HomeMy WebLinkAbout130 Berle Road (12) FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: // /O ,
(NO. ) TOWN OF SOUTH WINDSOR EST.COST: o;Zg0o, 00
BLDG. PERMIT NO. IN r7 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $19000 - $10.00
$1000 or fraction
LOCATION OF BUILDING p gel-le /�c7/ thereof - $10.00
OWNER ADDRESS TOWN PHONE NO.
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL X
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT_LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC V WA AIR
R
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW
WOOD COAL _
OIL TANK - SIZE & LOCATION INSIDE OUTSIDE✓ CAPACITY/yoo
LPG TANK - CAPACITY
EXISTING RADIATION/ao oan ADDITIONAL RADIATION O TOTAL RADIATION/oo,cao
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE °F
TOTAL HEAT LOSS (BTUH) Is HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO. : Zwell o;960
nQs ��ois o /c/ /1�ei I/n�GQ..� !�r1l�L P/D ��/7�rl Firm G!/Q �'�r�fr,�
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF 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)
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. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: -)04G�i�1�/ass
nos-?/- I ral 60� o a✓ :/e-e
STATE LICENSE - NAME & TYPE # DATE SIGNATURE OF APPLICPAqT
flol i.Op-
D DATE
I - B - R CALCULATION SHEET 1503 (Modern Method) Copyright 1971 by The Hydionlcs Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL A COL.6 COL.C COL.D COL.E COL.F COL.G
I ROOM
O H L W H L W H L W H L W H L W Oeslgn Wstar Temp-
2 ROOM DIMENSIONS, FT. u sruH per F t of
~
3 L_ENGTH EXPOSED WALLS,FT.
Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
STUN BTUH STUN STUN STUN
5 WALL CONSTRUCTION
ROOM LIN.FT.OF
(Table 9, Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
IBottom of table used for Line 5)
—7 CEILING CONSTRUCTION C
(Table 9, L a W) _
g FLOOR CONSTRUCTION( D
(Table 9, L x W r Lin. F t) E
9 COLD PARTITION CONSTRUCTION F
(Table 9,L a H)
G
10 c 1 Well 1 W Ith Openings) H
c Z_: 2 Walls(With Openings) e X a
6 3 Wells I W ith Openings)or Ent.Hall t
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
COL.A COLS COL.H COL.1 COL.J COL.K COL.L. TOTAL BTUH TOTAL
OF SUILOING RADIATION
1 AOOM E _ _ AT SELECTED
O H L W' H L W H L W H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS.FT DIFFERENCE
U --
3 LENGTH EXPOSED WALLS. FT
d WINDOW AND OUTSIDE DOOR AREA LL
BTUH STUN BTUH BTUH BTUH
5 WALL CONSTRUCTION •INCREASE BATHROOM
(Table 9,Line 3 x HI TOTAL 20%
6 TYPE OF GLASS
IBottom f table used lot Line 51
CONSTRUCTION - tFOR CONCRETE FLOOR ON
7 CEILING CON
( GROUND OR FILL AT
Table 9, L x
GRADE LEVEL,USE LINEAR
g FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
(Table 9. L x W or Lin F t)
9 COLD PARTITION CONSTRUCTION
(Table 9, L x H)
10 c 1 Well(With Openings) C -- -
2 Walls lWith Openings) a x -
3 Wells(With Openings) or Ent Hall �J -- --`-- -- - — -------
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE '
FORM 1503
This form Is eveilebie If m The Hydronlcs Institute 35 Russo Piece,Berkeley Heights,N J 01922