HomeMy WebLinkAbout28 Amato Drive (28)DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
3 6l 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
0-$1,000=$13.00 FYenant Street Lot No.
Over$1,000=
13.00 per $1,000
or any fraction thereof nation Apt.No.
APPLICANT
APPLICAN ADDRESS
APPLICANT PHONE# 46 Zp—
0M1 N SF,q
OWNER
OWNER ADDRESS
U) a OWNER PHONE
C ESTIMATED COST$
IS THIS A CONTRACT COST?. Wes 0 No
ra FEE ENCLOSED$ /(.
OR CO
TYPE OF JOB:
EX New Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
eHTING RUE IDENTIAL
2tOMMERCIAL
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 OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIP T(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM OIL TANK LOCATION :INSIDE OUTSIDE CAPACITY
GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE G) OF INSIDE 'Jy OF DIFFERENCE Zy-''°F
TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
7—
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTIONSdsOFWORKT,vSi, t
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THE UNDERSIGNED HEREBY APPLIES FO A PERMIT TO PERFORM TITE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
36, ss-s S r /
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CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
1 ofRoom Afe5I C ---
3 Ruroila Ft of f?Mposrd Wall
4 Room Dimcnsions Ft
3 1 Ceiling HI FI r -
Of
117M Anew Btuh Area Mull - - Area -- MothOfOr
Exposttrc Ftlg OrClglength1*8 Clg` Or Hlg rig I.errglh Htg clg
6 Gross
Exposed
Wallsaod
Partitions
7 1 Windows and North
Glatt Doors aSouthZZQ
Other
8 Other Doors
z 9 NWalll ward f 3 8 a9ta
Partitions
to Ceilings Ios6 a
12 Infiltration HPM 1.3 .37 itltb68 U 8l3SobTotfilchLou=7+8+9+10+11+12
5 Ygm4' 14 Duct Btuh i.oss/Gain 10'/s
3SV$w IS EtTrcincylas9 23%
n
16 Lalatt Caia
17 Total Loss/Cairt=13+14+15+16
rrJ • f2'r /9/N 6nSE Q dAJ
r9rvD 50 gib G fl T L o.{1 j3'Grq vsc= a F'
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