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HomeMy WebLinkAbout0 Oak Street Application For PHUT ti DEPARTMENT DECISION 604, Cd 3826 $ . ° t Permit 3 APPLICATION IS HEREBY: Y e _ + DEPARTMERr OF LICENSES AND a) Il��tlig �� N APPROVED ❑ DISAPPROY D o0 � -,�< /� OF SOUTH W N A.. � 3-24-69 TOWN OSOI$ 00 DATE CHIEF INSPECTOR -� APPLICATIONS MUST St PRINTED OR TVVIM. fEON1 W"40111*94�- Ow ° °' 4. LOCATION OF Jos ^�i 4 i A _ ZZ C� +' NO. .. .. o ' i LOT No. N if e D a OWNER s ° ° G 3 l� S. ADDRESS �- S c� o vo d . > S4.PRONja r .." Q Y' 0 . I' s. AIPPUCANT � s. ADDRESS -4-5 0a� , �f. _ ° I ` 7.PH -4S s. LICENSE NO. V „- ° 9. EXPIRATION DATE OF LICENSE �s � c 10. ESTIMATED COST . a s , -ram t. IS THIS A CONTRACT COST y Er 12. FEE ENCLOSED 3•©Q .. CM is. *PE„_05"UILDIN Cbo ,= l�Rts10tNT111L ❑ COOV ERCIAL 3 14. TYPE OF JOB: u INav#I~IIAL OMGIIIAL INSTALLATION ALTERATION IINSTALLATIONAD*MO* REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB NO. STREET FLOOR APT.NO. 'i 12. TYPE OF INSTALLATION: OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR Cl MISCELLANEOUS / - IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK / OF FIILL� OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. �1� / 1AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SO. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALLtl INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK G 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. �j< DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL �n ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j LL LL RAO. REGISTER L W H AND K TEMP. TO tt-F TYPE AND SIZE OR LEADER SIZE < WALL t0 (INFILT.) DIFF. •F F m 14 SO' FT' FREE AREA do 75< TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: _yll O �NAME ADDRESS SUBCONTRACTORS AND IS. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROP TY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. ' DATE SIGNATURE Of LICANT