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HomeMy WebLinkAbout116 Bramlebrae (7) DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT ��g #9'� Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVEDL 1540 SULLIVAN AVENUE .9-5A-6,7 AI0 Q M/1 644-2511 ext. 230 Date J� ding Inspector Application must be printed or typed Location of job vn e-- 34 Street No. Street Lot No. FEE SCHEDULE $0 - $1,000 - $12.00 Floor Apt.No. Over $1,000 $12.00 per$1,000 OWNER—U 41 R or any fraction thereof ADDRESS ?9 6- Ce*ete.-r S�-t, OWNERS PHONE# 4 #3 9 APPLICANT 0 N S F,q ADDRESS. 0 1 ESTIMATED COST $ 7 9 q-T aQ IS THIS A CONTRACT COST? v� lu YES NO FEE ENCLOSED $ Co 0 0 OR-CO ME OF JOB: ✓ 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 Vol 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 0 0 0 DESIGN TEMP. OUTSIDE q,5 F INSIDE `jot F DIFFERENCE s1-3 F TOTAL HEAT GAIN(BTUH) A (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) yo�K conc�e�s�r l�'� ,�30�� Svc TONNAGE_ COOLING CAPACITY(BTUH) O O 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 e::Z-ktS-tg-tl n recL LO rG1 T'`b Pir 9 s s cLu.� u�a�lC kli 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. ;;jjjj _ 303 49-70 S-- l STATE LICENSE-NO. NAME&TYPE SIGNATURE APPLICANT PHONE NO. Co q ci- G 1 DATE 1 d 13 _g k x, TYPE COOLING HWING , FACTORS FACTORS I i --Illy H,•i I Ij,l:.l li MAE, LIA ]NEIL 1 I � i 0 ME mmmm gym■ "AmF ` ' EEL."INEDEEL ME lmm� MEEK] ® i■i■ i■® ■�®�� mm,=gEgEMAEN AREEI -Jmmp�"' ME2,A001" 'A� --Jon ����■���■■� �s aim --- .® � 7.7 JS 1 Mom } Mir-,�� �� > �® � �� �■ ®®_ -- - Internalloa 1 Subtotal t��t. ;� C - _ •' / / ' � .^.i AMU - m factoe)-,;�. Jim t...I v..5 i. L1111 CoolingI m i MI�4'�A em, ©® ©® © 1 An Total Cooling Load Total H K` mcmi U tEll ELIe ! ■ ■ Y ��ID '.'• tom' � � •r .� �•! 'T _ ^;T.•r�; _ _ r _ ;} u. I y' ...' '.TYPr COOLING HEATING FNT!R HU11SE QINING ROOM r FACTORS �A(WORS K n} ii hi'HN Y it re • 1 . • • �1 t ♦ -- ,'.l� �. _LI r. 'fir ME IN �r, �® ICEY R - r . ® -' :� MEN �� � ` - ,_._..lay®® ■.�+��--. �. _- 'T^.�.f„ IN__ ® ■ - 'ra', �£ fir^ y c � --- 0 77­10 71 INESIN 107101m No '.101100100001 MENEM mENFJ__ ;-So omtJ ENM ® Mmot, ME ® ®'y t MN r , �. qMINE 1 1 1 I 1�r 1 1 �t �now � �. �� MMTIE� -�® •ter+:- ��,;� ��,,�.;. 1 1 1 1 1 _.-_.__. •r 1 a C�..i ,.1 J �` ., -,.r ..i- �(I �,_ _ ��®ia -}.e� y' �• ,�A=.j� ,,R. internal load IN Subtotal hea!Cjn .', WA Cooling factor PA :Total Hea 1Im Ungta1 ail _ , -