HomeMy WebLinkAbout10 Andmar Lane (5) a
PERMIT #
Application For 5061 4860
DEPARTMENT DECISION Heating Permit
0
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N ® APPROVED � DISAPPROVED
t4 TOWN OF SOUTH WINDSOR
00 y / DA E 7 8 HIE F ECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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C 1. LOCATION OF JOB Qti
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NO. [[T
33
y LOT NO. FLOOR AFT. NO.
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LV
+' O 2. OWNER 7 e, &I
0
o S. ADDRESS
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4.PHONE
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C% S. APPLICANT
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B. ADDRESS
79
7.PHONE
.� s. LICENSE NO. 0 3
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% 9C w f. EXPIRATION DATE OF LICENSE 0
c p
p m ,O. ESTIMATED COST faq
a
,,. IS THIS A CONTRACT COSTI ❑ YES v NO
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,:. FEE ENCLOSED f Permit 10339
m aXi is. TYPE OFF BUILDING:
Lld'R[SID[NTIAL ❑ COMMERCIAL
rn
C3 al 14. TYPE F JOB: INDUSTRIAL
Xr, �"� ALTERATILM INSTALLATION ❑ ADDI7IONON
REPAIR
APPLICATION FOR HEATING PERMIT (C ntinued from Rev roe Side)
11. LOCATION OF JOB 33
NO. B—
EET FLOOR APT.NO.
12. TYPE OF INSTALLATION: CJ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOATIO/Q O® OFCTANKN OF FILL OF VENT SIZE
13. OF TANK
14. B.T.U. EQUIP. AT REGISTER FU N CE M AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND x I I 71B.T.U. OR SQ. FT. NET,/-�OdU B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW 0 OLD BUILDINGZO ti aZ INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATIO
AVG. SYSTEM WATER TEMP.-,/?,�1 -Q2RQ B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 11- 90 °FAHRENHEIT
MAKE OF RADIATION: WEBOARD. COPPER CONVECTORS, OR C... RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. Ca S20 &2o �I
DESCRIPTION OF WORK �Z
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL ju `- - ---- -�--- - -
•w
WOOM$12E WINO
AND c,�"AMP. Ff w J. •.r,� 1 f
DISTRIBUTION 1NSTA,LI IW
j
tlr�� WALL ��<< - wrc,.l F< wNNRp }
1 NtllT,l �O D r TY�c AND AIIt MAD OR lGA(1eA
rRaig An*
�... .. :. .. .p Fu: •O. r r,
OLD_ t l �—F-- �' 4
fly i�;. —
— cry
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TOTALS
717
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A. HEAT LOSS FROM
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: !/ �C
NANL 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.
DATE SIGNATURE OF APPLICANT