HomeMy WebLinkAbout104 Ident RoadDEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT S
APPROVI 1540 SULLIVAN AVENUE Bldg.Permit#
ZV31 G L
644-2511 ext. 230
3
Date Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
3
0-$1,000=$13.00 Str et No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tefiant Designation Apt.No.
APPLICANT W. B. Dickenson
409 W State KOM
APPLICANT ADDRESS P.n. Rnx 9R7
Manchester, CT 060454957
APPLICANT PHONE#
N S t
OWNER
OWNER ADDRESS L/ ry
Or OWNER PHONE
C ESTIMATED COST$
whow IS THIS A CONTRACT COST? s 0 No
FEE ENCLOSED$
O
TYPE OF JOB:
OR.C O New Installation
teration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF B I.DING:
HEATING b4ZESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
ST M LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
DRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
i7 l%
c
GROSS HEATING CAPACITY(INPUT--BTUH) NET RATING(OUTPU —BTUH)
TYPE OF FUEL
OIL—GPM OIL TANK LOCATION).<INSIDE OUTSIDE CAPACITY
GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
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)
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
kz4& /s Lvil a2l., lla.2 f,,zL,_tA
E UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFOR Bfffft WORK DE CRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. ,' E STATE
SIGNATURE OF APPLICANT DATE
1 = B = R CALCULATION SHEET 1503 (Modern Method)
OWNER 14 Copyri9Ht 1977 by The HYdronlcs InstituteADDRESSrTE&2-:DESIGN TEIIAPERATURE DIFFERENCE;U F. DATECOL.A COL.It COL.c
1 ROOM
COL.D COL.E COL.F COL.G
Q tV)A Cr
O L I w N2ROOMDIrttENSiONS,FT. 1-
L W ~ L W N L w M L W Dwgn wars.T ma
31 LENGTH EXPOSED WALLS, FT.
V
STUN pw Feot oftWINDOWANDOUTSIDEDOORAREARadiationSwected—Vb
STUN STual STUN STUNSWALLCONSTRUCTION STVMTable9,Line 3 x hf)
V C/TYPE OF GLASS ROOM LIN.FT.OFTOTALSRADIATIONSOttonlOftableweedforLineS) FROM LINE 12 SELECTEDr7CEILINGCONSTRUCTION
Table 9,L x w)
CFLORCONSTRUCTION?
D Table 9.L x W or L In. Ft.) 13
9 COLD PARTITION CONSTRUCTION
Table 9,L x HI
FtO _c 1 Well(With OD«+Ir 1 Avg7A OZ` 2 Wellsis(With Opanow
3 Welk(wit,Opamrpa)or Ent Nell J
1 TOTAL STUN AT 7OF TE1 P. DIFFERENCE'
121 TOTAL STUN AT DESIGN TEMP. DIFFERENCE J
K
COL.A COL.S COL.N COL. 1 COL J COL.L1RoomCOL.K
TOTAL STUN TOTALCORSVILDINORAOIATI NO + L w N L w N L w N AT SELECTED2ROOMDIMENSIONS,FT. L w N case N TEMI.•
U3LENGTHEXPOSEDWALLS,FT.DIFFERENCE
t
s WINDOW AND OUTSIDE DOOR AREA
6 WALL C NSTRVCTION KU 1 STUt4 STUN TUN STVMTable9,Line 3 x N)
s r INCREAS 11ATMROOMTYPEOFGLASSTOTAL20%Soetaot"of table useie for Line Sl
7 CEILING CONSTRUCTION
Table 9,L x W)FOR CONCRETE FLOOR ONFLOORCONSTRUCTIONtS'7 O p0 GROUND OR FILL AT
GRADE LEVEL,USE LINEARTable9,L x W or Lin. FtI FEET OF EXPOSED EDGECOLDPARTITIONCONSTRUCTION
TSWo9.Lx04)
c 1 well(with Opanitgs)
c; 2 wells(whh Open/neeal x
o- 1-7
3—Wells(With OpersirM ta) or En Nail J
1 TOTAL STUN AT 7OF TEMP.DIFFERENCE-
TOTAL STUN AT DESIGN TEMP. DIFFERENCE
as fowrm rs sweilepie from The MrOromics Instituts,36 Ruaso face,Sawketey H..phts. N J 07922
FORM 15 3