HomeMy WebLinkAbout171 Bourbon Street (5) PERMIT #
06 Application For 6904 5804
DEPARTMENT DECISION
Cl 0 Heating Permit
3 APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED ❑ DISAPPROVED
a�
•� TOWN OF SOUTH WINDSOR
�' 12/19/83 Thomas P. D Auria
o Cd
0o p'
DATE CHIEF INSPECTOR O APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOW
^C
O ) 1. LOCATION OF JOB
171
� v NO. STREET
O LOT NO. FLOOR APT. NO.
LV
O
2. OWNER
s~ �
IS O
bbo 3 S. ADDRESS
> `�u� 4.PHONE
IS —
Cn S. APPUCANT::� Of,. A ,on
ui
cc Z4&- - A--
0
6. ADDRESS /B d/fi(,,,(,,,
�0,, 7.PHONE.3k)t4.j tool
v
S. LICENSE NO. 3,0
a
B. EXPIRATION DATE OF LICENSE
10. ESTIMATED COST s ^�
E5 be 11. IS THIS A CONTRACT COST? YES ❑ no
a�
12. FEE ENCLOSED :-- ---Permit #13540
k
IS. TYPE OF BUILDING:
�r RESIDENTIAL
� .� ❑ COMMERCIAL
Cd
14. TYPE OF JOB: ❑ INDUSTRIAL
~ RIGINAL ❑ ALTERATION
INSTALLATI N ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side)
��' 3 9
11. LOCATION OF JOB N0, STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC El VENTILATION ❑ SPRINKLER
1l GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY
LOCATION SIZE 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. VT-10(Z B.T.U. OR SO. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEAT D NEW OR OLD BUILDING '00�� NSULATED — YES OR NO
244407
TYPE OF WALL INSULIpN ROOF OR CEILING
INSULATION
AVG. SYSTEM WA ER TEMP. a�((// B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE I:?v °FAHRENHEIT
MAKE OF RADIATION: BA EBOARD. COPPER CONY CTORS. OR C.I. RADIAT ON. 0 PUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
t 5. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
ROOM size WINDOWS AREA - SQUARE FEET e.T.u. e.T.u. i DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL �n
LL REGISTER
ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED tF D LL TYPE AND SIZE RAD. OR LEADER
L W M AMD K (INFILT.) TEMP. TO I]~N $Q. FT. FREE AREA
SIZE < WALL f'c<O , io '' V DIFF. F F m
b c1 -7 6 7 a ate
KItAf
> > 149cv
l
y0 �� 7
I.
3 Y >< 3 0V Z ff lu
!Uv 13 4/1 .3
r3 nth N �v :2 OJ
L / ( I 3-2 tv
vv
TOTALS7_1
A. HEAT LOSS FROM BUILDING a y y B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL 0 �_ B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR �Z � U D
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.
DATED lIGNATURE OF APPLICANT