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1985-362 BUILDING PERMIT TOWN OF +QUEENSBURY No 85- 362 . tC y + � - WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Conrad and 01ana OWNER of property located at 41 Helen >7 r i Street. Road or Ave. in the Town of Queensbury, To Construct or place a Tncrround Swimmi ng Pool 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 O.ueensbury Building and Zoning Ordinance. f7 i . OWNER'S Address is 41 Helen Drive 0 Glens Falls . New York I�t r3. ONTRACTOR or BUILDER'S Name 1Q+ Bob Baker Pools 0 r- sv ONTRACTOR or BUILDER"S Address tj Quaker Read x Glens Falls , New York *t3 r• 4. ARCHITECT'S Name N tl! 5. ARCHITECT'S Address fl x rn 6. TYPE of Construction — (Please indicate by X) (U I l 1 Wood Frame l ) Masonry i ) steel 1 1 t) I� F'• C 7. PLANS and Specifications (D No. 17 ' x37 ' per plot plan and application submitted steel/`(Any1 a. Proposed Use Swimming Pool ~ rj 0 $ 15 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Feb . 1 19_ 86 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 16th Day of July 1985 r- ,� . SIGNED BY f.I for the Town of Queensbury Building and Zoning Inspector "d •.o 0 O F" TOWN OF QUEENSBUR • (Space inside block to lx• filled in bt- WARREN COUNTY, NEW YORK Building In%TwCtr)Fr) ,\pplitation No. Application for V(.1 E„ 1, is:,ncatl BUILDING AND ZONING PERMIT I'Id}„#i{ hxpire4 I r 31 i II %Irit 11 vd IIv THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale RctllaI Ki 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- .FOW�,I OF QUE MITTED WITH THIS APPLICATION. nnre �ujjjyy Jul, A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK IS ¢ F "` t�P.m. ANSWER .ALL OF THE FOLLOWING. 71819�1�; 112131 41516 The undersigned hereby applies for a permit to do the following work ■ which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. The � owner of this property is:: J r �,J } �� .t.r ORII... .D . 'J. +f'R -1''-III . rFT U/7 IJ .Ft#'"I. S. . . . . . I .I. H'G I,C- Yl i.j SP D. A[T4RES. . . . . . . . . . . . . . . . . . . . The person responsible for super-vision rvision of the work insofar as the Building Code and the Zoning Ordinance apply i5: - . . . . . . . . . . .{NAME} . �P O 4RPRE 55} . . . . . - - - . �H . . . Po .l7 s . .t gym /If�1� /{ . . ,. . ( .�a.lr . . - . . . . . . Name of Builder . 0.�? • k - • / Name of Plumber , - . . . . Address - . . . . . . . . " . . . . . - . . . Name of Mason - - . . . - . . . " . . . . . . . . . . . . . . . - . . " " . . . . . . . . . Address . . . - . . . d d d . . . . . - , . . - - Lot Number . . . . - . . . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work $ - . . . . - " " - - - - . . . , . . . " . . . . . . . . . Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . . . r.�. . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . - . . , . . . . . . . " . . . , Name of Street . . , `7�� . . .r7•�"J. �.ry. . . DiC, f . (246 y. Side of street : north d, east C1 , south ❑ . west Nearest Cross Street - • • . • . . . . . . Distance from this ^ross street Ft. Property is north 0 , south © , east , west ❑ from Gross Street If on Corner, which corner, northeast �i , northwest 0 , southeast 0 - southwest (Designate by marking with an "X" in the correct space_► NATURE OF PROPOSED 'WORK OCCUPANCY 0 Construction of a new building. Main Buming C� One-Family dwelling ❑ Addition to a building. Two-family dwelling ❑ Alteration to a building. - - - . . -family apartment house ❑ ❑ Demolition of a building. Store building ❑ . . " . . . - - -car attached garage Other: . . . . . . . . . . . . . Accessory Building Ej One-car detached garage Other work. Describe: . .zz^jjx'0 10). ra. V. Two-car detached garage r Private chicken house 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 locations size and setbacks of pro- posed buildings, and the location of all existing buildings- r►a Show proposed buildings) in dotted line and existing huilding(s) in solid line. Size of property . . . . . . . . . . . . . . . ft. x . . . . . . . . . . . . ft_ Size and use of existing buildings, if any . . t . . . . . . . . . . . . . . . . . . . . . . . . . . . sCj "" Size of proposed building . . . . . . . . . . ft. x ft, Height [from grade to ridge) . . . . . . . . . . . . . . . . . ft. r� l Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft- Side vards . . . . . . . . - . . . . . . ft. and . . . . . . . . . . . . . . . ft. h� Y1 Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ft. —7 F sauT ►+ If on corner, setback from side street - ft. Note : All distances are net, as measured from street side line to nearest part of building. touter 7 -73 —M (cont'd.) BUILDING SPECIFICATIONS4 Kind of construction: Wood frame, fire safe, etc.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . . . . . . . . . . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . , - . . . Material of foundation walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . , . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? Will there be a cellar? . . . . . . . . . . . . . . . If so, material of cellar floor . . . . . . . . . . . . . . . Type of roof! Sloped or flat? . . . . . . . . . . . . . . . . . . Material of roof . I . . . . . . - Size. wood studs . . . . . . . . . . . . . . . . . . . . " x . . . . . . - . . , - . . . . ", spacing . . . . . . . . . . . . . . "a.c.. length . . . . . Size, floor beams, 1st floor . . . . . . . . . . - " x . . . . . . . . . . . . . . . ", spacing . . . . . . . . . . . . . . "o.c., span . . . . . . . . . Size floor beams, 2nd floor . , . . . . . . . . . " x " . . . . t. . . . . . . . . . . . . . . . . spacing . . . . . _ . . . . , . . . "a.c., span . . . . , . . . . . . . . - ft. Size, ceiling beams . . . . . . . . . . . . . . . . . . " x . . . . . ". spacing . . . . . . . . . . . _ . . ' O.c., span Siie, roof rafters or beams . . . . , , . . . . . . " x . . . . . . . . . . . . . . ", spacing _ . . . . . . . - , , . . . "o.c., span ft. Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . With what material? . . . . . . . , . . . . . . . . . . . . . . . . . , . . . Finish of interior walls . . . . . . . . . . . 4 . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . - . , . . . . . . . . . Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . , . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof. . . . . . . . . . . . . - . . . . . . . . . . . . Will there he a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . , . . . . . . . . . . . . . . . . . . . . . _ . . Will a toilet be installed? . .. . . . . . . . . . . . . . . . . . . . . . . . •. Will a kitchen sink be installed and connected to water supply? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply ( public water supply um SP PP1Y or pump) . . . . . . . . . . . . . . . , . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York 1 swear that to ti. ihsj j of my knowledge and belief the statements contained in Chia application, to jetlter with the plans and specifications sub- mitted, are a true and ro.a, iete statement of all proposed work to be done on the described premises and that an px of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with Provisions or twt, and that such work is authorized by the n OWNER. {J Wer. fj Sworn to before me this Signature 44r). . ! /:. ..#i.ER' AGENT, ARCHITECT. CONTRACTOR . . . . .. . . . �. f. . . .. . . .. . . .... .. . . .. . . ... . . . . . . . . . .... . 19 ff. . . id OTARY PUBLIC. WARREN COUNTY, N. Y, 0 SPECIAL CONDITIONS OF THE PERMIT. By . . . . ... .. . . . . . . . . ... . . . . . . . . . . . . ... ..... . . .. . . .. -- TOWN OF QUEENSBUR'Y' ISpace Inside block lop Ix• finest it-, by WARREN CouN'ti'Y. NEW YORK Building lnspt^ or) '.bill tatitsai No- Application for Permit I%stte•d 19 BUILDING AND ZONING PERMIT Pci mii Expires fig . 41 PL161''• Disiriti ;111r ao Wgvrk \1i1Pr( k% t l 4os THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale Izt• �� showing the actual dimensions of the lot to be built upon, 11 exact size. and location an the lot of the building to be arected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOW r4 Cif DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK R A (3( , l IJl� 1'il'�V1�Il, ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies fair a permit to do the following work AM* P'�' which will be dance in accordance with the description, plans and specifi- 7181911f111pg112 ` 3141516 cations, and such special conditions as may be indicated on the permit. Tice owner of this property rn rt is k.-tA, � -fP0 ADDRESS) G-DDRE,SS) The person responsibis for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: �. . IL [NAME} !� Q AQORE.SSI . . . . . . Address - . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Builder Name of Plumber . . . ..� •r�._t... . . . . - . . , - . Name of Mason , ... . . . . . . . . . . . . . . . . . . . . . . . . Address - . . . . - . . I.ot Number . ''t� .c� . . . . Unit . . . . , - - . . . . . Estimated value of proposed work f . �"`La- . �L'`�-z� • . '` Name of village . . r + / . . . , . . . .� Name of Street . . . . . . . . . . � 7u .. . .�. . . . . . . . . . . Side of street : north ❑, east ` J1 , south ❑ . west ❑ .r:+-� - `'�- oss Street . ' Nearest Cross Street - Distance From this cr 1 `� 1 t ' Property is north Q , south east i 1 , west © From Cross Street if on Corner.11 which corner, northeast G , northwest ❑ , southeast southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Huslding Yam, Construction of a new building. One-family dwelling CI Addition to a building. Two-family dwelling 0 Alteration to a building. . - -family apartment house ❑ Demolition of a building_ Store building . -car attached garage Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage � 0Other work_ Describe: . . _ . . . . . Two-car detached garage 0 Private chicken house 0 . . . . . . . . . . . . . . . . . . . . . Private storage building Other: . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of OKX"Pancy- Indicate on the plot plan street names, the location and size of the property, the locatione sine and setbacks pf pro- posed buildings. and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing r %uilding(s) in solid line. Size of property /. �` :` '. . . . _ it. x _ . . Ppe y .. _ . . . It. Size and use of existing buildingso if any . - . . . . . . . . • . . . r w Size of proposed building fa. ft. Height (from grade to ridge) . Front yard . . . . . . . . . . . . . . . . . . . . .. I .�i' . . . . . . , , . . ft. i . . . . . . . :��• . . ft, and � G ft. r^,�] Side yards . Rear yard . . �+a _ . . . . . . . . If on corner, setback freisii side street . . . . . . . . . . . . . . . ft. . SOUTH Note. All distances are net* as ""'Sessired front street side J"itte to nearest ,part of bstilditit. r� Myatt) sir f . 73 K _ - w (cont'd.) BUILDING SPECIFICATIONS. Kind of construction. Wood frame, fire safe, etc.? Will any second-hand lumber be used? , , . ? z? .` . , . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . �[,c..c..:�..•-c..-xC_.,_.... , . . . . _ . . . . . . . . . . . . . . . � . . . Thickness , Depth of foundation walls below grade . . . , lv. G. . . . . . . . . . . . Continuous foundation? . . . . . . . . . . Will there be a cellar? - . , .�'- If so, material of cellar floor Type of roof: Sloped or flat? . � �.<,� . . . . . Material of roof . . . . . �Ld.. 'z- ..,.4C f` ; Size, wood studs . . . . . . . . . . . . . . . . - ' x . . . _ . i , . . _ . . . . . . , , spactng . . . , , . x'4 . . . ."o.c., length . . . . . r . . . _ . ft. Size, floor beams, Ist floor . . . . . . - F . . ' x . /C? . . . . . . . . . . , ", spacing /. 4v? . . . . "o.c., spats . . . ,/"? . . . . .Size, floor beams, 2nd floor . . . . . . ,Z . . " x - /. c`I. - - . . . . . . . . ", spacing . , _ . . . f. 4 . . . "o.c_, span . . . . � . . . . . . ft, Size, ceiling beams . . . . DIX . . . . . . . . . . . . . . . ", spacing . . . . . ��? -rt . . . . "o.c_, span . . . _ . . . . . ft. Site, roof rafters or be s �� " x " /v ,-.. ,,... - - - - - - - . . spacing - - cai +' . . . "rs.c., span Exterior finish - - ,��-L.--W'.' w.-( gnu < . - . _ i-xl � w� . . With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . . . . . . 4k� ' . . . . . . . . . . . - , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to he attached, of what material is wall between garage and main buijding to be constructed? . . . . . . . . . . . . . . . . /!rx? " . . . . . . . . . . . . . . . . . . . . , , . . . . Is there to be an opening between garage and building? . , . ,�' ? �'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . Kind of heating system .c� �: c4 47h.. 4;r,- . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . _ . . > . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . . �/- G ! . . - . Depth of chimney foundation below grade Height of chimney above roof , . . .4' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . < < . . . . . . . . . . . . . . , . . , < < Will there be a fireplace? , , . �/ ' . , , . - . - . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . I . . . . , . . . . . . . . . . Will a toilet be installed? . . . . . . . . . . . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . Will a kitchen sink be installed an ected tow ter supply? . - z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) �t..L ..Gt.r . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . - . - - . - . , , . . , . . . . . . . . . . . . . . . , . . . _ . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to Ir b4of ray IcrwvKJedgro and belief the ataternenU contained in thin application, together with the vlaos and >etioes 11ob- mitted, are • true and co..,alete statement of all proposed work to he done on the described prernizes and that wfl� of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shalt be covnptiad t, whether specified or sat, and that such work is authorised by the owner. Sworn to before me this Signature11,-suei.f, ... . ... . . .... . . . . . .. OWNER, f7WNER`S AGENT. ARCHITECT. CONTRACTOfl .. . . . day of. . .. . . . . . . . .. . . .. . . . . 19. . ... . . NdTARY PUBLIC. WARREN cou MTV, N. Y, SPECIAL CONDITIONS OF THE PERMIT: By .... ............ ........ ........ ..... ------ ----..-.-.-........ ........................................... h T(TTM nv OTTEF,FK^BURY BUILK)TNn AIM ZONTNq T)FPfi r7rfFI-lT SAY ATTn IYAIITLAND Tt C VADS , R _ D . f 1 ,LENS FAt.L+; , wE[� T(Wr 12 801 APPLICATION FOR A PEWITT TO CONSTRUCT , ALTER OR FNLARr.E A SMIAfTE T)ISPOSAL SYSTEPl TTITHIN THE TOraN OV OTKEETTSBURY OCCUPANT * S NAl TE AT)DRESS ,� t!�' � TELEPPnIlE 7 s ADDRESS y' c L� . L 4 - NUMBER OF BEDR(XV4'69 IV rARA VITE MUNDER? `r a• U M,S OR NO) TnPn{^,RArlty : FLAT , ROLLI NC , STEEP , SLOPE , c:EN.i'LE SLOPE OTHER - NATT THE OF ,OIL : CLAY , SANTfY , LOAINi , C;RAVEL , ROCKS . ETC . PERCOLATIOtl TEST 17A.TER SIMPLY :(L *NNICIPAL [•Tl?LL , OTHER DTACRAM or PROPOSER) SEPTIC SYSTEM f1 7irl ? prR*riNF.NT TNvnRT4t TInN TT T S I;K?K V.BY AnRRM) THAT Tom- THIS A PLICATInN ANT PLA*t'S AP.}? APPROVE-Do INSTALLATION OF SE7TAcE nxSPnSAL FACILITTES ,-TILL BE *'{ATE III AC;CORTAPICE TITT31 'nrTATT.S SIIOT•TN . DATE /'0 - � �S TrTNATURE Or APPLI CANT LAK r, e"FnR+rrr PARK enTl}TI:SSTnlp ,f►,PIMPnVAL : s Q;xt�ture (date) TOWN OF QUEENSBURY WARREN COUNTY, NEW ]CORK Application fore. BUILDING PERMIT IN COMPLIANCE WITH THE NEW IORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the followi.n,g I * Grass floor area . . . . . . . . . . . . r r * . . r . . r . • . . . . . . . . a . . r . . r r r a . . • r . . . r . . . r r . . . r . . . . . . . . . . . . 2 • Type of heat . . r . . . . . • . . . . . . r . . . r . • . . . . . rr . a . . r . rrr rr . . r • . * . . • . . . * . . . . r . rr . rl rrl . _ . r _ . * 3 * Is the building mechanically cooled? • • • . r r . • • . . . . . r r r r rrr a . . . . . a . . r . . . . . r . . r . • . . . r r . . 4 . Percentage of area of windows and door* a . _ • r . * . . . . . r . r . . . rr . . r . . . r . . r • . • . • • • . w . • . • • . • • . A r Over 16 Only U. value of gross area of walls, roof/ceiling and floors exposed to ambient conditions • . . . . . . . . . 4 . a 4 . . r . . r r . . . r r . . , . . . r . . * . . . r r r . . w • . r . . • r r r r r r r r . r . r . . . r . . . * . . r • . • • . • . • . . • r . . . rrr r . r . • r r r r r . . • . . s r r r . r . . r r • • . . r r . • . . • • • • . w . . • . . r r . . . • . r • • . 20 . Floor over heated spaces YES NO a . Are foundation galls insulated ? YES NO 1 . If YES , what is the R value ? Orr « • . . • . . . * w . w . * * . . . . . * . . . . r . . . r . . r . . r . _ . r 3 . Slab on grn.de YES NO an If YES, what is the R value of insulation around perimeter of floor? • . . r . 4 . 44 Is basement heated? YES NO ar R value of insulation r . ra . . . . . . . . r a a . a a . . . . . a . r • r • . . r . r as r . . r _ . a . r _ 6004 r . * 5 * Tyr Of insulation . . • • • • • 000 * * 6060aa . 00000040r * 0 r0 a a r . * . aft * • w a * . • • « • r * r . . • . . r . Be Under 16 Oal� i . U value of roof and floors exposed to ambient couditioise . . . . . • . r . . . . _ a . r . . • r . . . • ♦ a . r . r . r . . r r r * r _ r r r • • . a • • .. ♦ a . r • . . . r • . . r . * • ♦ 1 . . . . . _ • 4 1 r * r r . . . . • . « « . I • « r • . « « . ! . try . U value of exterior walls 3 r • . . . rr . . . . rrr . . . r . . . • . . . . . . . rr . . . . r _ . . . . . . . r . . . . . . • . . • *UT value of glazed al"1°�. 1 . • rr • r . . r r . • . r . . r * . • . • . • w • w . • . • . a . . rr . re • 4 • • • • . . rr • • . • . • 4 V. value of d'ejors r . r r . * . • . • . • r . • • . . . 4 4 • • . r * . . a . . . « • « • • . • • . • • • . r r * . a a . * r r : : a r . • . 5 . U value of floors over heated spaces . * rrr . * • . a • . . r . . . rr . rrr . arrr a • . . • . . . . a 6 • R value of slab edge insulation - unheated slab rrrr . . . . . . ar . . . r . rr ► a • rr . • . . . . . . 7 . R value of slab - isrsulation -m heated slab . . . . . . . • • . . . . . r . r . a . . r . ► . . a . . . . . . . . . > . . 8 . U value of heated basement/cellar walls (above grade ) . . a . . rr . r . . • . . • • • . • . • . • • . • 9 . R value of heated basement/cellar wallas (below grade ) insulation • • . ! . . . . : . r . . : r . r ► • • . . : a r . 10r Type of • • • 4 • . w . . r . . . . . * . « . w w • . . . . . . r . . r . a . r 4 . . ar4 rw • . . 4 . . rr . r • r • r . rr C . Controls� l 4 Thermostat maximum heat setiti it • r • r . r r r • r r r a 4 r r r r r r r r • . . r . • . a • r r • . . * r r ► r a r * a . Do Duct S1 tems Is duct system installed in unheated spaces ? YES NO a • If YES, R value of duct insulation b . R value of duct in other areas ra • rr . r . . arr rrr . . w • rr . w . • ww • • . . ♦ . r . a w . . . . . * aw 8.. Migg --Insulation 10 Size of hot water or cooling carrying agent PIPE r . . . . . w . r r . * a . . . . . . * a 2 . R value of pipe insulation . . . . . . F. Service Water Heating 10 i'wr^rorlmance ilelelcr ' . . . . . . . r . . r . . . . . • . . . * . . . r r . . r . . . . . . . . . . r . . . r . r . . r . r . . , . . 2 . Temperature control setting maximum • . . . . . . . . . r . . w . . . ► . . . . r rr . . . • • . r • • r . . • . • . w ♦ G. For Swim. i'a Pbol Only . Heating r w w w • • • . . * . . . . r ♦ a . . rrrr . . . r 4 r r r r r . rrr . . . . r . • . . . . . • . . . . . a * • . . ► r r r Telephone Moo Xp�plrcaatle SlanatUre x ! iron pi • found pe��� • t�.tc 4nd wire �rer� MAM r Me S. . 170, 00' \, iron pin �I r i f, z �shy N Qave� drive, 9°►n9e i •p ' 1 It f � _ 1 171 tare of i �` land a. 8 1 MW i mx U p iron pJlpe, S found . 83= 17a.0o' drive. found i r i f i j I I i