HomeMy WebLinkAbout189 Brookfield Street (5)PERMIT
Application For 4927 4726
DEPARTMENT DECISION Heatmg Permit
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3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
N " 13 PPROVED C1 DISAPPROVED I TOWN OF SOUTH WINDSOR
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00 DATE CHI NSPEGTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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d 1. LOCATION OF JOB
189 eac) PSC
NO. STREET
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LOT NO. FLOOR APT. NO.
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4.PHONE
b 7S. APPLICANT
o_ 6. ADDRESS LK 2
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B. LICENSE NO. d 0 C
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O w B. EXPIRATION DATE OF LICENSE
10. ESTIMATED COST s
1 IS THIS A CONTRACT COSTt 0 .
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12. FEE ENCLOSED s P P rm; 10002
x9O 12. TYPES 0 UILDING-.
b0 LILT R[fID[NTIAL COMMERCIAL
4J y 14. TYPE OF JOB: INDUSTRIAL
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rl-"RIGINAL ALTERATION
IW INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continu d tr m Rev no Sid
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11. LOCATION OF JOB ie,r
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
ff GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE O LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FS RNACE 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*WD--BUILDING Z104,-' INSULATED — YES OR I L4- "' -
TYPE OF WALL Q-7 Cu,es s INSULATION 9/-41 4'w= = A$9f-OR-CEILING t° INSULATION
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AVG. SYSTEM WATER TEMP. li,o B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE n c U v FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS OR C.I. RADIATION. OUTPqJT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. fit O no -- G y'•c T7> - 7` /O7` -zd' .fY
DESCRIPTION OF WOR
W P15. TO BE DONE:L
fi1,/ l ti a .tom,
18. HEAT LOSS iCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
Ro M SIZE WINDOWS AREA - SQUARE FEET e.T.U. a.T.U.D
AND DOORS VOLUME DISTRIBUTION INSTALLED
TOTAL TOTAL
FFROOMNO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70-F CORRECTEDTEOCTED j 4 TYPE AND SIZE RAD. OR LEADERLW
REGISTER
N AND
SIZE WALL
F'GSO INFILT.) DIFF. D F O b SQ. FT. FREE AREA
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L / Yl •I3 3cx 4a o• 4/D %7 •,w
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Ab yz i$6c-)-
PA Ne I Y 4cIle- Do-- 3
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TOTALS
A. HEAT LOSS FROM BUILDING Z 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. 41
DATIf SIGNATURE OF APPLICANT