HomeMy WebLinkAbout141 Birch Hill Drive (5) PERMIT
Application For 3032 2810
DEPARTMENT DECISION
g Heating Permit
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APPLICATION IS HEREBY:
0 DEPARTMENT OF LI(ZNSES AIVD INSPECTIONS
N APPROVXD ❑ DISAPPROVED
"GOWN OF SOUTH WINDSOR
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DATE ;H�IDECTOV APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
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0 a) 1. LOCATION OF JOB
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DT NO. FLOOR APT. NO.
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s. APPLIC�NT
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S. LICENSE NO. 35 ;
0 w s. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST
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bo o 11. IS THIS A CONTRACT COS17 ❑ YES NO
.n 12. FEE ENCLOSED S Permit #4757
13. TYPE OF;ESID
BUJLDING:
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Cb ENTIAL ❑ COMMERCIAL
C;s 14. TYPE OF JOB: ❑ INDUSTRIAL
GINAL ❑ ALTERATION
1 NSTALLTION A ADDITION
REPAIR
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APPLI TION FOR HEATING PERMIT (Continued fr m Reverse side)
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1. LOCATION OF JOB JJJ
N0. r TLOIOR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ® HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑-STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY
SIZE
13. SIZE SIZEOF TANK 275 OF TANKN Cilia r OF FILL 3" OF VENT Ig" _
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. 102♦000 B.T.U. OR SQ. FT. NET 68 B.T.U. OR SQ. FT. GROSS FIRING RATE�♦.�
FLOORS TO BE HEATED fix NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL ft� INS ATION 3 tt
ROOF OR CEILING C4lfi l __INSULATION 2
AVG. SYSTEM WATER TEMP. 180 B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 2 °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION- OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. tAkdwS1 onja m knord Q-c- a* .I. AID 2-42 09„ .r lath►
DESCRIPTION OF WORK rAt1111" *6dmft All. f ,i '� CA Am=4-(1 on 0 mk AmhawA
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM slzE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. `� DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL a
ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70°F CORRECTED J F LL REGISTER
<,LL TYPE AND SIZE RAD. OR LEADBR
L W H ANDIt Vk (INFILT.) TEMP. TO 0 f O SQ. FT.
SIZE < WALL 'LtO DIFF. °F F m N FREE AREA
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1 10 1071 0 ><3 1& 8• �`
"V 1 26 9 •
Din. 11 7 •
Kit 10 1 8 6
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Uff, 4 6 74 -AL -2 3m:::;
sat 0 .10 74 6 slim 4100 -
TOTALS 1Us baI it
A. HEAT LOSS FROM BUILDING S30"o B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND 20o0W B.T.U./HR.
C. PIPING. OTHER THAN NORMAL 13-0m 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