HomeMy WebLinkAbout223 Brookfield Street (8)PERMIT #
Application For 6809 6729
DEPARTMENT DECISION eatmg permit
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3 E APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
N +' APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
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00 DATE CIFIEr-1119FECT011 APPLICATIONS MUST BE PRINTED OR TYP D. BEGIN WITH NUMBER NE BELOW
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1. LOCATION OF JOB
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NO. STREET
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s. APPLICANT 2!f
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S. LICENSE NO. /d Ct
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C EXPIRATION DATE OF LICENSE d
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10. ESTIMATED COST S Loaa d
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t t. IS THIS A CONTRACT COST? YES NO
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1IZ. FEE ENCLOSED S P P rm i t 15 6 21
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TYPE BUILDING:as
RtS1DENTIAL COMMERCIAL
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cad 14. TYPE OF JOB: INDUSTRIAL
INAL
INSITALLATION E ADDITION
ALTERATION
REPAIR
APPLICATION FOR HEATING PERMIT (C ntinued tr ni Reverse Side)
11. LOCATION OF JOB °?a:? lgI'Od j! ! ' Q/d Sr
NO. STREET FL OR 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
14. B.T.U. EQUIP. AT REGISTER FURNACE 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 OLD BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK T
15. TO BE DONE: C X 1 S I n U t, (0 S l C 0U d' /
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1s. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA — SQUARE FEET e.T.U. 0.T.U.O
AND DOORS VOLUME f DISTRIBUTION INSTALLED
TOTAL TOTAL 1"
ROOM NO• GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j RAD. REGISTER
L w N AND [ TEMP. pTO p TYPE AND SIZE OR LEADER
SIZE < WALL .'to INFILT.) DIFF. Q F F 0 as0. FT. FREE AREA
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TOTALS F s71 FSO 0 2 O
A. HEAT LOSS FROM BUILDING 1 S3 r B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND S i-- B.T.U./HR.
C. MAL d I m e..a B.T.U./HR. I az.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR l
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17. ELECTRICAL WORK BY: oZlJ'/'o od-enew&
NAME ADDRESS IL
SUBCONTRACTORS AND
IS. THEIR TRADES S t
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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. _ y— y
DATE SIGNATURE OF APPLICANT