HomeMy WebLinkAbout20 Benjamin Way (5)PERMIT #
Application For 6604 5503
DEPARTMENT DECISION Heating Permit
O
f 3 APPLICATION IS HEREBY:
O w DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED DISAPPROVED
a l TOWN OF SOUTH WINDSOR
8/25/82
OQ DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL W
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C1. LOCATION OF JOBgen j amin Way
20
Id r NO. STREETO
L'OT NO. FLOOR APT. NO.
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2. OWNER
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1 S. ADDRESS
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d PHONE
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s. APPLICANT
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o ,o s. ADDRESS
4 454
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o 7.PHON
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s. LICENSE NO. 3046 C2 V a
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JCwB. EXPIRATION DATE OF LICENSE__, /_ 3
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10. ESTIMATED COST =
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11. IS THIS A CONTRACT COST? YES Nob0
12. FEE ENCLOSED s Permit #12839
O 1S. TYPE F BUILDING:
Cbo IN RESIDENTIAL COMMERCIAL
cc3 14. TYPE OF JOB: INDUSTRIAL
ORIGINAL ALTERATION
INSTALLATI N ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Reverse Sid )
11. LOCATION OF JOB Ed 4 Q 4a!! laA414.4
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE13. 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 NOZ&Id d B.T.U. OR SQ. FT. NET /ara B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE ZHTED Z NEW OR OLD BUILDING Vim+/' INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
v
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE ®" FAHRENHEIT
MAKE OF RADIATION: B SEBOAR . COPP CO VECTOR . OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
14
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDows AREA - SQUARE FEET B.T.U. 9.T.U. F D
t F DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALUe
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j 4 LL
RAD.
REGISTER
L W N AND S TEMP. TO F TYPE AND SIZE OR LEADER
SIZE < WALL
f'LSO INFILT.) DIFF. F m N SO. 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.YZ
DATE 81.NATURE OF APPLICANT
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