HomeMy WebLinkAboutBuilding Permit # 11/12/2015 OORTH
BUILDING PERMIT 0. (�20 16
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit No#: o 16 Date ReceivedAr D
Date Issued:
IMPORTANT: Applicant must complete all items on this page
Lo Iy0 , ,/, ��//,,,.r 1. /�i� /�. .,, ,,r�� �rl��>�1� �l�,,�l�i� / ������,1, �, ��/ ,l ��:,
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building [] One family
11 Addition [I Two or more family 0 Industrial
[I Alteration No. of units: 11 Commercial
[I Repair, replacement El Assessory Bldg [I Others:
D Demolition 11 Other
DESCRIPTION OF WORK TO BE PERFORMED:
A
N
0
Id ratification- Please Type or Print Clearly
OWNER: Name: 0— OP-Q up,rp Phone:
Address: cl Y L
WIN,
r ,:so s Cost uc�a, L ce se. //,� ��� /r�� /�/f��/, � / ��r�� / ;��
r / r r / /
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE:
Check No.: Receipt No.:
NOTE: Persons contractin "kith un tered contractorsdo not have access to the guaranty fund
�v n
t A
igna 'ure �geq ner -I �IA ature'OT`cohtr'bq br'
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Pennanent Dulnpster on Site ❑
THE FOLLOWING SECTIONS F OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING EV L P ENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on �/ Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Si nature &Aa Dnvewa Permit
PW Town Engineer: Signature: 1C
A2 /J�2L—
Located 384 Os ood treet
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C
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NORTH
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'T O LAKE � Vel� `�.S IJ'
COCKICMl WICK y01'
��ADRATED PP���y
S U
BOARD OF HEALTH
Food/Kitchen
rERMIT T Llow Septic System
THIS CERTIFIES THAT Y C��'........ C..� .
............ .... ..`................................................................... BUILDING INSPECTOR
.. ..... ....
has permission to erectg ga..Ad Foundation
................. buildings .....
Rough
to be occupied as ............... ... t?'� .........................l"-; `lK...:..`:. ..r.1411................................. Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
p Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
LESS TI TANTS Rough
........ ...... ... . . . . .
..................................... Service
Fina
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
ttORT11 TOWN OF NORTH ANDOVER
OFFICE OF
4,00 BUILDING DEPARTMENT
1600 Osgood Street,Building 20, Suite 2035
North Andover,Massachusetts 01845
�SSACHUS
Gerald A.Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
BUIDING PERMIT APPLICATION
Please print
DATE:
_v)
JOB LOCATION: I L wco �d
Number Skeet Address Map/Lot
I- e7()GI-
HOMEOWNERJ,4&�c,.,, L t �ca i- -rv) 1- 93-ly-
Name Home Phone Work Phone
PRESENT MAILING ADDRESS
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family
dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,provide
that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to
be, a one-or two-family dwelling,attached or detached structures accessory to such use and/or farm structures.A
person who constructs more than one home in a two-year period shall not be considered a homeowner. (780 CMR
Section I I O.R5.1.2)
The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable
codes,by-laws,rules and regulations.
The undersigned"homeowner"certifies that I lie understands the Town of North Andover Building Department
minimum inspection procedures and requi encs and that he/shewith said procedures and
e c 'y
requirements.
HOMEOWNERS SIGNATURE .__
APPROVAL OF BUILDING OFFICIAL
Revised 8.2015
Form Homeowners Exemption
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
fzREScheck Software f 1
Compliance Certificate
Project Peguero Residence ADDITION
Energy Code: 2012 IECC
Location: North Andover, Massachusetts
Construction Type: Single-family
Project Type: Addition
Climate Zone: 5 (6322 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
98 Lyman Road Luis& Nidia Peguero
North Andover, MA 01845 98 KLyman Road Hankey Designs
North Andover, MA 01845 P.O. Box 93
781.704.6758 N. Salem, NH 033073
n.peguero@comcast.net 603.490.0258
Compliance: 0.0%Better Than Code Maximum UA: 68 Your UA: 68
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Ceilings Second Floor: Cathedral Ceiling 175 49.0 0.0 0.022 4
Front Walls First Floor:Wood Frame, 16"D.C. 100 21.0 0.0 0.057 5
Door: Glass 20 0.320 6
i
Left Walls First Floor: Wood Frame, 16" D.C. 180 21.0 0.0 0.057 9
Windows:Vinyl/Fiberglass Frame:Double Pane with Low-E 7 0.320 2
Door: Solid 18 0.400 7
Back Walls First Floor: Wood Frame, 16" o.c. 100 21.0 0.0 0.057 4
Windows:Vinyl/Fiberglass Frame:Double Pane with Low-E 7 0.320 2
Door: Glass 18 0.320 6
Front Walls Second Floor: Wood Frame, 16" o.c. 76 21.0 0.0 0.057 4
Windows:Vinyl/Fiberglass Frame:Double Pane with Low-E 7 0.320 2
Left Walls Second Floor:Wood Frame, 16" o.c, 126 21.0 0.0 0.057 7
Back Walls Second Floor: Wood Frame, 16" o.c, 68 21.0 0.0 0.057 4
Floor First Floor: All-Wood Joist/Truss:Over Unconditioned Space 175 30.0 0.0 0.033 6
Project Title: Peguero Residence ADDITION Report date: 11/09/15
Data filename: C:\Users\Mike\Dropbox\Project Files\98 Lyman Rd ADDITION MA 11-9-15.rck Page 1 of 9
Compliance Statement. The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in
REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist,
Mlchad ACLDii 11-9-15
Name-Title Signature Date
Project Title: Peguero Residence ADDITION Report date: 11/09/15
Data filename: C:\Users\Mike\Dropbox\Project Files\98 Lyman Rd ADDITION MA 11-9-15.rck Page 2 of 9
REScheck Software Version 4.6.2
�
��������������N���� ����������0°����
Inspection ����������������
fZ Energy Code: 2012 IECC
Requirements: I0O.O96were addressed directly inthe RESchecksoftware
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate tob|e, a reference to that table is provided.
-9—eci on Plans Verif rifled
#i--j—pre-inspection/Plan Review Value e Complies? [Comments/Assumptions
103.1, �Construction drawings and 'ElComplies �Requirement will be met.
103.2 !documentation demonstrate E]Does Not
[PR111 �energy code compliance for the
WFINot Observable
building envelope,
'E]Not Applicable
�
103.1, �Construction drawings and LJComplies �Requirement will be met.
103.2, �documentation demonstrate ElDoes Not
4033 energy code compliance for
'R)EINot Observable
[PR311 Ilighting and mechanical systems. NE]Not Applicable
�Systems serving multiple
!dwelling units must demonstrate
�compliance with the IECC
iCommercial Provisions.
302.1, �Heating and cooling equipment is Heating: He i ElComplies Requirement will be met.
403.6 �sized per ACCA Manual S based Btu/hr Btu/hr 0Does Not
[PR2]2 on loads calculated per ACCA
Cooling: Cooling: �E]Not Observable
Manual J or other methods Btu/hr Btu/hr
�approved by the code official. EINot Applicable
�
AddMdmnaUCmmmmmemts/Assumnptimns:
11 IHigi Impact(Tier 1) 12 IMedium Impact(Tier 2) 3 1 Low Impact(Tier 3)
�
Project Title: PegueroResidence ADDITION Report date: II/09/I5
Data filename: C:\Users\Mike\Dropbox\Project Files\98 Lyman Rd ADDITION MA 11-9-15.rck Page 3of 9
lection -�
# Foundation Inspection.. Complies' Comments/Assumptions
_-
6s Ftec MMS
.._............... ... _ . ________.__....._ ._....................................___._._........................
303.2.1 ',A protective covering is installed to IMComplies Requirement will be met.
[FOII]z ;protect exposed exterior insulation ❑Does Not
sand extends a minimum of 6 in. below
f� grade. ;❑Not Observable
j❑Not Applicable
..... ... ........ .. _; .____......_................................... ---..
403.8 ;Sno�e-melting system controls ❑Complies ;Requirement will be met.
[FO12]2 (installed. ;❑Does Not
-(+ ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 `Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Peguero Residence ADDITION Report date: 11/09/15
Data filename: C:\Users\Mike\Dropbox\Project Files\98 Lyman Rd ADDITION MA 11-9-15.rck Page 4 of 9
__._. J
...... _..............
.,, g -I Pla Vailuefled Fiend N efietl. _...... ... _.. _._..._ _ ::... -
8 �ctltan
## Fremin 1 Dough In Inspection Complies? Comments/Assumptions
e Np ._ . .._. _ _
9�.._..
402.1.1, ,Door U-factor. U- U- ❑Complies ,See the Envelope Assemblies
402.3.4 ❑Does Not table for values.
[FR1]1 ,❑Not Observable
f ❑Not Applicable
402.1.1, ;Glazing U-factor(area-weighted U- U- ❑Complies °,See the Envelope Assemblies
402.3.1, ;average). ❑Does Not table for values.
402.3.3, []Not Observable
402.3.6, ❑Not Applicable
402.5
[FR2]1
303.1.3 �IIIU-factors of fenestration products( � / %%� ❑Complies Requirement will be met.
[FR4]1 fare determined in accordance % � '��� i '❑Does Not
ME
%/% /iiiiiiiiiiiiiii i % ��/ it
with the NFRC test procedure or � � /�i/ / /%%%/%%%%,i�����;❑Not Observable
taken from the default table. ;
❑Not Applicable - ---
- f///////%%%% % ail„ / —w b
402.4.1,1 Air barrier and thermal barrier , �� � ,//❑Complies ;Requirement will be met.
/ , �� / �� /
[FR23]1 installed per manufacturer's t �/ ❑Does Not
jinstructions• j i%// �/ ❑Not Observable
.
//���/��/a�❑NotA licable
- -- i / % % '!% %// !I❑Com q --
402.4.3 Fenestration that is not site built i��%����i o„/// ,i// plies ',Requirement will be met.
[FR20]1 lis listed and labeled as meeting "'iio/% /j� i/r� � ❑Does Not
;AAMA/WDMA/CSA101/I.S.2/A440
;i ii ///�// ❑Not Observable
;or has infiltration rates per NF RC ;/f/ /////,/� f,/�/ l
f // ❑Not
Applicable
1400 that do not exceed code �� PP
/ / / %/i/ %/ iY❑Com lies I;Requirement will be met.
[FR4.4 se rated recessed lighting fixtures � � /�❑ P
[FR16] sealed at housing/interior finish � // �� Does Not
;and labeled to indicate s2.0 cfm
1+ ,leakage at 75 Pa. � � ❑Not Observable
❑Not Applicable
403.2.1 Supply ducts in attics are R- R ;❑Complies (Requirement will be met.
[FR12]1 insulated to>_R-8.All other ducts 'F R_ R_ ❑Does Not
yin unconditioned spaces or
Up ,outside the building envelope are ' ❑Not Observable
Insulated to 2:R-6. ❑Not Applicable
403.2.2 IAII joints and seams of air ducts, ❑Complies ;Requi ent will be met.
[FR13]1 lair handlers,and filter boxes are ❑Does Not
0/%� %��/// /i /
sealed. � //i� / '%/ �]
❑Not Observable
i,o, '�/ i;/i//D%%%❑Not
Applicable
// %!1 i����� �/ '%;ilii
403.2.3 Building cavities are not used as � ��/j////////�,��ii,//� ��j//��j////// ❑Complies LRequirement will be met.
R15]3 Aucts or plenums. /j„ ////% J❑Does Not
[F � i
;❑Not Observable
j❑Not Applicable
41.1-
403.3
403 3 ;HVAC piping conveying fluids R- R- ❑Complies !Requirement will be met.
[FR17]2 above 105°F or chilled fluids ❑Does Not
;below 55°F are insulated to �tR- ❑Not Observable
3' I ❑Not Applicable
r-777777777
„',, ;iii%%%%%/ /////ii%O%%%%%%/////DDO///0000 i
�_.....
403.3.1 Protection of insulation on HVAC ❑Complies Requirement will be met.
[FR24]1 piping. ❑Does Not ,
i 'n
i'�❑Not Observable
❑Not Applicable
403.4.2 ;Hot water pipes are insulated to R- R- ❑Complies Requirement will be met.
[FR18]2 ?R-3. ❑Does Not
1 ❑Not Observable
❑Not Applicable
1 (High Impact(Tier 1) 2Medium Impact(Tier 2) 13 Low Impact(Tier 3)
Project Title: Peguero Residence ADDITION Report date: 11/09/15
Data filename: C:\Users\Mike\Dropbox\Project Files\98 Lyman Rd ADDITION MA 11-9-15.rck Page 5 of 9
ectic�n Flans Verified Field"Verified
# Framing/Rough-in !inspection Value Value Complies? Comments/Assumptions
6c Fle .ilb
403.5 ;Automatic or llravit dampers are iii"""'�" , ; � �// ///i/��,,'❑Complies ;Requirement will be met.
[FR19]2 installed on all outdoor air ����/"/���i�%�� i/�f%����f��/��❑Does Not
intakes and exhausts.
�.+ ; , ' ����/j�����, ��'��❑Not Observable '
� �,,,,,,, � „/����//� ,`�%j��M �/ii�❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) —� 3 ��ow Impact(Tier 3) '
Project Title: Peguero Residence ADDITION Report date: 11/09/15
Data filename: C:\Users\Mike\Dropbox\Project Files\98 Lyman Rd ADDITION MA 11-9-15.rck Page 6 of 9
_ _ _____ ..... _
etioJ�n p Plans"Verified Field Verified
fk Insulation Ins ection Value Value Complies? Comments/Assumptions
i I2eq _ =303.1 All installed insulation is labeled /„/ „i,,, ,,,/,„ "❑Complies Requirement will be met.
2 l���//i' J /�/�//�� %//Ii%/j%%iiiiiiii/1❑D 02 S N Ot
[IN13] or the installed R-values
provided.
a��ii /Oiiiiai/� %%%% ❑Not Observable
� iii/,, /��///�/� ❑Not A licable
402.1.1, `Floor insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies
402.2.6 ❑ Wood ❑ Wood ❑Does Not ;table for values.
[IN1]1 ❑ Steel ❑ Steel ,❑Not Observable
fit' ;❑Not Applicable
303.2, Floor insulation installed per e ii////////////%/////�"""%°j ��� ❑Com lies ;Requirement will be met.
402.23 manufacturer's instructions, and ,/%//////////i "'i /� /❑Does Not
[IN2]1 in substantial contact with the
❑Not Observable
l
underside of the subfoor. �
r
❑Not Applicable
402.1.1, ,Wall insulation R-value. If this is a R- R- ❑Complies ;See the Envelope Assemblies
402.2.5, (mass wall with at least 1/2 of the M Wood ❑ Wood ❑Does Not itable for values.
402.2.6 jwall insulation on the wall ❑ Mass ❑ Mass ;❑Not Observable
[IN3]1 ;exterior,the exterior insulation
]� ;requirement applies(FR10). f E] Steel F E] Steel ❑Not Applicable
1 " ❑Complies ;Requirement will be met.
303.2 ;Wall insulation is installed per // ������������ d
[ ] P jj , io
IN4 ..manufacturer's instructions. � � �j��� ���������/4❑Does Not
%I
(� � ❑Not Observable
;i/////////////////////%,%Mq,❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) �3 Low Impact(Tier 3) _�
Project Title: Peguero Residence ADDITION Report date: 11/09/15
Data filename: C:\Users\Mike\Dropbox\Project Files\98 Lyman Rd ADDITION MA 11-9-15.rck Page 7 of 9
_ __ — ---- —
ection Flans Ver�f�ed Field Verrf�ed
# Final Inspection Provisions
Value Value Cc►mplie7 Comments/As
umRtic►ns
402.1.1, 'Ceiling insulation R-value. �I R- R- ❑Complies See the Envelope Assemblies
402.2.1, E] Wood ❑ Wood ❑Does Not table for values.
402.2.2, j n Steel j❑ Steel }❑Not Observable
402.2.6 ❑Not Applicable j
[Fill
At)
303.1.1.1, Ceiling insulation installed per OComplies Requirement will be met.
303.2 `manufacturer's instructions. „ ❑Does Not
[F12]1 ,300 ftp.Blown insulation marked every I
❑Not Observable
t[� �
ElNot Applicable
-------------------
402.23 Vented attics with air permeable leice„ i """"
❑ m
%%/ Coplies ;Requirement will be met.
[FI22] insulation include baffle adjacent p❑Does Not
lto soffit and eave vents that
❑Not Observable
;extends over insulation.
❑Not Applicable
402.2.4 -;Attic access hatch and door �I R- R- ❑Complies ;Requirement will be met.
[FI3]1 Insulation >_R-value of the ❑Does Not
( iadjacent assembly. ❑Not Observable
❑Not Applicable
402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ^I❑Compiies Requirement will be met.
[FI17]1 tach in Climate Zones 1-2,and ❑Does Not
<=3 ach in Climate Zones 3-8. j❑Not Observable
❑Not Applicable
403.2.2 _;Duct tightness test result of<=4 I� cfm/100 cfm/100 1❑Complies Requirement will be met.
[F14]1 lcfm/100 ft2 across the system or 1 ft2 ft2 ❑Does Not
<=3 cfm/100 ft2 without air ❑Not Observable
,handler @ 25 Pa. For rough-in
(tests, verification may need to ❑Not Applicable
occur during Framing Inspection.
403.2.2.1 Air handler leakage designated Requirement will be met.
[FI24]1 by manufacturer at<=2%of ,; „ ;❑Does Not
;design air flow, i
❑Not Observable
�` g %/////�/ ����� ❑Not Applicable j
403.11 Pro rammable thermostats ' ' ❑Complies ;Requirement will be met.
[FI9]2 installed on forced air furnaces. ❑Does Not
•,1!!, ! � i � i////iiiiiiii %%%% /%/��//���/���❑NOt Observable i
r
❑Not Applicable
403.1.2 Heat pump thermostat installed ; ;;,;!��%////////%////����/ii/��������?❑Complies Requirement will be met.
[FI10]� 1 on heatpumps. � *a❑
Does Not
"'❑Not Observable
❑Not Applicable
403.4.1 Circulating service hot water �' ���"""""""""""""' '❑Com lies ;Requirement will be met.
[Flll]2 systems have automatic or ❑Does Not
i/
i ;accessible manual controls. F ❑Not Observable
1 ( ,, ;;, i /,j///iiiii///;////O%% %%/iiiiiioii,,,, ❑Not Applicable
403.5.1 lAll mechanical ventilation system " ❑Comp lies ,Requirement will be met.
[FI25]� lfans not part of tested and listed ! iii a❑Does Not
HVAC equipment meet efficacy : o
and air flow limits.
t❑Not Observable 1
ii
❑Not Applicable 1
404.1 75%of lamps in permanent ; ��!' """%� " ❑Complies ;Requirement will be met.
��
6]1 fixtures or 75%of permanent ❑Does Not
CFI fixtures have high efficacy lamps.
Does not apply to low-voltage '❑Not Observable �l
Ilighting. E]Not Applicable j
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Peguero Residence ADDITION Report date: 11/09/15
Data filename: C:\Users\Mike\Dropbox\Project Files\98 Lyman Rd ADDITION MA 11-9-15.rck Page 8 of 9
section Plans Verified Field verified
# Final Inspection Provisions Value Value Compiles' Comments/Assumptions
& Req.11)
404.1.1 Fuel gas lighting systems have ''' "'� ''" ' ! """"'"' ' ' Complies ;Requirement will be met.
[F[23]3 �no continuous pilot light. Does Not
'
p
/ ; Not Observable
' E]NotApplicable
401,3;Compliance certificate posted. i iiiiiii%/; „/"' /j �wElComplies Requirement will be met.
[FI7]2 / lii%�a/ %%%%////%u�Does Not
° ❑Not Observable
AE]Not Applicable
303.3 ;Manufacturer manuals for % % %"%% //i /////////AElComplies ;Requirement will be met.
[FI18]3 mechanical and water heating �,���% //////////%///%�� '�FIDoes Not
(systems have been provided.
�i �pNot Observable j
ONot Applicable '
....... ... ,,...� ..:, .
Additional Comments/Assumptions:
1 IHigh Impact(Tier 1) 12 IMediurn Impact(Tier 2) 13 Low Impact(Tier 3)
Project Title: Peguero Residence ADDITION Report date: 11/09/15
Data filename: C:\Users\Mike\Dropbox\Project Files\98 Lyman Rd ADDITION MA 11-9-15.rck Page 9 of 9
2012 IECC Energy
Effidency Certificate
« .
Above-Grade Wall 21.00
Below-Grade Wall 0.00
Floor 30.00
Ceiling / Roof 49.00
Ductwork(unconditioned spaces):
r.• « a
Window 0.32
Door 0.32
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments