HomeMy WebLinkAbout11 Blue Ridge Drive (5) PERMIT #
Application For 35o8
_ DEPARTMENT DECISION
3730 Heatmg Permit
� APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIONS
N :0 APPROVED u DISAPPRO! D
� / � .� TOWN OF SOUTH WINDSOR
d a 7-9-68
00 d DATE CHIE INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
O
C 1. LOCATION OF JOB
o 0 i
0
l
�"„ NO. STROT
+, O
Cd v
O Cn
LOT NO. FLOOR APT. NO.
0 O
[V
d O
2. OWNER 14 eCale
Cd
o
0 8. ADDRESS L
P 4.PHON
Cl P---4 S. APPLICAN
vi c
0 m e. ADDRES
Cd 7.PHON I �����/
O ,s~
) . S. LICENSE NO.4-3
1. o
w 9. EXPIRATION DATE OF LICENSE
O
v
v'
10. ESTIMATED COST : z r ��
� o
e GV
IS THIS A CONTRACT COST? ❑ YES NO
permit #6283
12. FEE ENCLOSED S
a� 0
13. TYPE OF ING:
Cc RESIDENTIAL ❑ COMMERCIAL
O .�
Cd3 14. TYPE OF JOB:
❑ INDUSTRIAL
INSTALLATION ElADDITIONON
REPAIR
APPLICATION FOR HEATI PERMIT (Continued from Reverse Side)
1. LOCATION OF JOB " C (11
NO. - STREET / FL OR APT.NO.
12. TYPE OF INSTALLATION: L.] OIL BURNER 0 HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE 7 J LOCATION (l/L_�l �!C. SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER zTWRNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N W B.T.U. OR SQ. FT. NE B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATE _�� NEW OR.O BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATION �� ROOF OR CEILING—� INSULATIONS
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION C
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE '- Cs °FAHRENHEIT
MAKE OF RADIATI : BASEBOARD. COP R CONVECWS. OR C,I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. -e- [ >- C Z-z -C--e_L L
DESCRIPTION 14FWORK
15. TO BE DONE: C C --C ez'lc-Y_ c L ZX'_
_-
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. F-D
AND DOORS VOLUME <F DISTRIBUTION INSTALLED
TOTAL TOTAL p)
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j LL RAD. REGISTER
L W H AND E TEMP. TO F f TYPE AND SIZE OR LEADER
SIZE < WALL r.GtO (INFILT.) O O SQ. FT.
F DIFF. F• 1- N m FREE AREA
r
1 c / /y �1 G� —
h-
777-7,
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; `�' rLL = L CC'
NAME ADD ESS
SUBCONTRACTORS AND
1 e. 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 AN. X4
/
DATE / SIGNATURE OF APPLICANT