Auxiliary Heating/Cooling Equipment Request
Instructions:  Applicants must complete sections A and B.  Please contact the Department of Energy Management at energy_management@stonybrook.edu with any questions.
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Email *
Section A:  Applicant Information
Today's Date
MM
/
DD
/
YYYY
Applicants Name (Last, First) *
Applicants Department *
Applicants Building: *
Section B:  Request Information
Applicants Telephone: *
What department is requesting the unit? *
What is the equipment type? *
What is the reason for the request? *
Building the unit will be installed in: *
Room the unit will be installed in: *
What is the room length (FT)?
What is the room width (FT)?
New Unit Size? (Height x Width x Depth)
New Unit rating? (BTUH):
New Unit Brand and Model Number: *
Applicant Affirmation:
By checking this box, I confirm that I understand that the installation of equipment and/or any modifications to structures and/or systems will be done at the expense of the requesting department.  I also understand that Campus Operations and Maintenance will provide maintenance services for this equipment on a fee basis only.
Accept Agreement *
Required
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