HomeMy WebLinkAbout108 Andries Trail (4) PERMIT #
Application For 5936
x DEPARTMENT DECISION Heating Permii2
ca 0
� o
3 APPLICATION Is HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N " ® APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
�.
c 0, 6/26/84 Thomas P. D' Auria
O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
rz -a 1. LOCATION OF JOB
soo. c 108
r~
NO. STREET
4�
y LOT NO. FLOOR APT. NO.
rO+ O
N
2. OWNER
� o
O S. ADDRESS
3
4.PHONE
C% S. APPLICANT
6. ADDRESS
y� 7.PHONE
w �
6. LICENSE NO. G a 3
S
G w B. EXPIRATION DATE OF LICENSE
A 10. ESTIMATED COST S �y"'�
� o
^ It. IS THIS A CONTRACT COS" ❑ YES L✓NO
b0
=' Permit #13677
y 12. FEE ENCLOSED s
ai 1[. TYPE OF BUILDING:
w R[SID[NTIAL ❑ COMMERCIAL
O � ❑
14. TYPE F JOB: INDUSTRIAL
a�i 3
.14 O STALLATION ❑ ADDIALTETIONON
REPAIR
APPLICATION FOR H ATING PERMIT (c ntinued it m Reverse Side)
11. LOCATION OF JOB
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ❑ ELECTRIC Cl VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
�SIZE7! /J IDE FT
SIZE SIZE
13. OF TANK l J/ LOCATION /7 OF TANK OF FILL OF VENT /!Y 9��
14. B.T.U. EQUIP. AT REGISTER FU NA MAKE AND NO. ����,�AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N B.T.U. OR SQ. FT. NET/.�t�tatn.T.U. OR SQ. FT. GROSS FIRING RATEf�
FLOORS TO BE HEATED NEW OR OLD BUILDING 12tee-L' INSULATED - YES OR NO
TYPE OF WALL /I INSULATION ROOF OR CEILING INSULATED
AVG. SYSTEM WATER TEMP. � l _a=z =ZL B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 4- �? 0 °FAHRENHEIT
MAKE OF RADIATION: BASE OARD. CQkPER CONVECTORS, OR C.I. RADIATIO OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. 2 6 D"
DESCRIPTION OF WORK -
15. TO BE DONE:
1B. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
i
t
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:
NAME 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 I
DATE SIGNATURE OF APPLICANT