HomeMy WebLinkAbout199 Abbe Road (10)FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:
NO. TOWN OF SOUTH WINDSOR EST.COST:
BLDG. PERMIT NO. IV I'f 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $1,00 - 10.00
n
1000 or fraction
LOCATION OF BUILDING N qcj b e, (\ , S w n(La r thereof - $10.00
V
OWNER ADDRESS TOWN PHONE NO.
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING V/ TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OI GPM GAS IN-PUT ELECTRIC KW
COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUnDnING MAKE & MODEL NO.):
0, LhC o.r$o,`e,.- I0C)
GROSS "ATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)_1 0 000
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 6 MODEL NO.): (1/1
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. Buildin Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: C L
03 6-°7 77 l I )9
STATE LICENSE - NAME S TYPE #DATE V SIGNATURE 0 APPLICANT—
G / f r
PROVED DATE
I - B - R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydronics Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
C L A COL.B COL.C COL.D COL.E COL.F COL.G
1 ROOM S
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT.BTUH per Foot ofURadiationSelected
3 LENGTH EXPOSED WALLS,FT.
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH TUH eTUH eTUM ETUH
5 WALL CONSTRUCTION ROOM LIN. FT.OF
Table 9, Line 3 H) TOTALS RADIATION
FROM LINE 12 SELECTED
6 T`IPE Of GLASS
Bottom of table used for Line 51
7 CEILING CONSTRUCTION C
Table 9, L a WI
S FLOOR CONSTRUCTIONt E
Table 9, L a W or Lin Ft)
9 COLD PARTITION CONSTRUCTION F
Table 9, L HI G
10 .G 1 Well'With Openings)H
2WeItslWithOpening%) OX IeJ
3 Walls(With Openings) or Ent.Hall f J
11 707AL BTU1f AT 70F TEMP DIFFERENCE'K
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
COL.A COL.@ COL.H COL.1 COL J COL. K COL.L TOTAL BTUH TOTAL
OF •UILDIN RADIATION
1 ROOM C AT SELECTED
O H L W H L H L W H L W H L W DESIGN TEMP.•
DIFFERENCE
2 ROOM DIMENSIONS.FT U
3 LENGTH EXPOSED WALLS FT
d WINDOW AND OUTSIDE DOOR AREA LL
eTUH ETUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
TOTAL?OX
Table 9. Line 3 a HI
6 TYPE OF GLASS
Bottom of table used for Line 51 tfOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUND OR FILL AT
Table 9, L a W) GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGE
g FLOOR CONSTRUCTION/
Table 9. L a W or Lin Ft 1
9 COLD PARTITION CONSTRUCTION
ITsble 9, L a H)
10 c 1 Wail IWith Openings)
2 Walls(With Openings) O X — J
3 Wells(With Opening%) or Ent Hal
I I TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This form Is wadable from The Hydronlcs institute 36 Russo Piece.Barkeley Heights,N J 07922