HomeMy WebLinkAbout108 Birch Hill Drive (6) W
PERMIT #
Application For 2639
DEPARTMENT DECISION a 3 o 6 i Heating Permit
3 APPLICATION IS HEREBY:
O DEPARTMENT OF LICENSES AND INSPECTIONS
N � �APPROVED �,❑ DISAPPROVED � 0
TOWN OF SOUTH WINDSOR
s-6-64
00 O DATE CHIEF IPWIECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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c 1. LOCATION OF JOB
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4) S. LICENSE NO. L [ tol
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G 10. ESTIMATED COST
11. IS THIS A CONTRACT COST? ❑ YES NO
Permit #4923
12. FEE ENCLOSED S
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ai 13. TYPE OF ING:
rA RESIDENTIAL ❑ COMMERCIAL
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14. TYPE OF J ❑ INDUSTRIAL
RIGINAL ❑ ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
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�_11. LOCATION OF JOB Lot #23 Birch Hill Rd_ 1st & 2nd
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: �I OIL BURNER ® HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE SIZE13. F TANK 273 OOFCTANKN �� OF FILL 2i OF VENSIZE T
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE jw7
BOILER OR FURNACE MAKE AND NO. 129A B.T.U. OR SQ. FT. NET-940--B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED # i 2nd NEW OR OLD BUILDING >I3 INSULATED - YES OR NO
TYPE OF WALL INSULATION 28 ROOF OR CEILING 2* INSULATIO
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0 so 700 °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.�� gord A- ON Sw ilia mm
15. TO BEIPTION DONE:OF WORK rocaM bat yoftra wilt baseboa"& ftnk4"*d
2 .
16. HEAT LOSS SCHEDULE, (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE wlNDows AREA - SQUARE FEET B.T.U. B.T.U. OE`F DISTRIBUTION INSTALLED
AND DOORS VOLUME
TOTAL TOTAL w
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j 1-LL REGISTER
L W H AND TEMP. TO f TYPE AND SIZE RAD. OR LEADER
SIZE < WALL f'Ot0 (INFILT.) DIFF. •F O m N SQ. FT. FREE AREA
U. t is
q aBnd3 3 1 7�' 6300 '
65 22 143 120 02
th 3 7 7 6 40W 13 1920 V N M
v 4 8 "
• 6 70 60 10t
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un S 7 7 x 1200 2'
tb 5 7 7 6 300 000 2160 6'
TOTALS7WAS01
A. HEAT LOSS FROM BUILDING 56•4130 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND 22 f 500 B.T.U./HR.
C. PIPING, OTHER THAN NORMAL MOW 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. -2_�_,f
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DATE SIGNATURE OF APPLI ANT