HomeMy WebLinkAbout104 Andries Trail (7) PERMIT #
Application For 6 2 7; 5877
DEPARTMENT DECISION Heating Permit
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3 APPLICATION Is HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N " kj�APPROVED � DISAPPROVED
TOWN OF SOUTH WINDSOR
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0 4/6/84 ti
00 y DATE HIE PECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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1. LOCATION OF JOB
4 c 104 ifL ! L—
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NO.. STREET
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y LOT NO. FLOOR APT. NO.
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2. OWNER U M (208S I�f rldrt On
Q Q Cct St Cc.K`ftr St.
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p o a. ADDRESS
°D 3 r. d _ManChestev- 4.111HONE 69Y3-,9s.7 1
APPLICANT,40/3 (2001.,;t f(meef'If �r'p•
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Ma 0Chesfe4- 7.PHONE �ay?-8 �
A S. LICENSE NO. �0 7
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F. w B. EXPIRATION DATE OF LICENSE to "
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10. ESTIMATED COST 3 5 000
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IS THIS A CONTRACT COST? ® YES NO
7 12. FEE ENCLOSED 3 P a rm i t 1 16 6 S
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y 1a. TYPE OF BUILDING:
w M RESIDENTIAL ❑ COMMERCIAL
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❑ INDUSTRIAL
al 14. TYPE OF JOB:
IQI ORIGINAL ❑ ALTERATION
ILA INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (C ntinued it m Reverse Side)
11. LOCATION OF JOB
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ( L❑ SPRINKLER
El /�-GAS BURNER ❑ STACK ❑ INCINERATOR ® MISCELLANEOUS AIR �r1Q 1f 101h I► j
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNNAAC�E,MAKE AND NO. B.T.U. OR SQ. FT. NET--- -_B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE FiE�7+lDed 0rI'%- NEW OR OLD BUILDING INSULATED - YES OR NO
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TYPE OF WALL IT r'gtW-em INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SPCTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.0arrler -I0FS 206 ctir- Handler 28 HQ 04T C.oi if 38',cAl0x{8 C'eme(e-0 r
DESCRIPTION OF WORK
15. TO BE DONE: BLS-KS'rci(� 4 tft/, c H $y W�,oOlIq sTeYn +ti air Han4ler Lcc'r
SVSte+h n atT�c are.ct �LcienSer or1 cewignf s 0,6
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
Roots llze MINDow! AREA - SQUARE FEET IS.T.U. S.T.U. ¢ D
AN o DOORS voLUME O i F DISTRIBUTION INSTALLED
TOTAL TOTAL yI 4
ROOM NO. GROSS GLASS NET MALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j ¢ RAD. REGISTER
L M N AND a TEMP. TO f TYPE AND SIZE OR LEADER
SIZE < MALL PTO (INFILT.) N SQ. FT.
FF DIFF. •F F. FREE AREA
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 B C) FACTOR/.
17. ELECTRICAL WORK BY: 0l �er�5
NAME ADDRESS
SUBCONTRACTORS AND
19. 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. f
APPLICATION TO BE COMPLETELY FILLED IN. -B r 2.Q- 8,/
DATE �J SIGNATURE OF ►►LICANT