HomeMy WebLinkAbout200 Bourbon Street (5)Application For 6 311
PERMIT
5920
ECdDPARTMENT DECISION
Cd W Heating Permit
O
3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED DISAPPROVED
TOWN OF SOUTH WINDSORc0
1.40
0 a 1 Auri00DATrCHIET1 APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
A
CZ
C ' 1. LOCATION OF JOB
5.4 200 Street
Cd Q NO. STREET
6j O
vW
LOT NO. FLOOR APT. NO.
79
O
N
2. OWNER I.Z'67 Azt"
C
O n r&—o"o Dj30ADDRESSaIU
be 3
21
4) > L 4.PHONE
Cc 14
6
S. APPLICANT
Cr1 C~d
B. ADDRESS
7.PHONE
S. LICENSE NO.
Pa
w B. EXPIRATION DATE OF LICENSE
v
UPC to. ESTIMATED COST S /S
0
b0
11. IS THIS A CONTRACT COS" YES NO
y 12. FEE ENCLOSED s Permit 13800
0 1 s. TYPE OF BUILDING:
by RESIDENTIAL COMMERCIAL
O .
ce 3 14. TYPE OF JOB: INDUSTRIAL
ORIGINAL
IINSTALLATI N ADDITIONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continu d tr m R v ne Side)
11. LOCATION OF JOB Z-O BOU e kcon
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL 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
7.d kr Loal.'S'
BOILER OR FURNACE MAKE AND N0. B.T.U. OR SQ. FT. NET m B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO " M
TYPE OF WALL A&4mm INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. I.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 2' FAHRENHEIT
MAKE OF RADIATION: SEBO RD. COPPER CONVECT RS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS);
WINDOWS B.T.U, s.T.U. c O
ROOM SIZE AREA - SQUARE FEET f DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL a
ROOM NO. GROBS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL LL REGISTER
L W N AND
G INFILT.) TEMP. TO F f Q TYPE AND SIZE $QAFT. OR LEADER
SIZE WALL
f'l / ie / [OIFF. F F SI a FREE AREA
a.046 1 f7' 19 3 7 1 & ! W 1
lG /3L10
b o 3`
r --
au 3 sit/
107-h G _ 3 6V I 7W
Arl,9 l OYU I I U71
q (Lt a3kV Y '
3Sd/ Ym
y` 3ay
TOTALS 1f 1f
A. HEAT LOSS FROM BUILDING y v B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL 02 B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
iz 7-t A -1A17. ELECTRICAL WORK BY:
NAM[ ADDRESS
SUBCONTRACTORS AND
IS. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (A NT) OF
TH77-
I
WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. ;
DATE 6NATUR[ OF APPLICANT