Factory Requirements for System Design

www.hi-velocity.comFOR OFFICE USE ONLY

Quote #:

ESP 310.06 Factory Requirements 062211

Installing Contractor:

Requirements: Outdoor Design Temperature:

Y N

Y N

Heating

CoolingHeating:

Cooling:

Single Double TripleGlass:

Metal w/ FoamStandardDoors:

High Eff. Patio DoorStandardGlass Doors:

Other:

Skylights: Single Double Single w/ Storm

No Insulation Slab Edge Insulation

Edge and Perimeter

Perimeter:

Other:

Other:

Other:

Other:

R-22 R-410ACooling: Chilled Water

**If Glycol - Percent:

Water Temp**:

Date:

Job Name:

Contact Name: Address:

Address:

City/State:

Zip/Postal Code:

Phone Number:

Fax Number:

Email Address:

Distributor/Supplier:

Contact Name:

Phone Number:

Fax Number:

Elevation:

Water Temp**:

**If Glycol - Percent:

HWT Boiler

Water Source Heat Pump

Heating: Electrical Strip

Send this information along with your architectural drawings* to:

PH: 780-453-2093 FAX: 780-453-1932 Toll Free: 1-888-652-2219

12615 - 124 Street, Edmonton Alberta Canada T5L 0N8

or save form and email to: bill@hi-velocity.com

*All drawings must clearly show:

- Fancoil location- Preferred main plenum location (trunk line)- Orientation of drawing (N,S,E,W)- Ceiling Heights

- Windows, doors and skylight locations and sizes

- Room Dimensions

Other:

FloorCeilingWallInsulation:

Notes:

R-12 (3 1/2") Insulation:

R-30 (9") Insulation:

R-40 (12") Insulation:

R-3 No Insulation:

R-7 (2") Insulation:

R-20 (6") Insulation: