HomeMy WebLinkAbout150 Berle Road (5) PERMIT #
Application For 3930
DEPARTMENT DECISION 4152 Heatmg Permit
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3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
+' APPROVED ❑ DISAPPROVED
. TOWN OF SOUTH WINDSOR
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00 DATE ' E OR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER HE BELOW
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-r� 1. LOCATION OF JOB
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C� NO. STREET
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414 LOT NO. FLOOR APT. NO.
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711-4
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2. OWNER •
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8. ADDRESS
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S. LICENSE NO. T( Z'illo
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o s. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST S `���
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11. IS THIS A CONTRACT COST? 1 YES ❑ NO
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7 12. FEE ENCLOSED S
Perini # 35
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LDING:
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c/l RESIDENTIAL ❑ COMMERCIAL
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14. TYPW�INRSSITALLATION
OJOB: ❑ INDUSTRIAL
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❑ ADDIITIONON
REPAIR
„,rzv'�:�,f APPLICATION FOR HEATING PERMIT (Continued fr m Reverse Side)
4. LOCATION OF JOB
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDE FY
SIZE LOCATION SIZE �` SIZE / �Z/
13. OF TANK /o 0 c, OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER/ CKQFURNACE MAKE AND NO.�--5A//1ASAT BONNET IM OCC' 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, D BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATION ' ROOF OR CEILING l' 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
is. TO BE DONE:—
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
R OM SIZE WINDOWS AND DOORS AREA - SQUARE FEET VOLUME ®'T.U. S.T.U. F DISTRIBUTION INSTALLED
TOTAL TOTAL LL
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j RAO. REGISTER
L W N AND TEMP. TO F f TYPE AND SIZE OR LEADER
SIZE < WALL tOl) (INFILT.) DIFF. •F O m N SQ. FT. FREE AREA
OR lJ Ir..
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�.'-� % �”' ► 1
77 162-
TOTALS
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A. HEAT LOSS FROM BUILDING
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING, OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE F FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY; '� ' r �s
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.
DATE SIGNATURE OF APPLICANT