HomeMy WebLinkAbout121 Birch Hill Drive (5)N
PERMIT #
Application For 2834DEPARTMENTDECISION4-2
Cd 0
3056 Heatuig Permit
3 APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIONS
114
APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
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o a8-6-6h00ODATE VCHIEF INSP APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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c 1. LOCATION OF JOB
114
9 NO. STREETO
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LOT NO. FLOOR APT. NO.
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2. OWNER i/Y, Al 1
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0 3. ADDRESS
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4)4.PHONE
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s. APPLICANT
0 8. ADDRESS. l
4 4) 407:77.PHONE to 7 Ae-r4ek.
4; -Q 8. LICENSE NO.
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o s. EXPIRATION DATE OF LICENSE
C 10. ESTIMATED COST s
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11. IS THIS A CONTRACT COSTf YES NObo
12. FEE ENCLOSED s Permit4756
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r 13. TYPE,OF-F-JMLDING:
LJ RE8IDENTIAL COMMERCIALO9
w14. TYPE OF JOB:INDUSTRIAL
QoodfiGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
y APPLICATION FOR HEATING PERMIT (Continued from Revers Side)
i 1. LOCATION OF JOB i Gam' 11 R., f-Al "'e
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION; OIL BURNER EATING SYSTEM VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK 2-,J^ 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. N& :'
p
B.T.U. OR SQ. FT. GROSS //« FIRING RATE&_:.
7
FLOORS TO BE HEATED ££
7`f-"I NEW OR OLD BUILDING INSULATED - YES OR NO ;l 5
LTYPEOFWAL F_' A-6 INSULATION T. 14 ROOF OR CEILING
r INSULATION a
AVG. SYSTEM WATER TEMP. /0,el? B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE n 7Zia q'n a FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. 5'a = L • . G iy t-, T
DESCRIPTION OF WORK Z;?e -) 41' , 5_ - - ' Sys a/-'t
15. TO BE DONE;T ! f: r / c Via._n!
f+ .vi S 7.; !{r 7
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
NO.
LL
ROOM GROSS GLASS NLWALL CEILING FLOOR CU.FT. AT 70°F CORRECTED `j LL RAD.
REGISTER
L W H AND W TEMP. TO F TYPE AND SIZE OR LEADER
SIZE < WALL
f'cS,,i J il (INFILT.1
DIFF. F m y
s
SQ. FT. FREE AREA
Ys 1g Isr J w 7,6 193 .d l s7;
Z7 a0 v a00O r
Z iy 7Z . a za D ,7"!?
12 417 kit.
lvr Ira 07
2 L'! r n 04 Z, Ov
All Py
12 /a a
TOTALS j a
a aa'r7 `>` J- O A
A. HEAT LOSS FROM BUILDING B.T.U./HR. O O d T[,/
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:Ail/c /,A en Lf'+ !, ` I/1..,/O l- 9 r Y r a''
NAME ADDRESS
SUBCONTRACTORS AND
h,9lL etc.-
18. THEIR TRADES
1
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. 7- 2,7 - 6 6;.:r6
DATE SIGNATURII OF APPLICANT