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DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT 220
App 1540 SULLIVAN AVENUE Bldg.Permit#
cc 644-2511 ext. 230
o3 JXe—,
Date Building Inspector
r
,
,
Application must be printed or typed
f
Location of Job:
FEE SCHEDULE 3
f `S r i
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANTCC) H A C
APPLICANT ADDRESS
Sum pz� r_ r)e (o
APPLICANT PHONE# f 6 U 1(Q c?�
W H $t OWNER /14 G e n F. I/
q� OWNER ADDRESS
# OWNER PHONE
ESTIMATED COST$ f 3 C i t
IS THIS A CONTRACT COST? t/4es No
FEE ENCLOSED$ o
TYPE OF JOB:
OR-Co d k New Installation
Alteration/Addition/Rep air
Revised 4101H2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HEATING ❑RESIDENTIAL
JAI ❑COMMERCIAL
VENTILATION ❑INDUSTRIAL
HEATING
❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC ❑ WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
❑ OIL—GPM OIL TANK LOCATION:❑INSIDE❑OUTSIDE CAPACITY
❑GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE ns COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFMr-
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
S- 1 -�)a -)cl47 F
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT 01. DATE
Page 1 Resid ntial Heat Loss and Heat Gain Calculation 7/7/2003
In accordanc with ACCA Manual J
Report Prepared By:
Tin Works Inc.
For: Geoffroy House
South Windsor, CT
Design Conditions: South Windsor
Indoor: Outdoor.
Summer temperature: 68 Summer temperature: 97
Winter temperature: 76 Winter temperature: -4
Relative humidity: 55 Summer grains of moisture: 86
Daily temperature range: High
Building Component Sensible Latent Total Total
Gain Gain Heat Gain H at Loss
(BTUH) (BTUH) (BTUH) (BTUH)
Whole House 1,223 sq.fL 19,303 31670 22,973 429904
(2tons)
Second Floor— - -_ -- -- -- _ 19,303 ------ ^ 3,671__ 22,974 42,903
---------- ---
Master Bedroom 240 sq.ft. -_ 4,179 1,015 5,194 71551
Bedroom#2 240 sq.ft. 3,519 555 4,074 7,551
- -- --- -- --- - ---- -- --- — ------------------ --
Hall 120 sq.ft. 304 0 304 530
- -- ---- -------------------------------------------- ------------------ --
Bedroom#3 192—sq.ft. 2,636 ---------- ----370 3,006 4,939
---- ------------------------- ----------------------- -- ---- ----
Bathroom- — _— 96 sq.ft`-- -1,079 139 _ _1,218 2,046
Living Room-downstairs 225 sq.ft. 5,027 1,384 __ 6,411 16,317
'Kitchen-Downstairs 110 sq.ft. 2,559 208 2,767 3,969
VYiMb#louse 1,223 sq.tL 19,303 39670 229973 429904
(2tons)
HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101
Load calculations are estimates ongr,actual loads may wary due to weather and lion differences.
Page 1 Resid ntial H at Loss and H at Gain Calculation 7/7/2003
In accordance with ACCA Manual J
Report Prepared By:
Tin Works Inc.
For: Geoffroy House
South Windsor, CT
Total CFM: 800
Room Cooling CFM Heating CFM Both
Second Floor 800 800 800
-------Master Bedroom 173 141 173
-- ------- ----------------------------------------- ---- - - -
Bedroom#2 146 141 146
_Hall 13 10 13
Bedroom#3 ------------------- ----- --- ----109 ----------- 92 ----------- 109
Bathroom 45 38 45
Living Room-downstairs_____ 208 304 304
Kitchen-Downstairs 106 74 106
HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101
Load calculations are estimates only,actual loads may very due to weather and construction differences.