HomeMy WebLinkAbout111 Birch Hill Drive (6)P
Application For 3030 YN #
x DEPARTMENT DECISION
0 Heating Permit
APPLICATION IS HEREBY:
o DEPARTMENT OF LICENSES AND INSPECTIONSa
N APPROVED DISAPPROV D r ,w TOWN OF SOUTH WINDSOR
0 cd 4-11-64
00 O DATE CHIE INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL •
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1. LOCATION OF JOB
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LOT N0. FLO0fl APT. NO.
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s. APPLICANT CIS-4
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4J Q S. LICENSE NO.
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C 4 9. EXPIRATION DATE OF LICENSE Y
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10. ESTIMATED COST :
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9 Permity12. FEE ENCLOSED S
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is. TYPE OF DING:
rA RESIDENTIAL COMMERCIAL
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INDUSTRIAL
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14. TYPE OF JO
AL ALTERATION
INSTALLATION ADDITION
REPAIR
1
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB
N0. STREtT OOR APT. NO.
12. TYPE OF INSTALLATION: OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE SIZESIZE
13. OF TANK als OFCTANKN dill OF FILL 2 OF VENT YID
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. 102&000 B.T.U. OR SQ. FT. NETS. B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED 9ARSt NEW OR OLD BUILDING a INSULATED - YES OR NO V"
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION 2
AVG. SYSTEM WATER TEMP. 1900 B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 700 FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. al III W 11~ 4M i10 1M - Ila&
DESCRIPTION OF WORK r4" bft %*tAW Wiftf ial ba re jkewtm 9 -,,iiiiIAwra
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
WINDOWS B.T.U. B.T.U.ROOM SIZE AREA - SQUARE FEET O`F DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL N
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J D IL LL REGISTER
L W H AND TEMP. TO F F TYPE AND SIZE RAD. OR LEADER
E INFILT.) O O SQ. FT.
SIZE < WALL SO OIFF. F FREE AREA
13 *10 *10 ,10 0IA
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Liv. 1 26 9 Y
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TOTALS L
A. HEAT LOSS FROM BUILDING 53 540 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING, OTHER THAN NORMAL wu B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY;
NAME ADDRESS
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.
APPLICATION TO BE COMPLETELY FILLED IN.L/
DATE 1SIGNATURE OF APPLICANT