HomeMy WebLinkAbout169 Brookfield Street (5)PERMIT #
Application For 4983 4782
DEPARTMENT DECISION Heatmg Permit
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3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
N9 APPROVED DISAPPROVED
TOWN OF SOUTH WINDSORC
c a 4/19/78t;77,
00 O DATE CHIEF IN CTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL W
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t. LOCATION OF JOB
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1 0 169
NO. STREET
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LOT NO. FLOOR APT. NO.
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C PHONE
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B. LICENSE NO.
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w s. EXPIRATION DATE OF LICENSE
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0 10. ESTIMATED COST s AdWeAA
11. IS THIS A CONTRACT COST? No
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12. FEE ENCLOSED s Permit 10180
ai is. TYVOILDINIckan" COMMERCIALbo
cc 14. TYPE OF JOB: INDUSTRIAL
0 INAL ALTERATION
LA ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side)
11. LOCATION OF JOB ice I
NO. STREIT FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
VCIAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE13. OF TANK OF TANK . OF FILL OF VENTm
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE M E AND 4o. B.T.U. OR SQ. FT. NET T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED t NEW OR Q6D•BUILDING_,ga,1 'INSULATED — YES OR NO
TYPE OF WALLS ew de 4- INSULATION ++',,, ROOF OR CEILING INSULATION ,.
AVG. SYSTEM WATER TEMP. S a B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE to 2 FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. z "...
DESCRIPTION OF WORKS
r
4„, r15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
Roots slzE WINDOWS AREA - SQUARE FEET e.T.U. S.T.U. 9 0- DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTAL
NO,
r
ROOM GROSS OLAfi NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j
LL REGISTER
L W N AND TEMP. TO TYPE AND SIZE RAD. OR LEADER
SIZE WALL ,O INFILT.)
I. DIFF. F f O 47 iQ. FT. FREE AREA
3 p s k t
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12*
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A. HEAT LOSS FROM BUILDING B.T.U./HR.1
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.
@'P.9g r" '•
DATE 1 URE OF APPLICANT