HomeMy WebLinkAbout10 Benjamin Way (4)PERMIT # `
Application For 6691 5590
DEPARTMENT DECISION Heating Permit
3 APPLIckrION IS HEREBY:
o i DEPARTMENT OF LICENSES AND INSPECTIONS
N r. XX APPROVED DISAPPROVED
W TOWN OF SOUTH WINDSORa
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o C
00 DATE IEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER HE MEL W
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C 1. LOCATION OF JOB 10 Benjamin Way
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NO. STREET
y. v 41,
LOT NO. FLOOR APT. NO.
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q 2. OWNER
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bo 3 a. ADDRESS ChAtah owc
ai ; w1reCJJI `1 1!' V (OJJ Ll
4.PHONE 5ZZ'S.
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P-4 APPLICANT An-S.
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C a. ADDRESS
t o Lli Qf* C C O( I)D 7.PHONE 51;-'?
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a. LICENSE N0.ze,r
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0 B. EXPIRATION DATE OF LICENSE- IL9—1— 4L 3
10. ESTIMATED COST i a•vet') s d
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11. IS THIS A CONTRACT COST?R YES NOb0
as A
12. FEE ENCLOSED * Permit 13076
00 tv 13. TYP OF BUILDING:
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C RESIDENTIAL COMMERCIAL
C 3 14. TYPE OF JOB: INDUSTRIAL
ORIGINAL ALTERATIONINSTALLATINADDITION
REPAIR
APPLICATION FOR HEATING PERMIT' (C ntinued it In Reverse Side)
11. LOCATION OF JOB zt2i& cam 144 9L
NO. STREET FL OR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
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 N z; B.T.U. OR SQ. FT. NETkj6&_0_B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HE ED NEW OR OLD BUILDING_(-l INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP.
y
B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 92 FAHRENHEIT
MAKE OF RADIATION: BASE OARD. COPPER CONV TORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.L41- - -7-.!Id*
c
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM slzE wINOOWS AREA — SQUARE FEET B.T.U. B.T.U. <DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALn
FF
R M REGISTER
L IN N AND W GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT F CORTEOCTED 7 4
LL
TYPE AND SIZE RAD. OR LEADER
SIZE < WALL 'c0 INFILT.)
DIFF. F m a SQ. 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
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.2"-
DATE SIGNACCIft F A LICA
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