HomeMy WebLinkAbout15 Apple Tree Lane (15) PERMIT # '
Application For 4573 4351
DEPARTMENT DECISION Heating Permit
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3 APPLICATION Is HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
L�APPROVED Cl DISAPPROVED
TOWN OF SOUTH WINDSOR
0000 d DATE F INSPECT APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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-d 1. LOCATION OF JOB
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CC 0 NO. �• STREET
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y LOT NO. FLOOR APT. NO.
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79
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2. OWNER
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t•% S. APPLICANT�Z/T� G• �O Y Y/1! //O
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o B. DDRESS ®! c , !�,-v C-
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w J/I�C ar`t'O rc� ,oCT 7.PHONE
Ill. LICENSE NO. 40 9 7
C w B. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST S
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^ 11. IS THIS A CONTRACT COSTI OYES ❑ NO
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'r. 12.00
'v 12. FEE ENCLOSED S
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! 13. TYPE OF BUILDING-
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RESIDENTIAL ❑ COMMERCIAL
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cd • 14. TYPE OF JOB: INDUSTRIAL
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INSTALLATION �TIONON
REPAIR
60t��
S APPLICATION FOR HEATING PERMIT C ntinued fr m Revere Side
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11. LOCATION OF JOB 1 S '4.7le /7',,_4- z3 h -'_
N0. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS c `S
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 FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO
TYPE OF WALL 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 SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:— C`e-a 7C1
ell
16. HEAT LOSS HEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WNINDDwS -AREA SQUARE FEET E.T.U. E.T.U. D
AND Doors VOLUME g< DISTRIBUTION INSTALLED
TOTAL TOTAL pl 4
ROOM NO. GROSS GLASS NET WALL CEILINO FLOOR CU.FT. AT A'F CORRECTED t j� REGISTER
X'L M AND ` TEMP. TO f TYPE AND SIZE OR LEADER
SIZ! < WALL P'Lto (INFILT.) DIFF. •F 0 m RADS0. FT. FREE AREA
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L R C acl l 3 /�� �,' L y 3069
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TOTALS 2 j 7-1�r. A r c''j
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: W r/< /y'tC mar L L'+
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. 7 7 2 �
DATE f SI NAT RE OF APPLICANT