HomeMy WebLinkAbout25A-25L Amato Drive (5)PERMIT #
Application For
3999DEPARTMENTDECISION
N 4221 Heating PermitCd
3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
N " APPROVED U DISAPPROVED-"
TOWN OF SOUTH WINDSOR
Cd
12-4-72o
00 G) DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O 4
C 1. LOCATION OF JOB
41
Cd 9 NO. STREET
d
Cd v
O7 wO LOT NO. FLOOR APT. NO.
y ON
2. OWNER
0
bo o s. ADDRESS
3
d d 4.PHONE
M
S. APPLICANT LLl fj"y t''/ e--
o to a. ADDRESS J
fs `E
wC 1-L / F D i Y.PHONE
B. LICENSE NO. --3
a)
w B. EXPIRATION DATE OF LICENSE 3
c
O1 10. ESTIMATED COST s
11. IS THIS A CONTRACT COS"YES Ja-NObe
7 Permit #783412. FEE ENCLOSED s
a)
km 12. TYPE OF BUILDING
bo J1 RESIDEMTIAL COMMERCIAL
N .3
14. TYPE OF JOB: INDUSTRIAL
ORIGINAL ONINSTALLATIONADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued fr » Reverse Side)
lh 11. LOCATION OF JOB
No.
2 '
STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC Cl VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13• OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
D JQNjea,, BOILER OR FURNACE MAKE AND NO. 'DV-% B.T.U. OR SQ. FT. NET37 BT.U. OR SQ. FT. GROSS FIRING RATE_ VV
FLOORS TO BE HEATED NEW OR OLD BUILDING ')-(`e wV INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. Ve t
B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE ® 8 t C FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. h;L E- C) _ b 19-S-<- 13 6 ri-x 1) - i_5 y A !J-/
n
Is. TO BEIDOIONNE;
OF WORK O p ' D 1 -f T_ 5 P "-e
p ' 2 hS ,
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
wooM SIZE WINDOWS AREA - SQUARE FEET e.T.U. IS.T.U. f D
AND DOORS VOLUME TOTAL TOTAL w
DISTRIBUTION INSTALLED
ROOM NO.GROSS GLASS MET WALL CEILING FLOOR CU.FT. AT A•F CORRECTED J j REGISTER
L W H AND Q TEMP. TO <F I.: TYPE AND SIZE RAD. OR LEADER
SIZE < WALL
fM
10 IINFILT.1 DIFF. F I-O a SO• FT. FREE AREA,
75<
75<
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
16. 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. I / c
DATE fIGNATUR[ OF AF LICANT