HomeMy WebLinkAbout20 Bidwell Road (7)PERMIT #
Application For
e DEPARTMENT DECISION Heating PermitCe
C APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
40 APPROVED C1 DISAPPROVED
TOWN OF SOUTH WINDSOR
0 CISCp.z-
oo V DATE CHIEF wSP9CTOR APPLICATIONS MAST ME PRINTED OR TYPED. BEGIN WITH NUMBER NE DELOV
O
01
gE 1. LOCATION OF JOB
I
ad R NO. STREET
cd
LOT NO. FLOOR AR. NO.
O
w
R OWNER Y "!"e``u -T n C
a 0 S. ADDRESS U d w c 1! 1\d
e60o 3
l m rJ 1 h YV t o r or CIO 1 n s.PHONE Zj2f=-y l
S. APPLICANT o10 ey e If- 4
a. ADDRESS
o 6 g 7 x V 7 9j-
t Ar e?n n 7.PHONE--2 Ar a& S
440
v .8 D. LICENSE NO.
Nu Sa
F. w D. EXPIRATION DATE OF LICENSE fU ` /p 7
v
g 10. ESTIMATED COST
4 -S
18 THIS A CONTRACT COSTI YES NO
bo
ts. FEE ENCLOSED s ,o
d 13. TYPE OF BUILDING:
RESIDENTIAL C MMERCIALOR
c as ts. TYPE F JOB: INDUSTRIAL
ai 3
X ORIGINALIINSTALLATION ADDITIONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Rev no Sid
11. LOCATION OF JOB r/rr '```'
NO. STREET PLO R AFT.N .
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 FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIA TION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORKe f jc15. TO BE DONE:r c''S J
1-"r r
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
wlNoows000a3 volu
III..T.U. e.T.U. r DgoowslzEANoAREA - SQUARE FVOLUME DISTRIBUTION INSTALLED
TOTAL TOTAL
ROOM NO.Dg033 OLASS N[T wALL G[ILINO RIOOR CU.FT. AT 70•F CORRECTED J j IL RE ISTEa
L w N AND TEMP. TO
j
TYPE AND SIZE qAD' OR LEADER
SIZE WALL 't0 INFILT.1 DIFF. F F 0 O SO. FT. FREE AREA
f
TOTALS
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 O/F'FUEL (A B_ C) FACTOR
17. ELECTRICAL WORK BY: • c r c.
F
c r i- f rl
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.49