HomeMy WebLinkAbout114 Sally Drive DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
-If
Aj J 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
5�z2zK
$0-$1,000=$15.00 FTenant
eto. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof esignation Apt.No.
APPLICANT � �4 f
APPLICANT ADDRESS
APPLICANT PHONE# �� a / — �o c)7
O W N St OWNER / C 1 �Ul •�
q� OWNER ADDRESS K
r� OWNER PHONE
C ESTIMATED COST$ 2 c�
U
IS THIS A CONTRACT COST? Yes No
f� FEE ENCLOSED$ 7
TYPE OF JOB:
SOR.C) New Installation
,Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT SContinued from reverse side)
TYPE OF SYSTEM: TYPE OF B DING:
UVATING SIDENTIAL
A/C ❑ COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESS E LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC SMARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE f D OF INSIDE_ 0 F DIFFERENCE °F
�
TOTAL HEAT LOSS(BTUH) Z OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQ PMENT(INCLUDING MAKE&MODEL NO.)
AaitZ
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) �
TYPE OF
IL-GPM OIL TANK LOCATION:❑INSIDE❑ OUTSIDE CAPACITY
❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE INSIDE °F DIFFERENCE�°F
TOTAL HEAT GAIN(BTUH) kOF
�(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MO EL 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
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. E STATE
SIGNATURE OF APPLICANT DATE �" , O -03
RIGHT-J SHORT FORM
Entire House
f.
L& L Mechanical
28 Pie H01 Rd,Goshen,CT 06756 Phone:(860)4914007 Fax(860)491-9125
e • ect Infohnation
For: heidtmann
south windso 14 sal we,
® - s r on
Htg CIg Infiftratfon
Outside db(OF) -10 85 Method Simplified
Inside db(OF) 70 75 Construction quality Average
Design TD(OF) 80 20 Fireplaces 0
Daily range - M
Inside humidity(%) - 50
Moisture difference(gr/lb) - 47
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trad Trade
Efficiency 80.0 AFUE Efficiency 0.0 EER
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Btuh Latent cooling 0 Btuh
Low output baseboard 580 Btuh/ft Total cooling 0 Btuh
Total low baseboard 36 ft Actual cooling fan 657 cfm
High output baseboard 740 Btuh/ft Cooling air flow factor 0.053 cfmBtuh
Total high baseboard 28 ft
Space thermostat Load sensible heat ratio 87 %
ROOM NAME Area Htg load Clg load Baseboard(ft) Clg AVF
(ft� (Btuh) (Btuh) Low High (cfm)
media room 418 21051 12287 36 28 657
Entire House 418 21051 12287 36 28 657
Ventilation air 0 0
Equip. @ 1.00 RSM 12287
Latent cooling 1788
TOTALS 418 21051 14075 36 28 657
C'c
Z�r7j BoWhalic vakm have been manually overrWen
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
Wrightsoft RW-Suite Residential-5.0.48 RSR28903 2003-Apr-30 07:12:42
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