HomeMy WebLinkAbout179 Brookfield Street (5) PER IT
Application For 49$2 4781
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DEPARTMENT DECISION ermit
3 APPLICATION Is HEREBY: DEPARTMENT OF LICENSES AND INSPFi rIONS
'# ° 4
N +' APPROVED DISAPPROVED !
� TOWN OF SOUTH 'WINDSOR
4/19178
O�iO � DATE CNIE INSPECTOR APPLICATIONS MUST SE PRINTED OR TYPED. 1E61N WITH NUMBER ONE 11161.44
1. LOCATION OF JOB
NO. woo
10 r ._
ai Lot uO. FLOOR 4 AM NO.
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W Kit
o a. OWNE
Cd
o & ADDRESS
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b 4.PHONE
S. APPLICANT `
c s. ADDRESS
7.PHONE
- s. LICENSE NO.
0• s. EXPIRATION DATE OF LICENSE
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q� 10. ESTIMATED COST f
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11. IS THIS A CONTRACT COS" NO
1s. FEE MMOSED $ Permit 0179
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ci 7 1 1 s. TYPE of BUILDING:
❑ COMMERCIAL
be
C 14. TX F JOB: ❑ INDUSTRIAL
cc 3 7nTION
ALTERAT1oN
❑ ADDITION
APPLICATION FOR HEATING PERMIT (Cuntlnu a it m Rev ne Sid �
11. LOCATION OF JOB ��r !� 23 O L J.
No STRe
FLOOR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
WIGM BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANE
OUS
IDENTIFY
SIZE 13• OF TANK LOCATION SIZE SIZE
�!' OF TANK OF FILL OF VENL
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE AftiTIDwO. B.T.U. OR SO. FT. NET /rJ IM,T,U, OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED _ I NEW OR AW6W BUILDING_1�. INSULATED — YES OR NO
TYPE OF WALL(&"fr{_ INSULATION_ ��, ROOF OR CEILING INSULATION �:, �
ves-�� .
AVG. SYSTEM WATER TEMP. rect a B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE jo O Rom D °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. F In rs.a lid 7,
DESCRIPTION OF WORK
1s. TO BE DONE: 1000
16. HEAT LOSS SCH�bULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET e.r.u. e.r.u. 1..D
Roots . AND.DOORS VOLUME TOTAL TOTAL r DISTRIBUTION INSTALLED
GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER
L W N AND TEMP. TO TYPE AND SIZE RAD.
SIZE WALL t'GtG (INFILT.) I- R LEADER
DIFF. rj1 F m SQ. FT. FREE AREA
+ ,
Alp
•
t
r.) 72 7t
l
y
LOTALST I - I I
`�.
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:
SUBCONTRACTORS AND NAME ADDRESS
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.
3'PLICATION TO BE COMPLETELY FILLED IN. r"L
DATE IV LIRE OF A►FLIGANT