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ATC-45 Safety Assessment
D PS ,roy-/2o-/wy ATC-45 Detailed Evaluation Safety Assessment Form Inspection Final Posting Inspector ID: ��O 9/3Q '� from page 2 p Inspection date: / ❑ Inspected Affiliation: /� kivrh' Inspection time: f� .55 ❑AM PM restricted Use ❑ nsafe BuildingDescription D sc ptron Type of Building Building name: on is 7 1) 0 Mid-rise or High-rise 0 Pre-fabricated Address: gy y RoriTC A$ Low-rise multi-family 0 One-or two-family dwelling ❑ Low-rise commercial ❑ Other: Building contactlphone: Primary Occupancy Number of stories: Dwelling ❑ Commercial El Government "Footprint area"(square feet): Other residential ❑ Offices ❑ Historic 2 ❑ Public assembly ❑ Industrial ❑ School Number of residential units: 0 Emergency services ❑ Other: > <Evaluation Investigate the building for the conditions below and check the appropriate column.There i V OR 0- • s�,cord$aae fDa sketch. ----- •-- -• Minor/None Moderate Severe Com en our 01 2019 Overall hazards: Collapse or partial collapse ❑ 0 „ENT Building or story lean or drift 0 0 eu ' ` Fractured or displaced foundation ❑ 0 Structural hazards: Failure of significant elementiconnection gi ❑ Column,pier,or bearing wall gl ❑ Roof/floor framing or connection ❑ 0 Superstructurelfoundation connection 0 0 Moment frame ❑ ❑ Diaphragm/horizontal bracing 0 ❑ Vertical bracing El ❑ Shear wall D( El 0 Nonstructural hazards: Parapets,ornamentation 0 0 0 Canopy 0 ❑ 0 Cladding,glazing 0 0 ❑ Ceilings,light fixtures 0 ❑ )8. Stairs,exits,access walkways,gratings 0 El Interior walls,partitions 0 0 ❑ Mechanical&electrical equipment 0 RC 0 Elevators ❑ 0 ❑ Building contents,other ❑ 0 0 Geotechnical hazards: Slope failure,debris impact 0 ❑ ❑ Ground movement,erosion,sedimentation 0 ❑ ❑ Differential settlement 0 ❑ 0 I Continue on page 2 ATC-45 Detailed Evaluation Safety Assessment Form Page 2 Building name: 8 --,f2 ' t> Inspector ID: 70....S`?, Sketch Make a sketch of the damaged building in the space provided. ' ( Indicate damage points. f Estimated Building Damage I �I (excluding contents) i k'f' _ \Cf°1 —\❑ None ❑ >Oto <1% ❑ 1to <10% I ( -- ❑ 10 to <30% ❑ 30 to <70% ❑ 70 to <100% rr' ./) ❑ 100% IX/ i----------_, Posting If there is an existing posting from a previous evaluation, check the appropriate box. Previous posting: INSPECTED ❑ RESTRICTED USE ❑ UNSAFE Inspector ID: 763704 Date:4‘7/9 If necessary, revise the posting based on the new evaluation and team judgment.Severe conditions endangering the overall building are grounds for an Unsafe posting. Local Severe and overall Moderate conditions may allow a Restricted Use posting. Indicate the current posting below and at the top of page one, whether the posting has been revised or not. 0 INSPECTED (Green placard) >6IESTRICTED USE (Yellow placard) ❑ UNSAFE (Red placard) Record any use and entry restrictions exactly as written on plfard: 1t/ /Vo STi7 Number of residential units vacated: 4 rther Actions Check the boxes below only if further action'sjpre� needed. Fi.... Barricades needed in the following areas: r' ?/4L�[ ariC ❑ Engineering Evaluation recommended: ❑ Structural 0 Geotechnical ❑ Other ❑ Substantial Damage determination recommended ❑ Other recommendations: c Copyright 2004-07,Appiied Technology Council. Permission is granted for unlimited,non-exclusive,non-commercial use and distribution of ATC evaluation forms,provided that this Copyright Notice appears on all copies and the Applied Technology Council name shall not be used in any advertising or publicity of Licensee product.Permission is further subject to the following conditions:(1)Licensee does not reprint,repackage or offer this form for sale or license;and(2)no material gain or financial profit is to be made from any sale or license of this form.Placards may be used without restrictions for their intended use as building postings.All rights not specifically granted to Licensee are herein reserved by ATC. RECEIVED .,..:��.� 0%T 0 2019 gUILDiNG DEPARTMENT INSULATION CO. September 18, 2019 Job Location: Richard Cleary Construction Biondo P 0 Box 900 15 Baldwin Lane Brewster, MA 02631 Yarmouth Insulation installed to specifications below: Area R-Value Manufacturer Type Comment Rafters to eaves R-38/5.5" Gaco One Pass Closed Cell Spray Foam Insulation Exposed Ceilings R-38/5.5" Gaco One Pass Closed Cell Spray Foam Insulation Exterior Walls (2x6) R-21 5-1/2" Owens Corning Unfaced w/poly film Attic Gable Walls (2x6) R-21/3" Gaco One Pass Closed Cell Spray Foam Insulation Garage/House Wall R-21 5-1/2" Owens Corning Unfaced w/poly film Plates/Perimeter R-21/3" Gaco One Pass Closed Cell Spray Foam Insulation Interior Walls R-13 3-1/2" Owens Corning Unfaced 1st. Floor Ceiling R-19 6-1/4" Owens Corning Unfaced Crawlspace R-30 9-1/2" Owens Corning Kraft Faced w/support wires Garage Ceiling R-30 9-1/2" Owens Corning Kraft Faced Garage Walls R-21 5-1/2" Owens Corning Unfaced w/poly film Crawlspace Perimeter R-14/2" Gaco One Pass Closed Cell Spray Foam Insulation For foam specifications see attached documents. I hereby certi the insulation ucts have been installed in accordance to the specifications stated abo Timothy Tr Summit Insulation Co., Inc. P.O. Box 1337 Harwich, MA 02645 (508)430-8144 Gaco Western SINCE 1 9 5 5 Product Data Sheet: GacoOnePass F1850 June 2017 Supersedes 3/17 GacoOnePass F1850 CLOSED CELL SPRAY FOAM INSULATION DESCRIPTION GacoOnePass F1850 is a two component HFC-blown (zero ozone-depleting) liquid spray system that cures to a medium- density rigid cellular polyurethane insulation material. GacoOnePass F1850 contains polyols derived from naturally renewable oils, post-consumer recycled plastics, and pre-consumer recycled materials. GacoOnePass F1850 is a Class A(Class 1)fire rated foam that meets or exceeds the requirements of ICC-ES AC377 Acceptance Criteria for Foam Plastic su a ron. ee nee o e ompliance Research Report MRR= or co3e— compliant application information. GacoOnePass F1850 is a Type II foam in accordance with ASTM C1029. GacoOnePass F1850 is designed to be installed in up to five and one half inch(5W') passes when installation instructions are followed. This closed cell foam is designed to provide: excellent thermal performance; air impermeable insulation; and, an integral part of an air barrier assembly. RECOMMENDED USES GacoOnePass F1850 will provide excellent performance in a wide range of residential, commercial and industrial applications where in service temperatures are between-40°F and 200°F including: Walls Attics Concrete Slabs Cold Storage Storage Tanks Ceilings Crawlspaces Residential Ducts Freezers Flotation Floors Foundations Plenums Piping Industrial Applications GacoOnePass is FEMA Class 5, the highest rating for flood-resistant materials. PHYSICAL PROPERTIES The following physical property tests were conducted by independent certified laboratories with traceable samples in accordance ICC-ES AC377 and ASTM C1029 for Type II foam and ABAA D-115-010 for Air Barrier Materials and Assemblies. PROPERTY* ASTM TEST VALUE UNIT Core Density D1622 2.1 ± 10% lbs/ft3 Aged R-Value** C518 R 6.5 at 1" *** h.ft2.°F/Btu C518 R 25 at 3.5" *** h.ft2.°F/Btu Compressive Strength (Parallel to D1621 28.5 psi Rise): Tensile Strength D1623 39.7 psi Water Vapor Permeance E96—Method A 0.44 perm-in Dimensional Stability At 1580F(70°C)and 97% RH L=5.2%,W=1.1%, T=8.5% % linear change At 176°F(80°C)and ambient RH D2126 L=-0.3%,W=-0.2%, T=-0.5% % linear change At-4°F(-20°C)and ambient RH L=0.2%,W=0.2%, T=1.7% % linear change Open Cell Content D6226 4.4 ok Air Permeance @ 75Pa (lnfiltration/Exfiltration) E2178 0.00 at 1" Us.M2 Air Barrier Assembly @ 75Pa (Infiltration/Exfiltration) E2357 0.007 at 1" Us M2 Crack Bridging @-15°F(-26°C) C1305 Pass No-cracking Water Absorption (96 hours, 2" D2842 2.76 % byvolume head, 70-74°F(21-23°C) Made in the USA • gaco.com • 877.699.4226 GacoOnePass F1850 Page 2 Water Absorption C1763 _ 0.21 % by volume Water Resistive Barrier ICC ES AC71 Pass AATCC Method 127 UV Weathering AC71 Pass No blistering or delamination Accelerated Aging AC71 Pass No blistering or delamination Hydrostatic Pressure—55 cm AATCC Method 127 Pass No water leakage (21.6")water column Pull Adhesion DensDeck D4541 39 psi Concrete D4541 48 psi OSB D4541 43 psi Fungi Resistance C1338 Pass no growth • Hot Surface Performance C411 Pass No flaming, charring, or smoldering UL GREENGUARD Pass No harmful effects VOC Emissions UL GREENGUARD Pass No harmful effects Gold *These items are provided for general information. **Federal Trade Commission regulations published in the Federal Register 16 CFR Part 460 require that R value testing of polyurethane foam insulation must be conducted on aged samples at a 75°F mean test temperature.Failure to comply can result in substantial fines by the FTC. ***To determine R values for thickness not listed: a. between 1 inch and 3.5 inch can be determined through linear interpolation;or, b.greater than 3.5 inches can be calculated based on R 7.2/inch SURFACE BURNING CHARACTERISTICS GacoOnePass F1850 meets Class A(Class 1) requirements when tested in accordance with ASTM E84 (UL 723)as defined in NFPA 101 and Section 803 of the International Building Code(2009, 2012, 2015). SYSTEM FLAME SPREAD INDEX SMOKE DEVELOPED INDEX GacoOnePass F18501 5 350 'Sample tested at 4"(10.2 cm)thickness.May be installed at unlimited thicknesses when covered with'/"gypsum board. LARGE SCALE FIRE TESTING TEST PERFORMANCE _ LOCATION FOAM THICKNESS/COATING Vertical surfaces Up to 8.0"(20.3 cm)/No Coating Required AC377 Ignition Barrier Horizontal or sloped surfaces Up to 10.0" (25.4 cm)/No Coating Required NFPA 286 Thermal Barrier Vertical surfaces Up to 7.5"(19.1 cm)/DC315- 18 mil wet Horizontal or sloped surfaces Up to 9.5"(24.1 cm)/DC315- 18 mil wet Vertical surfaces Up to 7.5"(19.1 cm)/TPR2 Fireshell NFPA 286 Thermal Barrier F10E/TB- 18 mil wet Horizontal or sloped surfaces Up to 11.25" (24.1 cm)/TPR2 Fireshell F10E/TB- 18 mil wet GacoOnePass F1850 meets or exceeds the IBC requirements for exterior walls in type I, II, Ill, IV and V construction. This includes NFPA 285 and NFPA 259 testing with Intertek Listings(GWUFIP 30-02, GWUFIP 30-01). VAPOR RETARDER GacoOnePass F1850 meets the requirement of one perm or less for a Class II vapor retarder per the International Code Council and ASHRAE when installed at 0.44 inches in depth. However, minimum installed thickness recommended by Gaco Western is 0.75 inches.Water vapor permeability at various thicknesses is provided below: Thickness WVP Thickness WVP 0.44" 1.00 perms 3" 0.15 perms 1.0" 0.44 perms 4" 0.11 perms 2" 0.22 perms co%Made in the USA • gaco.com • 877.699.4226 GacoOnePass F1850 Page 3 AIR BARRIER PERFORMANCE GacoOnePass F1850 is an air impermeable insulation and an air barrier material based on testing in accordance with ASTM E2178 at one-inch depth or more and has passed air barrier assembly testing in accordance with ASTM E2357 and has been evaluated by the Air Barrier Association of America in accordance with ABAA D-115-010. INDOOR AIR QUALITY GacoOnePass F1850 is a low VOC emitting material and is GREENGUARD Gold Certified(29167-410, 29167-420) (formerly known as GREENGUARD Children &Schools Certification) by UL Environment. This program demands strict certification criteria and considers safety factors to account for sensitive individuals(such as children and the elderly), and ensures that a product is acceptable for use in environments such as schools and healthcare facilities. It is referenced by both the Collaborative for High Performance Schools(CHPS)and the Leadership in Energy and Environmental Design (LEED) Building Rating System. FLOTATION PERFORMANCE GacoOnePass F1850 meets the requirements of US Coast Guard requirement for flotation materials for both bilge and engine room applications in accordance with Code of US Regulations, Navigation and Navigable Waters Article§183.114 by testing from an independent laboratory. LEED INFORMATION GacoOnePass F1850 has a minimum of 9.7% recycled content based on weight, including 1.8% pre-consumer material and 7.9% post-consumer material. It contains 8.5% rapidly renewable content. GacoOnePass F1850 raw materials are blended in Waukesha, WI. Actual polyurethane foam end product production is done on-site by the applicator. TYPICAL LIQUID CHEMICAL PROPERTIES "A" Component contains polymeric isocyanate. "B" Component contains polyol, catalysts, fire retardants, surfactants and blowing agents. PROPERTY TEST r ASTM TEST VALUE UNIT TEMPERATURE Viscosity—"A" Component: 77°F (25°C) D2196 200±50 cps Viscosity—"B" Component: 1080± 100 cps Specific Gravity— A" Component: 77°F(25°C) D1638 1.24 S.G. Specific Gravity—"B" Component: 1.235 S.G. Weight/Gallon—"A" Component: 77°F(25°C) 10.34 lbs/gal Weight/Gallon—"B"Component: 10.3 lbs/gal Mixing Ratio—"A" &"B" Component: 1:1 By volume Stability When Stored at 50°F to 70°F A Component—12 Months (10°C to 21°C): B Component—5 Months APPLICATION To ensure optimum performance, a minimum pass thickness of 3/4" (1.9 cm) is recommended with the maximum not to exceed 5'/" (13.97 cm)per pass. To obtain optimum results substrate temperature should be within the ranges as stated below. All substrates must be dry at the time of application. Do not apply to wood surfaces with a moisture content of above 18%. Material Substrate Temperature GacoOnePass F1850R 30°F to 120°F(-1°C to 49°C) GacoOnePass F1850W 20°F to 80°F(-7°C to 27°C) EQUIPMENT SETTINGS REACTIVITY TIME Pre-Heaters- Iso(A): 105°F to 135°F(41°C to 57°C) Cream Time: 1 second Pre-Heaters-Poly(B): 105°F to 135°F(41°C to 57°C) Rise Time: 3-6 seconds Hose Heat: 105°F to 135°F(41°C to 57°C) Tack Free Time: 4-8 seconds Recommended Spray Pressure: 1,000 to 1,200 psi(dynamic) Cure Time: 24 hours The information herein is believed to be reliable but unknown risks may be present.ALL WARRANTIES OF ANY KIND,EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE AND THAT GOODS ARE OF MERCHANTABLE QUALITY,ARE SPECIFICALLY DISCLAIMED.See Gaco Western for information concerning its limited warranty and its availability. For specific Safety and Health information please refer to Safety Data Sheet.©Gaco Western 2017 c MO Made in the USA • gaco.com • 877.699.4226 ' • r, - '•