HomeMy WebLinkAbout16 Blueberry Circle (6) z iaz
PERMIT #
Application For
DEPARTMENT DECISION 70�3
Heating Permit
APPLICATION 18 HEREBY:
DEPARTMENT OF LICENSES AND 11"PECTIONS
41 ❑ APPROVED 11 DISAPPROVED TOWN OF SOUTH WIN DSOR
•� ce
o
_ o
DATE CHIEF wSP6CTOR APPLICATIONS MUST NE PROUD M TTFED. BE NI •ITN NUMBER ONE BELOW
�. 49 >6
1. LOCATION OF JOD
� No. .TWEET
.0 LOT N0. FLOOR AFT. NO.
0
OWNER
0
0 s. ADDRESS 6�� ZPw- f Ski
��v; f T� G� �G// ..PHONE
B. APPLICANTS
.., •. ADDRESS
A •. LICENSE NO.
o. S
w 9. EXPIRATION DATE OF LICENSE
.g I 10. ESTINATED COST s ,�` �V U•y `�
6 i
11. IS THIS A CONTRACT COS" YES 13 IN
ova
12. FEE ENCLOSED s
is. TYPE F DtKmN&
0 a EJ OEtaENTML ❑ COMMERCIAL
14. TYPE F JOB: ❑ INDUSTRIAL
l x QL El ORIGINAL ALTERATION
INSTALLATION ❑ ADDITION
Ri1AIf
APPLICATION FOR HEATING PERMIT c fram Reverse Side)
11. LOCATION OF JOB to 110e, /✓//%P c r
NO. STREET /LOOK A".NO.
IL TYK OF INSTALLATION: ta OIL BURNER ❑ ELECTRIC ❑ YENTILATION ❑ smNKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR MISCELLANEOUS d �yO -
IDENTNR
SIZIE LOCATION ��//ff SIZE �e SIZE /�
13. OF TANK let? OF TANK /s f AeA OF FILL OF VENTS //
14. B.T.U. EQUIP. AT REGISTER _FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. 4ZL4 } B.T.U. OR SO. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED T-w`� NEW OR OLD BUILDING LtJ INSULATED - YES OR NO Y�f
TYPE OF WALL &LOV 124^4 INSULATION s ROOF OR CEILING 6,eI* INSULATION 4,_
AVG. SYSTEM WATER TEMP. /9,'° B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE Z9- 20 FAHRENHEIT
MAKE OF RADIATION: ASEBOAR COPPER CONVECTORS. OR CA. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. l/ /� •1<,�-7-/
DESCR1rTl N OF a - T-- - - -
1WORK `/ d n./�lG/�s //1 i c �- G d/l1 r �U�� fir'�-./
15. TO BE DONE
m NEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
fi aon size WINDOWS AREA — SQUARE FEET e.T.LL ILT.U.
AND 000ws � DlSTRlaUT! w INSTALLED
TOTAL TOTAL
1100M NO. 3 01�01� OLAY NCT w CtILINO ILOa1 CIL/T. AT 7e ICOPMSCT20J j a A A IISOISTS"
L w N ANO NAZI. t IIN/ILT.) Tt1l. TO H Q T1►/t AND alit T• 011 LtADNA
size �G DIM I 1.0 i Ville[ ANGA
i
i
I
I
D WILL
e