HomeMy WebLinkAbout163 Birch Hill Drive (5)PERMIT #
DEPARTMENT DECISION
Application For
2836o3658HeaPermit
APPLICATION IS HEREBY:
0 DEPARTMENT OF LICENSES AND INSPEMOIR
N APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
a0100DATECHIEFIPV^ftCTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE,S!!.4141I
o i 1. LOCATION OF JOBo o
p NO. STREILY
W
p LOT NO. FLOOR APT, MO.OLV
2. OWNER
1.,
o
O s. ADDRESS r
a.
Cc
rcc
s. APPLICANT
o
a. ADDRESS
3
o ,[ 7.PHONE a
j 1-3 9S. LICENSE N0.
4 4-1
c 9. EXPIRATION DATE OF LICENSE is C f
v
a m
c 10. ESTIMATED COST S
N
bo 11. IS THIS A CONTRACT COSTT YES pp E
O
PMrffiit #4947
Qa
12. FEE ENCLOSED S
rn
cn 0 12. TYPE OF B ILDING:
an rj1 i
r Su'ENTIAL COMMERCIALOA
Ce 3 14. TYOE OF JO : INDUSTRIAL
IMINAL ALTERATIONINSTALLATIONADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued fr m R verse Side)
11. LOCATION OF JOB Lot #15 Birch Hill Rd. 1st
N0. 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 275 OFCTANKN Cellar OF FILL 2 N
OF VENT 111"
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
t
BOILER OR FURNACE MAKE AND NO.102 A 000 B.T.U. OR SQ. FT. NET680 B.T.U. OR SQ. FT. GROSS FIRING RATE s_3
FLOORS TO BE HEATED fIXOt+ NEW OR OLD BUILDING AIM INSULATED - YES OR NO Yes
TYPE OF WALL Pram INSULATION yas ROOF OR CEILING INSULATION 2"
AVG. SYSTEM WATER TEMP. YROP B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0 -- 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. IfedgMal bajjMj=&rd „C Ra ... 610 WM 1800
DESCRIPTION OF WORK
15. TO BE DONE; Forced hot water with federal balsaboard American Standard
b0iler..
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS:
ROOM SIZE wlNDows AREA — SQUARE FEET e.T.u. e.r.u. <F DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTAL
ROOM NO'
W GROSS GLASS NET WALL CEILING FLOOR Cu.FT. AT 701 F CORRECTED J j LL a REGISTER
L W H AND E TEMP. TO 1<-I.: TYPE AND SIZE RAO. OR LEADER
SIZE < WALL
f'oto INFILT.1
DIFF. F O a SO. FT. FREE AREA
1.1 10.10 .10 .®18
1 %&j 6 f J6jX ea I- Ft
f tf
3 00 a
N
Din
6 26 0 a
N
lb 881
6
A___A5_ 6:! .-So 200:Mn:&
0
TOTALS 91 E Li "l Xt.
A. HEAT LOSS FROM BUILDING 53 j S40 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND 200000 B.T.U./HR.
C. PIPING. OTHER THAN NORMAL 158000 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. 7
DATE SIGNATURE OF APPLICANT