HomeMy WebLinkAbout30564-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southo1d, N.Y.
CERTIFICATE OF OCCUPANCY
No, Z-31859
Date, 09/26/06
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property' 580
(HOUSE NO.)
County Tax Map No. 473889 Section 74
SOUNDVIEW AVE WEST
(STREET)
Block 2
PECONIC
(HAMLET)
Lot 6
Subdivision
Filed Map No.
Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 12, 2004 pursuant to which
Building Permit No. 30564-Z
dated
AUGUST 12, 2004
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 ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR & AS PER CONDITIONS OF ZBA #5011 DATED 10/25/01.
The certificate is issued to PAULA DANIEL & TIM TRUJILLO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
1108581
04/11/05
PLUMBERS CERTIFICATION DATED
08/01/06 BURTS RELIABLE, INC.
~~
Authorized Signature
Rev. 1/81
.
Form No.6
TOWN OF SOUTHOLD
BillLDING 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:
I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features. ~
27'--F;n~l Apf?foHLll fr9R1 IIealtk De}3t.@f..ukl..,...}'3131) <-<ad ~c:werage-dlsposal \~-y 101111). AJO "'fQ ~d- 611 h.. 0
3. Approval of electrical installation from Board of Fire Underwriters. Cl..A t..l ""'\1'
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 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:
I. 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 $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. 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. 8 -!j -15 ~
New Construction:
/
Old or Pre-existing Building:
(check one)
Location of Property: ~-SC>
House No.
..5c=o"'t04D-.:l\~ A,.\.l;;;- ~T
Street
8=co~1.F--
Hamlet
~\l~1LMJI::l..l,..L.:l\.~
~
Owner or Owners of Property:
\1- JI.-. "Ta..... \ ,l\... $.. l;:>" "l..A b "'N~.e...
.
Suffolk County Tax Map No 1000, Section
Block
Lot
Subdivision
Filed Map.
Lot:
PennitNo. ~OSL."( z..
Date of Pennit. 8-11- d .,
Applicant: \>looV...... \)""", l(;t.
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
~p\,.ws 28b~ 8 2-
I~-'Z I''o!.( -.-
co-l'2,i851
Gerard P. Goehringcr, Chalrm,lIl
James Diniz;o. .If.
Lydia A. Tortora
Lora S. Collins
George Horning
/
APPEALS BOARD MEMBERS
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971-U959
ZBA Fax (631) 765-9064
Telephone (631) 765-1809
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF OCTOBER 25, 2001
Appl. No. 5011 - PAULA DANIEL and TIMOTHY TRUJILLO 1000-74-2-6
STREET & LOCATION 580 Soundview Avenue West. Peconic
DATE OF PUBLIC HEARING October 18, 2001
FiNDiNGS OF FACT
PROPERTY FACTS: The subject property is a parcel of 30,332 sq. ft. in Peconic, with 100
feet of frontage on Soundview Avenue, a rear lot line of 138 feet, and depth of 298 feet
(east) and 267 feet (west). It is improved with a frame house and a shed.
BASIS OF APPEAL: Building Department's Notice of Disapproval, dated August 20,2001,
denying a Building Permit for an addition because it will produce a rear yard of 25 feet
whereas Code section 100-244 requires 50 feet.
AREA VARIANCE RELIEF REQUESTED: Applicants initially requested a variance
authorizing construction of the addition as originally proposed, with a 25-foot setback at the
closest point to the rear lot line. At the hearing on October 18, 2001, applicants agreed to
move the proposed attached garage toward the front of the house, submitting an amended
plan for location at 31 ft. and 36 ft., respectfively, for which a rear yard variance is
requested.
REASONS FOR BOARD ACTION, DESCRIBED BELOW: On the basis of testimony
presented, materials submitted and personal inspection, the Board makes the following
findings:
1. The house, which has existed for many years, is set back 184 feet from the
street, resulting in an existing rear yard of 52 feet at the closest point to the rear lot line.
Applicants' architect testified on October 18, 2001, that he and applicants had considered
many approaches to expanding the house and had concluded that the only realistic way is
to add at the rear, as this retains the character of the house and preserves southerly light
and air.
2 Applicants' original proposal for a 25-foot rear setback required a substantial
variance. The revised proposal for a location at 32 ft, 31 ft. and 36 ft. in the rear yard at
the closest points, a significant change. Because the rear of the property is wooded, and
because the addition will not be a great deal higher that the existing house, grant of the
relief set forth below will not produce an undesirable change in the character of the
neighborhood or detriment to nearby properties.
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Page 2 - October 25, 20 j
ZBA Appl. No. 5011 - Daniel-Trujillo
1000.74.2.6 at Peconic
3, There is no evidence that grant of the relief set forth below will have an adverse
effect or impact on physical or environmental conditions,
4, The action set forth below is the minimum necessary to enable applicants to
enjoy the benefit of an expanded house with a garage while preserving and protecting the
character of the neighborhood and the health, safety and welfare of the community,
RESOLUTiOi--J/ACTiOi'J: On motion by Member Coiiins, seconded by Chairman
Goehringer, it was
RESOLVED, to DENY the variance originally requested, and ALTERNATIVELY to
GRA~ariaQ@L authorizing construction of an addition with a m, ini,mu, m, rear setback of
~ 32 ft, n<f36it,) as depicted on the Site Plan revised ~Qc!obeL22L 2001 and marked
received by~-nepartment on October 22, 2001, subject to the CONDITION that the
Zoning Board of Appeals reserves the right to inspect the property up to the time of
issuance of a Certificate of Occupancy for the addition,
This action does not authorize or condone any current or future use, setback or
other feature of the subject property that violates the Zoning Code, other than such uses,
setbacks and other features as are expressly addressed in this action,
Vote of the Board: Ayes: Members G,oe, hrin\l~r~,~, ' man,)' DiniZ"i"O,, Tortora,: '2nd Collins,
This Resolution was duly adopted (4, -~),' (Me'mber;.rorningiQ~Z:>' sl ~)"as absent.)
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,
VGerard P. Goehrin er, Chairman
10 -30--01
i;ECEIVED AND FILED B 1.'
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T "tl
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r J '00 1M.
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roy ':'\J APPEALS BOARD MEMBERS
. Ruth D. Oliva, Chairwoman
Gerard P Goehringer
James Dinizio, Jr.
Michael A. Simon
Leslie Kanes Weisman
http://southoldtown.northfork . net
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ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 . Fax (631) 765-9064
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FINDINGS, DELIBERATIONS, AND DETERMINATION
MEETING DATE: FEBRUARY 2,2006
Mailing Address:
Southold Town Hall
53095 Main Road. PO. Box 1179
Southold, NY 11971-0959
Office Location:
Town Annex /First Floor, North Fork Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
I.
I ~ii\BA Application No, 5830 (SE)
I....---Applicants/Owners: TIM TRUJILLO and PAULA DANIEL
. Property Location: 580 Soundview Avenue, Peconic CTM 74-2-6
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under
consideration in this application and determines that this review falls under the Type II
category of the State's List of Actions, without an adverse effect on the environment if
the project is implemented as planned.
PROPERTY FACTS/DESCRIPTION: The subject property is a parcel of 30,332 sq. ft. in
Peconic, with 100 feet of frontage along Soundview Avenue West, a rear lot line of 138
feet, and a depth of 298 feet (east) and 267 feet (west) as shown on a survey prepared
by Joseph A. Ingegno on December 12, 2000. The property is improved with the
applicant's shed and one and a half story frame house with as built extensions and two
story attached garage addition. A building permit was obtained for this new construction
on August 13, 2002.
APPLICANT'S REQUEST/BASIS OF APPLICATION: The Applicant-Owner requests a
Special Exception pursuant to Article III, Section 100-31 B, sub-section 13 of the Zoning
Code, for approval of an existing Accessory Apartment on the second floor over the
existing garage area of their home.
The Zoning Board of Appeals held a public hearing on this application on January 26,
2006, at which time written and oral evidence were presented. Based upon all testimony,
documentation, personal inspection of the property, and other evidence, the Zoning
Board finds the following facts to be true and relevant:
BOARD REASONS and STANDARDS CONSIDERED
In considering this application, the Board has reviewed the code requirements set forth
pursuant to Article III, Section 100-31 B(13) to establish an Accessory Apartment and
finds that the applicant complies with the requirements for the reasons noted below:
1. The Accessory Apartment is located in a livable area not exceeding 994 sq. ft., as a
second-story over the existing garage and extensions. The Apartment unit is less than
Page 2 - January 26, 2006
ZBA #5830 - T. Trujillo and P. Daniel
CTM 74-2-6
1. The Accessory Apartment is located in a livable area not exceeding 994 sq. ft., as a
second-story over the existing garage and extensions. The Apartment unit is less than
the code's limitation of 40% (at approximately 35% of the existing dwelling's livable floor
area), based on the size of the principal building footprint and new garage addition (total
2,810 sq. ft.).
2. Paula Daniel and Tim Trujillo, the applicants herein, have owned and resided at the
property since October 19, 2000 and will continue to occupy the dwelling as a principal
residence while the Accessory Apartment is occupied by their Mother.
3. The applicants' plans comply with the on-site parking requirements and provide for a
total of three (3) parking spaces, two for the principal use and one for the Accessory
Apartment, utilizing the existing driveway areas.
4. In visiting the premises on January 19, 2005 it was revealed that the interior
contained as built renovations and new construction had been completed according to
the architect's working drawings dated August 8, 2001. Upon request, the
owner/applicants supplied simplified drawings to clarify as built and new construction to
date. The Accessory Apartment is located within the building envelope of the garage and
there is no visual evidence of its presence from the exterior. The overall massing is
residential in scale and character. No exterior changes have been made to the principal
dwelling. New construction includes a first floor mechanical room, laundry room, guest
bedroom, and foyer through which interior ingress from the principal dwelling to the
garage, and stairs to the second floor Accessory Apartment, are gained. The foyer also
serves as the Accessory Apartment's ingress and egress to the exterior. (The foyer
staircase is 3 feet in width, allowing for access to the second floor Accessory Apartment
via the installation of a chairlift should mobility become an issue for the occupant of the
Accessory Apartment in the future.)
5. The Accessory Apartment will meet with the requirements of a dwelling unit as
defined in Section 100-31 of the Zoning Code.
6. The principal dwelling was in existence prior to January 1, 1984 and a Certificate of
Occupancy was issued for a single family dwelling by the Building Department on July 3,
1975.
7. The exterior entry to the Accessory Apartment retains the appearance of a one-family
dwelling.
8. The Accessory Apartment, as applied for, is reasonable in relation to the District in
which is located, adjacent use districts, and nearby and adjacent residential uses.
9. The Special Exception use is accessory to the principal use and will not prevent the
orderly and reasonable use of adjacent properties.
10. This accessory use will not prevent orderly and reasonable uses proposed or
existing in adjacent use districts.
Page 3 - January 26, 2006
, . ZBA #5830 - T. Trujillo and P. Daniel
eTM 74-2-6
11. No evidence has been submitted to show that the safety, heaith, welfare, comfort,
convenience, order of the Town would be adversely affected.
12. No adverse conditions were found after considering items listed under Section 100-
263 and 100-264 of the Zoning Code.
13. A Certificate of Compliance or similar document is necessary for issuance by the
Building Inspector certifying that the premises conforms to applicable codes for an
Accessory Apartment use.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the
standards under New York Town law and Chapter 100 (Zoning Code), motion was
offered by Member Weisman, seconded by Member Simon, and duly carried to
GRANT the Special Exception application for an accessory apartment to be used
only in conjunction with the applicant-owner's residence, as applied for under
Section 100-31 B, SUBJECT TO THE FOllOWING CONDITIONS:
1. Owner(s) shall continue to occupy the dwelling as their own principal residence.
2. Certificate of Occupancy shall be obtained from the Building Department.
3. The Certificate of Occupancy will terminate upon the transfer of title or upon
the owner(s) ceasing to occupy one of the dwelling units as the owner's principal
residence; and that in the event of the owner's demise, the occupant of the
accessory apartment may continue in occupancy until a new owner shall occupy
the balance of the dwelling, or one year from the date of said demise, whichever
shall first occur.
4. A chain or similar ladder shall be installed from the second fioor area (for the
Accessory Apartment).
This action does not authorize or condone any current or future use, setback or other
feature of the subject property that may violate the Zoning Code, other than such uses,
setbacks and other features as are expressly addressed in this action.
Vote of the Board: Ayes: Members Oliva (Chairwoman), Dinizio, Simon and Weisman.
Absent was Member Goehringer. Thi esolution was duly adopted (4-0).
Ruth D. Oliva, Chairwoman 2/ =J /06
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.
30564 Z
Date AUGUST
12, 2004
permission is hereby granted to:
PAULA DANIEL
PO BOX 541
PECONIC,NY 11958
for :
ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR & AS PER CONDITIONS OF ZBA #5011. (THIS REPLACES BP#28648-Z)
at premises located at
580 SOUNDVIEW AVE WEST
PECONIC
County Tax Map No. 473889 Section 074
Block 0002
Lot No. 006
pursuant to application dated AUGUST 12, 2004 and approved by the
Building Inspector to expire on FEBRUARY 12, 2006.
Fee $
1,149.90
ORIGINAL
Rev. 5/8/02
T ONe Hall, 53095 Main 'l,nd
P 0, Box 1179
SC'LH',old, New YorK 11971
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Fax (516 7651E:c
TeiephClne (516) 7G~ ~6
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I FIe A T ION
Date:
<i~/'OG
Building Permit No. ~' :5 0 5 b~ - L
Owner: -rI'^-'\. ~.~Ru':..;t\o t: ?4.0L-A ~-I>...""\~
(please print)
Plumber -.-Bur-\-> R~J ;c...ble- I nc
(please print)
I certify that the solder used in the water supply system contains less
than 2/10 of 1 % lead.
Sworn to before me this
County
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-L- day of
Notary Public,
ffujVJf
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20~
BERNADE1TE L. TAPliN
NOTARY PUBLIC 114844893
Slate of New York
Residing in Suffolk County
Commission Expires S~,1L eo, 19_ 'l
(Vo \I ,n. 0
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I BY THIS CERTIFICATE OF COMPLIANCE THE I
I NEW YORK BOARD OF FIRE UNDERWRITERS I
~ BUREAU OF ELECTRICITY ~
~ 14- ,- ,;l - (., 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ ~~ CERTIFIES THAT ~
I V f~5lt-1 Upon the application of upon premises owned by I
~ '?JD ~
~ SCHARADIN ELECTRIC PAULA DANIEL-TRUJILLO ~
~ P_O. BOX 1077, MAIN RD. SOUNDVIEW AVE ~
~ CUTCHOGUE, NY 11935, PECONIC, NY 11958 I
~ Located at SOUNDVIEW AVE PECONIC. NY 11958 ~
~ ~
~ Application Number: 1108581 Certificate Number: 1108581 ~
I Section: Block: Lot: Building perm~05h L) BDC: NS11 I
~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~
I electrical devices and wiring, described below, located in/on the premises at: I
~ Outside, ~
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 11th Day of April, 2005. ~
ri!l Name OTY Rate Rating Circuit ~ rn:I
~ Service ~
~ I Phase 3W Service Rating 400 Amperes ~
~ Service Disconnect: 2 200 cb ~
I Meters: 1 I
~ ~
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I seal I
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I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
REP ELECTRIC
PO BOX 635
MATTITUCK, NY 11952,
TIM & PAULA DANIELS
580 SOUNDVIEW AVE.
PECONIC, NY 11958
580 SaUNDVIEW AVEW. PECONIC, NY 11958
,
Application Number:
3007420
Certificate Number:
3007420
Section:
Building Permit:
ns11
Block:
Lot:
BDC:
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located inion the premises at:
Second Floor, Attached Garage, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code andlor standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 14th Day of September, 2006.
Name OTY Rate Ratine: Circuit ~
Alarm and Emergency Equipment
Sensor 2 0
Sensor 2 0
Appliances and Accessories
Dish Washer 0 1.2
Exhaust Fan" .' 0
Wiring and Devices
Outlet 28 0
Fixture 27 0
Fixture I 0
Outlet 34 0
Receptacle 18 0
Switch 16 0
Dimmers 4 0
Paddle Fan 1 0
Receptacle 7 0
Carbon Monoxide
Smoke
KW
F.H.P.
Fixture
Incandescent
Flourescent
General Purpose
General Purpose
General Purpose
GFCI
seal
I of I
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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10/27/2002 22:27
905-373-8301
AR>O< BUILDING PRODUC
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NEW YORK STATE DEPAkTMENT OF STATE
STATE FIRE PREVENTION AND BUILDING CODY. COUNCIL
CertifICate of Acceptability No. 0035 '3
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1. MANUFACTURER.
AAB Building System. Inc.
340 0 Iv Islon Str<<t
COboUlll. Ontario, Canada KlIA 4J9
Te~~~!S)J1~:a b J
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Ajax, ON Li S 2H2
Penna 'R' Products o(TN, Inc.
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Johnson City, TN 31603
Beaver plasdcs Lid.
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Edmonton. AI> nv IHS
putyronn, Ino.
448 Rue Edoll_rd
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15l hramount Road
Winnipeg, MB R2X 2W6
BGiava- 'PliL)iti~!.i Llu,
44440 S. Sumas Road
Chilliwack, BC V2R 4B7
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pravidc 11I11 heighr fastenlnllstrips apBllCd a" on eenter,whio;h arevblbJc on both sides of form Unit. The webs oan be UMd
for faSWIing interior or C>.'1Uior finishes. The form unill remain after placlng of reinforcing steel and ""- and m~" be
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4.3 Stnl"I.....1 Criteria
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III required by Ed~catlon Jaw 1IIIlI1CK;ll11aW, shll be lubllllUmlIO Ihc 100" a\Ilhortl)' hAvlnsJurl.cIlGliCIn. TlIG dcolsn >hall
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. 005.1331 (101911
JOS6+ Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING )Xi FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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300roCft
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] I~LATION
[ ] FRAMING I STRAPPING [v(FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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REMARK~
,
DATE
INSPECTOR
r2F(; ~y&
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUND N 2ND
[
[
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
] FIREPLACE & CHIM~Y
REMARKS:
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DATE /0 I
INSPECTOR
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765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] ~ATION 2ND [
[~FRAMING c?Y~' - [ ] FINAL
[ ] FIREP C & CHIMNEY
~ &J/ctF~
REMARKS
DATE .
~;E
dFbYf&
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] RO PLBG.
[ ] FOUNDATION 2ND [
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:~ (
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DATE f.
v
INSPECTOR
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765.1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION 1 ST
[ ] ~DATION 2ND
[j{' FRAMING
[ ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY (/l.. L(lA _ // /fl _
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765-1802
BUilDING DEPT.
. NSPECTION
FOUNDATION 1 ST
] FOUNDATION 2ND
] FRAMING
[ ] ROUGH PlBG.
[ ] INSULATION
[ ] FINAL
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INSULATION PER N. Y.
STATE ENERGY CODE
) ADDITIONAL COMMENTS r
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OWNER 'ISTREET ie: <' r',' ! VILLAGE
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~(~k;1:bJ}leL~ A 1f~y II D : So:'Yd. //teio five ~ <u C' ,'j
FORMER OWNE[(. t:! I E
r. 'ietii'Ho'1/ LDI)rJI~ ,y;uru tl-UJ+' '
J.,fJ,~"te/ T71;,/" 'Jf'-P~JJ-- ! is L1 W
''-1 A ... t"Tr/-y /'/ <2-!Sa;'/
/-I.-~7 ~/k,r( _ __
~ES ).JO ,I SEAS, I VL~ . ! FARM I COMM, CB.
LAND liMP. TOTAL DATE REMARKS
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Gt70
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AGE__I
NEW
FARM "I
rillable
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LOT
MICS.
1 (;-;l/ '" x,~ /hu..~.:JI'~ '-
ACR. /
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v;::; ;11./Yeloo,'V
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600
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BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per Value
Acre
FRONTAGE ON WATER I
FRONTAGE ON ROAD I
DEPTH I
BULKHEAD
,
,
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-=xtension _ i ! -7 X
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f!:'
Both
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W 0 "sJ?;,,, .,.l.lnterior finish
I Heat
o A I( 1<.
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, 1 BR.
,FIN. B
Breezeway
Go rage
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O. B.
, ~~
Rooms 1 st Floor
Rooms 2nd floor
Driveway
Total
I
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T (}Wt~ OF ~OOTHOW
'. ,
BUILDING DEPARTMENT
TOWN HALL
SOUTH()LD, NY 11971
TEL: 765-1802
tlUlLJJl.N1j !''''KMH APPLlCAfHJN CHECKLIS
Do yc " vr need the following, Defore applying
Board of Health
3 sets of~g Plans
Survey
Check ~ ~ g '+ 5~
Septic Form
NY.S.D.E.C.
Trustees
Contact:
Jo..50 V -z:
PER.l\1IT NO~.2 C-r"+92::
Examined
Approved
M//2-
, 08/:2
,20(72-
200;2-
, --
Mail to:
Disapproved a/e
Phone:
r--7'~-:--I---;;~:--p
I: ;___'2--1 '-""-'~':'l i n I
i ~ 1 i i
AUG , 0 ?00i :i' i
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L ---- =-~---;::::::TJ
n-~ .-, r' -, .;.~[;.,~,<~t;:"'~9i . '-\PPLICATION FOR BUILDING PERMIT
I: t;" :; It
in: I\UG 22002,.,j Date ~UGUST/O ,200/
!', . .' __J INSTRUCTIONS
\ t~Th:i.~a;~lic~a~;hi 'be completely filled in by typewriter or in ink and submitted to the Building Inspector wlth 3
se s 0 plans, accurate plot plan to scale. Fee accordmg 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 c.pplication, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughoutthe work.
e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupar
is issued by the Building Inspector.
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 South old, Suffolk:County, New York, and other applicable Laws, Ordmances or
Regulations, for the construction of buildings, additions, o(alterations or for removal or demolition as herein descnbed. 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)
ro t30'f.. NIt. SOU/+iOLO, ~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~~Ci-I fTELT/AbClUj
I
7/'-16 T+-J '1 '- PI:> L! LA j) A rJ I r;; L
(as ?n the tax roll or latest deed)
If applicant is a corporation, signature of duly authori~ed officer
Name of owner of premises
(Name and title of corporate officer)
Builders License No. NOT S'E L~CT6cb '/6-T
Plumbers License No.
d
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
580 SOUrJDvleu.) AlI~W.
House Number Street
fc Co--.J/c
Hamlet
County Tax Map No. 1000 Section
Subdivision
1'1-
Block D 2-
Filed Map No.
Lot 0 t:.
Lot
(Name)
S tate existing use and occupar
a. Existing use and occupa:ncy
b. Intended use and occupancy
'remises and intended use and oeel
S/ VG,Ltc j:;. k 1'-,/
.s IJ 1"1 <=
,
Jf proposed construction:
, ,
KCS/DeAJ ,/t.
.
..
; Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
/
Alteration
(Description)
i. EstImated Cost
1> go) bo ~
Fee
/
3)
(to be paid on filing this application)
Number of dwelling units on each floor
lf Jwdl1ng, number of dwelling units
If garage, number of cars
If business, commercial or mixed occupancy, specify nature and extent of each type of use. IJ/A
DImensions of existing structures, if any: Front ~D
Height '28 Number of Stories
Rear
;I/rz...
3,,,,
Depth
4(."
Dimensions of same structure with alterations or additions: Front 1 k:,
C,r.",
Depth '7 k Height 3 Z Number of Stories
Rear
/5/</
Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
~l...e ()f lot: FrDnt
/00
Rear
1.38 oil
Depth !6o~ ""',/1-'77 7'1 E
'f ~)~::e of Purchase lZ.j2oc:>o
Name of Former Owner
UN~'-<J/...J
4. Names of Owner of premises j)1:vJ/~L
Name of ArchiteetC;d_STi2 ANG
Name of Contractor
] Zc;,,, '" "" ",,,rid ill whi'h p=i",~, ,i,,,,,, ~ "4> //"')
" Does proposed construction violate any zoning law, ordinance or regulatio~/ i E:s
3. Will lot be re-graded N b Will excess fill be remove~6m-Pteinises: YES @
) tJ IbcOA.!IC
Addres680 &,UDJ/n;:w "e Phone No. 7,;,:5". 3'1bS
Addressro II./,z 7/oLOPhoneNo '7h"-o~-<5"'
Address Phone No.
5. ls this property within lOa feet ofa tidal wetland? 'YES NO /'
. U' YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE REQUIRED
6 Provide survey, to scale, with accurate foundation plan and distances to property lines,
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey,
3TATE OF l\'EW YORK)
SS:
20UNTY OF:5UF/OLL )
GfJr'l./2.CTl /1. S'Tl2- flNG IJ/1..CH (r~ cr being duly sworn, deposes and says that (;r)he 1$ the applicant
(Nome of indlvidual signing contract) above named,
))He is the
A If'-c././ rr~c:r /4 ht! A,/'t-
(Contractor, Agent, Corpor~te Officer, etc.)
) c' sald owner or o','mers, and is duly authorized to perform or have performed the said work and to make and file this application;
Jilt 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.
0wom to before me thA
/0/1.-/ davof rJGUS-r 20~
~Jc~ ;l ~/
I l'iotary Public
~.
-...
Signature of Applicant
Barblra A. Strine!
NOTARY PUBLIC, New York
No. 4730095
Qualified - Suffolk County
Comm. Expires July 31. ~-L.
File No: 8902
WARREN A. SAMBACH. SR.
CONSULTING eNGINEERS. PlANNERS
7675 COX LANE. P.O. I!OX 1033
CUtCHOGUE, NY 11935
631 - (JllB) 734-7492
-9
October 29 2002
Building Department
___","~~~~,--=-~Town nr ~nl1t:nn-l'd_ ~_r'__~
Town Hall
59085 Main Road
Southold NY 11971
-- ---,_--..~-_._.._--
Re: Paul Daniel
580 Sound View-West-
peconic NY 11958
SCTM: . 1000 Section: 74 Block: 02 Lot: 06
Permit #28648z
To Whom it May Concern:
Inspection of the Styrofoam concrete filled blocK with reinforcing
rods, eleven (11") inches wide for foundation wall will support
the two story extension.
Reinforcing rods installed are more than adequate and exceeas
the recommendation.
Detail submitted with thislQtter;
Sincerely.
i~ ~b-
Warren A. Sambach Sr. P.E.
l~as:s
encl.
jt.~~;~~
WARREN A. BAMBACH
-9 (.J?
CONIULTlNG CNOIHIC...PLANM.....
. . .
.
,':': .
, . Job Numbe.. . :~~~..................... ..... Sheet No. ............1.. of
Job Home: .. r~.tf"..QA;:-t.:/.I~~\t::!:2:~6'!.'?.~.......
Job Add,e.I, .?.~".:$.~.~~f?..v..,~ #:!!..,.. ~~tJA)~~.'!...
Sublect: . ..FQIIl<f...P,.4:1J<!.AJ.....~..~..:........
Dote, 10 .-.?"i-Ct"-Computed by, !0.:?:.............. Checked by.
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Garrett A. Strang
Architect
1230 Traveler St., Box 1412
Southold, New York 11971
Telephone (631) 765-5455
Fax (631) 765-5490
liD ~ ~ ~ ~ W ~ r
SLOG. DEFT.
10WN OF SOUTHOLD
October 28, 2002
Mr. John Boufas, Building Inspector
Southold Town Building Department
Main Road
Southold, NY 11971
Re: Proposed Alterations and Additions to Residence
580 Soundview Avenue West, Peconic, NY
SCTM # 1 000- 74-02-06, Building Permit #286482
Dear Mr. Boufas:
Please be advised that at the owner's request, their contractor has substituted an engineered
foundation system (ARXX) for the poured concrete foundation shown on the drawings submitted
and approved for building permit.
This substitution is acceptable, provided necessary engineering documentation is provided by the
manufacturer, indicating the structural capacity of the engineered foundation system is equal to or
greater than that of a poured concrete foundation.
Respectfully submitted,
C: Paula DanielslTim Trujillo
10/27/2002 22:27 905-373-8301
ARXX BUILDING PRODUC
PAGE 01
r_e--.-- r;
,
Ana Building Products
800 Division Street
Cobourg, Ontario K9A 5V2 I OCT 282002
Telephone (905) 373-0004 l' .
Fax (905) 373-8301 I ·
Order Desk FAX (905) 373-0002 L-, . ..
. arXX-
IlUlLDlNG PRODUl:rS
. '~:;"--;;""'",:::::,,:"':'.; :.""F"'AX' "'"'' :.C....O' 'VE' .. ..~. "-"-""--'--"''':'',::O;;':y.':C\.-':'";'-:;''-''~'..:;:-~;;~-~
. .....,.. . ... .,. .' RSHEE.T.""..........................;:.-.:-;;::r"..
.~: . ,'".;"-' . ~ ..:~.,.::':-i:". - " ,.," ". .-" :;,_.." .. .., ..,;!-;:,~~'~~:i.~:-%~'~.t.:~;.;~':Iii,,\'i~~,:.
DATE:
To:
COMPANY:
PHONE:
FAX:
~ \;104;7 ~ ~
FROM:
COMPANY;
PHONE:
FAX;
E-MAIL:
(P? { - 7f1?~ - ~ 50'1-
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t:f/.P1rov
ARXX BUILDING PRODUCTS
1-800-293-32'10
(905) 373-8301
PAGES INCLUDING THIS COVER PAGE:
COMMENTS:
t c;.
10/27/2002 22:27
905-373-8301
ARXX BUILDING PRODUC
PAGE 02
Technical Bulletin) 5.5.1.1 - Summary of Fire Testing Reports
.....................................................................................................................
l
-Flame Spread & Smoke Development
The following Flame Spread and Smoke Development Testing Reports by Ul & UlC identify the characteristics of the At'n. foam
plastic which is BASF _ expanded polystyrene - 'Stvropor' typn BF422 or BFL422 with a density ofl.5 pdor 24.0 kgJm' .
. @ UlIlIIrwrl"" Laboratorl.InC.@
BRYX December 15,1998
foamQd Plastic
BASFCORP POLYMERS DIY
3000 CONTINENTAL DR. N, MT OUVE Nj 07&28
Foamed plastic in the lorm of boards.
&5lli
(A card)
SURFACE BURNING CHARACTERISTICS
lYPES 8F-020, B1'-122, 8F.134. BF.222. BF.2l9. 81'-322. BF.326, BF.327. 8f.329, BF-422
lYPES BFl-020, BFl-122, BFl-134, BFL-222, BFl-322, 8Fl-327, BFL.422
lYPES F214. F214L, F314, F314l, F414
Density Ma),imum Thickness
1.0 pcl 1.25 pcf 1.5 pel
6 In'" e In 'II' 5 In ...
Aame spread 1511 51/1I 10111111
Smoke devoloped 12511 1901111 30011I/II
* Installed in a thickness or stor.d In an .ff.ctlv.thickness for the de,.sity Indicated.
#F1om. 5pre4d and GOloke developed recorded while material rC::lllaim:d in the l:ui,ginGll ~::it pes-irion.
Ignition of mol ton fl!sidu. on the furnace floor resulted in flame lravel equivalent to caleulated flame spread classification 01 50 and
'- ,smoke developed cla..iflcation 01 over 500.
Note: leBO &. SBCCI requiTe toam plastic: insulation to have iI Rame Spread index of25 or less with a maximum Smoke development
01450 (ICBO ER-5119 Section 2.2.1 & SBCCI #94127C Section 4.4)
BOCA requires foam plastic insulalion to have a Flame Spr"ad index of 75 or less with a maximum Smoke Development
of 4)0 (BOt.A No.114- 31 seclion 3.3)
2.0 pef
~ In *
511111111
250111/1III
~--
~ Undlllrwrl~~~J&It! ate.nada
Guide No. 40 UB.16 Jun. 14. 1!19~ File CR1762
PlASTIC MaTERIALS' BASF CORPORATION, polym.rs Division, Mount Olive. NJ 07828-1234
Expand.d polystyrene fo.med plastic malerial in lI1e form of boarde. j:I>duced from the following "Styropor" bead types: 6F122.
BF214, BB14. BF321. BF322. BF326. 8827 and BF422
Classified as to surface burning characteristics in accordance with CAN!ULC.SI02.2M as indicated
Materials Details Classifieation or Rating
Thiekn.... mm Nom Den_s!.!v. kll/m' FI.a.!.'J~ Spread Smoke It<ni.eloped
25 min
25 min
25 min
16.0
24.0
32.0
115
140
140
430
ov.r 380
over 325
NOle: Th. National ~ulldlng Cod. olCanada requir.s the Flame ~;pread Rating to be more than 25 but not more
than 500 (NRC 3.1_5.11(3).).
............'
1.800.293.3210 I www.arxxbuild.com
anbC~
BlJII.DING PIIOOlJCrS
'"'The Atu.ft_ ilnd.lw; 11189 "'.lrafStom.a11u II' Iino. Buildi"! Produc:t5
10/27/2002 22:27
905-373-8301
ARXX BUILDING PRODUC
PAGE 03
-*
NEW YOaK STATE DEPARTMENT OF STATE
STATE FIRE PREVENTION AND BUILDING CODK COUNCIL
CertifICate of Acceptahility No. 0035
.,..../
C~O!1\e 1:. PJraki
Goyemor
A'cnnlkr f. Treadwell
Srcrellry OrSlalC
Expiralioll dale: September 9,1000
Page 1 or 6
1. MANUFACTURER
AAB Building Sysu.m, Inc.
i40 Division Street
Cobourg. Onwio, Canada KSlA 4J9
Telephone: (90S)J1l-()004
Fax: (9OS)313-8301
MonufoclW'ing pliUltO 10Clltion,
PSC Moulding Corporation
II~ Mill. ROil..
Ajax, ON Ll S 2H2
Penna 'R' Product!. of TN, Inc.
P.O. Box ~<:lS EKS
Johnson City, TN 37603
A MC I n'lllalion Corp.
ISll'vomount Rood
Winnipeg, MB R2X 2W6
Beaver Plastics Lid.
12150 ] 60 Street
Edmonlon, AB BV IHS
Polyfonn, 1m;.
448 Rue Edouard
Granby, PQ J20 3Z3
Bcil'Y~ P1QllitiL:~ Lld.
44440 S. Sllmas Road
Chilliwack, Be Y2R 481
2. PRODUCT
Blue Maxx 'M Wallsysrem, expanded polyslyrcne (EPS) foam pennanent in.ulating OOllCrelC forming system.
3. USE
._' Blue Maxx no WallsySlem forms serve us pennanent fOlIDwonulIld mennaJ insulation forc:oncrete walls, wbere1he d...ign of the
concrele adheres to the New York State Uniform Fire Prevention and BUilding Code (NYSUFPBC) and applicable reference
standards.
4. DESCRIPTION
4.1 Ceneral
Blue Maxx 1M Wallsysu.m forms are expnnded polynyrene (EPS) lilrm. fOT eonsUtlcting concrete waUs. The formwud<. i.
assembled by inIerlocking the fOl1lls one on lOp oC the other in a running bond. The form. arc: ld't penn....m1y in place to
provide thennlll inSlllation.
4.2 System Components
Two EPS panels ere molded around high dcnsilY polYJll'O!lylene webs (ties) Ie beoome one Intega] Form Unit The unils are
manufiu:turedauStandard Fonn Unit, Tapered Top Form Unil, Extended Brick Ledge Form Unit, 90' eomerForm Unir(lAft
and Right), Adjustable Comer Form Unit, Height Adjusu.r, and End Cap (.see fillU~ I through 8). The Form Unit dimensions
Me' 48" length, 16-114" height. and 11.112" width (for 6-114" concrete wall) or 12-518" (for 7-7/8 "concrele wall). The webs
provide fUll height fasreninllsUipsspaced 8" on cenler, whieb are visible on bolh sides offonn Unit. 11" webs can be U&CCI
for fastening interior or e)."1e;rior finishes. The form units remain after plaeing of reinforcing steel and L'lOncrete and mus.t be
protected by an apptovcd irttetlor .n.d oxtOlior finish materials. W&lls usinS Blue Maxx nt Walls)'srem fonm:: are CDDSidered
combustible constroction.
4.3 Stnldunl Crlt.ria
4.3.1 Design of plain or reinforced con"rclO walls is nOI pari of mis certificate. Plans and calculations for building SUtlClure.
as requlrecl by Educ8:doolaw and 10Cli! baw. shall b~ .ubllliu..d La 1Ilc;loo~ allth",iry Mvingjuri3dic;lion. The dc::oi!;Jl.hDll
adhere to NYSUFPBC and applicable reference 51alldards.
'-'
DOS-llll (10/971
"'-...-
"",_I
10/27/2002 22:27
905-373-8301
ARXX BUILDING PRODUC
PAGE 04
Certificate of Acceptability No. 0035
Expiration date; September 9,2000
Pake 2 0(6
4.3.2 The pouring rate of concrete ami fasteners capacities for attachment of finish materiat.g sball be in accordance wilh
manufacturer's installation manual.
4.3.3 The system is approved fOTType 5 con.<trUclion of maximum of2 stories above grade.
4.4 Interior and ElteTior Finish
Blue Max. TW Wallsyslem forms muS! be covered on ltlC :.::teriorwith ill 5 minute thermal barrier such as Y, ioch thic:lc.gypsum
board and with weather-resistive covering on the eXletlor. Adhesives used for interior and el<lerior fmishes shill be compatible
with EPS. Adhesive. OTe pormilll;d to be used in conjunction wilh mechlUlical fasteners. Wall> tequired to be wtIterproofed or
dampproofed shall be sealed wim coatings compatible with EPS.
4.5In....Uiltioll
SySlClD instilllation should be in accordance with manuf;a.turer', (nstellation Manual.
5. BASIS FOR ACCEPTABILITY
Blue Maxx ."., Wall,ysll!III forms .re Inlertek Tostillll Services (Warnock Heney) lisred and labeled products. Section 610.1 (c) of
the NYSUFPBC requires suclt materials ro comply with applicable reiUlations of the code.
5.1 The proponent has satisfied requirements of.o<:. 1120 by filinll with Office of Fire prevantion.
5.2 Foam plastic insulation used in manufacture of Blue Maxx .... Wallsystem forms meets the requirements of soc. 719.2(3),
741.2(0), and 773.2(a), having a name-spr.ad rating of IS .nd a lI1lol::e developod rating of 300. as per Underwriters
LBbun.toric:s listing no. R5817(N).
5.3 Test Report No. 6902 by lnohoape Testing Serviccs (Warl\oc:Ic. Hersey) confl1'JllS that ~ inch gypsum board provides proleCtion
as required forthcnnal barrier.
6. CONDITIONS OF ACCEPTA8lLlTV
6.1 Thi3- "rtiilcll\lI: is vwd for u. period of two YIl,;CU'3 ire:. date: of is&uan~e unless $OOIlBr revoked., and is cubj~l to rcnCW21
thereaner. CenlfiClllCS \hat Ille not rc-ccmfied shall not be used or referred to. I n order to determine the =t certification
status, plClllie oonlal:t the Division of Code Enforeementand Administration al (SI8) 474-4073.
6.2 The- IlU.IlIUrll~n;r malL 3upply in:lt.rw....tjV...3 that provi;tc ~nfolTOil.tion on I:ho approYC.ci in.taUatia" and. use cfthe product. Any
con1lic\.> between this certificate and the manufac!UR\' installation inSINCIions void thil; certificate. Materials and memocls of
conmuclion shall oonfonn to the test results. brocllur.. aDd specific.tions submitted 10 and on file with Ibe DivislOll.
6.3 Tltis ,enillcate is CODiidered revoked upon Cllpiratjon <lr de-listing by <he Ii.'in~ .~e"c)',
6.4 The Blue Maxx 1>1 Wallsys~ system shall be in.tal:ed j, ac;orclanoe with the terms ofth.listing approval.
6.5 Method, sequence of construction, and worlanansllip shall cDllform 10 manufactUrer's Installation Munua!.
6.6 Desi!,~\ of ooncrete walls shall be in accordance with NYSUfPBC and applicable rel....ence slalldards.
6.7 Plans and calculations for buikling stTUClUte, as required by Etlucation and local18ws. shall be submitted to the local authorilY
hBvingjurit;dictinn_
6.8 Wall bracing sholl be shown on plan&.
6.9 Firestopping shall be provided in oomplianc:.l with NYSUFPBC. The EPS material shall not be considered to provide it.
6.10 Found..ion. wall. ,hall be bllCkfilled only afler t~\. first floor framing syslem is in place and the concrete has achieved
adequate mength.
6.11 Blul M8l<x 'w Wall system forms must be covered on ilie interior with 15 minute thennal barrier. Weather-resistive coating
::.lliS.11 b.. provided on the: ex-tenor wnlls.
6.12 Blue MaKx rM Wallsystenl walls may not be used.. hore combo,tiblo oonstnuction is not permitted. The system is 8pproved
fOT Type 5 constNclion of a maximum of2 ilorie. above grade.
6.13 For below grade installations, dampproofwg I waterproofing moterials compallble with polys'Yn:ne musl be 1>tovidod.
1. INFORMATION TO BE SUBMITTED TO CODE KNFORCEMENT OFFICIAL
In order 10 aid in detelT!lination of complianoe with this cOl'lificate. documents submitted [0 offloials Charged wilh enforcement
of the code shall reflect at a nlinimum the following infon.o[ion:
7.1 Plans and oalculations for a build~ structute. as required by Education JaW and local law.
7.1 Blue Maxx TN WaII>ys[em InstBilation Manual.
8. PRODUCT IDENTIF1CATION
___ 8.1 Ellch pallet of Blu~ Maxx TM Wallsystem forms shall x marked witb the manufacturer's name, and/or trademaril:, and tbe
Warnock HIl1'Sl!Y CertifICation Mark.
OOS-1l31(llllll7)
16/27/2662 22:27
965-373-8361
ARXX BUILDING PRODUC
PAGE 65
Certificate of Acceptability No. 0035
Expiration date: September 9. ~OOO
Page J oU
9. REFERENCED INFORMATION
9.l The following figures 1 throLl,gb i .are reprinted. from manufactUrer"s literature. The dr.awings ,hown Ullhe figures are for
illustration purpose. only, They arc nOL lIIlCoded for usc as construction documents for the pwposc: of design, fabrication or
'..._ erection.
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PAGE
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Certificate of Acceptability No, 0035
Expiration dale: September 9,1000
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DOS-1331 (IONIl
~--~
10/27/2002 22:27
905-373-8301
ARXX BUILDING PRODUC
PAGE
07
Certificate 0/ Acceptability No. 0035
E~piralion dOle: September 9, 2000
Psge 5 of ,
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1~/27/2~~2 22:27
9~5-373-83~1
ARXX BUILDING PRODUC
PAGE ~8
Certificate of Acceptability No. 0035
EIp;ral;on date: Sopl<>mbcr 9, lOOO
Page 6 of 6
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This Certificate of Ae<:eptability certifies that the State Fire Prevenlion and Building Code Council has detennined ibM tho produot
specified in Division tile No. CA UU3S complies with [be perfonnance requirements set form in tlle New York Slate uniform I'lre
Prevemion and Building Code when inslalled ill accordance with the Conditions of AcceptabiLity hsled under Section 6 above.
Please contact the Division with any quc!l~ions you may bave regarding this cerdficate or if you have any information on the
performance ofllle prodllct dese.ribed herein which is contro" 10 tllis certificale.
4~~~
George E. Clark, Jr.
DlreGtnr. Divi.o:.ion nfCode Enforcement and Adminisuation
Dale of issual1ee: September 9. 1991
OI1s'.IHIOnlQ'?l
10/27/2002 22:27
905-373-8301
ARXX BUILDING PRODUC
PAGE 09
PRINTED JANUARY, 1995
Ei:ditgriil Revisign: Jail, 1998
,-.
BOCA
EVALUATION
SERVICES~ me.
BOCA
Iii,.
RESEARCH REPORT NO.
94-31
A Participati"lff Member af the NES, I PIC..6
DIVISION 03 - CONCBETE
SECTION 03130. PERMANENT FORMS
BLUE MAXX""
AAIl BUILDING SYSTEM INC.
840 DIVISION STREET
COBOVRG, ONTARIO
CANADA KlIA. 4J9
Z.O DIiSCJUPTlON AND USE OF PRODUCT
~J
ADDITIONAL LI$TEES:
A,M.C. INSULATION CORP.
161 PARAMOUNT ROAD
WINNipeG, MANIT015A
CANADA R2X 2W8
BEAVER PLASTICS LTD.
44440 SOUTH SUMAS ROAD
CHILLIWACK. BRITISH COLUMBIA
CANADA V2R 4B7
BEAveR PLASTICS LTD.
121 ~o 160 STREET
EDMONTON,ALBERTA
CANADA T5V 1 H5
Blue MaxxTM is . lOam plastic fonnwon: system intended fur
u&e 8J permanent ml1atm.e. concrete forrnwork in c::onstnlctl(lTl
of61/4-inch-thick and a-inch-thick concrete walls. The overall
dim"".ioJl& of the standard modular units for the 611....in<:h.
thiok wall are dll inch.. long and 163/4 in<:he. high. The 6114-
inch-thick modular Wlit has Z s/a-in<:h-thick expended polY"ry-
rene (EPS) waUs for a total width of II tll inehe. as IIhown in
F~ I. The overall dimeruiions of the standard modular WliB
for the S-inch-tbick wall is the .ame a.o the 6114-incI1-thick
waiL except rhal the toral width is 12'18 inches. The EPS walla
are hold in pIa"" with polypropylene tics ,paoed at S in<:hes on
"""tor. Figures I through 8 ilbutratos ..nous configurationa of
the units,
3.0 CODE ANALYSIS OF SUBMITTED INFORMATION
LES EMBALLAGES POLYFORM INC.
Rue 448 EOOUARD
GRAN BY, QUEBEC
CANADA J2G 2Z3
The folloW>ng data were submitted hy the applicOtlt fur
demonstration of compliaru:e wi[/), the respective code sections
listed above each item of information. The be:lilI ill tho BOCA
NariaMI Building Cad'; J 996.
3.1 STRUCTURAL
3.1.1 Formwor!<
PERMA uRu PRODUCTS INC.
109 PERMA "R" ROAD
JOHNSON CITY,
TENNeSSEE 37803
PSC MOULDING CORPORATION
116 MILLS ROAD
AJAX, ONTARIO
CANADA L1S 2H2
Code S.ctI0D 1909.1 DellI=" of rormwork: This section
require. that fonnwmk be lullieient to provide a final .tructute
tl~iil.t ,",oafOllUS to the gcomchy i5pClcified by the eonstr\1ctiou
documenIs, be sullioient to prevent leakage of concreto, and be
properly braced and tied togethar to maintain position and
,11"1""
INFORMATION SUBMITTED:
1.0 DESCRII"TlON OF EVALUATION
This report evaluates the use of AAB Bui1ding Systew's Bille
MaxxTM as a pormanent insulating concrete formwork fur pIma
and reinforead concrete walls. The formwork has been evalu-
ated for f1amereslstanee, fireresislamle, sound tmIUIIIiIsioll
characlcnaties and thenna! performanoe.
3.1.1.1 SttueturaI design oaIeu1ations, dated October 10, 1994,
fi"om DougJa.o r. Schoonover; P ,E., for the determination of the
maximum poW' rate for AAB Buildins SY"tem basad on the
bonding strength and shear strength of the polystyrene. The
re.u1t> of the,. calculations are provided in Table I.
Plt-uc c....n BOCA EvslUII... kntees.,. lIIe.. -.ttlI Df ,1IBUlMII:yII. -.r III.w nprOI& WI n:,.rt. A.'w.u..,-. "'calC nntact us II' ,. -.we GI1 ~rmmo..-
we ,ere.mace .1' me JACKI ......n __..urIL. II:~ w all ftI"II"- 'nIIII ""Ult. ill ....lIoJwI au III.: luuil.tlli_ li.ioN ....u. ..clIO IIle t~" proOuGI, ....-
tc,' npol1l 11I~.ill,,4 Dy Ibt 1PP1ICllll nq\llllUns IblI npcn.. ~ tlltI \WN III;It pafonll&d bJ' BOCA ~u\lllliDII SM'ViCII. 181:.., IIl4 BaCA J!.val.uIii.. SiK'Vicn, ..,
Iptod1inlb' 1iIvc& not ... ... WVTWIlY. cllltlr upralCd or _lied. . 11:1 fm)' fladiIlp or 0Ib0t lUbE" ia 1bi1 repor1 or . 10 ..y JlI'04IXt CClVlNd. '" dllI repon. awhlmca repcnl
at. DOl to be eoMb'uld 8lI repreudblg UIm.D.CI or IID7 olbc:r anributcl DOl lIPcc:i1icllly lIdlRACd DQI' III III ~ CI' ,.eommoJJdlllon. for Ibc use or III!! IIlbjet1. at IIIf f'fPOI'L
i1Iia diacbWner ilKla*s. but i. ~ lilDill:d 10, 1lW"CllIuIbbJ1iW.
"-..--.
-- ---
.:10:>1 W1:J1 I LOJJr'o100H RO,~l) . l.OllNlln- \.llIH IULLJ. IL (,0..;1.16.:>/11))0 . IfUI~HONE (708) .199 :!30-:>
Copyright 1999, BOCA evaluation Sorvic;eO", Inc.
Pall- 1 ef.
10/27/2002 22:27
905-373-8301
Rosearch Report lI4-a1
ARXX BUILDING PRODUC
PAGE 10
paae 2 of8
T~bl@1
3.3 FLAMERESISTANCE
''-..--
TEMPERATURE MAXIMUM POUR RATE
40"1". 2.2 Feel/Hour
OO"F. 2.8 I"eel/Hour
60"1". 3.0 Feel/Hour
70"F. 3.9 Feel/Hour
6O'F. 4.4 FeerJHour
90"1". 5.0 Feel/Hour
3.1.1.2 MaIlu~a in.llIlIation inslIUCtiOIlll titie<l iJlu..
Ma;a;TM Wall System, February 10. 1998.
3.1.:1 FlDuul:In
CodeSedloa 1710.1 c.ntral and 1710.3.1 Ttstprocedan:
Thai!: 5Ccliona spcc:uy that allowable design capacities which
are not capable of being delclJIOinod by .ngineering analysis or
material design standardi that the structural capacity b.
dctcmlin<>d by tho lower of ailher the ultimato oppliod load or
the load Bl which denection will not be lIdequately recovered.
INFORMATION SUBMlTl'ED.
,-.
3.1.2.1 Test repat No 601725-1 from United Slates Testing
Company, Ine., dated October 28, 1 POJI. Toat rcau1r& indicar:od
that a NO.6 COunle threaded dIywall screw embedded into thcl
hisb donsity polypropylene hu an allawebl. she.,. and with-
chwl ""I".. of 30 Ib!liinch; lhat a NO.R COIl"'" thr..riet!
dl}'wlll1 acmvhu an allowable withdraw! value oDS lbo/inch;
and that a No. 10 fine thr""ded dryWall screw hu an allowable
withdrawl valllEl of 20 l'\:w./inch
3.2 FlRERESISTANCE
Cod. Section 704.1.1 Flnnslstaae. ntlJq;: This .ection
require. that the tit,resistance rating is determined by ASTM
Ell Sl-ll8 or by an .ppmved analytical method
INFORMATION SUBMITI'ED:
3.2.1 ~tc Tabl" 2.1 fromGuiJ"lint1$for~le'mi"ing
Fi,.",-esiszQnt;tf .lUting oj Bwtldi"g El"rl'WnU by 20CA
Inlclmutiomd Wtl:J IUl1clD. Tl:IUlu 2.1 illdD;&.t= that G ".;
incbes of concreto wiIh siliceous. carbonate, send, or
lightweigbi aggregate typo hu a fireresistanco rating of
3 baun.
~--_.
3.2-2 A IOIler from Dr. R.B. Williamson. P.E., Professor of
Engineerins ScienGe ot the Univorsity of California at
BerI:eley was submitted indicating from previous experi-
..,oethat the plaslic ties used in Blue Moxx"" would not
be detrimtntal to the fireresiilanco oflhe concrete wall.
Also. a !elm from Mr. DousJ.. Sohoan""er. P.E., .wed
that the plastic ties used in Blue MoloI.TllI would nOI be
detrimenlallO the perfolIllllDO. of the wall assembly in an
/l.STM EI19 tesL The b.... of this stetement is thBl
oxygen would not be able to reach the plastic tie pest an
initial burn, as well as the oombinBlicn of QOn~lG ~:s
ami moisture evaporation acting to keep the intemal wall
temperature below a detrimentallemperature relative to
tha plaatic tic.
Code SecUon 2603.3 Surraee-bul'lllng cbaracterJJllcs: This
section requires foam plastics to have a fIlIme spread rating of
not more then 7S and a smoke. developed rating of not more
thIln4S0...nco.t<:SllOd in acoonlance wilhASTME84.9Iain the
meximum thiekn... intonded for UlMI.
INFORMATION SUBMITTED:
Dluc Ma=T" lonnwork is manufactured froro beod> prod_d
by l11IlI\Ufsoturml having Na1ionaI Evaluation Services, ~.,
Roports substantiating results of tests conducted in aecordance
with ASTM Ell4-"Ia. A omok..developod totUle efl... than
450 and a name spread rating of less than 2S are subslantiatad
in ""cordancc with the following reports:
NER-236; ARoo Chemical Company,
"Expanded Polystyrene Therrna1ln>ulation";
NER-384: Huntsman Chemical Calparatioo,
"Expanded polysl)Terle Beads";
NER-479: BASF COIporation
"Expanded Polystyrene Thennallnsulation".
3.4 LABELS AND INSFECTlON
ende Sectlnn 2603,2 Labelll1g: This .ection requires thBl
folSIU pwLi.l.;. lIo lilUalcd by au bPP!O'tW i1l.1lde11t .iu:lpeG.
tion agency.
Cod.. SOcUOD 17QS.Z Iaspec:tloa of rabricaton: This ~tion
requires specia1 inspection of prefabricated .tructural assem-
blie.. Spe<ial inspection is nol required where an agreement is
mQintain~ with an "l1Pmveci in~Bnrlen' l"J.uaHty contral
agency to conduCI periodic: plallt inspections and ensure com,
pliance with the approved quality oonlrol progmn.
INFORMATION SUBMITTED:
3.4.1 QJality conirol IlI2I1ual and .igned agreement for inspec-
tion SerY1ce.. dated January 15l!lC>. prepared by Inchcape
resting Services for AMC lnsuIation Corp. oCWinnipeg.
Manitoba.
3.4.2 Quality control manual and .igned agreement for inspec,
tion sorvic.., dated May 1997. prepared by lnlertek
Tcating ScrvicC3 for Beaver Pliutic3 Ltd. of Chilliwa,d(.
B.C.
3.4.3 Ql1ality control numtla.l Ann Klp}"ulln agnaema:nr. for 1mpeO-
lien sorviccs, daled September 1996, prepared by !ntortek
ro'ling Sorviaes for BOQvcr Plastic. Lid. of Edmonton,
Alberta.
3.4.4 Quality control manual and .igned ~=l Cor iD>peo-
tioD services, dated Septembor 1994, prepor<:d by Wor-
nock Hersey Professional Service. Ltd. for Los Emboll-
ages Polyform Inc. ofGranby, Quebec.
3.4.5 Quality control manual and .igned agroo=llbr in:lpoo-
lion servi.... datlld October, 1997 and revised March
1998, prepared by Inlertek Testing Services for Penna R
Products Inc. of JohN:on city. Tenneasee.
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905-373-8301
R....arch Report 114-31
'----/
3.5.6 QuaIity centrol manual ond ~ agreemonl for in'l'''''-
tion scrvioea. dated September 1994, prQpared by War-
noel: Heney Profies.icnal Senric.. Ltd. for PSC Mould-
ing COllXlration of Aiax. Ontario.
3.5 ENERGY CONSERVATION
Coda'! Sectil)1I t301.1 General: Th:M. ~iofl requires tlHlt
necesalllj' computatioJu be submitted to indic:.t.c oompliance
with required energy cO!l.lelVation lIICll$UI'e!, including R-
values of the exterior envelope.
INFORMATION SUBM!TI'ElJ,
To.t Repcrl Number ATI-13\lIlO, dated July 30, l\l\l~, from
Architectural Testing Inc. indicating that a waIl wO'lllbly
composed of a 61/4 inch Blue Maxx'" with II1-inch drywall
mtdurl to tne lntennr mlrl vinyl s.irling lIlthu~hACI to the fllCtarinr
had a thermal transmittance value (R) of25 Holl' .of.lBtu.
3.6 SOUND TRANSMISSION CONT1l.0L
,
"
~
Code Seelloo 1%14.2 Alr-bome ool.e: Thi> section requimo
that waIls and pllIlitions separating mwlling units from e8Qll
other and from publi<: or .erviCoiII areu are to have a l5Ou:o.d
transmission class (SIC) of not 1..0 than 45 when teoted in
accordance with ASTM E9Q..90.
INFORMATION SUBMITTED,
The 61/4-inch and i-inch Slue MaJot"'" with II1-inch gypsum
wallboan:\ altaohod '" both .ide. ;, ...ignod an STC ntizls of
53 on [he basis of a test reprint from the National Bureau or
Standards for a G-inch concrete wall with II1-inch plaster
applied to both SlideS which has an STC rating "f53
4.0 INSTRUCTIONS TO THE CODE OFFICIAL
AAB Buildq Sy&tem', Blue Maxx '" have been ovaluated fJr
oomplianee wlth the 1996 cditio:n.lJ of the .,SOC..:t NalJoltal
Codes. This report is limited to the applicatioll& and pr0dnct3
as stated herein. Thi> evaluation is basod solely upon infoIroa.
bon. pro"ided to BOCA E~ll1"hnn Services.. 1nc:.. by AAB
Building System Inc. and bas not been independontly verified.
BOCA-ES intends that tho Ioport be used by the code official
to dotennino that Blue Maxx"'" comply with the code require-
ments .pocifu:olly addressed in Section 3.0 of Ibis report,
provided that lhia product i. inslallod in accordance with the
following limitaticll&:
Limitations:
..1 TIm report ;8 If,l,1hject To MnllR.1 certification. Reports that
arc not certified shall not bo used or Ieferred to. In ordor
to determine tho slatus of certific:ation of this repert.
contact BOCA Evaluation Services, Inc., or consult t:18
latest ediliOll Of tho National i>roducr Eval"orJoll Listing
publiilied periodioolly in tho BOCA megazine.
.---
...~ M~Ll;ll'il11 ulIqui.n:lllellu.. ill~I~.ill& thG mwi.mum fQu.nda.-
tioG waIl thiokn.... shall be in accordance with tho code
requirements specific to that installation unless limited
or modilied by this report and the UlsWlot_ of Blue
MaJ\X"'" shan comply with this report and the manumc-
turel's inllItlCtions titled: BIll. M=TM Wall Systems,
dated Fobruary 10. 1998.
ARXX BUILDING PRODUC
PAGE 11
Pall. 3 of II
4.3 The construction documenlI shall be signed and Soale<l/
by . registe"'d design profQssional as dofined by the
codo.
4..4 ('al"'l1l~t'nDS shall m.choate that desJgn loads spoc1iied by
Chapter I G shall not exceed the allowable fas~rs
capacitios specified in Section 3.1.2.1. OIherconnec---
liol1", l'dliL"Il"u 1.0 Blu" MisM"'" hav" 1101. lie"" ovaloalW
and are beyond the .cope of this report.
4.5 F ann braoing shan be sufficiont to prevent collapse.
injury or death. The requirements for form bracing arc
depondent upon each inllal1ation of Blue Maxx'" and
shall be .pocifically approved.
4.6 Special inspection shall bo providod for all Btue Max><DoO
installations. eo .peci.tied in Sections 1705.12 lDld
1 70~.4. The seepe or the 'pecial inspec:dons shall
includo materials, placomonl of .teel roinforcing, Bluo
Maxx TN module installation. bracing, conc:rctc plac:e-
1lllSll, as well as any question .relative to modo Of maW1OJ."
of construction and material..
4. ~ The type l"lf r.nns:.tmclinn filhal1 hp. TYJ"IA .; w"'ATP. Rille
Maxx'" is osed to form exterior walls unless the
requirements of 4. 7.1 or 4.7,2 are met.
4.7.1 The bnil(JiIlg ,hall be one .tory. sprinklere(J In
accordancewilh Sectiol1906.2.1 and the extorior shall be
ooveIed with .032-incb-thiok aluminum or a .01G-inch-
thl...k l;;o~io\1-rC&iatant :steel.
4.7.2 An extericr insulating finish .ystem (EIl'S) shall be
utilized which bas a CUlTent BQCA-ES or NES ovalua-
tion report in which a full-"".Ie lID: tc:st .. required by
Section 2603.6.j. bas boen ova1uated. In sddition. the
ElFS .hall havo utilized oith.r ARCO, Huntsman or
BASF JPS foam plastio with a tested Ulickno.sll o_ad-
izls ~-incho' and with a density not greater than 1.0
peL
4.8 Firestopping shall be provided in acoordance with
Section 720.0. The EPS materia1 shall not be considered
to provide fireestopping.
4.9 BI"" MaxJ(DoO'. foam plastic shall b. Sep6fllled from tho
interior of tho buil~ by . thermal blllTier of I/] inch
gypsum hoard or equivalent approved. materiaL. as
opacified in Soctioo 2603.4. The thermal haIrier shall be
attachad to the plastic anachment strips in accordance
with the scrow fastener schedule specified in Table
2503.3.
4.10 Whc!t: BIlJ'CllMi!l.xXTJoI ifII utili~ CUI iU1 exterior wall, the
exterior .hall be faced with a durable, weather-resistant
covering in accordancc with code requirements or a
IpOl:lifiCl re::iea.roh report.
4.11 Waterproofing. dampprooling and odheaive materials
,ball be applied in accordan.. with the rnanuJilclutor.
installation iNtroctions and Scotian 1813.0 of the BOC.4
Notional Building Codol1996.
4.12 The :a._values assigned to the Blue Maxxnl with 1/1.-
inoh diywaU altaehed to the intorior and vinyl .iding
attached to the exterior oh~ll not b. greater than 25
H- f1:1.oF./Btu.
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905-373-8301
,--"
Research Report 84031
4.13 Concrete requirements:
4.13.1 The completed Blue MexxTN wall asoembly shall
conform to the code requiTemoms for either" r.inforM
concrete wall Ot plain ccn<:rctC; wall.
4.13.2 ~ properties shell comply with the require-
ments of the BOCA Nat/oxal Building Coaol1996 and
the requirements specified by the manufactur.... insll'UC-
tions.
4.14 Concrete placement
4.14.1 Fonn....mbly shall comply with the DllIllufac.
turer'fJ wtc.llation inat::r\.Kti~.
4.14.2 Coru:rete shall be consolidated in place but no!
to the extent that eoncrete formwork press.ure 10
increased.
4.14.3 The rate of conc:rote pJacemont sball llot
exceed the rate specifiod in Table I for lbe applicable
ambient air temperatu:nr.
Concrete s1UI1lp shall be between 4 to 6 inch.s.
4.1S The design firoresistanc:e rating oflbe 6J14-inch and g.
inch Bluo MaJo<TN ohoIl not 1>> 6J"<8l... liw> 3 h<>w>.
Minimum concrete cover shall be I 314-inches for fire.
resistant constnJction.
5.0 INFORMATION REQUIRED ON CONSTRUCTION
'--/' DOCtJMENTS
To aid in the use of this report, the following represents 111.
minimum level of infonnation 10 be reflecled on constrIICtion
documenf3 in order to de!=nine compliance with this research
report,
.~
ARXX BUILDING PRODUC
PAGE 12
Palle40f8
5.1 Tho Illlll:l1iWl "See BOCA Evaluation Solviceo. Inc..
Rosearch Repolt No. 94-31."
5.2 All permit applications for buildiDg> using Blue Mal<J<TN
shall be accompanied by calculations whieh dcmooslrale
the ability of the walls to cany all superimposed loads as
required by the BOCA Notional Building Ct>d.J1996.
5.3 A rcgi>tored design professional shall sign and scal
construction documents and calculations in accordance
witll Bra!o laws where the projtcl io located,
5.4 Tho manufacturer iha.ll provide the user of tl1is report
witll oouqJ1c:Lc in~IlUc:UQJU on the sate construction of
'yeteIllS utilizing Blue MexxTN. These instructions shall
include, but not be limited to. the following:
5.4.1 Complete instructions for bracing of wall
'ya:teID.J dw-inS COIU.tnJction.
5.4.2 Any other safety precautions needed for the safe
erection of wall. utilizing Blue Mal<J<T" llJ indicated
in Limitation 4,5.
6.0 IDENTIF1CATION
All pallets of Blue MexxTN modules ,hall be labeled with the
"uthori<ud lilting mark oflhe third-party inapec:l1on "8"""yof
Warnoclc Hersey Professional Services Ltd. The label shall
IIIso provide the manufacturlll" idO<ltilieation, and the identi-
fyi,,!> ""'l>_. "3.. BOCA Evalaution :services. Inc., I<esearcn
Report No. 94-3 \. n
Rf!feren.ce to this tesearch report is: limited to tlw identification
as described herein.
10/27/2002 22:27
905-373-8301
ARXX BUILDING PRODUC
PAGE 13
Research Report 94-31
Pagellma
HI... I'araa
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STANDARD fOIII UNIT
JIIGUIlE 1
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(STandard form is the typi~l
unit for .Blue MaKX(fM).)
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ARXX BUILDING PRODUC
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PAGE 14
PallO 7 ota
10/27/2002 22:27
905-373-8301
ARXX BUILDING PRODUC
PAGE 15
Research Report 94-31
Page 8 ofa
~.....
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48"
Top View
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BIlIGBT ADJUrn!R
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Qldghl Adjulct il1IlClIlD mClQlO fllllD bci_ WY'J
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THE ORAWINGS CONTAlNEO WITHIN THIS R!PORT AR! FOR IllUSTRATION PURPOSES ONLY. THEY ARE NOT INTENOEO FOR USE AS
CONSTRUCTION OOCUMENTS FOR THE PURPoSE OF OI"SIGN. F""RICAT'ON OR 5R5CTION.
10/27/2002 22:27
905-373-8301
Rellearcn Report 94-31
'...
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ARXX BUILDING PRODUC
41"
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PAGE 15
Pall- 6 016
1~l27/2002 22:27
905-373-8301
ARXX BUILDING PRODUC
PAGE 17
.
:'-"'~
CANADA
)
)
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1>RO'VINCE OF ONTAKJO
CITY OF TORONTO
I, MARIL VN SANDRA APPEL, a Notary Public in and for the Province of Ontario, by Royal
Authority duly appointed, residing in the City of Toronto, in the Province of Ontario, Canada, DO
HEREBY CERTIFY that the paper writing hereunto annexed, which bears an impression army
seal, is a true and correct copy of the Articles of Amendment of J\RXX Bvn..DING PRODUCTS
INC., dated November 27, 2000, the same having been compared by me with the original document,
an act whereofbeing requested I have granted under my hand and notarial seal of office to serve and
avail as occasion shall or may require.
DATED at Toronto, Ontario, Canada this 27111 day of November, 2000.
,-
~.A. ~ ~~_-r ~
A Notary Public in and for the Province of
Ontario
-
10/27/2002 22:27
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905-373-8301
ARXX BUILDING PRODUC
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CERTIFICATE
"".. .. Iv ...riIf)f tlo.. 11I_
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........ de
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CERTIFICAT
c.... ....un. qu. I.. pr..nt.
..... ""..n' an vit...., Ie
1Z'13304
NOVt:MBER 2 7 NOVEMBRE, 2000
_...-:-._-_.~..._-=..._...__........._.....
DlIeclOlIO'-'_
IIuoIn.-CorIIar._ Acll LGl...Ioo_..._
1. Tne -... Of"'e ."a..tICln Ie:
ART1ClES OF AMENDMENT
STA71n3 De IfDDIRCA710N
~""--.I.~;
A A B B U J L D J N G S y S T E M I N C.
2. The nlJll. ollie CCIrpO/'lItian iI ~ad ta (IF
..,pIiceble): -
PAGE 18
I"
NDu..... iNnamineJJan aocia1e de I. ladiIa (d/ y. N.u):
A R y 1t ~.If I L D I N C PRO D V C TII I N C.
-
3. Dsm o1lnclllp....dorv.malQ...lItian:
Dal, del, =Mtitulion ou de Ie fua/DII:
01 - J.nuarv . 1998
COer, ........ V...,
/lOW. 1IIOia. MMt)
4. lft8 III1icIIIa D1' IIltI Qlf)IcnWan .. emQd,d _ t... aret1da de II /IOr;/6fj .ant trJOd/fMa drlle '~0It
fDlaM; luJvMf<t.
ne _ ortbe Corpontioa ia chppd to Ar:a: Buikiias ProdudllDc.
Pennit Number
MECcheck Compliance Report Checked By/Date
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release Ic
Data filename: Untitled
TITLE: Alterations and Additions
COUNTY: Suffolk
STATE: New York
lIDD: 5750
CONSTRUCTION TYPE: Detached I or 2 Family
HEATING TYPE: Non-Electric
DATE: 12/17/02
DATE OF PLANS: August 8, 2002
PROJECT INFORMATION:
DaniellTrujillo Residence
580 Soundview Avenue West
Peeonic, NY 11958
COMPANY INFORMATION:
Garrett A. Strang, R.A.
Architect
POBox 1412
Southold, NY 11971
COMPLIANCE: Passes
Maximum UA = 659
Your Home = 499
24.3% Better Than Code
Ceiling I: Flat Ceiling or Scissor Truss
Ceiling 2: Cathedral Ceiling (no attic)
Ceiling 3: Cathedral Ceiling (no attic)
Skylight I: Wood Frame, Double Pane with Low-E
Wall I : Wood Frame, 16" o.c.
Window I: Wood Frame,1}ouble Pane with Low-E
Window 2: Wood Frame, Double Pane with Low-E
Door I: Glass
Door 2: Glass
Door 3: Solid
Door 4: Solid
Floor I: All-Wood Joist/Truss, Over Unconditioned Space
Floor 2: All-Wood Joist/Truss, Over Unconditioned Space
Crawl I:
Insulated Concrete Forms, 3.7' ht/2.0' bg/3.7' insuI
Gross
Area or Cavity
Perimeter R-Value
Glazing
Cont. or Door
R-Value U-Factor UA
1036
531
364
25
3858
260
112
36
23
18
72
870
813
38.0
38.0
30.0
0.0
0.0
0.0
31
14
12
0.250 6
190
0.340 88
0.330 37
0.350 13
0.330 8
0.330 6
0.110 8
38
27
21
21.0
0.0
21.0
30.0
0.0
0.0
438
22.0
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the
building plans, specifications, and other calculations submitted with this pennit application. The proposed systems
have been designed to meet the New York State Energy Conservation Construction Code requirements. When a
Registered Design Professional has stamped and signed this page, they are attesting that to the best of hislher
knowledge, belief, and professio judgment, such or specifications are in compliance with this Code.
Builder/Designer
Date 1,,/1 7/0 L-
,
08/12/2002 10:19
515-755-5490
G. A. STRA~iG, ARCHITECT
PAGE 01
Garrett A. Strang
Architect
1230 Traveler St., Box 1412
Southold, New York 11971
Telephone (681) 765.5455
Fax (631) 765.5490
August 12,2002
. -~\ II'
"
Southold Town Building Department
Main Road
Southold, NY 11971
Attention: Bruno
I';
i L._
L-,,'
,~. .~
f 2 2002
_..J I
f.'. __'"U2._J
Re: Proposed Alterations and Additions to Residence
580 Soundview Avenue West. Pec:onic, NY
SC1M #1000-74-02-06
Dear Bruno:
As per our telephone conversation earlier today, this will serve as a certification that the proposed
alteration and addition to the above referenced premises, will meet or exceed the current New York State
Energy Code.
Due to a computer crash at the office, I was unable l~ perform the MECbeck. I will submit this to you
under separate cover once our system is up and running.
Thank you for your courtesy in this matter.
V7
' ../7- ~ ;Z
Garrett A Strang. RA
Architect