HomeMy WebLinkAbout165 Rimfield Drive Electric# 0 APPLICATION FOR BUILDING PERMIT
Plumbing# a?
165 RIMFIELD DRIVE D
-:s
HVAC # Date:ho __p,�_ ,
Sprinkler# No. 22763
FINAL A P OV Estimated Cost $ D do. no
Building.]3 'G COMPLETE RED BOXED AREAS Permit Fee $ 'l, aD_c�0
Engineers g d e 6 TYPE OR PRINT ONLY Occupancy Fee $ 3 ,O o
Affidavit s SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ a
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ S9oy
The undersigned hereby applies to do work according to the following specifications:
Job Location Lot No. % _Side of Street _Zone _
Applicant Tel.# G W-8 I,,-
Address f,S"A Jim. r,J Zip Lic. # T-0e A 1,1a
Owner .�{. _d j g . .XIU e- Address •—..•
Architect )5A, re- ,mac, Address 'La;mi.
Sq. Ft. New Area: 1st FI. L 2nd FI. .3rd FI. - Total New Area
#Rooms 7 Lavatories #Bathrooms #Garages
Purpose of this permit:
City Water`9. Well 0 Septic System ❑ Sewer
Use Group Construction Type Area 2, ! Basement L� Garage �(3
Approved 6y d Date !m
Revised 6/95
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked, and agree that this building is to be located the proper distance from all street lines,side yard lines and required
distances from all other zones and is located in a zone in which this building and its use is allowed.
fir. -ll�,
Signed --
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
Location of Job: AFFIDAVIT Additional Fee S 4 6 0 .0 0
State of Connecticut
ss.South Windsor
County of Hartford J
l�(.v��� �C� r
I '� � 'Z F'- `:� of ent for the building erected .
tContrac
under Permit No. 22763 issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work authorized under said permit did not
exceed the most current accepted BOCA value of$ 12 2 ,7 0 4 . 0 0 .
Signe
c!
Subcribed and sworn to before me this day of � �- A.D. 19
Estimated Cost S 7 6 , 8 0 0 .0 0
U �
Difference. $
45, 904 . 00
�N�gary Public-
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
95-22763-B 70,000
B01 FOOTING 12/11/95 JFH D GROUND FROZEN
B01 FOOTING 12/29/95 JFH D GROUND FROZEN
B01 FOOTING 12/29/95 JFH A FROST REMOVED
B02 FOUNDATION 02/16/96 JFH A
E01 SERVICE 03/12/96 JFH D OK BUT NO PERMIT/PERMIT RECD OK 3/14/96
2 ;-7 R;;ROUND 03/26/96 JFF A
,".'qG (ROUGH) C3 6 JFH A
UGH 3 6 JFH A
GH 3 ">6 jFH A
" TION C3/2;/D6 JFH D NOT READY
ION C3/2 /96 JFF A
F;.�EPLACE/CHIMNEY 04/08/96 JFF A
..�S TEST 04/15/96 JFH A AIR TEST
96-9723-P 1,900
96-1=423-H 1,900
96 3839-E 3,000
Total Est Value 76,800
Dwelling 2,156 g8,223.52
8�� gent .,123 13,925.20
Ga-.ge 483 5,989.20
&--,-e Det 6 450.00
50CA Value 122,704.35
Difference 45,904.35 y ig ,,
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
165 RIMFIELD DRIVE LOT_#72 Reviewed (Engineering)
DART HILL REALTY, INC. Date Reviewed
658 ELLINGTON ROAD,SOUTH WINDSOR„CT_ Reviewed By (Planning)
BP_# 22763 Ph_# (203)644-8137 Date Reviewed roved n i ed
Date Submitted_04/30/96 ***** FOR C of 0 *�"� '�"S�✓,.•�' ��s�.•�ev
��• � 61�1Q�
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
1. Approved building permit plan
2. Finish grading per approved
building permit plan
3. Site work; i.e. trees, shrubs,
dumpsters, required parking
. � 4. Utility location;
a. sanitary sewer/septic system
b. foundation drain
c. electrical & telephone
d. water
e. other
5. Sewer connection charge paid
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No. G�N
Pavement Excavation No.
COMMENTS:
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
165 RIMFIELD DRIVE LOT #72 Reviewed By 'neering)
DART HILL REALTY, INC. Date Reviewed %/o7-Sh Approved Denied
658 ELLINGTON ROAD,SOUTH WINDSOR„CT_ Reviewed By (Planning)
BP_#_22763_ Ph,#_(203)644-8137 Date Revie prov /Denied
Date Submitted 11/07/95 ***** FOR I DING PERMIT *****
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include:
Approved Denied N/A
✓ 1. Name, address & phone number of owner/applicant
2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
07 floodway, etc.
4. Plot Plan at 1" = 40' scale
a. Subdivision reference, abutting properties, etc.
b. Easements of record
c. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
f. Elevations of gravity drainage systems, sanitary
& foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, septic system, etc.)
G/
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
jA-
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
PERMIT '
DEPARTMENT DECISION
APPLICATION FOR _ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
' BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED
1540 SULLIVAN AVENUE
I � 644-2511 Ext . 230
ate ng Inspector Application must be printed or
p typed
1 . LOCATION OF JOB ,
P Ze/
t ,
FEE SCHEDULE No . Wtreet
j $ 0 - $19000 - $10.00 Floor Apt . No.
x
Over $1,000 - $10.00
per $19000 or 2 . OWNER
fraction thereof
3. ADDRESS
74
4. APPLICANT
S . ADDRESS
2�z-
6. ESTIMATED COST $ �000, °o
7 . IS THIS A CONTRACT COST 1/
Ye No'
8. FEE ENCLOSED $ 100
9. TYPE OF BUILDING:
SIDENTIAL COMMERCIAL
10. TYPE OF JOB :
t'__4riginal Installation
Alteration/Addition/Repair
RD 3A 11/86
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
0. STRE T APT. NO ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS=
16 . NO . OF POWER LOOPS J' 17 . NO. OF LIGHT OUTLETS��
18 . NO . OF HEAT CIRCUITS � 19 . NO. OF POWER OUTLETS d�
20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS=
22 . NO, OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS=
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS=
26 . NO . OF PANELS 27 . TOTAL WATTAGE=k)
28 . NO . OF POWER FEEDERS 29. NO. OF SWITCHES
30. A/C LOAD 31. SIZE OF POWER FEEDERS .90
32. NO . OF FIXTURES 33. TOTAL HORSEPOWER
34. NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO . SIGNATURE OF APPLICANT DATE
PHONE NUMBER: �d=0
y INSPECTOR DATE 1 TIME
LOCATION l v T -7 1
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
Eo( -
PLUMBING:
HVAC:
OTHER:
t
PERMIT NO.
DEPARTMENT DECISION
A P P L I C A T I O N F O R
APPLICATION IS HEREBY:
PLUMBING PERMIT
APPROVED DISAPPROVED TOWM OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
JS 644-2511 Ext. 230
DATE U INSPECTOR Application must be printed or typed.
1. LOCATION OF JOB: f �
Z-Z
2. OWNER: c
3. ADDRESS:
FEE SCHEDULE
0 - $1,000 - $10.00 4. APPLICANT:
Over $1,000 - $10.00 5. ADDRESS: C. -
per $1,000 or
Fraction Thereof
6. EST. COST:
7. IS THIS A CONTRACT COST? Y S /"N
8. FEE ENCLOSED: $ 2-,0
9. TYPE OF BUILDING:
L--RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Cam-ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB:
GENERAL PLUMBING
12. KIND OF INSTALLATION: � Lle- a-41' 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE - f 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 16 NO. OF SHOWERS / 17. NO. OF LAVATORIES
18. NO. OF SINKS 19. DISPOSAL G 19A. DISWASHER
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS _SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? L
27. SIZE OF WINDOW_ A ry
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?_
1/Al
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
G
LICENSE NO. DATE SIGNATURE OF APPLICANT
PHONE NO.
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:
(NO. Z3 H ) TOWN OF SOUTH WINDSOR EST.COST: /!z p
BLDG. PERMIT NO.ZZ7K;5 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 -// $ 0 - $19000 - $10.00
yf� , $1000 or fraction
LOCATION OF BUILDINGZ'2
thereof - $10.00
OWN- ADDRESS TOWN PHONE NO.
jl:�rl (/0���J-��2P .
HVAC CO CTOA ADD S TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL _
VENTILATION _ BUSINESS _
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS, HIGH PRESSURE LIMITLBS.
HYDRONI__ WARM AIR
UNIT RADIAN HT EATER (INCLUDING WOOD COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM_ GAS IN-PUT ELECTRIC KW
WOOD COAL
OIL TANK - SIZE b LOCATION. INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ''ADDITIONAL RADIATION TOTAL RADIATION2—
DESIGN TEMP. OUTS E_�°F INSIDE 2-°F IIFFFERENCEf 0 OF
TOTAL HEAT LOSS (BTUH) 4e�& 7p 6 (HEAT LOSS SHEET MUST ACCOMPANY APP CATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE 6 MODEL NO.): c
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F
TOTAL HEAT GAIN (BTUH)
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
TONNAGE COOLING CAPACITY (BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT):
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
(PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Buildi Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: 0.",�Ie
STATE LICENSE - NAME b TYPE DATE ` IGNATURE OF APPLICANT
APPROVED DATE
BD 4A 11/88
I - B= R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronks Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL,G
t ROOM ,L/�///�cc �ir///7
O H L W M L W H L W H L W H L yr Design Water Temp.
2 ROOM DIMENSIONS.FT. F S LD L 8 /.Z
V BTUH Par Foot f
3 LENGTH EXPOSED WALLS,FT, t �j 1651Radlatlon Selected
4 WINDOW AND OUTSIDE DOOR AREA O oZ
5 WALL CONSTRUCTION BTUH BTUH BTUH BTUH BTUH
(Table 9.Line 3 x H) .O /� ,l/l / /�0 ROOD/ LIN.FT.OF
00 �Qv goo 600 TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
(Gott m f table used f r Line S) �� OV O �v 800
7 CEILING CONSTRUCTION /
(Table 9.L •WI .D� " �U0 OO ZO_
0 g ` Do�Ug FLOOR CONSTRUCTION► (J (/ o U [7 '
I Table 9.L x W r Lin. Ft.) E Q /0 li/7f
y COLD PARTITION CONSTRUCTION _� `r �_ F4./DD
to _c t wau(w�ch op.nlnpeJ o .0/Z 300 G V G
�j H a c !
2 W4111lWith Opening*) e x /O OU 4300
�ZOU OD 7
- a J � 1
3 Walls(W.th Openin e
pa)or Ent.Hall F _
i1 TOTAL BTUH AT 70F TEMP DIFFERENCE' 301J -4 �Or) 70G 7C�d
12 TOTAL OTUH AT DESIGN TEMP DIFFERENCE O QQQ �n / O O K
�l L
-- _— --_ COLA _ --- - - ---- COL.B —COL.H -- —_ COL.1 COL.J COL. K COL.L TO AL BTUH TOTAL
1 ROOM t[ GS ei �G 4 OF BUILDING RADIATION
AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEM►.•
2 ROOM DIMENSIONS. FT U �� / DIFFERENCE
J�! /Z 0 0
3 LENGTH EXPOSEO WALLS. FT. 4( / • 0
4 WINDOW AND OUTSIDE DOOR AREA %L 3G�
S WALL CONSTRUCTION
BTUH STUN BTUH BTUH BTUH
-- --_-_ — --(Table 9,Line •INCREASE BATHROOM
3 x H) r D sO/1D /1 TOTAL 20%
6 TYPE OF GLASS C/ !LSL
(B ttom of table used f r Line s)
7 CEILING CONSTRUCTION ( - tFOR CONCRETE FLOOR ON
(Table 9.L x W) �oC oa ^� GROUND OR FILL AT
7 Q (J (� GRADE LEVEL.USE LINEAR
B FLOOR CONSTRUCTIONt — 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(Weth Open-r2a) O/Z-
/ O U ��
c` 2 Walls(With Opening$) ex •0/S
a
3 Walls(Ilrith dpen,ngs)or Ent.Hall e J
t-
11 TOTAL BTUH AT 70F TEMP.DIFFERENCE* —3 � d Q '
12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE Q 000
Tale f rm is available from The Hrdronks Institute.36 Russo Place.Berkeley Hetyfcs,N.J.07922 FORM 1503
5t1sjBec�c# l r $ � - 4''��` � APPLICATION FOR BUILDING PERMIT
Plumbing# 165 RIMF IELD DRIVE
WVAC # Date: q
Sprinkler# No. 25027
FINAL PM
Estimated Cost $
Building�� ���
COMPLETE RED BOXED AREAS Permit Fee $ 24
� ng TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. ��`t �c z- Total Fee
TO BUILDM DEPARTMENT,TOWN OF SOUTH WMSOR,CT (Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location__ /�5 ,pZ8n f5Z� -&Pi Lot No. Side of Street S Zone
Applicant Co r7- Tel
Addr ss �/,S ,►�/�l�/i�//- ��l GAL Zip Lic.#
Owner_ Gay fi Address /Z,� 06/�/6L� Ae.,
Architect Address
Sq.Ft.New Area: 1st Ff. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: /✓yS7;7fz.—/ .r4B4OL/ ' 6,-.9 'owl) 4 3D ,
Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S Cert. Area Basement Garage
Approved by ilenDate �v 6 Use Group Construction Type
Rovsod 1197
I hereby agree to conform to all the requirements of th Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any afteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is all
Signed
I hereby apply for a Certificate of Occupancy for the 'bed in t ' application for the permit.
Signed
DO NOT WRITE BELO THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
98-25027-B 2,000
E02 UNDERGROUND 05/01/98 RAN A
B10 FINAL 05/15/98 JFF D OK EXCEPT GATE LATCH SIDE PROTECTION 1/2"
OPEN MAX AT 18"
B10 FINAL 05/18/98 JFF A NEEDS 18" PROTECTION AT LATCH 1/2" OPENING
SPOKE WITH OWNER RECHECK/OK CO & CLOSEOUT
98-14824-E 350
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT#
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPRO 1540 SULLIVAN AVENUE a✓`^�
274gsw
644-2511 ext.230
�
Date uilding Inspector Application must be printed or typed
Location of job
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 OWNERS 7� �}- GGf�ty�
or any fraction thereof /
ADDRESS /,�S �i/ /��c 'b'e lme-
S'ovrr� y
OWNERS PHONE# y3�
APPLICANT
OWN S ADDRESS.
' �' ` q<
ESTIMATED COST$ 350
o �
C IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $ Z
f
TYPE OF JOB:
SO R•C Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
__I/RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
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 CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE SIGNATURE OF AKICANT
7
PHONE NO. y -—5 DATE
' 7
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WII�IDSOR PERMIT#
Application is hereby: 3(O a
BUILDING DEPARTN ENT
APP 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext 230
Date Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE FTenant
/ ,
Rlyn� eld Of � y�$0-$1,000=$13.00 . Street Lot No.
Over$1,000$13.00 per$1,000or any fraction thereofesignation Apt.No.
APPLICANT /Y 7'� Q 12aG �UO /
APPLICANT ADD SS
el-
APPLICANT PHONE#
N S OWNER TC
lot'O �-4 OWNER ADDRESS Z� leld Dr -,u-e
inn
�.�� �, QJdo r, 0-fi aid y
OWNER PHONE b
C ESTMATED COST$ '"/ 0 D_ • 00
IS THIS A CONTRACT COST? )dyes 0 No
CJ FEE ENCLOSED$ 130' CD
SOR.Cp11 TYPE OF JOB:
I�
O New Installation
r
M-Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HEATING ❑RESIDENTIAL
ax�c ❑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 n
DESIGN TEMP.OUTSIDE !-°F INSIDE /7:�� OF DIFFERENCE C;�O OF
TOTAL HEAT GAIN(BTUH)1327 7(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
IJ
TONNAGE -\! COOLING CAPACITY(BTUH)���f-00 CU
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.
30300 S:i> -- ( C�-
CONTRACTORS LICENSE Ng-V
TYPE STATE
ATE
SIGNATURE OF APPLICANTC D U
HVAC LOAD ANALYSIS
for
ev,
arrier
N§'
„�&'��aa a�,• ,. '�'���,'l i ,'. k'��,v3'�':
RHVACCOMMERCIAL E '-m°�°'�HVAC LOADS
Prepared By:
John Przybylski
Hi Point Heating&Cooling
71 Edwin Road
South Windsor,CT 06074
(860)291-0181
225102
I'VI
M,
6,
Project: Company: Hi Point Heating&Cooling
Client: SCOTT GALLAGHER Representative: John Przybylski
Address: 165 RIMFIELD DR. Address: 71 Edwin Road
City: SOUTH WINDSOR,CT.06074 City: South Windsor,CT 06074
Phone: 644-5743 Phone: (860)291-0181
Fax: Fax: (860)291-0020
_
011" ,g !"
Project Name:
Reference City: Hartford,Connecticut
Daily Temperature Range: Medium
Latitude: 41 Degrees
Elevation: 19 Feet
Elevation Sensible Adj. Factor: 1.000
Elevation Total Adj. Factor: 1.000
Elevation Heating Adj. Factor: 1.000
Outdoor Outdoor Indoor Indoor Grains
Dry Bulb Wet Bulb Rel.Hum. Dry Bulb Difference
Winter: 7 N/A N/A 72 N/A
Summer: 88 73 50% 75 33
RA R Rogm; . I'll
N V
10,1
Ow -WIN
Total Building Supply CFM: 1,425 CFM per square foot: 0.682
Square feet of room area: 2,088 Square feet per ton: 615.843
W
a 1A ZT,
)!*4k
a
""N 2`1 M',�-il,
13-1'C", XSVII Zz�Op M,
N
—4.1
Total heating required with outside air: 68,821 Btuh 68.821 MBH
Total sensible gain: 31,328 Btuh 92 %
Total latent gain: 2,649 Btuh 8 %
Total cooling required with outside air: 33,977 Btuh 2.831 Tons(based on sensible+latent)
3.390 Tons(based on 77%sensible capacity)
Calculations are based on 7th edition of ACCA Manual J.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads.
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Htg Htg Run Run Clg Cig Clg Zone Clg Air
Room Area Sens Nom Duct Duct Sens Lat Nom Adj Adj Sys
No Name SF Btuh CFM Size Vel Btuh Btuh CFM Fact CFM CFM
—Zone 1-
1 Family 408 14,672 191 2-7 486 5,716 517 260 1.00 260 260
2 First Floor 840 33,924 441 4-7 609 14,318 1,384 651 1.00 651 651
3 Second Floor 840 20,225 263 3-7 641 11,294 748 514 1.28 655 514
System 1 Totals 2088 68,821 894 31,328 2,649 1,425 1,567 1,425
*Main Trunk Size: 16A 2 in.
*Main Trunk velocity constraints were not met due to duct schedule limitations.
Main Trunk Air Velocity= 1,145 Feet/Minute
Cooling Sensible/Latent Sensible Latent Total
Tons Split Btuh Btuh Btuh
Net Required: 2.831 92%/8% 31,328 2,649 33,977
Recommended: 3.390 77%/23% 31,328 9,358 40,686