HomeMy WebLinkAbout20 Blueberry Circle (6)PERMIT #
Application For
DEPARTMENT DECISION Heating Permit '1
gc0O3APPLICATIONISHERESY: DEPARTMENT OF LICENSES AND INSPECTIONS
DISAPPROVEDAPPROVED TOWN OF SOUTH WIN DSORa
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00 IV DATE CHIEF INSPECTOR APPLICATIONS MUST RE PRINTED OR TVPED. BEGIN WITH NUMBER ME BELOW
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I. LOCATION OF JOB a i'QG
C NO. STREET
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LOT NO. FLOOR APT. NO.
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2. OWNER A4Z a
S. ADDRESS le d
6'0 3A95-41 NxnazIA12: /701,4.PHONE a.2
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APPLICANT I L
S. ADDRESS
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T.PHONE 20
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B. LICENSE NO.
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w 9. EXPIRATION DATE OF LICE
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10. ESTIMATED COSTCqs
E11. Is THIS A CONTRACT COSTT XTES NO
00
Ia. FEE ENCLOSED S
K t>f. TYPE BUILDING:
RESIDENTIAL COMMERCIAL
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4J y 14. TYPE F JOB: INDUSTRIAL
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4; 3 ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR t
APPLICATION FOR HEATING PERMIT (Continued from R v no Side
i 1. LOCATION OF JOB
7 Z i C l6 A"i
NO. STREET Loom AW.if . _
It. TYPE OF INSTALLATION: FOIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
LOCATION SIZE l SIZE f13. OFTANK 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 SO. FT. NET B.T.U. OR SO. FT. GROSSL2—'FIRING RATE
FLOORS TO BE HEATED- a NEW OR OLD BUILDING ""`J 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: SAS OARD. COPPER CONVECTORS. R .I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
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18. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
ROOM size Wlwaawe AREA - SQUARE FEET T.U. .T.u. $1-0ANDDOORSVOLUMETOTALTOTAL
F DISTRIBUTION INSTALLED
r ,sROOMNO. < GROSS GLASS NUT WALL CEILING FLOOR CU.FT. AT 70•R CORRECTED t j r REGISTER
N RAD.L W AND t1 TEMP. TO F TYPE AND SIZE OR LEADER
112E < WALL
r A`t0 INRILT.)
OIFF. F w SO' FT' FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
S. 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
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 BUILDI
APPLICATION TO BE COMPLETELY FILLED IN. G
ATE Sib AT1IRt 0 Al•FLICANT