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"0 "0 <( >- CO OWNER APPL. ~ ::.f o-f- (!.:t~ NATURE OF WORK ~ ~ ..:J:L- ~ ~ HEATING CONTRACTOR ~~, FUEL: @ OIL ELEC. ~gf? 9/ J-- ~/ 'iCf DATE JJI{/7~ d PERMIT NO. ADDRESS /2-iS- . SOLAR SOLID FORCED AIR H. W . ELEC. BASE. STEAM GRAVITY SUPPLEMENTARY AIR CONDo CONDITIONING SYSTEM CHIMNEY: "A" "B" DIRECT VENT CALCULATED HEAT LOSS lhv- ~ SYSTEM BTU MISC. INSP. ROUGH IN EST. COST t ).-o-tl~ PERMIT REMARKS CON. BURNER RATING jC-O t1 fl soB cONs?;;uL~~ HEAT LOSS s r ADJUSTMENT FACTORS R WOOD.FRAMING cc r 121i 1641 21). !l studs joists 20r~_ ~j.% 15% 10% ._._-- 10% 7% AREA tyne c:_a v . JI-:lf'~~"~;!;:lrJ J~ '0,7, :; 1 _ sol. (/7 t-f'L._'7 X.J.J? %) (,2.'-1 type ~~~~j". .. _ ,. x_ "___~l _____ 2 sol. (__x---.fo) ,--- typej~av....:j '5bO x/o %) 1 sol. C'S,,"C:- x/DJ) typ~' cav--:( $f;c-~- x /0 %) 2 sol. (~C> x/C) 9b) _':':2<-'). r s (,,, " Un TD eat loss in TU per hou to6"2.(...70 1~'13 .53 -- ..CY5<j ~ ,08 '{ ec; ..CJ2$ ,OYc-:> ., ~lS; Il>"1/ Bs lCfO. "'I gC; I 55 6 gS 'S' / DB, 'II ... ~o S87'5 . '2.. '. ~_ . ~bove grad~_wa.:~ls _ 81'. '7 ~_ below grade(3 feet) ~C)~) II 3 , 1 windm'ls 2 _ patio doors 3 AS 1 2 1 2 / z'3. e -- 5 ,~lS&~~ 5'$.56 ..--- '----..... ~ CODE COMPARISON COMPONENT AREA ,2 Bee. 3D . 2 ('.., TOT~\L CODE !l U" e-s ~q". '1 I ,:'-~( /.; (~? / /3./0. TD BTUH LOSS " ~~l~~_.~.?~~_~_?~~___ .lC3!.L- _____ walls above grade 2O'"23..? . 1<'1 f~]t~-~bove ---;'.;ad'~"--f;-;;.-K)f.~ . 25 ----_.----------- -. .,..-....-----.- ---.. fd..:.~!~_~PC?.~~ gr:.~~~__ ~_~_~?_3_~~0W.__ €?.:r:~_?e_(~) r:?_~~'~~S_i_~j:::_g~______ ____ ._"______ ____, /.ID 5 .20 ------.-,.- ~..~ _.- 11'-/0 .029 COMPONENT AREA 39S walls more than 3 feet below grade l~tU~ ~J1r- L 1Il~5!lJfp, ~m: floors -l(-TD = inside temp. minus 20 degrees '*';:-From table on T'age 2 as. 2 <fcYcl?.. .7<{ ;:;;..0'" '$ID .:a 6 6$ 2610. ( ALLOWABLE 30JQ72. . 8 HEAT LOSS 9 HU" *'* TD;:- BTUH LOSS ~o<::t<f 50 /8'5(...,..5 ~ 'm..~I"" ."lR '''''''It "".{ ~o'2. t5 SC DO HEAT LOSS '5 'S (p~ 5 61 IIIf u.gg e ..... f: ;',\ IHSTRUCTIONS: for completion of acceptable practieye method, please refer to Uniform Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A-I.2.& 3.~ "' ___1'4': . 1: ~". ,. -..~.. "~I..,.:::".. . -'_'_C"'..", .-,~...."b~l.li.M'~:'''';oc:'''''''''t'':~k.+'';'-'~':';':"":.,.,,,_.;. WALLS ABOVE FOUNDATION HALL WINDOW GLAZING:[]Single w/storo Dlnsulated glass DTriple pane noons :g' nsulated SIDING:8wOOd.(R .77) Solid ''lOod alum(Rl. 82) Tninsul w/storm GROSS WALL AREA(from worksheet, page 1) ::: ________________square feet. GLASS/DOOR AltEA(from worksheet. page 1) = __. square feet. PERCENT \-lINDOH/DOOR AREA = glass/door area PERCENT ~nNDOH/DOOR AREA::: glass/door area -t gross \iall area ::: ..,....< j ..1, .. .. INSULATION TYPE: ------..---- ~' ~r'.'.:~~..;;Mii :J' _I " CEILING INSULATION TYPE: --"._.__._----~--_.~_.- tHNDO\.J AND DOOR AREA PERHITTED ___% % .. R VALUE (per inch) _____ REQUIRED THICICNESS (per table A-3): ___" in cavity ___':over fra,ling '..""C'."',iC'iC',.. WINDOIv GL.'\ZING: OSingle Osinglc w/ storo Dinsulated(double) INSULATION TYPE: .. .... ..... I R VALUE _ EXPOSED FOUNDATION AREA(from -;;;-~k~he;t-. page 1) ::: TOTAL FOUNDATION AREA (includes above & belotV' grade)=__ PERCEHT EXPOSED ::: Exposed foundation ~ total fdtn == PERCENT HINDm'l AREA rER}HTTED(see Table A-:-2) ::: PERCENT HINDOv! AREA(,ylnJ:"OVl area ~ exposed area) - ~;~."> FOUNDATION WALL (walls must be insulated to be in con- formance.) - __-__ l>..l__ square feet. square feet. square feet. percent (~O ;. VOLUNE CALCULATIONS: 1ft ~ '1 LEVEL VOLUNE ~:.'ls.'~~~!:E___,__ ::31lc 0 Level 1 '1(.1 'DC Iv'(q, 1I ~ 1'1 I ::-/.< 1(> Level 2 G. { {.." ~--"~-~".."'--'.,~'''---- -'-'---"- Level 3 <t'tg'~ 'l'tIllQIJU~ ~r\,.,,' *AIR CHANGES. Recomm(~nded changcH bet\veen .25 and 1..00 depending on type construction, nunber of openings, weatherstripping, caulking etc. - CON. A/O': TD BTUH HEAT LOSS --- I (/ <7'1 C' j ,. ~.. J .018 .018 .018 .013 ..26 / I / (cf6~' . V' '1u tl.~' c.. gS'-l. V (; G::. 33 15-=. ;1"; <.., ......,. '..- INFILTP.ATION HEAT LOSS ~~ ALLmJAnLElIEAT LOSS(from p<1ge J) 30 '7 ")C. -.----.-------. -- -..--.---.--. --.-.- -_,._._:.1._____,_ INFILTRATION LOSS(from above) '. .... C'-/ &33 ----........--"='""'"...=''"''''''''~'''''''"'=- .___,_.1... .___.'_.._._,__. BASEMENT I-IEAT- LOSS (from page 3)C:_~ ~~__ --TOT^I-:-ol~iiii'IiiG-iiEAi-i:oss: -=''-'-- S?-L~_ * Furnace output A :t TOTI.I. DHELLING LOSS 5og. /(P I x 1.15 H/lXH1UH FTJRlIlAr.E SIZE &0 8n'~: * FU~ACE SPECIFIED 'I: 4"", "-". -.~.. - ". "'1f.,"..~.^"~__---IIl.l..-_