HomeMy WebLinkAbout111 Bourbon Street (4) 6577
PERMIT IT
Application For AIgX 6187
DEPARTMENT DECISION Heating Permit
C
0
3 E APPLICATION IS HEREBY:
° DEPARTMENT OF LICENSES AND INSPECTIONS
N +' ® APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
Cd
1.4
o a 7/22/85 Thomas P. D' Auria
00 w DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL MI
O
C 1. LOCATION OF JOB
O ^"
Cd I~ NO. STREET
�.. 0
W 70
LOT NO. FLOOR APT. NO.
O 0
4j O
N
iQ)i ,A �
0 O A 2. OWNER
sS �
><' 0 `
° S. ADDRESS ��y �A�'1P�iEC� /}a e
bo
llAe T lxe o/ 4.PHONE
Ce ,
V2 = S. APPLICANT y0�AI /r ��'GP0.�1rE
ai ad
° ar, a. ADDRESS �/i�,N�s Tasv.✓ �p✓.c T
Cs �i�S Trl 7.PHONE0.3.�
4 S. LICENSE NO.
al �
Q
E w S. EXPIRATION DATE OF LICENSE
O
CJ'
10. ESTIMATED COST S S`�'
w c
0 ^ 11. IS THIS A CONTRACT COST? ❑ YES NO
bo
0 .9
75 12. FEE ENCLOSED s PERMIT 14401
0 °
rA rA W 13. TYPE OF BUILDING:
rn bo
rA RESIDENTIAL ❑ COMMERCIAL
14. TYPE OF JOB: ❑ INDUSTRIAL
ORIGINAL ALTERATI
� 3
~ IINSTALLATI N ❑ A DITIIONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side)
11. LOCATION OF JOB /// !1&d"f -,?'d 57-
NO. STREET FL OR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER - ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
LJ 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. Co All
150yB.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS//2— FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO -t S
TYPE OF WALL 'fix L INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. irt., 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. .S!/AJ
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. S.T.U. F O
AND DOORS VOLUME <► DISTRIBUTION INSTALLED
NO- `` TOTAL TOTAL InLL
ROOM L W N AND W GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j I- RAD. REGISTER
WALL to (INFILT.) TEMP. TO F F(i TYPE AND SIZE S FT. OR LEADER
SIZE ; DIFF. •F P m a Q' FREE AREA
vP -RED /7 • ez kiv 12) .31.ow Yeah 8�
BATH /7 /3 /� .3 ob -'vk2�
Say a tam y ar
8ED /G 75 ,3 /6 as /�rlp 350'y Vdov 8
BED lL /3 s / ?Qa
I�iai.✓L /i /3 3G s y u.* s Y- 7uvo 3 sw yoyv
35 zfj da /300 '� ry S-)N`c (S�v 2•
/Oda 16wj, M 77da
f3,f7-/! 70
TOTALS
A. HEAT LOSS FROM BUILDING S y '/Uy 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.
APPLICATION TO BE COMPLETELY FILLED IN.
iz
DATE SIGNA R[ OF APPLICANT