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J <br /> �n � <br /> O� x <br /> C H <br /> 9Hfn <br /> 4 <br /> H H <br /> K n <br /> H �7 <br /> O� O . <br /> htl H 'i1 <br /> y z " �A(� Attachnent C <br /> �� � � <br /> �`�g � ' nd I ector Checklist <br /> x y� Plans Examiner a nsp <br /> g Ny PertnitNo. Address 41f3� �IDGEMo�I� D� <br /> �d y Plane Exeminer: Check,write in N/A,or(ill in value on shdded boxes. <br /> � � �'j Inspector: Check oN boxes at IeR as items are tound to comply. <br /> y � �' Compilence epproach: (check one) ❑Systems analysis �Component pertormance ❑Prescriptive palh <br /> Note:Some specitics on this form may not apply if <br /> A) compliance approach is systems analysis or component pertormance; <br /> B) compliance to minimum ventilation criteria is demonslrated lhrough engineering calculations or pertormance testing. <br /> FOUI�ATION PHASE <br /> ❑ Slab:��i�._(J�!{,_.,.�Ezierlor down to frostline/slab botlom;or Interlor 24"Mrizontel or vertical;or,II radlent,under entlre sleb <br /> � Il intedor—see lnsulatlon Phase) <br /> ❑ B�lowgrede�xteriorwe�llnsuletlon: R-_N��__.. ( <br /> --, <br /> ❑ Redon mltlgetlon:LFJ�f1_,.,..,I If locally requlred,or crawispace ven�ing<11V300f12 of crewl,or veNs Include en oper�Me demper <br /> FRAMRIG PHASE <br /> '�' ❑ Fromfng: nStendard � �Intermediate � _�Advenced <br /> '_� ❑ Std elr esel:solepVsubllr,rim�sVmud slll;wlndow 8 Coor trms;penetratlon-wire,plumb,duct,partttlon studs,fiue,IIgM flxtures <br /> ❑ Sourc�sp�olflc�zheust fans: Slze requlrement—bath,laundry(50cim);kltchan(700dm) <br /> � ' ❑ Whol�housa exheust len I�) 7 cim �mermment system has manuet a auto rnntro�s;Outdoor eir supply req.lor hebilable rms. <br /> � ' or <br /> � ❑ Integreted torced-elr ryetem i���q_�, outside aly ducl(wilh damper)allowing between.35 and.5 ACH <br /> 1 INSULATION PFIASE <br /> ' ❑ R•JS. .�D._e�21 Wellinsu�etlon(ebovegreda) I�--�S �-'� Z'�~ W^��/�-� C' �"� w��� <br /> '_' ❑ �.–hjJL�___,.�� Well Imuletlon(below grede):Intorbr well Insulation <br /> ❑ b.� 25�� '� Floorinsuletlon <br /> . s�'... ......_ <br /> ,_._... . <br /> ❑ p. �J/a _ � Celling loeuletlon:Including anic hetch <br /> �� ❑ b 3p�_�������'� Veulted celling Ineuletlon <br /> �� ❑ Vapor reterders:wails,floors,celling <br /> .. . -- �-- ----__.._ .� <br /> �' ❑ Heating sysiem type: f,��S ,.�,A __ .�� For heatpumps,Iist size,HSPF,and COP �I. . <br /> � E"�s-r`` FINAL PHASE <br /> ' ❑ Redon monitor on elto:with Instrudlons and general Inlormatlon <br /> ❑ Thermostet:hoat range,55-75;AC iange,70-85;both,55-85.Dackup heat conlrols prevenl simultanaous operatlon ol pdmory sys. <br /> ❑ Solld fuel nppllenees:glass or metal doors;direcl comb.alr source,or 4"dia.,dampered,Indirect source lor uncond.areas <br /> ❑ Flrepleces:6"combustlon alr supply duci w/damper direct to ltrebox;tlght Iltting glnss or metal doora � <br /> ❑ OHW heaters:NAECA labal;separate power or gas shut-off;on R•10 pad Ii electrlc and In uncond.erea or I�on rnncrete <br /> ❑ Machenicel venllletlon ducts Insulated to H-0:exhaust ducis In uncondltloned areas/suppiy ducls In condltloned arees <br /> ❑ 'q-._(�../a........1 HVAC ducls/plenum Insuletlon:ducts In wcondltloned areas aro Insulated end Jolnls ere seeled <br /> ❑ Plpe Insuletlon:R-31or hot and cold waler plping In uncondllloned arens(II servlce or redreulating,see T[fble 5-12) <br /> ❑ Oround cover:6 mll black polyelhylenelapproved equal lapped 12"c+l Jolnts and eztending to foundatlon well <br />