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HomeMy WebLinkAbout101 Birch Hill Drive (6) a IR O&wm uu PERMIT Application For 3 029 2807 DEPARTMENT DECISION $eating Permit o 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR Cd 4-11-64 00 O DATE �CHIEF JIMIFE-A&R APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O C 8 1. LOCATION OF JOB � -- -4J Cd 9 NO. STREET +' O v aCdi v1 'LOT NO. FLOOR APT. NO. -� O N C 0 2. OWNER Cd O 0 S. ADDRESS d 4.PHONE� — D Cd S. APPLICANT ,0 °° S. ADDRESS cd 7.PH VNES Z r k f ram, S. LICENSE NO. A. +� 9. EXPIRATION DATE OF LICENSE Q ,.p 10. ESTIMATED COST S i i. IS THIS A CONTRACT COST? ❑ YES -oDKNO 12. FEE ENCLOSED S' Permit #4755 x is. TYPE OF B NG: Go rj1 RESIDENTIAL ❑ COMMERCIAL _O A INDUSTRIAL 14. TY OF JO ." ❑ PE IGINAL ALTERATION INSTALLATION ❑ ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB 1 WZ l N0. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ® OIL BURNER ® HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS SIZEa�a� IDENTIFY 13. F TANK 2 5 OF TANKcell OF FILL 2« OF VENT ]Lh* 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE ' 1 BOILER OR FURNACE MAKE AND NO. IL02 a00 B.T.U. OR SQ. FT. NET 690 B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED tjxst NEW OR OLD BUILDING 91" INSULATED - YES OR NO 3" TYPE OF WALL WIM111111 INSULATION "a ROOF OR CEILING INSULATION 2% AVG. SYSTEM WATER TEMP. too* B.T.U../SQ. �/H�2. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE ;D °FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. A - �IiN 'A 8« .r fi1Q MM .. Isa* DESCRIPTION OF WORK rWQI" hft %*tAW With 14dWa1 beemboo-a-ml Stand 'd 15. TO BE DONE: boiler. 16. HEAT LOSS SCHEDULE. PTO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. EO`F- DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL y ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70°F CORRECTED J j LL LL REGISTER L W H AND TEMP. TO f TYPE AND SIZE RAD. OR LEADER SIZE < WALL F'.GtO (INFILT.) DIFF. "F O m Or SQ. FT. FREE AREA 1, .10 ,10 .10 ©,18 1s 7 1 Umajug I Uq& 95 7 2' 16iowl ft. 9wd20114 2 1• « Ord A Q 7 = 8 w « LLV. 13 26 9 7330 d 4 w « 1 1• fit LU Kit 19 Go M N Lair 4 6 7 6>2 WO 2♦ « '� l�If d 14 7 2400 4' « TOTALS 1,FUjoalLt A. HEAT LOSS FROM BUILDING S30"0 B.T.U./HR. B. DOMESTIC HOT WATER DEMAND ;041w© B.T.U./HR. C. PIPING, OTHER THAN NORMAL 1.5•ow 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 BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. 4, DATE SIGNATURE OF APPLICANT