HomeMy WebLinkAbout206 Bourbon Street (5)i 1
DEPARTMENT DECISION APPLICATION FOR-HVAC_PERMIT__-
Application is hereby:TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT U
APPROVED--., 1540 SULLIVAN AVENUE Bldg.Permit#
e
G f 644-2511 ext. 230 aq $
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE p
Location of Job:
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS L
APPLICANT PHONE#
OWN S F
OWNER 7 a.c \!E Wo,\ \ C
OWNER ADDRESS C,
S A —' 7
f OWNER PHONE Z. g Z05
C ESTIMATED COST$
IS THIS A CONTRACT COST? Yes No
0 0
FEE ENCLOSED$
TYPE OF JOB:
OR-C New Installation
VAlteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF YSTEM: TYPENFBUILDING:
HEATING RESIDENTIAL
A/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 OF
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
V CA
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 Vl e CkA 2—cl C,1 L1, n:a
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 z DATE
I
Coer•16n1 1977 by Tn•Hydeonrc•Institute
p . 9 a A CALCULATION SHEET 1503 (Modern Mothod)
OEtI N TEMPERATURE OIFf[RENCE f DATE.
ADDRESS C L.At COL G
OWNER COL. C COL.O
C L.A
9 Jillr-,o
N w
L w ti L » •
TUN
L
o••Itw Wallet TTilla.
L W N
1 ROOM O N L W Dfloorf1 •1
U
Z / R•11•llaw s•1•cl•
ROOM OIIAGNSIONS.FT. U
2 LENGTH EXPOSED WALLS.F.LAll TUN
AND OUTSIDE DOOR AAEA STUN TUN
4 wit OIM STUN STUN ROOM LIN. FT.OF
T TAL6 RADIATION
CONSTRUCTION D
FMOM LINE 12 SELECTED
S WALL
8 U D/•,, / i T•oI•ti.Ltna]a Nl
3 V C I-T-I t rPE OF GLASS
t• tool 1 taMa lead I .L li sl
h
C.,Los CONST RUCTION O gO v
D
1 T at•la.L a Mll
j iLOO11C NSTAUCTI N/f
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C t01J RtITI N CONSTRUCTION
1TaWo9.L a off
N
It 1 wgP1rM111;wopoa IM1
i
MYraIM11"W J J
Z S NMts ttN•NtORNMwS•/o.[t L NMI
O K
It ta,AL WTUH AT 76P-T911AP OAF FE FIE NCE• L
1? TOTAL TtJM AT DESIGN TEM1. DIFFERENCE s
COL J COL. K COL.L TOTAL STUa1 TOTAL
COL.•COL.AT SELECTED
L_A
M_- w N L w 09SIGN T[MP.•
1 AO M G H L W N L ry r/ L w N L OIf tRtNCE
ROOM DIMENSIONS.F t U
41
t- W
ls xp"JIDWALLS. FT. 4
IM AND LITSI E DOOR AREA STUN IITUM STUN
TUN STUN INCREASE BATHROOM
TOTAL 20%
CONSTRUCTION
O.Low]a MI IfOA CONCRETE FLOOR ON
i LASS GAOUNO OR FILL AT
lEl ttonsel ta01•oW lo• 1+•SI RAGE LEVEL.USE LINEAR
FFL
G CONSTRUCTION
FEET OF EXPOSED EDGE
9.L a wI
CONSTRUCTIONt
L awe• Lift PSI
9 COLD PARTITION C NSTRUCTION
1 T•eta•.L a I41
0 I WON twsth OPM•M•1
e; 2 wales 1ws•w P•n••• o
wale•twn/.OP••s•n6s 04,E no tall
TOTAL STUN/AT 700 TEMP DIFFERENCE' FORM 1501
12 TOTAL •TUM AT DESIGN TEMP DIFFERENCE -
This teen.I•..'•.p••1•o•n The NCO• nlc•In•ulut• 36 R..•w Ilac•.S••••r Ne`II. N J O)f?2