HomeMy WebLinkAbout2045 John Fitch Boulevard (3)DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby: 1-4/BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
4644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
om- kid L 4 sz
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
3
APPLICANT ADDRESS
i
APPLICANT PHONE#
000 W N OWNER
AtFq OWNER ADDRESS
00lc 6c
0 OWNER PHONE
C ESTIMATED COST$
3
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ 0
TYPE OF JOB:
SOR.CO New Installation
Alteration/Addition/Repair
t
Revised 410IH2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF S TEM: TYPE OF BUILDING:
HEATING SIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC ARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE Z°F DIFFERENCE F
TOTAL HEAT LOSS(BTUH HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&M DEL NO.)
GROSS HEATING CAPACITY(INPUT BTUH)-MLZ-,D NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
OI PM OIL TANK LOCATION :INSIDE OUTSIDE CAPACITY
M-15A'S-INPUT papG 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.)
p
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM)_RESH AIR INTAKE(CFM)
PLANS MUST ACCOMPANY APPLICATION)
F WORK e QL GZ uFURTHERDESCRIPTION• t C
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.
a ---c2c)s 10000
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
s
TR1160 RIGHT-J SHORT FORM 9-16-02
Job #:Htg Clg
For: Paul Tellier Outside db 0 90
2045 John Fitch Blvd. Inside db 70 75
S . Windsor CT Design TD 70 15
Daily Range M
Inside Humid. - 50
By: CENTRAL HEATING COMPANY Grains Water - 35
Const . Quality a
of Fireplaces 0
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Model Model
Type Type
Efficiency / HSPF 0 . 0 COP/EER/SEER 0 . 0
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Deg F
Actual Heating Fan 1011 CFM Actual Cooling Fan 1011 CFM
Htg Air Flow Factor 0 . 019 CFM/Btul-: Clg Air Flow Factor 0 . 053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 87
ROOM NAME AREA HTG CLG HTG CLG
SQ. FT. BTUH BTUH CFM CFM
old part 1225 5768 17447 863 933
addition 340 7847 1466 148 78
Entire House 1565 53615 18913 1011 1011
ventilation Air 0 0
Latent Cooling 2910
TOTALS I 1565 3615 21824 ( 1011 I 1011