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1989-859 I w r i i { CERTM CANE OF +C 'ANY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Julwti 19 9. - late k { L I This is to certify that work requested to be done as shown by Permit No. F39-859 has been completed. This structure may be occupied as a S P fimilyw idling '! 1.Krcation' 1"�e ----- i ON.ner Anchor Builders2 Inc . By Order Town &bard arowN OF QUEENSBURY I i Director of Bldg. & Code Enforcement I 1 i 4 BUILDING PERMIT TOWN OF QUEENSBURY No. 89_8 g .� -------- WARREN COhUNTY. NEW YORK c PERMISSION is hereby granted to ANCHOR BUILDERS INr --------- OWNER of property located at #28 Heresford Lane street, Road or Ave. e+ 0 -+a in the Town of Oueensbury, To Construct or place a single family dwelling 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. ts� t t_ OWNER'S Address is V'1 Box 402 Clifton Park , NY 2. CONTRACTOR or BUI LDE R S Name 3. CONTRACTOR or BUILDER'SAddress C7 S O C H 4_ ARCHITECT'S Name r" to m to V S. ARCHITECT'S Address x C ) 6. TYPE of Construction — (Please indicate by X) K)Q Wood Frame I ) Masonry i ) Steel i S �t0 Itia 7. PLANS and Specifications CD No. 24 ' x 26 ' single family dwelling with septic systems driveway & 7�et attached 1 car garage as per plot plan , application & specificatiO s . CA CDa. Proposed Use 0 Single Family Dwelling . lw� $ 182 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 19_9-0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Ch town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 7th ..Day of Nov er 19 89 rn -n t SIGNED BY for the Town of Queensbury r� Building and Zoni Spector -t 1'r7 r- 1- a� TOWN OF QUEENSBURY I406 Ab REVIEWED BY p "�� FEE PACD # I)F ;Q x1,�0� F 8 R M1T NO. `l -. `� C ¢ �o BUILDING PERMIT APPLICATION OOO �e7 A PERMIT 'MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTI� WILL BB MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. The owner of this property is: ' F .O. Address �' �� rcei S Tel mmm de Property Location '' .c `s +�G� Lr. � ' ' Tax Map No.,,/' 1.5 Has there been any split of this property since October 1 , 1988 ? if yes Planning Board Review is necessaryo yes no SUBDIVISION NAME, IF APPLICABLE;,(/ >'.. + F.4". LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO 'BUILDING CODES IS: r NATURE OF PROPOSED WORK : ESrv.MATEL) MARKET VALUE OF ,.Construction of a new building CONSTRUCTION, S / 5g2cm)0 . • COMPLETE INFOB.* T.I.C7Cl�'IS.REQ RED BELOW: Addition to a building „ter `` S 70- • Size of property _ft x ft . Alteration to a building " Existing Buildings( 3 ) Size ft . x ft . (no change to exterior dimensions) » Proposed building - distance from property line: Other work (Describe) " Front yard c�- ��-ft . Rear yard Sc> ft. Side yards as '� fto and s% '' ' ft. GROSS AREA OF PROPOSED STRUCTURE if on corner, setback from side street it . 1st Floor er - / sq. ft. �� OCCUPANCY INFORMATION 2nd Floor - TiP sq. ft. Q_57 w Primary Building Other Floors Al 1W sq. �On'e' Family Dwelling (not cellar or bas 0,y . Two Family Dwelling Multiple Dwelling/Number of units TOTAL FLOOR A -- sq. ft. • Business Size of new structur fk x{ ft; � Foundation-pier/stab/crawl/parti�full " Industrial 1 (circle one) * Other No* of stories (habitable space) ,---�-- Height (grade to ridge) ,�L?, ?'- ft. • If addition, what will use, bo? AV X . If residential, now of familiee�_, + Now of rooms(exeluding baths) NEED * Accessory Building Now of bedrooms ' Garage ONE/TWO Car Noo of bathrooms--- i �.2 • Primary heating systemwwwwwww • mmmm� Attached Garage ONES Type of fuel � " Private storage building Noo of fireplaces to be installed o /� r � Other • WILT a woad stove be ivwtalled Central Air condttionirgl ✓Yr9 wwffiwEm OV* ER BC' llD ( vG PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe. etc, 4,�,r�n �� i'-- Will any second-hand or upgraded lumber be used ? If so, for what Zee Foundation wall material 'Thickness /C � ,C�cc.r�'.c -r Depth of foundation below grade (to bottom of footing) Will there be a cellar ? E-5 Heated or unheated?bbasement ? Floor sq, footage�,r c'�%' ' , q ft . Will there e a baseme t ? ✓ S. Will any portion be used as living space ? ,, ye5 (If so, what portion? . Alle 1 ,sq ft . Type of use ? Type of roof - sloped/flaytt'//ss`he`d/otherMaterial of roof Size, wood studs `"x It spacing o. c. length ft. XylyS Joists (floor beams) 1st floor "x_s " spacing "o. c. spanft* Joist (floor beams) 2nd floorx "' spacing f "o. e. spar �i�ft . Overlays (ceiling beams ) spacing " o.c, span ft. Roof rafters "x.,2Ak� spacing �o. c. span_/' Roof trusses (pre-engineered) spacing. o. c. Span ft. !Exterior wall finish,; ,/ ;7? of what material? ,/',,r,,�4, AZ_ Interior wall finish "If a garage is to be attached, describe materials to be used ror FIRE SEPARATION: Is there to he an opening between garage and dwelling? � If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined Chimney be instal ad? Height above roof Depth of chimney foundation below a ft. Depth of fireplace hearth ft. in, Water supply - . Municipal or priv a we SEPTIC SYSTEM DIstance from ANY private well (including adjoining properties , �+1 �' t (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER ,trrJ �. r ; ADDRESS a � 41"LMIZZ TEL. NO. NAME OF PLUMBER lC;fir / tC "r ADDRESS� i. - � i`/ TEL. NC?._��_"�_L> NAME OF MASO 06L2 a& re ADDRESS TEL. NO, st NAME OF ELECTRICIAN ADDRESS422,40EW6)**TJ �� TEL. NO. - .w2 ,2,1 DECLARATION To the best of my knowledge and belief thwstatements contained In this application, together with thu Plans and specifications submitted, are a true and cornplete statement of all proposed work to be done on the described ,premises and that &U Provisions of the BUILDING CODE, THE ZONING ORDINANCE, and W other laws Pertaining to the Proposed work shall be compiled with, whether specified or not, and that ' Iuch work is authorized by the owner. Signature* Owner, owners agent, architect, Contractor iPECIAL CONDMONS OF THE PERMIT: BY WARREN COUNTY , NEW YCRK ` Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained 'before beginning work . ANSWER ALL of the following : i 1 . Gross floor area 2 . Type of h e a t � 3 , Is the building mechanically cooled ? ,Z2 4 . Percentage of area of windows and doors A , over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heat 3 spaces YES NO a . Are foundat on walls insulated ? YES NO 1 , If YES . what is the R value ? 3 . Slab on grade YES NO R a . If YES , wh . t is the value of insulation around perimeter of floor ? 4 . Is basement heated ? YES No a . R value of insulation 5 . Type of insulation!/ B . Under 16 % Only 1 . R va00000 lue of roof and floors exposed to ambient conditions a 2 . R value of exterior walls / ',z_./'� 3 . R value of glazed area �rs �`� -- ' 4 . R value of doors 5 , R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab d74. ',�,j','�l 7 . R value of slab insulation - heated slab ,LUE IA'A'/ '�} 8 . R value of heated basement/ cellar walls ( above grade g , R value of heated basement / cellar walls ( below grade " ef ��9l.-� 10 . Type of tnsulation� /` 4F�Fe / ,� � ,Gc•� r17.r17/7E3� r .■2,rz1S C . Controls 1 . Thermostat maximum heat setting S722 D . Duct Systems 1 Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installatio b . R value of duct in other areas rY E- ,r E . piping Insulation MWOMMM I . Size of hot water .y+ . cooling carrying agent pipe 26 R value of pipe insulation Q S F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maxima G . For Swimming pool only p© 1 . Maximum heating C;' Telephone No * � 5 ( applicant ' s signature } TOTvVN OF UEENS13LyRY CAPPLICATION FOR Y' v 4 } SEPTIC DISPOSAL PERMIT DATE - LOCATION OF PROPERTY FOR INSTALLATION� Gxg: " %f rz,�ri'V �F Owner's Name: Telephone: Address: -r: Y Installer's Name:• Telephone* Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom)'�/sc Topography: Circle one; Flat) Rolling Steep Slope % of Slope Soil Nature: Circle one Sand Loam Clay Other ' G-;'Iebep 1s`�s r Feet - Ground Water. At what depth? r.,yr Feet Bedrock or Impervious Material: At what depth? rr!� r1 Feet Percolation test: Circle one not req required rate min. inch. Domestic water supply: circle one: Municipal Well C7ther4 ' �1,a�,,-� ' , �. M U �t y If domestic water supply is a well: Separation: Water supply from septic absorption feet f '-+ PROPOSED SYSTEM : Septic Tank fc7C,,y��L ' gal. ( minimum size: 1 , 000 gal . ) TILE FIELD: Each Trench 10iedtl i'otal sygtl� re'tigt " � � feet � SEEPAGE' PIT(S): Number of / Size each [v feet by feet Size of stone to be used # /Depth or Thickness �Z' cafe5, * *41 * ***** * ** * * *s * * I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Rueensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: r �/'G7 C OVER Septic System Inspections : A . All applications for septic system installation , alteration or repair , as required by the Town of Queensbury Sanitary Sewage Ordinance , shall be submitted to the Building, Department at least 24 hours before start of construction and shall include a plot plan showing : 1 . ) the ,proposed location of the system 2 . ) location and distance to lot lines 3 . ) location and distance to structures 4 . ) location and distance to any water supply 5 . ) size and dimensions of all tanks , distribution boxes , tile fields and /or drywells B . No system shall be covered before inspection and approval by the Building Inspector . Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $ 250 . 00 . c . An approved copy of the plot plan shall be available on the construction site . Failure to produce said plot plan at time of inspection may result in an immediate work stoppage . D . Should unforeseen problems during construction prevent proper installa- tion , alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Say and Haviland Roads +Queensbury , New York 12804 TOIRI OF QUEEN SBURY 531 BAY ROAD QUEENSSURY , NEW YORK 12804 TELEPHONE ( 518) 792-5832 BUILDING INSPECTOR' S REPORT FINAL INSPECTION p REQUEST FOR INSPECTION RECEIVED bloglqj NAME (�ry\{ .!1\c [ I -e� 5 LOCATIONN DATElit ! PERMIT# TYPE OF s :�e-f�i'i RECHECK FIRE KARSFAL APPROVAL (COMMERCIAL S�#UCTURE ) y,iFOOTING ✓FOUNDATLBN S,DACKFILL '%/ FRAMING UGH PLUMBING '' FINAU ELEC RICAL SEPTIC INSULATION WODUSTOVE/FIRE LACE Y 1E PLAN/VArAWCE REQUIREMENT YFS NO REMARKS N/A YES NO CHIMNEY HEIGH LOCATION B VENT/LOCATIO PLUMBING YENT ROOFING SIDING DECK/P RELIEF VALVES FURNACE/NOT _ BASEMENT INSULATIO f CTWOR INTERIOR TRIM/PRIM DOORS + FINISH FLOORS : BATH/KITCHEN WAT IGHT ✓ OTHER FLOORS SWE P LE OTHER FLOORS CA ET STAIR CLEARANCE/ ILIN HANDICAPPED ACCE S SMOKE DETECTORS BATHROOM FANS/ ALL PLUMBING . F XTURES OPE TI GARAGE 'FIRE P OOFING DOOR CLOSERS OTHER FIRE S ON FIRE/DEMISE WALLS DUMPSTER FINAL EL OK TO IS5 E C/O DEPART AtGl ._._ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 BUREAU OF ELECTRICITY 141 STATE STREET, ALBANY. NEW Y+ORK 12207 Date JULY 01 r 1991 Application Va. anfili�l^ C3"T4P 9 / 89 A 054868 THIS CERTIFIES THAT PERM , 'CD . 89 - 859 only the electrical "aLipment as described below and its Cho rrted an tha ob~ application r mbar in the premises of ANCHOR BLDRS , 28 HERESFORD LANE , GLENS FALLS , N . Y . in the following locution; Basement IJ lat R. F\7 2rcrl Fl. GAR Section! 19 Bloch? arras examinee! art t1ITIN E '1K. • 119 91 and found to be in compliance with the requirements of this Board. _ FIXTURE g 5 SWITCHES FIXTURES RANGES COOKING DECKS WENS DISH WASHERS EXHAUST FANS LET OUTS iNC.ANPESCENT rLL101K3CENT OTHER AMT- K- W. AMT. K- W. AMT. K.W. AMT, K. W. AMT- H. P. 17 41 24 17 DRYERS FURNACE MOTORS FUTURE AFFIANCE ESDERS SFRCIAI RRC'FT TV" CIOCU[+6 IOU UNIT HEATERS MULT1•0ITUIT OMUAB*S SYSTEMS AMT. K, W- OIL H. P. GAS H. P. AMT, HG. A. W. G. AMT- AMP. AMT. AMrs- TRANS- AMT. H. P. No- of FEET AMT. WAITS 1 F' 1 SIERVI" INSC04NNECT NO. OF S E R V I C E A. G AMT_ AMP. TY►E EOUIF. 1 X 2W 1 1' ]W 3 X ]W 3 X 4W CA,CCr+C. OF CC. COMP. NO. OF HI-LEG Of MI'lEG NO. Gf NEUTRALS OF NWEUTTIAL i 0C4 Fs 1 x 1 3 n OTHER APPARATUS. EL.EC . bATEP HLAT€:R :c ; G . F . C . 1 : - ? SMOKE DETECTOR . - 1 m ftflltsERT VAN E1L3SL?ti LI� PC) BOO 497 s BRANCH MANAGER 16 LINDEN CT . (' LIFTO N PARK, N1 1 `�N065 ^_ 39 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792/ 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATI DATE �— IT # TYPE OF STRUCTURE RECHECK A PROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RES NS11 E FOR PROVIDING PROTECTI FROM FREEZING FOR 48 HOURS OLLOWING THE PLACEMENT OF THE REYE. MATERIALS FOR THIS PU OSE ON ITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING air BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS lN: PLdrE PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADERS BRACING/ BRIDGING Ll JOIST HANGERS JACK POSTS /MAIN BEA FIRESTOPPING ! WALLS CEILING FIREWALLS HEATING ROUGH- IN /yINSULATION : FOUNDATION WALL INTE OR R- FOUNDATION WAL EXTER OR R- FLOORS R- I----WALLS - CEILING R- DUCT WORK OR PIPING IN NHEA E S PAC ES REMARKS : ARRIVE DEPART PEC TOM OF QUEENSBURY ` BUILDING AND CODES DEPARTMENT 531 BAY ROAD QTELEPHONE � NEW 0 RK 4 ( 518 } 792- 5832 BUILDING INSPECTOR ' S REPORT r REQUEST FOR INSPECTION RECEIVED, NAME 1 , OA/ _ 7 LOCATION DATE_ ",�I.� 1 } PERMIT TYPE OFSTRUCTTU`R"E�� Y�s� RECHECK APPROVED N/A IYESI NO FOOTINGS/PIERS -.- MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIB E FOR PROVIDING PROTECTION FR FREEZING FOR 48 HOURS FOLLO ING THE PLACENEXT OF THE CONCRE E . MATERIALS FOR THIS PURPOSE N SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL. AROUGH PLUMBING PLUMBING VENT/VEN S IN P CE PLUMBING UNDER SLAB FRAMING : JACK STU /HEAD RS BRACING/BRIDGING JOIST HANGERS -- JACK POSTS/MAIN BEAM HEATING ROUGH- IN INSULATION : FOUNDATION W LL INTE OR - FOUNDATION WALLS EXTER OR FLOORS - WALLS R- CEILING R- DUCT WORK OR PI iNG IH NHEA ED SPACES EF7A� 3 ARRIVE 1 DEPART. INSPECT ._.J'ortvn o� �uee►� shure� BUILDING and ZONING DEPARTMENT ay and Haviland Road, R. . 1 Box 98 � Queensbury, Flew Yor 12801 SEPT C DISPOSAL SYST INSPECTION NAME LOCATION DATE ^ PERMIT NO SOIL TYPE Sand - Loam Clay - Percolatio Test Require ? YES - No Percolation rate - Min/I ch TYPE of SYS Absorption eld , total length Length of ea h trench Depth of tre ches Size of gray l SEEPAGE PITS4t4umber of Size- -J6.ft. I X ft ^[�) ,;7 Gravel size PIPING : j5ize 'Type Bldg . to tank �Qty C Tank to diet. x Disto box to f! Id/ y Openings sealed . Y S NO Partial LOCATION/SEPARAT N Foundation to tan �J, ft. Foundation to abs tion eft . Absorption to lot ine / ft. Separation of pits eft. LOCATI SYST PROPERTY (circle one) Front Rea Le t ide - Right side - COMMENT . SYSTEM USE APPROVE Y N Bu ` z g Inspector 01/86 and vl TOWN OF QUEENSBURY ,/�/� f1 BUILDING AND CODES DEPARTMENT 1 1 BAY & HAVXZAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S PORN REQUEST Fp N PECTION RE EIVE NAME LOCATION DATE 'r / RMI # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR ORMS -- �OUNDATION/DAMP- ROOT-TNG BACKFILL APPROVA — -- ROUGH PLUMBING FRAMING ELECTRICAL ROUGH IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH Sf TEPS STA.LRS-CLEARAN E RAILS PLUMBING FIXTU E RELIEF VALVE INTERIOR TRIM/ R VACY DOORS FINISHED FLOOR GARAGE FIREPR F NG - DOOR CLOSERS) SMOKE DETECTOR FINAL ELECTRICAL NSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICA OF OCCUPANCY MUST BE OBTAINED FROM THE B ILDING DEPARTMENT BEFORE THESE PREMISES ARE o CUpXED! REMARKS: A\ '\kNSPECTOR - TOWN OF QUEENSBURY BUXLDXNG AND CODES DEPARTMENT BAY 6 HAVXLAND ROADS QUEEN.SBURY, NEW YORK 22804 TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR ZNSPECTXON RECEXVED� NAME t / . // Jf � LOCATION ' _ 7 i -t- DATE APPROVED YES LNO OOTXNGfPXERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFXLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROtYGH—XN XNSULATXON: at FOUNDATXON FLOORS a WALLS 41 CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDXNG EXTERNAL PORCHES/ TE STAIRS—CLEARANCE RA PLUMBING FIXTURE /RELX VALVE INTERIOR TRIM/P VACY D ORS FXNISHED FLOORS GARAGE FIREPROO XNG DOOR CLOSER (S) SMOKE DETECTOR _ FINAL ELECTRICA XNSPECTXON FINAL APPROVAL F CONSTRUCTION A SXGNED CERTX XCATE OF OCCUPANCY MUST BE OBTAXNED FROM HE BUXLDXNG DEPARTMENT BEFORE THESE PREMISE ARE OCCUPIED! i REMARKS: ,c X SPECTOR YOU ARE HEREBY REQUESTEID -ro INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP. # DATE CITY DIRVILLAGE TCWNSHIP coe,nlry STREET AND NO OR ROAD C-�.{' C./ 'Z" 'r'-' V.Y] 1.'..'.'�yr "^,,,e,,r..►,,.y/ POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISE'S LOCATE DT SECTION BLOCK LOT OOCUPANT 5 NAME � "-'�71 �"•r"�A'~ BUILDING OCCUPANCY ILA OWNER'S NAME AND ADDRESS u HOME TELEPHONE NUMBER CURRENT SUPPLIED BY' FROM THEIR 1AOR1S TELEPHONE NUMBER G'"' BUILDING IS NEW OLD ❑ WORK IS NEW 2 ADDITIONAL ❑ DEFECTS REMOVED ❑ LIST BELOW RLL EQUIPMENT WHICH YOU INSTALLED Lorca_ NUMBER OF OUTLETS Na W Fixtures & MOTORS HEATERS BRANCH OFFICE USE tips Lamp Receptacles CIRCUITS ONLY Ceiling H S" ' p't Switch Fyndarlt Bracket Na. Type, Na Wa Wall Rece 'le .R tfs AW,G, OUT- Each Each No, CaDge INSPECTION SIDE SUIT BASE BASE MENT 1st FL. 2nd FL, 31d FL, REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. ECHAJFIA�CTER FEEDERS ELECTRIC SIGNSTAMPS TOTAL VWJTS F WORK EXPOSED GA%TUBE SIGNITRANSFORMERS OF EAL BE STARTED D4T$VOMPLETED SIZE OF SIGN IN UMRERIr� CN'.'3Cmr S BUILDING , am� ,, MANUFACTURER OF SIGN OVERHEAD UNDERGROUND lON REOUEgTEO ON iOR AS NEAR qS POSSIBLE] ,r ENTER pPMM ..- 1DEIPITIPMTION ens ► ICVOID 6ELAYS SY GIVING LL AND ACCURATE INFCIRMATION. ALL S ES MU BE FILLED IN DR APPLICATION MAY BE 1� nMMED, PRINT NAME AND ADDRESS NAME OF LICAN7 .may GATE pF APPLICATION pp F - '.rll'/J /G�' . - STREETADDRESS TFLEPHIX4E N0- CITY OR POST OFFICE ,!'_'2,.. may „ ZIP CODE LICENSE Np WHEN APPLICABLE )� ❑ 85 John Street ❑ 41 State Street El BUFFALO, Delaware Avenue 217 Lake Avenue ❑ 202 Arterial Road NEW YORK, NY 10038 ALBANY, NY 12207 BUFFALO, NY 14202 � ROCHESTER, NY 14608 j SYRACUSE, NY 13206 THE NEW ` ORK BOARD: OF FIRE UNDERWRITERS (76 -i wm6w w . � CIL � r U - 12 t4 i � f h qdr a.- � CY , 1r ' 'lOr ?rl 7 v ;y » T � r. � � ��ay � r'/..:-, ��a•. •ems.(, . . � . - . � � ���+ �- 6 � .� s3'�1 i� -sue Q� ��- ��.. ,.: t., •..�. Al f :z:.. :, r ,�• . f r will ` a= 4*A,. r F: ' ENERGY DATA Building Design by Component Performance Part 4 ( 7 813 ) HERITAGE - ONE CAR & TWO CAR GARAGE + © � OPTIONAL DEN WI H ONE CAR. GARAGE 11 2/ 89 1) Degree Days - 9. 000 - One Family Dwelling ' ► ^' �n1 54 Uo G VIY'2 2) Component Area Code Proposed $� Wall - no den. 1 , 846 sq . ft . 0 . 14 max . 8 M with den 21163 sq . ft . Roof/Ceiling - no den 676 sq . ft . 0 . 04 max. 0 . 03 with den 837 sq . ft . OaO3 Floors N/A Basement Walls - no den 84 1f , f . 0 . 09 max . 0 . 09 ( 48" min. ) with den 76 l . f . O ` 09 Slab Edge - no den 18 1 . f . R-10 R-10 with den 58 l , f . R-10 U Total - no den . 067 with den . 070 3 ) Windows Peachtree double hung - 3 / 4" insulated glass - U=0 . 44 With Den - Peachtree slidinig patio door - 3;14" insulated glass U=0 . 47 % Glazing - No den - 7% With den - 8 Fireplaces to be provided with outside ( not from garage , basement , etc . ) air supply as per energy code . Damper is to be rated at maximum of 20 CFM as per energy code . Infiltration* Doors = 1 . 0 CFM/SF Windows = . 5 CFM/ SF (»Infiltration ratings consult manufacturers • information - testing must be made at 25 mph wind speed) Infiltation Caulk and Seal 1 ) Doors �EA� HEyr �„ 2) Windows S�1' gwnrq O,f, 3) Roof Penetrations �► �y �^tw, �'f 4) Envelope Penetrations •- c; `` / 'k Gas forced hot air heat ` L f'RUF�E 55���