HomeMy WebLinkAbout100 Bidwell Road (22) PERMIT #
Application For 4078
DEPARTMENT DECISION Heating Permit
Co 4300
0
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N {' APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR
�..
c a 4-30-73
00 O BATE CHIEF IN TOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL M
O rn
4j >,
1. LOCATION OF JOB
0 1 Od ,r /D1.JL LL D(.�D
Cd 0 NO. STREET
-6-� O
IS v
LOT NO. FLOOR APT. NO.
O 0
r.a N
'p as /Zl[�/?.�/�.r�'DiSic�� ��.rJi�• G.�cJcJ�
:. OWNER
0
o S. ADDRESS
3
4.PHONE
� I
s. APPLICANTS �'` I l e G o
ao a~d
18 .G
0o s. ADDRESS
T.PHONE 7Z�
w �
R. LICENSE NO. -�
a w s. EXPIRATION DATE OF LICENSE 16111 -73
10. ESTIMATED COST s -
� 11. 1! THIS A CONTRACT COS" ❑ YES ❑ NO
s�
12. FEE ENCLOSED s 7 8.o0
v IS. TYPE OF BUILDING
00 ❑ RESIDENTIAL ) COMMERCIAL
ed a� 14. TYPE OF JOB: ❑ INDUSTRIAL
4) 3
'�" �y ❑ ORIGINAL ALTERATION
INSTALLATION ),� ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side)
11. LOCATION OF JOB ��� ��,� p_--yD
NO. STREET FL R AFT.NO.
12. TYPE OF INSTALLATION: ❑ 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. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK C'���N/�� ���� �STL�7 f.�/T f 7�•�G C��L-� l.tJ jai zJi+CS
15. TO BE DONE; moo' •�• -S'7 E-7r/l
1,41
t6. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE AND 000DOWIII AREA - SQUARE FEET voLUME e.T.U. e.T.U. ¢ D
TOTAL TOTAL O DISTRIBUTION INSTALLED
4
ROOM NO. � GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j REGISTER
L W N AND TEMP. TO f TYPE AND SIZE RAD. OR LEADER
SIZE WALL f'�tC (INFILT.) DIFF. •F a N SO. FT. FREE AREA
i
t i
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./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY: Ik�/ 10,041
NAME ADDRESS
SUBC18. THEIR OTRADESORS AND
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. /�L
fl" . ;wt&
DATE SIGNAT RE OF APPLICANT