HomeMy WebLinkAbout150 Birch Hill Drive (5)PERMI
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Application For 3035 2813
DEPARTMENT DECISION
eating Permito
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
tA +'APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
6-11-64
00 O DATE CHIEF PEbftlt APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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o '1. LOCATION OF JOB
cd NO. STREET
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LOT NO. FLOOR APT. NO.
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2. OWNER
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ZO S. ADDRESS
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O 4.PHONE
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S. APPLICANT
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8. ADDRESS
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8. LICENSE NO. `
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w 9. EXPIRATION DATE OF LICENSE
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c o to. ESTIMATED COST S
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IS THIS A CONTRACT COST?YES NO
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Permit #4792
O 12. FEE ENCLOSED S
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is. TYPE OF B 1LDING:
bo RESIDENTIAL COMMERCIAL
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ce O 14. TYPE OF JOB: INDUSTRIAL
IGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
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F HEATING PERMIT Continued fr m Reverse Side)APPLICATION OR HEA NG c
11. LOCATION OF JOB
0. STREET FLOOR APT. NO.
12. TYPE OF INSTALLATION: OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE SIZESIZE
13. OF TANK 711 OOFCTANKN 1r OF FILL 2" OF VENT ,
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. 10240 B.T.U. OR SQ. FT. NET 680 B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED fizat NEW OR OLD BUILDING XW INSULATED - YES OR NO "A
TYPE OF WALL S INSUATION 3f-- ROOF OR CEILING 11101 111114 INSULATION 30
AVG. SYSTEM WATER TEMP. 00 B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0 +r 7& FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. Falwal bamabowd O.C. So w. 1618 11616g, .0 ISOR
DESCR15. O BEIPTIONDONE:
OF WORK 1p hot" wa draI ba rA
15. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
B.T.U. B.T.U.DISTRIBUTION INSTALLEDI-DROOMslzEWINDOWSAREA — SQUARE FEET DIANDDOORSVOLUMETOTALTOTALLL
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70"F CORRECTED <j LL RAD. REGISTER
L W N AND E TEMP. TO F F TYPE AND SIZE OR LEADER
SIZE < WALL T' I INFILT.)
DIFF. F F m Hci SQ. FT. FREE AREA
3.0 .101.10Aga1ILI11211
s" 10 344 M
8111111111 3 10 1 a in AL 47i•
MY 13 i A ii
31iA 1 11 1`
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TOTALS R 1 it
A. HEAT LOSS FROM BUILDING 113t%O B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND 2000" B.T.U./HR.
C. PIPING, OTHER THAN NORMAL IS a 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.
DATE SIGNATURE OF APPLICANT