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HomeMy WebLinkAbout45176-Z ,IWZZ J^Z"YJ ��o�OgtlFF014Gy Town of Southold 5/18/2021 a P.O.Box 1179 y rh rh 53095 Main Rd 4 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42028 Date: 5/18/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 555 Bridge St, Greenport SCTM#: 473889 Sec/Block/Lot: 34.-3-52 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/19/2020 pursuant to which Building Permit No. 45176 dated 9/9/2020 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "as built"alterations and additions, including covered porch and brick stoop,to an existing single family dwelling as applied for. The certificate is issued to Hull Z Protection Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45176 3/24/2021 PLUMBERS CERTIFICATION DATED 5/6/2021 ethd ks Aure �O�so FF Qd�coGy TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • 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#: 45176 Date: 9/9/2020 Permission is hereby granted to: Hull Z Protection Trt 333 Pearl St Apt 19D New York, NY 10038 To: legalize "as built" alterations and repairs as applied for. At premises located at: 555 Bridge St, Greenport SCTM #473889 Sec/Block/Lot# 34.-3-52 Pursuant to application dated 8/20/2020 and approved by the Building Inspector. To expire on 3/1112022. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $891.20 CO-ALTERATION TO DWELLING $50.00 Total: $941.20 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. d' // 0 1;2,01.0 New Construction: Old or Pre-existing Building: (check one) !S5 ,� s-�. - C Sov�kal� Location of Property: e APi --s(2�Iv'�- House No. '' II Street Hamlet Owner or Owners of Property: Z'Lj�2.,-e- 1 hj Suffolk County Tax Map No 1000, Section 3� Block (03 Lot 5.2— Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: _,5,PTl0 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check on ) Fee Submitted: $ sv Applic ure Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, residing at �3 673 D u�d 1V►et,) C (Print property owner's name) j (Mailing Address) per+ do hereby authorize rR 10 A (Agent) to apply on my behalf to the Southold Building Department. (Owner's Sigrvure Date) V*N 0v rint Owner's Name) F SOUK®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G sean.devlin(cDtown.southold.ny.us Southold,NY 11971-0959 .�° • �® BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Hull Z Protection Trt Address: 555 Bridge St city.Greenport st. NY zip: 11944 Building Permit#. 45176 Section: 34 Block. 3 Lot: 52 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Messina Electric License No: 43108ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1 st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 21 Ceding Fixtures 5 Bath Exhaust Fan 2 Service 3 ph Hot Water Elec GFCI Recpt 5 Wall Fixtures 7 Smoke Detectors 2 Main Panel 200A A/C Condenser 1 Single Recpt 2 Recessed Fixtures 18 CO2 Detectors 3 Sub Panel A/C Blower 3 Range Recpt Gas Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt 2QA Emergency FixturesTime Clocks Disconnect Switches 2Q 4'LED Exit Fixtures Pump Other Equipment Fridge, DW, Micro/Hood, Mini Split w/ 3 Blowers, Washer Dryer Combo Notes: Renovation Of Whole House and New Service Inspector Signature: Date: March 24, 2021 S.Devlin-Cert Electrical Compliance Form As r , so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ' Southold,NY 11971-0959Q ` BUILDING DEPARTMENT TOWN OF SOUTHOLD C k R TIF fC.A_T VO°N. Building Permit No. 20 t` Owner: �t`, �+�p- Q '1t� Plumber: ' (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plu errs Signature) Sworn to before me this day of t ""� _ �, 20 ROBERT F MARKS NOTARY PUBLIC-STATE OF NEW YORK No.01 MA6364702 Qualified in Suffolk County 1 My Commission Expires 09-18-2021 Q Notary Public, A el County Ilk, I. �o�aOF SO(/jyOlo TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. /11FRRAMING UNDATION 2ND _ [ ] INSULATION/CAULKING[ /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL INAL) [ ] CODE VIOLATION [ ] PRE C/O EMARKS: 6.parm, st s4vD Dry -6 81vv"/ 94�= DATE >' ,D)-,0 INSPECTOR ve� �o�aoe soulyolo / # 'TOWN OF SOUTHOLD BUILDING D T. co 765-1802 [ ] FOUNDATION 1ST a [- °] ROUGH PLBG. [ ] FOUNDATION 2ND - [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION [ ] CTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ CODE VIOLATION [ ] PRE C/O REMARKS: 8 Uft� hV( l 'n f rn I Itsf DATE INSPECTORa PA., ��s�J • o�aOF 50GTyO - # # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPEC ON [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND ` [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 0�h t o DATE INSPECTOR k4lipt # #laf so TOWN, OF.SOUTHOLD BUILDING DEPT. 765-1802 I-NSPECPON [ ] FOUNDATION 1ST ( ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ = ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: ANA L�i*�A Lvieww 4 .01 ry Nd I , 144Awl- AAA IV DATE � c0 X INSPECTOR ✓ l �Y OF SOUL yolo # # TOWN OF SOUTHOLD BUILDING DEPT. = `�courme 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] OUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY r [ ] FIRE SAFETY INSPECTION [ ]' FIRE RESISTANT CONSTRUCTION [ ] FIRE-RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O RE RKS: r J u v � • DATE INSPECTOR ho��Of SOblyo� �I 5' 1 7b S;,5 '78 At-0 z4 �! # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION-2ND f s] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ,., [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: [c V 0 `Fed cA DATE INSPECTOR �-- OFSO//Tyo # TOWN OF SOUTHOLD BUILDING PT. �`ycouxn ''� 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION- [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [PLECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ICODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR �- OE SOUI'yo� # # TOWN OF -SOUTHOLD-BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND" [ ] ULATION/CAULKING [ ] FRAMING /STRAPPING lvf FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ^ [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 40 DATE INSPECTOR _%0C4A9ff1YZ # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION 1ST [YFINUAL H PL13G. [ ] FOUNDATION-2ND [ ATIOWCAULKING [ ] FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O C. REMARKS: 0 f�vv Dom es � IINA S 3 C6,0 O�qzj,,I u _ OVV CIA-, DATE (C INSPECTOR ENERGY_ TESTING SERVICES,>LLc "The Best Energy is Saved Energy" 1648-A Locust Avenue Bohemia,NY 11716 63.1-244-2627 • Fax:631-244-2629 �www.energytestingservices.com April 5, 2021 Southold Building Department 54375 NY-25 Southold, NY 11971 Re: Eugene Hull 555 Bridge St. Greenport, NY 11944 As requested by the Town of Southold, Energy Testing Services was retained by Eugene Hull to perform a Blower Door Test at the above address. Robert B. Delfino, HERS Rater License BEP2652eorme above test and found that the residence has satisfied the NY State requirement 3 hour ith t results of the Blower Door at 2.13 air changes per hour which more than p ,emeTested: 485 ach50 x 60 min/hr=29,100/ hIf there is any further information that ydo not hesitate to contact us. Thank You " Robert B. Delfino Rater Robert B. Delfino Rater Builders' & Homeowners' Certified Source for: ' Home Energy Rating Service(HERS) • Manual J&D • Infrared Imaging ACCKLIMLO Certified Home Performance Energy Audits GRGA\1 A11 N .411 designed to improve home comfort, d:trability, health R safety and to reduce homeowners'energy costs. F j is C i -L [EYE ; El S tG 1 rN E E R 1 N, G April 27, 2019 RE: 555 Bridge, Greenport Building Inspector Town of Southold Main Road , Southold, NY 11971 Dear Sir, I have inspected the interior insulation in the basement ceiling for home referenced above. I certify to the best of my knowledge that the thermal barrier, No-Burn- Plus ThB was installed over the Spray Polyurethane Foam (SPF) in accordance with manufacturers guidelines. The product used complies with IBC section 2603.4 and is an Alternative Barrier System in accordance with section R316.4 NE . 05 SS 05SSIfl BOARD CERTIFIED IN STRUCTURAL ENGINEERING J 0 S EP H(_W Fla CHETTI.COM FISCHETTIENGINEERING.COM 631 -765-2954 1 725 H O B A R T ROAD S O U T H O L D , NEW YORK 1 1 97 1 Li 7 April 27, 2019 RE: 555 Bridge, Greenport Building Inspector Town of Southold Main Road Southold,NY 11971 Dear Sir, I have inspected the interior insulation in the basement ceiling for home referenced above. I certify to the best of my knowledge that the thermal barrier,No-Burn-Plus ThB was installed over the Spray Polyurethane Foam (SPF) in accordance with manufacturers guidelines.The product used complies with IBC section 2603.4 and is an Alternative Barrier System in accordance with section R316.4 JAN - 5 2021 ��•Q$5 �Ak ssto ' BOARD CERTIFIED IN STRUCTURAL ENE31NEERINCS JOSEPHCQ FISCHETTI.CDM FISCHETTIENDINEERING.COM 63 1 -765-2954 1 725 H O B A R T ROAD S O U T H O L D , N E w YORK 1 1 97 1 ILU S-M ILI 79 1 H-1 EE L E 'N 01 '.N E 'E'R I iN !C October 1, 2020 Town of Southold Building Department Main Road Southold, NY 11971 RE: 555 Bridge Street, Greenport During construction at the above referenced project it was found that the beams and support posts for the existing front porch were found to be rotten and needed to be replaced. 0� L 4i�-�� • "'��t 141\4� y L �...- l 0 CT - 2 2020 v TT"Ir 1 r�+o�'.:r! ; r, T z 1 1l A,y liJt.M BOARD CERTIFIED IN STRUC-rURAL ENGINEERING JOSEPH@FIS CHETTI.COM FISCHETTIEN13INEERIN 13.00M 63 1 -765-2954 1 725 HOBART ROAD SOUTHOLD , NEW YORK 1 1 97 1 AdAB ,d,tea ANSI National Accreditation Board ACCREDITED PRODUCT CERTIFICATION TM CER TIFICA TION r ':A' Approved . Sealed . Code Compliant. Technical Evaluation Report - TER 1905-03 No-Burn® Plus, No-Burn® Plus ThB, and No-Burn® Plus XD used as a rq=k1a 4µi x -_, Therm�LBarrier or Ignti n Barrier in Select Assemblies „y9,a r 12_/1 s/ZQZO No Burn®, Inc. of NEI�Vy �SEPhIO O� CO F+ Ar a. Yj Products: w ;-"N No-Burn® Plus 2 µ-' No-Burn® Plus ThB aFoA °89ve No-Burn® Plus XD Issue Date: w` This TER is reviewed and sealed by Ryan Dexter, - P.E.of DrJ Engineering,LLC,as a specialty or r July 1, 2019 delegated engineer.The scope of engineering work with respect to this TER is for the engineering n„ Revision Date: analysis provided herein,supported by proprietary ^; intellectual property and other substantiating data. November 18, 2020 No representation extending beyond this analysis _r is expressed or implied Information or data that r,Vic' becomes available at a later date may justify Subject to Renewal: modifications to this TER. July 1 , 2021 For the most recent version or a sealed copy of this Technical Evaluation Report(TER),visit drjcertificatton.org. DrJ Engineering,LLC 1 6300 Enterprise Lane I Madison,WI 53719 jTy. -­_ TER 1905-03:NO-BURN®PLUS,NO-BURN®PLUS THB,AND NO-BURN®PLUS XD USED AS A THERMAL ARAB BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES A C C a E p';`;"F —� COMPANY INFORMATION: No-Burn®, Inc. 1392 High St Wadsworth, OH 44281-8257 800-989-8577 info(a.noburn.com noburn.com DIVISION: 09 00 00- FINISHES SECTION: 09 96 46 Intumescent Paints 1 PRODUCTS EVALUATED' 1.1 No-Burn®Plus No-Burn®Plus ThB No-Burn®Plus XD 2 APPLICABLE CODES AND STANDARDS2,3 2.1 Codes 2.1.1 IBC-12, 15, 18:International Building Code® 2.1.2 IRC-12, 15, 18:International Residential Code® 2.1.3 IEBC-12, 15, 18:International Existing Building Code 2.2 Standards and Referenced Documents 2.2.1 DrJ Evaluation Criteria (EC) 045:Evaluation Criteria for Field Applied Coatings on Spray Polyurethane Foam for use as a Thermal Barrier or Ignition Barrier 2.2.2 NFPA 286:Standard Methods of Fire Test for Evaluating Contribution of Wall and Ceiling Interior Finish to Room Fire Growth 2.2.3 UL 1715:Fire Test of Interior Finish Material Building codes require data from valid research reports be obtained from approved sources.Agencies who are accredited through ISO/IEC 17065 have met the code requirements for approval by the building official.DrJ is an ISO/IEC 17065 ANAB-Accredited Product Certification Body–Accreditation#1131. Through ANAB accreditation and the IAF MLA,DrJ certification can be used to obtain product approval in any/unsdiction or country that has IAF MLA Members&Signatories to meet the Purpose of the MLA–"certified once,accepted everywhere.' Building official approval of a licensed registered design professional(RDP)is performed by verifying the RDP and/or their business entity complies with all professional engineering laws of the relevant'urisL diction Therefore,the work of licensed RDPs is accepted by building officials,except when plan(i.e,peer)review finds an error with respect to a specific section of the code.Where this TER is not approved,the building official responds in writing stating the reasons for disapproval. For more information on any of these topics or our mission,product evaluation policies,product approval process,and engineering law,visit dricertification org or call us at 608-310-6748. 2 Unless otherwise noted,all references in this TER are from the 2018 version of the codes and the standards referenced therein(e.g.,ASCE 7,NDS,AST".This material,design,or method of construction also complies with the 2000-2015 versions of the referenced codes and the standards referenced therein. 3 All terms defined in the applicable budding codes are italicized SUBJECT TO RENEWAL 7/1/2021 ©2020 DRJ ENGINEERING,LLC PAGE 2 OF 13 TER 1905-03:NO-BURNO PLUS,NO-BURN@ PLUS THB,AND NO-BURN@ PLUS XD USED AS A THERMAL _AAW BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES AC D R E`D IIT E D 3 PERFORMANCE EVALUATION 3.1 The products listed in Section 1 have been evaluated for compliance with the following: 3.1.1 Approval for use as a thermal barrier in accordance with IBC Section 2603.5, IBC Section 2603.94, and IRC Section R316.6. 3.1.2 Approval for use as an ignition barrier in accordance with IBC Section 2603.4.1.6, IBC Section 2603.9,4 IRC Section R316.5.3, IRC Section R316.5.4, and IRC Section R316.6. 3.1.3 Approval for use as an interior finish in accordance with IBC Section 803.1, IBC Section 803.4, IRC Section R302.9, and IRC Section R302.10.1. 3.2 Any code compliance issues not specifically addressed in this section are outside the scope of this TER. 3.3 Any engineering evaluation conducted in the preparation of this TER was performed on the dates provided in this TER and within DrYs professional scope of work. 4 PRODUCT DESCRIPTION AND MATERIALS 4.1 No-Burn®Plus, No-Burn® Plus ThB, and No-Burn®Plus XD are water-based, liquid applied, intumescent coatings.When exposed to elevated temperatures and flame, they expand and form a protective char layer. 4.2 The products are packaged in either 5 gallon (18.9 liter) pails or 55 gallon (208 liter)drums. 4.3 Shelf Life 4.3.1 No-Burn®Plus and No-Burn®Plus XD:two years when stored in unopened containers between 40DF (4.4DC) and 90°F (32.2DC) 4.3.2 No-Burn®Plus ThB: one year when stored in unopened containers between 40DF (4.4DC) and 90DF (32.2DC) 4.4 No-Burn®Plus and No-Burn®Plus XD must be prepared with a power mixer(500-1500 RPM)or equivalent for a minimum of 5 minutes per container prior to application. 4.5 No-Burn®Plus Th6 must be prepared with a power mixer(800-1200 RPM)or equivalent for a minimum of 5 minutes per container prior to application. 5 APPLICATIONS 75.1 Thermal Barrier Assembli 5.1.1 No-Burn®Plus ThB is use to protect spray-applied polyurethane foam (SPF)insulation to allow the SPF to be installed without a prescr ptive 15-minute thermal barrier in accordance with IBC Section 2603.94 and IRC Section R316.6. No-Bur lus ThB meets the criteria for use as a wall and ceiling finish in accordance with IBC Sectio�8 . , IBC Section 803.4, IRC Section R302.9, and IRC Section R302.10.1. The approved -__ emb IIII es are as listed in Table 1. 4 2012 IBC Section 2603.10 SUBJECT TO RENEWAL 7/1/2021 ©2020 DRJ ENGINEERING,LLC PAGE 3 OF 13 TER 1905-03:NO-BURN®PLUS,NO-BURN®PLUS THB,AND NO-BURN®PLUS XD USED AS A THERMAL AAW BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIESa e -7y. TER 1905-03:NO-BURN®PLUS,NO-BURN®PLUS THB,AND NO-BURN®PLUS XD USED AS A THERMAL AI#AB BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES A C C R E"o';'r E D ` Max. Maz:"Thickness Application-6f,No-Burn@ Coating, " �-,Thickness of-Ceilings , � No=Burri®, g Minimum Installed" Theoretic Application' °Substrate 'Product of Walls, .- Underside,of,'Roof Thickness(mils)-," Rate Evaluation.° &-Vertical Sheathing/RaftersReports _ Name Gallons Surfaces &Floors . , Sq Ft Per -7„ n (in)•. (in) = Wet Film' Dry"FilmGallon per 100 = Sq.Ft., w Carlisle Foamsulate`50 HY, Plus ThB2 8.5 14 14 9 115 0.87 ER-540 "'Open Cell SprayFoam " - Ca'rlisle'Sea(Tite Pro No Mix, plus ThB2 8.5 14 14 9 115 0.87 ER-616 Open Cell,Spray Foam A Carlisle Foamsulate 50 Open plus ThB2 8.5 14 14 9 115 0.87 ER-351 Cell Spray Foam ,= Carlisle.SealTite Pro Higfi Yield Plus ThB2 8.5 14 14 9 115 0.87 ER-623 t•Opeh Cell Spray Foam- Carlisle SealTite Pro CIo'sed ; plus ThB2 6.5 9.5 14 9 115 0.87 ER-621 'Cell Spray Foam ' Carlisle Foamsulate-Closed_ Plus ThB2 6.5 9.5 14 9 115 0.87 ER-626 Cell Spray Foam Carlisle SealTite P"ro One Zero Plus ThB2 6.5 9.5 14 9 115 0.87 ER-640 Closed Cell Spray Foam Carlisle Foamsulate HFO ••, Plus Th132 6.5 9.5 14 9 115 0.87 ER-650 Closed Cell Spray Foam =Demilec SEALEGTION®500u; plus Th132 8 14 16 11 100 1.0 CCRR-1063 -.Open Cell Spray Foam Demilec Agri6alance®Operi' plus ThB2 8 14 16 11 100 1.0 ESR-2600 Cell Spray Foam Demilec-Heatlok HFO,Foam'Uigti Lift Closed Celi°Spray Plus ThB2 6.5 9.5 16 11 100 1.0 ESR-4073 Demilec Heatlok HFO Pro n plus ThB2 6.5 9.5 16 11 100 1.0 ER-565 Closed Cell Spray Foam Demilec Heatlok XT-s'Closeda Plus ThB2 6.5 9.5 16 11 100 1.0 ESR-3824 CeILSpray Foam ,Dernilec Heatlok XT-w.Closed- •-Cell Spray Foam. - Plus ThB2 6.5 9.5 16 11 100 1.0 ESR-3883 Energy One America EOA Plus ThB2 6 9.5 14 9 115 0.87 ER-443 '2000 Closed Cell Spray Foam GacoEZSpray`F4500bpen`; Cell Spray Foam Plus ThB2 12 16 14 9 115 0.87 CCRR-1107 Gaco F183M Closed Cell, _. plus ThB2 6.5 9 14 9 115 0.87 CCRR-1002 = Spray Foam Gaco,OnePass,F185,0-Closed. Cplus ThB2 6.5 9.5 14 9 115 0.87 CCRR-1043 eILSpray Foam E�i809:pen,CellSjpraYFoam: ePass Low-GWP, Plus ThB2 9 12.5 14 9 115 0.87 CCRR-1106 SUBJECT TO RENEWAL 7/1/2021 ©2020 DRJ ENGINEERING,LLC PAGE 5 OF 13 TER 1905-03:NO-BURNO PLUS,NO-BURN@ PLUS THB,AND NO-BURN@ PLUS XD USED AS A THERMAL AAw BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES A CtlC R E`D I+T E D Max:: Max:Thickness Application=of No=Burn®Coating 'Thickness ` ''-d Ceilings, " Minimum Installed " Theo"retic*A_ hcation " No-Burn® pp l �Evaluatiiin Substrate' ' Product oflNalls ` , Underside of.Roof Thickness(mils) Rate- Name &"Vertical_ Sheathing/Rafters • _ Reports Surfaces &•Floors Sq.Ft'.Per Gallons "- -,Wet Film Dry Film per 100; - (in) (in)• �.uM :Gallon-, General Coatings Ultra-Thanef plus ThB2 8.5 14 14 9 115 0.87 CCRR-0358 Y 050 Open Cell Spray'Foam General Coatings Ultra-Thane 050,Max Open Cell,Spray, Plus ThB2 8.5 14 14 9 115 0.87 CCRR-0358 Foam s „General Coatings Ultra-Thane. 050 Max Pro Open-Cell'Spray Plus ThB2 8.5 14 14 9 115 0.87 CCRR-0358 Foam „General Coatings_Ultra-Thane, plus ThB2 8.5 14 14 9 115 0.87 CCRR-0362 -.050X Open Cell Spray Foam: General•Coatings°Ultra-Tha' ` plus Th132 6.5 9.5 14 9 115 0.87 CCRR-0345 170.Closed Cell Spray,Foam. General Coatings Ultra-Thane`_ plus Th132 6.5 9.5 14 9 115 0.87 CCRR-0345 202 Closed Cell'Spray'Foam. General Coatings Ultra-Thane- 202 High-Lift Closed Cell-Spray Plus ThB2 6.5 9.5 14 9 115 0.87 CCRR-0345 Foam w .6eneral Coatings`Ultra=Thane, 205 HFO-Closed Cell Spay Plus ThB2 8 12 14 9 115 0.87 CCRR-0375 Foam - General Coatings Ultra-Than'6 205 HFO High-Lift Closed Cell, Plus ThB2 8 12 14 9 115 0.87 CCRR-0375 Spray Foam Icynene Classic Open Cell r Plus ThB2 6 14 16 11 100 1.0 ESR-1826 Spray Foam. Icynene Classic Ultra Open ; Plus ThB2 6 14 16 11 100 1.0 ESR-1826 Cell Spray Foam. Icynene Classic Ultra Select°: Plus Th132 6 14 16 11 100 1.0 ESR-1826 Open Cell Spray.Foam fcynen6'Classic Plus Open Cell plus ThB2 6 14 16 11 100 1.0 ESR-1826 SpraylFoam.- -lcynbh6Prime Gold4en"Celli "Spray Foam Plus ThB2 6 14 16 11 100 1.0 ESR-4323 = Icynene No Mix Open Cell _ Plus ThB2 Spray Foam 8'/z 14 14 9 115 0.87 CCRR-1123 ,Icynene ProSeal Closed Cell Plus ThB2 4 8 14 9 115 0.87 ESR-3500 Spray Foam- c, LE Closed,-,,,, plus ThB2 4 8 14 9 115 0.87 ESR-3500 Cell Foam . SUBJECT TO RENEWAL 7/1/2021 ©2020 DRJ ENGINEERING,LLC PAGE 6 OF 13 TER 1905-03:NO-BURN®PLUS,NO-BURN®PLUS THB,AND NO-BURN®PLUS XD USED AS A THERMAL APOAQ BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES A.C.E o Max.;, Mak.Thickness Application of,,No - No-Burn® Thickness of Ceilings, . Minimum Installed= Theoretic Application Substrate Product -',of Walls Underside of Roof Thickness`(mils)' Rate .x Evaluation' t Name &Veitical` -Sheathing/Rafters Reportt - ,Surfaces &-Floors_•° Sq.Ft.,Per. Gallons (in) (in) Wet Film- -Dry Film€• Gallon per 100' _ Sq.Ft:' Icynene ProSeal Eco Closed Plus ThB2 4 8 14 9 115 0.87 ESR-3493 Cell Spray-'Foam Icynene ProSeal_HFO Closed Cell Foam Plus Th62 4 8 14 9 115 0.87 CCRR-1108 Icynene ProSeafHFO CW Plus Th62 4 8 14 9 115 0.87 CCRR-1108 Closed CellFoam Icynene,,MD-C=200 Closed.CeIL Plus ThB2 4 8 14 9 115 0.87 ESR-3199 Spray Foam,.. Johns Manville JM Corbond `- Plus Th62 8 14 14 9 115 0.87 CCRR-1079 Open Cell Spray Foam`"' John's­Manville`JM Corbond Plus ThB2 8 14 14 9 115 0.87 ER-372 OCX.Open Cell Spray-Foam Johns Manville JM Corbond III plus ThB2 6 8 14 9 115 0.87 ER-146 Closed Cell Spray Foam, ,Johns Manville JMaGEN IV. plus ThB2 6.5 9.5 14 9 115 0.87 ER-700 Closed Cell Spray Foam` Johna.Manville°JM Corbond'' Plus Th132 6 8 14 9 115 0.87 ESR-3159 MCS Closed'Cell Spray Foam Lapolla Foam-l.ok FL'450 plus ThB2 6 14 16 11 100 1.0 ESR-4242 OpenlCell Sptay,Foam=. ,Lapolla Foam'-L-ok FL 500- plus ThB2 8%z 14 14 9 115 0.87 CCRR-1091 Open Cell Spray Foam . Lapolla Foam-Lok FL 750 Open-Cell Spray Foam plus Th132 6 14 16 11 100 1.0 ESR-4322 Lapolla Foam-Lok FL 2000=4G° Plus ThB2 6 9 14 9 115 0.87 CCRR-1025 Closed Cell Spray Foam, Lapolla'Foam-Lok F.L'2000,- ' Plus ThB2 6 9 14 9 115 0.87 ESR-2629 Closed Cell Spray,-Foam --SES EasySeal 0.5 Open dell- S" ell SFoam Plus ThB2 10 14 14 9 115 0.87 ER-492 pray SES 3u{craSeal 0.5 Open Cell Plus ThB2 9 14 14 9 115 0.87 ESR-3375 Spray Foam SES Nexseal 2.0 Closed Cell;$ plus Th132 6 9.5 14 9 115 0.87 ER-374 Spray Foam. SES Nexseal 2.0 L'E,Closed plus Th62 6 9.5 14 9 115 0.87 ER-374 Cell Spray Foam SWD Quik=Shield 108 Open plus Th62 8 14 14 9 115 0.87 CCRR-1051 Cell Spray'Foam SUBJECT TO RENEWAL 7/1/2021 ©2020 DRJ ENGINEERING,LLC PAGE 7 OF 13 TER 1905-03:NO-BURN®PLUS,NO-BURN®PLUS THB,AND NO-BURNO PLUS XD USED AS A THERMAL AAW BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES """" q EDIT Fo Max. ,"'Max.Thickness_. _ Application of.No-Burn®Coating No-Burn® -.Thickness of Ceilings, Minimum Installed Theoretic Application of Walls' Underside of Roof Thickness(mils) _ Rate Evaluation Substrate Product &,Vertical Sheathin /Rafters,' � - _ Name- g ° _ � � •Report? Surfaces &Floors Sq,Ft.-Per Gallon's (in) Wet Film Dry'Film•" Gallon per 100; - ,- - � • Sq.,Ft..• SWD Quik=Shield-108YM Open. plus ThBz 8 14 14 9 115 0.87 CCRR-1051 Cell Spray Foam nSWD}Quik-Shield 112XC Plus ThBz 5 8 14 9 115 0.87 CCRR-1011 Closed Cell Spray Foam: SWD Quik-Shield 118 Closed Cell Spray Foam Plus ThBz 5 8 14 9 115 0.87 CCRR-1093 SWD Quik-Shield,13.3 Closed.` Plus ThBz 9 12.5 14 9 115 0.87 CCRR-0368 Cell Spray Foam UPC 500 OpenCellSpray- ; Plus ThBz 8.5 14 14 9 115 0.87 CCRR-0358 -Foam -UPC 500 Max Open Cell Spray plus ThBz 8.5 14 14 9 115 0.87 CCRR-0358 .,,Foam a. UPC 500 Max Pro Open Gell plus ThBz 8.5 14 14 9 115 0.87 CCRR-0358 Spray Foam,` UPG500 OCX Open_Gell Plus ThBz 8.5 14 14 9 115 0.87 CCRR-0362 Spray Foam UPC 1°.7 Closed Ceh'Spray- 'Foam Plus ThBz 6.5 9.5 14 9 115 0.87 CCRR-0345 - UPC 2.0'Closed Cell Sprayplus ThBz 6.5 9.5 14 9 115 0.87 CCRR-0345 Foam . UPC 2;0.HL Closed Cell Spray° plus ThBz 6.5 9.5 14 9 115 0.87 CCRR-0345 `Foam. UPC 2.0 MAX Closed Cell Plus ThBz 6.5 9.5 14 9 115 0.87 CCRR-0345 :.'Spray,Foam':°•` UPC 2.0 HFO Closed Cell.Spray Foam;- Plus ThBz 8 12 14 9 115 0.87 CCRR-0375 UPC,2.0 HFO High Lift.Closed Plus ThBz 8 12 14 9 115 0.87 CCRR-0375 ' Cell Spray Foam Victory Polymers VPC-CC... Plus ThBz 6.5 9.5 16 11 100 1.0 ESR-4334 SupeCftClosed Cell`Foam Victoy Polymers VPC=CC _ Plus ThBz 6.5 9.5 16 11 100 1.0 ESR-4334 SuperYield Closed Cell Foam XtreineSea1-,2.0 LE Closed,Cell Plus ThBz 6 9.5 14 9 115 0.87 ER-537 Spray Foam., -= .SI:1',mil;=0.0254 mm�1 inch•=25.4'mm,1 gal=3.79 L "- •' ` , m } , 1. `Use of No-Bum®Plus ThB•for use with anyinsulation product listed herein is conditional upon that insulation product's recognition in a valid evaluation report by an approved ;evaluation,entity.Users"shall independently verify the_current validity of any referenced 69luation report,'including Evaluation Reports(ER),fro6 lAPM0 Uniform'Evaluation Service,Code;Compliance Research Reports(CCRR)from Intertek,and Evaluation Service Reports'(ESR)frornift-ES: 2: No-BUrn®Plus Th6 or`Plus maybe over coated,With latex paint with a pH of 7 toB:�" SUBJECT TO RENEWAL 7/1/2021 ©2020 DRJ ENGINEERING,LLC PAGE 8 OF 13 TER 1905-03:NO-BURN®PLUS,NO-BURN®PLUS THB,AND NO-BURN®PLUS XD USED AS A THERMAL Ad= BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES A C C a F;'°;e 5.2 Ignition Barrier Assemblies 5.2.1 No-Burn®Plus, No-Burn® Plus ThB, and No-Burn®Plus XD may be used to protect SPF in attics and crawlspaces to allow the SPF to be installed without a prescriptive ignition barrier in accordance with IBC Section 2603.4.1.6 and IBC Section 2603.9 and IRC Section R316.5.3 and Section R316.5.4. No-Burn®Plus, No-Burn®Plus ThB, and No-Burn®Plus XD meet the criteria for use as wall and ceiling finishes in accordance with IBC Section 803.1, IBC Section 803.4, IRC Section R302.9, and IRC Section R302.10.1. 5.2.2 The approved assemblies are shown in Table 2. 5.2.3 The assemblies listed in Table 2 may be installed in an attic or crawlspace without a prescriptive ignition barrier when all of the following are met: 5.2.3.1 Entry into the attic or crawlspace is only for the maintenance, repair, or servicing of the building or equipment. No storage is permitted. 5.2.3.2 There are no interconnected attic or crawlspace areas. 5.2.3.3 Air is not circulated to other parts of the building. 5.2.3.4 The foam plastic insulation does not exceed the maximum density and thickness shown in Table 2. 5.2.3.5 Combustion air is provided in accordance with the IBC Section 701. 5.2.3.6 When required, attic ventilation is provided in accordance with IBC Section 1202.25 or IRC Section R806 and crawlspace ventilation is provided in accordance with IBC Section 1202.46. 5.2.3.6.1 Exception: unvented attics and crawlspaces meeting the requirements of IBC Section 1202.3 or/RC Section R408.3 or Section R806.5 TABLE 2. IGNITION BARRIER ASSEMBLIES Max. , Max.Thickness Application of No-Burn@ Coating , Thickness of Ceilings, Minimum Installed Theoretic ' Substrate No-Burn® of Walls- `Underside,of Roof Thickness(mils) Application Rate­ Product Namet =&Vertical Sheathing/Rafters7fi.im' ; , S Ft.- -Gallons Surfaces,,-' &'Floorsp' Dry�Film per per 100(in) Gallon BASF ENERTITEO G Open"Cell plus XD or Plus ThB 11% 16 6 4 267 0.37 Spray Foam .-BASF ENERTITE®NM Open Cell,, plus XD or Plus ThB 11'/ 16 6 4 267 0.37 Spray Foam BASF SPRAYTITE®158 and 81205. plus XD or Plus ThB 8 8 6 4 267 0.37 Closed Cell Spray Foam BASF SPRAYTITEO SP'Closed Cell plus XD or Plus ThB 8 8 6 4 267 0.37 Spray Foam ;. BASF SPRAYTITEO Comfort Closed Cell Spray Foam Plus XD or Plus ThB 8 8 6 4 267 0.37 BASF SPRAYTITEO.Comfort Plus: TER 1905-03:NO-BURN®PLUS,NO-BURN®PLUS THB,AND NO-BURN®PLUS XD USED AS A THERMAL AAw BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES AC w e D";';E Max. Max.Thickness App lication'of No-But'n®Coating Thickness. of-Ceilinds, Minimum Install -=Theoretic Substrate y' No-Burn® - - of Walls Underside of Roof Thickness(mils), Application Rate'.' i, , ��. • , ,Prod•uct°Name'_ .&Vertical,-�� Slie_athind/Rafter's" Sq:Ft." Gallons Surfaces &Floors Vet•Filim, w Dry'.,Film.. per aper 100 r ... - _(in) (in �" i t Gallon, '_'Sq.Ft. BASF SPRAYTITEO•LWP=L'Closed-' plus XD or Plus ThB 8 8 6 4 267 0.37 Cell,Sproy,Foam BASF SPRAYTITEO`178 and 81206" Plus, Plus XD or 9% 11'/4 12 7 134 0.75 •;Closed,Cell Spray`Foam. " rt•,,; Plus ThB BASF WALLTITEO US Closed•Cell Plus, Plus XD or 9% 11'/ 12 7 134 0.75 Spray Foam° Plus ThB ,BASF W_`ALLTITE®_US-N Closed'Celi, Plus, Plus XD or 9'/4 11'/4 12 7 134 0.75 Spray Foam Plus ThB BASF WALLTITEOHP+Closed Celi Plus,Plus XD or 9,/4 11'/4 12 7 134 0.75 Spray Foam ' Plus ThB B_ASFVALLTITEO LWP"Closed Celt Plus, Plus XD,or 9,/4 11'/ 12 7 134 0.75 "Spray Foam 'r Plus ThB BASF-WALLTITEO HP+S Closed:Cell: Plus, Plus XD,or 9,/4 11'/4 12 7 134 0.75 Spray Foam; Plus ThB "BASF_'C0MF0RTF'0AM®178' Plus, Plus XD or g% 11'/4 12 ' 7 134 0.75 Closed.Cell Spray Foam_ Plus ThB Carlisle SealTite Pro O'pen Cell'Spr`ay Plus XD or Plus ThB 11'/4 16 6 4 267 0.37 -F Carlisle,Foamsulate 50 HY Open Cell plus XD or Plus ThB 11/ 16 6 4 267 0.37 + Spray Foam - Catlisle SealTife Pro.No Mix'Open, Plus XD or Plus ThB 11'/ 16 6 4 267 0.37 Cell Spray Foam Carlisle Foamsulate 503Open Cell- Plus XD or Plus ThB 11'/ 16 6 4 267 0.37 Spray Foamy ` Carlisle SealTite Pro High-Yield Open Cell"Spray'Foam Plus XD or Plus ThB 11'/4 16 6 4 267 0.37 u DAP Touch'n,SealO 2'2•PCFJOlosed CePlus XD or Plus ThB 2 2 8 5 200 0.5 ll Spray Foam_ • _ " '� Demilec SEALECTI0N0 500 Open_' Plus XD or Plus ThB 9% 11'/ 6 4 267 0.37 Cell Spray Foam,,,, Demilec Agidbalance®Open Cell". Plus XD or Plus ThB 9'/2 11'/2 10 6 160 0.63 Spray F-.oam ,GacoEZSpray'F4500 Open Ceil-Spray Plus ThB 12 16 6 4 267 0.37 Foam �'ic Handi-Foam®,E-8*Class,1(A)'y= ' Closed Cell Spray Foplus XD or Plus ThB 2 2 10 6 160 0.63 am SUBJECT TO RENEWAL 7/1/2021 ©2020 DRJ ENGINEERING,LLC PAGE 10 OF 13 TER 1905-03:NO-BURN®PLUS,NO-BURN®PLUS THB,AND NO-BURN®PLUS XD USED AS A THERMAL AAw BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES IccIEo;'; Max Max Thickness" _ Application of No-Burn®Coating � � r " . -• .o -Thickness _ �of Ceilings,. - Minimum installed, -Theoretic' Substrate No-Burn® of Walls Underside of Roof Thickness(mils) Application Rate = � Product Names &Vertical : "SheathinglRafters, Surfaces &Floors Sq.Ft. Gallons,_ ; (in); (inWet Film- Dryfilm, per. per 100. Gallon Sq.Ft. `'lcynene Classic Open Cell'Spray,= _ Plus XD or Plus ThB 5% 14 6 4 267 0.37 - Icynene Classic Ultra Open Cell-Spray "foam Plus XD or Plus ThB 5% 14 6 4 267 0.37 lcynene Classic Ultra Select Open,, plus XD or Plus ThB 5'/z C611-Spray'Foam=' 14 6 4 267 0.37 lcynene Classic-Plus Open Cell Spray, Plus XD or Plus ThB 8 14 6 4 267 0.37 Foam lcynene Prime Gold Openi Cell Spray` Plus XD or Plus ThB 5%Z 14 6 4 267 0.37 Foam,,. lcynene ProSeal Eco Closed Cell', plus XD or Plus ThB 7% 9% 5 3 320 0.31 Spray Faam _lcynene MD-C-200 Closed Cell Spray Plus,Plus XD or 11'/4 16 10 100 1.0 Foam Plus ThB La'polla Foam-Lok FL 450 Open Cell plus XD or Plus ThB 5% 14 6 4 267 0.37 Spray Foam - Lapolla Foam--Lok FL 750 Open Cell Plus XD or Plus ThB 8 14 6 4 267 0.37 Spray Foam _r SW,D.Quick Shield 106,Open Cell=, Plus ThB 8 14 6 4 233 0.43 �S'pray Foam" Tiger Foam Insulation:E=84 Fire Rated plus XD or Plus ThB 3%2 3'% 10 6 160 0.63 SPF Class 1 Spray Foam For SI:1`mil.=0'.0254 nim,1 finch=25.4 mm,1 gal`339 L 1.,',%No-BumO Plus;Plus XD,or,Plus,ThB maybe overcoated,with latex pamt,with a pH of 7 to,8.n SUBJECT TO RENEWAL 7/1/2021 ©2020 DRJ ENGINEERING,LLC PAGE 11 OF 13 4,r TER 1905-03:NO-BURN®PLUS,NO-BURN®PLUS THB,AND NO-BURN®PLUS XD USED AS A THERMAL AAw BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES A-11 1-1 �- 6 INSTALLATION 6.1 Installation shall comply with the manufacturer's installation instructions, and this TER. In the event of a conflict between the manufacturer's installation instructions and this TER, the more restrictive shall govern. 6.2 installation Procedure 6.2.1 The substrates that the No-Burn®products are applied to shall be clean, dry, and free from loose dirt, debris, grease, oil, or any other materials that would inhibit proper adhesion of No-Burn®products, including, but not limited to, any paints, stains, or sealants. 6.2.2 No-Bum®Plus, No-Burn® Plus ThB, and No-Burn®Plus XD are white in color. 6.2.3 A painter's gauge shall be used to verify the proper thickness during application. 6.2.4 The dry mil thickness will be 0.4 to 0.7 times the wet mil thickness. 6.2.5 Apply the No-Burn®products only to the substrates listed in Table 1 and Table 2 in accordance with the assembly selected. 6.2.6 Substrates shall be fully protected from the weather and fully installed prior to application. 6.2.7 Both the substrate surface and the ambient temperature shall be maintained between 40°F (4.4°C) and 100°F (37.7°C) immediately before and during application. Minimum cure time is 24 hours. 6.2.8 Apply the coatings at the rate specified in Table 1 and Table 2. 6.2.9 Coatings may be applied via roller, brush, or spraying equipment. 6.2.10 After curing, the coating may be overcoated with latex paint per the paint manufacturer's instructions. 7 TEST ENGINEERING SUBSTANTIATING DATA 7.1 Reports of fire tests in accordance with NFPA 286 and UL 1715. 7.2 Data in accordance with DrJ EC 45. 7.3 Supporting documentation from spray foam manufacturers and evidence of code compliance. 7.4 No-Burn®Quality control documentation in accordance with DrJ policies. 7.5 Some information contained herein is the result of testing and/or data analysis by other sources which conform to IBC Section 1703 and relevant professional engineering law. DrJ relies on accurate data from these sources to perform engineering analysis. DrJ has reviewed and found the data provided by other professional sources to be credible. 7.6 Where appropriate, DrYs analysis is based on design values that have been codified into law through codes and standards (e.g., IBC, IRC, NDS®, and SDPWS). This includes review of code provisions and any related test data that aids in comparative analysis or provides support for equivalency to an intended end-use application.Where the accuracy of design values provided herein is reliant upon the published properties of commodity materials (e.g., lumber, steel, and concrete), DrJ relies upon the grade mark, stamp, and/or design values provided by raw material suppliers to be accurate and conforming to the mechanical properties defined in the relevant material standard. 8 FINDINGS 8.1 When used and installed in accordance with this TER and the manufacturer's installation instructions, the product(s)listed in Section 1.1 are approved for the following: 8.1.1 No-Burn®Plus ThB is approved for the protection of SPF insulation to allow the SPF to be installed without a prescriptive 15-minute thermal barrier. 8.1.2 No-Burn®Plus, No-Burn® Plus ThB, and No-Burn® Plus XD is approved for the protection of SPF in attics and crawlspaces to allow the SPF to be installed without a prescriptive ignition barrier. SUBJECT TO RENEWAL 7/1/2021 ©2020 DRJ ENGINEERING,LLC PAGE 12 OF 13 TER 1905-03:NO-BURN®PLUS,NO-BURN®PLUS THB,AND NO-BURN®PLUS XD USED AS A THERMAL AAW BARRIER OR IGNITION BARRIER IN SELECT ASSEMBLIES -qv. -..T-- 8.2 IBC Section 104.11 (IRC Section R104.11 and IFC Section 104.9 are similar)states: 104.11 Alternative materials, design and methods of construction and equipment.The provisions of this code are not intended to prevent the installation of any material or to prohibit any design or method of construction not specifically prescribed by this code,provided that any such alternative has been approved.An alternative material,design or method of construction shall be approved where the building official finds that the proposed design is satisfactory and complies with the intent of the provisions of this code,and that the material,method or work offered is,for the purpose intended,not less than the equivalent of that prescribed in this code...Where the alternative material,design or method of construction is not approved,the building official shall respond in writing,stating the reasons the alternative was not approved. 8.3 This product has been evaluated in the context of the codes listed in Section 1.1 and is compliant with all known state and local building codes.Where there are known variations in state or local codes applicable to this TER, they are listed here. 8.3.1 No known variations. 9 CONDITIONS OF USE 9.1 When used in accordance with this report, No-Burn®Plus, No-Burn®Plus ThB, and No-Burn®Plus XD comply with the codes listed in Section 2, subject to the following: 9.1.1 Assemblies shall be limited to those shown in Table 1 and Table 2, as applicable. 9.1.2 No-Burn®Plus, No-Burn® Plus ThB, and No-Burn®Plus XD shall be applied only to areas within the water resistive barrier of the building envelope or in areas that are otherwise not exposed to weather. 9.1.3 When required by the building official, inspections in accordance with IRC Section R109.1 or special inspections in accordance with IBC Section 1705.1.1 shall be conducted. Where required in accordance with IBC Section 1704.2.3, a statement of special inspections shall be submitted to the building official. 9.2 Where required by the building official, also known as the authority having jurisdiction (AHJ) in which the project is to be constructed,this TER and the installation instructions shall be submitted at the time ofep rmit application. 9.3 At a minimum,this product shall be installed per Section 6 of this TER. 9.4 This product is manufactured under a third-party quality control program in accordance with IBC Section 104.4 and 110.4 and IRC Section R104.4 and R109.2. 9.5 The actual design, suitability, and use of this TER, for any particular building, is the responsibility of the owner or the owner's authorized agent. Therefore, the TER shall be reviewed for code compliance by the building official for acceptance. 9.6 The use of this TER is dependent on the manufacturer's in-plant QC, the ISO/IEC 17020 third-party quality assurance program and procedures, proper installation per the manufacturer's instructions, the building official's inspection, and any other code requirements that may apply to demonstrate and verify compliance with the applicable building code. 10 IDENTIFICATION 10.1 The product(s) listed in Section 1 are identified by a label on the board or packaging material bearing the manufacturer's name, product name, TER number, and other information to confirm code compliance. 10.2 Additional technical information can be found at noburn.com. 11 REVIEW SCHEDULE 11.1 This TER is subject to periodic review and revision. For the most recent version of this TER, visit dricertification.org. 11.2 For information on the current status of this TER, contact DrJ Certification. SUBJECT TO RENEWAL 7/1/2021 ©2020 DRJ ENGINEERING,LLC PAGE 13 OF 13 J cop` .o,�-- ut/'ar-� i✓1-�ef�a -���q� �Ke�' lib +' --�- /Uel 5 P-epl���,,�-1.- NemJ � .�� JeX l �'j J l'✓) /L'2 e 11.7 Q �3 �- 57�9Ocfp Sergio Agme 3 Locust Drive Sag Harboer, NY } c;��a �% r i i s OCT �- 9 2020 Re.-5 5"ridge Street 555 b' in,7'TPpbW Southold Building Department T0!+t;:,v ,T'f',' 1,3nurwim Main Road Southold, NY 11971 Dear John, Please find attached 4 copies of the as constructed plans for the front porch. I am also attaching the Framing and Strapping inspection dated 9/29/20. It was our understanding from discussions and the inspection form that we could complete the front porch repairs. We discussed the replacement of the rotten existing members which we did. We would like the Town to remove the stop work order so we can continue with the other construction contained in our permit. 1 10/9/2020 20200929_123813 Mpg U rtl�0 Q L M) t L U 0 W Q Di E D s"I-P-1 p FOUNDATION I ST ROUGH PLBG. r '-OUNDATdON 2ND INSULATIOWCAULKING FRAMING / STRAPPING FINAL FIREPLACE CHIMNEY IRRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECT (FINAL) CODE VIOLATHON PRE C/O REMARKSW DATE IMSPECTOR ........... Mips//mail google com/mait/u/0/91ab=rm&ogbl#tnbox?projector=I 1/1 q A A N -G I NUE:ERINS E3 October 1,2020 Town of Southold Building Department Main Road Southold,NY 11971 RE: 555 Bridge Street,Greenport During construction at the above referenced project it was found that the beams and support posts for the existing front porch were found to be rotten and needed to be replaced. OF NEW hN 0 6810tk lui BOARD CERTIFIED IN STRUCTURALENGINEERING it3rSEPHOrISCHETTI.013M FISCH ETTIENOINEERIN13-00M 831 -755-Z954 1 1725 HOMAQ -r PDAE) sOuTHOLD , NEW YORK 1 1 97 1 1 • ' • COAUVIENTS FOUNDATION ------------------ FOUNDATION 1 11�lplmm� Al INSULATION ENERGYSTATE • 1 vol1 �.. YAW,_ ,ate' r` WWMA � 11 e • 1 awe n � ts; td� Ve 1"-. r' TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying9 TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 ��1y� Survey Southoldtownny.gov PERMIT NO. ! Check Septic Form NYSDEC Trustees C O Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form PLO Contact: Approved 20 Mail to Disapproved a/c Phone Expiration ,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date f//7 20aO 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 adorning premises or public streets or areas,and waterways c The work covered by this application may not be commenced before issuance of Building Permit d Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant Such a permit shall be kept on the premises available for inspection throughout the work e No building shall be occupied or used in whole or in part for any purpose what so ever until the Building inspector issues a Certificate of Occupancy f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the intermi,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months Thereafter,a new permit shall be required APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Perrmt 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 [31CcafiL- %tyf r ly wit 11 applicable laws,ordinances,building code,housing code,and regulations,and to admit rr� p r p ni e and m building for necessary inspections i Uft I! q ��20 (Signature of app am ,if a corporation) H U f 3 Jr. /14163 (Mailing a(dress of apple ant) BUILDING DEPT. T0`,Stdte,whetlfei�h „,TGJID owner.lessee,agent,architect,engineer,general contractor,electrician,plumber or builder II I z cofi�(M r� Name of owner of premises .,��J tq+e/jG �,(�f t( oq6 (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. !41 68g2� Plumbers License No. f 1'G01CG will be, X1/11,04 — Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: -CS�o� I't/1 )�,�1 551 l3rii4;Kc ,�&� Grp House Number treet Ham et County Tax Map No. 1000 Section Block 03 Lot :52 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy p&. �Ci [/mtCw/Co�$ChPG o� �P�C 3. Nature of work(check which applicable):New Building Addition Alteration Repair ._Removal Demolition _Other Work (Description) 4. Estimated Cost � 7�,,� Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories ,,2 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot:Front Rear Depth 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated kae-�Je"1 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 NOV .� � Address'- SG�tP �Ov t Phone No. 14.Names of Owner of premises eAa Name of Architect , Address 6 .d Phone No Name of ContractorG6•Df20 Cajph1:0 _Address 1 2 ( � Phone No. 631 _ i 3A S3 yC-k4U 4. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO x * 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 NO X * IF YES,PROVIDE A COPY. STATE OF NEW YORK) COUNTY OFS(J'FF SS) -4�;j-(',m t� AO�i being duly sworn,deposes and says that(s)he is the applicant / (Name of iddividual sigfiing contract)above named, r (S)I-Ie is the ' (Contractors Agent, orporate 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 SworiXio before me this 5 day of A-O u 2 DEBORAH L ROMANO Notavy Public,Soto of New Ybik ff; N u No.01RU62727B4 p licant Oualified In Suffolk County' Commission Expires November ,20— gffat- , B LDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD � SEP 1 4 202® , �'. Town Hall Annex - 54375 Main Road - PO Box 1179 ?T• Southold, New York 11971-0959 �� �)�v,7. ��ho+n/eyp(r631+) 7.6}5-1802 -^F�AhX (#631`,)t7�65-9502 _ 3O • �tomm6YUthold.b, .ti, APPLICATION FOR,ELECTRICAL INSPECTION„ REQUESTED BY: _ _ Date!, `�� Company Name: rt Name: - License No.: .LU email: (��` _ Address: PX9 Phone No;"' - _-- JOB SITE INFORMATION: (All Information Required) ,a Name: - Address: r ' Cross Street: m � mm` = Phone No.: j Bldg.Permit#: email: ,Tax T P Tax Map District: 1000 Section: Block: Lot'.,, BRIE DESCRIPTION OF WORK(Please Print CI arly) d Circle All That Apply: Is job ready for inspection?: YES /0 Rough In Final s Do you need a Temp Certificate?: YES / NO Issued On ., Temp Information: (All information required) Serv"rce Size 1 Ph 3 Ph Size: _ A #Meters_ Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected -Underground - Overhead #'Undergiresund Laterals ,1 2 H Frame Pole Work done on Service? Y N Additional Information: _ PAYMENT DUE WITH APPLICATION � O 82-Request for Inspection FormAs Q V �'rovafF046611 G �O y BUILDING DEPARTMENT-Electrical Inspector 2 0 TOWN OF SOUTHOLD o _ � Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 yfj01 0� Telephone (631)765-1802-FAX(631)765-9502 Temporary Certificate # i N(® Date NOV , 2020 Customer Name Awl Z TI® Electrician Name rJOILd'Address 55 Phone 6�31_ 29,_ '15 e-mail e-mail enc) .. mom, `� I Phone ti5sp-- a + W-16 License# 4 3 ice d MF_ Size 150 A Phase -'— Overhead ( _Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or PoleL H P Fire Reconnect Was work done on Service? Y f/ Flood Reconnect Old Meter# Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verification is Z or 90 y .fro a date above. Authorized by _ --------------- ---------------- BUILDING DEPARTMENT- Electrical 1n piectbr:� TOWN OF SOUTHOLD i F'l`y Town Hall Annex - 54375 MainRoad�YPO BA�1 1 7�2 2020 w s; Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 76_ 95flhT47 s x�, r1. 4h rogerr .southoldtownnygov — sea ndAso uth61dfi6in�n�tu:gov°k APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INF RMATION (All Information Required) Date: Company Name: ME5SWA--PJ VWL, Name: License No.: (j email: Address: `4V 9tyl, 9 Phone No.: JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: Bldg.Permit#: G�j/ (o email: (?_hyL5 , Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) sc:ry I C-', Circle All That Apply: Is job ready for inspection?: YES li N Rough In Final Do you need a Temp Certificate?: ES NO Issued On &(gl Voo, frn r,.Q, 11-11,-Z-0 Temp Information: (All information required) Service Size (!3)3 Ph Size: ), A # Meters ( Old Meter# New Service - Fire Reconnect - Flood Reconnect- Service Reconnected - UndergroundOverhead # Underground Laterals 1 2 H Frame Pole Work done on Service? YN' Additional Information: _PAYMENT DUE WITH APPLICATION Request for Inspection Form.xis 1 pE SOUPS®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ® �� COMM BUILDING DEPARTMENT TOWN OF SOUTHOLD STOP WORK ORDER TO: Hull Z Protection Trt. 333 Pearl Street, Apt. 19D New York, New York 10038 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 555 Bridge Street, Greenport, New York S.C.T.M. 1000-34-3-52 Pursuant to Section 144-8 of the Code of the Town of Southold, New York, you are notified to immediately suspend all work and activities until this order has been rescinded. BASIS OF STOP WORK ORDER: Construction beyond scope of BP 45176, issued 9/9/2020 CONDITIONS UNDER WHICH WORK MAY BE RESUMED: When amended plans for all changes have been approved. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. ATE 0/8/ 0 o nJVing i Sr. Bunopeor ( rt. :,ga LDING DEPARTMENT- Electrical Inspector i,' J SEP 4 2020 TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 T • t `r � �� Southold, New York 11971-0959 • .T ��hone (631) 765-1802 - FAX(631) 765-9502 ? GT�ti TOV'MA ro 'w ridherQ'cf�--'_`fowr�Aa f i&s1 }i r --- --- �_ APP_l.1Gii�7"ION,.FO,R ELECTRICAL INSPECTION, - --_ - REQUESTED BY: Company Name: Name: License Noemail:= l Riess: Phone No `��� — Z -- --- _ -"-- - ---•- -=T-.-�=--__- = _�__-__ _��_ - _.. - ----- - - JOB SITE WFORMATION: (All Informatioh•Required) FR Name: =- Address: y Cross Street: _,-• _�- ._. . -- ._ — . _ = _ --T=- - ' ax_ ;S vDistrict: 400 on Sic#i �,•Bitro� BRIE '�ESCRI.PTION OF WORK(Please Print Clearly Circle All That Apply: Is job ready for inspection?: YES /0 Rough In F,Inal Do you need a Temp Certificate?: YES / NO Issued On ; Temp information' (AII informafioh required) i - f Size 1"Ph 3 Ph Size:,, .A #Meters Old Meter# L New Service-Fire Reconnect- Flood Reconnect'-Service Reconnected-Underground-Overhead a#Under d_und Laterals-_ 1 ' 2 H Frame Pole Work=done_an„S,ervice?_=_ =Y_ - --- - - :I✓?AYI/[ENT=L1lJE WITH,AP,PLI-A-"',IC N; P 82-Request for lnspedon FormAs Q v© �,�, �0� PERMIT# Address: Switches h " Outlets-' GFI's Surface =Sconces 444 l UC Lis Fans _ - Fridge. ,HW �L i Exhaust 1- - Oven '--- --` --'- -''---= - - - _--pr-Or Smokes 0 DW Service Carbon Micro Generator Combo " � Cooktop Transfer AC {I Mini SPI Special: C Comments. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: October 13, 2020 TO: Sergio Agme (Hull) 3 Locust Drive Sag Harbor,NY 11963 Please take notice that your amendment dated October 9, 2020 For an amendment to permit#45176, issued to legalize "as built" alterations to an existing single family, to include the reconstruction of a front porch not included in the original permit at Location of property: 555 Bridge Street, Greenport,NY County Tax Map No. 1000 - Section 34 Block 3 Lots 52 Is returned herewith and disapproved on the following grounds: The proposed amendment on this 11,487 square-foot parcel in the Residential R-40 District, is not permitted pursuant to Article XXIII, Section 280-124, which states that, on lots measuring less than 20,000 square feet in total size,the minimum front yard setback is 35 feet. Pursuant to section 280-104A, "Established front yard setback. Where property in the vicinily is im roved with principal buildings with front yards of less than that required by the provisions of this chapter, the front yard setback shall be the average setback of the existing buildings within 300 feet of the proposed building on the same side of the street within the same use district." The average setback is 8.4 feet. The proposed construction notes a front yard setback of 5.2 feet. XutSignature Cc: File, ZBA Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: October 13,2020 AMENDED: October 21,2020 TO: Sergio Agme(Hull) 3 Locust Drive Sag Harbor,NY 11963 Please take notice that your amendment dated October 9,2020 For an amendment to permit#45176 issued to legalize"as built"alterations to an existing single family,to include the reconstruction of a front porch not included in the original permit- at Location of property: 555 Bridge Street, Greenport,NY County Tax Map No. 1000- Section 34 Block 3 Lots 52 Is returned herewith and disapproved on the following grounds: The proposed amendment on this 11,487 square-foot parcel in the Residential R-40 District, is not permitted pursuant to Article XXIII'Section 280-124 which states that on lots measuring less than 20,000 square feet in total size the minimum front-yard setback is 35 feet. Pursuant to section 280-104A, "Established front yard setback.Where property in the vicinity is improved with principal buildings with front yards of less than that required by the provisions of this chapter,the front yard setback shall be the average setback of the existing buildings within 300 feet of the proposed building on the same- side of the street within the same use district." The average setback is 8.4 feet. The proposed construction notes a-front yard setback of 4.8 feet. This Notice ofDisapproval was amended on October 21 2020 following the submission of a new survey, Authorized Signature Cc: File,ZBA Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. N SURVEY OF PROPERTY AT GREENPORT TOWN OF SO UTHOLD SUFFOLK COUNTY, N.Y, 1000-34-03-52 SCALE. 1 -20 JUNE 10, 2020 OCTOBER 19, 2020 (REVISION) Lor 13 LOT 12 OCTOBER 21, 2020 (SETBACK REVISION) � L0T 11 9' FEEND N_DL 16' N-S N E Wp} SPVw IKE SET ,TIyBEP RE7 E0 7 0 WN-04'W POLE NO j G 1(P� UTILITY POLE J "-7-5 �yyM1EO FEN,nyeFjl EDGING O S'E J GARAGE COR\ P.ET�NTN MIRY POLE VEL (Jl \ypll GRA STONE @ 04'N DRIVEWAY EDGING GMF LATTICE FEN ATTACHED` FE ENO p, WALL COR TO SIDE OF CONCRETE 03'E 04'N SUN RETAINING WAIL` rA FF END 0 YE UTILITY POLE EDGING 0 7E / O± ` LOT 14 lL � LOT 13 LOT \ COVER \� 6k -Nd PROP 2 1` ANE TANK1 661 ' c �` yO5 HOUSE UNDER` � END O CONSTRUCTION 1 N 1�i12OE oT GE 6'E rwR/0 PORCH \ 105 • PORCH UNDER CMF LA N C, J RECONSTRUCTION y0 rn ;� m y, To ap 45 PORCH 0 ROOF GMF S-7P 09 0/y OF Ge SCREE � KEY Q =REBAR BR,DG�-- ® = WELL A = STAKE B = TEST HOLE • = SPIKE ■ =MONUMENT = WETLAND FLAG cO�= UTILITY POLE LOTS SHOWN THUS®REFER TO "NAP OF STERLING MANOR" FILED 1N THE SUFFOLK COUNTY CLERKS OFFICE 0 JUNE 18, 1873 AS FILE NO 53. LOTS SHOWN THUS®REFER TO MAP OF CHAMPLIN JOHN G., AREA= 11,487 SO. FT. SIXTY LOTS'FILED IN THE SUFFOLK COUNTY CLERKS OFFICE AS FILE NO. 337. LIC NO 49618 ANY AL7ERA77ON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SEC77ON 7209 OF 7HE NEW PECONIC SURVEYORS, P C. YORK STATE EDUC,4T7ON LAW. EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER70CAT70NS (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR P.O. BOX 909 THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 20-029 0 ACOWLYDATE(MMIDDN-t-Y) CERTIFICATE OF LIABILITY INSURANCE 08/17/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on I this certificate does not confer rights to the certificate holder in lieu of such endorsoment(s). PRODUCER CONTACT NAME: Kirk Associates LTD °N 4 Ext): 631-727-7767 1C N®;631-727-7941 18 First Street E-MAIL eric.kirk farm-famil .com ADDRESS: @ Y Riverhead, NY 11901 ______ INSURERLS)AFFORDING COVERAGE _ —_ NSIC# INSURER A: Farm Family Casualty Insurance Company 13803 INSURED INSURERB: United Farm Family Insurance Company 29963 Maynor Betanzo INSURER C: DBA Betanzo Carpentry INSURER 0: 152 Mill Rd ----- __—_-- __ INSURER E: Riverhead NY 11901 ---------� �--- -- ------ � - -- -------- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN-REDUCED-BY PAID CLAIMS ifdsR - - -------- - - - ADDL SUBR — —------ POLICY EFF 15Q fCY EXP ------ -- —— LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH $ 1,000,000 , A X X 31021_9018 06/29/2020 06/29/2021 — 1 CLAIMS-MADE OCCUR ; DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) _$ _ 5,000_ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 ' � PRO- 7 ' POLICY ) � JECT LOC I PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY ( COMBINED SINGLE LIMIT $ Ea acc den$___-- ---.._..---- ------ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED j BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLYPer accident $ UMBRELLA LIAB OCCUR -EACH-OCCURRENCE $ EXCESS LIAB CLAIMS-MADE, AGGREGATE $ DED RETENTION$ I $ WORKERS COMPENSATION TPER OTH- B AND EMPLOYERS'LIABILITY YIN I 3102@9082 06/29/2020 06/29/2021 — srAru rE ____LER_ ___—____ OFF CER RIETO JPARTN DEDXECUTIVE E i N l A E,L EACH ACCIDENT _ $ 1_00_,000 - (Mandatory in NH) i E L DISEASE_-EA EMPLOYEE $ — - 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 500,000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 161,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Po Box 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold ,NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Kirk Associates LTD O 1988-2015 ACORD CORPORATION. All rights reserved.' ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SURVEY OF PROPERTY N A T GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-34-03-52 ' SCALE: 1'--20 � LOT 13 JUNE f0, 2020 \\ \ \\ LOT 12 \ LOT 11 \ \ �A I� MEND 1.6'N " \ �� wpu s 1.1.V •3�'oO � G GE �µg� P pY \, ul+ S GARAGE COR. R� DR OXN Q GMF LATTICE FEN. ATTACHED\ MEND 0- WALL COR, TO SIDE OF CONCRETE \ 0.3'E OXN BLOCK RETAINING WALL \ MEND 0.3E \ j \ " Q' \ O \ �• \ LOT 14 \ LOT 13 LOT 12 \� g \\ CONC. Q COVER \\ Zo N'o \ PROPANE TANK71 o G) 0 [v�� MEND MSE UNDER , to, OSE CONSTRUCTION \\ o� FR IHOVSE CE ^� •V1 R/0 PORCH CMF C , J UNDER y + CONSTRUCTION o\ ao•�5, Oy "W ovy GMF S DOGE OF Pp KEY �wG �j Q = REBAR ,O V ® WELL ® = STAKE = TEST HOLE ® = PIPE E! = MONUMENT f = WETLAND FLAG CD-� = U77LITY POLE LOTS SHOWN THUS ® REFER TO "MAP OF STERLING MANOR" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE 0 JUNE 18, 1873 AS FILE NO. 53. LOTS SHOWN THUS®REFER TO "MAP OF CHAMPLIN JOHN G., AREA= 11,487 SQ FT. SIXTY LOTS" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ASftN . FILE NO. 337. C. NO. 49618 ANY AL7ERA77ON OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW PECONIC SURVEYORS, P.C. YORK STATE EDUCA77ON LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER77nC47701VS (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAD MAP OR COPIES BEAR P.O. BOX 909 THE IMPRESSED SEAL OF TIME SURVEYOR WHOSE SIGNATURE APPEARS HEREON. 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 ��-029 WINDOW SCHEDULE NO. QUANTITY MANUFACTURER MODEL NO. TYPE CONDITION FINISH HARDWARE ROUGH WIDTH ROUGH HEIGHT REMARKS 100 1 MARVIN TBD. Double Hung REPLACEMENT MATCH EXISTING MATCH EXISTING 214" 3110" 101 1 MARVIN TBD. Double Hung REPLACEMENT MATCH EXISTING MATCH EXISTING 214" 3110" 102 1 MARVIN TBD. Double Hung REPLACEMENT MATCH EXISTING MATCH EXISTING 214" 3110" 103 1 MARVIN TBD. Double Hung REPLACEMENT MATCH EXISTING MATCH EXISTING 214" 3110" x- 104 1 MARVIN TBD. Double Hung NEW MATCH EXISTING MATCH EXISTING 214" 3110" W 105 1 MARVIN TBD. Double Hun REPLACEMENT MATCH EXISTING MATCH EXISTING 214" 3110" 106 1 MARVIN TBD. Double Hung REPLACEMENT MATCH EXISTING MATCH EXISTING 214" 3110" 200 1 MARVIN TBD. Casement REPLACEMENT MATCH EXISTING MATCH EXISTING 214" 310" INCLUDE DOUBLE HUNG MID RAIL, EGRESS COMPLIANT Z W v 201 1 MARVIN TBD. Casement REPLACEMENT MATCH EXISTING MATCH EXISTING 214" 310" INCLUDE DOUBLE HUNG MID RAIL, EGRESS COMPLIANT 202 1 MARVIN 3 TBD. Custom NEW MATCH EXISTING MATCH EXISTING 8'10 3/8" W O 2'0" TEMPERED GLASS W 0 ALL WINDOW AND DOOR UNIT SIZES TO BE VERIIFIED IN FIELD BY ^ CONTRACTOR BEFORE COMMENCEMENT OF ORDER �� W W VJ W oz ry d m —1 LO O D LO �_ O U) REVISION- 10/09/2020 s AS CONSTRUCTED -20 1 1 t A-30D A-300 A-300 RENOVATION AND DORMER I I I ADDITION TO MAIN HOUSE I I I I I I I I I I 1 I I I I I I I PROPOSED BRICK STOOP AND I I STEP 1 I I I I I I I I PROPOSED BRICK I W EGRESS WINDOW- _ - i i STOOP AND STEP i ^ SILL HT.MIN.44" LLQ I 1 NEW(3)2X6 I NEW POST � POST I AABOVE NEW(3)2X6 POST I I 5 8 i L_ W 1z_ z PROPOSED BATHROOM- I I I z JPOSTABOVEWON Lp110 HEADER 104 IZ (pN 'W -\- --- - --- - O Q ~ z - -- 2'-6"DOOR STACK ti N iv Lineh q c I UP REF. / I N � - KITCHEN 1 w m = Shvls •- LL I t �, W/D / �4�--r j/� DESIGN BY I = LLCO N - Line of - = N ( -_ J �� a OTHERS BLOCK EXISTING - - -- I n X Dormer m 1 /2'-0112" o FOUNDATION WALL AS v 1 u� Q \\ / I u' cv I o w REQUIRED \ ( BATH. 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