HomeMy WebLinkAbout106 Berle Road (6)PERMIT #
Application For
DEPARTMENT DECISION 0CdHeatingPermit
O3E APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
00 DATE CHIIEF E a ` APPLICATIONS MUST BE PRINTED OR TYPED. SEGIN WITH NUMBER ONE BELOW
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1. LOCATION OF JOB
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LOT NO. FLOOR APT. NO.
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a. ADDRESS
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W S. APPLICANT
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0 02 a. ADDRESS
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G. LICENSE NO.
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o w s. EXPIRATION DATE OF LICENSE
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a 10. ESTIMATED COST a
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IS THIS A CONTRACT COST?YES tot4
12. FEE ENCLOSED s
Ia. TYPE OF BUILDING:
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RESIDENTIAL COMMERCIALOR
C3 14. TYPE OF JOB: INDUSTRIAL
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INSTALLATION ADDITION
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REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m R v r" side)
LOCATION OF JOB194r NO. STRE[T FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC Cl 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. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
RO M SIZE WIN AREA — SQUARE FEET T.U. e.T.U.F DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALto
RO M NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j t
IL
MAD.
L W N AND TEMP. TO - TYPE AND SIZE RAD. OR LEADER
SIZE < WALL
f'Gto INFILT.) DIFF. Sri F F dia SO' FT' FREE AREA
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TOTALS Q
A. HEAT LOSS FROM BUILDING O a B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND S yrv-v B.T.U./HR.
C. PIPING, OTHER THAN NORMAL 6 c U B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY: G
NAM[ ADDRESS
SUBCONTRACTORS AND
1S. THEIR TRADESk O —
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZEb 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.
l
ATE SIGNATUR[ OF APPLICANT
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