HomeMy WebLinkAbout25 Blue Ridge Drive (6)PERMIT # ,
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Application For 3529DEPARTMENTDECISION
3751 Heatmg Permit
APPLICATION IS HEREBY:
0 DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED DISAPPROVED
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a00 DATE CHI INSPg: ICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
p _(1) 1. LOCATION OF JOB
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cd 9 NO. STREETOIaW
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LOT NO. FLOOR APT. NO.
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O t'4 c S. LICENSE NO. T C
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c w 9. EXPIRATION DATE OF LICENSE
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5O10. ESTIMATED COST S
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bq 11. IS THIS A CONTRACT COSTT 0 YES NO
ra 12. FEE ENCLOSED S
Permit #6394
n a) 19. TYPE OF BUILDING:
CrA I.a RESIDENTIAL COMMERCIAL
c 3 14. TYPE OF JOB: INDUSTRIAL
RIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
P 9 F APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side)
11. LOCATION OF JOB Z-4:t 2 3 at. /_"' C- &S
N0. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER 2 HEATING SYSTEM VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS it Lc GT2 I c—
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 SQ. 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. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
ADESCRIPTIONOFWORK
15. TO BE DONE:—
Ile-ZL'.4'0 0- s
16. HEAT LOSS EDULE. (TO BE INCLUDED FOR ALL JOBS);
WINDOWS B.T.U. B.T.U. F°
aooM slzE AREA - SQUARE FEET F DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL n
R OM NO'GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J 7
LL REGISTER
L W N AND K INFILT.) TEMP. TO F F:Q, TYPE AND SIZE
SQ.q AFT.OR LEADER
SIZE < WALL ' ' DIFF. F F m N FREE AREA
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 OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY: CQ11
NAME ODDRESS
SUBCONTRACTORS AND
1e. 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 SIGNATURE C15rAPPLICANT
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