HomeMy WebLinkAbout100 Arnold Way (30) FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: 0
(NO. 5 _) TOWN OF SOUTH WINDSOR EST.COST; -0a
BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE (f}�a,,�0�
j SOUTH WINDSOR, CT 06074 FEES:
644-Z 1 - Ext. 230 $ 0 - $1,000 - $10.00
�D� 14Ruv� �J $1000 or fraction
LOCATION OF BUILDING 0�/ = ,l-C:Sl�� thereof - $10.00
OWNER ADDRESS TOWN PHONE NO.
6RA 65- L� �C-9 0 ,90X Y70-Zl - zv 29 04-_�/
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING V TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION _J BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC j,"' WARM AIR
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
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 HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
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: I �/�"��y4`J
Jk
STATE LICENSE - NAME & TYPE # DATE SIGNATfJTE OF RPIICANT
V I`��--
APPROVED DATE
I - B - R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydionits Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL A COL.B COL.C COL.D COL.E COL. F COL.G
1 ROOM
n
p H L W H L W Desl Water Temp.
H L W M L W H L W Y p•
2 ROOM DIMENSIONS, FT. ~
U BTUH par Pool of
3 LENGTH EXPOSED WALLS,FT.
Radlatfon Selected
a WINO W AND OUTSIDE DOOR AREA LL
BTUH ■TUH BTUH BTUH BTUH
5 WALL CONSTRUCTION
(Table 9,Line 3■H) ROOM LIN. FT.ON
_ TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
(Bottom of table used for line 51
7 CEILING CONSTRUCTION C
(Table 9,L ■W)
g FLOOR CONSTRUCTIONS D—
ITable 9. L rt W or Lln F t) E
9 COLD PARTITION CONSTRUCTION F
(Table 9• L a H)
G
10 C 1 Well IWlth passings) G
o
c� 2Wells(With Openings) dx H
3 Wells IWith Openings) or Ent.Hall f J 1
I TOTAL BTUH AT 70F TEMP DIFFERENCE'
17 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
-_ COL.A _ —_-- COL.B COL.H COL.1 COL_J COL. K COL.L TOTAL BTUH TOTAL
OF SUILDIN RADIATION
1 ROOM R AT SELECTED
p H L W T W H L W H L W H L W DESIGN TEMP.•
2 ROOM DIMENSIONS. FT I-
DIFFERENCE
U 3 LENGTH EXPOSED WALLS, FT.
WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION *INCREASE BATHROOM
ITable 9,LIns 3■ HI TOTAL 20%
6 TYPE OF GLASS
(Bottom of table used lot Line 51
7 CEILING CONSTRUCTION
-- — — - IFOR CONCRETE FLOOR ON
AT
(Table 9. L r W) GROUND FILL
GRADE LEVEL.USE
LINEAR
B FLOOR CONSTRUCTIONS FEET OF EXPOSED EDGE
ITable 9, L a W or Lin Ft)
9 COLD PARTITION CONSTRUCTION
(Table 9, L x H)
10 c I Wall(With Openings) O ---
2 Wells IWih Openings) o x -- --- ---- ---- -- -----
3 Wells(With Openings) or Ent Hai r
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This form Is sattabte from The Hydronlcs Institute 36 Russo Plate,Berkeley Heights,N J 07922