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<br />PROJECT N,AME:
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<br />OWNER:
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<br />8. \ .,(: ". ' 1 , " . ft. $,
<br />, :" Slt)glePane . i: ; Double Pane
<br />1.~ ~:~'; ~fJ' ~;< sq. ft. ;_~~ sq. ft.
<br />1b. ',. : ", .' sq. ft. _____ sq. ft.
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<br />1. New construction l:--r'ldrJill.)n
<br />2. Single family detached or Multifamily attached
<br />3. If Mulllfamlly-No. (I' units cover" by thl. submission . i '.
<br />4. Is this 8 wartt case? (yes / no) ".
<br />5. CondlUonttd floor "~'el! (;q, ft.)
<br />6. Predominant eav!'! cvp.I'Ir'Jng (ft.)
<br />7. Glass type And flU';>,:
<br />a. CleAr qla'l<;
<br />b. Tint, fillTlor !;:ll;,tr ;r.If~en
<br />8. Floor type aurf htsI,"'aUor':
<br />il, ~;j:'\h-()n"pr,"d", (fl'mlllp' + perimeter)
<br />b Wood, raip,,>,' fFl"f'llun fo sq. ft.)
<br />c. Cnncl"?te. flic;"d::l,'taJlJe)
<br />9. Net W~II tYPI?, men ,uld;l1~ulatlon:
<br />a. ExterlOf: (, lI'l~r(lte block (Insulation R-value)
<br />V looe! frame (Insulation R-value)
<br />, ~11H11 frame (Insulation R-value)
<br />I. ('9 (Irmulatlon A-value)
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<br />(, Jl\crp~e block (Imlulatlol1 n''1.,'',ln:,
<br />I,' IO~Jd frame (Insulation R-value)
<br />~ lp.f!1 frame (Insulation R.value)
<br />I. c'9 (Immlation A-value)
<br />10. Celllnt;J type, area IJrulln1ulaUon:
<br />a, Under attic (Insulation R-value)
<br />b. Single assNnbly (Insulation R-value) \;;,!-i !:I ,~'~
<br />c. Aadiant barrier installed (yes lno) \: :'\ ,: I, ::":
<br />11. Air distribution 8yitem: . " ' . ' t .
<br />a. Duets (Insulation... location) ~ . -J'! y. ::1
<br />b, AirHandler(Locatiol'l)' ',:;;:".~" ,;.:,'flv'l
<br />12. Cooling system: ' , ':4~1'
<br />(Types' cen.tral-splft, cenlral-lllnnle pkg., room unit, PTAC., gas. none) b'" ,:;,
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<br />13. Heating system: i ,j; ',' ~
<br />(Types: heat pump ('I",:: slip, nat. pas, L:P. gas, gas h.p., room or pt~d,l19h.t ','
<br />14. Hot wAter system:. . . ',I ~JL..:;; ~,
<br />(Types: elec., nAtl/rAI g;~n, Foler, l.P, gall, none), : !"! ;;;J.~}f: 4~
<br />15. Hot Water Credits! ,I,~ f'i! ~W!t:"~f .
<br />a. Hea! Aecovery (HR)r"~;lfr!~~~< .~1 .'
<br />~ ~:~aled H''''I PUI1)P(DHP)\:!'~! i~~
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<br />16. HVAC Credits ';I;~ ;:.';.1,,;.11
<br />(Use: O'-Ceillng FAn, O' Cros'; Vf'1t, PT.Programmable thermostat.! ,~. ;,.~
<br />HF-Whole housolllr), MJMullj?f1ne) 'I " , ;
<br />17. COMPLIANCE STA1'US: (pASS if As-BuIlt Pis. ate less than Base F'ts.) .
<br />a, Total As- lit points' ' . b. Total Base points' " J:,
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