HomeMy WebLinkAbout21 Birch Hill Drive (5)k
PERMIT #
Application For 3036DEPARTMENTDECISIONg $mot' Permit
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3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR
6 16 6
00 4) DATE CHIEF TOR/ APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
1. CATION OF JOB Birch Hill Driveti
NO. STREET
LOT NO. FLOOR APT. NO.
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2. OWNER
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O S. ADDRESS 1-
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4.PHONE
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S. APPLICANT
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S. LICENSE NO.
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43 s. EXPIRATION DATE OF LICENSE
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to. ESTIMATED COST S
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p ", 11. IS THIS A CONTRACT COST?YES NO
9 Permit #5147
b12. FEE ENCLOSED S
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y 13. TYPE OF-BUILDING:
C/I 0RESIDENTIAL COMMERCIALWb0
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14. TYPE OF JOB: INDUSTRIAL
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w ^3 0RIORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Revers side
J 11. LOCATION OF JOB C
NO. STREET FL OR APT. NO.
12. TYPE OF INSTALLATION: ITOIL BURNER E HEATING SYSTEM VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE SIZE SIZE13. OF TANK / 4 OFCTANKN fit C `-tdCd7c-C OF FILL OF VENT T'
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AN NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. CZZ B.T.U. OR SQ. FT. NET . 6'e B.T.U. OR SQ. FT. GROSS FIRING RATE '
FLOORS TO BE HEA ED `NEW OR OLD BUILDING 2 L GC/ INSULATED - YES OR NO C
TYPE OF WALL `' »Z-E- INSULATION Q2 r
ROOF OR CEILING '
r
INSULATION
AVG. SYSTEM W TER TEMP. Z C` 0 B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE-0 ' 7 C' FAHRENHEIT
MAKE OF RADIATIO BA EBOARD. COPPE ONVEC ORS, OR C.I. RADIATION. PUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. 7,6 6 C e 461, t .-'c=z G rJ
DESCRIPTION OF/WORK
15. TO BE DONE: E'--k-r r
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET e.r.u. B.T.u.AND DOORS VOLUME o i o DISTRIBUTION INSTALLED
TOTAL TOTAL m LLROOMNO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J f'
W j LL RAD. REGISTER
L W N AND R TEMP. TO f TYPE AND SIZE OR LEADER
SIZE < WALL 'oio INFILT.) DIFF. F OF m cii SQ. FT. FREE AREA
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TOTALS
A. HEAT LOSS FROM BUILDING - e C)
B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING, OTHER THAN NORMAL C' 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 T (O NE AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. 9 t
ATE SIGNATURE OF APPLICANT