HomeMy WebLinkAbout21 Berle Road (11)FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: ( 0 1.74Pr
NO. TOWN OF SOUTH WINDSOR EST.COST: 9C
BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230
0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING C thereof - $10.00
XWX
5
OWNER ADDRESS TOWN PHONE NO.
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING 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: OIL-GPM GAS IN-PUT ELECTRIC KW
WOOD COAL /
OIL TANK - SIZE & LOCATION: INSIDE 'j/OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH)
4
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
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:
STATE LICENSE - NAME & TtPE #DATE SIG ATUR OF APPLICANT
dIAr_
APPROVED IJATt
BD 4A 11/88
I a B - R CALCULATION SHEET 1503 (Mod rn Method) Copyright 1977 by The Hydronlcs 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.U BTUH per Foot of
3 LENGTH EXPOSED WALLS, FT. Q Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN.FT.OF
Table 9, Line 3 x H)TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Bottom f table used f r Line 5)
7 CEILING CONSTRUCTION C
Table 9.L x W)
g FLOOR CONSTRUCTIONt D-
Table 9, L x W or Lin. F t) E
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)
G
10 _c 1 Wall(With Openings)G
H
Z Walls(With Openings) D X
3 Wells(With Openings) or Ent.Hall
J
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
COL.A - --_ _-- COL.B COL.H COL.1 COL_J COL.K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION1ROOM
AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.-
2 ROOM DIMENSIONS, FT f 1
DIFFERENCE
U
3 LENGTH EXPOSED WALLS, FT Q
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9, LIns 3 x H) TOTAL 20%
6 TYPE OF GLASS
Bottom f table used for Line 5)
7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON
GROUND OR FILL ATTable9, L x W)GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTIONI FEET OF EXPOSED EDGE
Table 9, L x W or Lin Ft)
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10 r_ 1 Wall(With Openings)
0
c Z 2 Walls(With Openings) o J
3 Walls(With Openings) r Ent Hall fe.
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This form Is available from The Hydronics Institute.36 Russo Place,Berkeley Heights,N J 07922 FORM 1503