HomeMy WebLinkAbout110 Brook Street (10) „FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: /-- 9—
(NO. 107 ) a ) TOWN OF SOUTH WINDSOR EST.COST: a5-0
BLDG. PERMIT N0. R 1540 SULLIVAN AVENUE FEE §p - p
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $19000 - $10.00
$1000 or fraction
LOCATION OF BUILDING //d IS,e ay t thereof - $10.00
OWNER ADDRESS TOWN PHONE NO.
24��042, 4f S�, 6 - -3"q-/ �*
HVAC CONTRALTO ADDRESS 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 LIMIT LBS.
HYDRONIC_ WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT f a.l-,00b, ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) _(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEAT G,E UIPMENT (INCLUDING MAKE & MODEL NO.) : U"Tr'irA- M ;q
A), .,o 0 6
GROSS HEATING CAPACITY (INPUT-BTUH) 00 NET RATING (OUTPUT-BTUH) /p y.a oa
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:
S-( 36a-- 2-
STATE LICENSE - NAME & TYPE # E SIGNA T OF APPLICANT
AA-,�
ROVED DATE
8D 4A 11/88
I = B= R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
ROOM Q
p H L W H L W H L W H L W H L W Design Water Temp.
N34
ROOM DIMENSIONS, FT ~
U BTUH per Fo t of
LENGTH EXPOSED WALLS, FT. QRadiation Seleoted
WINDOW AND OUTSIDE DOOR AREA LL
STUN BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN.FT.OF
(Table 9, Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
(Bottom of table used for Line 5)
7 CEILING CONSTRUCTION C
(Table 9 L x W) _
B FLOOR CONSTRUCTIONt
E
(Table 9, L x W or Lin F t I
9 COLD PARTITION CONSTRUCTION F
(Table 9,L x H)
G
10 _G 1 Well(With Openings) O
H
2 Walls(With Openings) DX
_ e J 1
3 Walls(With Openings) or Ent Hall H
11 TOTAL UTUH AT 70F TEMP DIFFERENCE'
— K
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
- — - - - ----- --------- — — -- L
COL A COL.B COL.H COL.I COL J COL.K COL.L TOTAL BTUH TOTAL
-- ---- ------ ----- - -- OF BUILDING RADIATION
1 ROOM _ Q _ AT SELECTED
p H L W H L W H L W H L W H L W DESIGN TEMP.°
DIFFERENCE
2 ROOM DIMENSIONS, FT ~ —
3 LENGTH EXPOSED WALLS, FTLL
Q _
4 WINDOW AND OUTSIDE DOOR AREA
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION -INCREASE BATHROOM
(Table 9,Line 3 x H)- --- ------ ---- ---- --- ---— ------ -- ------ TOTAL 20%
6 TYPE OF GLASS
(Bottom of table used for Line 5)
tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUND OR FILL AT
(Table 9, L x W) GRADE LEVEL,USE LINEAR
_ --------- ------ ---- — -- -- --- FEET OF EXPOSED EDGE
g FLOOR CONSTRUCTIONt
(Table 9,L x W or Lin Ft)
9 COLD PARTITION CONSTRUCTION
(Table 9, L x H)
10 c 1 Wall(With Openings) --
-0 o3
c e 2 Walls(With Openings) O X
_ J
3 Walls(With Openings) or Ent Hall
=T�O;TALBTUH AT 70F TEMP DIFFERENCE'
12 1 TOTAL BTUH AT DESIGN TEMP DIFFERENCE ixil
FORM 1503
This form is available from The Hydronics Institute,35 Russ Piece,Berkeley Heights,N J 07922