HomeMy WebLinkAbout226 Abbe Road (15)PERMIT #
Application For
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o APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N U APPROVED DISAPPROVED
4 TOWN OF SOUTH WINDSOR
o 0600Q! DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED ON TTPED. BEGIN WITH NUMBER ONE BELOW
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E 1. LOCATION OF JOB A
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10 Z NO. STREET
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LOT NO. FLOOR AR. NO.
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OWNER
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02
CIO S. APPLICANT
S. ADDRESS 7
7.PHONE
v A S. LICENSE NO.
GL 4
E w B. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST B
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11. IS THIS A CONTRACT COSTT YES NO
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It. FEE ENCLOSED S
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d is. TYPE OF BUILDING:
pp RESIDENTIAL COMMERCIAL
14. TYPE F JOB: INDUSTRIAL
I'_ `, ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (C aeinued it m Reverse Side)
11. LOCATION OF JOB
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: I OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
I& 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.-St413S T.U. OR SQ. FT. NET B.T.U. OR SO. 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 G.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
Is. TO BE DON
Is. NEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
Room size wRINoQWS AREA - SQUARE FEET e.T.U. e.T.U. g i DISTRIBUTION INSTALLEDA0000RSvoLustTOTALTOTAL
ROOM NO' ORGY GLASS NET[ALL CEILING FLOOR CU.Ff. AT 70'/ CORRECT= < r RAG. REGISTER
L [ N AMO S TEMP. TO F f+ TYPE ANO SIZE
30. /.
OR L[AO[R
WALL f IIN ILT.I OIZEGOII/, f R[6 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 PR PERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. , 3
DATE SIGNATUNt 011APPLICANT