HomeMy WebLinkAbout189 Brookfield Street (8)FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: /0441u• a N9(0
NO. b 14 ) TOWN OF SOUTH WINDSOR EST.COST: O O _
BLDG. PERM TT NO. Nti 1540 SULLIVAN AVENUE FEE 2/60
SOUTH WINDSOR, CT 06074 FEES: rzP41
644-2511 - Ext. 230
0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING o / .1 l'6a l--C S .thereof - $10.00
b!4 14etb C, a y L(- 016 Y(O
OWNER ADDRESS TOWN PHONE NO.
Leo ,4o a d -f .me- /a W 1'4 Ad- Sb C d cN5qe SD3-6(olew,
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING V TYPE OF BUILDING: RESIDENTIAL l/
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT/641,006 ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATIONdad ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): UJ t( l 14 4 i N C 6- Y FAew
I6's 066 71 0 o a
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF 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)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) :
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: ,61 rec- - (eJ31 Q 6e-ioveAJfi" e 1 C( Is e p4
tj D lam- W ct- l6 eJ b 7;:
STATE LICENSE - NAME & TYPE #DATE SIGNATURE OF APPLICANT
RO D A
I - 8 - R CALCULATION SHEET 1603 (Modern Method)Copyright 1971 by The Hydronk*Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL A COL.B COL.C COL.D COL.E COL.F COL.G
1 ROOM
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT.I"
U BTUH Per F of of3LENGTHEXPOSEDWALLS,FT. t Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH TUH
5 WALL CONSTRUCTION
Table 9, Line 3 x H) ROOM LIN. FT.Of
TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
IB ttom of table used I r Line 5)
7 CEILING CONSTRUCTION
Table 9, L x W)
C
g FLOO CONSTRUCTRIONt
Table 9, L x W r Lin. F t) E
9 COLD PARTITION CONSTRUCTION FITable9, L x H)
10 :C 1 Wall 1 With Opening&)O G
c 2 Wells(With Opening*)a X H
D
13Wells(With Openings)or Ent.Hall
11 TOTAL dTUtt AT 70F TEMP DIFFERENCE'J
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
L
COL.A _ COL.B COL.H COL.1 COL_J — _ COL. K COL.L TOTAL BTUH TOTAL
1 ROOM
Q
OF SUiLTING ADITA O14
O H L W H L W H L I W H I L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS, FT I.- DIFFERENCE
U
3 LENGTH EXPOSED WALLS, FT.
4 WINDOW AND OUTSIDE DOOR AREA LL
TUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOMTable9, Line 3 x HI TOTAL?0'It,
d TYPE OF GLASS
IBott m f table used for Line 51
7 CEILING CONSTRUCTION FOR CONCRETE FLOOR ON
ITable 9. L x W) GROUND OR FILL AT
GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTtONt FEET OF EXPOSED EDGE
ITable 9. L x W Or Lin Ft l
9 COLD PARTITION CONSTRUCTION
ITable 9, L x H)
10
C t Well(With Opening*)0
2 Wells tWith Opening*)O x
3 Well*(With Opening*)or Ent Hall
J -
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This form 1*aveilaDie from The HydrOnit*Institute, 35 Russo Plate, Berkeley Heights,N J 01922 FORM )503
yO. —
INSPECTOR D d/ 112- TIME
LOCATION 1 c)o F r l
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
PLUMBING:
t
HVAC: t
q6iD
OTHER:
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