Name:

*

Address:

*

City:

*

State or Providence:

*

Zip / Postal Code:

*

E-mail:

*

Telephone:

*

xxx-xxx-xxxx

Fax:

xxx-xxx-xxxx

Date of Construction:

Residential Building

New Construction

Retrofit Existing Home

New Addition

Single Level

Ceiling Height

sq. ft.

ft.

Two Levels

sq. ft.

ft.

Type of Installation:

Convectional Heating Panels

Open Joist Accessible:

Yes

Poured Concrete Floor

Slab Thickness:

in.

Basement

New Construction

Retrofit Existing Home

New Addition

Ceiling Height

Basement Size:

sq. ft.

ft.

Slab Thickness:

in.

Open Joist Accessible:

Yes

No

Garage

New Construction

Retrofit Existing Home

New Addition

Ceiling Height

Garage:

sq. ft.

ft.

Slab Thickness:

in.

Heat Source

Natural Gas

LP

Heat Pump - Water to Air

Heat Pump - Water to Water

Electric

Solar

Wood

Other:

Domestic Hot Water Heating

Heating System Included?

Yes

No

Commercial Building

Total Square Feet of Area

Air Conditioning:

Yes

No

Duct in Place

Yes

No

High Velocity Cooling System
(from the ceiling down)

Yes

No

Outside Design Temp (ODT)

Deg F

Desired Inside Temp (IDT)

Deg F

R Values

For a new construction or a new addition, please provide as much info as possible. Note: The values below are typical.  We encourage that you improve them wherever possible (high energy loss).

So WarmmFloors can provide you with a more accurate Heat Loss Calculation and Proposal, please enter the quantities of Doors, Windows, Sky Lights, etc. If the value does not apply, enter '0.'

Typical

Actual

H x W (ft)

QTY

Perimeter Walls:

R=19

X

Main Door - Glass:

U=0.4

X

Other Doors:

U=0.5

X

Windows - Glass:

U=0.5

X

Exterior Doors:

U=0.65

X

Patio Doors:

U=0.5

X

Sky Lights:

U=0.4

X

Bay Windows:

U=0.4

X

Ceiling Area:

R=38

X

Basement Floor:

R=5

X

Exposed Basement Walls:

R=4

X

Basement Wall in Ground:

R-5

X

Window - Basement:

U=1.2

X

Others (Basement):

X

Garage Walls:

R=19

X

Garage Ceiling:

R=38

X

Garage Floor:

R=5

X

Garage Doors:

R=6

X

Garage Window:

U=0.3

X

Other Windows:

U=0.5

X

Other Doors:

U=0.5

X

Other (Garage):

X

Comments or Questions: