HomeMy WebLinkAbout110 Brook Street (6)PERMIT #
Application For 4731 4530
DEPARTMENT DECISION Hestmg Permit
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3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
APPROVED C1 DISAPPROVED
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00 DATE CHI PELT APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
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1. LOCATION OF JOB
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NO. STREET
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y LOT NO. FLOOR APT. NO.
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o ff yo4o kv y ", 3-A iPG2. OWNER
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4.PHONE
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0 go 6. ADDRESS 1lD " cS
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v B. LICENSE NO.
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O w s. EXPIRATION DATE OF LICENSE
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1O. ESTIMATED COST S 150.00
11. IS THIS A CONTRACT COST YES 0 NO
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12. FEE ENCLOSED S Permit 9287
d 13. TYPE OF BUILDING.
y bO RESIDENTIAL COMMERCIAL
14. TYPE OF JOB: INDUSTRIAL
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RIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
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11. LOCATION OF JOB Z16 6 r a d k J t
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
ICJ 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 NO. B.T.U. OR SQ. FT. NET 495 B.T.U. FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO yes
TYPE OF WALL INSULATION 4e S ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIATION: BASEBO COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK;
OL LK> GC/15. TO BE DONE:
m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
R ow SIZE wlNDows AREA — SQUARE FEET e.T.u. e.T.u.I- DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALpn
ROOM STER
L W N AMD W GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT F CORRECTED j
ptrr TYPE AND SIZE RAO. RgoOR LEADRR
SIZE WALL
F'G
o D(INFILT.) DIFF. F P Sl d D. FT. FREE AREA
75<
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
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.
DATE
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SIGNAT R F APPLICANT