1870 Bath Ave.,
Brooklyn, NY 11214
Air Conditioning / Heating system
The following information is required in order to determine which type of Air Conditioning / Heating system that the property currently has in place.
Property Name:
Address:
City/State/Zip:
Phone:
Fax:
Contact:
Owner or Mangement Company Name:
What brand name
currently exists?
Model#
Btuh Capacity, Cool/Heat /
Square Feet to be conditioned
(Length x Width)
Voltage
(check app ropriate voltage)
Amperage
(check circuit breake r)
___________________Square Feet
115
230/208
15 20 25 30 √
277 √
Please provide the following dimensions
*Note: Measure outside edge to outside edge
Wall Sleeve
A=
B
B=
C=
A
C
Please provide the finished wall dimensions
What is the thickness of the wall
Does any of the sleeve sit outside?
Power Cord Plugs
250V Rating Power Cord Plugs with LCDI Device
NEMA 6 Configuration
15 amp
20 amp
30 amp
Heat Pump Yes No √
A/C with electric heat strip Yes No √
Age of Unit
What type of wall construction exists?
Frame Masonry Panel Glass
Please provide any additional information that may be needed:
277V Rating Power Cord Plugs
NEMA 7 Configuration
G
20 amp
W
G
W
30 amp