HomeMy WebLinkAbout12 Birch Road (12) 1
PERMIT #
Application For
DEPARTMENT DECISION Heating Permit
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3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N +' ❑ APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
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00 a) DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER HE BEL W
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I. LocAnoN OF JOB /Z /RCS oA�
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permit taken out by H.H.Mandly #4511 LOT No. rum Air. No. j
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B. LICENSE NO.
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+; 9. OPIRATION DATE OF LICENSE
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tn 10. ESTIMATED COST s
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0 " 11. 10 THIS A CONTRACT COST? YES � NO
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13. HYPE OO BUILDING:
U1 �J REfIDENTIAL ❑ COMMERCIAL
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y 14. TYPE OF JOB: El INDUSTRIAL
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❑ INSTALLATI N ADDITION
REPAIR
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APPLICATION FOR HEATING PERMIT (Continued fr m Revers Side)
11. LOCATION OF JOB ^Q 7 O C 0 S
NO. STREET FLOOR APT.N .
12. TYPE OF INSTALLATION: ❑ OIL BURNER IR 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 -'�'L- NEW OR OLD BUILDING a INSULATED — YES OR NO
TYPE OF WALL INSULATION V tl ROOF OR CEILING � '/`l'f INSULATION '
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE U'- 70 °FAHRENHEIT
MAKE OF RADI 10 BASEBOARD. PPER CONVE TORS. OR C.I. RADIATION. OUTPUT R SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. �� T "� ,r .7/ fi .'r
DESCRIPTION OF WORK y Gd/V I T 7 R 7-1. !r 4.1
15. TO BE DONE; ` C _ /P
m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. I-D
AND DOORS VOLUME TOTAL TOTAL H`F- DISTRIBUTION INSTALLED
ROOM NO. GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED 4
GROSS
L W H AND <O LL RAD. REGISTER
< WALL to (INFILT.) TEMP. TO Fc F Q TYPE AND SIZE OR LEADER
SIZE F'c DIFF. •F F-m y SQ. FT. FREE AREA
TOTALST—F
A. HEAT LOSS FROM BUILDING o C 6 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: /����- ��ec7�lG/iI•✓S�+.•� J
NAME ADDRESS
SUBCONTRACTORS AND
18. 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.
DATE SIG9'ATp
RE OF APPL T
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EASTERN 0; aJ Q�
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7 JO1�-iN STREET OUTSIDE ESIGNTEMP"
SS Bird,, EAST HARTFORD, CONN., 06108 , . INSIDE DESIGN TEMP
ITYc t� - 8- 1717 L°�/ �/ 1 P
� TEL.. � l`�L. 5� � DEGREE DAYS l
OB LOCATION ,S' r ` CONTINENTAL RADIANT GUISSHEAT •� INSULATION: 17/I� WALLS
APEk7vyLLSTORIES „/ a world's safest and most•flaunt krat." '
9W a EXISTING AREA ' S .FT DOORS 'i
At
MOME3 - BUSINESS - INDUSTRY
bom USE
OM SIZE ?.� 2 l ? I I Z.. S 3 Y I
�JNEAL FEET EXPOSED WALL 3
CEILING HEIGHT
Q. AND SIZES OF 3 Z
I7 S A i 1$ I' .✓
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t0. AND SIZES OF DOORS
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�IOURCE-BTU LOSS U K A LOSS I LOSS A LOSS A LOSS A LOSS A LOSS A LOSS LOSS A LOSS J
�R.EXPOSED WALL XX xX XXXX XXXX /q;� XXX XXXx �¢' XXxx xXX XxxX XXXX ';'q XXX
WINDOW LOSS P9 Z /' Z
MOOR LOSS .� `-'� ,�� �� I 70PO
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tET WALL LOSS - I 174 �� I �` q D 4".. 7 x ? r
VEILING LOSS a� 44 ZS'Z l:a(� 1 '` Z( t
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LOOR LOSS .117�v / - ..� - .- _ ,- ,-),
IVDOW I NFI LT'N 0 30 Z 70 �`J 50
OR INFILT'N 0 0 21 26, I . ""`
0 AL LOSS K W BTU .
WiLS-Mv AND MODELS '� �" I I D Z XT
'ONTROLS-N0. AND TYPES ? T- 7r
OTAL B.T.U LOSS ? TOTAL KWE/YR. - AMAL COST./W :� Date:
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