 'T
Electricians License No.
Other Trade's License No.
1. L cation of land on which proposed r will be done:
House Number` Street f a.,;+,,;y ;,,;, Hamlet
County Tax Map No. 1000 Section ock'.'
. tc: lD Lot 1 /
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and.occ pancy of proposed construction:
a. Existing use and,occupancy �VZQ CC,c/ nn __
b. Intended use and occupancy Q VL&,-- 8 1�t /VL-p� S t'lf�vC.GQd
3. Nature of wor check which applicable):New Building Addition Alteration
Repair Removal, Demolition Other Work
(Description)
4. Estimated Cost 15;1000 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 OA-
6.
J -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 cp-z
Height Number of Stories 1
Dimensions-,of,same structure with alterations or additions: Front �0 Rear Y-D
Depth P-D Height "I ; Number of Stories
8. Dimensions of entire new constructiom,Front•• z : �j=� 5 fry
` �Re`air Depth
Height Number of Storie
9. Size of lot: Front Rear - j Depth
10. Date of Purchase }•, Name,.of Foriner,.Owner' �'
11. Zone oruse district-in which pfemises dre isitudted-:L'''
12. Does proposed conkruc'tion''v olate any zoning"law;ofdiriarice`'or'regiilatioii? YES NO i✓
13. Will lot be re-graded?,YES NO V Will excess'fill be^en l oved Y+Y `'?"
" i r�m from premiss _YES NO
%Yl�`C2•(,•cf' `DAG
14. Names of Owner.of premises .. e, SAddress . .,LGN ,,���_ ��hone No.
Name of Architect• Address. r ;:a Phone No
Name of Contractor$ o�G�f(P&-/,i .l Address- >> •Phone No.'&3/-tt79-aa-? a—
15 a. Is this property within 100 feet"of a tidal wetland.or,a�freshwate'r'wetland?'*;YES NO
* IF YES, SOUTHOLD TOWN'TRUSTEES &,D;E:C'. PERMITSI`vIA.Y'BE-REQUIRED:
b. 1s this property within 300'feet"ofa tidal wetland?*'YES-"` NO
* IF YES, D.E.C. PERMITSMAY'BE REQUIRED.' '
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any pointori 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 OFSIA [)C
CS ..being,dulyt swvpT, deposes and says'that(s)he is the applicant
(Name of individual sig ' g contract) above named; r
(S)He is the
(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 tort efore me this
d_��day of SCVYl 20 15
TRACEY L.
Notary blic NOTARY PUBLIC,STATE OF NEW YORKSignature of Ap licant
NO.OIDW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2!1
r
r yrs
Scott ,y �
ott A. Russell `��� ST(0)R-A�J WATIEE-
suP;✓RcrlsoR U3 ; r M[ANA(G IEMC)EN T'
SOLiTHOLD TOWN HALL-P-O.Box 1179 p l m
53095 Main Road-SOUTH OLD,NEW YORK 11971 Town �f)J u�/G L
CH"TER 236 - STORM[WATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
- - - - - - --- -- - ----- --
- -- - -- ----- --- - ------------------------- -- -- ----- -
DOES THIS PROJFCT INVOLVE ANY OF THE FOLLOWING:
r
Yes No (CHECK ALL THAT APPLY)
® A_ Clearing, giubbing, grading or strippingg 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 z
within any parcel or any contiguous area.
❑V C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑0 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area_
E_ Site preparation within the one-hundred-year floodplain as depicted
f on-FIRM Map of an watercourse.
F11AF. Installation ofneW 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.
F* a
answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
ure, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
ompleted Check List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner,Design Professional,Agent.Contractor,Otber) S.C.T.M. 1000 Date
�eS DptnctNAME. S ��� (0 —!—
IN— Section Block Lot
Contact Informat iort11 7a�j 'tO357D '
Reviewed By:
Date-
Property Address / Location of Con,trucllon Work: — — • — — — — — —
(,�/� tAAp � _/ EI/Approved for prose»ing Budding Permit
Stormwater Management Control Plan Not Required
� ` 1 C Stormwater Management Contra( Plan a Required
(Forwaid io Engineering Department for Rc� ew)
FOR,\,] OS \,]/\`( iO I,l
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Town Hall Annex Telephone(631)765-1802 I
54375 Main Road
P.O.Box 1179 G Q r0 enricherto (6n 765- 5
Southold,NY 11971-0959
DD
JUN 1 a, -2017 �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
FUMDXNG DE H'.
APPLICATION FOR ELECTRICAL INSPECTION TOWN OFSOUTHOLD
REQUESTED BY: Date:
• G I
Company Name: j � �® I
Name:
0
f
License No.: _ e
Address: l dq_ learraskl ��-
i
Phone No.: 5-16 --7-7 2 - -3 3 D 5
JOBSITE INFORMATION: (*Indicates required information)
*Name: W _(f1(
'`Address: C� 1
*Cross Street: ea
*Phone No.: _ &31�;_o
Permit No.: Q ` q
Tax-Map District: 1000 Section: /,�XQ- Block: Lot: PT
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
JLC D A['►'l I�'I/1 Ice r
�d W i rl vl d� Kc*c,4e_o ami td&<n6M'�
(Please Circle All That Apply)
*Is job ready for inspection: YES/ NORough)1n Final
*Do you need a Temp Certificate: Y NO
Temp Information(if.needed)
*Service Size: 1 Phase 3Phase 100 50 200 300 350 . 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhea
i
Additional Information: PAYMENT DUE WITH APPLICATION
i - -
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82-Request for Inspection Form Cz `/ I
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D [2C[EoV[E DD
MAA 2 1 2017
BUILDING DEPT.
TOWN OF SOUfHOLD
L-2.;,so
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® ® Q
Southold,NY 11971-0959
October 10, 2017 "!e0u TTN
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Theresa & Michael Hughes
PO Box 528
Mattituck NY 11952
Re: 9475 Route 25, Mattituck
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical 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 — 40144- Alterations
Deck
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1 1
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Flat Ceiling L------J
o
® Vaulted Ceiling Flat Ceiling
o �
Flat Ceiling
(2) 1.75 x 7.25 LVL (2) 2 x 8
(2)2 x 8 Hdr Under Roof Ridge Under Roof jRi a (2)2 x 8 Hdr
:7-
O O 4) 2 x 4 Post \Wa 1 o Roof Ridg I Flat Ceiling
Wall to Roof Ridge
(of-lat Ceiling
Vaulted Ceiling O
Vaulted Ceiling
•
Flat Ceiling
><I I
Roof and Wall Framing Plan
Existing (2)2 x 6 0
Sandwich with 2 x 6
�-- o
each Side o
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DAM,
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7+v3 cGs' 2 8/ ,qFE pv.
�) 4PM FOR', THE
FOLLO'NING ii,!SF�CTfO'!cj:
1. FOUNDATIC'N - T''vV0 REOU'"ED
FOR POURED CONCRE-TE
2. ROUGH - FRA%',jNG & PLOP„461NS
3. INSULATICN
4. FINAL - CCP;;TRUCTION MIDST
BE CO',."PLETE FOR C.O.
ALL COI',!STRUCTION SHALL_ MEET THE
REQUIREMENTS OF T14E CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
ffI ',-iALL ".:ODES OF 1st Floor Framing Plan Design Loads:
N7W YO I--,I< ST ,`� & TOV4 CODES
AS REQUIREDL' . �ti 3 vld F Roof-Live Load -20 psf
Framing Notes: - Dead Load - 15 psf
)TJn (1 �,K7c r,
The contractor is to verify all measurements in the field and any discrepancies are to be brought to the
- attention of the Engineer prior to construction.
---_-. --�- Wood Framing
4: 1. All lumber is to be No. 2 or better Douglas Fir Larch (N)with the following minimum specifications:
6S UNLAWFUL Fb= 825 psi
WITHOUT CERTIFICATE Fc perp=625 psi
OF OCCUPANCY E = 1,600,000 psi
2. All Laminated Veneer Lumber is to have the following minimum specifications: t.
Fb=2,900 psi
Fv=290 psi
RETAIN STORRI WATER RUNOFF Fc perp =650 psi ': ,
PURSUANT TO CHAPTER 236 E =2,000,000 psi 01, , :�>,a��,,. �,1 ✓
OF THE TOWN CODE.
3. All beams fabricated with multiple Laminated Veneer Lumber boards are to be nailed/bolted in
accordance with the manufacturer's specifications.
7`Q/ SSIOti.
Plans are prepared Condon Engineering,P.C. Itis a violation of the New York State Education — ' ' Condon Engineering, P■C■ Hugh
1 e s
Law,Article 145,Section 7209,for any person unless acting under the direction of a licensed Scale: 1/4" - 1 -0 �7
Professional Engineer,Architect,or Land Surveyor,to after any item in any way.If an item bearing
the seal of an Engineer,Architect,or Land Surveyor is altered,the altering Engineer,Architect,or 1755 Si sbee Road Residence
Land Surveyor shall affix to the item his/her seal and the notation'Altered by”followed by his/her Drawn by : JJC 9
signature and the date of such alterations,and a specific description of the alteration. Mattltuck, New York 11952 9475 Main Road
Date :8-7-2015 (631) 298-1986 Mattituck, New York