HomeMy WebLinkAbout100 Bidwell Road (9)PERMIT `
Application For 3560iDEPARTMENTDECISION3781cdHeatingPermit
APPLICATION IS HEREBY:
Q) DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED DISAPPROVED
TOWN OF SOUTH WINDSORI
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0o a 11—6—6 8 eH—IEF4;PISPEDATEIO APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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o C) 1. LOCATION OF JOB 4AV,o
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O O LOT NO. FLOOR APT. NO.
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2. OWNER e
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4.PHONE
S. APPLICANT lcd
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s. ADDRESS 477
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O0e. LICENSE N0.
A. 4'
o s. EXPIRATION DATE OF LICENSE /o
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c 10. ESTIMATED COST
bA 11. IS THIS A CONTRACT COSTt YES 00NO
12. FEE ENCLOSED i Q t
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1s. TYPE OF BUILDING:
cn U RESIDENTIAL
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O A COMMERCIAL
ce E5 INDUSTRIAL314. TYPE OF JOB:
R161NAL ALTERATIONINSTALLATIONDDITION
REPAIR
rAPPLICATION FOR HEATING PERMIT (Continued fr m Reverse Side)
LOCATION OF JOB - /40 Q
y NO. STREE
KEATING
FLOOR APT.NO.
12. TYPE OF INSTALLATION; OIL BURNER SYSTEM VENTILATION SPRINKLER
LJ GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE 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 r f U,. L J - C s•15. TO BE DONE;
04
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR 0 JOBS):
ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. S.T.U. F O
AND DOORS VOLUME TOTAL TOTAL
c F- DISTRIBUTION INSTALLED
n
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j LL LL
RAD. REGISTER
L W N AND TEMP. TO F f TYPE AND SIZE OR LEADER
SIZE < WALL
F'
SO INFILT.) DIFF. F O m H 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; 4e
NAME ADDRES
SUBCONTRACTORS AND
18. 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.4APPLICATIONTOBECOMPLETELYFILLEDIN.
DATE SIGNATUR I oTr APPLICANT