HomeMy WebLinkAbout141 Beelzebub Road DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WIl�TDSOR PERMIT#
Application is hereby: I '
BUDDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE_SCHEDULE Location f Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 4f"1!f14 nLe
APPLICANT ADDRESS
APPLICANT PHONE# ,A�
N OWNER
OW St4 141( Ile
OWNER ADDRESS (01
OWNER PHONE 7c2 c2 d�
C ESTIMATED COST$ ® O, <S:)
IS THIS A CONTRACT COST? es No
FEE ENCLOSED$
TYPE OF JOB:
�soR.�o� �
New Installation
Alteration/Addition/Repair
i
E
Revised 4/01H2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUlI DING:
❑HEATING EYRESIDENTIAL
R-Alc ❑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) OF(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)
DESCR"ALL COOLING E UIPMENT(INCL ING MAKE&MODEL NO.
TONNAGE _ COOLING CAPACITY(BTUH)cZ q
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM)��ZRESH AIR INTAKE(CFM) �-
(PLANS MUST ACCOMPANY APPLICATION)
OF WORK r ! c- �f
c r 4 4
FURTHER DESCRIPTION ct Gt,T
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.
CONTRACTORS LICENSE NO. T STATE
SIGNATURE OF APPLICANT DATE
TR1160 RIGHT-J SHORT FORM 8-29-95
Job #: Htg Clg
For: John Tencza Outside db 0 90
141 Beelzebub Rd. Inside db 70 75
South Windsor CT Design TD 70 15
Daily Range - M
Inside Humid. - 50
By: CENTRAL HEATING COMPANY Grains Water - 35
Const . Quality a
229-8529 # of Fireplaces 1
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Model Model
Type Type
Efficiency / HSPF 0 . 0 COP/EER/SEER 0 . 0
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Deg F
Actual Heating Fan 980 CFM Actual Cooling Fan 980 CFM
Htg Air Flow Factor 0 . 015 CFM/Btuh Clg Air Flow Factor 0 . 053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 85
ROOM NAME AREA HTG CLG HTG CLG
SQ. FT. BTUH BTUH CFM CFM
main 1680 62615 17645 932 944
front 104 3235 689 48 37
Entire House 1784 65850 18334 980 980
Ventilation Air 0 0
Latent Cooling 3189
---------------------------
TOTALS 1784 65850 980 980