HomeMy WebLinkAbout2063 John Fitch Boulevardf
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WIlVDSOR
PERMIT#
Application is hereby: 116BUILDINGDEPARTMENT
1540 SULLIVAN AVENUE Bldg.Permit#
4/D4
644-2511 ext. 230
Building Inspector
Application must be printed or typed
FEE SCHEDULE
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
APPLICANT PHONE#
N OWNEROWSFqOWNER ADDRESS
c
n.
07
O
OWNER PHONE
C ESTIMATED COST$1/ 7
A%W IS THIS A CONTRACT COST? j-4es No
FEE ENCLOSED$
TYPE OF JOB:
oOR-C ewnstallation
Alteration/Addition/Repair
i
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SWTEM: TYPE OF B13 G:
AEMEATING SIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE 7c OF DIFFERENCE '70 F
TOTAL HEAT LOSS(BTUH)(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH) C'*,!rT RATING(OUTPUT—BT
TYPE OF FUEL
OIL—GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY
Q-(jAS—INPUT aPG 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 y'
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.
CON C ORS LICENSE NO. TATE
SIGNATURE OF APPLICANT DATE
TR1160 RIGHT-J SHORT FORM 9-16-02
Job # :Htg Clg
For: Paul Tellier Outside db 0 90
2o6 Q.0 4.a. 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 1805 CFM Actual Cooling Fan 1805 CFM
Htg Air Flow Factor 0 . 034 CFM/Btuh Clg Air Flow Factor 0 . 053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 90
ROOM NAME AREA HTG CLG HTG CLG
SQ. FT. BTUH BTUH CFM CFM
old part 1225 42460 29897 1443 1599
addition 340 4548 1613 155 86
OTHER ADDITION 520 6114 2243 208 120
Entire House 2085 53121 33753 1805 1805
Ventilation Air 0 0
Latent Cooling 3572
TOTALS 2085 53121 37325 1805 1805