HomeMy WebLinkAbout155 Abbe Road (6) PERMIT #
Application For 3369
Fq DEPARTMENT DECISION 3590 Heating Permit
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c APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
APPROVED ❑ DISAPPROVED .`
TOWN OF SOUTH WINDSOR
Cd 6-5-67
DATE CHIEF INSPECTOR - APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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o 1. LOCATION OF JOB
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2. OWNER
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APPLICANT
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F ram, S. LICENSE NO.
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-4j 9. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST $ T
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4-10
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IS THIS A CONTRACT COST? ❑ YES 0
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12. FEE ENCLOSED $Permit #3369
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aXi 1$. TYP OF UILDING:
N rn RESIDENTIAL ❑ COMMERCIAL
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+� ❑ INDUSTRIAL
a� 14. TYPES OF JOB:
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l� INSTALLATION ❑ ADDITION
REPAIR
/ APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side) . .
��l 1. LOCATION OF JOB
y NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: [A--OIL BURNER ❑ HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ I RATOR,. ❑ MISCELLANEOUS
/ IDENTIFY
SIZE //� LOCATION SIZE SIZE
13. OF TANK l � y� OF TANK OF FILL � OF VENT T
14. B.T.U. EQUIP. AT REGISTER URNACE KE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND B.T.U. OR SQ. FT. NET�L2 U. OR SO. FT. GROS%2_- ING RATE
FLOORS TO BE HEA D NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL INSULATION 3 ROOF OR CEILING a INSULATION
AVG. SYSTEM TEMP. � B.T.U./SQ. FT./HR. EMISSION /O
INDOOR-OUTDtTEll
TEMPERATURE DIFFERENCE 00 C7 °FAHRENHEIT
MAKE OF RADIATION: RD. COPPER QPN CTORS. OR C.I. RA IATIPO _ 0 PUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. ` (/
DESCRIPTION OF ORK
15. TO BE DONE: C
71
18. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
INDOWS ROOM SIZE AND DOORS AREA — SQUARE FEET VOLUME B.T.U. B.T.U. O DISTRIBUTION INSTALLED
TOTAL TOTAL N
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ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT M F CORRECTED 'j 4 RAO. REGISTER
L W N SIZE
TEMP. TO F TYPE AND SIZE OR LEADER
SIZE < MALL F'Lto (INFILT.1 DIFF. •F O m N SQ, FT. FREE AREA
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/3 9 y3 s 8/7
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A. HEAT LOSS FROM BUILDING �1�/� lr 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
18. 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 DING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
DATE SIGNATURE OF APPLICANT