HomeMy WebLinkAbout240 Brookfield Street (5)PERMIT #
Application For 4596 4375
c DEPARTMENT DECISION
0 Heating Permit
0
c APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED DISAPPROVED
4 TOWN OF SOUTH WINDSOR
8/19/75oCd
00 W DATE CH SP OR APPLICATIONS MUST BE PRINTED OR TYPED. BE IN WITH NUMBER ONE BEL W
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1. LOCATION OF JOB
O 01 !3 - 240 Brookfield Street
cS R NO. STREET
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LOT NO. FLOOR APT. NO.
4J OlV
O S`!r J0 9p z. OWNER p al/J we 1^
c s. ADDRESS P! hrK S
Ald.,7_4XI- 4.PHONE
S. APPLICANT ZJ-f
a. ADDRESS 7 6 e 3_' ce
h also.: . C i3 .PHONE
S. LICENSE NO.
o w B. EXPIRATION DATE OF LICENSE 7
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1,210. ESTIMATED COST s
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11. IS THIS A CONTRACT COST?EJ YESbe
5 Pemmi t 8915Ia. FEE ENCLOSED S
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I s. TYPE BUILDING:
FA
C b REfIDENTIAL COMMERCIAL
3 14. TYPE OF B: INDUSTRIAL
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INSTALLATION ADDITIIONON
REPAIR
3 APPLICATION FOR HEATING PERMIT (Continued it m Reverse Sid
11. LOCATION OF JOB_T 43
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
IE GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION y SIZE AO SIZE
13. OF TANK 0 OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FVfWA MAKE AND N0. 6P,B.T.U. OR SQ. FT. NETID B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED I NEW OR 0+!0 BUILDING INSULATED - YES OR NO
TYPE OP WALL W&Md INSULATION -?-'o 0P OR CEILING oS INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 00- -_t
r
FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, 0 .I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. 5 f a grU " r
DESCRIPTION OF WORK b/ a« /
PTG ds 7•f D C N l
15. TO BE DONE:
IS. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
RO M SIZE WINDOWS AREA - SQUARE FEET e.T.U. a*T.U.H DISTRIBUTION INSTALLED
AND DOOR! VOLUME TOTAL TOTAL 9n L
NO. GLASS NET WALL CEILING FLOOR CU.FT. AT 701 F CORRECTED J RAO. REGISTER
ROOMAND a GROSS
1F
j
TEMP. TO TYPE AND SIZE OR LEADERLWN
SIZE WALL 't0 INFILT.) DIFF. F F a on FREE AREAcySQ. FT•
F
1. 3I~ '/ o a /'ll or a s a0
P F7' mdA ou D 0
Zi oD o7aa p
8ao `777,0 3l(r7 ll qbo oa $oa ed
G b ul.- /
6
AP640
d c D 60 0?0O• /o j0
3-2Y&tt S"6" S d p o I3o //90
n l 6.S
A/ 7-30o, l goo 0
of. l I a 78
aD p ADD D l 1
l U I a law /G0 f7 A 576
TOTALS V7j-
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.
WPLICATION TO BE COMPLETELY FILLED IN. la --757
DATE AT OF NPLICANT