HomeMy WebLinkAbout225 Abbe Road (12)DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
ki 644-2511 ext. 230 2
ate ilding Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
0-$1,000=$13.00 EYe—nant
Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof nation Apt.No.
APPLICANT
APPLICANT ADDRESS
5Ol//]Z/./ C PJ
APPLICANT PHONE#
0* N S f
OWNER 5,Z 0 9A /'_ low,
q OWNER ADDRESS A RX? !' ,?Q
12
0 OWNER PHONE
C ESTIMATED COST$'51,'C
IS THIS A CONTRACT CJOST? 0 Yes 0 No
FEE ENCLOSED$ YJy°
L
f1 r
s O
TYPE OF JOB:
UR.C 0 New Installation
jW Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
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) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)Z Ul
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 1 76 N101-1
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.
00 36 -Q-7 3 2C
CONTRACTORS LICENSE NO,,7,4 STATE
SIGNATURE OF APPLICANT DATE q ' Z f1/n
t
B = R CALCULATION SHEET 1503 (Modern Melhod) ^^Cooyright 1977 by The Hydronlu Institute -
OWN ADDRESS l of 0
OF-SIGNIGN TEMPERATURE DIFFERENCEF. DATE `r • k'
COL_A COL_ COL C COL D COL-E COL F COL_G
1 ROOM 2 /'
H WOHH H W I H L W Oeslyn Water Tsmp_ /
2 ROOM DIMENSIONS,FT. U xC Z 2 I BTU"per Foot of S<O
3 LENGTH EXPOSED WALLS,FT.CY I RadlallowSeleclae
4 WINDOW AND OUTSIDE DOOR AREA v_
oC I
u RTVH I BTUs STUH STUH I STUH
5 WALL CONSTRUCTION I w I 9 v I ,op 0DTable
C
Line 3 x H) US Il J
ROOM LIM FT- F
9.TOTALS RADIATION
6 1 TYPE OF GLASS r^/iln ODT I 3 0D I
FROM UNE12 SELECTED
Battonrot table,used for Line 51 19,60vQ CDT
7 CEILING C NSTRUCTION
03 I I _ i C / /6
Table 9.L x WI
III FLOORFLOORCONSTRUCTIONT C h//
O
Table 9,L x W or Lin.Ft.) i
C
v I 7 V I E
9 COLD PARTITION CONSTRUCTION I I I F
Table 9.L x H)
V
G
10 C 1 Wed(With Ooenin9s) c I! ym
o H_
c 2 Wells(WM Ooeningd j I I I I
3 Wells(With Ooenin9s)or Ertl Hall 1- I I
11(TOTAL STUH AT 7OF TEMP.DIFFERENCE- OQ is-
12 TOTAL STUN AT DESIGN TEMP.DIFFERENCE I K
L
3
COL A COLA -COL.H COL I COL_J COL.K COL LLTOTA STUN TOTAL -
OF BUILDING RADIATION
1 ROOM C AT SE D
O
LECTE
H L W M L W H L W H L W H L W OESIGNTEMT.•
OIF
2 ROOM DIMENSIONS.FT. U
3 LENGTH EXPOSED WALLS.FT.
WI4 NOOW AND OUTSIDE DOOR AREA
STVH RTUH BTU" STUH RTUH
6 WALL CONSTRUCTION INCREASE BATHROOM
Mobile 9.Line 3 st Hl TOTAL20%
6 -TYPE OF GLASS
Bottom of table used for Line 51
tFOR CONCRETE FLOOR•OP4; ~:
7 CEILING CONSTRUCTION GROUNDORFILLAT { =:
TabN 9.L x W) G RAOE LEVEL,USEUNEA I
s~
i-
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9.L x W or Lin.Ft.)
9 COLD PARTITION CONSTRUCTION
Table 9.L x H)
1 Wall(With 00en1n9a)
2 WNIt(With 00snin9s) c XeJ
3 Weds(With Opentn9s)at Ent Han F
11 TOTAL RTUH AT 7OF TEMP.DIFFERENCE'
12 TOTAL STUH AT DESIGN TEMP.DIFFERENCE
FORM 1503
This form Is aysllable from The Hydronlcs Institute,35 Russo Piece.9orksleY Hatahta.N.J.07922
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