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HomeMy WebLinkAbout100 Arnold Way (4) PERMIT # Application For 3359 DEPARTMENT DECISION Heating Permit Cd En 3580 y O 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS O N +' f] APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR 4-28-67 rn DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW 1. LOCATION OF JOB `UL� NOL A 0 o Timothy Zdwards Scg000l -3E't w EETV *-c sTy-c— 114 AV E .aT Gd 9 NO. STREIET • 41 O � U W w = O LOT NO. FLOOR APT. NO. O N C> O 2. OWNER loveof \J1r (�;c4caTt1 a✓LIL��g��Q cd � O 0 B. ADDRESS bo I y 4.PHONE m � I CIO S. APPLICANT � SR 1�LS'RIAw Cn 0 m S. ADDRESS „0 h>. ci AQ?F0 7.PHONE.:2Z--1% q6 � .Q 8. LICENSE NO. �o o W o a +' w 9. EXPIRATION DATE OF LICENSE O v � c 10. ESTIMATED COST s �29vdOO• 4-> c ^ t 1. 15 THIS A CONTRACT COST? L7 YES ❑ NO bq T� 12. FEE ENCLOSED S�� � rC r[fll t f#�) (V ai 1S. TYPE OF BUILDING: I � ANNIIVEWMI. j'C110O4 ❑ COMMERCIAL 14. TYPE OF JOB: ❑ INDUSTRIAL Cd / l ITT ORIGINAL ❑ ALTERATION lJ INSTALLATION ADDITION REPAIR V APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side) yid �C11.1. LOCATION OF JOB � ���T�1 E�N �_®ST E IZ /�Il�� f��lE1'�cl� NO. �/ LJ STREET � FLOOR APT. NO. L7 12. TYPE OF INSTALLATION: OIL BURNER HEATING SYSTEM @ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS SIZE /+ C IDENTIFY 13. OF TANK lCl ClICSG GA L_ OF TANK r_,IQtJ ���>`a� . OF FILL �SIZEi. OF VENT �SIZE �r2ir 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. SQ. FT. OR B.T.U. 1s. TO BEIDOION NE:OF WORK �o /e T/PCB/!�-sue; i ��1T��9 yj /,h 18. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). ROOM slzE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. F D AND 000Rs VOLUME <r DISTRIBUTION INSTALLED TOTAL TOTAL i ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT A'F CORRECTED t j 4 RAD. REGISTER L W N AND R TEMP. TO F f N TYPE AND SIZE OR LEADER SIZE < WALL f'Lto (INFILT.) OIFF. •F OOF SO' FT 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: NAME ADDRESS SUBCONTRACTORS AND /+ 18. THEIR TRADES ! �5��PkL' dSe�S '�14E'ET111r--Y ,'L. 9JEC/La+ELL " 1G71.1-rR0 `L CO. �C7M�STE(�17�1.+L�<vL,14T101a l =JSVLATtoAJ ©Lc � ,�1104.(0, rJLeJItFQ. 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. Q kl� z6 DATE SIGNATURE VF APPLICANT