HomeMy WebLinkAbout19 Blueberry Circle (5) PERMIT #
Application For
DEPARTMENT DECISION
Heating Permit
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c APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N +' ❑ APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
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00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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4-4B. EXPIRATION DATE OF LICENSE
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t 1. IS THIS A CONTRACT COST? YES 0 NO
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1 Z. FEE ENCLOSED SAAZ
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m TYP OF BUILDING:
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RESIDENTIAL ❑ COMMERCIAL
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a� 14. TYPE OF J08: ❑ INDUSTRIAL
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'—' �" ❑ INSTALLATION ❑ A DITIIONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m Reverse side)
11. LOCATION OF JOB 0 /v / s6 d��4224;
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE '' ' LOCATION SIZE � SIZE
13. OF TANK o2/—� OF TANK �_. OF FILL / OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE M E AND N0. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N0. T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING "Cs(A2 INSULATED —®OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION 22OR
1S. TO BE DONE: 4"IV -
ew 7 Am"4&9 go-
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE AND DOORS AREA - SQUARE FEET VOLUME B.T.U. IS.T.U. ¢ f D
TOTAL TOTAL N ~ DISTRIBUTION INSTALLED
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J U.LL
L W N AND REGISTER
Q t0 (INFILT.) TEMP. TO F f Q TYPE AND SIZE RAD. OR LEADER
WALL
SIZE F'G DIFF. •F F O CASQ. FT. FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
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:
NAME ADDRESS
SUBCONTRACTORS AND
te. 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. C;?. '4'c.'�yo _
DATE IGNA URE OF APPLICANT
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