HomeMy WebLinkAbout121 Birch Hill Drive (5) N
PERMIT #
Application For 2834
DEPARTMENT DECISION4-2
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3056 Heatuig Permit
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
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+' APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
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00 O DATE VCHIEF INSP APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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c 1. LOCATION OF JOB
114
9 NO. STREET
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LOT NO. FLOOR APT. NO.
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2. OWNER /~ i�/�Y, Al 1
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0 3. ADDRESS
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s. APPLICANT
.0 8. ADDRESS. l
&4 4) 407:77.PHONE to 7 Ae-r4ek.
4; -Q 8. LICENSE NO.
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o s. EXPIRATION DATE OF LICENSE
C 10. ESTIMATED COST s
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11. IS THIS A CONTRACT COSTf ❑ YES NO
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12. FEE ENCLOSED s Permit4756
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r 13. TYPE,OF-F-JMLDING:
LJ RE8IDENTIAL ❑ COMMERCIAL
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w14. TYPE OF JOB: INDUSTRIAL
�.� QoodfiGINAL ❑ ALTERATION
INSTALLATION ADDITION
REPAIR
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/. APPLICATION FOR HEATING PERMIT (Continued from Revers Side)
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i 1. LOCATION OF JOB i Gam' 11 R., f-Al "'e�
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION; ❑ OIL BURNER EATING SYSTEM ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK 2-,J^ 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. N& :'p B.T.U. OR SQ. FT. GROSS //« FIRING RATE&_:.�7
FLOORS TO BE HEATED ££ -7`f-"I NEW OR OLD BUILDING INSULATED - YES OR NO ;l�5
L TYPE OF WAL '. F_' A-6 INSULATION T. 14
ROOF OR CEILING r� INSULATION a
AVG. SYSTEM WATER TEMP. /0,el? B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE n 7 Zia q'n a °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. ���5'�a = /�,/L • . ,� � �,� G�iy t-, T
DESCRIPTION OF WORK Z;?e -) 41' , •� - .��5_ - - ' Sys [a/-��'t�
15. TO BE DONE; T !� f: r / c Via._ %�►:n!
�f+ .vi S 7.�; !{r 7
16. HEAT LOSS SCHEDULE, (TO BE INCLUDED FOR ALL JOBS);
WINDOWS B.T.U. B.T.U.
ROOM SIZE AREA — SQUARE FEET O<f DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL N
NO. LL
ROOM < GROSS GLASS NLWALL CEILING FLOOR CU.FT. AT 70°F CORRECTED `j LL RAD. REGISTER
L W H AND W TEMP. TO F TYPE AND SIZE OR LEADER
SIZE < WALL f'cS,�,i ,J il (INFILT.1 DIFF. °F m y s✓ SQ. FT. FREE AREA
Ys�1g�Isr J� w 7,6 193 .�d l�� �'�.� s7;
Z7 a0 v a00
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Z iy 7Z .� >< a za D ,7"!?
12 417 kit.
lvr Ira 07 ;
2 L'! r n ",°04 Z, Ov
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TOTALS �* � �- _j a
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A. HEAT LOSS FROM BUILDING B.T.U./HR. �O O d T[,/
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:
Ail/c /,A en Lf'+ !, �` I/1..,/�O l��- ; ..•9 r� Y r a'���'
NAME ADDRESS SUBCONTRACTORS AND h,9lL � �~ etc.-
_
, 18. THEIR TRADES
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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. 7- 2,7 - 6 � '�/ �► �� 6;.:�r6
DATE SIGNATURII OF APPLICANT