HomeMy WebLinkAbout177 Rye Street (2) DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WIl�TDSOR PERMIT#
Applicatio 1 I —]�l
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
_ 644-2511 ext. 230 �
Date &Inspector
Application must be printed or typed
FEE SCHEDULE n Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT (e
APPLICANT ADDRESS S-t('P e+
APPLICANT PHONE#
W N S OWNER IV t G O `� E(,(I e5-" ke- i C� �e
° �qt OWNER ADDRESS 1
•l
v-th 0;nd ,5c 0 o 7 q
O a OWNER PHONE O - 43 Lf a
C ] ESTIMATED COST$ �_(o Q 00 1
IS THIS A CONTRACT COST? V/Yes No
FEE ENCLOSED$ .3 O(�, L
TYPE OF JOB:
SOR-CD New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF STEM: TYPE OF BUILDING:
F
�IEATING O-ItSIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ S AM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT4, LBS.
CJAYYDRONIC U WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION [ ADDITIONAL RADIATION _TOTAL RADIATION
DESIGN TEMP. OUTSIDE °F INSIDE F DIFFERENCE O
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 FJJEL �/
OIL—GPM OIL TANK LOCATION:I r INSIDE❑OUTSIDE CAPACITYcg2 _
❑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
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. TYPE STATE
SIGNATURE OF APPLICANT2C)ADATE AoZ
L11CULATION
` I? teights,
1 = B = R SHEET 1503 (Modern Method) ��L �` H dron' s nstitut ivision fGAMA 35 usso ce a NJ
OWNER
ADDRESS DESIGN TEMPERATURE DIFFERENC F. OATE�r/��
J COL.A COL.B COL.C COL. D COL.E COL.F COL.G
1 ROOM — — � � ��Tlo 14 Design Water Templ�
O H 1� ,0 H L W H L W H L W H L W
2 ROOM DIMENSIONS, FT. U
BTUH per Foot of //^�
3 LENGTH EXPOSED WALLS, FT. Q Radiation Selected (�
4 WINDOW AND OUTSIDE DOOR AREA L"
— BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION QS � ROOM LIN. FT.OF
(Table 9, Line 3 x H) TOTALS RADIATION
-------- -- FROM LINE 12 SELECTED
6 TYPE OF GLASS ,, .�J'/�
(Bottom of table used for Line 5)�d v�CAC ` ✓
7 CEILING CONST RUCTION ®/ C
(Table 9, L x W) ___�_ b '1�0 D
g FLOOR CONST RUCTIONt —
(Table 9, L x W or Lin, Ft.) E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L x H)
10 _0 1-Wall(With Openings) a� �/
H
2 Walls(With Openings) X 0/8
J
3 Walls(With Openings) or Ent. Hall I- Off 100 —
1 1 TOTAL BTUH AT 70F TEMP. DIFFERENCE'
K
12 TOTAL BTUH AT DESIGN TEMP, DIFFERENCE Ei - --
L
-- COL.A -Y' — — COL.B COL.H COL. 1 COL.J COL. K COL.L —
_ TOTAL BTUH TOTAL
--� — OF BUILDING RADIATION
1 ROOM
� - —_ AT SELECTED
O H L W H L W H L W H L W H L I W DESIGN TEMP.°
DIFFERENCE
—2 ROOM DIMETISIONS, FT.
31 LENGTH EXPOSED WALLS, FT. Q
4 WINDOW AND OUTSIDE DOOR AREA — iL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9, 1 ine 3 x H) TOTAL 20%
6 TYPE OF GLASS—- T -^i--- ---- -- --` --- --
(Bottom of table used for Line 5)
---- -- - - --- — ----- -• - -- ----- — --- tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION
GROUND OR FILL AT
(T able 9, L x W) GRADE LEVEL,USE LINEAR
g FLOOR CONSTflUCTIONt — — --` FEET OF EXPOSED EDGE
(Table 9, L x W or Lin. Ft.)
�-9 COLD PARTITION CONSTRUCTION — — -
(Table 9, L x H)
10 c 1 Wall(With Openings) —
2 Walls(With Openings) X
3 Walls(With Openings) or Ent. Hall J
11 TOTAL STUN AT 70F TEMP. DIFFERENCE*
~12�TT BTUH AT DESIGN TEMP. DIFFERENCE —
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