HomeMy WebLinkAbout100 Arnold Way (45) FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE; ?1.4�4_5_
(NO. 9 3B ) TOWN OF SOUTH WINDSOR EST.COST: Z U
BLDG. PERMIT NO. ,?,2q 1540 SULLIVAN AVENUE FEE Wit-iye-6
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $1,000 - $10.00
J®lD A VvA1"" $1000 or fraction
LOCATION OF BUILDING thereof�� c �Q,p
thereof - $10.00
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OWNER ADDRESS TOWN PHONE NO.
-'r- .Av7 U1
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING _ TYPE OF BUILDING: RESIDENTIAL3 ��6
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/ 0 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-S OF INSIDE (p6 OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.):IL-,C_c,OC4O toCC.o4% w0ab
All _e �C r Mn ,L+: A 0yxi-t—s .
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE % OF INSIDE 70 OF DIFFERENCE_2,r-> °F
TOTAL HEAT GAIN (BTUH)
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
All `- lam[F �—c�� Y�rev�►'�� c�.�*�
TONNAGES* COOLING CAPACITY (BTUH)a(o,cCx> 1- $'000
IF VENTILATION: DESCRIBE ALL AIR-H&LING 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
STATE LICENSE - NAME & TYPE # DATE `�GRAT`Ur OF APPLICANT
lk `0 (dlq
APPROVED DATE
INSPECTOR F' DATES �Z TIME
LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
1
ELECTRICAL: e iD 1�
PLUMBING:
HVAC:
OTHER:
-YI3SPy'CTOR DATE !d TIME
LOCATION D
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL: / e o/ _ q
PLUMBING:
HVAC:
7z
OTHER: