HomeMy WebLinkAbout145 Benedict Drive (16)Ebk OFFIQE ONLY APPLICATION FOR RVAC PERMIT DATE:` - gS(
NO.
ZocvTOWNOFSOUTHWINDSOREST.COST: _q
BLDC.. PE T N0.1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
0 - $19000 - $10.00
644-2511 - Ext. 230 1000 or fraction
thereof - $10.00
LOCATION OF BUILDING /I/S' dg
77_2_0'
G eo4.-/ 4/S di,e,/ /a'
TOWN PHONE NO.
OWNER ADDRESS
13 e, S' S'
HVAC CONTRACTOR ADDRESS y 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 =BS•
HYDRONIC__Z WARM AIR
55
UNIT RADIANT HEATER (INCLUDING WOOD COAL BURNING STOVE)_
TYPE OF FUEL: OIL-GPM _ GAS IN-PUT _ ELECTRIC KW_
WOOD COAL
OIL TANK - SIZE & LOCATION INSIDE_ OUTSIDE CAPACITY
LPG TANK - CAPACITY 3 S,"
EXISTING RADIATION ADDITIONAL RADIATIONN`TOTAL RADIATION/moo
DESIGN TEMP. OUTSIDE F INSIDE ____°F DIFFERENCE_°F
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL N0.):1 V eL a La ' ,-+"
6e>ici- ' / ''
NET RATING (OUTPUT-BTUH)
GROSS HEATING CAPACITY (INPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE _ OF DIFFERENCE F
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 r rk and is tsuco mply
work.
with all local ordinances and State of Conn. Building Codes in the ps ance
FURTHER DESCRIPTION OF WORK:
Iw
STATE LICENSE - NAME & TYPE DATE SIGNATURE OF APPLi T
f Cr ht(
APPROVED ATE
I - 8 - R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydr nks Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
C L.A COL.B COL.C COL.D COL.E COL.F COL.G
1 ROOM
Water Temp.npHLWHLWHLWHLWHLWDesign D•
2 ROOM DIMENSIONS, FT.U lTUH per Foot of
3 LENGTH EXPOSED WALLS,FT.Radiation Selected
1 WINDOW AND OUTSIDE DOOR AREA U.
lTUH lTUH lTUH lTUH lTUH
9 WALL CONSTRUCTION ROOM LIN.FT.OF
Table 9, Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
IBottom I table used t r L Ine 5)
7 CEILING CONSTRUCTION C
Table 9, L x W)
g FLOOR CONSTRUCTIONI
Table 9, L x W or Lin F t) E
9 COLD PARTITION CONSTRUCTION F
Table 9,L x H)
10 C 1 Wall(With Openings)H
1 W ails(With Openings)5.0 D X
e J 1
3 Wells 1 W rth Openings)or Ent.Hall f.
11 TOTAL UTUH AT 7OF TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
COL.A _COL.B COL.H COL. 1 COL`J COL. K COL.L TOTAL BTUH TOTAL
OF SUILOING RADIATION1AOOMIzATSELECTED
p H L W H L W H L W H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS. FT f DIFFERENCE
U
3 LENGTH EXPOSED WALLS, FT
1 WINDOW AND OUTSIDE DOOR AREA LL
BTUH TUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9.Line 3 a HI TOTAL 20%
6 TYPE OF GLASS
Bott m t table used for Line 51
7 CEILING CONSTRUCTION fFOR CONCRETE FLOOR ON
GROUND OR FILL AT
Table 9. L x WI GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9.L x W or Lin Fit)
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 c I Wall(With Openings)C
0
2 Wells(With Openings)
3 Wells(With Openings) or Ent Hall
11 TOTAL BTUH AT 7OF TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This form Is evariabre from The Hydronics Institute 35 Russo Place,Berkeley Heights,N J 07922