12 Gifford Court_CofNA_weatherization
Plan View
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Name: Site ID: Finished Sq. Ft:
Phone: Email: Mod Inc:
Address: # of Floors: # of Occupants: Year of House:
Occupancy: Housing Type:
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HVAC DUCTS BSMT MODEL
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Fuel: Insulated: Cond/Heated/Unc/Mix
Type: Lin Ft.: Footprint:
Effic: Perimeter (in): Bsmt Height:
DHW: Surface Area: Avg Abv Grade:
Fuel: Duct Sealing: Perimeter:
A/C: Insul Removal:
BASEMENT INSPECTION
Existfng Spec‘ing Ln/Sq. Ft.
Crawl Wall:
Crawl Ceiling:
Bsmt RJ w/ Sill:
Bsmt RJ NO Sill:
Overhang:
Garage Ceiling:
Vapor Barrier: sqft. Bsmt Door:
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Blower Door? Yes No WALLS & GARAGE Drill Locatfon?
Siding Ceil. Height Existfng Spec’ing Sq. Ft. Framing
Exterior Wall 1: x x Balloon/Platiorm
Exterior Wall 2: x x Balloon/Platiorm
Garage Wall: x x Balloon/Platiorm
WINDOWS & DOORS
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Single Pane Total:
Front Window:
Front Door:
Left Window:
Left Door:
Right Window:
Right Door:
Back Window:
Back Door:
Sweeps:
WX Stripping:
WORK SPEC’D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? (MANDATORY)
Attic Basement/Crawlspace Other: K & T Yes No Moisture Yes No Combustfon Sfty Yes No
Kneewall Overhang/Garage Asbestos Yes No Mold>100 sq. ft Yes No CO Detector Missing Yes No
Ductwork Exterior Walls Vermiculite Yes No Structl Concerns Yes No Other:
Notes for Lead Vendor/Work Not Contracted:
ORIENTATION
Street
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KW WALL AND KW FLOOR Blind Spec? KW SLOPE AND GABLE END Blind Spec?
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Why? Why?
Framing Existfng Spec’ing Sq.Ft. Framing Existfng Spec’ing Sq.Ft.
Wall x x Slope x x
Floor x x Gable x x
Access x Trans x x
Trans x x Attic
Attic x x Slope
Slope Existfng Ventfng?
Existfng Ventfng? Existfng Pipes?
KW Ventfng Vent BF BF Hose Damming Sheathing Access Temp Access KW Ventfng Vent BF Temp Access
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KNEEWALL MANDATORY
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Insulated Wall Rec’d Light Ins. Hose BF Vent BF BFV Chim. CH Damming ________ 12” Roof Vent 12RV
Air Handler AH Temp Access T Pull Down PDS Hatch H Wall Hatch H/ Door D/ 8” Roof Vent 8RV
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x x ATTIC 1 Blind Spec? x x ATTIC 2 Blind Spec? MULTIPLIERS
Existfng Spec’ing Sq ft Existfng Spec’ing Sq ft Truss X Batt >6" Loose Mixed
Unfloored Unfloored AIR SEALING HOURS
Floored Floored
Cath Slope Cath Slope
Walls Walls
Access Access WHF Box
Ventfng Propavents Vent BF BF Hose Damming Ventfng Propavents Vent BF BF Hose Damming Temp Access
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Sheathing Access
R.L. Covers
SqFt/600 Exist Need Existfng? SqFt/600 Exist Need Existfng? Kitchen Fan
High: - = High: - = Stack Vent
Low: - = Low: - = Roof Type
OR
x x