HomeMy WebLinkAbout18 Birch Hill Drive (5) PERMIT #
Application For 3 03 8
DEPARTMENT DECISION 2 0 -
0
3 Heating Permit
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED ❑ DISAPPROVED
�,� e TOWN OF SOUTH WINDSOR
o a 6-16-65
00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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4-4
c 1. LOCATION OF JOB
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� ��",,, NO. STREET
4-1cd
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LOT 0. FLOOR APT. NO.
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2. OWNER
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a O 9. ADDRESS
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4.PHONE
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C% S. APPLICANT '
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4.1
CIS 7.PHONE
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.Q S. LICENSE NO.
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s. a-3
w 9. EXPIRATION DATE OF LICENSE
to. ESTIMATED COST =
0
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pr" IS THIS A CONTRACT COST? LDS ❑ NO
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b9 Permit #5171
G 12. FEE ENCLOSED S
19. TYPE OF ILDING:
RESIDENTIAL ❑ COMMERCIAL
O .r.
cis G) 14. TYPE OF JOB: ❑ INDUSTRIAL
► ORIGIN ❑ ALTERATION
TION ADDITION
REPAIR
APPLICAT ON FOR HEATIN P RMIT (Continu III from R v rse Sid
11. LOCATION OF JOB �
/ NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION; ❑ OIL BURNER HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE CY 7✓ LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER F RNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N0. d7-V B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HE D �Z� NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION ' Y
AVG. SYSTEM WATER TEMP. v .T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE id - 76 °FAHRENHEIT
MAKE OF RADIATION: BASEB RD. OPPER ONV CTORS.9R C.I. RADIATION. OUTPUT PER SECTION R LINEAL F R DIATION. SQ.
FT. OR B.T.U. ��2�
rel
DESCRIPTION OF WORK
15. TO BE DONE;
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. 13
<F DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL a
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL LL REGISTER
L W H AND ir TEMP. TO f F TYPE AND SIZE RAD' OR LEADER
SIZE < WALL �PLto (INFILT.) DIFF. •F O N Sq. FT. FREE AREA
a �e-0
r 3 ! 7 3�1 13
5 9L, 3 L 19�
0
4- 2 Boa ° 66 6))
TOTALS u
A. HEAT LOSS FROM BUILDING 7 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND J,-2- !TZ> 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
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 BUILDIN CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
DA,7t SIGNATURE OF APPLICANT