HomeMy WebLinkAboutBuilding 24 Arthur Drive (7)DEPARTMENT DECISION PERNUT#
APPLICATION FOR HVAC PERMIT 161
Application is hcreb,%--. TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED1540 SULLIVAN AVENUE
644-25 11 ext. 230
Date Building Inspector Application must be printed or typed
Location ofjob
L."V-t PLIYE
Streit No.N Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1.000
12.00 per$1,000 OWNER
or any fiwtkm drereof
ADDRESS Da L LXlt V1
OWNERS PHONE#J'& 61 Ro 9 ,
w -
j-
I 11A rCqA f?JW 1 Aty)r
APPLICANT a-e.rLJ'- AA
OWN SFq ADDRESS< A o LL
Ji QC) v mot.
0 C)ESTIMATED COST $ /000
40.
IS THIS A CONTRACT COST?
YES AO
FEE ENCLOSED $
R-CO TYPE OF JOB:
Original InstalIation,
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
I]EATING
STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
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 NO.)
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT GAIN(BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
TONNAGE_2S COOLING CAPACITY(BTUH)_2-"0 C)
VENTILATION
DESCRIBE ALL AIR HANDLING QUIPMENT INCLUDING KITC N EXHAUST EQUIPMENT)
C lt v p C e L
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK G e 0 Uj N t vL-
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES YJ THE
PERFORMANCE OF SUCH WO
wo L\
STATE LICENSE-NO. NAME&TYPE L9GNATUld O APPL
PHONE NO. 6O 0q DATE4ZW