HomeMy WebLinkAbout1535 John Fitch Boulevard (4)PERMIT #Application ForDEPARTMENTDECISIONCdCISION
8 3652
3 73 Heating Permit3APPLICATIONISHEREBY:
L4 DEPARTMENT OF LICENSES AND INSPECTIONSNAPPROVEDDISAPPROVED
TOWN OF SOUTH WINDSORCd
DATE CHIEF INSIDE APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
O
0 0 1. LOCATION OF JOB
John Fitch Blvd. #1535C
0ccCj NO. STREET
0 N LOT N0. FLOOR APT. NO.
O
c2. OWNER
o
0 1535 John Fitch Blvd.0 s. ADDRESS3
0 4.PHONE
U1 Y
Cd S. APPLICANT
0 4
o W
z. ADDRESS
Al
Cd ctI
w l r'ar1/`j T' 7.PHONE
a? o e. LICENSE NO.
a
o `+i
9. EXPIRATION DATE OF LICENSEc
0 10. ESTIMATED COST
bU 11. IS THIS A CONTRACT COST? YES NO
Z7
O v 12. FEE ENCLOSED S C:dW
xi VIVv (VW
an W 13. TYPE OF BUILDING:
O RESIDENTIAL COMMERCIAL
ce
aw 3 14. TYPE OF JOB: INDUSTRIAL
JRRIGINALINSTALLATION ALTERATION
ADDITION
REPAIR
oob 6 1 4 C/ t= t c—'( Z't 1--,
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
1l 11. LOCATION OF JOB
y N0. STREET FLOOR APT.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 000 PU N"AC MACKE AND NO. 1Yr 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 CTAe--1=INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE ac 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: 3
i
16. HEAT LOSS SCHEDULE. (TO E INCLU ED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. o<F DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALm
ROOM NO'GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j LL 4
RAD.
REGISTER
L W H AND TEMP. TO F TYPE AND SIZE OR LEADER
SIZE < WALL 'Gt0 INFILT.) OIFF. F O m N SQ. FT. FREE AREA
oG err_ "a z
J
11
TOTALS
A. HEAT LOSS FROM BUILDING J. C 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
is. 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 I NATURE A PLICANT