HomeMy WebLinkAbout16 Kelly Road (7)i
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WIl TDSOR
PERMIT#
Application is hereby:BUILDING DEPARTMENT
1540 SULLIVAN AVENUE Bldg.Permit#
7/0-3 r Q 644-2511 ext. 230 c2 Z2 7 0
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
C Aa=1=J'—'1i7clg
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT TA &i
APPLICANT ADDRESS L% P(4
R i
APPLICANT PHONE#
MI N St OWNER C U K, L-2 I J L
O q OWNER ADDRESS i
OWNER PHONE0
C ESTIMATED COST$ I
IS THIS A CONTRACT COS ? Yes No p
FEE ENCLOSED$
Cl
TYPE OF JOB:
OR C g
New Installation
Alteration/Addition/Repair
1
i
31
d
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF LDING:
HEATING ARESIDENTIAL
V',/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING 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 jeC OF INSIDE 70 OF DIFFERENCE /v 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.
CONTRACTORS LIC NSE NO. TYPE STATE
SIGNATURE OF APPLICANT TE
Heritage Oil , Inc .
17 River Road
Willington , CT 06279
Phone 860-429-0259
Date : S/N# OL-080896-15181
Proposal To C -,'?KhoL;-(-JEAI
16 k-EUY 5 i/I ID
ROOM SUMMARY
SUMMER
Winter Square Latent + Sensible - Total Cool
Space Name BTUH Feet BTUH BTUH BTUH Tons C .F .M .
Mud 5 ,245 .64 56 521 .30 11461 .51 1 ,982 .80 0 .17 66
Powder 590 .02 42 14 . 10 1 ,174 .76 1 ,188 .86 0 . 10 40
Nook 6 ,099 .87 96 1 ,040 .20 8 ,142 .13 9x182 .33 0 .77 306
Kitchen 997 .00 196 65 .79 2 ,039 .73 2 ,105 .52 0 . 18 70
Family 10 ,938 .41 252 587 .09 5 ,442 .28 6 ..029 .37 0 .50 201
Living 6 ,173 .80 182 61 .09 7 ,939 .21 8 ,000 .30 0 .67 267
Dining 4 ,860 .18 182 61 .09 5o946 .25 61007 .34 0 .50 200
Foyer 6 ,519 .02 160 609 .91 1 ,790 .11 2 ,400 .03 0 .20 80
Master bed 5 ,694 .21 240 100 .70 1 ,755 .95 1 ,856 .65 0 . 15 62
Master bath 2 ,172 . 18 132 44 .31 2 ,376...99 2 ,421 .30 0 .20 81
Guest bath 1 ,311 .07 96 32 .22 1 ,324 .27 1 ,356 .50 0 . 11 45
Bed 2 2 ,098 .29 154 51 .69 1 ,726 .11 1 ,777 .80 0 . 15 59
Bed 3 2 ,415 .24- 143 48 .00 942 .14 990 .14 0 .08 33
Bed 4 2 ,046 .47 156 52 .36 738 . 13 790 .50 0 .07 26
Totals 57 , 161 .40 2 ,087 3 ,289 .87 42 ,799 .57 46 ,089 .43 3 .84 1 ,536 .3
Computed results should be treated as estimates only as the weather ,
duct & structure design may vary . Be sure and size systems based on there
ability to meet both the sensible and latent heat requirements , not just