HomeMy WebLinkAbout25 Benjamin Way (4)PERM:16TApplicationFor6737563
IV 45 DEPARTMENT DECISION Heating permit
3 ° APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIOrS
N EXAPPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
o 511518300DATIr 1 SPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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1. LOCAL OF JOB
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B. APPLICANT
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1 1ST /` "e " 010-0 077 .PHONE - 9—7 y
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B. LICENSE NO.
43 B. EXPIRATION DATE OF LICENSE IZ-3
to. ESTIMATED COSTcqs
11. IS THIS A CONTRACT COS"p(YES MO
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I:. FEE ENCLOSED S. Permit 13078
y 1s. TYPE F BUILDING:
cc b0 RtBIDtMT1AL Cl COMMERCIAL
14. TYPE OF JOB: INDUSTRIAL
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i ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (continu d from R verse Sit
11. LOCATION OF JOB R y eW'4
N0. STREET FLOOR A T.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 IF V T
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO.F '$ BONNET 0 DDOFIRING 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 0 D BUILDING INSULATED — YES OR NO S
TYPE OF WALL INSULATION 3 ROOF OR CEILING rs INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE (•= e2 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
15. TO BE DONE: -- A S_ b `L
G A1Ai1007
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
R Ow SIZE WINDOWS AREA - SQUARE FEET B.T.U. 81T.U. -D
AND DOORS VOLUME DISTRIBUTION INSTALLED
TOTAL TOTAL
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED < FGS. REGISTERLWNANDTEMP. TO a
TYPE AND SIZE RAD. R LEADER
SIZE WALL
F'Gt0 INFILT.)
DIFF. G •F F O d SQ. FT. FREE AREA
ZG 7 ,P7ir/Div
L /7 /A/2
Z a / a 3 03v z.,e'-r-G O
rJ r L lL 7A -50 o 07%-1)l/z jo 5
5 G /- Z-zx/7- 7 /z Z Da3 D
7" /Z B
rQL /0 7" /Z 0z F 57'
G44)
7" Z S
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6 /
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TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR. I
G D
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
lkA)AG' S/Z—/-- 2 iG 17",qJ/34 4 f=i/••= ,Q}sL 1-z iC1 i
lqe C,4-/oX'j Sao m (; z 7 A6 0
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 Co
APPLICATION TO BE COMPLETELY FILLED IN.
DATE
0 I
SIGNATURE OF APPLICANT