HomeMy WebLinkAbout100 Arnold Way (9) PERMIT #
Application For 5049 4848
DEPARTMENT DECISION Heating Permit
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c APPLICATION Is HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
APPROVED C1 DISAPPROVED
TOWN OF SOUTH WINDSOR
° Cd 9/12/78
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00 0 DATE IEF SECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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C1. LOCATION OF JOB
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cd r. No. STREET
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LOT NO. FLOOR APT. NO.
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2. OWNER `� /yySU2 �A�LIJ 0�=`f/LY.¢TJrJn�
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C% S. APPLICANT /f�L ff/�/L!/G'1� D/3/-j/�u C(�ix��'S✓y
01 B. ADDRESS
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B. LICENSE NO.
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w B. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST f /d0.
^ 11. IS THIS A CONTRACT COS" YES NO
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12. FEE ENCLOSED s
aki 1 s. TYPE OF BUILDING
b ❑ RESIDENTIAL ❑ CO MERCIA
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cisal 14. TYPE F JOB: INDUSTRIAL
® ORIGINAL / ALTERATION
INSTALLATION �UST�//z!�� ❑ ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (continued fs m Revere Side)
11. LOCATION OF JOB �l �JTif�/ ��C�/9��s `"�U/ /D 0 /j.a°.fJtJc-t:�' LZ�z
NO. STREET FLOOR APT.MO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION �/❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS DUST
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. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK /� / /
is. TO BE DONE: �L i(/ST7�"LL U.ST ( O/1CC
1s. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
Roots SIZE WINDOWS AREA - SQUARE FEET E.T.U. E.T.U. O<F DISTRIBUTION INSTALLED
AND DOOR! VOLUME TOTAL TOTAL r
ROOM NO. OR OSS GLASS NET WALL CEILING FLOOR CU.FT. AT A•F CORRECTED j j F RAD REGISTER
L W N AND c TEMP. TO k TYPE AND SIZE OR LEADER
SIZE < WALL `' 10 (INFILT.1 DIFF. •F F a n 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 B1C) FACTOR
17. ELECTRICAL WORK BY: ��/ `�/C7`/�- `�• o�� 2/�/�r/olJrJ �r• ��'Dour7`�
NAM[ ADDRESS
SUBCONTRACTORS AND
is. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AG NT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
ATE 316 UR[ OF APPLICANT