HomeMy WebLinkAbout11 Alpine Drive (6) PERMIT #
Application For 3659
DEPARTMENT DECISION
3881 Heating Permit
3 APPLICATION Is HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
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N +' APPROVED ❑ DISAPPROVED '
-' TOWN OF SOUTH WINDSOR
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00 d DATE CHIEF INS 0 APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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o 1. LOCATIO OF JOB
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CO NO. STREET
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d LOT NO. FLOOR APT. NO.
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0 2. OWNER
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S. APPLICANT
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S. LICENSE NO.
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w 9. EXPIRATION DATE OF LICENSE !�
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^ 11. IS THIS A CONTRACT COST? ❑ YES [+ NO
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Permit ¢#6734
y 12. FEE ENCLOSED S
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ai is. TYPE OF BUILDING:
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ESIDENTIAL ❑ COMMERCIAL
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+' a> 14. TYPE OF JOB: El INDUSTRIAL
ALTERATI
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INSTALLATION ❑ ADDITIONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued fr In Reverse Side)
er1 1. LOCATION OF JOB
NO. STREET FLOOR APT.NO.
15 12. TYPE OF INSTALLATION: ErOIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
S ZE SIZE SIZE
13. OF TANK 71 OFOTANKN ��� OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FUR CE MAKE AND NO. AT BONNET FIRING,RATE
BOILER OR FURNACE MAKE � B.T.U. OR SQ. FT. NET,&V B.T.U. OR SQ. FT. GRoss/d1._'fl'RING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING SULATED — YES 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 D - -9 ra `FAHRENHEIT
MAKE OF RADIAT : BASEBOARD. COPPER S.PNVECTORS. OR C.I. RADIATION UTPUT ER SE ION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. g i f DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL m
LL
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR GU.FT. AT A•F CORRECTED j 4 RAO. REGISTER
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AND E TEMP. TO F F TYPE AND SIZE OR LEADER
IINFILT.1 I) O SO. FT.
SIZE < WALL f'Ltc DIFF. •F F m N FREE AREA
Gti i 7 3�3 Fv 3J.3
S^�3A/ v i G8 /
Y /0 �� s W /3
6 19 3 rry 3v /Mi /3
TOTALS
A. HEAT LOSS FROM BUILDING `,. z? 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 EL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAME v ADDRESS
SUBCONTRACTORS AND
1s. 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 UILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
DATE SIGNATURE OF APPLICANT