HomeMy WebLinkAbout21A-21L Amato Drive (3)Application For PERMIT3995
DEPARTMENT DECISION 4217 Heating Permit
3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED Q OISApPRovIED -
TOWN OF SOUTH WINDSOR
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1-4 12—4-72
00 w DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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t7 1. LOCATION OF JOB
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CS NO. STREET
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y LOT NO. FLOOR APT. NO.
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2. OWNER S M 7
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c a. ADDRESS t L- S' `/ / L"/ 7-
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C% S. APPLICANT Si: R= I]+d'//`—_1
C °o s. ADDRESS o P C
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B. LICENSE NO. 3 7-
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w B. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST i
11. IS THIS A CONTRACT COST? YES CYNO
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Permit #7867is. FEE ENCLOSED B
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4) is. TYPE OF BUILDING:
W Ld RESIDENTIAL COMMERCIAL
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14. TYPE OF JOB: INDUSTRIAL
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
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APPLICATION FOR HEATING PERMIT (C ntinued it m R verse side)
f(11. LOCATION OF JOB
NO. STREET FLOOR AFT. 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
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14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
Iyy#%BOILER OR FURNACE MAKE AND NO.F 42,_ B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING 14'e J INSULATED - YES OR NO V P
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. 1 16 P
B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE D - 2? c,) FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATI,DN. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. R O 6 4 S-E b L a_; B 198 A T(1
DESCRIPTION OF WORK
YT15. TO BE DONE:- r g L F
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
ROOM SIZE AND DDDRS AREA - SQUARE FEET IS.T.U. e.T.U. g f DISTRIBUTION INSTALLEDVOLUMETOTALTOTALpI
ROOM NO'GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT A•F CORRECTED t J RAD REGISTER
L W N AND ` TEMP. TO FF f TYPE AND SIZE OR LEADER
SIZE < WALL to INFILT.) O O O. FT.
f DIFF. F F SI N FRE! 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
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. / R Q,-:73—f 4'
DATE v SIGMATUNE OF APFL CANT