HomeMy WebLinkAbout15 Arrowwood Circle (5) PERMIT
Application For J 1
DEPARTMENT DECISION Heating Permit
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o APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N � ❑ APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
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00 d DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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C 1. LOCATION OF JOB
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-43 A�uvoal C,
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RS s: N STREET
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O LOT NO. FLOOR APT. NO.
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d o 2. OWNER
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O 9. ADDRESS
4.PHONE Y / T ! ( 7
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��C!1 s. APPLICANT &I `
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o fA B. ADDRESS 50
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�) �_S.(�) ; dX CT -6
0 C 7.PHONE
4� S. LICENSE NO. P 1 -20 7S U
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; 9. EXPIRATION DATE OF LICENSE
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.Q 10. ESTIMATED COST t
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'- 11. IS THIS A CONTRACT COSTT ❑ YES ❑ NO
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12. FEE ENCLOSED
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M 4) 13. TYP 0 UILDING:
j M RESIDENTIAL ❑ COMMERCIAL
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_ " a� 14. TYPE OF JOB:ORIGINAL ALTERATI
❑ INDUSTRIAL
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^" �" ❑ INSTALLATION ❑ ADDITIONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB y / i f�Z'1�_) d ���` le'
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - 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 `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 OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
ROOM SIZE W
I
NDO
W
S AREA - SQUARE FEET B.T.U. B.T.U. i DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL m
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j I,4 REGISTER
L W N AND E TEMP. TO F TYPE AND SIZE RAO. OR LEADER
SIZE < WALL F'Gto (INFI LT.) DIFF. 'F m b SQ. 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
1a. 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. p/l
DATE /��' SIGNATURE OF A CANT
OWNER C+ `S ,::,A E' 3 U t GIC1.1 ILA - ESTIMATED BY iT
ADDRESS DAT!TYPE OF BUILDING CONSTRUCTION
DESIGN TEMPERATURE DIFFERENCE-r •►. AVERAGE WATER TEMPERATURE •F.
COL. A COL. 6 COL. C COL. D COI. [
1 « Lit ✓s a un. L. f
(J YI L c; V'• z'� D
N L W N L W N 2 RoomL • N L W NI L W
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2 i Lew9M lyaaed Wells. Ff. Z 6TU/MR ,�� STU/NR ((� BTU/NR R It
STU/NR STU/NR
a Green Well Are., sq. Ft. `/ZU REQUIRED 2S6 REQUIRED Z� REQUIRED L REQUIRED TOTALS
f Glass Ar s Ft. �� 3.> REOUIR[0 FROM LINE I i
( aC� a csv o
s at Weil Are s ft. �y 3�E, / 3 b /y c7
/ Ce111w Area. Sq. Ft. 0 y
g floor Areg, Slis Fr. t
t Room Volume fat < Ie C
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Iw111MeIlaw .. .. ... ... ......... ... ,TZ.S .. 0 S'�
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Co. Ft. 3�... ..... -3.Co ?c_c J.�1 Y ......... .......................
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10 Total BTU/"It At 70f Temp. Difference a
NUNN
il l Tetsl STU/NR At Design Temp. Difference /4 c{cC- d E
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12 Meet Olat•Ibetlwg Uw11s �. / �. / ,�
Y / $
COL. A COL. G 0 6 z j o
COL. N COL. 1 COL. ♦ COL. K
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•'�'(n. ( � Z 24
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N L W N L • N L ■ M L W N L w
e►ewal•we, fl. !y ' CJ � $ ♦ C7 !17,�c.�1 Length
lNeud Melia. Ft. 3�— U/MR �e� BTU/ 3- U/M S U/MR
Goose Well Arse. Sq. ►t. Z GM
�c� ,REQUIRE �� REQUIRED t�v REQUIRED .3>6 REQUIRED REQUIRED j dsr�
5 Glass Are Sq. ft. LS7
e Net Wall Are. $0. Ft. c7
1 Celllw A. wo Z5v / UGC / C beep LjC Lc-c�, � Yt:
«r s . Ft. c . y Z Z�+ 7vC -5 / So 19 I S'� ��. 5--� '.�...."•�
g f leer Area s Ft. ♦ t- i
• Mewl Volume fee i �c�C toed... ..!. � YvC sS'a �Eo Sock / Z oc 6C�C
Iw111trNiM m . .........
.... ..... ............... .................. ..... . ...... . . ... Ter.I Brun„ •
Co.Ft. .... ... e1 Se111tw•
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. .. ..... ...... Daal w T«•.
t10 Total BTU/MR at )OF Temp. Dlliwence • D11�•tewaa
i Total BTU/NR of Deslgw Temp. Difference 6Zr0 s� 75 b
J Most DINrlbetl" Units
• (wareeee Saaltreem Total 20% • Th1a nest 10e0 eslettlstlen 47d •allies.• shset Is let the .toe •1 heeling a•wtresNra
�►•r aettsrele/low On geeewd level, and whelesslere. Wo11.McL tt
sln Co. saaeles no tsap•nal►Illty for the assign or
or all •trw lints.gee square feet of wee 1 e1 Wes. was Ilwsw lest sl ee�eaed •age. operation •1 the hosting system based sw the celcwl•tlew• centelwstl sob this sheqd.
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