HomeMy WebLinkAbout176 Margaret Drive (5)DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby:TOWN OF SOUTH WINDSOR
PERNIIT#
BUILDING DEPARTMENT I tj (o
APPROVEIT 1540 SULLIVAN AVENUE Bldg.Permit#
0A S 644-2511 ext. 230
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
1 ^1 rmGc
0-$1,000=$15.00 Street No.eet Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
6
t
APPLICANT Co
APPLICANT ADDRESS
APPLICANT PHONE# VA(-k-
0 W N s OWNER 61 A
4< OWNER ADDRESS
OWNER PHONE Z-g g
C ESTIMATED COST$ 2 Q
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ 3
00
IS O
TYPE OF JOB:
R C New Installation
747
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF YSTEM: TYPE OF UILDING:
HEATING RESIDENTIAL
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) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT CLUDING MAKE&MODEL NO.)
qA
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 . Lag S. J Q \C 0_ccicvy
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 LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
1 8 R CALC_ULA7LI"1:11 11 (11m le.11 Copyright 1971 by The Nvoltonks
OWNER ADDRESS - .(-
r ,' DESIGN TEMPERATURE DIFFERENCE
D
Is. 0AI I
C L. A COL.&COL.C COL. COL.E COL.F COL.G
I ROOM -- tC 4 fQ Li in -
p H L I W H L W M L I W H L W H L W Design MIater Temp.
2 R OM DIMENSIONS.FT.U Z /L Z / 9TUHlew SelectI:dl3LENGTHExOSEOWALL$.FT. O o
A WINO W AND OUTSIDE DOOR AREA r
TUN TUH TUN STUN TUN
S WALL CONSTRUCTION 1 ROOM LIN.FT.OF
ITsb1 &.Lw+a3 a h) O OU D O 2,06 DO 600 TOTAL$ RADIATION
6 ?rFE Of GLASS L ,l
FROM LINE I2 SELECTED
19 item I table used lot L in*61 c D D J v 7i
7 CEILIN CONSTRUCTION DD 0 C
ITable&.L a WI io Ov —L O v O 576--
j FLOORCONSTRUCTIONt
O
tTabl if.L-a YIROs List.f t.1 t 8 7 U
COLCrPAWTITION CONSTRUCTION i l
1Table9.L is,HI ZOOO
io = t We*1wlth Ooeftllyd a ,
2 Waat~11101R Open w _0/ .. O O I SS Z d
3 Waue IW.Iw panlnfal 9 Ent.Hall t., 617 3 Z v
I I TOTAL*TUN AT 70F TEMP DIFFERENCE*O 7&0 3 Op 0 35 O
12 T. TAL BTU"AT DESIGN TEMP.DIFFERENCE s DO K
O O
COL.A COL.•COL. COL.I COL.J COL.K COL.L TOTAL&TUH T TAL
i ROOM a
OF &UATINO RADIATIOSELECTED~
p H L W H L W It L W H L W N L W OtSIGM TEMP.*
I-a .woo116 vlMENsloNs,FT L
oliictasNcs
a2
3 LENQTIO6XV06lQ.WALLS.FT.
WMIDOWA,NVOUTitOE DOOR AREA 7.
TUH IITUH • •TUH TUH TUN
MALL CONSTRUCTION
0 o L/,0 6 O (6)INCREASE BATHROOMWALL
L1no,3 a Hi
r TOTAL 20
6 TYPE OF GLASS r/J
to Item of table Y6e0 too L one 61 O`) 7D O 70`/T/
FOR
7 CEILING C NSTRUCTION GROUND OR FILL ATpR ON
ITable9.L a WI O Z 00 Z 00 3O(./ GRACE LEVEL.USE LINEAR
FL ACON:TAUCTIONT
FEETOFExPOSEOEDGE
tTebla0.LaW as,Lin Ft.I
C LDPAW1T1Of*C N$TRUCTION
ITebi**L:a 141
10 I wal twtarorw IIysR O/L ;
weue itMglrOOan n jj g`
3 1 wettsttMltle QeINAMIt e<E nt.Hash 0.2
I
7 low-
TOTAL STUH AT 70F TEMP' DIFFERENCE'
12 TOTAL &TtfH AT DESIGN TEM/ DIFFERENCE s pZ
FORM IS 3
Twn n I• V&Oefxw loom The Hr0•enke Inet•tpte 36 Rwelo P/eae.&eNaalev Heights.N 1 01922