HomeMy WebLinkAbout160 Birch Hill Drive (6)lk
PERMIT#
Application For . 3 034 2812
DEPARTMENT DECISION
Ca r Heating Permit
APPLICATION IS HEREBY:
DEP TMFM OF LICENSES AND INSPECTIOL N4,,
APPROVED DISA RO
OWN OF SOUTH WINDSOR
1-4Cd
ODATE I
CHIEF INSPECT R APPUCA MUST sE PRINTED OR TYPED& R[ ING •ITN'N1111RER omit S9LM'to
o 1. L TION of JO6
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0 STREET
Cd U
4) rn
1 LOT NO. FLOOR APT. NO.
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p 2. OWNER
Cd +
cd 0
0 s. ADDR
4.PSONE'
Cd
s. APPLICANT
vi 0
s. ADDRES
Cd
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7.PHONE
S. LICENS NO. - // J 9
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c w S. EXPIRATION DATE OF LICENSE
c
a c 10. ESTIMATED COSTo
11. IS THIS A CONTRACT COST?YES Q Npb.
a 4 t= .z - Permit #4782d012. FEE ENCLOSED
m 0 is. TYPE O=
IDEKTIAL
IN&
b4 COMMERCIAL
o 4
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Ed3 14. TYPE F JOB:INDUSTRIAL
04 ALTERSTALLATINADIITI+ONON
REPAIR
I
APPLICATION nZATING PERMIT (Continued fr m Reverse Sid )
11. LOCATION OF JOB
STREET FLOOR APT. NO.
12. TYPE OF INSTALLATION: OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZESIZE
13. OF TANK i S OF TANKNil ar OF FILL 2SIZEN OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. IM•ON B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE"
FLOORS TO BE HEATED tJ-Xft NEW OR OLD BUILDING aw INSULATED - YES OR NO Y"
TYPE OF WALL ftam INSU ATION "a ROOF OR CEILING amil.INSULATION 2M
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE--,$ . 200 FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. r0dWW&]L Q-c. so 41. 610 R_T V. .. 1900
1 DONE:
DESCRIPTION OF WORK
5. TO BE bft Int4W Wift fail bated AnWigam SUmbrd
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS
AND DOORS AREA — SQUARE FEET VOLUME
B.T.U. B.T.U. o`1- DISTRIBUTION INSTALLED
TOTAL TOTAL
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70°F CORRECTED J j 1-LL
REGISTER
L W N AND TYPE AND SIZE RAD. OR LEADER
SIZE < WALL fAGSO INFILT.) DEEP' TO •
F O m a SO. FT. FREE AREA
101 . 0 0
1 82 1112• Li 1
to 16 26
d3 l0 1 20 sip
L1V 13 24 19 7790 M
Din it 1 'f 26 n
14 7 .40 5001590 A M N
M M
irf Naw :&_Sao I too
TOTALS i• Li i
A. HEAT LOSS FROM BUILDING 113 "0 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND 1h B.T.U./HR.
C. PIPING, OTHER THAN NORMAL_15SOM 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 BUILDING CODE. T
APPLICATION TO BE COMPLETELY FILLED IN.Cc' s
DATE SIGNATURE OF APPLICANT