HomeMy WebLinkAbout2281 Ellington Road (3)DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is TOWN OF SOUTH WNDSOR111176BUILDINGDEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
6.-, 644-2511 ext. 230 2 F 7 5-3
Date B d' g 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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 4 I- on t4P S-o N
APPLICANT ADDRESS G'
APPLICANT PHONE#s
W N S OWNER l if Z ln. 1 A J 1 1
4 OWNER ADDRESS Z.2 ' -L L hJ_
S 07 A
OWNER PHONE
C MID ESTIMATED COST$
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
TYPE OF JOB:
sOR-C New Installation
l
t/Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF WSTEM: TYPE OF BUILDING:
HEATING UIRESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
aYDRONICTEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
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)
DESCRVE ALL HEA G EQ PM1 NT(INC AKE&MODEL NO.)
a ayea
GROSS HEATING CAPACITY(INPUT-BTUH) 1,,Nt O6 v ET RATING(OUTPUT BTUH) / 0T
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
PERFORMANCE OF SUCH WORK.
007
1 l
CONTRACTOR LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE,
ALLIED PLUMBING SUPPLY, INC,
I 14 FRANCIS AVENUE
1 =s 8== R CALCULATION SHEET 1503 (Modern Method) HARTFORD, CT 06106-2101'
OWNER- 2.. ADDRESS 8/ : lle4lra • 1 o' 400M—d - DESIGN TEMPERATURE DIFFERENCE-1—F. DATE v
COL.A COL.9
r
COL.C COL.D COL.E COL.F COL.G
1 'ROOM CC le vi A
O H L W H L W! H L W H L W H L W Design Water Tamp.
2 ROOM DIMENSIONS,FT.i A 2 p 6TUH par Fo totU
3 LENGTH EXPOSED WALLS,FT. Q Jr Radiation Selected s
d WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION QTable9,LIn 3 x H) 0 3 S O ( O 0 0 6 Q TOTALS RADIATION
8 TYPE OF GLASS FROM LINE 12 SELECTED
bottom pf table used for Line 5) to 7 0 0 3 o v S O 0 S 6 0 s 470
7 CEILING CONSTRUCTION
p Co C Ov A
IT able 9,LxW) O1 / ! 0 C7 00 000 O Gv p 0
D ISOCJ .
8 FLOOR CONSTRUCTIONI r x ('-' j
Table9,LxWorLin.Ft.) u
7. )Soo 6 J 0 0 % 700 E 860rr
91 COLD PARTITION CONSTRUCTION F
Table 9,L x H)
r
p
C y1oc
10
1cp
1 Wall(With Openings) 0
3 0 0 0 f Q Q -Xs zoo O Q 0 H O d 3
1r., 2 Wells(With Openings)e X
b 3 Wells(With Openings) or Ent.Hall
J 1 L. 7 OO
J
11 TOTAL BTUH AT 70F TEMP.DIFFERENCE* U Q
K12TOTALBTUHATDESIGNTEMP. DIFFERENCE s D 2 O 61,o d
L
S'KE0 v o
COL.A COL.8 COL.H COL. I COL.J COL. K COL.L TOTAL BTUH TOTAL
ADIATION
1 ROOM O
OF BUILDING
SELECTED
O H L I W H L W H L W H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS,FT. I. c
DIFFERENCE
3 LENGTH EXPOSED WALLS,FT. Q
7
37
4 WINDOW AND OUTSIDE DOOR AREA a
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9,Line 3 x H) 0 0 yo TOTAL 20%
6 1 TYPE OF GLASS
Gott m f table used for Line 5) 300 3000 t FOR CONCRETE FLOOR ONICEILINGCONSTRUCTIONGROUNDORFILLAT
Table 9,L x W)0 0 r O GRADE LEVEL,USE LINEAR
8 FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9,L x W r L in.F t.)
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 1 Wall(With Openings) Q
c w 2 Wells(With Openings)n X
pJ3Wells(With Openings) or Ent.Hall I. Q
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE*
12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE b 0 Cr 3 O 0