HomeMy WebLinkAbout20 Birch Road (4)DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby:BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE Bldg.Permit#
1d v2 J4, 1 644-2511 ext. 230 q q
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location ofJob-
C
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
Syr'
APPLICANT PHONE# &6
N OWNER C-k c
OV sly
4 OWNER ADDRESS r c r.cI /, c;
OWNER PHONE
C ESTIMATED COST$ o • c 3
IS THIS A CONTRACT COST? -,LN<Yes No
FEE ENCLOSED$
l r
s
TYPE OF JOB.
OR-C New Installation
OAlteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF YSTEM: TYPE OF BUILDING:
EATING SIDENTIAL
A/CLl COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
MRONIC W,RM AIR UNIT RADIANT HEATER
EXISTING RADIATION 7O ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE 41,HEATING EOTHPMENT(INCLUDING MAKE&MODEL NO.)
f4ill,
GROSS HEATING CAPACITY(INPUT-BTUH)_ U NET RATING(OUTPUT BTUH)
TYPE OF FUEL
@:IDIL--GPM OIL TANK LOCATION: .NSIDE 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.
CONTRACTORS LICENSE NO. L STATE
SIGNATURE OF APPLICANT- ,DATE `
RIGHT-J SHORT FORM
Entire House
Girouard Plumbing LLC Job: Mitch II resid nc 20
Birch Rd. 10/24/02
662 Graham Rd,S Windsor,CT 06074 Phone-860-644-1979
Project •
For: Bullock Co
123 Middle Rd., Ellington, CT
Design Information
Htg Clg Infiltration
Outside db (°F) 5 97 Method Simplified
Inside db (°F)70 75 Construction quality Average
Design TD (°F) 75 22 Fireplaces 0
Daily range M
Inside humidity (%) 50
Moisture difference (gr/lb) - 37
HEATING EQUIPMENT COOLING EQUIPMENT
Make n/a Make n/a
Trade n/a Trade n/a
n/a n/a
n/a
Efficiency n/a Efficiency n/a
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Btuh Latent cooling 0 Btuh
Low output baseboard 560 Btuh/ft Total cooling 0 Btuh
Total low baseboard 49 ft Actual cooling fan 0 cfm
High output baseboard 750 Btuh/ft Cooling air flow factor 0.000 cfm/Btuh
Total high baseboard 36 ft
Space thermostat Load sensible heat ratio 0 %
ROOM NAME Area Htg load Clgg load Baseboard (ft) Clg AVFft2) Btuh) Btuh) Low High (cfm)
Master bedroom 504 11976 0 21 16 0
Bedroom #2 180 4787 0 9 6 0
Bedroom #3 I 154 I 4644 I 0 I 8 6 I 0
Bedroom#4 168 4264 0 8 6 0
Bathroom 72 1513 0 3 2 0
Entire House 1078 27185 0 49 36 0
Ventilation air 0 0
Equip. @ 1.02 RSM 0
Latent cooling 0
TOTALS 1078 27185 0 49 36 0
s 71C)
o, r fezrlecS w v- oy o i,,s-,, / G , qu r fl
a/,000 r&e Net e% bc.scba CC 7oX F3o - _5 1 Zio 8t4-
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
i, wrightsoft Right-Suite ResidentialTm 5 0 28 RSR20089 2002-Oct-24 21.49:34
ACCK C Wy DocumentsWitchell res 20 Birch Rd rsr Page 1