HomeMy WebLinkAbout23 Broadleaf Drive (5)G
PERMIT
Application For 3i75DEPARTMENTDECISION3397HeatingPermit
O O
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N n APPROVED DISAPPROVED
r TOWN OF SOUTH WINDSOR
00 O DATE CHIEFJK§PECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
O
C 1. LOCATION OF JOB
o
C NO. STREET
4) &02
LOT NO. FLOOR APT. NO.
O 0
0
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A 2. OWNER d-
Cd
0 3. ADDRESS-Cd
bo :
l/
ai a 4.PHONE
Cl
tl s. APPLICANT
0 rA e. ADDRESS
7.PHONE
S. LICENSE NO. o26v
o4-1
w 9. EXPIRATION DATE OF LICENSE G
v v'
C 10. ESTIMATED COST
m
r" 11. 13 THIS A CONTRACT COST YES NO
bA
12. FEE ENCLOSED S-
Permit #5473
ai 13. TYPE OF BUILDING:
9 RESIDENTIAL COMMERCIAL
C 3 14. TYPE OOFRJOB:
A
INDUSTRIAL
INSTALLATION A DITI
GINAL ONON
REPAIR
I
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB J&t c
NO. /
DSTREETS/ FLOOR APT.NO.
12. TYPE OF INSTALLATION; LJ OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE
O OF TANK
SIZE
iJ'yt 0 OF FILL
SIZE
OF VENT Z .,13. OF TANK
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND `C w,10Ls-36T.U. OR SQ. FT. NW-21 ccG D B.T.U. OR SQ. FT. GROS423. RING RATE /. (J
FLOORS TO BE HEATED NEW. OR OLD BUILDING " ti INSULATED — YES OR NO
TYPE OF INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WA ER TEMP.01D r B.T. ./SQ. FT./HR. EMISSION S 1-1
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE f o
FAHRENHEIT _/moo "iD '70 0
MAKE OF RADIATION: BASEB ARD, COf PER 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 SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U.DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALy
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j LL
LL REGISTER
L W N AND E TEMP. TO F F TYPE AND SIZE RAD. OR LEADER
SIZE < WALL
f'
t0 INFILT.) DIFF. F O m a FT. FREE AREA
q y 72- 3 S_z 3 S-b d-7/3 /6/oo I oo U.
S 12- 0 yo 17 u /
6 oo
21 /s
72 3s- 3- /v'
a 9
CAa /3i /3 -y' 75
76 3 s
2s7z PS-7o 3
3 116 /3 I',
SZ) 36 z 33 oo z3 io u'
7-f90
V 3 .2eoo. _
w_
o.
TOTALSFF1 7,o&
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)
A
FACTOR
17. ELECTRICAL WORK BY: lr. "/ — tf
NAME ADDRESS
SUBCONTRACTORS AND
16. 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.
DATE SIGNA URE OF APPLICAN