HomeMy WebLinkAbout118 Berle Road (5)f'J
PERMIT #
Application For 3933
DEPARTMENT DECISION Heatmg Permit
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3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N 11 APPROVED DISAPPROVED
4155TOWN OF SOUTH WINDSOR
Cd 8-14-72
OQ O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
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c 1. LOCATION OF JOB
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Cd A NO. STREET
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l LOT NO. FLOOR APT. N
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2. OWNER C-ap-Ih T-,ekfsT, lac)
Z0 3. ADDRESS CC-7 4 S2:3 lC
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w S. APPLICANT / ,--1Z
1, e. ADDRESS 102 49 o)e ILA S lo- -_ s
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S. LICENSE NO.
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w s. EXPIRATION DATE OF LICENSE
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10. ESTIMATED COST
IS THIS A CONTRACT COST? YES NO
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y 12. FEE ENCLOSED s
Permit #?728
4) 1s. TYPE OF BUILDING:
Cn A:;I RESIDENTIAL COMMERCIAL
O A
INDUSTRIAL
cis 3 14. TYPE OF JOB:
fORIGINALINSTALLATION ADDIT ONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
l 1. LOCATION OF JOB L d
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION:A 0 OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFYSIZESIZESIZEy
13. OF TANKS OFCTANKN pay_h OF FILL o OF VENT
14. B.T.U. EQUIP. AT REGISTER_ 7S 6Z?) FURNACE MAKE AND N tt66 O M-7\ AT BONNET FIRING RATE L y
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 "bL-dt J INSULATED — YES OR NO a
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE S'L' 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:
1
16. HEJ LOSS SCHEDULE. (TO BE INCLUDEd FOR ALL JOBS);
WINDOWS B.T.U. B.T.U.ROOM slzE AREA — SQUARE FEET O<DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL m
RO M NO'GROSS GLASS NET WALL CEILING FLOOR CU. AT 70•F CORRECTED J j LL LL REGISTER
L W N AND K l INFILT.) TEMP. TO 0 f I7 TYPE AND SIZE
SQ.Q AFO . OR LEADER
SIZE < WALL t = C.1 // DIFF. F P m m FREE AREA
13 35 1 7) 7 S G32-
1 13 S 3
0 P2. /3 il 0qa-V5 3f
le
14U rGC,Q -7 5 l >< 7d71 Uy
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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
te. 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 APPL CANT