HomeMy WebLinkAbout151 Berle Road (6) PERMIT #
Application For
DEPARTMENT DECISION Heating Permit
O O
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N +' APPROVED DISAPPROVED ?�? I TOWN OF SOUTH WINDSOR
Cd
a
00 DATE CHIEF INSPE APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
O
r»
o 1. LOCATION OF JOB
Cd Q NO. STREET
+, O
Cd v
CU �
LOT NO. FLOOR APT. NO.
0 O
79
O
2. OWNER
Cd
0 0 !. ADDRESSbo
�9
0 4.PHONE
C�
a. APPLICANT
c s. ADDRESS 40-2
7. -4vr/
PH
w �
LICENSE NO.
a� 42
C 4j s. EXPIRATION DATE OF LICENSE
c' oil
1o. ESTIMATED COST S "2eOy
-N c
^ 11. IS THIS A CONTRACT COST? YES NO
bA
12. FEE ENCLOSED S
13. TYPE OF BUILDING:
RESIDENTIAL ❑ COMMERCIAL
rA b0
y' O 14. TYPE OF JOB: ❑ INDUSTRIAL
� 3 '
15� RIGINAL ❑ ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT �c ntinued it >m Reverse Side)
11. LOCATION OF JOB AZe-f- c C ✓ i 't✓�-k G� °
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: El OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE 0
f C-y Z1 LOCATION SIZE + SIZE
13. OF TANK < OF TANK OF FILL .4) OF VENT ! �"-
14. B.T.U. EQUIP. AT REGISTER FURNA&ej�AKE A D N0. AT BONNET FIRING RATE '
BOILER OR FURNACE MAKE AND N ,'7h /3 &T B.T.U. OR SQ. FT. NET LW-- �'B.T.U. OR SQ. FT. GROSS FIRING RATE A C,
FLOORS TO BE HEATED 41:41 NEW OR OLD BUILDING �7Luv INSULATED - YES OR NOf4''
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION �-
AVG. SYSTEM WA ER TEMP. /J,� el —B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE ke °FAHRENHEIT
MAKE OF RADIATION: B EBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
�C
DESCRIPTION OF WORK
15. TO BE DONE:-
Is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM slzE wlNDows AREA - SQUARE FEET e.T.u. e.T.u. I- DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL �
a
�
ROOM NO. � GROSS GLASS NET WALL CEILING FLOOR CU. j
FT. AT 7D•F CORRECTED J REGISTER
L W N AND IxTEMP. TO < TYPE AND SIZE RAO. OR LEADER
SIZE < WALL C f ^� (INFILT.) DIFF. •F m N SQ. FT. FREE AREA
IV,
aa�� � )3 �' y r 3 z"v
d rr Oct �Z� /0 16) — —
J-
L.�-y-
/3 d 79" �10 36) —
TOTALS
A. HEAT LOSS FROM BUILDING 4 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;
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.
17
APPLICATION TO BE COMPLETELY FILLED IN. f
DATE SIGNATURE OF APPLICANT