HomeMy WebLinkAbout138 KELLY RD APPLICATION FOR HVAC PERMIT
DE;Applic
TMENT DE ION TOWN OF SOUTH WINDSOR PERMIT#
b . BUILDING DEPARTMENTAP R 1540 SULLIVAN AVENUEBldg.Permit#
644-2511 ext. 230
Date 1 ing Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
�i
$0-$1,000=$15.00 /3 S rj_,,<��
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 5nrry St'n%rh S,",tti ft7eC b.*,u, cwL t,lc
APPLICANT ADDRESS 11
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APPLICANT'S PHONE# 9&6 20 4' 7N70
OWNER
q�W N S fq< OWNER ADDRESS 1,3G✓.`•�Sor
d160
OWNER PHONE gG D 4:;yy 9s 7
O ESTIMATED COST$ l2f 0 UO
U IS THIS A CONTRACT COST? f"Yes No
FEE ENCLOSED$ .CPC
�fi 4,Q TYPE OF JOB:
SOR,CQ�� New Installation
Alteration/Addition/Repair
O
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
lid HEATING W RESIDENTIAL
❑ A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
® HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE 70 o TF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH)�QD7 OF(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 OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY
X 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 4 t
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.
5'r 30 ? 4�6
CONTRACTORS LICENSE NO. TYP STATE
SIGNATURE OF APPLICANT DATE A q Zp 'L
• f
S/ant1Fn, Ex� chronic C((rer
� p
Job Name:138 Kelly Customer:AMERICAN INTEGRITY Engineer: Salesman:Mark Rossignol
Address: 138 kelly City:South Windsor State:CT Zip: Phone:
Indoor Design Temperatu7&}0 Outdoor Design Temperati.00 F Altitude (Elevation): 0
HEAT LOSS CALCULATIONS
1st Floor
Room 1 Room 2 Room 3 Room 4 Kitchen Room 6 Floor Totals Job Totals
Room Height(ft) 8.00 8.00 8.00 8.00 8.00 8.00
Room Length(ft) 11.00 8.00 8.00 8.00 20.00 20.00
Room Width(ft) 11.00 12.00 10.00 13.00 10.00 10.00
Doors&Glass(sq ft) 6.00 24.00 6.00 14.00 45.00 45.00
Door&Glass Factor 0.6500 0.6500 0.6500 0.6500 0.6500 0.6500
Exposed Wall Length(ft) 22.00 12.00 10.00 21.00 30.00 30.00
Exposed Wall Factor 0.1000 0.1000 0.1000 0.1000 0.1000 0.1000
Cold Partition Length(ft)
Cold Partition Factor
Ceiling Factor 0.1100 0.1100 0.1100 0.1100 0.1100 0.1100
Floor Factor 0.0900 0.0900 0.0900 0.0900 0.0900 0.0900
Infiltration Factor 0.0270 0.0270 0.0270 0.0320 0.0270 0.0270
Indoor Temperature(F) 70.00 70.00 70.00 70.00 70.00 70.00
Heat Loss(BTU/HR) 4,9871 4,3921 3,1211 5,0351 9,2371 9,2371 36,0091 36,009
BASEBOARD SELECTIONS
1st Floor
Fine/Line 15(lin.ft.) 9.5 8.0 6.0 9.5 17.0 17.0 67.0 67.0
selected
Fine/Line 30(lin.ft.) 9.0 8.0 5.5 9.0 16.0 16.0 63.5 63.5
selected
Multi/Pak 80(Iln.tt.) 7.01 6.01 4.5 7.01 13.0 13.01 50.5 50.5
selected
.1- Copyright(C)2000 Slant/Fin Corporation 100 Forest Drive Greenvale, NY 11548 (516)484-2600 www.slantfin.com
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1200436 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 11/02/12
GIS ID:49500138 FEE: 180.00
MUN1S APPLICATION# 201201451 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: AMERICAN RENOVATION LLC ADDRESS: 138 KELLY ROAD
ADDRESS: 309 BROOKFIELD ST., '; OWNER: PION THOMAS J&ROSELYN A
S WINDSOR,CT 06074-I205 138 KELLY ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: HEATING SYSTEM AND GAS LINE.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
1 1/2/2012 12:56 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE