The amount of debris or mold present in your system could certainly ratchet up the overall price. The cost of mildew removal is around $0.07-0.08 per square foot, on top of your initial cost, according to Blue Book. Removing these elements involves added time, special equipment and even special chemicals. In fact, you may be referred to a specialist if mildew and mold is too severe.
Yes, ducts can look terribly dusty. However, that dust will not become aerosolized during the normal operation of your furnace. There is an easy way to test this. Rent a particle counter and test the air flowing out of your registers before and after cleaning. You will not see any improvement in the air quality or any reduction in the airborne dust level. Think of it this way. Duct cleaning companies tell you that you need to clean your ducts when you can see a layer of dust in your ducts. Yet that very layer of dust is proof that duct cleaning is unnecessary, because that dust proves that the air movement in your furnace is not fast enough to re-aerosolize the dust.

The HVAC industry is a worldwide enterprise, with roles including operation and maintenance, system design and construction, equipment manufacturing and sales, and in education and research. The HVAC industry was historically regulated by the manufacturers of HVAC equipment, but regulating and standards organizations such as HARDI, ASHRAE, SMACNA, ACCA, Uniform Mechanical Code, International Mechanical Code, and AMCA have been established to support the industry and encourage high standards and achievement.
Duct system installation and repairs affect HVAC installation cost. If you’re installing a new forced air heating or cooling system, your home must have ductwork – if you don’t have ducts installed, a new duct system will need to be designed and installed. Your existing duct system may require air sealing to eliminate air loss, helping your new heating and cooling system operate efficiently.
Heaters are appliances whose purpose is to generate heat (i.e. warmth) for the building. This can be done via central heating. Such a system contains a boiler, furnace, or heat pump to heat water, steam, or air in a central location such as a furnace room in a home, or a mechanical room in a large building. The heat can be transferred by convection, conduction, or radiation.
I hope that those customers you have with breathing problems don't follow your advice too closely. You are doing them a disservice. Dirt in your ducts does not always stay there, depending on what the contaminants are. I bet you tell your customers not to worry about mold either- just to kill it with bleach. Educate yourself before opening your mouth- You may kill someone someday with your opinion.

We moved to a house built in 1965 from a 1915 house with a dirt basement. Against what I anticipated, the 1965 house was much dustier. It was like felt on top of everything. I cleaned and cleaned and it did become less dusty over time. We then found out a cat lady with over 2 dozen cats lived in the house in the past. We then had to get our furnace replaced and I was able to look down some of the duct work, the dirt and debris was 3-5 inches deep. Additionally, the basement ducts were entirely plugged with debris including dirt, seeds, ants, toys, etc. I had already removed what I could from those. We had our ducts cleaned last year, and the dust in the house is greatly reduced. Also have lost the runny nose I got after moving here. There are duct cleaning con artists out there, but ours did a good job.

When central air conditioning service fails during a heat spell, you may have to wait days for an HVAC repair technician or an ac contractor to show up, and you'll probably pay at least several hundred for the repair. But if you're comfortable working around electricity and are willing to spend about $50 on parts, you can probably repair your air conditioning service yourself in about two hours and save about $225 on parts markup and labor.
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