HomeMy WebLinkAbout100 Bidwell Road (21) 1
PERMIT #
Application For
DEPARTMENT DECISION
C4 M Heating Permit
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3E APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
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N +- APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
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o a 12/28/81
00 O DATE M EF 1 SOECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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C 1. LOCATION OF JOB
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Id NO. STREET
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LOT N0. FLOOR APT. NO.
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OWNER
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C S. APPLICANT YCk "Q CA CZ
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S. LICENSE NO. �3Q
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9. EXPIRATION DATE OF LICENSE
� � to. ESTIMATED COST S
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11. IS THIS A CONTRACT COST? ❑ YES VIO
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12. FEE ENCLOSED S 12.00
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13. TYPE OF BUILDING:
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RESIDENTIAL ❑ COMMERCIAL
co3 14. TYPE OF JOB: ❑ INDUSTRIAL
~ ❑ IINSTALLATI N ❑ ADDITIIONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side)
11. LOCATION OF JOB
NO. STREET FL OR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR 9 MISCELLANEOUS `
1015,4TIFY
SIZE LO ATION SIZE SIZE
13. OF TANK OFgANK 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 WORD/
is. TO BE DONE:
1S. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALCJOBS):
ROOM SIZE wINDows AREA - SQUARE FEET B.T.U. B.T.U. H D
AND DooRs voLUME < DISTRIBUTION INSTALLED
TOTAL TOTAL y,
ROOM NO• Ggpgg GLASS NET WALL CEILING FLOOR CU. AT 70•F CORRECTED J j 4 LL REGISTER
L W M AND C TEMP. TO <f TYPE AND SIZE RAD' OR LEADER
SIZE WALL 'Gt0 (INFILT.)
f DIFF. •F F O a 3q. FT. FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U.IHR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
IS. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR GENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. zv/'
D E SIGNATURE OF APPLICANT