Room HVAC System and Type Report

All fields with a * red asterix are required for this form to process.

Information:

Prepared by:*
Date Prepared:
Year / Month / Day
Property Name: *
Address: *

Country: *
Phone: *
Email: *
Estimated Building Age: *
Number of Floors:
Type of Construction:

Total Number of Guestrooms

# of Standard Guestrooms: *
# of 1-Bedroom Suites:
Qty of HVAC units per Suite:
# of 2-Bedroom Suites:
Qty of HVAC units per Suite:
# of 3-Bedroom Suites:
Qty of HVAC units per Suite:
# of Other Room Types:
Average Room Size :
(sq.ft or meters)

Type of Guestroom HVAC System

Please fill out information on the type of HVAC system used:
PTAC (hrought the wall) || Split System w/ Wall Thermostat || Central Chiller / Boiler System

PTAC (Through the wall): yes no (if yes please fill in below)
Brand:
Model:
Voltage:

Brand of Thermostat:
Type of Thermostat:

Thermostat Voltage:
Number of Wires to Thermostat:
Estimate Wire Gauge to Thermostat:

Cooling Amps :
yes no
Heating Amps:
yes no
Cooling BTU's:
yes no
Heating BTU's:
yes no
Fan Motor Size or Amps:

Split System with Wall Thermostat yes no (if yes please fill in below)
System Voltage:
T-stat Voltage:
Cooling Amp:
Heating Amp:
Fan load:

Central Chiller / Boiler System yes no (if yes please fill in below)
Chiller Efficiency:
kw/ton
Fan-Coil w/ Wall Thermostat:
Fan-Coil Voltage:
Guestroom Coil Rating:
T-stat Voltage:

Type of Guestroom Interior Walls

Drywall over Wood Studs:
yes no
Drywall over Metal Studs:
yes no
Drywall over Concrete Block:
yes no
Concrete Block:
yes no

Walls are Finished with:

Carpet Information:

Type of Baseboard:

Special Comments: