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PERMIT #
Application For 6 410 6 019
DEPARTMENT DECISION
N Heating PermitCd
3 APPLICATION IS HEREBY:
O DEPARTMENT OF LICENSES AND INSPECTIONS
N EkAPPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
c a 10/11/84 Thanas P. D' Auria
00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL MI
O
1. LOCATION OF JOB
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80U%AOZ)g6
Cd 9 NO. STREET
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LOT'NO. FLOOR APT. NO.
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2. OWNER CO41
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t U,rzOs. ADDRESS
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a sb. 4.FHONEGII q^ C
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a. APPLICANT 41 AtA AP—ej _C,
are ad
0 .
0cc s. ADDRESS
7.PHONEo
S. LICENSE NO.
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C w B. EXPIRATION DATE OF ICENSE
c Or
10. ESTIMATED COST s
11. IS THIS A CONTRACT COSTS ff"YES NObo
7 12. FEE ENCLOSED s Permit 13952
x
is. TYPE OF BUILDING:
C4 by RESIDENTIAL COMMERCIAL
O .
cis 3 14. TYPE OF JOB: INDUSTRIAL
9 INSTALLATION ElADDIT ONON
REPAIR
APPLICATION FOR HEATING PERMIT (Cuntinu a tr m R verse side
11. LOCATION OF JOB 4 k 1-J S Jac)
N0. STREET FLOOR AIT.N .
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
w
Ejl'GAS BURNER STACK INCINERATOR MISCELLANEOUS tw G
130ENTIVY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER-FURNACE MA_KKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N G G- B.T.U. OR SQ. FT. NET1//2 B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALLS INSULATION &(km' !j ROOF OR CEILING INSULATION g_3 17
AVG. SYSTEM WATER TEMP. `8 B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 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:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM slzE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U.DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTAL -
J F IL
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 706 F CORRECTED j 4 REGISTER
L W N AND TEMP. TO F f N
TYPE AND SIZE RAD. OR LEADER
SIZE < WALL ;'TlO INFILT.1
DIFF. F O di Go FT' FREE AREA
71
TOTALS 7
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
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. LI
ATE LtNAWRIK OF APPL ANT
t
B= R CALCULATION SHEET 1503 (Modern Method) A Copyright 1977 by TheWydronics nstit eAl. A 9
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
i
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
r
1 ROOM
a:
e M• We
O H L W H L W H L W H L W H L yy Design Water Temp.
2 ROOM DIMENSIONS, FT. H U O
U BTUH per Foot of
3 LENGTH EXPOSED WALLS, FT. Q Radiati n Selected
4 WINDOW AND OUTSIDE DOOR AREA U.
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION15*00 ROOM LIN.FT.OF
Table 9, Line 3 x H) y OO v 0 W/O0 TOTALS RADIATION
6 TYPE OF GLASS FIR M LINE,12 SELECTED
B tt m of table used for Line 5) Q• UOa 1700 00 Q NO 16ioo7CEILINGCONSTRUCTION
ss'' C
Table 9, L x W) V Ov O Dv C)
B FLOOR CONSTRUCTIONt D 0
Table 9, L x W or Lin. Ft.) Q O 300 200 vo v E 0
9 COLD PARTITION CONSTRUCTION F O V D
Table 9, L x H) bG
10 _c 1 Wall(With Openings) 3102 00 0 H
2 Walls(With Openings)D J • Q S O 1
3 Walls(With Openings) or Ent.Hall F O
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE'00
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K
L
COL.A COL.B COL.H COL. 1 COL.J COL.K COL.L TOTAL BTUH TCITAL
1 ROOM OF BUILDING RADIATIONR. •AT SELECTED
O H L I W H L bjW H L W H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS, FT. U
U 1Z
RIFF NCE
3 LENGTH EXPOSED WALLS, FT. Q 2
1* 71/004WINDOWANDOUTSIDEDOORAREAU.
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9, Line 3 x H) a DO 600 OU TOTAL 2096
6 TYPE OF GLASS 77 6 NBottomftableusedforLine5) l
A10ra
1 V 0Q 70V/1 710 tFOR CONCRETE FLOOR ON7CEILINGCONSTRUCTIONORFILLAT
Table 9, L x W) 0 0 0 U GRADEGROUNDLE EL,USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9, L x W r Lin. Ft.) got)
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10 _c 1 Wall(With Openings) C
3 •02
c p 2 Walls(With Openings)a X
3 Walls(With Openings) or Ent.Hall 1..
J ,
0
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE X1
FORM 1503ThisformisavailablefromThHydronicsInstitute, 35 Russo Place,Berkeley Heights,N.J. 07922