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DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT 220
App 1540 SULLIVAN AVENUE Bldg.Permit#
cc
644-2511 ext. 230
o3 JXe—,
Date Building Inspector r
Application must be printed or typed
f
Location of Job:
FEE SCHEDULE 3fSri
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.
APPLICANTCC) H A C
APPLICANT ADDRESS
Sum pz r_ r)e (o
APPLICANT PHONE# f 6 U 1(Q
c?
W H $t
OWNER /14 G e n F.
I/q OWNER ADDRESS
OWNER PHONE
ESTIMATED COST$ f3 C i t
IS THIS A CONTRACT COST? t/4es No
FEE ENCLOSED$ o
TYPE OF JOB:
OR-Cod k New Installation
Alteration/Addition/Repair
Revised 4101H2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING RESIDENTIAL
JAI 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 OF
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 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE ns COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFMr-
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.
S- 1 -)a -)cl47 F
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT 01. DATE
Page 1 Resid ntial Heat Loss and Heat Gain Calculation 7/7/2003
In accordanc with ACCA Manual J
Report Prepared By:
Tin Works Inc.
For: Geoffroy House
South Windsor, CT
Design Conditions: South Windsor
Indoor: Outdoor.
Summer temperature: 68 Summer temperature: 97
Winter temperature: 76 Winter temperature: 4
Relative humidity: 55 Summer grains of moisture: 86
Daily temperature range: High
Building Component Sensible Latent Total Total
Gain Gain Heat Gain H at Loss
BTUH) BTUH) BTUH) BTUH)
Whole House 1,223 sq.fL 19,303 31670 22,973 429904
2tons)
Second Floor— - -_ -- -- 19,303 ------ ^ 3,671__ 22,974 42,903
Master Bedroom 240 sq.ft. -_ 4,179 1,015 5,194 71551
Bedroom#2 240 sq.ft. 3,519 555 4,074 7,551
Hall 120 sq.ft. 304 0 304 530
Bedroom#3 192—sq.ft. 2,636 ---------- ----370 3,006 4,939
Bathroom- — _— 96 sq.ft`-- 1,079 139 _ _1,218 2,046
Living Room-downstairs 225 sq.ft. 5,027 1,384 __ 6,411 16,317
Kitchen-Downstairs 110 sq.ft. 2,559 208 2,767 3,969
VYiMb#louse 1,223 sq.tL 19,303 39670 229973 429904
2tons)
HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101
Load calculations are estimates ongr,actual loads may wary due to weather and lion differences.
Page 1 Resid ntial H at Loss and H at Gain Calculation 7/7/2003
In accordance with ACCA Manual J
Report Prepared By:
Tin Works Inc.
For: Geoffroy House
South Windsor, CT
Total CFM: 800
Room Cooling CFM Heating CFM Both
Second Floor 800 800 800
Master Bedroom 173 141 173
Bedroom#2 146 141 146
Hall 13 10 13
Bedroom#3 ------------------- ----- 109 ----------- 92 ----------- 109
Bathroom 45 38 45
Living Room-downstairs_____ 208 304 304
Kitchen-Downstairs 106 74 106
HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101
Load calculations are estimates only,actual loads may very due to weather and construction differences.