HomeMy WebLinkAbout258 Benedict Drive (11)C,
SOR OF7ICX USE ONLY APPLICATION FOR HVAC PERMIT DATE:
NO. TOWN OF SOUTH WINDSOR EST.COST: 1,6re D
BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE ,2 -
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230
0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDINGsf thereof - $10.00
OWNER ADDRESS TOWN PHONE NO.
7 iZt c Z" -l ' li c
HVAC CONTRACTOW ADDRE6 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 /r(? GAS IN-PUT 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 OF
TOTAL HEAT LOSS (BTUH)
0 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 & TYPE #DATE SIG ATURE OF APPLICANT
C
J/?"
APPROVED 6ATE
I - 8 - R CALCULATION SHEET 1503 (Modern Method)
Copyright 1971 by The Hydronks Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL A COL.0 COL.C COL.D COL.[ COL.F COL.G
1 ROOM
S
O H L W H L W H L W H L W H q W Design Water Temp.
2 ROOM DIMENSIONS, FT.1'
U BTUH pw Fo 1 of3LENGTHEXPOSEDWALLS.FT. t Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA to
5 WALL CONSTRUCTION
BTUH BTUH BTUH BTUH BTUH
Table 9, Line 3 x H) ROOM LIN. FT.OF
TOTALS RADIATION6TYPEOFGLASSFROMLINE12SELECTEDIeOttOrroftableusedfrLina5)
7 CEILING CONSTRUCTION
Table 9, L ra W)C
0 FLOOR CONSTRUCTIONt Cl-
Table 9, L x W Or Lin F t)
E
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)F
10 G 1 Wall(With Openings)O G
C 2 Walls(With Openings) DX H
J
t3WellslWIlhOpenings)Or Ent.Hall fie,
11 TOTAL UTUH AT 7OF TEMP DIFFERENCE' J
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
L
COL.A _ -_- COL.B COL.H COL.I COL.J COL. K COL.L
TOTAL BTUH TOTAL1ROOMOFBUILDINGRADIATIONItATSELECTEDOHLWHILWHLWHLWHLWDESIGNTEMP.•
2 ROOM DIMENSIONS. FT DIFFERENCE
U
3 LENGTH EXPOSED WALLS, FT i
4 WINDOW AND OUTSIDE DOOR AREA LL
5 WALL CONSTRUCTION
BTUH BTUH BTUH BTUH BTUH
liable 9, Llne 3 x HI INCREASE BATHROOM
6 TYPE Of GLASS
TOTAL 20%
Bolt m I table used I r Line 51
7 1 CEILING CONSTRUCTION fFOR CONCRETE FLOOR ONTable9, L x W) GROUND OR FILL AT
g FLOOR CONSTRUCTIONt GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGEiTable9.L x W or Lin Ft 1
9 COLD PARTITION CONSTRUCTION
iTeble 9. L x H)
10 c 1 Wall(With Openings)O
0
2 Walls(With Openings!X
J3Wells(With Openings)or Ent Hall r-
11 TOTAL BTUH AT 7OF TEMP DIFFERENCE*
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This form Is avaiiebse from The Hydronics Institute 35 Russo Piece,Berkeley Heights,N J 0)922 FORM 1503
INsSPECTOR DATE Z"/ TIME
r-
LOCATION C
INSPECTION: CODE: RESULT(D/A) :
L•
i
BUILDING:
ELECTRICAL:
PLUMBING:
1HVAC:
OTHER:
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