HomeMy WebLinkAbout121 Bourbon Street (6) PERMIT #
Application For 6274 6476
DEPARTMENT DECISION Heating Permit
0
3 APPLICATION IS HEREBY:
O DEPARTMENT OF LICENSES AND INSPECTIONS
9 APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
° 7/8/86 Thomas P. D' Auria
00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER HE BELOW
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-p 1. LOCATION OF JOB
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cc q NO. STREET
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tv LOT NO. FLOOR APT. NO.
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2. OWNER
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rn S. APPLICANT �.
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O 9. EXPIRATION DATE OF LICENSE
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PC G t0. ESTIMATED COST ! d'
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IS THIS A CONTRACT COST? ❑ YES ❑ NO
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12. FEE ENCLOSED S P P rm i t 1.518 9
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BUILDING:1!. TYPE F BUILDING:
tSIDENTIAL ❑ COMMERCIAL
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a� 14. TYPE OF JOB: INDUSTRIAL
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�` ❑ ORIGINAL ALTERATION
INSTALLATION D D tT10N
EPAIR
APPLICATION FOR ING PERMIT (Continued tr m Rev r. side)
11. LOC
ATION ATION OF JOB 1.21
NO. STREET FL OR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR U MISCELLANEOUS O . 1014
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 SO. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED < YE OR NO
TYPE OF WALL ULATION 3�72 ROOF OR CEILING !� INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 1 °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVf:CTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. I '
DESCRIPTION OF WORK
ts. TO BE DONE:
is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. O 0 DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL _n
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j 4 LL REGISTER
L W N AND TEMP. TO <F TYPE AND SIZE RAD. OR LEADER
SIZE < WALL f'L TO (1NFILT.) DIFF. •F m N SQ. FT. FREE AREA
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: / " �-� ��� CJ'C'BdN
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. Af6
D TE SI NATURE OF APPLICANT