HomeMy WebLinkAbout11 Andries Trail (4) PERMIT # 1�
Application For 6509 6119
DEPARTMENT DECISION Heating Permit
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3 APPLICATION Is HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
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TOWN OF SOUTH WINDSOR
o a 3/22/85 Thomas, P_ D' Auria
00 d DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN 1NITN NUMBER ONE BELOW
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o 1. LOCATION OF JOB
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cd I= NO. STREET
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LOT NO. FLOOR A►T. NO.
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S. APPLICANT
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79 B. ADDRESS
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R. LICENSE NO. 3l�
C w s. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST S -3la—C-91
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11. IS THIS A CONTRACT COST? ❑ YES �'NO
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y 12. FEE ENCLOSED S Permit 14146
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m 43) IS. TYPES OF BUILDING:
rbo n Ll RESIDENTIAL ❑ COMMERCIAL
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.3 IS. TYPE OF JOB: ❑ INDUSTRIAL
'UAL ALTERTI
.. NST LLATION ❑ ADDITIIONON
REPAIR
APPLICATION FOR HEATING PERMIT (C n tinued it m Reverse Side)
11. LOCATION OF JOB
NO. � STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: [ _OIL BURNER ❑ ELECTRIC ❑ YENTILATIO ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOU
IDE IFT
SIZE 7 1/ LOCATION 6/'_ _ SIZE Z SIZE
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13. OF TANK OF TANK L( � OF FILL OF VENT i
14. B.T.U. EQUIP. AT REGISTER F JACC MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N ��az B.T.U. OR SQ. FT. NET/060B.T.U. OR SQ. FT. GROSS FIRING RATE 1`
FLOORS TO BE HEAT NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL ,q INSULATION _ROOF OR CEILING INSULATI
AVG. SYSTEM WATER TEMP. /y 0' ^ '1� B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE U - B D 'FAHRENHEIT
MAKE OF RADIATION: BA EBOARDOPPER CONVECTORS, OR C.I. RADIATION OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. �1,L1 `� �� ' IC/
DESCRIPTION OF WORK
IS. TO BE DONE:
ff+: 14LAT LOSS SCHEDUI -
ROOM SIZE _ u. s.I.u. I i TOTAL TOTAL DISTRIBUTION INSTALLED
1 VOI MI[
I..— -LASS —T WALL GSIUI FLOOR CU.FT. •T 70-F COAI1CCTaq J j r A REGISTER
AN L w " III Zoe WALL L�J - i--",IINFILT.1 To// / TO •FI r TYF! AMO SIR! a0 AO.T. On La AOiA
' •� 'J a FIRRE AREA
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f if i .; /, / L / iC'V i:'✓ 3 C' i y� v` L /
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LTOTALS i 9
A. MEAT LOSS FROM
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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:
NAM[ 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 BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN._
DATE SIGNATURE OF APPLICANT