HomeMy WebLinkAbout25 Brook Street (6)TOW Or SwTlt WY It EST.COSrt:
BLDG. PE IT NO.1540 SULLIVAN AVIXUE FEE
SOUTH WINDSOR, CT '0607
644-2511 - Fact. 230 0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING thereof - $10.00
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OWNER ADDRESS TOWN PHONE NO.
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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-PUT1 p:rie,U ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION_ ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE 6 MODEL NO.): (,AI41 L Ina, C 6-
VV G d QTC/ gelll-0 q v lot of 1/0 #116, %#511-,T Ad,,1 t
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 N0.):
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 thee" performance of such work.
FURTHER DESCRIPTION OF WORK: o jrc c, e.'J svGo z c rv c gs o Lor^ Ui_J7 GA-oiG-r
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STATE LICENSE - NAME TYPE # ATE S NATURE OF APPLICANT
E::3 OVED DATE
I = 8 = R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydr nks institute
OWNER AGGRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL A COL.B COL.C COL.D COL.E COL.F COL.G
1 ROOM E
0 H L W H L W H L W H L W H L W Design Waist Temp.
2 ROOM DIMENSIONS. FT.H eTUH per Fool of
Radiation Selected
3 LENGTH EXPOSED WALLS.FT.
4 WINDOW AND OUTSIDE DOOR AREA U.
eTUH BTUH eTUH BTUH eTUH
S WALL CONSTRUCTION ROOM LIN. FT.OF
TOTALi RADIATION
Table 9, Llna 3 x HI FROM LINE 12 SELECTED
6 TYPE OF GLASS
IB ttom f table used for Line 51
7 CEILING CONSTRUCTION C
Table9. LxW)
g FLOOR CONSTRUCT10Nt E
Table 9. L x W or Lin F t)
9 COLD PARTITION CONSTRUCTION F
Table 9. L x HI G
10 C 1 Wall IWIth Openings) H
0
c+ 2 Walls(With Openings) o X 1
J
3 Wells IWllh Opening%)or Ent. Hail t-
11 TOTAL UTUH AT 7OF TEMP DIFFERENCE'K
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE L
COL.A COL.9 COL.H COL.1 COL.J COL. K COL.L TOTAL BTUH TOTAL
OF •UILDIN RADIATION
AT SELECTED
0 H L W H L W H L W H L W H L W DESIGN TEMP.*
DIFFERENCE
2 POOM DIMENSIONS. FT U
3 LENGTH EXPOSED WALLS. FT.
4 WINDOW AND OUTSIDE DOOR AREA
STUH BTUH BTUH BTUH STUN
INCREASE BATHROOM
5 WALL CONSTRUCTION TOTAL 20%
Table 9.Line 3 x HI
6 TYPE OF GLASS
Bottom f table used for Line 51 tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUND OR FILL AT
Table 9. L x W)
GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGE
B FLOOR CONSTRUCTION(
Table 9.L x W or Lin Ft l
9 COLD PARTITION CONSTRUCTION
ITable 9. L x H)
10 c 1 Well(With Openings)
2 Wells(With Open-ngd p X — J
3 Wells(With Openings) Or Ent Hall le.
11 TOTAL BTUH AT 7OF TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM )503
This form Is available from The Hydr nice Institute 35 Russo Place,Berkeley Height%,N J 07922
IN PECTOR DATE TIME
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LOCATION P
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
bVeifj
ELECTRICAL:
PLUMBING:
HVAC:
y
OTHER:
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