HomeMy WebLinkAbout1A-1H Amato Drive (4)PERMIT #
Application For 3989 f
DEPARTMENT DECISION
4211 Heating Permit
3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED PliSAPPROVED
TOWN OF SOUTH WINDSOR
c a 12-4-72
00 DATE CHIEF INSPE404102 APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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C 1. LOCATION OF JOB
1.11
Cd C NO. STREET
rj vCO
N
X LOT NO. FLOOR APT. NO.
4-b ON
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a 2. OWNER
Cd
O S. ADDRESS ,PL,6 9- 7- L2t-I- RP.
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4.PHONE
00
J J/1G0S. APPLICANT U Q— r -f'e / / AI C.r.
B. ADDRESS L--i
7.PHONE
f. LICENSE NO. -3 Z- `3/
C w R. EXPIRATION DATE OF LICENSE l Q — 77 .3
c a
10. ESTIMATED COST
11. IS THIS A CONTRACT COSTS YES c_NoIo
y 12. FEE ENCLOSED s Permit #7 7 8 0
xmal 12. TYPE OF BUILDING:
Cw R[f10[MTUIL COMMERCIAL
cd 3 14. TYPE OF JOB: INDUSTRIAL
ORIGINAL ALTERATIONINSTALLATIONADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m R verse Side)
11. LOCATION OF JOB
NO. STREET FLOOR AFT.N0.
I
12. TYPE OF INSTALLATION: OL`.t'IL 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 LY+ J
QL'RNµgMB01LER OR FURNACE MAKE AND N0FR0—ly B.T.U. OR SQ. FT. NETS1y_ . OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING_0&1 `p l-,INSULATED — YES OR NO ex
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. [S" B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0 — O c
FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.—Air-9 C P — Q 6ES-e 13 OR 9- 7-
DESCRIPTION OF WORK Q h4is. TO BE DONE: 4 1 B I.i/I T-t c3//a 1 L'
S i2' /t
is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
Room SIZE WINDowS AREA - SQUARE FEET S.T.U. s.T.U. O F DISTRIBUTION INSTALLED
AND DOOR! VOLUTE TOTAL TOTAL r LL
ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT M-F CORRECTED -J j RAD REGISTER
L7_ _AND E TEMP' TO F TYPE AND SIZE OR LEADER
SIZE t WALL INFILT.1
F'Gto DIFF. F 0 b 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.
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DATE SIGNATURE OF APPLICANT