HomeMy WebLinkAbout151 Berle Road (5) PERMIT #
Application For 3858
DEPARTMENT DECISION 00 4080 Heati
ng Permit
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3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N +' FK1 APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
0 Cd 12-2-71
00 d DATE CHIEF PE R /Z Y APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL W
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c 1. LOCATION OF JOB
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Cd A NO. STREET
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LOT NO. FLOOR APT. NO.
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2. OWNER
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C! S. APPLICANT + - /�
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7.PHONE
S. LICENSE NO.
C 4j s. EXPIRATION DATE OF LICENSE (O rJ 3
o C 10. ESTIMATED COST s
z '-' 11. IS THIS A CONTRACT COST? YES ❑ NO
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Permi t—#7507
12. FEE ENCLOSED s
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rA ai 13. TYPE OF BUILDING:
C/I RESIDENTIAL ❑ COMMERCIAL
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f2kRIGINAL ❑ ALTERATION
NSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued fr m Reverse Side)
11. LOCATION OF JOB 2k .A 6 ��'f� '' -Jed /
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: I�1 OIL BURNER ❑ ELECTRIC ❑ 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):
R M SIZE WINDOWS AND DOORS AREA — SQUARE FEET VOLUME B.T.U. B.T.U. F DISTRIBUTION INSTALLED
TOTAL TOTAL LL
ROOM NO. < GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j REGISTER
L W H AND WE TEMP. TO c F TYPE AND SIZE RAO. R LEADER
SIZE < WALL �to (INFILT.) DIFF. •F F m vOi SQ. FT. FREE AREA
,�de ` (p g %6 0� G/r/v � �JYd1 0 ;7 y f f,..`
J 8- t/L /'7.*V 77 2 U
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75<
FTOTALS Set'
A. HEAT LOSS FROM BUILDING 6fy, ��� B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND rS1�� B.T.U./HR.
C. PIPING, OTHER THAN NORMAL �-S� �� B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY: '
NAME ADDRESS
SUBCONTRACTORS AND
t8. 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. '4i --.2
DATE SIGNATURE OF APPLICANT