HomeMy WebLinkAbout1401 Main Street (3)DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPRO D 1540 SULLIVAN AVENUE 0
Bldg.Permit#
644-2511 ext. 230
e Building Inspector
Application must be printed or typed
FEE SCHEDULE I a Location of Job:
jyd4" V .r
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No. I
1
APPLICANT 64 4'" wGC.444 b r h,C;Z:-Tt
APPLICANT ADDRESS wo e
APPLICANT PHONE# 5- 7 -7 3
OW N S OWNER 140 e+-e- .ro L-1%1-
q OWNER ADDRESS V()I
OWNER PHONE D Y
C ESTIMATED COST$ OD,9 6-O O,U d
1 U
v IS THIS A CONTRACT COST? _IZ'Yes No
FEE ENCLOSED$ .c(o
TYPE OF JO
OR-CO New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF S M: TYPE OF B G:
ffHEATING UlIESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
P41YONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
kl,ewDESCRIB2 HEATING FtQUIPMEV'(INCL
C
NG MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-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
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
64
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE a
S/anF-n conic Exy -re r
Job Name Addiion Petersen Reside Customer: Fred Carmichael Engineer:Salesman: Ed Taylor
Address: l yl. ' City: S (',(J t K h State: Zip: Phone:
Indoor Design Temperature:70.0 F Outdoor Design TemperatureD.0 F Altitude (Elevation):0
HEAT L055 CALCULATION5
1st Floor
Living/kitchen entry bath-&laundry bedroom Floor Totals Job Totals
Room Height(ft) 8.00 8.00 8.00 8.00
Room Length(ft) 15.30 7.50 8.00 16.00
Room Width(ft) 22.50 6.00 14.00 14.00
Doors&Glass( q ft) 75.00 36.00 15.00 51.00
Door&Glass Factor 0.6500 0.6500 0.6500 0.6500
Exposed Wall L ngth(ft) 38.00 7.50 8.00 46.00
Exposed Wall Factor 0.0500 0.0500 0.0500 0.0500
Cold Partition L ngth(ft)
Cold Partition Factor
Ceiling Factor 0.0500 0.0500 0.0500 0.0500
Floor Factor 0.1500 0.1500 0.1500 0.1500
Infiltration Factor 0.0180 0.0120 0.0180 0.0270
Indoor Temperature(F) 70.00 70.00 70.00 70.00
He t Loss(BTU/HR) 12,504 2,654 3,906 9,953 29,017 29,017
DAE030AKE? SELECTIONS
1 st Floor
Fin /Line 15(lin.ft.) 23.0 5.0 7.5 18.5 54.0 54.0
set cted
Fin /Line 30(lin.ft.) 22.0 5.0 7.0 17.5 51.5 51.5
set cted
Multi/Pak 80(lin.ft.) 17.5 4.0 5.5 14.0 41.0 41.0
se/ cted
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