HomeMy WebLinkAbout10 Bramlebrae (12) DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PER�tiuT�
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Application is hereby TOWN of SOUTH WINDSOR
BMDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230
Date wilding Inspector Application must be printed or typed
Location of job
is 296Kq!�o LJC-- 32EF1
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
$0 - $1,000 - $12.00
Over $1.000
$12.00 per$1,000 OWE -'E M!E ug
or any fraction thereof
ADDRESS
OWNERS PHONE# Ca A 3 ZR
APPLICANT 1. L
W p 3 ADDRESS 14
'C OAl 4 Fq
ZROAD zg-w< Cx 0�00 I (0
•• h f y•f f 1• -
*' ESTIMATED COST $ -4 �--
C = IS THIS A CONTRACT COST .9
YES NO
ICI FEE ENCLOSED $ 41�5,
OR*C� /TYPE OF JOB:
I/ Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL
A/C r! 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 F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
(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 GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE 11 F DIFFERENCE ZO F
TOTAL HEAT GAIN(BTUH) 3 A-4 0
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
TONNAGE Z.6 COOLING CAPACITY(BTUH) T00
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
I 1ajzEM 1U SEER M0D *1., RA\,<8 -- DSO :18Z CorbDeAUSltJ( itrOyr
(Zl1r%:EM R''_H0 - 1'I f\0a N'Hb fl 2. z �o� 1 200 cfM MAR,
TOTAL SIZE OF SYSTEM(CFM) 'Z_Z 2, FRESH AIR INTAKE(CFM) C
(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 CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WO
3 0-3: 7W 9 .�
STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPLICANT
PHONE NO. DATE •/'9•�
13: 39 CELLITE ENGINEERS ID=1 413 791 7549 P . 01
RICr iT-d SHORT FORM
File name:
]oh#:
Fur: GARY TE;14PT,E 1 iig CIS
10 BRAMBLE BRAE outside db 4 88
SOUTH WINDSOR Imtide db 70 75
CT Design TD 66 13
Daily Range m
Inside Humid. - 5 C,
Br'. HALL & !`'IVSRA Grainy Water -
,
vy I;r'r�.ti tic M.ethodl :'imp 1 1 f i E?ij
T
F12-1- :) Const, glty A ve caLle?
Fireplaces 0
vrmcj H;QUjp mENT COOLING EQUIPMENT
Make Make
Mod l Model
10e T pe
Efficiency f HSPP 0.00 COPIEERJSEER 0.00
Heating Input 0 Btuh Sensible Coolies 0 Htuh
Meatkrqg output 0 Bluh Latent C'uoling tu Bi)0Heating'Cemp Rise 0 Deg F Total Cooling () tub
Actual 1-lgatvi�;ran ?.2 CFM Actual Cooling Ian ,222 CF'M
Htg Air flow Factor 0.0_�,� CFMll.3tuh Clg Air Flaw Factor 0.053
Cf'M1Btuh
Space Thormostar Load Sensible Heat Radio 87
ROOM NAME AREA .14TG CLC HTO CLG
_ SQ FT BTUH RTUH C FM Cr M
FAKILY HOLM 308 7308 9,523 381 509
KA$TER BEDRROM 240 3964 3081 9 J'? 165
BZDPNOQM MIDDT,E 143 r,.307 4084 277 218
Br'DR"- 4 END 121 2953 234:s 154 125
MAST Ci,0SZT 3.00 1267 4 S 8 66 45
MASTER BATHROOM 168 2642 3361 138 18G
hilt'j.,r•e d 1080 23440 22850 )222 12
Ventilation Air 0
Eqwp, (1t, 0. 9`) RSM
��'7
17
Latent C.'oolmS 7 9 3
TOTALS 1080 23440 25200 ;222 1222
MANUAL J 7th Ed, RIGHT-1:V3,()%