HomeMy WebLinkAbout130 Berle Road (8) r
j PERMIT
Application For 3827
DEPARTMENT DECISION -
0 � 4049 Heating Permit
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
+' IR APPROVED Cl DISAPPROVED
.� TOWN OF SOUTH WINDSOR
8-10-71
00 O DATE CHIEF I! T APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
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C 1. LOCATION OF JOB
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Cd 9 NO. STREET
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LOT NO. FLOOR APT. NO.
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A 2. OWNER 7.,CL
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LICENSE NO. 7 /
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w s. EXPIRATION DATE OF LICENSE la-1 —7
10. ESTIMATED COST S Z 7 C d
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11. IS THIS A CONTRACT COST? ® YES ❑ NO
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Pe�rit #7377
a 12. FEE ENCLOSED S
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ai is. TYPE OF BUILDING:
b C}�,RESIDENTIAL ❑ COMMERCIAL
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c' O 14. TYPE OF JOB; ❑ INDUSTRIAL
ORIGINAL ❑ ALTERATION
INSTALLATION ADDITION
REPAIR
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APPLICATION FOR HEATING PERMIT (C ntinued from Reverse Side)
11. LOCATION OF JOB 7' (9 �;�
NO. STREET FL OR APT.NO.
12. TYPE OF INSTALLATION: ® OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK f/�J�-fl 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—5-, 634-uan.T.U. OR SQ. FT. NET12L.21)B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED 6)'+le'- NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL INSULATION ✓ ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. 1-n B.T.U./SQ. FT./HR. EMISSION—
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE kc °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. - ,-) 12 ge -'
DESCRIPTION OF WORK
1S. TO BE DONE: '
r
m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
R OM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70-F CORRECTED J j a RAO. REGISTER
L W H AND R TEMP. TO j d TYPE AND SIZE OR LEADER
SIZE < WALL F" /o r�0 r /6 d (INFILT.) DIFF. -F F m ul SQ. FT. FREE AREA
erz /6 oz) `_
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'r5 Sr 1 — t E' 2` d2' — 7�21 3111 30
TOTALS
A. HEAT LOSS FROM BUILDING 7 `f B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND �S'G Z� B.T.U./HR.
C. PIPING, OTHER THAN NORMAL / ���Z� B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF
FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY.
NAME ADDRESS
SUBCONTRACTORS AND
1e. 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. v /
A E SIGNAT RE OF APPLICANT