HomeMy WebLinkAbout105 Bourbon Street (5) Application ForPERMIT #
6263 5869
d DEPARTMENT DECISION $ Permit
N eating e
Cd
cAPPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED ❑ DISAPPROVED
111��i TOWN OF SOUTH WINDSOR
c a 4/2/84 Thomas P. D'Auria
00 G) DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOW
O
w
C 1. LOCATION OF JOB
� O
105 'geo p.be/y1 5-4,
Cd R NO. STRE[T
4a v
Cd
07 �
LOT NO. FLOOR APT. NO.
O
lV
4)
O S 2. OWNER /e
Ce 0
O S. ADDRESS
4.FHONE4-
a
C% S. APPLICANT
vi a~d
PC
O C a. ADDRESS
7.PHONE d, j-j
B. LICENSE NO. 3U f 5 2,
a)
G w B. EXPIRATION DATE OF LICENSE /0 l ��
e,
Or
.0 10. ESTIMATED COST f 1:2Q
^ 11. IS THIS A CONTRACT COSTS YES 0 NO
bC
y 12. FEE ENCLOSED s �—Permit 13634
V 13. TYP OF BUILDING:
NRtfID[NTU1L ❑ COMMERCIAL
O A
ce 14. TYPE OF JOB: ❑ INDUSTRIAL
RIGINAL
3
INSTALLATI N ❑ A DIT ONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m Rev me Side)
11. LOCATION OF JOB LO T b ( �e I,
NO. STREET FLOOR AFT.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 NOVA ILLg.deY B.T.U. OR SQ. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEA ED NEW OR OLD BUILDING eftm&� ES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WA ER TEMP. Isy .T.U./SQ. FT./HR. EMISSION
E2
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT
MAKE OF RADIATION: ASEBO RD. COPPER CONVECTQRS, OR C.I. ADIATION. OUTPUT PER SE TION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. 0
DESCRIPTION OF WORK
15. TO BE DONE:
—
IS. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET e.T.U. a.T.U. I-D
AND DOORS VOLUME TOTAL TOTAL I- DISTRIBUTION INSTALLED
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j 4 REGISTER
L W N AND 6 TEMP. TO TYPE AND SIZE RAD. OR LEADER
SIZE < WALL l�� , �/ (INFILT1 DIFF. n-�� •F m N SO. FT. FREE AREA
Llv ( r/ -
622
x- 1
3 3
t l�
T _F7 I
OTALS
O G'v
A. HEAT LOSS FROM BUILDING Sn S �� 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 l��l �CS
17. ELECTRICAL WORK BY;
NAME ADDRESS
SUBCONTRACTORS AND
IS. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER R ENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
c/o,
DATE SIGNATURE OF APPLICANT
_