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HomeMy WebLinkAboutCentral A/C and Heat Pump 2015 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860)848-7231 MECHANICAL PERMIT Permit Number:M2Q15_0j00 Date: 07-.1u1-15 Map/Lot: 0281.005-081 Owner ID: 5359000 Project Location: 2 PARTRIDGE HOLLOW Unit: Job Description: _InsfallJhree TQD CarQeLContratALCSvsteniai_o_torD_u_c ess_RePLEurrta Owner Nam Robert w &Michelle M.'don Tenant Name N/A Careof: 2 Portridne Hollow _Clakctale CT _06370- Telephone: 18601892-8403 Applicant Name _AIlnn /Pus Telephone: 0031315-0323 DBA:._Air.Inc. Lic/Reg Type Sl Lic/Reg N 391442 1Z]Short BQad: Raad Exp Date: 31-Aua-15 Branford SL 06405- remish fetiio2jaiu Ilen it Faces Constalcti_n4 lnfnrmn inn Building Value: S0.00 Building Fee: S0.00 Use Group: IRC Plumbing Value: S0.00 Plumbing Fee: MOO__ Code: 2005 State Building Code Mechanical Valu S24.021.00 Mechanical Fe S3OO_0Q Electrical Value: S0.00 Electrical Fee: SQ,{t0_ Construction Type IRC Total Value: S24.021_00 Penally Fee: $0.00 Permit Code: R5 C of 0 Fee: SHOO Comment Plan Review Fe SI1.00_ State Ed Fee: 55.25 Total Fee Paid: S306,25 It shall be the"owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0 ❑ Framing R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation Q e "cate of Approval • ertificate of Occupancy _Building Offic laps Ao v • - I Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: (Yll ' bL Type of Work Occupancy Type Permit Type ❑ New Construction .Ingle Family ❑Building ❑Addition LI Two-Family ❑Plumbing ❑Alteration ❑Townhouse jElailechanical ❑Accessory Structure 0 Electrical CRS#: Property Address: � P-4/z 7-7/2. is/ca Ak,�LG�w` (Number) (Street) (Unit) Job Description: /•) -S r'-3 4-4- 3 r1' ,: z :1 �,� r_-ar4 L A / <-5 f 5 4 A. r�i 7-5 i71/ Tc � c r- Owner: .✓l1/ -//.4 . ,E r o.) A �-� /-<o 4<R r 4 v� Address: (;Z / A12 %n i.ow /`fes LLeu, City: 43/4 K 7)-4 State: C T Zip Code:G6. 3 I Telephone( Ye-Gu ) g _ `f 03 Applicant: 1-11141.S DBA: -4 -'- . Address: / / r 51,1 cis /<2a.4 / City: � 72.A •'c6 State: C7— Zip Code: e.c.d 4-/6 `; Telephone('-q01 )3 1 5=C3. -S Contractors - Complete the Following: License Type: /7 T( License No.: i`‘/`/LI 9, Expiration Date: V"- 3 i-/5 I hereby certify that the proposed work will conform to the State Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner gen Signature: rl l/V��x Date: ! "l Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: 1Plumbing Fee: Mechanical Value: f�� .94/ 6' Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: &vise&AZugust 23,2007 Town of Montville Building Department File Receipt Date: 06-Jul-15 ReceiptNo: 10514 Received From: Connecticut Permit Services Job Address: 2 Partridge Hollow Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $306.25 State Check: $6.25 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $24,021.00 Demolition Value: $0.00 CheckNo: 3537 Received By: Carmen Kneeland eal m . Address: 2 Partridge Hollow ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ - $ AMENITIES Kitchen EA $ - $ Full Bathroom EA $ _ $ Half-Bathroom EA $ GARAGE Detached SF $ 71.53 $ - $ MECHANICAL Warm-Air n WN _ Hot Water n Y/N $ - Electric n Y/N $ Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ Subpanel EA $ 699.00 $ Gen Set EA $ 3,850.00 $ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonryw/tfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ Inground Pool EA $ 31,550.00 $ - $ Above Ground Round EA $ 6,299.46 $ - $ Above Ground Oval EA $ 7,019.75 $ - $ Pool Heater EA $ 8,984.25 $ - $ - Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS $ 24,021.00 TOTALS $ - $ - $ 24,021.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ _ $ - Mechanical y $ 24,021.00 $ 300.00 Electrical y $ _ $ Working before Permit Issuance $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 6.25 TOTALS $ 24,021.00 $ 306.25 Figures are based on the 2006 RS Means Residential Cost Data • • � �- � a1 ..m • : � . ;� y. 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AO: .7,)' �:ir" '•lptiy�` w:: a%Yu;: ••.l;l` 5�1' t..k%: •d, 'w�•.. \ .i• \ 01-14-'15 08:27 FRON- T-146 P0002/0002 F-569 _ AIRIN-1 OP(P A A DAT4IM�BrrrrY) CERTIFICATE OF LIABILITY INSURANCE • ovPi2ols THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS Y AMEND, ND BELOW.CERTIFICATE THIS CERTIFICATE NOT ATEFIRMATIVELY OR OF INSURANCE DOES NOTLCONSTITUTE AECONTTRACT COVERAGE BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE:Oft PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the ttermo and conditions of(oe certificate hpollier icy,ls an certain p°Heilos may reclaim,anlendorsement. A statements)must r0r6dt10s certifieOGATION IS a(o doos not`confer rightS'to Tho • cortlfleafo holder In lieu of such ondorsoman((s). PRODUCER NM coNtreACT Lori Alldredge The Rawson Group PRONE 203-481.13698 1 tw,Ito(:203-40i-5077 31 Business Park OrIVO tive��.' +1: Branford CT 00405 i. (aria awson.00m__ ggon_,li�; p Joseph tjOndas INSURER(s)ATFORDINO COVERAGE _IIAIC k IHsuRERA:BERKLEYNM'UNDERWRITERS INSURED Air,Inc, INSURER0:New Hampshire 3nsur`dnte Co _.• 171 Short Boach Rd INsuRERc:Wesco InsuranGo Go Branford,GT 06465 , INSURER CI •. •. .. INSURER E: ..._ INSURER F: •• COVERAGES CERTIFICATE NUMBER: R_�SION NUMBER: THIS IS TO CERTIFY THE POLICIES INSURANCE BEEN TODOCUMENTNAMEDPOLICY INDICATED. NOTWTHSTAINANYREQUIREM ,TERM OR CONDITIN OFANY CONTRAoR OTHER WIH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDEO:BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS QF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IIi5R 'U, -1: P.LICYEFF POLfCYEXP LIMITS ' CM TYPE OF INSURANCE ,, at/. POLICY NUMBER im,ee[ YYYY) ,IIINJDOIYVYYI 1 OBDOOO C X QQMMERCIALGEHERALuaBILiTY EACHOCCURRENCE S ,� CLAI!AS-MADE X OCCUR W113100171601 01/1512015 0111512016 ORE Sf(U'R,o..Y(uttnnroI 5 100,OQd MEDF�(PWYOfODSrSOnI s ' 0,000 PERSONAL&ACV INJURY 5 1,000,000 -""'-T GM,AGGREGATE LIMIT APPLIES PER z,000,000- I GENERAL AGGREGAYE 5 ,2,000,004 1 POLICY PEO. [LOC PRODUCTS-COMPIOPAGO 5 S ( OTHER! GOMBI!EDeir7GI.�LgtK $ 1,000,000 AUTOMQEILE UACIDTY (E.)Occ.deng C X ANY AUTO WPP10UT71601 01/1512015 0111512016 noire S ALL OWNED SCHEDULED scoot INJURY(PcrPcddcnI) 5 AUTOS AUTSHON-OWNED PROPERTY OAIMGE E ,. HIRED AUTOS AUTOS (PN 2rrJdrnq $ }( UMBRELLA LIAO X OCCUR EACH OCCURRENCE F 1,000,000 5 EXCESS IAD Cl,Alhl$-('ACE KS3717444 01(1512015 0111512016 AGGREGATE E 1,000.000 OEO I X I RETENTIONS 10000 $ ,,.•— WORKERSCOMPENOATION X I9 krom I I Eta ACID EMPLOYERS`UAUIUTY Y I(ISOO,000 A ANYPROPRIETOWPARTNER/EXECUTIVE BNUWC0122771 01115/2015 01/1512010 E.L.EACH ACCIDENT $ OFFICEl�1EMEEREXCLUDED1 NIAE.LDISEASE,-EAEf�IPLOYEE S Soo,Do(Y (la?hdalory In Nll) 50000� I(yyees.du:aibounder E.L.OISFASE-POLICYLIMIT 3 OESCRIPySeetTION OPEFD.710N6hrlovrion WPP1009716D1 C Property Sect01/1512015 0111512015 Building 312,000 Contents 135,540 • DESCRIPTION OFOPEMT101s/LOCATIONs1VEHICLES(ACOR0101,AddlllonalRomarks5chadulo,may bcattacRodllmoroepacaIs,raqu(rad) CERTIFICATE HOLDER CANCELLATION EVIDENC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLER BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of insurance _ .. AIJTIIORIZED REPRESEtIrATNo JosephkTendas (01900.2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014101) The ACORD name and logo aro registered marks of ACORD Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. /`Ji T .G ,C A/a 4.-e IC) Property Address �� f i- -4/C- S `/S r-r Job Description Required Department Permit I suance Approval Approval Tax Collector 1 r 'C h^---e I b I/ S Signature/date Comments: Planning & Zoning 6,_ 7A, or-- _ / (C� Signature/date Comments: /•J Fire Marshal �,_,.� - K \4 ,{�Ihl' Signature/date Comments: ❑ ?i\A Health Department Required for properties with private septic or well Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: n Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: I 1 State Dept. of Transportation Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Review Complete Signature/date ?Revised May 23,2011 ,ski/14„ _ License S1 391442 Air Heating & Air Conditioning 171 Short Beach Rd. Branford, CT 06405 Phone (203) 315-0323 Fax (203) 315-0344 DATE: TO: /tilc).v -- v: 4 4 4 ATTN: Town Building Inspector RE: PERMIT AUTHORIZATION LETTER Dear Sirs: In accordance with Public Act 91-95, this letter serves as written authorization and notification that Connecticut Permit Services,Inc. and it's employees and agents have the authority to represent us in the procurement of permits and pertinent documentation on our behalf. This letter or a photocopy thereof may be regarded by any building official as it's authority to recognize Connecticut Permit Services„ Inc. as our authorized Agent to sign on our behalf applications for permits and any other related documents that may be required by you, and we agree that, for all purposes,we and not Connecticut Permit Services, or it's employees and agents shall be deemed to be the signer of any such applications and related documents. Project Type: /4, 5 ; c9 4/& s Location: . �t �4_6 %,.z, ,� A.v o 'Giv P�1-4-14 11,1/4 e-3,7/‹.(0,44-e. � 9 • — &)LI Authorized Agent Connecticut Permit Services, Inc. . 1W-A0 CAU Service Agent Name Very truly yours, g. j-1 - 3 - y% Licensee Signature Printed'Name & License Number Air 9nc. t Mechanical Permit Request Form 171 Short Beach Road .-4 Branford, CT 06405 1, ` -' �:j ) r 3 � :I{i,, Date of Request: I ! I A, 203-215-0323 Phone f : t „ Date Needed: 203-215-0344 Fax Heating€3 Alit ComilitEonaiiing project Start Date: Type of Work to Be Performed: I n.3"ft": 1 1 Cell -( 01 C --F- I ('n.•t J• A t •* el Total Cost of Job: `'Fr3 Contract w/Homeowner Signature Attached. Yes) No The submission of this Permit Request Form in any manner including but not limited to facsimile,electronically or by postal service,does hereby authorize CT Permit Services, Inc., and its employees and agents, to apply for and procure this permit on your company's behalf. Your submission of this Permit Request Form further means that you understand and agree that you are liable to reimburse us any municipal cost involved in the procurement of this Permit,together with our Permit Service Fee.In the event that you notify CT Permit Services that you wish to Cancel this Permit Request form,you agree to reimburse and pay CT Permit Services for any and all costs incurred by GOFOR pertaining to the processing and procurement of this Permit Request, along with a Cancellation Fee of twenty five (325). No Cancellation Fee will be applied if your Cancellation request is received within the first forty-eight hours after original receipt of this Permit Request. esidentia Commercial: A.39 c7 'Family: 2 3 4 Contractor Job#: .� / Customer Name: IV)i C't'y_(c. L r ( O( --f (\obei-I- L-ic' .141(!_ Customer Address: r2 I-'btr f( r4 ((/C.- HO.i I chi A.2; Address of Work: (if different than above) City: (A,Kcl x.1,1-C ST (Tr Zip O(c.3"� Telephone: a(r - 8C1, - `-I0 3 HEATING(Fill out entirely and attach paperwork AC (sketch of home with plot lines and pad OIL TANK(sketch of home with pad location In including Signed Contract,Heat Loss,Comb Air Cafc.) location must be attached) relation to heat source must be attached) _ _ Type of Heater Boiler Furnace Basic Info Basic Info Fuel Type Oil Gas New/Replacement h el,u •01c1=tomftRIT f\- ti Conversion? Yes No Make ( 11'i y/ New to ion n'1 ,'j l,,L1)CS Ili Direct Vent Yes No ^ Model# (2)9 -(;(;-i,:2,64103 7, Capatlty- flii.rz,G,L-..,c/1L 1L Make Size 2 ..-1 n c '-I IC.. Model# BTU per hour Capacity Type of Refrigerant Location Type of Condensing Unit Temp.Inside Fan Capacity CFM ALARM SYSTEM Temp Outside Type of Heat Pump Burglar Temp of Boiler Water/PSI No.of Zones Fire Total Net Load Sq Ft to be cooled Carbon Monoxide Unit Rating Temperature Inside Number of Rooms Replace Sheathing Temperature Outside Location of Box Fan Rating Motor's Horse Power _ Heat Loss Attached �Y sY No Comb Air Calc Sheet Yes No I PLEASE NOTE: In order to process your Permit Application in a timely manner,please make sure that all applicable supporting documentation is submitted with your Request. Please be aware that a separate Chimney Liner Statement may be required from you by the Town Building Inspector. By Signing below,the Contractor understands t�Y and agrees that the information contained herein is true to the best of their knowledge. Printed Name: 1;UC?�jr')_C� 3 l'lC Signature: 1 Date: 1/i J !`_) 171 Short Beach Rd.Branford,CT 06405 Work Order Phone:203-315-0323 Fax:203-315-0344 ,AIlitt Job#: Email: Installation Date: 1 I air.inc@comcast.net AIRENC. Website: www.aidnchvac.com License 51 391442 Heating & Air Conditioning Customer name: 1 e...}...04.! 4 ,f 11- 3-:Rl OiJ L Street address of Job location: a y r,9_,-c-0_,,Qt4� H Q.11 ) City,State,Zip ©{� r.}tL C O So-310 I Comfort Consultant 5o t r\11 �•( Q •��1,p S !Other phone: Primary phone: � b 6 t "1 Billing address(if different): Email: City,Stale,Zip OUTSIDE YOUR HOME: INSIDE YOUR HOME: . . ❑ Replacement f. ew I tallatlon ❑ Replacement El Add-on AC P. ew Installation ❑ Add-on Air Conditioner AiHeat Pump El Furnace ❑Boiler ❑Natural Gas OLP ❑Oil ❑ Hybrid System (Heat Pump with Fossil Fuel Backup) El Boiler Accessories ❑ Condensing Unit 0 Package Unit El Water Heater ❑Natural Gas DLP ❑Oil Dlndirect /410-A Refrigerant D R-22 Refrigerant ❑ On-Demand Water Heater ❑Natural Gas DLP y f Efficiency Rating Z4-4- r2ReC a ❑ Efficiency Rating TitV Ca4.1 gr -- "ondenser Pad ❑Heat Pump Stand ❑ vaporator Coll []Air Handler ❑Electrc Heat kw New weatherproof disconnect&electrical whip • Variable Speed Blower DECM Blower Thermostat ❑Digital 0 Programmable/� Electric-1 Wiring ❑From existing w from Panel El Remote ❑Wlfi n rik-, .(-12-l►�)-e-' I �� l 2U Necessary Fuel Piping ['Natural Gas OLP 0011 INCLUDED IN YOUR INSTALLATION: refrigerant Piping Elise existingw Line Set ✓ All labor&Taxes Electrical Wiring ❑From existing,121(ew from Panel ./ Obtaining necessary permits' ❑ Media Air Cleaner ElEAC ❑ UV Light ✓ Clean up during work and upon completion ❑ Central Humidification ❑Power 0 Bypass D Steam ✓ Check a existing em for ent from premises ✓ Check entire system proper operation,safety and efficiency ❑ Chimney Liner C]Stainless Steel C Aluminum ✓ Shoe covers.mats and drop cloths to be used as necessary ❑ PVC Vent 0 Metal Flue ❑ Use existing ✓ Criminal Background check on all employeesrimary Drain Piping ❑ Condensate Pump ✓ Licensed by the CT Dept.of Consumer Protection ✓ We carry full Liability Insurance 0 Secondary Emergency Drain Pan ❑Safety Float Switch ✓ :Meeting at•oiing M-intenance for t ear ■2 years ❑ Duct Modifications(Specify Below) �� ft�R ©A It (E- l.A ',...---•- ---:•- p/ IYI,t. r*S t1 Q'�O,. WARRANTIES&GUARANTEES: ❑ External Foil Faced Fiberglass Insulation ✓ Installers will take all necessary precautions to protect cus- El Zoning(Specify Below) tamer's property,such as lawn,shrubbery,carpeting,walls and ❑ door frames. ✓ Customer will be treated with respect and courtesy at all times. - Special Notes: 14'"-) t Q � ' ✓ Installation will meet or exceed existing codes. 1•13 .4q1, 93 t9"t'n"� 1� ✓ All employees will be in company unarm. e kM -- i �Lyear(s)Parts years)Labor ` • Or 4.. W4,A k-'14 rJ Cr c� 1� ears Heat Exchanger O� `; J �� �� x\�� ✓ year(s)Compressor —year(s)) ✓ Warranty calls receive our highest priority scheduling. (1�� ` 'r'' System{sl must be matntained by Air Inc.annually for equipment warranties to t/t�_irnl y-- ,t' —Q,—, ,' remain in effect. fy(1 c i-§a l•e..•+ / -\\Co rv,(7 l��._7��ayf-,z__ )r,5 t l — �" / SATISFACTION GUARANTEED L, 2. 5 S-�3 _ .& ❑ 3 day Right of Rescission explained./(3‘93..53-31i TJ.aNzg4-- p�J , �0 Customer Initials: V' ')-"lf l/ 5 7. ele+C>" ' 'If you wish to cancel this agreement,you must call your comfort consultant 1 within 3 days after the acceptance date of this work order. 2 123 3 li Credit Card# ----'- Expiration Date 1 f Swipe Card Here> ❑*The Customer is responsible to schedule the Final Inspection with their town official. Permit# We propose to furnish complete,as specified above,for the sum of: I Total:$I 1'1'3 I l l O6 Buyer declaree that buyer 3 '5"--([1. i Down Payment holds he herebyto property s which uyer ❑ Financing chenilae Is being Installed,and has legal authority in order the work Payment terms: outlined above.The Seller retains She 35-1-1-- to all molests and prepay tiered herein err' peynr.onls have boon - Balance Due Upon Completion of Work$ made in tun.Accounts not paid within thirty days of notice of invoice are in defend erdre r late e paymentaddcharge / /2 computed by s'periodic ate'of I Date:6 i r 3 fI 1/2%per month wi:lbeadded. afar Company signature: agrees to any reasonable attorney or -AL ° G A / •l iv-\. - .... collectiong tees Incurred by Saner h Customer acceptance: � � � aef.ti'o:G 4.853779 171 Short Beach Rd.Branford,CT 06495 Work Order Phone:203-315-0323 Fax.203-315-0344 ,A6114&? Job#: Email: Installation Date: / / air.lnc@comcast.net AIRW©. Website: www.airinchvac.com License S1 391442 �/� Heating &po Air Conditioning} L Customer name: M 1 I-'Q- IA . iF_lOrsi y„,0.)"�j WA-...w.e- Date., b-)3-/IL Street address of job location: a_ f p....Te, 9 V Pr(.LO'- ) J City, Zip �A O(�-1LS�R1-I�, . (_=i obi b $iiN1 L. 20 y3)2 State, Comfort Consultant: Primary phone: U `)l7 S LI 4.3 3 Other phone: Billing address(If different): City,State,Zip Email: OUTSIDE YOUR HOME: INSIDE YOUR HOME: Li Replacement ►, New Installation ❑ Replacement ❑Add-on AC 'is New Installation ❑ Add-on Air Conditioner ❑Heat Pump ❑ Furnace ❑Boiler ❑Natural Gas OLP LION Cybrid System (Heat Pump with Fossil Fuel Backup) ❑ Boiler Accessories ondensing Unit ❑Package Unit ❑ Water Heater ❑Natural Gas OLP ❑Oil ❑Indirect "410-A Refrigerant ❑R-22 Refrigerant �❑ n-Demand Water H-ater El Natural Gas OLP IOfticiency Rating s�1pZ.G j Pr1Z�. 12 _Efficiency Rating ' C4 . Condenser Pad ❑Heat Pump StandEvaporator Coil i Air Handler ❑Electric Heat kw ew weatherproof disconnect&electrical w ip ❑ Variable Speed Blower -M BI wer 1J Electrical Wiring. ❑From existing ew from Panel thermostat Igltalrogrammable V( I--}t',1 I~ E 1 b e S ' ❑ Ductless Remote ❑Wifi ❑ Necessary Fuel Piping ['Natural Gas OLP DOR INCLUDED IN YOUR INSTALLATION: e " efrigerant Piping Ouse existing iew Line Set se' All labor&Taxes Electrical Wiring ❑From existing Okew from Panel ✓ Obtaining necessary permits* ❑ Media Air Cleaner ❑ EAC ❑ UV Light I Clean up during work and upon completion ✓ Remove existing equipment from premises ❑ Central Humidification ❑ Power ❑Bypass ❑Steam I Check entire system forproper operation,safety,and efficiency ❑ Chimney Liner ❑ Stainless Steel ❑Aluminum ✓ Shoe covers,mats and drop cloths to be used as necessary ❑ PVC Vent ❑ Metal Flue ❑ Use existing I Criminal Background check on all employees ✓ Licensed by the CT Dept.of Consumer Protectiont/Primary Drain Piping ❑ Condensate Pump ./ We carry full Lia•ility Insurance t6 Secondary Emergency Drain Panfety Float Switch i ❑Heating u'poling Maintenance for .ar 2 ye rs ❑ Duct Modifications(Specify Below) t a)>. f."-k.... i c\t=, - f mac-- I r3S4°t.1144-(a,-. Mei-tvi1 WARRANTIES &GUARANTEES: ❑ External Foil Faced Fiberglass Insulation ✓ Installers will take ail necessary precautions to protect cus- ❑ Zoning(Specify Below) tomer's property,such as lawn,shrubbery,carpeting,wails and NL, 'flV \- - p.-�i G _ C vi <-, i Ls PI ly- door frames. 3. _...0, Pctr...-e, `. I1T4R, i Customer will be treated with respect and courtesy at all times. Special Notes: v' Installation will meet or exceed existing codes. -- l., -• 1, 6( * 11 2�.,. C,Q,rN.V r ✓ All employees will be in company uniform. ✓ 10 year(s)Parts S year(s)Labor L ��� w �p J �;��/ � I ! year(s)Compressor — year(s)Heat Exchanger --__y`` • , - U" - ,.' \v ✓ Warranty calls receive our highest priority scheduling. I r WR- 'a ) S Q'X L+' �/� System(s)must be maintained by Air Inc.annually t�equ vi{,warranties to Ir/ remain In effect. `1 C-. r '• J �� a���._ (� (I �"' V ✓ SATISFACTION GUARANTEED/�S�-7-71c,,,,� ,,! r.. 1 ✓ 3 day Right of Rescission explained. 0-013 Ilic/7151.j '�4 - �� Customer Initials: 4'X� jo/%1/2o2.Z- -?• 1 i J -- I �_. • .:TO If you wish to cancel this agreement,you must call your comfort consultant 4 i ' within 3 days after the acceptance date of this work order. IN,I S 4r,5id Credit Card# S �� HI L(-i p Expiration Date f I cOff4 ga,der N . Swjpe Card Here> ❑*The Customer is responsible to schedule the Final Inspection with their town official. Permit# We propose to furnish complete,as specified above,for the sum of: Ib �y 6[) r�r, Total:$ ��� 3 � ,Kgrw tie IxxovE ❑ Financing N4 Li Li. a "Down Payment Boyar hereby declares that buyer holds title to property in which mar- chendise Is Pekin installed,and has Payment terms: legal aulhodty to order the work x" 3 outlined above.The Sellerretalne title tBalance Due U on Completion of Work$ 4 cJ 11 k - s� herein all materiels payments and property beer. p until have been made in full.Accounts not pale within thIrty days of notice of Invoice ere in default and a late payment charge //�� computed by a-pedodlc rale'of 1 Company signature: /� �//7.A to J y / �� Date:p�/ !� 112%per month will be added Buyer or r,,,,,,,,,., a..___. �/rA, . . G, 1!., Fn _ a ....,,,,,,4,-- JL T�L/ .� 4, .r 2. cotees to any reasonable attorney in trees l lees inured by Seller MJF ‘t•41 '�®�' • . eD- !-\K.._ M k so O'14 \ ° e . ZEMme" HEATING & COOLING LOAD CALCULATION . AIL' Name Date / / Address • Consultant City St Zip Ph: H W Job Address Job Ph: ,1 •:X W-, .. • . Total Sq/ft Ceiling Height L_ 'X W " • - = Total Sq/ft r Ceiling Height Construction: [;]Loose X 1.20 [ ]Average X 1.10 [,]Tight x 1 Cooling Design: Inside 73°F Outside 90°F Heatin• Desi•n: Inside 70°F Outside 7°F Column A . # `r s-^41 .. _ r - . .... . . ni ,:-:f.'.-P•t • TYPES OF EXPOSURE .. AREA Fact . BTU FACT BTU SQ.FT. 20 Deg TD HEAT GAIN 75 Deg TO HEAT LOSS Windows&Glass Doors 14;3 1 fer Double Pane» 55. 1 Windows&Glass Doors1 Single Pane>> 85 I Other•Doors . • --- — --- l ' , Net Exposed Wails:Brick-Frame 20 • �•_-___ '::-.!--'• , _ W 1.5' Insulation Sheath 5 15 Wr‘1 1.5"-2"Insulation 3 10 _ Vit.y &:,,VO-, 3.5"Insulation 0 3 .6` 6 •• 8"Masonry-Plain or Plastered 10 40 Above Grade(Include CR Space) 111 . y`s Slab Floor-Basement-Crawl (L+W)X 2 ��fjr��A See belovj?> : _ • Ceiling-No Insulation 13 45 R 7(2"Insulation) 4 8 ..... „ R 11(4"Insulation) 2.5 5 R 19(6"Insulation) 9 2.5 2 I i S 0 4 _. R 24(16"Insulation) 1.5 3 R 33(15"Insulation) • 1 .. 2 Under Unconditioned Room(New Insulation) 3 20 • t, Glass / "'(Factors Do Not include duct gain factors or loss) FACING NO SHADES SHADESosed Wai1.11.11.1111 NORTH 64 41 31 Factors/Funning feet exposed wall E OR W' 89 58 31 i SE OR SW 78 . 49 31 i"-• Basernent 130 SOUTH 48 32 31 SI 1 MMUS Crawl 60 , SKYLIGHTS sq ft 100 Heat Runs in Slab Amount of Kitchens 1200 1"Edge Insulation 35 Amount of Bedrooms 600 2"Edge'Insulation 25 li , Subtotals +�5 )4 1 // ' r .'s ,.. "2= Duct Gain 8 Loss 1 15 fiA - r / %.//1///!�i ������������!/1 �jl,' (tor ductwork in unconditioned space only) % Il VA 3 Total Sensible Gain&Loss 1 1 Total Output> ''- 1.Latent&Infdtration Gain ` t •°' / 2.Infiltration Loss �� f�/,r illi — 80%AFUE=1.20 85°kAFUE=1.15 J �j�/////,/J 90%AFUE=1.10 95%AFUE=1.05 p (use ) ' ` ' 1 L Total input> kil. , Refer to Construction for multiplier for Heat&AC » - Fci Equipment Size; t T • „.. • l � t, 4 Cen 4r cc,( A-(C MEM,. HEATING & COOLING LOAD CALCULATION Name Date / / Address Consultant City St Zip Ph: H W Job Address . Job Ph: `I: , <X W = Total Sq/ft Ceiling Height L• X W = Total Sq/ft r Ceiling Height Construction: [ Loose X 1.20 [ ]Average X 1.10 [.i-ight x 1' • Cooling Design: Inside 73°F Outside 90°F Heatin• Desi•n: Inside 70°F Outside 7°F 1 --.esA.+4fA•a4 Column A11:,.�!1;1:. AREA Fact BTU FACT BTU TYPES OF EXPOSURE SQ.FT. 20 Deg TD HEAT GAIN 75 Deg TD HEAT LOSS Windows&Glass Doors >vp 40 Double Pane» 55 0 Windows&Glass Doors Er Single Pane» 85 Other Doors 1.5 ——50 ----- "; Net Exposed Walls:Brick-Frame 7 20 W 1.5" Insulation Sheath 5 • .15 1.5"-2"Insulation 3 ' 10 ' ♦ = 0 1Q ,I 3 6 3.5"Insulation •. _ 8"Masonry-Plain or Plastered 10 40 . Above Grade(Include CR Space) ///� Slab Floor-Basement-Crawl (L+W)X 2 r��//!�!/ See below VII 45 Ceiling-No Insulation 8 R T(2"Insulation) _ - 5—'— R 11(4"Insulation) 00 2 Zo k,.-4 R 19(6"Insulation) 'r 1.5 ME _, a- `'; R 24(10"Insulation) R 33(15"Insulation) I :. Under Unconditioned Room(New Insulation) 3 20 *(Factors Do Not include duct gain factors or loss) k,,,) Glass " FACING NO SHADES SHADES AWNINGS ries . Factors/running feet exposed wall ., •. NORTH 64 41 31 � �'� \ _ EOR89 56 31 - '\ 5 b 11. 1-0-\-.V W SE OR SW 78 49 31 "� Basement 130 n ff', SOUTH 48 32 31 \ bL Ll' Crawl 60 littki100 '� Heat Runs in Slab ` SKYLIGHTS sq ft aaa Amount of Kitchens 1200 \1.-C J' 1"Edge Insulation 35 25 Amount of Bedrooms L 600 7,�03 2"Edge Insulation Subtotals A //, li A r r P ,lDuct Gain& ductwork nsunconditioned space only) �� 1'1 �/ 1.15 � ����� ������� Total Sensible Gain&Loss / I Total Output> 1.Latent&Infiltration Gain 1.3 / // . // / • 2.Infiltration Loss 2- 11'3 80%AFUE=1.20 85%AFUE=1 15 //s���/♦ oL 90%AFUE=1.10 95%AFUE=1.05 Refer to Construction for multiplier(use for Heat&AC)» 4.1,10 Total Input> Equipment Size: : 004 .- k;, :i:?. 4 . .. .. .._ , .. r-' n---N , ,• , Li , • 0 t 1 I i. - :. ' • . . _ k .....„ ........ . , : . . c9 . • . . ... „. . . • . . . . . 0 . • 9, . .. 1 . 1--- . •.co • . , 1 • . , ,.0 _. , . . , 5 N.) . . .0- • •-• 1- '.- ••• - .-- - - • . ,. . :. .. :. : .: . ti v _,. • 1 ? 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