HomeMy WebLinkAbout1083 Main Street PERMIT #
Application For 3? 1
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DEPARTMENT DECISION
0 3963 Heating Permit
APPLICATION IS HEREBY:
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DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED ❑ DISAPPROVED
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0 ' TOWN OF SOUTH WINDSOR
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ODATE CH NS CTO APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL w
o a) 1. LOCATION OF JOB
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NO. STREET
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LOT NO. FLOOR APT. NO.
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G e. LICENSE NO.
c w s. EXPIRATION DATE OF LICENSE
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0 10. ESTIMATED COST
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11. IS THIS A CONTRACT COST? YES ❑ NO
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12. FEE ENCLOSED S
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r 12. TYPE OF BUILDING:
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b C RESIDENTIAL ❑ COMMERCIAL
14. TYPE OF JOB:
❑ INDUSTRIAL
�iC�-+ ❑ ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB / 3 � ��� s1 Z.�rJ r� /!��`� •F'��`�'/�S
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: P9 OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE r LOCATION SIZE 2- SIZE
VENT /
13. OF TANK 7 y OF TANK 'LL OF FILL
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE��A//ND NO. O T BONNET FIRING RATE �° C���
BOILER OR FURNACE MAKE AND NO.try l G/9 r O6E.T.U. OR SQ. FT. ET D.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED -.2— NEW OR OLD BUILDING 0L-0 dLOf INSULATED - YES OR NO
TYPE OF WALL INSULATPN ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. GCIO" B.T.U./SQ. FT./HR. EMISSION -
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE Fx/-f-/ FA RENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
0,L- 7-,O /6-;70
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): Al
RO M SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. i f DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL V1 LL
ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU. AT 70•F CORRECTED J j RAD. REGISTER
L W H AND K (INFILT.) TEMP. TO F F a TYPE AND SIZE SQ. FT. OR LEADER
SIZE < WALL ^�to DIFF. •F F.m a FREE AREA
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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:
NAME ADDRESS
SUBCONTRACTORS AND
Is. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. //� � �7
APPLICATION TO BE COMPLETELY FILLED IN.
DATE SIGNATURE OF PLICANT