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3609 I 0/0 Paid i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK i I Date April 29 19 , i - I This is to certify that work requested to be done as shown by Permit No. 3609 has been completed. This structure may be occupied as a One Family DwP-11inq i Location Lot 53P Birchwood Aventi (Sweet Firi ar) Owner . William A. Deuel I By Order Town Board TOWN OF QUEENSBURY I Building & Zoning Inspector i CREATIVE "INSTA" PRINTING. GLENS FALLS. N.T 12801 19181793-3658 � I BUILDING PERMIT TOWN OF QUEENSBURY No. 3609 WARREN COUNTY, NEW YORK N• PERMISSION is hereby granted to William A. Deuel r• (Sweet Brier) OWNER of property located at L©t 5 8 Birchwood Ayca• Street,Road or Ave. � in the Town of Queensbury,To Constructor place a One Family Dwal l i> at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. tr 1. OWNER'S Address is 5 Whippoorwill Road Glens Falls, New York 2. CONTRACTOR or BUILDERS Name Same r 0 rt 3. CONTRACTOR or BUILDER'S Address N W 00 W H. 4. ARCHITECT'S Name F� A 0 0 d. 5. ARCHITECT'S Address A 6. TYPE of Construction—(Please indicate by X) ( )♦Wood Frame ( )Masonry ( )Steel Ory 7. PLANS and Specifications H i�• No. 311 x 661 per plot plan, specifications and application y submitted, including sewage system and 2 car garage. 8. Proposed Use One-Family Dwelling $5.00 C/O Paid $76.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 1 1976 H (If a longer q pp W. ng period is required an application for an extension must be made to the Building and Zoning inspector of the F-+ town of Queensbury before the expiration date.) E t7 Dated at the Town of Queensbury this llth Day of July 1975 ry SIGNED BY 1, for the Town of Queensbury Building ffind Zorn ctor to TOWN OF Q EE SBUR I (Space inside block to be filled in by WAr'RE;IM COUNTY, NEW YORK • Building Inspector) . Application No. : • Application for I'c•nuit Issued 19. BUILDING AND ZONING PERMIT -,tit Expires. IT /.oniiu. District . \ aloe of Work.It THREE (3 .\l)l,ru ) Copies of a PLOT PLAN, Drawn to scale Itc•n�1"c•cl by showing the actual dimensions of the lot to be built upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. • TOWN OF Q U E.El'.4SBU DATE If" G (� � �� t� E1-r-U --- A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK I`. ANSWER ALL OF THE FOLLOWING. JUL 11 .i15 pct. The undersigned hereby applies for a permit to do the following work A.M. which will be done in accordance with the description, plans and specifi- 7181911G1?11121L1213141516 cations, and such special conditions as may be indicated on the permit. eJb The owner of this property is: -7 �./ e, I /yy,o/4 jc�0 / (/v./ I� .�I . , -- fe.4<<.-5: ./f,-_,/.s.. .4..',./.- (N:hE) (P.O.ADDRESS) The person responsible for -supervision of the wprk insofar as the Building Code and the Zoning Ordin nce apply is: . . . .Gt,.-f./. . ./i 7. . . .. 7 e ce-. e / 5 tx. .i�.�./.)b.,71. .i �q'.o,� . . fir-• e. ./." . / /(NAME) / (P.O.ADDRESS) Name of Builder. !!W/t gM. .,t�• . 'v.e 4i. e. '• . . . . . .Address // ' Name Of Plumber /r /./ // Address i / . Name of Mason // It // Address / / Estimated value of proposed work S tj �. D 0 r 0 `' Lot Number. . c� ��. Unit P Po J Name of Village /2? .41 'P.-P/1/S A(` t.e-g i'1a i9 Name of Street . ./�.1. 1. -%. &4,a/ i�I�t 7 Side of street: north la east Wf, south ❑. west 0 .Nearest Cross Street . . ./;./ .'F/. . . /.��t, :. . . . . . . . . • . Distance from this cross street /O O / Ft. Property is north RI,south l*,east c i,west ❑from Cross Street If on Corner, which corner, northeast 0, northwest ❑, southeast ❑, southwest (Designate by marking with an "X" in the correct space.) - NATURE OF PROPOSED WORK OCCUPANCY Main Building 1 Construction of a new building. One family dwelling CR ❑ Addition to a building. Two-family dwelling ❑ CIAlteration to a building. -family apartment house Demolition of a building. Store building . .4 -car attached garage ❑ Other: • • Accessory Building - One-car detached garage 0 ❑ Other work. Describe CI • Private chicken house Cl Private storage building ❑ Other: ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy. _ Indicate on the plot plan street names, the location and • size of the property, the location, site and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show'proposed building(s) in dotted line and existing c- '[.-,`- \-- — huilding(s) in solid line. ESize of property /a °' ft. x . , `5 it. ,'' r �� Size and use of existing buildings, if any i. t• ' 1 N an e, c—i w . 1. . . . ft.x . .�2 l¢. . . . ft. L— it w, C.� Size of proposed building . �` Height(from grade to ridge) t k ft• Td Front yard `1 O. . ft. 16 C—. Side yards k'` G"ft. and . . .0 .C?" ft. ,ice;Ja,C 'Ck. Rear yard e. ft. - - SOUTH If on corner,setback from side street ft.. .. Note: All distances are net, es measured from street side - line to nearest part of building. (OVER) 7-73—M (cont'd.) BUILDING SPECIFICATIONS., - Kind of construction: Wood frame, fire safe, etc.?. . . . . . .w.P° `.t'.'s- n"!-' Will any second-hand lumber be used? .,-Nc) If so, for what? Material of foundation walls C-e-- + \LD-N-°c-` `> Thickness 1.b if Depth of foundation walls below grade (xi Continuous foundation? Lit Will there be a cellar? '1‘eS If so, material of cellar floor . . . . . CO'r ..Crt��. Type of roof: Sloped or flat? . . `aLP.v a, Material of roof . . .2-k-0, ? c.. ,. .,. 5 0r c`\, . �`. 7\-^�S. . . . . . Size,wood studs -..."x 4 ",spacing . . . wfir.# "o.c., length •10. ft. Size, floor beams, 1st floor ot,... "x 10 ", spacing "o.c., span -VP?. ft. Size, floor beams,2nd floor " x ", spacing "o.c.,span ft. Size, ceiling beams sue" x (4 ", spacing "o.c., span \le" ft. Site, roof rafters or beams c." x 1 ", spacing "o.c., span Ke ft. Exterior finish ``' '°° - `-SN+- .\c-' 5 With what material? Finish of interior walls ors `.'i4e.N.tt+G If garage is tote attached, of what material is wall between garage and main bui,ltling to be constructed? a.,,)�6 ...r -t,-.j. .: ..:2S1N.P.,: ?% .s b Is there to be an opening between garage and building? v..o . Kind of heating system Oil burner or coal? . . . .ext 1. .bv.Tnn..-L` . . . . . . . Will a flue-lined chimney be provided? . .1 C5 . Depth of chimney foundation below grade Height of chimney above roof. . . .3, Will there be a fireplace? '1' -'i Depth of fireplace hearth 11/r Will a toilet be installed? 1 e-5 Will a kitchen sink be installed and connected to water supply? . . i:es Water supply (public water supply or pump) . . . .\?,,,7b\;c-. Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? 1-RS Town of Queensbury l AFFIDAVIT County of Warren State of New York I swear that to th-barof my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and cou.plete statement of all proposed work to be done on the described premises and that all_provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. ' Sworn to before me this Signature ...� 1� ./�.��W NEH.-O ER'S A/�AGE•OIFIC►i� e C CfoA day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By • TOWN OF QUEI N5DURY BUILDING & ZONING D FPA:RTMENT r)UEENSEUR\ TOWN OF 'IC E BUILDING BAY & HAVILAND ROADS m R. D. GLENS FALLS, NEp,• VOR:. APPLICATION FOR A PERMIT TO CONSTRUCT, ALT ER OR `' ,L..AP..G A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENS�rl_��`l OCCUPANT'S NAME U1,1 10 ►' e� �,. Al)DRESS � � v o v e_ � o T 3"3 F' TELEPE ION E 7 q -o y- i i. OVNEl 9 S NAME Val ii ( c � �_._ �._.. �.�. • ADDRESS 5 \AJ h i.12poor W _ 1�_ RJ. NUMBER OF r;ED ODM,_ GARBAGE GRINDER? No (YES OR NO) T OPOGRAPHY;1 FLAT, ROLLIt 3 STE = � SLOPE, GENTLE SLOPE, OTHER NATURE OF SOIL: CLAY', SANDY, LOAM, GRAVEL ROCK, ETC. PERCOLATION TEST WATER SUPPLY: MIN ICIPAL WELL 4 OT YEA DIAGRAM M OF PROPOSED SEPTIC a r"STEM • IA .0_. Ag ,vl fry r`` `Iy3► F t • OTHER PERTINENT INFORMATION IS HEREBY AGREED THAT s:F THIS APPLICATION AND PLANS ARE iU?PRW INSTALLATION OF S EWAGE DYSPOSAL FACILITIES WILL 13E MAD IN AC C:O .DA. O E WITH DETAILS SHOWN . PERMIT FEE IS Sr o GO DATE r:1�7 a 7.5 SI IiATUR E OF APPLICANT yYwi V y) (/ (4-elf) • • TOWN OF QUEENSBURY • Building Department • • • ff Inspectors Report Date 9/?f he Narr:e. ire/1119 Location • . .S'z-e-) &c /8/21 Permit No. '3 G p 7 Weather PerCent • Complete Remarks Excavation Footing Forms • Footing & Piers Foundation Cement Coat ' Waterproofing 7 2 oo41/ Backfill /) Final Survey `Y , Framing 7/,lj �c7iZ, Sheathing Roof Felt D A—/019o-jiv ��6w/% Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor / Interior Trim ,� Stairs&Railings Cellar Dr.Tile f Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval /' Building Inspector • REMARKS �74-6 S 23ci eG�/7„,- � �� USG ?"� . 1" `/�� IyL cf tU / 7 TOWN OF QUEENSBURY • Building Department / Inspectors Report /Date 9--' /C Name C//il�� /)(J l / / > Location Permit No. `.3 G,n ? . Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation • Cement Coat Waterproofing Backfill • Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer i l Rough Plbg. L� /` Et' Rough Htg. ' Relief Valves _ Wall Board Ext.Porches Finished Floor f Interior Trim Stairs&Railings Cellar Dr.Tile r Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMAR S TOWN OF QUE NSBURY Building Department — Inspectors Report Date /f Namei�l�,l. �f ✓%!_�i�ii./� Location Permit No. b 9 Weather J ?/—/! Per Cent CompleteR• °r"r'rlC° Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey — er** Framing V /! Sheathing Roof Felt Roofing Siding • Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Innpector REMARKS LM/ 20 fr./y I l i TOWN OF QUEENSBURY Building Department Inspectors Report� /] �l Date 7 - 5v Name til//fAA( �J�sriG�f�r Location ,p Permit No. .3(n 0 7Weather � / Per Cent Complete Remarks Excavation Footing Forms Footing & Piers -- Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trimal\ Stairs&Railings Cellar Dr.Tile r Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic A..roval Building Inspector REMARKS v ";:t2-/ 2f'G6 TOWN OF QUE NSBU ` Y Building Department Inspectors Report Date 7/'7_1 7 3 Name /l/14 Pe oil Location C/v./4°FtAY/a� • Permit No. 36 D 9 Weather Per Cent Complete _ _ Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill !/ Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval A/4 Building inspector REMARKS • TOWN OF QUEENSBURY Building Department Inspectors Report . Date 7-1/-73 Name Location cal, Permit No. / �i�i Weather lze1 Per Cent Complete la Remarks Excavation i Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector , REMARKS For accurate register of carbon copies. form may be separated along above fold. Staple completed sheets together In original order. ❑ Proposed Construction ❑ Under Construction DESCRIPTION OF MATERIALS No. (To be Inserted by FHA) j� � Property address _yam Y C k��1� D� P •_ l`b7 ' �-3� City I P n S ��/5 State JV: __r__-_ Mortgagor or Sponsor - -- --- - - - - - ----- — - ----- -- '- / // (Name)/ / 1 . / (Address► Contractor or Builder W I!/__Ci_►>�_____/_, Yie�(e ! _ `� v/ Ii_!_p p a o r- w i IJ- � 6 c f', --------------- (Name) (Address) The specifications include this Description of Materials, the applicable FHA Minimum Construction Requirements, and any applicable FHA Engineering Bulletin INSTRUCTIONS I. Describe materials and equipment to be used by entering the essential infor_ 3. Unless otherwise described or shown, required work will be assumed to be motion and marking an X in each pertinent check-box. the minimum acceptable to FHA. 2. Do not include alternates or "or equal" items. Acceptance of substitute 4. Construction which exceeds FHA minimum requirements will be recognized materials or equipment can be requested of FHA, through the mortgagee, in the FHA cost estimate only if adequately described herein. before or after construction has begun. 5. Signature of mortgagor or sponsor is required on page 4. 1. EXCAVATION: • Bearing soil, type_—`�fiix . 2. FOUNDATIONS: Footings: Concrete mix k. 3~ 5 Reinforcing +‘C .-4 Foundation wall: Material X a 'I \ e c-\, Reinforcing -v vsz� Interior foundation wall: Material Party foundation wall Columns: Material and size__:�� gZ 0 Piers: Material and reinforcing Girders: Material and sizes__ �__sa( '4% Sills: Material Basement entrance areaway In cAN'e-- Window areaways Waterproofing St'cs-Y Footing drains Termite protection Basementless space: Ground cover Insulation Foundation vents Special foundations 3. CHIMNEYS: Material____ f.`z0VI.T`' Prefabricated (make and size) Flue lining: Material ;.`t--•e L.A-ek -- Heater flue size if x Fireplace flue size !ck y421•• Vents (material and size) : Gas or oil heater_ Water heater 4. FIREPLACES: Type:<Solid fuel; El gas-burning; ❑ circulator (make and size) _ Ash dump and clean-out '& C. Fireplace: Facing ___Iz1r•ic- _; lining tt rc'c-. ; hearth _ ��G ^e..,_ ; mantel 5. EXTERIOR WALLS: Wood frame: Grade and species e•-+-- ❑ Corner bracing. Building paper or felt Sheathing y u_TV, _ te.4 thickness ;width ; 0 solid; 0 spaced " o. c.; ❑ diagonal; Siding G 4 %-nz w rei grade ; type ; size - ;exposure ";fastening Shingles .; grade ; type ; size ; exposure ";fastening Stucco ; thickness ". Lath ; weight lb. Masonry veneer Sills Lintels Masonry: Facing ; backup thickness _ ". Bonding Door sills Window sills Lintels Interior surfaces: Dampproofing,_-._coats of .. ; furring Exterior painting: Material ; number of coats--- Gable wall construction: El Same as main walls; ❑ other 6. FLOOR FRAMING: Joists: Wood, grade and species _st_1•__113 ; other ; bridging _vin£'`c'3, ; anchors Concrete slab: Basement floor; El first floor; 0 ground supported; 0 self-supporting; mix —; thickness reinforcing ; insulation ; membrane — Fill under slab: Material ; thickness ___________". 7. SUBFLOORING: (Describe underflooring for special floors under item 21.) Material: Grade and species \mod ' 41:4 ,r-r o o ; size ;type Laid: 0 First floor; ❑ second floor; ❑ attic sq. ft.; 0 diagonal; 0 right angles. - 8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.) LOCATION Rooms GRADE SPECIES THICKNESS WIDTH BLDG. PAPER FINISH First floor Second floor . - - Attic floor sq.ft. 2005 1 DESCRIPTION OF MATERIALS 2005 DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: Studs: Wood, x is grade and species I. Size and spacing S.IP Q , �.. Other - 10. CEILING FRAMING:Joists: Wood,grade and species _ _I if 0 0 Other 120-12 'o C Bridging 11. ROOF FRAMING: I( // Rafters: Wood,grade and species �.�% 12 Roof trusses (see detail) : Grade and species 12. ROOFING: Sheathing: Grade and species ``.L,i n-L•-!__s..arls_1___.l'._L4.. ; size ; type ; ❑ solid; ❑ spaced_._—_."o.c. Roofing __q5 1 q0 __SRln_ _l_zS ; grade ; weight or thickness g ; size ; fastening Stain or paint Underlay Built-up roofing ' ;number of plies ; surfacing material Flashing: Material ._ .vr_sa2=zLV e.�a_ ; gage or weight ; ❑ gravel stops; 0 snow guards 13. GUTTERS AND DOWNSPOUTS: Gutters: Material ; gage or weight ;size Downspouts: Material .;gage or weight size ; shape ; number Downspouts connected to: 0 Storm sewer; 0 sanitary sewer; 0 dry well. 0 Splash blocks: Material and size 14. LATH AND PLASTER: Lath❑walls, ❑ceilings: Material ;weight or thickness Plaster: Coats__._____;finish Dry-wall 0 walls, 0 ceilings: Material _; thickness ; finish joint treatment 15. DECORATING: (Paint,wallpaper,etc.) ' ROOMS WALL FINISH MATERIAL AND APPLICATION CEILING FINISH MATERIAL AND APPLICATION Kitchen Bath 16. INTERIOR DOORS AND TRIM: Doors: Type ___1cLa�,b ____.G`r'..— . ; thickness __� 4 YP - material ____,�s2�� _3-c<__ Door trim: Type __rcz-1,ns,32e- ; material __N.-)oG 1,, Base: Type ;material ;size Finish: Doors ; trim Other trim (item, type and location) 17. WINDOWS: Windows: Type_.a..oa 2_be___S,s:YA ; make ; material ___u- ' sr ; sash thickness Glass: Grade 4044 0 sash weights; 0 balances, type ; head flashing _ Trim: Type ; material Paint ; number coats Weatherstripping: Type ; material Storm sash, number Screens: 0 Full; 0 half; type ; number ; screen cloth material Basement windows: Type ' _; material ; 0 screens,number Di Storm sash,number Special windows 18. ENTRANCES AND EXTERIOR DETAIL: t. Main entrance door: Material _"_1't.''`. ;width 1' 5 i;thickness:Lg _". Frame: Material__JsIu9_l___;thicknessii " Other entrance doors: Material_ z- _ ;width_ ;_ '_9:_; thickness.4 _. ' Frame: Material_ __rz�{. _� _&___;thickness__ly' Head flashing Weatherstripping: Type saddles Screen doors: Thickness "; number ; screen cloth material Storm doors: Thickness __";number_ Combination storm and screen doors: Thickness_ _____"; number____.; screen cloth material Shutters: 0 Hinged; 0 fixed. Railings Louvers Exterior millwork: Grade and species Paint _; number coats 19. CABINETS AND INTERIOR DETAIL: Kitchen cabinets, wall units: Material _ lineal feet of shelves ;shelf width_._._ Base units: Material ; counter top ; edging Back and end splash Finish of cabinets ; number coats _____ Medicine cabinets: Make ; model Other cabinets and built-in furniture 20. STAIRS: ` TREADSRISERS STRINGS HANDRAIL BALUSTERS STAIR Material Thickness Material Thickness Material Size Material Size Material Size Basement_ Main Attic _ Disappearing: Make and model number _ 2 21. SPECIAL FLOORS AND WAINSCOT: , LOCATION MATERIAL,COLOR,BORDER,SIZES,GAGE, ETC. THRESHOLD BASE UNDERFLOOR AKitchen____ Bath LOCATION MATERIAL,COLOR,BORDER,CAP.SIZES.GAGE,ETC. HEIGHT HEIGHT AT TUB HEIGHT AT SHOWER I. 8 z Bath - lt Bathroom accessories: 0 Recessed; material ; number ; 0 attached; material ; number 22. PLUMBING: FIXTURE NUMBER LOCATION MAKE MFGR'S FIXTURE IDENTIFICATION No. SIZE COLOR Sink _r•rdi...___.- sC,As,: Y�. Lavatory _,J-___.__l{�n, 3Csr_b ivs_ Water closet A___ It Bath tub 1 A Shower over tub*.. __ ___. t __ _. Stall shower**____. ____._IV_N.s_ tS..Ari.. Laundry trays ___ maiot.41-`0->P > - *❑ Curtain rod **❑ Door 0 Curtain rod Water supply: O'Public; 0 community system; ❑ indi dual (private) system. Sewage disposal: ❑Public; El community system; individual (private) system. House drain (inside): 0 Cast iron; ❑ tile; 0 other_ House sewer (outside): 0 Cast iron; ❑ tile; 0 other Water piping: 0 Galvanized steel; ❑ copper tubing; 0 other Sill cocks, number Domestic water heater: Type ; make and model recovery gph. 100° rise. Storage tank: Material ; capacity _gallons. Gas service: ❑ Utility company; ❑ liq.pet.gas; ❑ other Gas piping: ❑ Cooking; ❑ house heating. Footing drains connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump 23. HEATING: ❑ Hot water. 0 Steam. ❑ Vapor. 0 One-pipe system. ❑ Two-pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model Radiant panel: ❑ Floor; ❑ wall; ❑ ceiling. Panel coil: Material _ ❑ Circulator. 0 Return pump. Make and model_ ; capacity gpm. Boiler: Make and model Output ._ Btuh.; net rating Btuh. Warm air: p Gravity. �rced. Type of system W Duct material: Supply ; return Insulation _ ,thickness ❑ Outside air intake. Furnace: Make and model Input Btuh.; output Btuh. ❑ Space heater; D floor furnace; ❑ wall heater. Input Btuh.; output Btuh.; number units Make,model Controls: Make and types Fuel: 0 Coal; oil; 0 gas; 0 liq. pet, gas; 0 electric; ❑ other ; storage capacity Firing equipment furnished separately: ❑ Gas burner,conversion type. Stoker: ❑ Hopper feed; 0 bin feed. Oil burner: ❑ Pressure atomizing; 0 vaporizing Make and model _ Control Electric heating system: Type Input watts; @ volts; output Btuh. Ventilating equipment: Attic fan,make and model. ; capacity cfm. Kitchen exhaust fan,make and model Other heating,ventilating,or cooling equipment_ 24. ELECTRIC W 1NG: Service: Overhead; ❑ underground. Panel: D Fuse box; ircuit-breaker Number circuits Wiring: ❑ Conduit; ❑ armored cable;;E nonmetallic cable; ❑ knob and tube; ❑ other Special outlets:) RangeLewater heater; ❑ other ❑ Donr bell. ❑ Chimes. Push-button locations_ 25. LIGHTING FIXTURES: Total number of fixtures Total allowance for fixtures, typical installation, $ Nontypical installation 2005 DESCRIPTION OF MATERIALS 3 2005 DESCRIPTION OF MATERIALS 26. INSULATION: LOCATION THICKNESS MATERIAL,TYPE AND METHOD OF INSTALLATION VAPOR BARRIER Roof Ceiling Yotil Wall Floor 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere): HARDWARE: (Make, material,and finish) . SPECIAL EQUIPMENT: (State material or make and model) Venetian blinds Number Automatic washer Kitchen range Clothes drier Refrigerator Other Dishwasher Garbage disposal unit PORCHES: TERRACES: GARAGES: WALKS AND DRIVEWAYS: P Driveway: Width Base material_ _ _\.X,e__; thickness IL". Surfacing material 1 ___—; thickness*" Front walk: Width __5__f Material _C_CYYNC. R.1.7e - - ; thickness ". Service walk: Width Material ;thickness______"- Steps: Material ; treads "; risers ________". Cheek walls OTHER ONSITE IMPROVEMENTS: (Specify all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, retaining walls, fence, railings, and accessory structures.) LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil " thick: ❑ Front yard; 0 side yards; ❑ rear yard to feet behind main building. Lawns: (seeded, sodded, or sprigged) 0 Front yard ; 0 side yards ; ❑ rear yard Planting: 0 as specified and shown on drawings; 0 as follows: Shade trees, deciduous, " caliper. Evergreen trees, 'to ',B&B. Low flowering trees, deciduous, 'to Evergreen shrubs, 'to ',B&B. High-growing shrubs, deciduous, 'to Vines, 2-year Medium-growing shrubs, deciduous, 'to Low-growing shrubs, deciduous, 'to IDENTIFICATION: This exhibit and all others submitted with the same application must be identified by the signature of the appli- cant mortgagor if firm commitment is applied for, or of the sponsor if conditional commitment is applied for. Date , 19 Signature ❑ Mortgagor ❑ Sponsor 4 'I ; 11U6tYY\ LA , Dfue ( Whipp brwi (I Rd • , Tevls Fri Os, NI, f O ( sE-'t`rfc, _.,...s"\ \ ew< r7 10 r 115 ' g 6\11A700 f)rio0cDL GAtiAG . .~-1 Chi " .-_, e 0 0' Imo'