HomeMy WebLinkAbout18 Andmar Lane (6) Orr rrr
PERMIT #
Application For 5060 4859
DEPARTMENT DECISION Heating Permit
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3 APPLICATION IS HEREBY:
O DEPARTMENT OF LICENSES AND INSPECTIONS
N " XK.XPPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
Cd
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d D TE C IN APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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C1. LOCATION OF JOB
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ad fr NO. STREET
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y LOT NO. FLOOR AR. NO.
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2. OWNER
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00 O S. ADDRESS
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y y 4.PHONE
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Cn S. APPLICAN
B. ADDRES Cc c
7.PHONE 16
B. LICENSE NO. �d a,36 /
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C w B. EXPIRATION DATE OF LICENSE �;!
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A 10. ESTIMATED COST S
11. IS THIS A CONTRACT COST? ❑ YESrz
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12. FEE ENCLOSED iPermit 10432
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aXi 12. TYPE OF BUILDING-.
d! U-RE EEMT1AL ❑ COMMERCIAL
+' .� 14. TYPE F JOB:
� ❑ INDUSTRIAL
O STALLASTION ElADDIT OTION
REPAIR
Aim �A I®
APPLICATION FOR HEATING PERMIT (C ntlnued from Revene 8141e)
11. LOCATION OF JOB `j It
NO. STR iLOOR A►7.NO.
12. TYPE OF INSTALLATION: OIL BURNER ❑ EL CTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER Cl STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOCATION f SIZE y SIZE
13. OF TANK /OD O OF TANK OF FILL x OF VENT d-
14. B.T.U. EQUIP. AT REGISTER FURNACE KE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NQ LWORT.U. OR SQ. FT. NETI-2& —B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLDBUILDING INSULATED — YES OR NO
TYPE OF WALL -3 INSULATION t//o ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. ///'J - --v,g B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 6 — z U °FAHRENHEIT
MAKE OF RADIATI : BASEBOARD. COPPER CONVECTORS, OR C.I. ADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. �6)
DESCRIPTION OF W6RK
15. TO BE DONE:
Is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
N00Y sl is AND D0011■ _
�Olt!•af TOTAL TOTAL
N, a
11DOY NO p/1�9LAX& N[T MALL CV10W IILOa Cu.�. A\ ?0-I J i C - -- --------- R - 7`
l 1 11 AND Tl�N. TO rr�1; TY�[AND NZ[ [~� �j
•li[ WALL. ,A * r-- - 4INFILT.1 a^, •` O [Q [
_ _ nr
is 7 _ 3
Bali t379
_ " �> , 17av 737 o
q /S— �.
__ .a...c.y �Y���� 71 'fU j � -{:•r..�
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fiv c'iT .. t. f 9,. I S may, / .
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 7B CC)) FACTOR
17. ELECTRICAL WORK BY:--
NAML ADDRESS
SUBCONTRACTORS AND
1e. 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. �?e
DATE SIGNATURE OF APPLICANT