HomeMy WebLinkAbout265 Benedict Drive (4)PERMIT #
Application For 3774DEPARTMENTDECISION
Cd 0 3996 Heating Permit
APPLICATION IS HEREBY:
04) DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
11--30-70 t
00 O DATE CHIEF Ins eyo R — APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL •O
0 a)1. LOCATION OF JOB
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LOT NO. FLOOR APT. NO.
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10. ESTIMATED COST :OO
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bA 11. IS THIS A CONTRACT COSTi YES NO
Permit #686612. FEE ENCLOSED S
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Cn is. TYPE 0 BUILDING:
C RESIDENTIAL COMMERCIAL
CIS 3 14. TYPE OF JOB: 1NDUS AL
RIGINAL TERATION
INSTALLATION ADDITION
REPAIR
1
APPLICATION FQ HEATING PERMIT (Continued from Rev roe Side)
lY 11. LOCATION OF JOB
N0. STREET FLOOR APT.N0.
12. TYPE OF INSTALLATION: 0/0IL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS G-"' A44i, A.
IDENTIFY
SIZE LOCATION SIZE SIZE
OF VENT13. OF TANK OF TANK OF FILL
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP._a -c'l-.= B.T.U./SQ. FT./HR. EMISSION j c•
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE e) - -C FAHRENHEIT 7 ``
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;
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
a OM slzE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U.DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL ul LL
NO. GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j RAD.
REGISTER
TYPE AND SIZE OR LEADERROOM
L ly N AND
GROSS
INFILT.) TEMP. TO H O SQ. FT.Ir
SIZE < WALL
f'GtC . • . C DIFF. !:J 'F F m N FREE AREA
y L1LO J7(),D 014'
ixsv oo
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
t e. 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.
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DATE SIG TURE OF APPLICANT