HomeMy WebLinkAbout26 Brewster Road (5)PERMIT #
Application For
114 Cd DEPARTMENT DECISION Permit,
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3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AIrD INSPEC'I'IOc
N APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR
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0G y DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. IDEGIN WITH NUMBER ME BELOW
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1. LOCATION OF .roe
STREET
5 3
APT. N .LOT NO.FLOOR
4 O
N cia—o a. OWNER C--12
o s. ADDRESS
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41 E. 4 PHONE
as
D+ S. APPLICAC12 Ica
c s. ADDRESS
72 G 4 T.PHONE S
J
v LICENSE N0. —
Q s. EXPIRATION DATE OF LICENSES
to. ESTIMATED COST i---1
Cq 1 t. IS THIS A CONTRACT COM YES 17 No
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t:. FEE ENCLOSED S
x 12. TYPEEO, BUILDING:
U
4
COMMERCIAL
cc
cc
INDUSTRIAL
14. TYPE OF JOB:
cc ALTERATION
A LATIOM ADDITION
REPAIR
f /l
y r APPLICATIONON FOR HEATING PE IT (Continued it m Rev >n.e aide)
f 1 1. LOCATION OF JOB eNO. 5TRE1I IF FL OR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC Cl VENTILATION SPRINKLER
ff'GAS BURNER STACK INCINERATOR MISCELLANEOU S
SIZE
IDENTIFY
13• OF TANK LOCATION SIZE SIZEOFTANKOFFILLOFVENT
14. B.T.U. EQUIP. AT REGISTER
y_
FURtjAClQ MAKE AND NO. AT BONNET FIRING RATEBOILERORFURNACEMAKEANDNO. *W B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS_ IRING RATEFLOORSTOBEHEATEDNEW4ROLDUILDINGINSULATED - YES OR NO 494TYPEOFWALLINSULATIONROOFORCEILINGINSULATIONAVG. SYSTEM WATER TEMP. to`• B.T.U. SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE D-ko FAHRENHEITMAKEOFRADIATON: BAS OARD COP ER CO ECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.FT. OR B.T.U.
DESCRIPTION OF WORK(
rinti,15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
ROOM slzE s
ANDND DOORS Ill.AREA — SQUARE FEET B.T.U. T.U. 1-0DO
VOLUME DISTRIBUTION INSTALLEDTOTALTOTALROOMNO. < GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j E n
REGISTERLwNAMD
TEMP. TO TYPE AND IZE RAD.SIZE WALL tc INFILT.)
DIFF. F 8 F a s0. FT. OR LEADER
P B FREE AREA6t/a .Z 04
ao D yam,
1 cv i 661g/ ,:
7v
o
Gam 60
c
0 36 0
3C>0
6a0 0
3 93cc) 6
6
TOTALS
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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:
SUBCONTRACTORS AND
NAME ADDRESS
18. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILLBEDONEINSTRICTACCORDANCEWITHTHEBUIDINCODE.
PPLICATION TO BE COMPLETELY FILLED IN.
Z2 74
DATE 84NT UR[ OF AP LICANT