HomeMy WebLinkAbout106 Berle Road (6) PERMIT #
Application For
DEPARTMENT DECISION 0Cd Heating Permit
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3 E APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
❑ APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
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00 DATE -CHIIEF E a�� ` APPLICATIONS MUST BE PRINTED OR TYPED. SEGIN WITH NUMBER ONE BELOW
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1. LOCATION OF JOB
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Cd NO. STREET
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.� LOT NO. FLOOR APT. NO.
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W S. APPLICANT
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G. LICENSE NO.
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o w s. EXPIRATION DATE OF LICENSE
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.a 10. ESTIMATED COST a
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IS THIS A CONTRACT COST? ❑ YES ❑ to
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12. FEE ENCLOSED s
I a. TYPE OF BUILDING:
<D ❑ RESIDENTIAL ❑ COMMERCIAL
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C3 14. TYPE OF JOB: INDUSTRIAL
x ❑ INSTALLATION ❑ ADDITION N
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m R v r" side)
. LOCATION OF JOB�194r NO. STRE[T 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
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. SO.
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 WIN AREA — SQUARE FEET ®.T.U. e.T.U. F DISTRIBUTION INSTALLED
AND DOORS VOLUME
TOTAL TOTAL to
RO M NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j t IL MAD.
L W N AND TEMP. TO ►- TYPE AND SIZE RAD. OR LEADER
SIZE < WALL f'Gto (INFILT.) DIFF. 'Sri F F dia SO' FT' FREE AREA
v a y cUv 03rly kelV �Uv 35 7
TOTALS Q
A. HEAT LOSS FROM BUILDING O a B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND S yrvv B.T.U./HR.
C. PIPING, OTHER THAN NORMAL 6 c U B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY: G
NAM[ ADDRESS
SUBCONTRACTORS AND
1S. THEIR TRADESk O —
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZEb�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.� l
ATE SIGNATUR[ OF APPLICANT
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