HomeMy WebLinkAbout150 Abbe Road (5) rV.w11111I IN
Application For
o DEPARTMENT DECISION Heating Permit
APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPEC nONS
❑ APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WIN DSOR
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R+ �1 DATE CHIEF INSPECTION APPLICATIONS MOST /[ PNMT[N ON TYPED. REGIS WITS SUMER ONE BELOW
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1. LOCATION OF JOB
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A � LOT NO. FLOOR A". NO.
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D a. OWNER
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91 D. APPLICANT QOruu. ReTlRj,wC
.� D. ADDRESS Gc<<I 14 N -Tu ro kt
7.PHONE
S. LICENSE NO. Q S I ( 5
w D. EXPIRATION DATE OF LICENSE 1
g 5r 10. ESTIMATED COST • _
^ 1$. IS THIS A CONTRACT COSTS YES IIB
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R f a. FEE ENCLOSED s - b
Is. TYPE OF BINLDINQ
�RESNEIITIAL ❑ COMMERCIAL
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14. TYPE F JOB: ❑ INDUSTRIAL
ORIGINAL O ALTERATION
�1 INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERA IT (�+� fmn Revmm &do)
11. LOCATION OF JOB ] ,S o 4 36)_ t4 SO�r`'� u-)�w s 6 2
NO. STNs[T ROOD •NO.
IL TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ YENTILATION ❑ SPRINKLER
Cl GAS BURNER ❑ STACK ❑ INCINBAATOR MISCELLANEOUS �Ps ao L &C,
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SIZE SIZE
SIZE LOCATION OF FILL OF TIT
13. OF TANK OF TANK
m B.T.U. EQUIP. AT REGISTER T_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 SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SO. 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.
DESCRIPTION OF WORK S L , U k
5
IS. TO BE DON /+ /
- muu-,,Ld /,,j
1s. NEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
Room nzs wlwoows AREA - SQUARE FEET I.T.LL a.T.Y. i laOISTRINUTION INSTALLED
Awo DOOR/ VOLIRt TOTAL TOrwL
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Owr GLASS wR w CaLMD
RAD. ON LEADER No. 7r r TTra AMC SIZE, Ra6I{TaR
SIZE
Lw Afo IRrILT.) Tol. rT. ■wss AREA w wwLL 'po
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 11 B C) FACTOR
17. ELECTRICAL WORK BY- w ti N Va l l t`I -P I PC
NAr[ AOOREii
SUBCONTRACTORS AND
1s. 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 �J
PPLICATION TO BE COMPLETELY FILLED IN. / i-7