HomeMy WebLinkAbout106 Bourbon Street (5) r
- IPERMIT
Application For 6 317 5926
DEPARTMENT DECISION
C o Heating Permit
3 APPLICATION IS HEREBY:o w DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED ❑ DISAPPROVED
� TOWN OF SOUTH WINDSOR
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D�E CH1EF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
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1. LOCATION OF JOB
106 /�v�e-b(/�,
Cd 9 NO. STREET
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LOT NO. FLOOR APT. NO.
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q 2. OWNER
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3 S. ADDRESS
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4.FHON Q � 6
14
APPLICANT
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,C a. ADDRESS 119 2
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o 7.PHONE
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S. LICENSE NO.
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G w S. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST s
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s b0 11. IS THIS A CONTRACT COS" OYES ❑ No
41.
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12. FEE ENCLOSED s r� Permit 13798
is. TYP OF BUILDING:
CRESIDENTIAL ❑ COMMERCIAL
cis 3 14. TYPE F JOB: ❑ INDUSTRIAL
RIGINAL ❑ ALTERATION
~ INSTALLATI N ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Revene side)
11. LOCATION OF JOB LQ ( U h
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
1a. B.T.U. EQUIP. AT REGISTER le r F RZAC
� KE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AN NO� ll B.T.U. OR SQ. FT. NET_.aLZ_ B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HE TED ! NEW OR OLD BUILDING i?24-44/ I SULATED - YES OR NO
TYPE OF WALL INSU ATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. 1_7T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE d-W °FAHRENHEIT
MAKE OF RADIATION: B EBO D. COPPER CON ECTO S. OR C.I. RADIATION. OUTPUT ;�;R,;SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
Roots size WINDOWS AREA - SQUARE FEET e.T.U. 6.T.U. i DISTRIBUTION INSTALLED
AND DOORS VOLUME
TOTAL TOTAL � LL
R OM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j I- RAD. REGISTER
L W N AND TEMP. TO 4i TYPE AND SIZE OR LEADER
SIZE WALL f'�to (INFILT.) DIFF. •F F m a 30. FT. FREE AREA
0 a 1 1 Ff J - �t(/d1
b-m It Ik4 9 V0 ( �-
c v �, 7,eL i� /S�
ly pv
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w) S 3C 7/0 if&?) I �'
z l 3 z i 37* 1-12-6b '
/16
TOTALS /i�T_
A. HEAT LOSS FROM BUILDING 4 1 y y 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 � a
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
1e. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AG T) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. j y
(, DATE 1G ATURE OF APPLICANT