ࡱ> &(#$% @ bjbjVV fbr<r<  ///80<<0 M2,1,1Lx1x1x1333+M-M-M-M-M-M-M$NR0QxQM }7^3b3"}7}7QM x1x1fM:::}7: x1 x1+M:}7+M::E0 6 JGx1 1 :+X4g/7^/G"HD|M0MQGQ8QDG   GQ G3j4:55333QMQM DD$ 9" D$HVAC CONSTRUCTION PERMIT APPLICATION: MULTI-FAMILY DWELLINGS It is expressly understood and the applicant states that this installation will be in strict compliance to the Uniform State Building Code and the Uniform State Residential Building Code. Location:_______________________________________________________________________________________ Address Owners Name ________________________________Address___________________________________________ CHECK EACH BOX THAT APPLIES: Initial Installation ReplacementNumber of Units First system $75.00 PLUS (____# of additional systems X $25.00 =____) Equals _______Total Permit Cost System 1System 2System 31Square Footage2Portion of structure (ex 1st floor)3Summer/Winter Design Temp4Cooling Load (Manual J)5Heating Load (Manual J)6A/C (Ton & Seer)7Heat (Type, BTUh, % Efficiency)8Combustion Air (size & source)9Exhaust Systems _________________________________________________________________(#, size, material, discharge location)*Provide traditional or computer generated Manual J Summary for each system.*Add additional sheets for more than 3 total systems.*All underground/underslab installations shall be inspected prior to covering. The OMPC is issuing this HVAC construction permit upon your request in accordance with KRS 198B.6671 and 815 KAR 8:070. You, the undersigned, are fully aware that you are responsible for this installation in its entirety through completion. It is your responsibility to notify, request and obtain all required inspections. If for any reason you fail to complete this installation, it will be your responsibility to notify the OMPC immediately. Master HVAC License No:Company Complete Address Office/Home Phone Number Mobile Phone No: Fax No:__________________________________________________ Email Address:____________________________________________ OMPCNew Form Word 97/2000/XP07/02 000  PAGE 2/ NUMPAGES \* MERGEFORMAT 1  OWENSBORO METROPOLITAN PLANNING COMMISSIONHVAC Permit Application Multi-Family Dwellings 08/11 351  PAGE 1/1  270-687-8650 PLANNING Zoning Subdivision Addresses Street Access Points FAX 270-687-8664 270-687-8665 BUILDING, ELECTRICAL & HVAC Plan Review Permits Inspections Serving Owensboro, Whitesville, and Daviess County, Kentucky  HYPERLINK "http://www.iompc.org" www.iompc.org &'3=>R Z ] ^ h i ޥqi^N>NhgXh#5>*OJQJ^JhgXh|95>*OJQJ^Jh9YOhgXCJaJh|9CJaJ h9YOh|9CJOJQJ^JaJh|9h|9CJaJh|9CJOJQJ^JaJhgXOJQJ^Jh|9OJQJ^J hh|9CJOJQJ^JaJhL5CJOJQJ^JaJh35CJOJQJ^JaJh|95CJOJQJ^JaJ#h|9h|95CJOJQJ^JaJ>] h i ))ث)ث))v:)^)^)v:)j)j)v:)jj j6jj6jjj $$Ifa$gd3 $Ifgd k $$Ifa$gd k$a$gd kgd3gd|9$a$gd|9 D E F G ν~pbpWLbhgX5OJQJ^JhI5OJQJ^JhgXhgX5OJQJ^JhgXhI5OJQJ^J h kh3CJOJQJ^JaJhZCJaJh{h3CJaJh kh3CJaJh3CJaJhgXCJaJ h35>*CJOJQJ^JaJ h k5>*CJOJQJ^JaJ h{5>*CJOJQJ^JaJhgXh{5>*OJQJ^J %)j$a$gd kkd$$Ifl(֞ZN (    p p t0n(44 la E F G H I J S \ e )v:)v:)v:)^pv: v: $IfgdgX $$Ifa$gdgXgdI G H J e f } ~   * + S T { |    R S T V ŸŸŸݸŸݸŸݸů|wsh c hq5 hh1CJOJQJ^JaJ h5 hhCJOJQJ^JaJh'Kh15CJaJh9YO5CJaJhgXhgXOJQJ^JhgX&hgXhgX5CJOJQJ\^JaJhgXhgX5OJQJ\^J#hNI%hI5CJOJQJ^JaJ-e f h w y { } Y|Mpv:A v:8v:8v:8v: $IfgdgX $$Ifa$gdgX $$Ifa$gdgXkd$$Iflhr9|."+'H' 'p'p'pM+644 la]p2} ~ Y|Mpv:A v:8v:8v:8v: $IfgdgX $$Ifa$gdgX $$Ifa$gdgXkd|$$Iflhr9|."+'H' 'p'p'pM+644 la]p2 Y|Mpv:A v:8v:8v:8v: $IfgdgX $$Ifa$gdgX $$Ifa$gdgXkd}$$Iflhr9|."+'H' 'p'p'pM+644 la]p2 Y|Mpv:A v:8v:8v:8v: $IfgdgX $$Ifa$gdgX $$Ifa$gdgXkd$$Iflhr9|."+'H' 'p'p'pM+644 la]p2  Y|Mpv:A v:8v:8v:8v: $IfgdgX $$Ifa$gdgX $$Ifa$gdgXkd$$Iflhr9|."+'H' 'p'p'pM+644 la]p2   $ & ( * Y|Mpv:A v:8v:8v:8v: $IfgdgX $$Ifa$gdgX $$Ifa$gdgXkd$$Iflhr9|."+'H' 'p'p'pM+644 la]p2* + - M O Q S Y|Mpv:A v:8v:8v:8v: $IfgdgX $$Ifa$gdgX $$Ifa$gdgXkd$$Iflhr9|."+'H' 'p'p'pM+644 la]p2S T V u w y { Y|Mpv:A v:8v:8v:8v: $IfgdgX $$Ifa$gdgX $$Ifa$gdgXkd$$Iflhr9|."+'H' 'p'p'pM+644 la]p2{ | ~ Y|Mpv:A v:8>v: $IfgdgX $$Ifa$gdgX $$Ifa$gdgXkd $$Iflhr9|."+'H' 'p'p'pM+644 la]p2 |}pv:t v:tv:tv: $IfgdgX $$Ifa$gdgXvkd $$IflhF9+'H' 'pM+6    44 la]p    q$epv:\ v:\v:\v:\v: $IfgdgX $$Ifa$gdgXkd $$Ifl,\9."+'H' 'p'pM+644 la]p(   R S Yu:Mpv:D v:Dv: $IfgdgX $$Ifa$gdgXkdr $$Iflr9|."+'H' 'p'p'pM+644 la]p2S T V $}pv:tkv:tv:tv: $IfgdgX $$Ifa$gdgXvkdI $$Ifl,F9."+'H'p'pM+6    44 la]p q$epv:\ v:\v: $IfgdgX $$Ifa$gdgXkd $$Ifl,\9|."+'H'p'p'pM+644 la]p( $)^)^{*ث $Ifgdgd9YOvkd$$Ifl,F9."+'H'p'pM+6    44 la]p*ث&իgkd$$Ifl** t0*644 la $Ifgdgkd\$$Ifl** t0*644 lav:v:v:v:v: ^Jtkd$$$Iflh\F *  t0*644 la $IfgdK< $Ifgd c7GJKм𥬞~vnbhL5B*CJ$phhL@CJHhL@CJhO`@CJhH}4XXH1+=Օ$y PXSp~|9p=Vߕ\+c=`mzBj##{hPΟZܞJ?7jʬ9a@J|WZ|DWj65|IZQc[V<`#uE*qZ|w;zw7;Mh Z66hmiBFv bp!*p# w\]*\?/Cvwۢ3g|,=ׄm3T#=ǧ">?'s aewঀ/)/Mxi|^< +^Zڀ?Є7 \ /mքv>'sJˢ܄o PCC=珞'Nwx;/c^{̫-sU?jg߀5&| mim?Uт۱ayw?8S).^, 'U΁`D5)߈.JwGoe~-@ |} A4L0u +!71x ;<'] qa,!/+* ΄[uzm-)ElX YcfDp֨\*: #b P=8x%eu=-6U`0G+1'?)yQCQI6jaC\ q.}.S?͕O3qFL~KL[krk AxK4\tVwB5!\I *rŒ/R;iB}#\1{ܩfiy\hrkX0pDž8$p-%;Z#3׆_{zMG@BV Title$<@&a$5CJ KHOJQJ\^JaJ jORj Form Number$ d1$a$ @B*CJTKH,OJQJhphOb Form Title/$ d&#$+D1$a$'@B*CJ$KH(OJQJ\^JhphfOrf OMPC Footer$ X da$ B*CJ_HhmH phsH tH ZOZ Note Textd%6B*CJOJQJ_HhmH sH tH ^O^ Table 9pt H]H(B*CJOJQJ_HhmH phsH tH XOX Spacer 4ptdP"B*CJOJQJ_HhmH sH tH fOf Table TextHd]H(B*CJOJQJ_HhmH phsH tH fOf Spacer 8ptd h"B*CJOJQJ_HhmH sH tH lOl OMPC page 2 Zd^#5@B*CJ$OJQJ\^Jph:O: Arial 9CJOJQJ^J6U@6 Hyperlink >*B*phbOb Table 9pt Bullet# & F == ^=` \fOf Table Text Bullet)! & F == d^=` j@#j k Table Grid7:V"0"    \ >]hiEFGHIJS\efhwy{}~   $&(*+-MOQSTVuwy{|~RSTVLM   # ; R S j k l m n o p q r s t u v ' ( 0000000000000 00 00 0 0 0 0000 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0$ 0P0 0P 0P0P 0P 0T 0 0 0 0 0$ 0 0 0 0$ 00 0 00 0 0 00 00 @0@0 @0@0 @0@0 @0 @0 @0 @0 @0 @0@0@0@0@0p @0p@0p@0p@0p @0q@0q@0q @0p@0p @0t @0p @0p @0p @0p @0t @0@0@0@0@0@0@0@0@0@003D00000000000l;00IJS\efhwy{}~   $&(*+-MOQSTVuwy{|~RSTV n{00 n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{0 0n{0 0n{0 0n{0 0n{0 0n{00n{0 0n{0 0n{0 0n{0 0n{0 0n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{00n{0:0 n{0:0 n{00n{00n{00n{0?05n{0?05n{0?05n{0?05n{00n{00n{00n{00n{00n{00n{00n{00n{0H05n{00l{00n{00n{00n{00l{00n;0 0(l\n{00(\n{0 0(n{00(n{00(l{00(l{00(l{00 n{00 \\^ G Yh "'*, e }  * S {  S Rp  !#$%&()+- *135PR!!X  !/Xb$eD4Hݝ=(b$c\ҶvX-J\@ (  J  # A"0( 66WWWxxx B S  ? ^4Ol Ol\ OlOl#Ol Ol0 Ol Ol|NOl2Oll$Ol\$Ol OlTOllOlOld/0 0 L L \        9 9 Z d d   =*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsState? *urn:schemas-microsoft-com:office:smarttags stockticker  9= Z\ 33333'3==>>RZ""//DFH# Q S X Y \ ] g h i & & g  ( - r.!hv P-5j//f< zX 1/EaXX·z-kV`p yq nv )w  hh^h`OJQJo( hh^h`OJQJo(^`CJOJQJo(q ^`OJQJo(o ^`OJQJo(   ^ `OJQJo( XX^X`OJQJo(o ((^(`OJQJo( ^`OJQJo( ^`OJQJo(o ^`OJQJo( hh^h`OJQJo( hh^h`OJQJo(^`CJOJQJo(q ^`OJQJo(o ^`OJQJo(   ^ `OJQJo( XX^X`OJQJo(o ((^(`OJQJo( ^`OJQJo( ^`OJQJo(o ^`OJQJo( hh^h`OJQJo( hh^h`OJQJo(88^8`OJPJQJ^Jo(^`OJQJ^Jo(hHo  ^ `OJQJo(hH  ^ `OJQJo(hHxx^x`OJQJ^Jo(hHoHH^H`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH hh^h`OJQJo( hh^h`OJQJo( hh^h`OJQJo(hh^h`CJOJQJo(qhh^h`CJOJQJo(q(yqV`phv P-)wnv/Ez-kzX 1- r5j//raXXl         $(        ڋ`h         *X76u3_uZhC kG$NI%A(q.3E9K<7<@FJ'K9YORgXZN^O`EUb c0cuhjnjg'|q5]nv>#/O%cFS>B2 i  DWELLINGSH_C==HNC 2  7@"Arial-2 )oIt is expressly understood and the applicant states that this installation will be in strict compliance to the  ##" "#####"#"##"#"# "# #"#"# " #"#"+#""  "4##" "#"# 2 ] !}2 aLUniform State Building Code and the Uniform State Residential Building Code.-##4)""*# ##"-##"#"##"-##5*##-" "### *# ##"-### 2 a  !- 2   8@"Arial-2 0,Loca..*.2 0Rtion:_____________________________________________________________________________..../../../.././.../../.././../../..//.../../.././../../..//.../../.././../../.2 0o________.//.../.2 0__.. 2 0> .@"Arial- 2 ~, ,- 2 ~X  Address/"" 2 ~T - 2 , $-2 ),XOwners Name ________________________________Address____________________________________A;/.*<.G.../../../.../../.././../../..//.7/..**..././../.././.../../.././../../..//2 )______.../.. 2 )_. 2 )/ .- 2 , " 2 , "@"Arial-2 4, CHECK EACH B<<7<<9:=<<2 4OXA8 2 4# THAT APPLIES:4=95:87487- @ ! =,- /2 4  2 4 /-2    2  )R 2 T *'- )2 Initial Installation&!&!!%&2  _ 2 Z %'-  2  &' - 2 5  Replacement2!&!!"9!& 2   ''  -  2    *' - "2 X  Number of Units6&9&!&6&- 2 T  *'*-  2 {* *'- @ !P- - @ !P- - @ !]T- - @ ! - - @ !- - @ !- - @ !h- - @ ! - - @ !WP- - @ ! aP- - @ !W - - @ ! - - @ ! - - @ !W- - @ ! l- - @ !W - - @ ! - - @ ! - - @ !{- -  2 I  *-/2 ,First system $75.00 PLUS3 ./...J.....73<82 " (____.../2 # o.3q2 Df additional systems X $25.00 =____) Equals _______Total Permit Cost.3333./-..J.7././.1../.734../../...43.8. J<3. 2 _ . 2 , . 2 f, .@"Arial- 2 , %- 2 I j  . 2 I V .-2 F P` System 1D58!8Y8 2 F 6 P`  82 F Z jSystem 2D58!8Y8 2 F @Z j 82 F dtSystem 3D58!8Y8 2 F Jdt 8- 2 S 1. 2   . 2 TSquare Footage733.!.333.3. 2 (T / 2 X^   2 X^  . 2 b h  2 b h . 2 lr  2 lr .- @ !] T- - @ !] T- - @ !] X- - @ !] ] - - @ !] ^ - - @ !] b - - @ !] g- - @ !] h- - @ !] l- - @ !] q- - @ !] r- - @ !] r- - @ !a T- - @ !a ^ - - @ !a h- - @ !a r-  2 } S 2. 2 }   .@2 } #TPortion of structure (ex 1st floor)73 333. 3.4 ..//.33  2 } (T . 2 } X^   2 } X^  . 2 } b h  2 } b h . 2 } lr  2 } lr .- @ ! T- - @ ! X- - @ ! ^ - - @ ! b - - @ ! h- - @ ! l- - @ ! r- - @ ! T- - @ ! ^ - - @ ! h- - @ ! r-  2  S 3. 2    .12  TSummer/Winter Design Temp73JJ.!O3. =..334.J3 2  (T . 2  X^   2  X^  . 2  b h  2  b h . 2  lr  2  lr .- @ ! T- - @ ! X- - @ ! ^ - - @ ! b - - @ ! h- - @ ! l- - @ ! r- - @ ! T- - @ ! ^ - - @ ! h- - @ ! r-  2 S 4. 2   ..2 `TCooling Load (Manual J)S<333333.3G.33.. 2 (T . 2 X^   2 X^  . 2 b h  2 b h . 2 lr  2 lr .- @ !+ T- - @ !+ X- - @ !+ ^ - - @ !+ b - - @ !+ h- - @ !+ l- - @ !+ r- - @ !/ T- - @ !/ ^ - - @ !/ h- - @ !/ r-  2 L S 5. 2 L   ."2 L eTHeating Load (M<..3333.3G2 L Tanual J).33.. 2 L (T . 2 L X^   2 L X^  . 2 L b h  2 L b h . 2 L lr  2 L lr .- @ ! T- - @ ! X- - @ ! ^ - - @ ! b - - @ ! h- - @ ! l- - @ ! r- - @ ! T- - @ ! ^ - - @ ! h- - @ ! r-  2 S 6. 2   .%2 {TA/C (Ton & Seer)u:=433<7./  2 (T . 2 X^   2 X^  . 2 b h  2 b h . 2 lr  2 lr .- @ !` T- - @ !` X- - @ !` ^ - - @ !` b - - @ !` h- - @ !` l- - @ !` r- - @ !d T- - @ !d ^ - - @ !d h- - @ !d r-  2 S 7. 2   .:2 =THeat (Type, BTUh, % Efficiency)<..4-3.<4<3I7/.3/- 2 (T / 2 X^   2 X^  . 2 b h  2 b h . 2 lr  2 lr .- @ ! T- - @ ! X- - @ ! ^ - - @ ! b - - @ ! h- - @ ! l- - @ ! r- - @ ! T- - @ ! ^ - - @ ! h- - @ ! r-  2 S 8. 2   .82 PTCombustion Air (size & source)<3J33.33: .*/</33 .. 2 (T / 2 X^   2 X^  . 2  b h  2  b h . 2 lr  2 lr .- @ ! T- - @ ! X- - @ ! ^ - - @ ! b - - @ ! h- - @ ! l- - @ ! r- - @ ! T- - @ ! ^ - - @ ! h- - @ ! r-  2 S 9. 2   .#2 wVExhaust Systems 7.3.3.8...J. 2 ?V /m2 APt_________________________________________________________________.../../.././../../..//.../../.././../../..//.../../.././../../... 2 GPt /- @ ! .T- - @ !.^ - - @ !.f - - @ !.h- - @ !.p- - @ !.q- - @ !.r- - 2 7j  . 2 7V .F2 7'Pj(#, size, material, discharge location).*).G.../**.../.*... 2 7 Pj / 2 7dt . 2 j  . 2 V . 2 P`  . 2  Z j . 2 dt . 2 Z * 2 z  .-|2 KjProvide traditional or computer generated Manual J Summary for each system.7 3/3. .334.3 .4J33. 3.3/ ..3G.33..73JK.!.3 /..3/...J 2 j /- 2 dt . 2 Z * 2 z  .-Y2 4` Add additional sheets for more than 3 total systems.:43.3333..3/..3 J3 .3.3/3./...K. 2  `  /- 2  Z j . 2 dt . 2 Z * 2 z  .-2 MjAll underground/underslab installations shall be inspected prior to covering.:333. 3 3333333/ ./33...33..3.3.4.3...33!3 3.3/. 33 2  j .- 2 dt .- 2 ], $ 2 , $-82 ,The OMPC is issuing this HVAC &##04*-  "#""-**,2 {construction permit upon your request in accordance with KRS 198B.6671 and 815 KAR 8:070. 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