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Home My WebLink About26328-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27479 Date: 12/18/00 THIS CERTIFIES that the building ADDITION Location of Property: 37300 MAIN RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 85 Block 3 Lot 5.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 7, 1999 pursuant to which Building Permit No. 26328-Z dated FEBRUARY 3, 2000 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 & ALTERATIONS FOR AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to PHILIP G HORTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-070147 12/12/00 PLUMBERS CERTIFICATION DATED N/A A ho zed Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26328 Z Date FEBRUARY 3, 2000 Permission is hereby granted to: PHILIP G HORTON PO BOX 306 PECONIC,NY 11958 for CONSTRUCTION OF AN ADDITION AND ALTERATIONS FOR AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. at premises located at 37300 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 085 Block 0003 Lot No. 005 . 001 pursuant to application dated JUNE 7 , 1999 and approved by the Building Inspector. Fee $ 150 . 00 Aut orized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of--a-rt-bu-fidings, 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 o� Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .2541 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . .1'9,Icq/Oc?. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . A. . . . . . . . . Location of Property. . . .�J��? . . . . . . . . . . . . .(ICI)Q. . . . . . . . . . . . . . . �t�1C . . . . . . . . . . . House No. ( Street Hamlet Onwer or Owners of Property. . . . . . �,' �-�. . � 2�ier.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . 44 s®o . . .Block. . . . . ..5. . . . . . . .Lot. . . . ;5rd� . . . . . . . . . . Subdivision.. . . . .rr�. . . . . . . . . . . . . . . . . . . . . . . . .ss.��. . . . .Filed Map. . . . . . . . . . Lot. . . . . . . . . . . . . . . . . . . Permit No.s,.t�( pJ0.7JQ Date Of Permit. .p:aJ:Qq . . . . . .Applicant. . � P /��1W. . . Z rt: . . . Health Dept. Approval. . . . . . . G'aJU!5. . . . . . . . . . . . .Underwriters Approval. . . . . ll. . . . . . . . . . . . . . . . . Planning Board Approval. . . . (�/.l�. . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .[.: . . . . 06 Fee Submitted: $. . . . . . ��.. . . . . I . . . . . . . . . . . . G�� ' s$yaI . . . . . . . . . . . . . .. . . . . . . . . . . . . . co Z �1-?v 71 APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8051570 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date DECEt MR 12,2000 Application No. on fde 11013600100 }i 070147 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above,application number is in the premises of CHARLES VANDUZER, 37300 I4AIN ROAD, PECONIC, NY in the following location; ❑ Basement MIR(Fl. ❑ 2nd FI. Section Block Lot was examined on DEMMER 04,2000 and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHESFIXTURES I RANGES I COOKING DECKS I OVENS DISH WASHERS EXHAUST FANS OUTLETS I INCANDESCENT FLUORESCENT t OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT, N.P. 7 10 3 1 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALREC'PT.1 TIME CLOCKS I BELL IUNIT HEATERSM SVS EMS ET DIMMERS AMT. K.W. OH N.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT, WATTS SERVICE DISCONNECT NO.OF S E R V i C E - METER NO.of COND. A.W.G. A.VOL .W.G. { AMT. AMP. TYPE EQUIP. 1 0 RW 1 0 JW S 0 3W 3 0 dW pER 0 OF CC.GOND. NO. HIAEG OF HI LEG NO.OF NEUTRALS OF NEUTRAL I OTHER APPARATUS% C. VANDUZER Iokw L L P, 0. BOX. 16 PECONIC tyyp 11858 GENERAL �MAN�A9R Per This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be Identified by their credentials. )IF011111111affralm3FLUM NMS lm;Bill SRI IRS Biligs i DOPY FOR BUILDING • NT.'THICERTIFTC. T MUST" NOT BE ALTERED IN ANY MANNER r- ii._ —--� . - - - - - 5 .•�-- _- __ It ,t' H V� )ATION 1ST) II II ry� - '- --' II --jj- - '---_- - - .. .- -'- - - -' -- _-.' -__'- '----- - - --- '1'I It I u °---------- )ATION OND) it 11 A FRAME PLUMBING it -- ir— �� II • �—____ it 71 11 II _ II II N � _ LATION PER N. Y. I TATE ENERGY CODE ri N • 111-gyp � 11 II I n H II it n l i If n r �I FINAL I ADDITIONAL COMMENTS: a — � W H 0 z i --------------------- --------------------------------------------------- 1 Dec. 13 '00 13:02 CHUCKS FIBERGLASS FAX 516-734-7654 ! ApP1 ICON :Please take caro to 0 out A4.Uf Bw i- red h' hN � � �\�,'•at '1s;4 19 9ftteli boxes.Tfris will insure a p t ( ,`•. Ibmp efficient response,Thank� � u. '• ,•{'-f t IU}M1.. '.,l i'•.l'(+y•l�•�ts:'.:.' ..a\h �Z•.•; s' wf'} •.Y"AI ti..i iN - ,:ia: -. '4!$,11 .�; .t'Sl-i,ll• :uKiL°' Se .. 1.. •nf r ' :1:'- a'�., 4,'.., :S 4, �inlii'��.T,+-y�. .;i. '�-? ..C., -• 1..i'j.<' dr.r.� . � l"A.lt'�f•'�!.•�`-7'. owns,. wvaE: �':'': ' `� ,NAMR ay �'l mfr '.�+rti'tr,dri! awoeaAaerNu� _ pji� e,° BTRiaTt ci BrATe I�'�S aarE '- rn,�---=--_...._. •.;�' ' . r;r' .;i;. , PHONA . EBO/,IOa,N.ytApeR . POW NDNNIT .SW OFMO . . pm4fO' aEGTION "—`---�— NUMBER BLOCI( lOT • . . .. CIIARian!RMa�ORE UsTEtamickocitlCEa FGR '.oeAPaaeD btppt ep NTaCfI INeaECTIGNts Raot,;-aTav . . OATa WORK TO a[afAAfEo --—�_ �_ „•,, GR OONPIEfaq ' �,S�,at—� aiw�caamReeuKDws •� ,,p IilrleiNroOgNDa110RDa,ID ja 77T;t 614 TNIB APPUCATWN 19 INTENDED TO COVER THE ABOVE-UBTED EOlNPA1PNT To�ePEOlio:9Ai�INaPEc �� O��OaafnED �','9S GNtORAeNaARAd.P{gJeWll) P ABOVE UeTEq rbuARipUrypRKEpgp N,Y{ETNfi W9pEODpr/AND THERE nt FOUND AOVIIBTTHfi faE TO DOVFRTHE nON, . ADFaa1/II eakme NN tlsar� AbDITI0NA1.fiOU11MtENT,Aa PtB)Vlbap Br TM'NkoawalaMoakn.um�game Iron k�x.a nao,a�pBeans�s BSlna awBka ePPeaellOa le VF,NtlfaaOedad aaemWAp vne Suer Ram dwdw nwlria MUBTENTER APP.UCANT'9 1r wMeBmra. :tOAti,,PIC,OgNNUMBFA-► -f�: ,. I ( 'I. f - A ' Ar UEtA VINO ANDA MA ION. . , fiery Bi I E AcomONAL IAAr NAM - G PO ICE CIeD PVOoa abw NNw VORIGNr low f7,8-_Ceppy.Y,NwY ryAwrleBN4NhL paRgr LaM Ekon Rued aa0a ftKAV&k^Sun p� 12w)apr.B70o P,gAaea,ra OB 1s is�aaS�io ROCNXMR,Nruert 4aYR BE taQOB . NEW YORK BOARD OF FIRE UNDERWRITERS 'aa �' o�OeOVFOLI( �� Dy Town Hall,53095 Main Road o Fax(516)765-1823 P.O.Box 1179 4 Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 8 , 2000 Charles Van Duzer P .O. Box 16 Peconic, NY 11958 RE: Philip Horton, 37300 Main Rd. , Cutchogue To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) XX No Underwriters Certificate on file . XX The check is (not on file . ) $50 . 00 No Health Department Approval on file . No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26328-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-1002 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY 1-1�- REMARKS: a 1 i e 3�v V 4 c DATE INSPECTOR 765-1802 B DING DEPT. SPECT' ®N [ OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &CCHIMNEY REMARKS: re � DATE 41171W) INSPE Fi A 4MNG BOARD MEMBERS gUFF0(,1 CQO Town Hall, 53095 Main Road BENNETT ORLOWSKI,JR. �� .fi P.O. Box 1179 chairman c Southold,New York 11971 WILLIAM J.CREMERS CIOM Fax(516) 765-3136 KENNETH L.EDWARDS Oy �� Telephone(516)765-1938 GEORGE RITCHIE LATHAM,JR. RICHARD G.WARD PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 25, 1999 Charles Van Duzer 540 Mill Creek Drive Southold, NY 11971 RE: Proposed site plan for Chuck's Fiberglass Service SCTM# 1000-85-3-5.1 Dear Mr. Van Duzer: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, May 24, 1999: WHEREAS, Charles Van Duzer is the owner of the property known and designated as SCTM# 1000-85-3-5.1, located on Main Rd. in Peconic; and WHEREAS, a formal application for the approval of this site plan was submitted on May 3, 1999; and WHEREAS, this approval is for the construction of a 440 square foot addition to an existing office and work shop; and WHEREAS, the Southold Town Planning Board, acting under the State Environmental Quality Review Act, (6NYCRR), Part 617, makes a determination that this project is a Type 11 action and not subject to the provisions of the State Environmental Quality Review Act (SEQRA); and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; be it therefore RESOLVED, that the Southold Town Planning Board grant conditional final approval on the surveys dated January 22, 1999, and authorize the Chairman to Page 2 Proposed site plan for Chuck's Fiberglass Service May 25, 1999 endorse the surveys subject to fulfillment of the following conditions. These conditions must be met within six (6) months of the date of this resolution: 1. Certification by the Building Inspector. 2. Review of Architectural Review Committee comments by Planning Board. Please contact this office if you have any questions regarding the above. Sincerely, t Bennett Orlowski, Jr. Chairman cc: Building Dept. Partitions Acoustical performance_ __ Folder Detail&physical data Description&test no. STC Description&test no. reference Wood framed Wall Systems—Gypsum Drywall or Veneer Plaster(continued) Wood Stud Partitions(Load-Bearing)—1-Hour Rating r-,---�-+—^ Wit Stud—resilr 24l SHEETROCK brand panelsnorar DEC 50 BBN-760903 SA924 100 TQM core-2x416"or24"oc-3"TNERMAFIBER SAFB—RC-1 chan or equiv SA924 ' r n one side,spaced 24t so panels app honz&aft to channels—end joints t tI SII ' ,i. backblecketl with flCt Chan with l"Type S screws--opp side direct .. all with JS'Type W screws—joins fin—perimeter caulked—UL Des U311 ttA, wl7 Wood Stud Partitions(Load-Bearing)—2-Hour Rating Wet Stud-2 layers W,SHEETROCK brand gypsum panels,FIRECOCE NIA SA924 101 T --• -'- cors or E core,or SPIT rid gypsum panels,water-resistant, SA928 FI Saud care,Or c—base l Vinyl-Faced Gypsum Panels,FmECOpE Core, 1 5 6 fa a layer x416"o o—base layer aft with fin nails 6"o AI face layer all wdh 2%"nmis 8"o.c.—Imnts fin—UL Dos U301 t wt.12 h T -^ We Soul layers R SHEETROCK brand gypsum panels,FIRECODE C 59 TL-67-239 SA924 102 core,ea side-2x416"o.c.-2"TNERMAFIBER SAFB—RC-1 chan or angry 49 Based on same construction without 6" C (j(}(1 one side,spaced 241oc—msd side screw aft—ople side nail aft—both base SAFB—TL-67.212 " 'f '�" 11 O I layers appl vert and face layers appl horiz—reel)layers perim t caulked—joints On UL Des U334 r wt 12 ` rg Wit Stud-2layers WSHEETROCK brand gypsum panels,FIRECODE0 56 USG-810219 SA924 103 " core,ea side-2x416 o.c.-2"TNERMAFIBER SAFB—RC-1 chan or equiv 52 Based on same assembly Boddie rated) at s, one tilde,spaced 24'OC.—resll side screw ett—epp side nail aft—hath base without SAFB—USO-810218 layers appl vert and face layers appl honz—read layers perim caulketl—1 me fin UL Des U334 wt.13 ' ;- Double Stud Chase Wall(Load-Bearing)-1-Hour Rating h;( Stag pa Stud—H"SmaxTROCsbrand gypsum panels FIRECODE with 6d c N/A SA924 104 2x4 spaced 24"Oicscrews max on as side of aul x6 cora plate—panels alt wdh 6tl cid SA924 nails or 1 N"screws 7"o.c.—perim caulked—joints fin—UL Des 0940 6s/e" Double Stud Chase Wall(Load-Bearing)—2-Hour Rating ^—^ Wd stud-2 layers W SHEETROCK brand gypsum panels,FIRECODE core, SA924 105 outside,both sides—T SHEETROCK brand gypsum panels,FIRECODE care, inside,both sides-2x4 Wd studs 24'Qk. UL Des U342 v-•^'^"^"'r Alternate based on 7/'SHEETROCK brand gypsum panels,FIRECODE C ears, 57 3'/:'glass fiber both walls—TL-73.224 N/A 106 12Y<' bath outside double layer A inside single layer—GA WP 301D Alternate based on W SHEETROCK brand gypsum panels,FIRECODE C core, 57 31/:'glass fiber both walls— N/A 107 outside double layers only—CA WP 3812 based on TL-73-224 i Double Stud Chase Walls(Non-Load-Bearing)—l-Hour Rating t Stag Wd Studer"SHEETROCK brand gypsum panels,FIRECODE 54 Based on screws or nails 7"oe.— SA924 108 caret-2.3nonnailed 7"aring studs ERMFIBEx3platesne TL-77.149 apart—panels nailed 7"o c—3"TNERMAFIBER SATS one side—joints 7ys•. T fin—perim caulked—est Om rabng based on UL U340 Des U305 and 0340 11 II 'il 3 i J� w18 iy. Stag Wd Stud—N"SHEETROCK brand gypsum panels,FIRECODE 45 Based on FIRECODE core panels— SA924 100 w care-2x4THERMc on BER SA B one e--jewri aft with 6d cid nails 7" iL-69.213 o.c.-2"THERMAfiBER SAFB one side—perim caulked-7omis 6%" 11n—esf,fire rating based on UL Des U305 Wit Stud—base layer/"SHEETROCK brand gypsum panels—face layer 55 Based on 114"THERMARBER SAM N/A 110 a% T '%SHe layerK on Studs 1panels,CAECODE core,laminated Incavity—C8HBW32ST t•'' to base layer-2x4 wd studs l6"o c—GAWP 55111 9n ij.. SAIDOIIISG Corporation 15 12/22/1999 01:50 5162498272 REINFORCD PLASTICS PAGE 01 MATERIAL SAFETY DATA SHEET EXXON CHEMICAL AMERICAS CHEFA Olr1110A YI E%%CM CHEMICAL COMPA14YO A Clrlrlen p/ EXXON CORPORATION PAGE: ACETONE DATE PREPARED: MAR i f M50S NO , : 92030 SECTION 1 CHEMICAL PRODUCT AND COMPANY IDENTIFICATION PRODUCT NAME : Acetone CHEMICAL NAME: CAS 67-84•-1 2-Propanone � $ CHEMIOAL FAMILY ; Ketene pR000CTtlESCRIPTiON; ik Clear colorless 1'lquid with a characteristic pungent odor. ' CONTACT ADDRESS; EXXON CHEMICAL AMERICAS P.O. SOX 3272, HOUSTON, TEXAS 77253-3272 ** EMERGENCY TELEPHONE NUMBERS: 24 Hours ** CHEMTREC (800) 424-9800 "* ** EXXON CHEMICAL AMERICAS (800) 726-2015 ** NON EMERGENCY TELEPHONE NUMBERS ' Bam-Spm M-F FOR HEALTH AND SAFETY INFORMATION CALL : (713) a70-6884 FOR GENERAL PRODUCT INFORMATION GALL % (713) 870-6000 SECTION 2 COMPOSITION/INFORMATION ON INGREUTENTS ' This product is hazardous as defined in 29 CFR1810. 1200. R1 tl_S ,A HAZARD . Flammable PEL: TLV Eye irritant. SECTION S HAZARDS IDENTIFICATION POTENTIAL HEALTH EFFECTS EYE CONTACT: Irritating.. and will injure eye tissue if not removed promptly. SKIN CONTACT: :+ Frequent or prolonged contact may irritate and cause dermatitis. d_ Low order of toxicity. INHALATION: Vapor. concentrations above recommended exposure levels are irritating to the eyes and the respiratory tract, may cause headaches and diZZlness. ,Arey anesthetic and may have other central nervous system effects. � INGESTION: Minimal toxicity. Small amounts of the liquid aspirated into the respiratory ,system during Ingestion. or from vomiting. may cause bronchiopneumonis or pulmonary edema. SECTION 4 FIRST AID MEASURES EYE CONTACT: d Immediately flush ayes with targe amounts of water ?Or At least- iS minutes. Get prompt medical attention. Continues on page 2 $- 4: • _ _NY _aYYM YTYW Yar_'I�r__rT_Y—,w_wYY`N_a_-----_ar_YinNwM`YaN_aJr�_YYw Y warn Y SZICtION IL INGREDIENTS a_r � -r _ Nom..-� ..._NYNYaa._aY ..—e._r,�w.. ,i...a,w....r...----.r----.........+ia�rr�r r.._..� Yom. 1 n !�( UNSATURATED POLY 5TER RES GASM PROPRI IN� E5, � �✓ ON LSCA INVENTORY ` PCT BY WT n 5t) - 6+` EXPOSURE LIMIT! NONE ESTABLISHED 1 ACGIH T1_V/TWA* NOME. ESTABLISHED Y_Y___- OSHA PE,L/TWAT ----------------------__Y„�` 'i CAS! p�u1J?x42"5 4.5C",,, MHG.,=D”°bt'1F . STYR- - MONOMER VAPOR PRESSURE. PCT BY WTA 41 .^IOU EXROSURS LIMIT: 5- "PP'M ' (5KIN) (213 MG/CU•M• ) l ACGIH TLV/TWA; --- PPM , (SKI N) (4E6 MG/CU.M• ) ACGIH TLV/.STECS 10^ PPM OSHA PEL/TWA' ACCa PTABLE CMILY NG C(7NCC-':NTRATION � - OSHA PEL/CEILING: ACCePTABLE PEAK (5 MIN/.) HR) C)SHA PVL/STEL: A. 37 G/KG (RAT) LDS"' • ORAL: y5 G/K;;, (RA681T) 1,,.667• DERMAL: LCLO: SOU_a 'VPPM/8H_(RAT)_r_-_Y__a_ ,e r& �1 t ♦ $y4,. Y 12/721,1999 01:50 5162456272 REINFORC17 PLASTICS PAGE 02 COOK COMPOSITES AND POLYMERS CO. MATERIAL SAFETY DATA SHEET ,2 M040423282 e ..,, ---------- -------------------- -.—.»+u....----..........—r....-----------.«_�____ SECTION III PHYSICAL DATA -------------------- .-------------_------------------ .---------- ----------- BOILING --_....--- _ .__. _ ._-__BOILING RANGE: HIGH- -N/A F LOW- 29.3*01 F VAPOR PRESSURE: SEE SECTION It THEORETICAL WEI(iHT PER GALLON. CALCULATED: 9*124,11 LB/GL THEORETICAL SPECIFIC GRAVITY* CALCULATED: I .?961) MAXIMUM THEORETICAL VOC* CALCULATED: 3.7620 LS/GAL -- IF APPLICABLE * SEE SECTION IX FOR FURTHER VQC INFORMATION-- PHYSICAL STATE: LIOUlb APPEARANCE: CLEAR PINK VISCOUS K' ODOR: PENETRATING ODOR THRESHOLD: -N/A PH: -N/A FREEZING POINT: —N/A v WATER SOLUBILITY: -N/A COEFFICIENT OF WATER/OIL DISTRIBUTION. -N/A MECHANICAL IMPACT EXPLOSION: -N/A }- STATIC ELECTRICITY EXPLOSION: -N/A �1 ---- --.. -- ----------------------------- --,.------- --, .._ -- ' SECTION IV Flke AND EXPLOSION HAZARD DATA FLASH POINTS 23 To 73 DEG* F* *SHA FLAMMABILITY CLASSIFICATION: CLASS 18 r DOT PLAMMA13LLITY CLASSSIFICATION: FLAMMABLE:' LIQUID FLASH POINTS '73 TO 100 DEG* F. � OSHA FLAMMABILITY CLASSIFICATION: CLASS IC DOT FLAMMABILITY CLASSIFICATION: FLAMMABLE LIQUID LOWEST CLOSED CUP FLASHPOINT: 8B.?q DEGREES F LOWER FLAMMABLE LIMIT IN AIR: LOWER- I *10 X BY VOLUMe= DOT SHIPPING NAME: FLASH POINTS 23 TO 7.3 DEG. F* = R SIN SOLUTION* 3* UN1866* PG It FLASH POINTS 73 TO IJO DEC:* F* - RESIN SOLUTION, 3* UN1566* P.i III i I:XYINGUISHING MEDIA: FOAM* CARBON DIOXIDE. DRY CHEMICAL* WATER FOG* UNUSUAL WIRE AND EXPLOSION HAZARDS: IF POLYMERIZATION TAKES PLACE IN A CONTAINER* THERE IS POSSIBILITY OF ' VIOLENT RUPTURE OP THE, CONTAINER* VAPORS ARE UNINHIBITED AND MAY FORM! POLYMERS IN VENTS OR FLAME ARPESTOI' S OF STORAGE TANKS RESULTING IN 12��22i 1 SSS 81.❑8 0182l3827Z R@SIJI`GRdL I'LA8TSC5 �Q'U� 85 , �� P A.G!_ COOK COMPOSITES AND POLYMER$ CO. MATERIAL SAFETY DATA SHEET Mei 4D42'3282 -r STOPPAGE OF VENTS. VAPORS MAY CAUSE FLASH FIRE• KEEP CONTAINERS TT4HTLY CLOSED AND ISOLATE FROM HEAT• ELECTRICAL ,EQUIPMENT• S:PA.RKS AND ' '" FLAME* NEVFR USE WELDING OR CUTTING TORCH ON ORNeAR ORUM.�4,EVk,M EM,PT,Y�)� OECAUSc PRODUCT (EVEN JUST RESIDUE) CAN IGNITE EXPLOSIVELY. SP=CIAL FIRE FIGHTING PROCEDURES: FULL PROTECTIVE EQUIPMENT INCLUDING SELF-CONTAINED BREATHING APPARATUS' SHOULD EAE USED. WATER SPRAY MAY BE INEFFECTIVE• IF WATER 15 USED, ,'FOG, - NOZZLES ARE PREFERABLE. WATER MAY BE USED TO COOL CLOSED CONTAINE'RSt-TY;1 PREVENT PRESSURE BUILD-UP AND POSSIBLE AUTO-IGNITION OR EXPLOSION -WHEN"`= EXPOSED TO EXTREME HEAT. **ADDITIONAL TRANSPORTATION INFORMATION: NMFC ! 14996O/SUB 2 RESIN COMPOUNDS . LIQUID LTL CLASS SS - -- SECTION V HEALTH HAZARD DATA - EFFECTS OF EXCESSIVE OVEREXPOSURE. PRIMARY ROUTES OF ENTRY ARE: EYE CONTACT: IRRITATION. SYMPTOMS ARE TEARING• REDNESS AND DISCOMFORT, SKIM CONTACT! IRRITATION. CAN CAUSE DEFATTING OF SKIN WHICH MAY LEAD TO DERMAT.ITIS., ' INHALATION: IRRITATION TO NOS`.`. AND THROAT. EXTENDED OR REPEATED EXPOSURE TO tl}N ty. CENTRATIONS ABOVE THE RECOMMENDED EXPOSURE LIMITS MAY.;CAUSE aRAIN OR NERVOUS SYSTEM DEPRESSION* WITH SYMPTOMS SUCH AS DIZZINESS, HEADACHE,;., OR NAUSEA AND IF CONTINUED TNDEFTNITELY•, LOS'S OF CONSCIOUSNESS♦ LIVCRIll, AND KIDNEY DAMAGE. ... R�!PORTS HAVE ASSOCIATED REPEATED AND PROLONGED OCCUPATIONAL OVf.R- b EXPOSURE TO SOLVENTS WITH PERMANENT BRAIN ANO NERVOUS SYSTEM DAMAGE* I NG!^ST ION! MAY CAUSE MOUTH, THROAT• ESOPHAGUS AND STOMACH IRRITATION. NAUSEA• VOMITING AND DIARRHEA• ASPIRATION INTO LUNGS CAN CAUSE PNE,UMON'I,TIS « WHICH CAN BE FATAL. MEDICAL CONDITIONS THAT MAY BE AGGRAVATED BY EXPOSURE TO THIS PRODUCT. PREEXISTING EYE• ',SKIN, LIVER* KIDNEY AND RSSPIRATORY DISORDERS. N EMERGENCY AND FIRST AID PROCEOURSS: IN CASE OF EYE CONTACT, FLUSH IMMEDIATELY WITH PLENTYOF WATET >x ' LEAST IS MINUTES AND GET MEDICAL ATTENTION: FOR ''SKSN, ,WASH' THOROUGHLY WITH SOAP AND WATER. IF AFFECTED BY INHALATION OF VAPORS OR SPRAY MIST'' REMOVE TO FRESH AIR, IF SWALLOWED* GET MFOICAL ATTENTION IMMEDIATELY. , THIS MATERIAL CONTAINS NO INTENTIONALLY-ADDED INGREDIENTS• -COVERED :BY . THE CALIFORNIA "SAFE DRINKING WATER AND TOXIC ENFORCfcMENT ACT OF 1986" (PROPOSITION 65) , UNLESS SPECIFICALLY STATED UNDER OTHER HEALTH HAZARDS , BY INDIVIDUAL CHEMICAL* x' OTHER HEALTH HAZARDS: "k ' THE INTERNATIONAL AGENCY FOR RESEARCH ON CANCER ( IARC ) HAS RECLASSIFIED yn STYRENE AS GROUT' 2B` "POSST13LY CARCINOGENIC TO HUMANS". : THIS ':NEW CLASSIFICATION IS NOT BASED ON NEW HEALTH DATA RELATING TO EITHER HUMANS OR ANIMALS• BUT ON A CHANGS' IN THE IARC CLASSIFICATION SYSTEM.,;," THE STYRENE INFORMATION AND RESEARCH CENTER DOES NOT ARaRLE WITH THc RECLASSIFICATION AND MAS PUBLISHED THE FOLLOWING STAT'FMENT*,r,� .,"R'ECZNTU'Y PUBLISHFO STUDIES TRACING 5n ■^id^ WORKERS EXPOSED -To, HIGH ,OCCUPATtONA_' II 12,i22l1999 01:50 5162498272 REINFORCD PLASTICS PAGE 05 COOK COMPOSITES AND POLYMERS CO* MATERIAL SAFETY DATA SHEET MG404Z32BZ BEFORE REUSE'.# r!' ---w-----w---- — --w — w-------------w-- ., — ----w------------ -------- SECTION IX SPECIAL PRECAUTIONS wr a r ar ------------------------------------------ --- --'---------.'w-w.-------------------w.-----w--wi----_-a---- -_-------PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING» DO NOT STORE ABOVE ICIf, DEw# F. STORE LARWE QUANTITIES IN BUILDINGS DES145NED TO WITH OSHA 1 #1 .FLAME. KEEPCOMPLY CONTAINERS CLOSED9WHENINOT INEUSEWAY ANDFROM UPRIGHT TOMEAT, SPARKS PREVENTND LEAKAGE# OTHER PRECAUTIONS: CQNTAINERS SHOULD BE 6ROUNOED WHEN POURING. DO NOT TAKE INTERNALLY. WASH HANDS AFTER USING AND BEFORE SMOKING OR EATING. EMPTIED CONTAINER , MAY RETAIN HAZARDOUS RESIDUE AND EXPLDSIVt VAPORS• KEEP AWAY FROM HEATS NOT TAINERS. FOLLOWSALLDHAZARDCE SPARKS PRCAUTIONSEGIVENELD IN THISRDATARSWEETIJNTILN CONTAINER IS THOROU<sHLY CLEkN'D OR DESTROYED. KEt=P OUT OF REACH OF CHILDREN FOR INDUSTRIAL USE ONLY ----------- ----------------------------------,»..a_-..- ------------ --------+w SECTION XX SARA TITLE III INFORMATION ------------------------------------------------------------ THIS ------ ----_-_-- -w ---------------»wTHIS PRODUCT CONTAINS THE FOLLOWING TOXIC CHEMICALS SUBJECT TO THE / `REPORTtNG PeOUIREMENT5 OF SECTIUN 313 OF SARA TITLE III F.MFRGENCY 1 PLANNING AND COMMUNITY RIGHT-TOwKNOW ACT OF 1986 AND OF 4U CFR PART 372# THIS LAW REQUIRES CERTAIN MANUFACTURERS TO REPORT ON ANNUAL EMISSIONS OF :`a SPECIFIED TOXIC CHEMICALS AND CHEMICAL CATEvORIES. IF YOU ARE UNSURE IF ,��,' YOU MUST REPORT OR REQUIRE MORE INFORMATION. CALL THE EPA EMERGENCY PLAN- ;'. ` NING AND COMMUNITY RIGHT-TO-KNOW HOT LINE= sil-535-1212 OR UoZ-479-2449+ STYRENE MONOMER 'CASW- UCUIU0 42-5 a-w _ PCTBY—Wr------- --- -----------------------w--------- __ ----------- w-qww yy w,a-w--------- ------------. _.r M-w,.f'. - - w»r_-rr w- --------------wra a----w------r ------ --------------------- -W, DISCLAIMER AND LIMITATION OF LIABILITY ----------------------- ----------------------------- --- _ _ r -a----w THE PRODUCTS SOLD HEREUNDER SHALL MEET SELLER'S-APPLICABLE SPeCIFICATIQNS""., AT THE TIME OF SHIPMENT. SELLER'S SPECIFICATIONS MAY BE SUBJECT TO CHA_NG- AT ANY TIME WITHOUT NOTICE TO BUYER. BUYER MUST GIVE SELLER NOTICE IN -. . WRITING OF ANY ALLEGED DEFECT COVERED BY THIS WARRANTY (T06E.THER WITH ALL'' ID.=NTIFYING; DETAILS. INCLUDINt* THE PRODUCT COOE(S) • DESCRIPTION AND DATE OF PURCHASE:) WITHIN THIRTY QV) pAPTHE DATE SENW � RPOCCU OR PRIOR TO TcXPIRATIONOFHSHIMENtS ?UALITYLIFE. MCHEYc , FIRST. THE WARRANTY DESCRIBED HEREIN SHALL BE IN LIEU OF ANY OTHER WARRANTY, EXPRESS OR IMPLIED* INCLUDING BUT NOT LIMITED TO. ANY IMPLIED r EROF MERCHANTABILITY FFITNESS FOR PARTICULAR PURPOSE* ARE NO WARRANTIES HATTXENDBEYONDTHDESCRIPTIONOF THE FACEHERCOF+ YMe BUYLR#S SALE AND EXCLU5tVE REMEDY AGAINST SELLER SHALL BE FDR THE RE+�LACFMENT OF THE PRODUCT OR REFUND OF THE PURCHASE PRICE IN THE EVENT THAT A DEFECTIVE CONDITION OF THF PRODUCT SHOULD HF FOUND TO EXIST 8Y ' _ (INCLUDING• BUT NOT LIMITED TO• INCIDENTAL OR SELLER. NO OTHER REMEDY CONSTQUeNTIAL DAMAGES FOR LOST PRORITS, LOST SALES• INJURY TO PERSON OR PROPERTY, OR ANY OTHF'R INCIDENTAL OR CONSEQUENTIAL LOSS) SHALL BS AVAILAS� TO THE BUYER- i^ ,.a 12j 22'1555 ,81.40 ^J182a7G2T2 RL*SIJI'6Ri,L �LASTti,� / !'AdC G8 ;} , Ar k* k*11RfvAt rbk*rt*? COOK COMPOSITES AND POLYMERS CO• MATERIAL SAFETY DATA SHEET MD 421423262 THE SOLE PURPOSE OF THIS EXCLUSIVE REMEDY SHALL BE TO PROVIDE 9UYER WITH REPLACEMENT OF THE PRODUCT" OR REFUND OF THE PURCHASE PRICE OF THE PRODUCT IF ANY DEFECT IN MATERIAL OR WORKMANSHIP IS FOUND TO EXIST* THIS EXCLUSIVE REMEDY SHALL,. NO BE OFEMED TO HAVE: FAILED ITS ESSENTIAL PURPOSE SO LONG AS ' . SELLER IS WILLING AND ABLE TO REPLACE THE DEFECTIVE PRODUCTS OR REFUND THn '.f PURCHAS PRICE* r� V xk j4 4 Y t4 �y 5 . a MATERIAL SAFETY DATA SHEET` INHALATION PREPARED BY: Environmental, Health and Safety Department Can cause nasal and respiratory tract irritation. Can cause CNS effects including fatigue,weakness, MSDS PREPARATION DATE: 12-17-98 headache,dizziness, nausea,vomiting,unconsciousness,coma,respiratory failure and death. Prolonged exposure can cause hearing impairment. SECTION 1 -CHEMICAL PRODUCT AND COMPANY IDENTIFICATION INGESTION MANUFACTURER U.S.PAINT CORPORATION Can cause irritation of the digestive tract,nausea,vomiting and diarrhea Aspiration of material into the lungs ADDRESS 831 S. 21 St Street can cause chemical pneumonitis which can be fatal. St. Louis, MO 63103-3092 POTENTIAL CHRONIC HEALTH EFFECTS -Prolonged and repeated breathing of vapors,spray mist ari sanding dust over a period of years may INFORMATION 314621-0525 cause diseases of the lungs. EMERGENCY CHEMTREC 800-424-9300 OR 703-527-3887 -Heavy extended industrial exposure to the dust of barium sulfate may produce a benign pneumoconiosis, termed baritosis. PRODUCT CLASS- MODIFIED POLYESTER RESIN -Chronic overexposure to iron oxide fumes or dusts has been associated with x-ray changes of the lungs, however,It does not result in illness Changes are due to a benign lung condition called siderosis or Iron TRADE NAME AWLGRIP'LINEAR POLYURETHANE TOPCOAT-GLOSS pigmentation. -Reports have associated repeated and prolonged occupational overexposure to solvents with brain and PRODUCT CODE G & H LINES-LEAD FREE nervous system damage.intentional misuse by deliberately concentrating and inhaling this product may be harmful or fatal. SECTION 2-COMPOSITION, INFORMATION ON INGREDIENTS TARGET ORGANS WEIGHT ACGIH ACGIH OSHA OSHA OSHA SKIN LO_ INHALATION VAPOR Overexposure to this material or its components has been suggested IS;a cause of the following effects in % TLVRWA TLV/STEL/C PEL/TWA PEVSTEL CEILING DESIG. gAg LC. PRESSURE laboratory animals and/or humans,and may aggravate pre-existing disorders of these organs in humans: (PPM) (PPM) IPM) (PPM) (PPM) NATION (PPM/hr) Mm Hg _ @20oC) Reproductive system abnormalities,Anemia,Birth defects which may include:fetotoxicity,embryotoxicity, COMMON NAME CHEMICAL NAME CAS# infertility and fetal malformations,Blood disorders,Cardiac abnormality.Eye damage,Kidney damage,Liver abnormalities,Lung damage,Menstrual and fertility disorders,Skio damage,Spleen damage,Testicular DIISOBUTYL KETONE 2,6-DIMETHYL-4HEPrANONE CASA 108-83.8 damage,Respiratory system,Gastrointestinal(Oil tract,Central nervoussystem(CNS). 2-4 25 NE 25 NE NE NO 5.8(21 NA 1.7 SECTION 4-FIRST AID MEASURES ETHYLENE GLYCOL MONOETHYL ETHER ACETATE 2-ETHOXYETHANOL ACETATE CAS# 111-15-9 PRIMARY ROUTES)OF ENTRY (X)SKIN (X)BREATHING (X)SWALLOWING 18-27 5 NE 100 NE NE YES 2 9(2) NA 2.0 IF IN EYES: Flush eyes with water for at least 15 minutes while holding eyelids apart; Seek medical XYLENE DIMETHYL BENZENE CASA 1330.20-7 attention. 1-7 100 150 100 150 NE NO 4.3(2) 500014 5.1 IF ON SKIN: Remove contaminated clothing and flush contaminated skin with large amounts of water.If skin PROPYLENE GLYCOL MONOMETHYL ETHER ACETATEI-METHOXY-2-PROPANOL ACETATE CAS#108-65-6 is damaged or if symptoms persist seek medical attention. Launder clothing before reuse. 3-20 100 NE NE NE NE NO 8 5(2) NA 3.7 IF INHALED: If symptoms develop,immediately move individual away from exposure and into fresh air.Seek immediate medical attention;Keep person warm and quiet.If individual Is not breathing,begin artificial NA-Not Available NAP-Not Applicable NE-Not Established respiration.If breathing is difficult,administer oxygen. (t)-Acute Oral LD50.Rabbit (2)-Acute Oral LD50,Rat (3)-Dermal LD50,Rabbit (4)-Dermal LD50,Rat IF SWALLOWED: DO NOT induce vomiting unless directed to do so by medical personnel. Aspiration Of ----___---_._----------------------- material into lungs can cause chemical pneumonitis which may be fatal.If individual is drowsy or unconscious, ........................................................................... place on their side with head down.Seek medical attention.If possible,do not leave individual unattended. This substance is classified as a Hazardous Air Pollutant IHAP). SECTION 5-FIRE FIGHTING MEASURES ........................................................................... This product contains no chemicals listed in the NTP Annual Report on Carcinogens,the IARC Monographs,listed by ACGIH, FIRE-AND PROPERTIES OF THE CHEMICAL NIOSH or regulated as a carcmcgen by OSHA. - ...................�,.„.„„--,,,,....................... (Unless otherwise noted,data are derived from ingredients existing g this formula at concentrations of y This product contains pigments which may become a dust nuisance when removed by abrasive blasting,sanding or grindingweight or greater,i.e.,the flashpoint given is the lowest flashpoint of the ingredients listed in section 2.) Airborne nuisance particulates have an ACGIH TLV for Total Dust of 10 mg/M3. ........................................................................... Flammability Classification. .. ..: 1C DOT: FLAMMABLE LIQUID This product contains one or more reported reproductive toxins or suspectexperimental reproductive toxins. Flashpoint... . ... .. ...... 27'C 80.00 'F ......................................................................... . Explosion Level.... . .. . .. . low - .80 High - 7.00 This product contains one or more reponed teratogens or suspecUexpeximental teratogens : Flammability Limits...... .. . Lower --NIA Higher--NTA ........................................................................... : SECTION 3-HAZARDS IDENTIFICATION EXTINGUISHING INGISIAuto-ignition Temperature.. .. .. :370•C 715'F POTENTIAL ACUTE HEALTH EFFECTS: Use car DISHING MEDIA EYES Use carbon dioxide or dry chemical for small fires;alcohol-type aqueous film-forming foam or water spray for large fires. Water may be ineffective but should be used to cool fire-exposed structures and vessels. May cause moderate irritation,redness,tearing,and blurred vision. May cause burns. SKIN UNUSUAL FIRE AND EXPLOSION HAZARDS Prolonged or repeated contact can cause moderate irritation,defatting,and dermatitis. Material is readily Keep away from heat,sparks,and flame.Do not smoke.Extinguish all pilot lights and turn off all sources of absorbed through the skin in toxic amounts. Skin contact of high concentrations of vapor may cause irritation ignition,including heaters,fans and other non-explosion proof electrical equipment,during use and until all and toxic effects,including CNS depression,lung,liver and kidney injury. Symptoms include headache. vapors are gone.Vapors may ignite explosively. Vapors may spread long distances and beyond closed doors. nausea,vomiting and dizziness.This product has produced fetotoxic and teratogenic effects in laboratory Prevent build up of vapors by maintaining a continuous flow of fresh air. animals when inhaled or absorbed through the skin.Pregnant women should avoid exposure to this product. Sensitizer-Can cause allergic skin reaction which may be severe in certain individuals. Persons with pre- existing skin disorders may be more susceptible to the effects of this material. S FIRE-FIGHTING PROCEDURES AND EQUIPMENT SECTION }1 -TOXICOLOGICAL INFORMATION Self-contained breathing apparatus with full facepiece operated in pressure-demand or other positive pressure No additional toxicological data available. Please refer to Sections 2&3. mode. In case of fire.use Dry chemical,Foam,CO2 or other approved method for treating a Class B fire. Summon professional firefighters. During a fire,toxic gases and smoke are irritants present from SECTION 12-ECOLOGICAL INFORMATION decomposition/combustion. Closed container may explode when exposed to extreme heat. SECTION 6-ACCIDENTAL RELEASE MEASURES No ecological data available for this product. CLEAN-UP: SECTION 13-DISPOSAL CONSIDERATIONS SMALL SPILL WASTE DISPOSAL METHOD Absorb liquid on mart material such as paper,vermiculite,floor absorbent,and transfer to hood. Dispose of contaminated absorbent,container and unused contents In accordance with locate state and federal LARGE SPILL regulations. Do not Incinerate closed containers. Eliminate all ignition sources(flares,flames including pilot lights,electrical sparks). Persons not wearing SECTION 14-TRANSPORT INFORMATION protective equipment should be excluded from area of spill until clean-up has been completed.Stop spill at source,contain area of spill to prevent spreading,pump liquid to salvage tank. Remaining liquid may be DOT Hazard Class: 3 absorbed with inert material such as sand,clay,earth,or floor absorbent,and shoveled into containers,with DOT Packing Group: III non-sparking tools. Prevent run-off to sewers,streams,or other bodies of water, if run-off occurs,notify the DOT Label: Flammable Liquid proper authorities as required that a spill has occurred. DOT Shipping Name: Paint SECTION 7 -HANDLING AND STORAGE DOT Placard: Flammable UNMA Number: 1263 HANDLING: SENSITIVITY TO STATIC DISCHARGE-Grounding/Bonding required SECTION 16-REGULATORY INFORMATION FEDERAL REGULATIONS: STORAGE SARA 313 INFORMATION Keep container tight and upright to prevent leakage. Keep container closed when not in use. Do not store This product contains the following substances subject to the reporting requirements of Section 313 of Title II above 49 C/120 F. Do not transfer contents to bottles or unlabeled containers.Protect from freezing. of the Superfund Amendments and Reauthorization Act of 1966 and 40 CFR Pan 372: Containers of this material may be hazardous when emptied because they retain product residues(vapor, liquid,and/or solidi. When empty,may contain explosive vapors. Do not cut,puncture or weld on or near this XYLENE XYLOL CAS# 1330-20.7 PCT BY WT: 1-7 container. All hazard precautions given in this data sheet must be observed for empty containers. _-------- SECTION 8-EXPOSURE CONTROLS,PERSONAL PROTECTION ETHYLENE GLYCOL MONOETHYL ETHER ACETATE CAS# 111-15-9 PCT BY WT: 18-27 VENTILATION/RESPIRATORY PROTECTION Use only with adequate ventilation. Maintain continuous flow of fresh air. Do not breathe vapors,spray STATE REGULATIONS: mists,or sanding dusts. Wear appropriate,properly fitted respirator(NIOSHIMSHA approved)during and after PER CALIFORNIA'S PROPOSITION 65 application unless air monitoring demonstrates vapor and particulate levels are below applicable limits. Follow WARNING: This product contains chemicals known to the State of California to cause birth defects or other respirator manufacturer's directions for respirator use. Engineering or administrative controls should be reproductive harm. implemented to reduce exposure.Provide sufficient mechanical(general and/or local exhaust)ventilation W SECTION 16-OTHER INFORMATION maintain exposure below TLV(s). IMPORTANT! PERSONAL PROTECTIVE EQUIPMENT This product may be blended with other products prior to use. Read all warnings and precautions on the Do not get in eyes,on skin,or on clothing. Use solvent resistant safety eyewear with splash guards. Solvent MSDSs and labels of all products being blended as the combination may contain the hazards of each impermeable gloves,clothing and boots should be worn to prevent skin contact. component. SECTION 9-PHYSICAL AND CHEMICAL PROPERTIES FOR INDUSTRIAL USE ONLY Physical Appearance........1:-N/A Odor . ..............:.N/A This product is for use by professional,trained personnel using proper equipment,and is not intended for sale Physical State ...........:LIQUID pH ............... :.N/A to,or use by,the general public. Vapor Density......... -N/A Boiling Range. .......:137-173-C or 278-343.00 'F Freezing Point ...........:.NIA -F WARRANTY Water Solubility '.N/A Melting Point............:.N/A -F Any recommendation of U.S.Paint contained herein covering use,utilization,chemical or physical properties Specific Gravity : 1.05-1.37 Viscosity.......... ...:.N/A ...... and other qualities of the products sold is believed reliable;however,U.S.Paint makes no warranty or Formula Weigni per VOWme... : 8.74-11.36 LB/GL %Volatile by Weight . : 3456 VOC..............: 460-584 gA or 3844.87 Ibs./gaL %Volatile by Volume ... ... 49.62 representation with respect thereto. Use or application of any U.S.Past expressly product is at the discretion re pre o e Evaporation Rate .... .. .0000 (n-Butyl Acetate = 1 Coeff of Water-Oil Distribution...:-N/A Buyer without liability or obligation whatsoever of U.S.Paint except as expressly warrantetl or represented in SECTION 10-STABILITY AND REACTIVITY U.S.Paint-s published LIMITED WARRANTY. CONDITIONS TO AVOID AND INCOMPATIBILITIES THE INFORMATION CONTAINED HEREIN IS INFORMATION RECEIVED FROM OUR RAW MATERIAL Acids,Performic acid,Aluminum,Alkalis,Bromine pentafluoride,Calcium hypochlorite,Hydrazine,Oxidizing SUPPLIERS AND OTHER SOURCES AND IS BELIEVED TO BE RELIABLE. THIS DATA IS NOT TO BE TAKEN agents,Phosphorous. AS A WARRANTY OR REPRESENTATION FOR WHICH U.S.PAINT CORPORATION ASSUMES LEGAL RESPONSIBILITY. HAZARDOUS DECOMPOSITION PRODUCTS(Including Thermal Decomposition) Carbon dioxide and carbon monoxide,Chlorides,Toxic fumes,Various hydrocarbons.Hydrogen chloride, Nitrogen oxides,Toxic fumes of sulfur oxides. POLYMERIZATION Will NOT occur. REV.12-17-98 G&H LINES-GLOSS LEAD FREE PAGE 2 STABILITY Stable under ordinary conditions of use and storage py-rox•ylin \pi-Yaik-so-lon, pa-\ n [ISV pyr- + Gk xylon wood] 1 : a flammable mixture of cellulose nitrates usu. with less than 12.5 percent nitrogen that is less explosive than guncotton, soluble in a mixture of ether and alcohol or other organic solvents, and used esp. in making plastics and coatings (as lacquers) 2 : a pyroxylin -Product 71999 '; BOARD OF HEALTH . . . �. . . . . . .. . ! FORM NO. 1 3 SETS OF PLANS .. .. .... . . . . . . . -^ '— -- TOWN OF SOUTHOLD SURVEY i. BLDG. DEPT. . . . . . . .. . . . . .. . . .. . . . . . . TOWN OFSOUTHOW BUILDING DEPARTMENT CHECK . . . . . . . .. . .. . . .. ... . . . . . . TOWN HALL SEPTIC FORM . . . . .. . . . . .. .. . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: K— � �// CALL .221. . .72. Examined.................. q19.... p MAIL TO: . . . . . . . . . . . . . ... . . . . Approved....2.3........&DQ Perait,No. ...3�0.... ................................. Disapproved a/c .......................... ................................... (Building Inspector) PLICATION FOR BUILDING PERMIT Date. i . .j.• . !. . . , 19. . . . INSTRUCTIONS a. Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram whicb is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. liAPPLICATICN IS HEREBY MVV to the Building Department for the issuance of a Building Permit pursuant to the -lding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lams, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, Orth es building code, ng code, and regulations, and to adnit authorized inspectors on premises and in buil fo nece /�,n�t- .......... `........ ................ (Signature of applicant, or name if a corporation) Qo oX iG P 0AJiC,.l�?. ..l.«'s"$... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...........Q ......6/1 ..................................................................... Nameof owner of premises ......./�.l `Tll� ............................................................. (as ono tax roll or latest deed) l If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done................................. .... .................... ..... 2>. ..........d` l!rti!�.2�nv ........�.........?,� .......... .................. House Number �o m Street Hamlet County Tax Map No. 1000 Section ...5�...... Block ......Q.3.... lot ....5.1 ...... Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occtimarAypi k, n tion: t til 'fD"RFR1S� a. Existing use and occupancy ...........I.: !t,4�Ass... P�sihc7.4 Its � ?i"2if7,d4t 43&,6 ean'u' auligx3 rm,3 ' b. Intended use and occupancy ................ ............................................................ u � .. - ... ..............�. ...... win wl� .......... a11U it ion ...1.:.... ALCeLBClOn .......... Repair .......... Removal ......... Demolition ............ Other Work .................................. (Description) 4. Estimated Cost .... ........ fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwellingunits ............ !umber of dwelling units on each floor ................ Ifgarage, number of cars ...................................... LL �' O� 6. If business, c®ercial or w occupancy, specify nature and extent of each type of use..b4ZO�0` ...�aU!p rl a 7. Dimensions of xiapi �s, if any: Front...f�0.5...... Rear ./.1Q. ...... DepthcPPb,.4......V, }leight ...... ........ structure Number of Stories ....1................ Dimensions of same structure with alterations or additions: Front ...5. `!"?C .... Rear ............... Depth .................... lleigl t .................... Number of Stories ............... ll 8. Dimensions of entire new const tion: Front /Q.....a... Rear / r�Yc i 3 ...�/.r?..�a''.. Depth ...`�........ I Deight ........1i .............i Number of Stories .....1............... ^7 s/ 9. Size of lot: Front Rear ...3 s ,.8.?..... Depth .,.y, .4;gY...... i 10. Date of Purchase .............. ...... Name of Former Owner ........................................ 11. Zone or use district in which penises are situated ........`Zjr?A.fg�..4-.15.................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .....A0.............. 13. Will lot be regraded ....t �..}.........`rWill excess fill be removed from pr e mises; YES 6V 14. Names of Owner of premises ..Ph:ll.�..�?m?� N Address :n?u?hrtt�!'.�ft�3'..,, '�:... Phone No. Name of Architect .............t...................... Address .............................. Phone No. ............. Nam of Contractor ............:...................... Address ...............................Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YM .......... No ... .. *IF YES, S0U111CHD WM =101104 PEld4CP MAY RR RMWITdED. PLOT DIAGRAM Iocate clearly and distinctly a�l buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street andlblock number or description according to deed, and stow street nares and indicate whether interior or corner lot. Srw Or Nti7 YORK, SS OUMLY OF ......U Fy.�; A�l /� g.... l 2 " ....being duly sworn, deposes and says that he is the applicant (Name of individual signing con[ract) i............ above maned, Ile is the ....... . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perforin or have performed the said work and to make and file this application; that all staterents contained in this application are true to the best of his knowledge and belief; and that the work will be performed in Cth� manner set forth in the application filed therewith. Sworn to before me this p ..........da of .. .......T.....19.1 ... Notary Publ'c ... ....... .....IIT ... J EL ABETHASTATHIS (Signature of Applicant) NHNo.O11ST600081C7�3 3uffgOlk TwmExpiM6JureB, --------- --- '�6013i:, R elvl raw - COLI C K5 1 LF.s3 i*A� Au EYIEALA fAGt44G9 WiTtAtO IS' 6F9'46 AL)JnCfkgT fi� MESA t_ d�t!►LflIRI.L� fl�.au►R�'ss Nona t�aT,wc, Tf! C3, lib? tgTi, Ng2PjRn rR�P�rtR Sops �YROXYr IN - SOLVa;arfS t7S IN tflAKiit[ PLASTICSa COraT�N�S. - - WDDoY�ram� C�Nsial�eTloN ��T �1La3- L►i�►•t-r � _VSNT,A►.�fi�i - In��u�o�vs i M�Nra�a�aa,»� ims:0 War 5 !inww -- - Pow, 966- ExcTs 9&6 2 Lo-rs S Hower � v [ 1"Aalr X111 SEPa��rtflr�� 13T+� �,� Cl € C5.2 3 Nou�S `7`/ klooa stat 'T'YP�E � COa$rRticrtAo+y ---- ---jj'--- ---------- -----_-__ _—______— — eco--- - ---- �L 2 LaJs of — ----;� ----- ----900.2 �41)( l --DtNK►uc. -I:rDowriaw - . -- — --- --�- { MAE. rNAu � En►�t oYf.F.� �2 S&n�aa� �aanu t C-AVVP C2) WMAA S14OP t ►►r►a►vw► Dastbat '(a,.M? SD 11 ------- 0 _ _ Lacoertow OF McHAN►cG3c.. ECJUiPMtNt' -?�'?------------------ FART 1111 .3 PORfA8LS -rANKS i ��i � ,lh I�Ril 1999 — NOV 9 y s ._� Get Ll � 9. NOV 9 ,� WaL��. DEPT. � t BLDG.DEP . 4,6� � GLP�tr y l TOWN OF SOU ,(9� IiJ�D Jalti�f � /Jrr�r�n` ' �� Jit . � 0 ��;la�, �-n s�rp � i•� � �''/f'� ion � ' - ! i 41a j �- Gor✓�0.rr�s r�/1* a �m �d ne f1 L' .vz j/ i e¢s�T i x . 73, - �* w � na - 0�p _ ZINE C— � 5�o•z` t t;q Mr-Thi *cj I Type XM3 '�o• o _ s �I-T fi }" kxi9r t12 I - - FI FAROVc- o --- paa , A-/ `Tj L' ._- 70/ AA /G�2Nran 241�lrltll�. — V zty- �D 000 8 �- -CA - 'Q --- � -_ 7ruaELo� —_ - /d0 Ovd 8rv- - GEoLQi'3 3 -_ i - yHc?� ati /Gd cod Rrtl- �a.� -- i-t. - -- -------- _ Gui�_ .7vz,a L._�ytczaoricj _ Gu d_ _./c P/etnc�wT/� �±_— - ----- --- n``. `�r, ------------- -. -. =h° -��-- ---- ` --_. 0 X7/7.- �---� _ .'77 1 .4 �Gf ate. / ,/ucGCW�t� ,,,�-r,.v�r.�d` /�..z. s� ,'`�._4•e _ -- 5'---'------------ ----------- -7 ----- -----------7 o J i;fu Get-4lAeP �an.4_-�.�-. -14,'. 9 fT `f . / aim tl>/r $'� ®®o 1om o S,o✓ G�D eea 7 . �a9� r7g ' -P�r770 a - 77/ -- al A 4, ex du,,Jt--� "44 �t¢gti+Uzze .tuu- uan-.t 602 714 Qi[Rlu•,�- 4 1/ too `,a e�ban .z vow,- ,ate Ae Iowa. Le- �1?ocv uecc. nadaauz�v,y' JO,KQ- J_ Uq� we OAk I i I - I _ I , i i BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: 90groli , 1 #10P Reviewed: Z,-,3 -o0 Architect/ Date . Engineer: I ap., I tT*a L Submitted: SCTM#: Q� r District: 1 000 Section: U-� Block: Lot: V . ProjectM Subdivision Location: 3?,3W Nko oao00,-40-koe— Name: Single&separate Requ certification: 80t(A)IA's Req. Req. Zoning District: [Lot size: Actual: 1 [Lot coverage Proposed: Req. Req. Req. [Front Yard Proposed: [Side Yard Proposed. 1 [Rear Yard Proposed: ] Project Description: ��I-rim).) �1C1S1"►'�) att'1eGFJL (LD(V5 AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: _ Flood Plane Elevation ??? u Flood Zone: Notes: C661D P e � c ' e ,,,e-eA Vee- Z-Z-00 Owen C,� 5. ' r m I- N/O/ FRANK & ROBE R a. T KLOS:e - _ S. 57.30100• E. ASPHAL T PAVEMENT G 2 R A V E LSI a R l V E W A Y 20iz ' .I o° o H C O, e N g°g o °� P 6lLCes 9 ^;yb 2 g 4 ?o 5 6 `' O 8 ry o. % KEY MAP ° F scale 1" = 600' * + ar• 12 V er servroc � " b U 2 20 PARKING CRITERIA m d OFFICE 400sq. ft. 4 spaces m SHOP 8 STORAGE 4560 sq. It. / 500 = 9 /3 spaces PROVIDED /4 spaces 2 6b 3 / o 100.9- \ \ Pr=P 4Qo LOT COVERAGE = 4% w -- ---- ------ -- ---- 4�i/ LANDSCAPED = 1346 we/IS .so' V O O w.... 3UFFOtI(COUNTYOEPMTMFMOF ONONLERVICES CTIGhI REQU RE❑ APPRCYECFCRpONBTRUCTIUN I , ,I\ ( I{.9 R�110 C le Ci 1 AGNV _ _.... TYPE 1m ppfwd Y anrd fW tlM dmrlmdbe d ft Summ \ \ \ laV*tWon pyyAd to kddM V9 and d ft&Mel�Caj*"aly�lerat 0elmand tl» 1\ N W, \\\ YEARS FRCM7HE CHIS APPROVAL E1lPIRES THTHREE (S) so / ,.° FES 011999 s / \ yk DATE SIGNATURE N N/O/F ryOMA9s \ COQ` APPP.OVED BY i 3o PLAQ;t�t€vG MA'13 W0 !4 /80.00 TO\ fid G: � MAR/F '"Old BYO O \\ � — -- —_ we 1 A \ DATE MAY Z 81999 / m � 0� PLAN OF PROPERTY AT PECONIC F� USE, FIBERGLAS BOAT REPAIR ETC. TOWN OF SOUTHOLD E DIS TRIC S A C SUFFOLLK BCOUNTY, N. Y. B vi FIRE DISTRICTF.O. 29 SCALE. 19j- SCHOOL DISTRICT D9 MAR. 30,, 19980' q` N J O NOV. l2, 198 ! septic 1 1 F h Jon. 22, 1999 (revised) M SANITARY DESIGN cosi Iron Cover Io grade 2 OWNER finished grade \ POPULATION DENSITY ZONE IV Charles VanDuzer 540 Mlll Creek Drive 300 / gal / day ^ 2.84 acres = 852 go// day � � SOUTHOLD, N.Y. 1197/ proposed addition ( office J = 400 sq. 1l. air �raycM j;;� 400 sq. fl. x 0.06 = 24 g.p.d. Awa '� , +•aA. 43283 p. q sfarage 8 repair = 4560 sq. It. !y o�0 ,'n "y 45so • 0.04 = 1e2.4 g.p.d. AREA = 2.84 acres � 206 g.p.d. r , d000 � y6ti MAY 03 1999 ❑ocao Ap / NiO� Southold Town PROVIDE F iQjG, 3 ww Planning Boar. SEPTIC TANK (2 days /low 412 gpd RD BRL/CF /3385" -' USE EX1TlNG CESSPOOL 8'6 x 8' deep 2200 gal. Ot. M� O LEACHING POOL _`•"f traYP�. I L.P. 8!m • l2 fl. deep ^1Y.�S. l . N0. 49618 3'AMM 64aIM WA1 / P CONI SI. C. eAcwrl[c WIT ra es aux (516) 7 502Y " MW AM svAva ELEVATIONS 6 CONTOUR LINE ARE REFERENCED TO P. 0. g -, g TYPICAL LEACHING THE FIVE EASTERN TOPOGRAPHIC MAP 1230 T R dS POOL SOUTHOL , 87 - 985 A 72f11YiFl,�i��lq{,Itj wIA I - ---" '— � 610..E ,a.�,l.;:✓<.y bLG 'Al'AlIr :C LJ4LLp,wY& b ' rtre vA APPNMASN= It J L%ITIIIlb � \ yPC( J I � �� •�� 1 IG � r NOTIFY NUI NO DEPARTMENT A N TE6.7/O! N AN TO a PN FON THN .� _ N 1011E MAFDIONFOLLowma�AI� n OONCR_EM L PAIST 1-N000N.FRIWINKIIII (NSVL PT( NUISUMTNIN ¢ LL �I WASH ROOM ♦FINAL • NIINf u > MDOTeJ ..\ WA ` 4 / RO01NKNiNN D /n - 14 p pNcJ 4 0` - - — z x4 . MLi01I _ N N m.% ,.__.179 �' - 1111 ROUIIIEYOF iN NTq!QONNT N lNEOR F 1 BeIso I'-120 OR Sr.&a&t [ IF SCAL1= 2.o I" wLs•>e 1 EXIST Ito J - v*ev ✓�9I - sGfuOr _ dC!r� fLAr.i CON C l7 lnlFn L" s OCCUPANC OR EXiS, USE IS _UNL4WFUL ,,"., a WITHOUT CERTIFICATE OF OCCUPANCY _ s S4 � 31t IV If Hl PSV T( 4K BLD HFTAL 5HIFATN1N6 o y FIRE INSPECTION " - REQUIRED BEFORE OPENING 3/y HR. 0.hTlrl4 w X14 I -' r E>rIST INb . E111 _ _ 36 1 ' 1 t`Qp 0 _ I 4 - S L Fls.c O p r o I� > 1'r, �� }I �� Lu � 1 -_ -�--T ____ . -.__ -- i ._ �� I I- `opq FES� _1YS My vcs.j I -rt- �,� CJII _ 44 i^ w L_aarsr€ . ' -Gwa-_�14Nt>� 1 J \ I 0 STOOP In r .__ u - ._ - - - - - 2 -- _.. _,_ _ - _- ._ •�', -- 1 =("t'lare� T� - ._ - - UI Cw 24 cyS, 'L,I, »ice n .mm `ffecv i..o- ' �ONSITE It to m i a ezla r n mr�Kc A r R� �oL� r<'x[Y WALL y j u>8 4v 8 310? K(W l � -SCki-'4v_.Y'rPc-&m_. I „ (TYP�1 c F0=Tu { Ex t $TING- w. ! �C]EIsYINC,_ SiO,zn y.' oT.2-A 4 Z+ 444- T. K4T. Q-2it12 Lw-au Ac, A tk 1 Vt _ . 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