HomeMy WebLinkAbout104 Ident Road DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
_ BUILDING DEPARTMENT ��S
APPROVI 1540 SULLIVAN AVENUE Bldg.Permit#
ZV31
G L � 644-2511 ext. 230 �3
Date Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
3
$0-$1,000=$13.00 Str et No. Street Lot No.
Over$1,000=
$13.00 per$1,000 '
or any fraction thereof Tefiant
Designation Apt.No.
APPLICANT W. B. Dickenson
409 W State KOM
APPLICANT ADDRESS P.n. Rnx 9R7
Manchester, CT 060454957
APPLICANT PHONE#
N S t OWNER
OWNER ADDRESS (/L/ ry �
Or # OWNER PHONE
C ESTIMATED COST$
whow IS THIS A CONTRACT COST? s 0 No
�! FEE ENCLOSED$ ,
O�� TYPE OF JOB:
OR.C O New Installation
teration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF B�I.DING:
❑HEATING ;b4ZESIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ ST M
LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
DRONIC ❑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.)
i7 l%
c `—
GROSS HEATING CAPACITY(INPUT--BTUH) NET RATING(OUTPU —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 COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
kz�4& /�s Lvil a2l., lla�.2 f,,zL,_tA
E UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFOR Bfffft WORK DE CRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. ,�' E STATE
SIGNATURE OF APPLICANT DATE
1 = B = R CALCULATION SHEET 1503 (Modern Method)
OWNER 14 Copyri9Ht 1977 by The HYdronlcs Institute
ADDRESS _ rT � �E&2-:
DESIGN TEIIAPERATURE DIFFERENCE;U F. DATE
COL.A COL.It COL.c
1 ROOM COL.D COL.E COL.F COL.G
Q tV)A�Cr
O L I w N
2 ROOM DIrt tENSiONS,FT. 1- L W ~ L W N L w M L W Dwgn wars.T ma
31 LENGTH EXPOSED WALLS, FT. V
< STUN pw Feot of
t WINDOW AND OUTSIDE DOOR AREA Radiation Swected—�V�b
STUN STual STUN STUN
S WALL CONSTRUCTION STVM
(Table 9,Line 3 x hf) �V C/TYPE OF GLASS ROOM LIN.FT.OF
TOTALS RADIATION
(SOttonl Of table weed for Line S) FROM LINE 12 SELECTED
r�
7 CEILING CONSTRUCTION
(Table 9,L x w) C
FL OR CONSTRUCTION? D ��
(Table 9.L x W or L In. Ft.) 13
9 COLD PARTITION CONSTRUCTION
(Table 9,L x HI F��
tO _c 1 Well(With OD«+Ir�1 :) .Avg 7A ,� O
,Z` 2 Wells is(With Opanow
3 Welk(wit,Opamrpa)or Ent Nell 'J
?1 TOTAL STUN AT 7OF TE1 P. DIFFERENCE'
121 TOTAL STUN AT DESIGN TEMP. DIFFERENCE J
K
COL.A COL.S COL.N
COL. 1 COL J COL.L
1 RoomCOL.K TOTAL STUN TOTAL
C OR SVILDINO RAOIATI N
O �+ L w N L w N L w N AT SELECTED
2 ROOM DIMENSIONS,FT. L w N case N TEMI.•
U
3 LENGTH EXPOSED WALLS,FT. DIFFERENCE
t
s WINDOW AND OUTSIDE DOOR AREA
6 WALL C NSTRVCTION KU�1 STUt4 STUN
•TUN STVM
(Table 9,Line 3 x N)
s 'r •INCREAS 11ATMROOM
TYPE OF GLASS / TOTAL 20%
(Soetaot"of table useie for Line Sl
7 CEILING CONSTRUCTION
(Table 9,L x W) *FOR CONCRETE FLOOR ON
FLOOR CONSTRUCTIONt S'7�✓ O �p0 GROUND OR FILL AT
GRADE LEVEL,USE LINEAR
(Table 9,L x W or Lin. FtI _ FEET OF EXPOSED EDGE
COLD PARTITION CONSTRUCTION
(TSWo9.Lx04)
c 1 well(with Opanitgs)
c; 2 wells(whh Open/neeal x /
o- 1-7
3—Wells(With OpersirM t a) or En Nail •J
1 TOTAL STUN AT 7OF TEMP.DIFFERENCE-
TOTAL STUN AT DESIGN TEMP. DIFFERENCE
'as fowrm rs sweilepie from The MrOromics Instituts,36 Ruaso►face,Sawketey H..phts. N J 07922
FORM 15 3