HomeMy WebLinkAbout26 Brewster Road (6)Application For
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IV -45cc DEPARTMENT DECISION 439 Heating Permit
APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
N +'APPROVED DISAPPROVED -
r TOWN OF SOUTH WINDSOR
9-11-73
00 (p DATE CHIEF 1 zPLICATIONS MUST BE PRINTED OR TYPED. BE IN WITH NUMBER HE BELOW
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C • 1. LOCATION OF JOB
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LOT N0. FLOOR APT. NO.
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4.PHONE
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s G. LICENSE NO.C c c) , 0-
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w s. EXPIRATION DATE OF LICENSE is
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to. ESTIMATED COST
r' 11. IS THIS A CONTRACT COST1 YES no
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4 Permit #8026
1 I2. FEE ENCLOSED s
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y 13. TYPE Q SUILDINQ
RESIDENTIAL COMMERCIAL
Cl14. TYPE JOB: INDUSTRIAL
RICINAL ALTERATION
INSTALLATION ADDITI N
REPAIR
f APPLICATION FOR HEATING PERMIT (Contlnuea fr in Reverse We)
11. LOCATION OF JOB G
NO. R ET FL OR AFT.NO.
12. PE OF INSTALLATION: OIL BURNER ELECTRIC 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 FURNA E AKE AND NO. AT BONNET FIRING 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 HE TED NEW OR OLD BUILDING )1 INSULATED - YES OR NO
TYPE OF WALL INSULATION lj- ROOF OR CEILING T' INSULATION
AVG. SYSTEM WATER TEMP. 9'o: B. .U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE a " FAHRENHEIT
MAKE OF RA) TION: BASEBOARD, COPPER CO VECT RS, OR C.I. RADIATION. OUTPUT PER SECTIO 0 NEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
Ro M SIZE wlNDows AREA — SQUARE FEET e.T.U. e.T.U.DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALy
R M NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER
L W H AND E TEMP. TO F: TYPE AND SIZE RAD. R LEADER
SIZE < WALL
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tc INFILT.) DIFF. F m N SQ. FT. FREE AREA
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0 0 1540E' /3 t pZ,
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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
te. 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.
1PPLICATION TO BE COMPLETELY FILLED IN.
DATE SIG ATlJ OF APPLICANT