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BUILDER SPECIFICATION CHECKLIST Builder Name: ' -JF-VFAI A. fir.! Job Name: tor 56 C*AIJ)( Slab on Grade Insulation R-Value: # Feet Down: # Feet In: Crawl Wall Insulation R-Value: *3� Full Wall? If No, # Feet Down: Finished Bsmt Wall Insulation R-Value: I J Full Wall? YES If No, # Feet Down: Unfinished Bsmt Wall Insulation R-Value: Full Wall? If No, # Feet Down: Exterior Foundation Wall Insulation R-Value: i l/ Rim Joist Insulation R-Value: I S Above Grade Wall Insulation Cavity R-Value:IS 4?/IrFT' Sheathing Material/R-Value: Attic Knee Wall Insulation Cavity R-Value: i '• Sheathing Material/R-Value: Attic Insulation R-Value: 3� Frame Floor Over Garage Insulation R-Value: 2 7� Windows U-Value: s SHGC: Gas Furnace AFUE: 9117i0 A/C Seer: J Heat Pump HSPF: Water Heater EF:l4AViEN'7'ArJKL"35 Gallons: % High Efficiency Lighting (CFL/LED): Refrigerator kWh/year: Dishwasher EF: Air Leakage Rate(ACH50): (We will use 6.0 air changes unless you note otherwise) % Duct Leakage Rate: (We will use 6% leakage unless you note otherwise) Is a fresh air system installed? Yes: 1W No: Q System Type: POAW IAK� exh Ay5T r'60`i :xamples: Passive Air duct into return Trunk, continuously running exhaust fan, ERV, HRV systems, etc.) We have helpful information regarding fresh air systems on our website, www.tsienergysolutions.com, in the residential part of the Links/ Resources tab. If you build a tight home and install a ventilation system, you may be able to avoid some costlier upgrades like full wall basement insulation If the home Is on a crawl, is it a conditioned crawl with the access located in side the home? Yes:( )No:( )NA: If the home is on a conditioned crawl (with the access inside the home), we will use 4cfm/100sf for duct leakage which will help your overall performance. If you are building a conditioned crawl, make sure a dehumidifier is used during construction to reduce moisture and install the visqueen (at least temporary visqueen) AS SOON AS POSSIBLE DURING EARLY CONSTRUCTION to avoid moisture/mold problems in the crawl during construction. There is helpful information regarding conditioned crawls on our website, www.tsienergysolutions.com, in the residential section of the Links/Resources tab. Please sign and date below if the above information is correct regarding your current building specifications. Signatures .- (�. (�{r� Date: 3- I TSI Energy Solutions, P.O. BOX 705, CARMEL, IN 46082, 317-846-4655 energycode@tsienergysolutions.com, www.tsienergysolutions.corn NEW HOME DESIGN REQUEST FORM rTs� Ft v'gy BUILDER: STEWN A. 1,V1L-S0fy SUBDIVISION: VN14LK LOT: Sb STREET ADDRESS: CITY: CA(zlAE-L_ ZIP: V(0032- FieldContact: CR2t5 W IL.SbNf Email: SpW,3J,tD�2QG.,aA1L,.caN PH:3j7.570-i, I Billing Contact: Email: Address: TYPE (CHECK ALL THAT PH: EST. START DATE: /©- 2/ / 9 EST. DRYWALL DATE: "-31 2 (- Zo EST. CLOSING DATE: (o - Z ( _ 2 t' FLOOR PLAN NAME: # OF BEDROOMS: *CONDITIONED SF: S ) Sys * Please include basement and all unfinished living areas. *Do NOT include garage SF. ❑ I�,Y PART BSMT/ ❑ ❑ WALKOUT ❑ SLAB: FULL BSMT: ILLYUI FULL CRAWL: GARDEN BSMT: CRAWL: BSMT: any portions of the basement finished? YES ®NO IG HEIGHT (CHOOSE ALL THAT APPLY) BSMT: CRAWL: N1--t 1ST FLOOR: 1J�l2 / 2ND FLOOR: NA Other: ANICAL VENTILATION INSTALLED IN HOME? r.g. Continuously running exhaust fan, fresh air YES © NO SYSTEMIS): # of Systems: I supply to return, HRV, ERV,etc) NG TYPE (Check all that apply): *Heat pump size required for proper analysis WATER HEATER TYPE: GAS FURNACE [7,1 GEOTHERMAL I I HEAT PUMP I I *HP SIZE(TONS): GAS U ELEC SELECT the program you wish to receive in the appropriate column based on *CONDMONED square footage of the home. <3000 sf 3001-6000 sf 6001-311~ >8000 sf HERS Program Q 0 Q HERS PLUS Program 0 Q Q Thermoshield Program 0 0 Q Q Basic Code Program 0 Q Q Q HERS Program: Our HERS program gives you all the code documentation PLUS a pre -drywall digital report that provides photo documentation of problem areas found during our inspection (marked on a pdf of your plans). PLUS a Home Energy Rating (HERS) score to help you market the energy efficiency of your home. (Most common selection) HERS PLUS Program: Includes all the benefits of the HERS Program PLUS a pre -insulation inspection. This inspection takes place early during the mechanical stage so we can help you identify major areas of improvement well before wall insulation which will reduce your warranty calls. In addition, we perform an infrared scan of the wall and ceiling areas at our final inspection to make sl nothing was missed during construction. noShield Program: Includes all the benefits of the HERS PLUS program AND a comprehensive ThermoSeal air sealing packag wall insulation is installed. This also includes: hot water pipe insulation, foam insulation gaskets, and air sealing plugs for the cal outlets, as well as air sealing after drywall is installed and customized marketing brochures to help you sell the energy ncy of your home. This program reduces warranty claims and dramatically improves comfort. Code Program: This program gives you basic inspections and documentation you need to meet the Indiana Energy Code. Email this form with plans and the builder spec sheet to: energycode@TSIEnereySolutions.com TSI Energy Solutions P.O. Box 705, Carmel, IN 46082 P:(317)846-4655 F: (317)846-4672 effective for all submittals received beginning May 20, 2016