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HomeMy WebLinkAbout2A-2H Amato Drive (5)PERMIT # DEPARTMENT DECISION Application For Heating Permit y O 3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS I Loa APPROVED DISAPPROVED j TOWN OF SOUTH WINDSOft cd1-4 cd 00 4 I DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O4 p 1. LOCATION OF JOB O cu r Anary `a .DRtiW5 cd r. NO. STREET 4.a vcd y LOT NO. FLOOR APT. NO. O N 7 A0 2. OWNER J/,_ 7,) ad d G S. ADDRESS%EG be IZZ ai v t 4.PHONE 4-a D r S. APPLICANT O cc e. ADDRESS aid 7.PHONEF. al s. LICENSE NO. y' a: S w B. EXPIRATION DATE OF LICENSE c 10. ESTIMATED COST S 11. IS THIS A CONTRACT COST YES NO bo S .0 t2. FEE ENCLOSED X - v kW 12. TYPE OF BUILDING: w rn RESIDENTIAL COMMERCIAL O bjD 14. TYPE F JOB: INDUSTRIAL ai 3 ORIGINAL ALTERATION INSTALLATION ADDITI N REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side) 11. LOCATION OF JOB g llp I e a cp, 4 EA SA N Q1fNO. -I STREET FLOOR T.NO. 12. TYPE OF INSTALLATION: l!7 OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE p LOCATION SIZE SIZE 13. OF TANK "".0 0 v OF TANK I3 l L OF FILL OF VENT_ 4-72 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 SQ. 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. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 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 1s. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). Roow slxE WINDOWS AND Doons AREA - SQUARE FEET VOLUME S.T.U. S.T.U. g<DISTRIBUTION INSTALLED TOTAL TOTAL w ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT A'F CORRECTED J j REGISTER L W N AND ! TEMP. TO n F f TYPE AND SIZE RAD. OR LEADER SIZE < WALL f'LiG IINFILT.1 DIFF. P m w 80. IT. PRE! AREA 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 18. 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. 7 1 Cc r DATE 9 INATURE OF APPLICANT