Job Job name:General Contractor name:Job name:Home#Work #Cell#Fax #Email:Job Location:Type of Heating/Cooling System: Please circle: Geothermal Oil Propane Solar Natural Gas Heat pumpType of Distribution System: Please circle: Radiant heat Air ducts Baseboard Panel radiators Ductless splitsType of Domestic Hot Water: Please Circle: Indirect tank off of boiler ON demand gas Electric Solar Tankless Hybrid Water Heater Type of Construction: Please Circle: 2” x 6” 2” x 4” ICF SIPSOther:Insulation Related: Type of Insulation & R-values for each...1st floor walls2nd floor wallsBasement wallBasement ceilingBasement slabGarage slabAttic spaceCathedral Ceilings? If yes, where?What type of insulation?R-value?Ceiling Heights: Basement1st floor2nd floor3rd floorConstruction Start Date?Well Type?PreviousNextWell Driller Name: Phone:well depthwell yieldIs home located within 600' of Ocean? Please circle: Yes NoDo you have house plans? Yes NoDo you have a window schedule? Yes NoWindow TypeU value:SHGC:Is this retrofit or new construction?Is there a chimney for oil fired appliance? Yes NoOrientation?Would you like a quote on an HRV System? Yes NoIf so, do you want push button timers figured? Yes NoWould you like heat figured for basement? Yes NoWould you like heat figured for Garage? Yes NoWould you like heat above garage? Bonus room? Yes NoWould you like heat figured for sun room? Yes NoWould you like a proposal on cooling? Yes NoHow many zones?How did you hear about our company?Notes: Previous Submit
