HomeMy WebLinkAbout17 Arrowwood Circle (6) Application For PERMIT711�
DEPARTMENT DECISION Heating Permit
c APPLICATION Is HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N +' ❑ APPROVED El DISAPPROVED
TOWN OF SOUTH WINDSOR
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CJ 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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s.
NO. STREET
Cd C Cd D
LOT NO. FLOOR APT. NO.
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CD
4) c 2. OWNERCd
A
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o s. ADDRESS
4.PHON-1-1 C
Cd
t% S. APPLICANT
O s. ADDRESS
s y �) ` U Jl/l 4/� • 1. / 7.PHONE�1 "'rCJ
0 a; e. LICENSE N0. 00-0 F7�5
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w 9. EXPIRATION DATE OF LICENSE
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CID c 10. ESTIMATED COST
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^ t I. IS THIS A CONTRACT COST? ❑ TES ❑ NO
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'F 12. FEE ENCLOSED S J
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TYPE ODING:
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t RF ILESIDENTIAL ❑ COMMERCIAL
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14. TYPE OF JOB: ❑ INDUSTRIAL
❑ INSTALLATION ❑ A DITIONON
REPAIR
APPLICATION 1FOR HEATING PERMIT (Continued tr m Reverse Side)
11. LOCATION OF JOB y" /� d �//'/q 1�
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 AND WND DOORS AREA - SQUARE FEET e.T.U. 9.T.U. °
VOLUME < DISTRIBUTION INSTALLED
TOTAL TOTAL ul LL
ROOM NO. S GROSS GLA49 NET WALL CEILING FLOOR CU.FT. AT A•F CORRECTED J j LL REGISTER
L W N AND "' TEMP. TO F f TYPE AND SIZE RAD'
SI O OR LE ADffR
ZE WALL 2o IINFILT.)
� f DIFF. •F � N SO. 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
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 BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. �-
DATE SIGNATURE OF LICANT
3 t '•` ��11L� ESTIMATED BY H
OWNER ADDRESS
TYPE Or •UILOING DATE 6 Z4
CONSTRUCTION
DESIGN TEMPERATURE DipFERENCE Tc,�'r,
AVERAGE HATER TEMPERATURE F.
COL. A COL. S COL. C
Roomk COL. o coL. a cpL, r
N L W 11 L W N L W N L 7 Room Dlmenalewe. rt. W N L W
is /o Z L L«RM !aysed Wells. Ft. Z STU/NR Z BTU/Hit NO I*lb STU/NR STU/NR STU/NR
a Gass Well Mee. t. ft. �l Jiii REQUIREO Z.�(� REQUIRED Z'3 REQUIRED TOTAL$
Glass A. $ /t. . LS L REQUIRED 3�zt R(QUMO PROM LINE I1
�e Not Well Ate $ Ft. 07 3 vE, 7G� 7 S C�Q S 6 /9 o0
7 Cslllw Area. $ Ft. t , �(
l /S`� t{o iyao S 1 y�
• Room
1 11VMe•lNIIsM• FM �✓ Z� ... 700c �/7 c�d�—
Le C
A. . y1G 7
L3 ...C 10�15�
3 sa
Co. Ff. :J
10 Totel S TU/NR At 70F Temp. Dlffecencs o S�
`11 Toiel BTU/MR M Design Temp. 01/lerewee IL(c-(Ct�, p � Z/oO O _
II] Neat 01•M1wIlas Unite ^� /O !
1 �� / / % / If �O/sue
COL. A
COL . G COL. N COL 1
1 Raea . COL. J COL. K
N L W L W N W L W L v
N
N L N N 1 Rses+ Oli•wtslans, Ft. � S � ,
Long.% lgeoed Well•. Ft. U/R S v CT / 3 f
l5 STU/ U/N A U/NR •TU/Hlr
s G.aas Wall Area. Sq. Ft. Z�'U REQUIREO REQUIRED REQUIREO�� _ �f v 3> cv REQUIRE REOUIRID , 6sr�
� � Gloss Are $ Ft. _
�61 Not Well Avon, Sq. Ft. c7 ,v / v iJ s`Jv �v 15
.w Z j v /�/CG� L j t"i L Go
Gsillw M••, S . Ft. 49y z`�-!
• RNA r•1•me Fer i I
. tot. - Yoo �"o Sots / z O c: 6aC
Iwliltrs111•w ...... g... ... .��vG
y. ?wool STu,,m
cN.rt. .....................
... h 3� ..... ............. ..................... ..................... ........... tea
.. •l SNIT. .,
Deal w T r.
10 Total STUMR at )pF Temp. plllorewsa a OII�erMas
Total STU/NR at Design Teton. Difference 6Lr� Si✓
J "*at QIeMIheNp Units 3� /
• (wsr«ea S•Mr... Total 10t$ • This neat less calculation sold estimate sheet Is for the ea• el hoetlny saw tt eater•
tr•, cawaret•Meer an tlr••wd or fill of fired* level, was Ilnser fast of exposed edge. Peretlenlof the hoot)RI yatete based on the caleNlsilen-McLais Co. usawmes no ea cs responsibility
on hula &Ale�.sr
►et all •tote 11••re. Nee •fitter• feet of ores.