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Home My WebLink About155 Gray Road Application No. 7137 Permit No. 6837 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (rn-:.s i6a=o) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., ,........... 19. ... Signhere ...... .... .... .................. .............. . '. :�. ........... .. Address .... Location? . ... .......................................................side of? ............. .. ........................................................................................ t Nearest cross street. ... Street No. . .............. ............................. Lot No. ..., l.. .......... . Owner of land is? . ...........Address Owner of building is? . ........ ............ .... .................Address . /... ..� ....r. ,......... .. Architect is? ... ..... ..... ......................Address .. .. .A. ..... uilderis? . ... .4t&..V-al.... ..... ... ...... ......................................Address ................................................................................................................... Dimensions o uilding? Y X... , , Feet front? ...... y ..... . Feet rear? ..... `�....... Feet deep? ... . ..�.. .. 1 Extreme height to highest point of roof? ............ ... ./.Y.' No. of stories in height?.. . ../.....2 Purpose of building is? 1:04 ..............No. of stores? ..... ...... .....?.......................................................................1':/* ..... - How many families? ..................................�c..... ........................._......No. of rooms? .... ... ....7............................................................. ............... Distance from street line is? ................ ..... ..Cj..........................from building line is? ....... t ............................................................ ADDITIONS AND ALTERATIONS (Gve Brief Description) � RECD. SEPTIC PAYMENT .... . .... .............. ............................................. ................................................................................................................................................................... INDORSED gY SA MIT RY Qrr,v .........................................................................................................._.._......... .............................................................................................................................................................. M ACCORDANCE W11 H TOV/ ` ................. ..... ...................................................................._............................................... ................. .......SOL"'.. INDSOR....ORDINAR-CE......, a Map No. If of steel frame, what is exterior construction? . What kind of columns used? ............... ................ ... ... ......Size of columns used? What length of columns used? .. ...... How protected? What kind of beams or girders? .. .... ......... . Size of beams or girders? . ...... .. Longest span of beams or girders? .. .. ...................... These rest on? . ... . . .. ...... .................... .. Roof construction is? ............................ .......................................................Roof covering is. .. The floors are of ......... . ... .... . .... construction and are calculated to carry a safe load of lbs. per square foot. (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? .. ......... .. .... . . .............. ........................ ........... ......... .............. .. Composition of mortar? .............................. ...................... ... ... ... .. ........ ............. Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, ..............................................................._................_...._..................... ........._........._....-.........._.............._................................................................................................................._........ . .. .... 1st Story ............................ ................._......................................................................................................................_......................................................... ................... ................. ........... 2nd " .............................................._.................._........._.............................................................................................. ........... ........... ................................................................... ........ ...... ... 3rd " ......................... ....................... ..................................................„............................................. ............................................,......................... .................... .......... ........... ...... ....... ... 4th Is .......................... . ...........__............................................................................................ .................................................................................................... ......... .. ............ ............... 5th 11 ..............................................._ ............................................I....... ........................................ „.........................._.................................................................... .................................................. 6th " _.................. ......................_.................................................................................................................................................................................................._........................................................... 7th _.............. ......................... .._......................................................... .............. ....I....................... .................. ...... ............................................................... .............................................. 8th " .........................................._..._...................................................................... ............ ..........., .................. . ............ ................ .. .......... ... .. .... .......................................... 9th is .............................. .. ............ Material,of Front? ....If stone, what kind? Thickness of Ashlar? .. ........ .... . .....Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GMDBSS OOLU MNS FIoors Size Longest Spun Centres Bridging Size Longest Span Centres Size Length Centres 1st Floor .................... .... ...�. .. . ... ...,, 2nd " .41.q .............1..Y.....:......... ....A...'. _.........._................ _. _....._..._. _........ _ _..........._...._ 3rd 4 ..... ...... .... ......... _........... ._... _._...._.... _........_. Size of outside studs? .........2.,.X. ............ Distance on centres? ....................16..r.. ....... Size of sill? ,/�......... . ............................. Size of rafters? .. ......... ... Distance on centres? ... .. `...`9 Size of plate? .v1f...Y...................... Size of ledgers or guts? .. ....... ....... ........................................Size of deck rafters? ..... �/d Distance on centres? ............................. , ............................................Size of studs in bearing partitions? ...........�Z-A.......................... MISCELLANEOUS Ze Style of roof, fiat, pi>tchansard, i Fireplaces? . ........ ............................ Material of roof covering? .. . .........Material of Cornice? .............. .. ....... ........... How is building heated? ./��..... ... ....... ...Lining of flues? .�.. ... ....... ............................. . ............. Thickness of shell of flues? .. . . .......f......................... ............Any elevators or lifts? ....... ....../yd.......................... .. ...................... What kind? .. ....... How many? . Any hoistways? ...... .... . ........ .............. . .Tots alue of Building P.-O..f,�...... How protected? . .. .... . .......... ..................................... ............. `8 .. ,�,.�..... .................... When will work be commenced? .. "�. ........•..r+�4...... .....• The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. Applicant 6837 BUILDING APPLICATION 7137 ApplicationNo. ........................................................................... north onthe ................................................................................ Side of Gray Rd. ... ............ .................... ........ ... . .. ......... ............ Street. Lot StreetNo, . ...... ......... .... ............. James Milkie Owner ....... ... .. .... ....... .... ..... . ............ ............... Applicant . Same ....... CLASSIFICATION Dwelling 54'x 33' ...... .. .. ..... ............ ................... ........... .. .. ... .. . .......... . .. .................. ... .............. ........... Permit issued on above Application. Date, .9-.12.-69 ...... . 19 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept.12, 1969 Fee Paid �$. . . . . . Est. Value $. .�.. 000 RECD, SEPTIC PAYMENT $ 20.00 Permit N 6837 on the north side of Gray Rd. Street Street No. Lot #31 ��`, Owner James Milkie Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3 861 Fee Paid $ 3.00 CLASSIFICATION Dwelling 541x33' BUILDING PERMIT N° 6837 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 3ept.12 19 69 94is to to TPrftf1j, That James Milkie is hereby granted permission to Dwilling 54'x33' at estimated value of $ 23 s 000 on the north side of Gray Ltd' Lot #31 Street on land owned by Tames Milkis Said Work to be as described in Application No. 713 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. In4m Sept,1 , /9,.69 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECT I C UT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." INSPECTION REPORT 0iL ZJ oe #, f Permit # Job 1 Footing 2 Foundation i 3 Framing 9 4 Wiring L)� 5 Plumbing A-7-y_6y 6 Heating /-1.2-7 0 7 Lathing I-IJ - 70 8 CIO 3 4 /-/.2-70 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N� 3861 Certificate of Occupancy THIS IS TO CERTIFY,,that the �'� at No. ' ' in the T can of South Windsor, Conn has been erected =46mpleted in accordance with the Building Code and Zoning ulatipfis of the Town of South Windsor, and is hereby approved for occupancy.., Building Inspector Owner, Builder Fee Paid Date 19 _ 1 <�:p�y S� a 0 c° \ 4-41 � o � 4 FJ E' OF ERTY OF UdpOES ONLY NO. MEADOW LANE SOUTH WINDSOR, CONN. Being Lot No. 31 on map entitled "Plan of ORCHARD HEIGHTS Avery Street, South Windsor, Conn. Scale : I " = 40' May 20, 1 ()65 Hayden L. Griswold C . E . Sheet 3 of 3" SCALE : 1" 40' August 14, IQ69 GR I SWO LD ENGINEERING, INC. ` i11"sk",y G� SU a _ � S3� +� . r� 4586 1-f ELECTRICAL APPLICATION ApplicationNo. .........48-9.7........................................................... north onthe ......... .. . . .... ............................... .. ............... side of ... ................. .G.r.ay. ..Rd....../........................... ... Street StreetNo. L o t. #3.1.. ......... ... ................ ......... James Milkie ..Owner ......... .. ....... Electrician ...H.Bent l.ey. FILED IN OFFICE OF The Building Inspector 12-11-69 . ... ............... ........ —...... .......... ...... . . . 19 .. INSPFkTION. ................................................................................................................I......... ................ ............................................................................................................................................... ............................................................................................................................................. OrNo Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. �l A/Al 1,4 APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. No. 4897 ..... . . Permit No. 458.6 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH W INDSOR, CONN. ................. hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. , J _ ,f South Windsor, Conn., ........ 19 f7 7 Sign her ... . .. .. ... ..... Address. .. �— this Location ......... . . ............. Side of .......... ....................... Natureof Building ....................�..... .... ........ How many stories ........................................... ................................ ................. New or old Building . ..... .. .. ......... . ... ....... How many families ................... ........................................ .................. Kind of Installation How many Stores ........................ .......................................................................... v .... .. •�' Address Owner ................. .... .. .......................... ......,./.�. dd s ...... ! ................... ................r................................. Architect . .. . ........ ....... ....... Address .. . .. ........ .............................................................._............................. Builder Address n Electrician i�',... .17-'4. ,Address /1. I....... ... 2�o Size of Main Wires .. ..................................................... No. of Light Loops .. .. . . No. of Heat Loops . ... No. of Power Loops No. of Light Outlets . .... ..... . No. of Heat Outlets No. of Power Outlets ......... .. . .. No. of Light Circuits .. .... No. of Heat Circuits `. No. of Power Circuits . No. of Sockets .... . ... .. No. of Heat Receptacles No. of Motors No. of Panels ............ ... ......f.. Size of Heat Circuit No. of Power Receptacles .. No. of Switches ........ . . ...` Total Wattage Size of Power Circuit Total Horsepower No. of Straight Electric Fixtures No. of Combination Fixtures . ... . . ..... l. ........... No. of Receptacles .. ....... ........ ........ . No. of Cord Drops ...... ............. Remarks: For other kind of Installation ... . ............ .. ....................... . .................. .. ........ .. ....... ........ .......... . . ...... ...... ................................................... . . .... .. .. ........ .. ........ ... . .. .......... ...... .. ............................................................................ .......... . .............................. ...... ................. .......... ........ .......... .... .. ... . .............................................. .......I.. ................. .......................... ..................... ........ . ... . .. ..... Estimated Cost ... G` 4 3916 rt PLUMBING APPLICATION AWlicafim N6. 37 o5 on the...._......._..._ - ——"of Gray Rd. _................_...... _ Lot #31 Street No. ...... James Milkie Owner .......__.... S.Kellis Plumber Filed in Office of The BuiI&og I�pectoc 12—2-69 19 II�CSOl�. No person shall construct, add to cc alter my portion of the drainage system of any bwl&g (except to repair leaks) until a Pet is scooted by the Building Ingxcooc. f 916 v� 37 o5 3 ApplicationNo........................................... Permit No. ...................................... �. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. 1 ........ :........... ......hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied wi whether specified herein or not. / /ef r� South Windsor, ..../Z.:.......- C................................ 19C: Sign ere k...,, . . ... ........ ..... .... .. . .. ..... ... . .... . r� r Address .........ram.................. .. ............1j1 .......... ....., Location ......................... ' ./... .�....: :(r. ...: 1... side of .............. eet .................. ....... ................ Nature of Building . :. :L �.�. ..L�......................... How many stories �'... .. :. ` ':.. .................. �r�2�r' ZZ� � T6../ ............. Owner .............................. ............................. Address ....... ........ ...................................................... Architeq. ....................................... ....................... . ............................................. Address... ........................ Builder ...:..a. ............................. Address � . ................................................................... Plumber .!' . '. .rt. �'...'�.. ................................... Address .... ........................................................................ cl J DRAINAGE 1 CESSPOOLS, How many ' ........ .. ...... Where located ........... ..................................................................................... Are they water tight ......�.•� .. :: :... Of what materials are they Size of pipe from house to cesspool: .. .................................... .... Kind of pipe ... .........3.. .......-.......................................................... MAIN DRAIN IN CELLAR, Material ..L,k...................... Diameter ......`/................................................................ ...................... ............ Aboveor below cellar bottom .......................................... .......... ......................................................................................................................... SOILPIPES, Material . .�t.l�'u... .. �. , eter ................................................................................................................. WASTE PIPES, Material Cr...... Diameter ` TRAPS,Type proposed to use is ...........4.��...... .............. . RAINWATER LEADERS, where do &y run to 21-1.k: .....Z::................................................................................................................ REFRIGERATORWASTES, where do they run to ........ ... ..........!........................................................................................ .............................. TANKOVERFLOWS, where do they run to !'........................................................................................................................ FIXTURES ' eq - ........... Where located l✓ll G` WATER CLOSETS How man I.... Distance from trap to vertical soil pipe ......................................... Pattern ... .. ..................... ................................................................ WASH TRAYS, How many ....................................................... .. Where located .. .................. SINKS, How many ...................................................... ................................ Where located ... . ,f ...(..�...... ..................................................... BUTLER'S SINKS, How many ........................................................ Where located.................................................................................................... REFRIGERATOR SINKS, How many....................................... Where located ....................... .....,..................................................................... LAVATORIES, How many ....... Where located . BATHTUBS, How many /................................. Where located ..... 24�. '...................................................................I........................................... . URINALS, How many ................................................................................ Where located ..................................................................................................... Are water closets and urinals to be local vented 4 .. . If not, is there a window in outer wall =' -r , ofroom where same are to be located ............ ..,f ............................................................................................................................................ , 1 v Estimated Cos,4/44,. ..��...L.......... PERMIT # - '`F Application For 695 a, DEPARTMENT DECISIdIN w 3$17 Heating Permit 1 3 APPLICATION IS HEREBY: F DEPARTMENT OF LICENSES AND INSPECTIONS APPROV% DISAPPROVED TOWN OF SOUTH WINDSOR 0 1-14 74 00 a) DATE CHIEF INSP�eT"O APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOW o � v -cs 1. LOCATION OF JOB O a) ° 5 49 Y /t s q NO. STREET LOT NO. FLOOR AR. NO. 412 O !V () O a 2. OWNER 1 A .f 4 - - J, >~ Id o =11 0 3. ADDRESS be 4.PHONE D t1c� r S. APPLICANT �'I •1 ce o 6. ADDRESS �2 11 Nit we/� 't at J"a v4; >~ a) RA R -r Fe n o 7.PHONE L!ro? /7) -4J .� e. LICENSE NO. o 0 w s. EXPIRATION DATE OF LICENSE C 10. ESTIMATED COST : /eC ad � o 11. IS THIS A CONTRACT COST? �ES NO b0 0 "Cl 12. FEE ENCLOSED S Permit #6837 ra � v ai 13. TYPE OF BUILDING: 3 RESIDENTIAL ❑ COMMERCIAL bjD o .r. ce 14. TYPE OF JOB: ❑ INDUSTRIAL r-i ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR N 1 -- ` APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) n CI,/ �J 11. LOCATION OF JOB 1� �IY/- y f�J ( NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT ta. B.T.U. EQUIP. AT REGISTER URNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND N0.Ain S CA B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED Yy NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL 2'_"/'It R INSULATION f ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. ��'� .T.U./SQ.AFT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE C �' �Q v °FAHRENHEIT MAKE OF RADIATIOIJY,t BASEBOf. EER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.Ut' �� J_J �C--P nao B rX d j -n-e-A-J- DESCRIPTION OF WORK t5. TO BE DONE: Co I n G'''o ►''Q f r ¢ -Q Y t e. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. 0 DISTRIBUTION INSTALLED AND DOORS VOLUME _ TOTAL TOTAL m LL ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j LL RAD. REGISTER L W N AND E TEMP. TO F f: TYPE AND SIZE OR LEADER SIZE < WALL F'�to (INFILT.) DIFF. •F O m u6i SO. FT. FREE AREA qg� ell 2f c .7 TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. :) 17 o 4� 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 18. 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. f n APPLICATION TO BE COMPLETELY FILLED IN. s DATE IGN TORE OF APPLICANT 5061 ELECTRICAL APPLICATION Application No. ..............5............3.7.2........................................................ .. ont6 ........................................................... ..................... side of Gray.... .Rd.................................................... ... Street StreetNo. 1>r ... . .................... ...................................... Owner . ..qe.qrgp. .................. ........... Electrician FILED IN OFFICE OF The Building Inspector .8-8-7.2.. ............. ..... ................ . ... .. ...... ...... INSPRCTION. ............................................................................................................................................ ............................................................................................................................................... ......................................................................................................................................... ... OrNo Electrical Work shall be started until a Per. mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. No. .....53 7.2................ Permit No. .....�061 TO THE BUILDING INSPECTOR of the C TOWN OF SOUTH WINDSOR, CONN. 'L hereby make application to. perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with IV whether specified herein or not. .7 / South Windsor, Conn., .............. ........ ..-.....cx ............. 19. ,ZSign here % '!� -.a. ...�... Address � i Location ./. .....5..................... �tR.. .. ................... , �.Al................. Side of .............so.-C/...%,�............................................................................... Natureof Building ........................................ ................................................ How many stories ................................................................................ ................. New or old Building ...................4;2/ .................................................... How many families ...................Cr.....C?.....if. _................................................ Kind of Installation .. .. ':...... .....C.111 a..k`7.!........... ...... How many Stores ...................................................................................................... Owner ......t.. .. :..Q. ................... ..R -.' ................, r.�................. Address ........... g.^5..............C�... .I............. N..:................ Architect .. ................................................... ....... ................ ............. .. .. Address .../....................................................................................._............................. Builder .......................... . ............................. . ................. ............................. Address .......................................................................................................... ....... �1 Electrician VfA10--R---,49.............., � ........ Address ......!. ....CC/..�..�.�r.J'.�...`f" ............I......ZE Y . U� Size of Main Wires ... ... ..... .................. No. of Light Loops ........... ..... ... . . ...... No. of Heat Loops ............ ... . No. of Power Loops No. of Light Outlets .................... ...... .... No. of Heat Outlets ...... No. of Power Outlets .................. ........ . No. of Light Circuits ................ ............... No. of Heat Circuits ... .. .. . . . . ....... No. of Power Circuits .. ....... . ........ . . No, of Sockets ... ... ..... . ...... .. .......... . No. of Heat Receptacles .... No. of Motors ................. ............... .. . No. of Panels ........................................... .... ... Size of Heat Circuit . ... ... . . No. of Power Receptacles .... .. .............. No. of Switches .............................. ... .... . Total Wattage .................... .... ....... ........ .... Size of Power Circuit ...... ... . ... Total Horsepower .... .. .... ....... ....... No. of Straight Electric Fixtures ........ ........... ....................... No. of Combination Fixtures ..... ...... ...................... ............ No. of Receptacles ........................................................................ . ...... No. of Cord Drops ........................................................... ............... .......... .. Remarks: For other kind of Installation ... . ............................................. ................... ............................................................................................. ................ �...k7............................. ' a.. .. ...�. ................... ... ... ..hi.................. ...., ............. ..........................u... .. . . m�' 1?..�.............. � �,l:......?...`v....................../��....�. ..... ...............7.`.........r................................ U..�--�.... ................ . r....r .c....h.....° ..........�....1 '...y"....` ...... ........ .... ................................................................................. . ........ . ... .. .. ... . ... . . Estimated Cost'.. .Q...Cl.................................. 4 Application For PERMIT3927 DEPARTMENT DECISION 4149 $eating Permit i Cd O APPLICATION IS HEREBY: 0 0 DEPARTMENT OF LICENSES AND INSPECTIONS N ® APPROVED 5APPROVED r TOWN OF SOUTH WIN DSOR Cd 8-11-72 { 00 O DATE O CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW ! � I o a) 1. LOCATION OF JOB O c6 O Cd 9 v NO. STREET Cd O LOT NO. FLOOR APT. NO. O O 2. OWNER - a~ O O 8. ADDRESS / S e-o•� I��. 4J 4.PHONE Cc Ale�v S _a-ta S. APPLICANT- ` !/ v� Cd d. ADDRESS 0 k o Z a 1 4 Y4 �Y61 7g 1 7.PHONE w -a c g. LICENSE NO. 3 G� 635 p w s. EXPIRATION DATE OF LICENSE �d ZZ 3 v 4-'� pC to. ESTIMATED COST : oZ .2 6 g. b4 11. IS THIS A CONTRACT COST? ET YES ❑ NO � 18,00 r0 12. FEE ENCLOSED S O 13. TYPE OF LDING: bo RESIDENTIAL ❑ COMMERCIAL O 9 cis� 14. TYPE OF OB: ❑ INDUSTRIAL RIGINAL ❑ ALTERATION INSTALLATION ADDITION REPAIR tr m Revere Side APPLICATION FOR HEATING PERMIfi (Continued ) 11. LOCATION OF JOB `` ' `l NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER Cl ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS A Y Cn L'`{t O I..e t U IDENTIFY SIZE LOCATION SIZE SIZE OF VENT 13. OF TANK OF TANK 0 FILL 14. B.T.U. EQUIP. AT REGISTER FU'Ri#�4EE AND NO1LiTcp✓�'lo�717c AT BONNET i FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR'9L•D•ARl&V"G INSULATED — YES OR-N8 TYPE OF WALL INSULATION P-5 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. :-, ,�..,��_v �4 +✓ Cc kr f i 0 K I '�� LL4r* i h X �L DESCRIPTION OF WORK __�:� s �z��F -� �- 15. TO BE DONE: — �� O b Crfl RC�lia-►c`�P ✓!�tV'LsS e� 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS); R OM SIZE WINDOWS AREA - SQUARE FEET S•T•U. B•T•U. DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL a LL ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j j RAO. REGISTER L W N AND R (INFILT.) TEMP. TO TYPE AND SIZE OR LEADER SIZE t WALL lk"o DIFF. •F F m N SO. FT. FREE AREA f 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; D.'a" ( (A NAME ADDRESS SUBCONTRACTORS AND 18. 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. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNAT OF APPLICANT