Boiler Selection Work Sheet
Job Name:				Date:	10/14/2019 7:44:36 AM
Company Name
Contact:		Phone:		Email:
Sales Engineer:	Select a Sales Engineer Aaron Morris Andrew Tobin Archie Warthen Bill Roan Bobby Henderson David Balent Doug Kling Eric Nelson I dont know... James Murphy Jason Nefs John Stumpf Jordan Weiss Matt Bylsma Ron Witte Ryan Nedbalski Terry Strade Tony Faxon Travis Cowan

Basic Questions:

1.   Existing installation or new installation?	ExistingNew
2.   Hot water or steam?	Hot WaterSteam
3.   Heating output required at altitude?	BTU/HP
4.   What load is the boiler feeding?	Air HandlersUnit HeatersFan CoilsBaseboard HeatOther
5.   Efficiency Requirement?	%  @  F RWT
6.   Fuel Type:	Natural Gas Liquid Propane Fuel Oil Other
7.   Supply temperature required?	F
8.  Temperature differential required?	F
9.   Max operating pressure requirement	PSI
10.   Mechanical room space constraints?	YesNo
Comments:
11.   Piping Arrangement:	Primary OnlyPrimary/SecondaryOther
12.   Variable Flow?	YesNo
13.   Combustion air arrangement?	Sealed CombustionBoiler Room Supply Air
14.   Venting arrangements?
a.  Total venting distance	ft
	Side Discharge ExhaustVertical Stack Exhaust
15.   Glycol required? If yes?	PropyleneEthanol    %
16. Site elevation?	ft.
17. Installation?	IndoorOutdoor
18. Voltage needed? (anything other than 120V?)	208/1230/1277/1208/3230/3460/3

Existing Installation Follow Up Questions:

1.   Mechanical room access issues? (door size, corridor size, etc)
Comments:

Options Questions:

1.   BAS interface needed?	YesNo
a. If yes, what protocol?	BACnetLONworksModbus
2.   Boiler sequence of operation (lead/lag, etc)?
3.   Alarm notification requirement?
4.   CSD-1 requirement?

Notes: