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<br />Plans Ezaminar: Chedc, write in I UA, or fill in value on shaded boxes.
<br />Inspector: Check oH boxes at lefl as Rems are found to comply.
<br />Compllencs approach: (chedc one) ❑ Systems snalysis ❑ Componunt peAormance �Prescriptive pelh
<br />Note: Some speqfics on ihis fortn may noi apply it
<br />A) compliance approach is systems analysis or component performance;
<br />B) compliance to minimum ventilation aiteria is demonstratad through enginaering calculations or performence testlng.
<br />�t� �
<br />❑ Sleb: �._(Q,� Exterlor dovm to hostllne/alab bottom; or Ir.terlor 24" horizmtel or vertk:al; or, H redlant, under enUre sleb
<br />❑ B�low Qrod� �xbdor wdl Insul�tlon: 'Er,�.� (R IMedor — sea Insulatlon Phese)
<br />❑ R�don mltlg�tlon: � If locally requlred, or aawlspace venting <1 W3001t2 of crewl, or vents Indude an operabla demper
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<br />❑ Froming: �Stendard �IMermedlate � Advanced
<br />❑ SM slr s�el: solepVsubllr, rim JsVmud slll; window 6 door frms; penetratlon-wlre, plumb, duct, parUllon studs, flua, Ilght 1lxtures
<br />❑ Sourc� sp�cNlc �xh�u�t hns: Slze requirement — bath, laurxiry (50cfm); kRchen (100cim)
<br />❑ Whol� houn �xh�wt fm C,?T� Irrtertnlrient syatem has menual 8 auto oonVols; Ouldoor elr supply req. fa hebllade rms.
<br />or
<br />❑ Inbgrabd foro�delr syet�m � oulalde ely duct (wNh demper) allowing between .35 end .5 ACH .
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<br />❑ �_,�,_ ',.,.-� WaIllntulatlon(�bov�gAd�)
<br />❑ ,,,,�j„�, _,,,'�� W�II Inauletlon (Mlow grod�): Irderlor well Insulatlon
<br />❑ �. ,�.,� �� Floorl�suletlon
<br />❑�,�-, CNling Insulatlon: Induding afllc hatch
<br />❑ � Vault�d cNling Insuladon
<br />❑ Vapor r�t�rd�n: walis, floors, celling
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<br />❑ Hwting sysbm typr. �� ���,,,,':LLI For heatpumj�s, Ilst slze, HSPF, and COP �T : �
<br />FNAL PIIASE
<br />❑ Radon monitor on sRo: with Instrudions and general informetlon
<br />❑ Th�rmoatat: heat range, 55-75; AC renge, 70-95; both, 55-85. Badcup heat controls prevent slmulteneous operatlon of prlmary sys.
<br />❑ Solid tuel appllancea: glass or metal doors; dlred camb. alr source, or 4" dia., da�npered. Indirect source tor uncond. areas
<br />❑ Flraplecss: 6" combustion air supply duct w/demper dired to ilrebox; tight titGng gless or metal doors.
<br />❑ DHW h�abn: NAECA label; �eparate power or gas shut-oH; on R-10 pad N electrlc and In uncorxl. erea orlf on concrele
<br />❑ NNcheMcal v�ntlletlon ducts Insulat�d lo R�: exhaust ducls In uncondftioned arees/supply ducts In conditloned areas
<br />❑��.,;,__T� HVAC ducts/planum Insulatlon: ducts In uncondltloned areas ara Insulated and Jolnts are aealed
<br />❑ Plp� Ineulatlon: R-3 for hot and cold water piping in uncondltloned ereas (H service or redreuleting, see Table S12)
<br />❑ Oround covsr: 6 mll bleck polyethylene/approved equel lapped 12" at �olnts and eMending to foundetlan well
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