HomeMy WebLinkAbout150 Berle Road (6) PERMIT #
Application For 3930
DEPARTMENT DECISION -
c 4152 Heating Permit
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c APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N +' IR APPROVED DISAPPROVED
°' TOWN OF SOUTH WINDSOR
cad '�d8-11-72 ;ep
00 O DATE CHIEF INSP O APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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c 1. LOCATION OF JOB
1-4
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4-2
NO. STREET
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d C40
LOT NO. FLOOR APT. NO.
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2. OWNER
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rn S. APPLICANT
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s. ADDRESS �,h.���:�.��✓ /.k- � "
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LICENSE NO. �D
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w s. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST = Zcq
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11. IS THIS A CONTRACT COST? ITYES 0 NO
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7 12. FEE ENCLOSED S. r .4aze"..'d
Permit #- 63
rjj cj m TYPE 9F BUILDING:
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Er RESIDENTIAL ❑ COMMERCIAL
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cd 3 14. TYPE OF JOB:
❑ INDUSTRIAL
IGINAL ALTERATI
L� INRSTALLATION ❑ A DIITIONON
REPAIR
APPLICATION FOR HEATING PE IT (Continued it m Reverse Side)
LOCATION OF JOB �� -
Jy NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
DENTIFY
SIZE LOCATION SIZE A/ SIZE
13. OF TANK a OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER/257 d'4 0 FURNACE MAKE AND NO.&-v%;59t-6'& '11/0AT BONNET 040£0 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 '2 11%.-Id- NEW OR OLD BUILDING _4Z&w INSULATED — YES OR NO Y yr.
TYPE OF WALL INSULATION 3 .s ROOF OR CEILING �� i 1 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 -
15. TO BE DONE: '`' =
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
R OM SIZE WINDOWS AREA - SQUARE FEET e.T.U. e.T.U. 9 o DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL
R OM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT TD•F CORRECTED t j RAO. REGISTER
L W N AND It TEMP. TO tF F TYPE AND SIZE OR LEADER
SIZE < WALL f�GSO (INFILT.) DIFF. •F F m 40 SO' FT. FREE AREA
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A. HEAT LOSS FROM BUILDING �, !� 7Ie 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: 42a&a.,_� mot'' - %tom:, '
NAME ADDRESS
THEROAESORS AND
18. THEIR
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. 1
APPLICATION TO BE COMPLETELY FILLED IN.
DATE SIGNATURE OF APPLICANT