HomeMy WebLinkAbout21 Dawn Drive (3)7ApplicatioRTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
y:
TOWN OF SOUTH WINDSOR NO yBUILDINGDEPARTMENT r
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
i
Date B i ing Inspector
Application must be printed or typed
Location of Job-
FEE SCHEDULEE P+W$
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
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3
APPLICANT
APPLICANT ADDRESS
APPLICANT PHONE#
OWNER
SOW N SFq
p, OWNER ADDRESS
w OWNER PHONE
Cc)
ESTIMATED COST$
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
TYPE OF JOB•
SOR-C ew Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF B G:
HWING SIDENTIAL
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) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
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
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
PERFO NCE OF SUCH WORK.
CONTRACTORS LIC -NIOL, TYPE E
SIGNATURE OF APPLICANT DA 5
ST
02/06/2003 14:48 8606233148 LITCO EW
RIGHT-J SHORE' FORM
Entire House
Your Company Name
Your ConWWy Addle",YourGlty,ST90OW)M Phone:M-5W1212 Fmc WW566.2121
Project Information
Design Information
H1t9 CI0 Inflltratlon
Outside db(OF)17 91 Method Simplified
Inside db(OF) 70 75 Construction quality Average
Design TD(°F)53 15 Fireplaces 0
Daily range M
Inside hum,d4(°16) 50
MoWture difference(96Ib) - 35
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Efficiency 80.0 AFUE Efficiency 0.0 EER
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Stuh Lated cooling 0 Btuh
Heating temperature rise 0 °F Total cooling 0 Btuh
Actual heating fan 1921 cfm Actual cooling fan 1921 Cfm
Heating air flow factor 0.028 cf n/Btuh Cooling air flow factor 0.048 cfm/Btuh
Space thermostat Load Sensible heat ratio 84 %
ROOM NAME Area Htg bad Cig bad Htg AVF Glp AVF
ft Stuh) Btuh) cfm) cfm)
KITCHEN 120 2282 2770 64 133
DINNING ROOM 168 4864 2882 136 138
LIVING ROOM 308 7040 2825 197 136
FOYER 100 2933 1312 82 63
OFFICE 240 6281 3492 175 167
NEW ROOM 672 14043 8683 392 415
MUD ROOM 200 7171 4782 200 229
JUSTIMS ROOM 132 2591 1075 72 61
MICHAELS ROOM 154 4013 2265 112 1.08
MASTER BEDROOM 532 11687 6153 326 294
MASTER.CLOSET 150 3037 1284 85 61
BATH 50 2831 2622 79 125
Printout certified by ACCA to most all requiremerb of Manual J 7th Ed_
1/1/r 1 7t I RVA-Suifa ReWdd(rtMl'm S.d.30 RSR30338 2003f ob-06 10,41:31
pap 1
AADON gOLjCHARD-MOWARD MALE-eir
02/06/2003 14:48 8606233148 LITCO EW PAGE 02
Entire House d 2726 68772 40146 1921 1921
Ventilation air 0 0
Equip. Q 0.96 RSM 88640
Latent cooling 7706
TOTALS 1 2726 68772 46245 1921 1921
Printout c ertll`W by ACGA to meet all regclirements of Manual J 7th Ed.
WrightSCYft RW-Suite I @BMAWTM 5,0.30 RSR303M 2003-F*461041:31
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