HomeMy WebLinkAbout0 Governors Highway PERMIT # r/1�
Application For 3785
�, DEPARTMENT DECISION 4007Heating Permit
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3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
0 Cd Cd 1-12-71
00 O DATE CHIEF INSPECTQR �'L •-' ' APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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c 1. LOCATION OF JOB
Governors Highway, Route 5
NO. STREET
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LOT NO. FLOOR APT. NO.
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2. OWNER South Windsor Tobacco Far ms
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=11 0 s. ADDRESS Governors Highway Tobacco Fame
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south Windsor, Conn. 4.PHONE
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c S. APPLICANT E• Atwood
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.0, a. ADDRESS P•0• Box 777, Htf d , Conn,
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C e. LICENSE N0.
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c w 9. EXPIRATION DATE OF LICENSE - nC1'
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.a C to. ESTIMATED COST s�n nn
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= 1. IS THIS A CONTRACT COST1 ® YES ❑ NO
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,� y 12. FEE ENCLOSED s��-00
cl, 19. TYPE OF BUILDING:
b ❑ RESIDENTIAL ® COMMERCIAL
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3 14. TYPE OF JOB: ❑ INDUSTRIAL
ORIGINAL
.--i ❑ INSTALLATION ADDIT ONON
REPAIR
APPLICATION FOR HEATING -PERMIT (Continued it m Reverse Side)
11. LOCATION OF JOB Joverncrs lei ghwa7' Ro;,te ;
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
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET 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 OLD BUILDING INSULATED — YES OR NO
TYPE OF WALL 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. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE: 1n.tal l P.rl onto Whirlr)nwer 'hi 7rnP.r cc)M 1pt e
16. 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 u1
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ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED <j LL REGISTER
L W H AND K TEMP. TO <F TYPE AND SIZE RAD. OR LEADER
SIZE < WALL tC (INFILT.) DIFF. 'F F m a SO' FT' FREE AREA
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: D• Zawort on 467 uo ff Road, We the rs fi e ld
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. 1/5/71
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DATE SIGNATURE OF APPLICANT