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HomeMy WebLinkAbout118 Birch Hill Drive (4) j v & a BLCCbUL PERMIT Application For 3 03 6 2 814 DEPARTMENT DECISIONcd Heating Permit a, APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS tA +' APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR cd 6-11-6 � � 00 DATE _ F ll*PE4ZVK APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW C 1. LOCATION OF JOB �4 4�e� 06,.V/f Cd Q NO. STREET � 0 Cd v d w LOT NO. FLOOR APT. NO. O 0 N -Z,—+ 2. OWNER r ca 0 ' O s. ADDRESS bo 4.PHONE y Ce C% S. APPLICANT O&L el d J \ o ra e. ADDRESS � f 7.PHONE w 4) S. LICENSE NO. 1 � o 0 w 9. EXPIRATION DATE OF LICENSE t a c io. ESTIMATED COST s � o p '-' 11. IS THIS A CONTRACT COSn ❑ YES Q NO 10 a� 9 12. FEE ENCLOSED S permit #48 0 � v v� ai t 9. TYP OF B NG: bo RESIDENTIAL ❑ COMMERCIAL O 0 crsG 14. TYPE OF J ❑ INDUSTRIAL IN ❑ ADDETIAONON REPAIR ael" APPLICATION FOR HEATING PERMIT (Continued from Revers Side) t 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 SIZESIZE 13. OF TANK 275 O CATION .�11 jet- OF FILL 2" OF VENT 111" 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. 102 it 000 B.T.U. OR SQ. FT. NETS$0 B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED first NEW OR OLD BUILDING view INSULATED - YES OR NO yes TYPE OF WALL fran! INNSU�ATION �es ROOF OR CEILING +MLIi�_INSULATION 2" AVG. SYSTEM WATER TEMP. �ii B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0 . 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. rederal baseboard 0,C. 8" - 610 2 TX_ .. 1800 DESCRIPTION OF WORK 15. TO BE DONE: Forced hot water with federal baseboard Amrican dtetrtdaxd boiler_ 1 s. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL a LL ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70°F CORRECTED j LL RAD. REGISTER L W N AND TEMP. TO < TYPE AND SIZE OR LEADER SIZE < WALL F'oto (INFILT.) DIFF. °F O m N SQ. FT. FREE AREA 1 1 10 01 .10 Old 1 6 12' Li a1 1145 no lA 1467 Z6 Hed3 1© 1 67 20 Be " Ro Liv. 1r p a 71 Din 11 1 67 26 13 Soo 11 Kit, 10 14 9 48 ' 116 " { N N a a TOTALS 91.1 liw eal its A. HEAT LOSS FROM BUILDING .53aM0 B.T.U./HR. B. DOMESTIC HOT WATER DEMAND ZO_D00 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 BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATURE OF APPLICANT