HomeMy WebLinkAboutPermit Certificate of Occupancy CO-24-37Applicable Code: Base Stretch
Project Description
Single family Renovation / alteration
Multi-family Addition
Log home Repair
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*
___________________________________________________________________________________________________ Property Address (Street, City, ZIP Code)
_______________________ _______________________ ____________ _________________
Construction START Date Construction FINISH Date Act 250 (Y/N) Act 250 Permit #
______ _______ ________________ _________ # Units # Stories # Conditioned Sq. Ft. # Bedrooms Existing Home Project Description: ________________________________________
Foundation: Basement Slab On Grade Crawl Space Other: __________ ____________________________________________________________________
Option 1: Package-Plus-Points Ref. RBES for full requirements of each point option BASE / STRETCH (circle one) Points required: _______ (Base requires 4-10pts / Stretch 6-12pts, Package # _________ Points achieved: _______ see Handbook Tables 5-2 and 5-5)
Envelope: Slab, R-10 under all (1pt) ACH50 ≤ 2.0 and qualifying HRV/ERV (3pts for Base OR 1pt for Stretch)
Envelope: Walls-Upgraded, R20+12 (2pts) ACH50 ≤ 1.0 and qualifying HRV/ERV (4pts) Solar ready (1pt, Base only†)
Envelope: Walls-High-R, R-40 (3pts) ENERGY STAR DHW (1pt) On-site generation (1-4pts)
Envelope: Ceiling, R-80 flat / 60 sloped (1pt) ENERGY STAR electric DHW (2pts) _____ kW _____ pts
Envelope: Windows 0.27 (1pt, Base only) Low flow fixtures (1pt) Solar hot water (2pts)
Envelope: Windows 0.22 (2pts) Drain water heat recovery (1pt) Building energy monitoring (1pt)
Pre-drywall blower door (1pt), result _______ User-demand hot water recirculation (1pt) Level 2 EV-ready (1pt)
ENERGY STAR heating and cooling (1pt) Water certification (2pts) 6 kWh battery backup (1pt)
Advanced heating and cooling (3pts) List cert. type ________________________ †See RBES for MF exception
Option 2: REScheck software (cannot be
used for Stretch Code) Passes
________ UA result _______ Max. UA
Option 3: HERS/ERI
________ HERS Result (Overall)
________ HERS without Renewables
________ REM/Rate Version #
IAF incorporated into model
Approved Rater Name:
______________________________________
(Maximum HERS: 61 Base, 54 Stretch)
Thermal Envelope
Basement: R-_______ Basement / Crawl Space Walls _________ Basement Insulation Depth (ft) U-_______ Basement Windows NFRC Default
Slab: R-_______ Unheated Slab (Under) R-_______ Heated Slab (Under) R-_______ Perimeter Slab Edge
Wall/Ceiling: R-_______ Above-Grade Walls R-_______ Flat Ceilings ______ Area (sq ft) R-_______ Sloped Ceilings ______ Area (sq ft)
Other: R-_______ Floors over Unheated Spaces R-_______ Attic Access Hatch / Door NA
Fenestration U-_______ Windows NFRC Default U-_______ Doors NFRC Default U-_______ Skylights NFRC Default
Air Sealing / Blower Door Test _________ ACH50 Date of test ____________________ (must report either ACH50 _________ CFM50/sq ft of building shell (6 sides) Air Leakage Tester Name: or CFM50/sq ft for Base Code) Both measurements are required for Stretch Code _________________________________________________
Ventilation System Balanced, SRE ________% Flow verification: Rated, OR Measured ______ Exhaust air flow (total cfm) ______ Supply air flow (total cfm)
(must select one) Exhaust-Only Flow verification: Rated, OR Measured ______ Exhaust air flow (total cfm)
Combustion Safety Exterior (outdoor) air supply is provided for solid fuel-burning appliances and fireplaces, OR NA (no solid fuel burning appliance or fireplace in home)
(verify all) Solid fuel burning appliances and fireplaces have gasketed doors with compression closure, OR NA (no solid fuel burning appliance or fireplace in home)
Spillage testing conducted on combustion equipment not directly-vented, OR NA (no equipment, or all equipment directly-vented)
Mechanical System Design Load Calculation Method: ACCA Manual J, OR Other Approved Method (List) __________________________________________ (must complete all) Calculation details: (Ref. RBES R302 for design temperature exceptions)
_________ Winter design temp, outdoor dry-bulb (VT range: -11 to 1°F) _________ Summer design temp, outdoor dry-bulb (typ. max. 84°F), OR No cooling
_________ Winter design temp, indoor (max 72°F) _________ Summer design temp, indoor (min. 75°F), OR No cooling
_________ Heating design load, Btu/hr _________ Cooling design load, Btu/hr, OR No cooling
_________ Primary heating system size, Btu/hr _________ Primary cooling system size, Btu/hr, OR No cooling
_________ HSPF or COP or AFUE (circle which) _________ SEER or COP (circle which), OR No cooling
Programmable thermostat, OR Exempt; list reason __________________________________________________________________________________
Ducts Ducts located completely within conditioned space, OR NA (no ducts) _________ Duct airtightness test result (CFM @ 25 Pa)
Test performed at Rough-in (max 3 CFM per 100 sq ft of cond. floor area), OR Post-construction (max 4 CFM per 100 sq ft of cond. floor area)
Other Requirements Mandatory (Base and Stretch): Mechanical system piping, min. R-3 Multi-family: EV charging requirement is met: ________ # spaces
90% of lamps high efficacy Automatic or gravity dampers for vent. system intake and exhaust
Mandatory (Stretch Code Only): Single-family: Solar ready Single-family: One Level 1 EV-charging space
Where applicable: Circulating service hot water piping, R-3 Pools: All requirements per R403.10 are met Automatic controls for snow-melt systems
I certify to ______________________________ (Owner) that the above information is correct and that the premises listed have been constructed in accordance with the Vermont Residential Building Standards (RBES) created under 30 V.S.A. § 51. Date: _____________________________________________________________________
Signature: __________________________________________________________ Printed Name: ______________________________________________________________
Company: __________________________________________________________ Phone: ____________________________________________________________________
30 V.S.A. § 51 requires this certificate label to be permanently affixed to the inside electrical service panel or heating or cooling equipment or nearby in a visible location. Copies of the certificate (and Home Energy Rating Certificate if Option 3 is used) also must be provided to 1) the Dept. of Public Service, 112 State St., Montpelier, VT 05602, and 2) the town clerk of the town where the property is located. NOTE: Noncompliance with RBES may result in action for damages under 30 V.S.A. § 51. This label does not specify all 2020 RBES requirements. QUESTIONS? CALL the Energy Code Assistance Center at 855-887-0673 or the VT PUBLIC SERVICE DEPARTMENT at 802-828-2811.
This certificate is for projects started on or after September 1, 2020.
Before completing this form, refer to the instructions in Chapter 8 of the Residential Energy Code Handbook (5th edition).
For additions, alterations, renovations or repairs, only fill out applicable portions of certificate.
2020 Vermont Residential Building Energy Standards (RBES) Certificate
Compliance Method MUST select Option 1, Option 2, or Option 3
Applicable Code: Base Stretch
Project Description
Single family Renovation / alteration
Multi-family Addition
Log home Repair
***
*
___________________________________________________________________________________________________ Property Address (Street, City, ZIP Code)
_______________________ _______________________ ____________ _________________
Construction START Date Construction FINISH Date Act 250 (Y/N) Act 250 Permit #
______ _______ ________________ _________ # Units # Stories # Conditioned Sq. Ft. # Bedrooms Existing Home Project Description: ________________________________________
Foundation: Basement Slab On Grade Crawl Space Other: __________ ____________________________________________________________________
Option 1: Package-Plus-Points Ref. RBES for full requirements of each point option BASE / STRETCH (circle one) Points required: _______ (Base requires 4-10pts / Stretch 6-12pts, Package # _________ Points achieved: _______ see Handbook Tables 5-2 and 5-5)
Envelope: Slab, R-10 under all (1pt) ACH50 ≤ 2.0 and qualifying HRV/ERV (3pts for Base OR 1pt for Stretch)
Envelope: Walls-Upgraded, R20+12 (2pts) ACH50 ≤ 1.0 and qualifying HRV/ERV (4pts) Solar ready (1pt, Base only†)
Envelope: Walls-High-R, R-40 (3pts) ENERGY STAR DHW (1pt) On-site generation (1-4pts)
Envelope: Ceiling, R-80 flat / 60 sloped (1pt) ENERGY STAR electric DHW (2pts) _____ kW _____ pts
Envelope: Windows 0.27 (1pt, Base only) Low flow fixtures (1pt) Solar hot water (2pts)
Envelope: Windows 0.22 (2pts) Drain water heat recovery (1pt) Building energy monitoring (1pt)
Pre-drywall blower door (1pt), result _______ User-demand hot water recirculation (1pt) Level 2 EV-ready (1pt)
ENERGY STAR heating and cooling (1pt) Water certification (2pts) 6 kWh battery backup (1pt)
Advanced heating and cooling (3pts) List cert. type ________________________ †See RBES for MF exception
Option 2: REScheck software (cannot be
used for Stretch Code) Passes
________ UA result _______ Max. UA
Option 3: HERS/ERI
________ HERS Result (Overall)
________ HERS without Renewables
________ REM/Rate Version #
IAF incorporated into model
Approved Rater Name:
______________________________________
(Maximum HERS: 61 Base, 54 Stretch)
Thermal Envelope
Basement: R-_______ Basement / Crawl Space Walls _________ Basement Insulation Depth (ft) U-_______ Basement Windows NFRC Default
Slab: R-_______ Unheated Slab (Under) R-_______ Heated Slab (Under) R-_______ Perimeter Slab Edge
Wall/Ceiling: R-_______ Above-Grade Walls R-_______ Flat Ceilings ______ Area (sq ft) R-_______ Sloped Ceilings ______ Area (sq ft)
Other: R-_______ Floors over Unheated Spaces R-_______ Attic Access Hatch / Door NA
Fenestration U-_______ Windows NFRC Default U-_______ Doors NFRC Default U-_______ Skylights NFRC Default
Air Sealing / Blower Door Test _________ ACH50 Date of test ____________________ (must report either ACH50 _________ CFM50/sq ft of building shell (6 sides) Air Leakage Tester Name: or CFM50/sq ft for Base Code) Both measurements are required for Stretch Code _________________________________________________
Ventilation System Balanced, SRE ________% Flow verification: Rated, OR Measured ______ Exhaust air flow (total cfm) ______ Supply air flow (total cfm)
(must select one) Exhaust-Only Flow verification: Rated, OR Measured ______ Exhaust air flow (total cfm)
Combustion Safety Exterior (outdoor) air supply is provided for solid fuel-burning appliances and fireplaces, OR NA (no solid fuel burning appliance or fireplace in home)
(verify all) Solid fuel burning appliances and fireplaces have gasketed doors with compression closure, OR NA (no solid fuel burning appliance or fireplace in home)
Spillage testing conducted on combustion equipment not directly-vented, OR NA (no equipment, or all equipment directly-vented)
Mechanical System Design Load Calculation Method: ACCA Manual J, OR Other Approved Method (List) __________________________________________ (must complete all) Calculation details: (Ref. RBES R302 for design temperature exceptions)
_________ Winter design temp, outdoor dry-bulb (VT range: -11 to 1°F) _________ Summer design temp, outdoor dry-bulb (typ. max. 84°F), OR No cooling
_________ Winter design temp, indoor (max 72°F) _________ Summer design temp, indoor (min. 75°F), OR No cooling
_________ Heating design load, Btu/hr _________ Cooling design load, Btu/hr, OR No cooling
_________ Primary heating system size, Btu/hr _________ Primary cooling system size, Btu/hr, OR No cooling
_________ HSPF or COP or AFUE (circle which) _________ SEER or COP (circle which), OR No cooling
Programmable thermostat, OR Exempt; list reason __________________________________________________________________________________
Ducts Ducts located completely within conditioned space, OR NA (no ducts) _________ Duct airtightness test result (CFM @ 25 Pa)
Test performed at Rough-in (max 3 CFM per 100 sq ft of cond. floor area), OR Post-construction (max 4 CFM per 100 sq ft of cond. floor area)
Other Requirements Mandatory (Base and Stretch): Mechanical system piping, min. R-3 Multi-family: EV charging requirement is met: ________ # spaces
90% of lamps high efficacy Automatic or gravity dampers for vent. system intake and exhaust
Mandatory (Stretch Code Only): Single-family: Solar ready Single-family: One Level 1 EV-charging space
Where applicable: Circulating service hot water piping, R-3 Pools: All requirements per R403.10 are met Automatic controls for snow-melt systems
I certify to ______________________________ (Owner) that the above information is correct and that the premises listed have been constructed in accordance with the Vermont Residential Building Standards (RBES) created under 30 V.S.A. § 51. Date: _____________________________________________________________________
Signature: __________________________________________________________ Printed Name: ______________________________________________________________
Company: __________________________________________________________ Phone: ____________________________________________________________________
30 V.S.A. § 51 requires this certificate label to be permanently affixed to the inside electrical service panel or heating or cooling equipment or nearby in a visible location. Copies of the certificate (and Home Energy Rating Certificate if Option 3 is used) also must be provided to 1) the Dept. of Public Service, 112 State St., Montpelier, VT 05602, and 2) the town clerk of the town where the property is located. NOTE: Noncompliance with RBES may result in action for damages under 30 V.S.A. § 51. This label does not specify all 2020 RBES requirements. QUESTIONS? CALL the Energy Code Assistance Center at 855-887-0673 or the VT PUBLIC SERVICE DEPARTMENT at 802-828-2811.
This certificate is for projects started on or after September 1, 2020.
Before completing this form, refer to the instructions in Chapter 8 of the Residential Energy Code Handbook (5th edition).
For additions, alterations, renovations or repairs, only fill out applicable portions of certificate.
2020 Vermont Residential Building Energy Standards (RBES) Certificate
Compliance Method MUST select Option 1, Option 2, or Option 3
Applicable Code: Base Stretch
Project Description
Single family Renovation / alteration
Multi-family Addition
Log home Repair
***
*
___________________________________________________________________________________________________ Property Address (Street, City, ZIP Code)
_______________________ _______________________ ____________ _________________
Construction START Date Construction FINISH Date Act 250 (Y/N) Act 250 Permit #
______ _______ ________________ _________ # Units # Stories # Conditioned Sq. Ft. # Bedrooms Existing Home Project Description: ________________________________________
Foundation: Basement Slab On Grade Crawl Space Other: __________ ____________________________________________________________________
Option 1: Package-Plus-Points Ref. RBES for full requirements of each point option BASE / STRETCH (circle one) Points required: _______ (Base requires 4-10pts / Stretch 6-12pts, Package # _________ Points achieved: _______ see Handbook Tables 5-2 and 5-5)
Envelope: Slab, R-10 under all (1pt) ACH50 ≤ 2.0 and qualifying HRV/ERV (3pts for Base OR 1pt for Stretch)
Envelope: Walls-Upgraded, R20+12 (2pts) ACH50 ≤ 1.0 and qualifying HRV/ERV (4pts) Solar ready (1pt, Base only†)
Envelope: Walls-High-R, R-40 (3pts) ENERGY STAR DHW (1pt) On-site generation (1-4pts)
Envelope: Ceiling, R-80 flat / 60 sloped (1pt) ENERGY STAR electric DHW (2pts) _____ kW _____ pts
Envelope: Windows 0.27 (1pt, Base only) Low flow fixtures (1pt) Solar hot water (2pts)
Envelope: Windows 0.22 (2pts) Drain water heat recovery (1pt) Building energy monitoring (1pt)
Pre-drywall blower door (1pt), result _______ User-demand hot water recirculation (1pt) Level 2 EV-ready (1pt)
ENERGY STAR heating and cooling (1pt) Water certification (2pts) 6 kWh battery backup (1pt)
Advanced heating and cooling (3pts) List cert. type ________________________ †See RBES for MF exception
Option 2: REScheck software (cannot be
used for Stretch Code) Passes
________ UA result _______ Max. UA
Option 3: HERS/ERI
________ HERS Result (Overall)
________ HERS without Renewables
________ REM/Rate Version #
IAF incorporated into model
Approved Rater Name:
______________________________________
(Maximum HERS: 61 Base, 54 Stretch)
Thermal Envelope
Basement: R-_______ Basement / Crawl Space Walls _________ Basement Insulation Depth (ft) U-_______ Basement Windows NFRC Default
Slab: R-_______ Unheated Slab (Under) R-_______ Heated Slab (Under) R-_______ Perimeter Slab Edge
Wall/Ceiling: R-_______ Above-Grade Walls R-_______ Flat Ceilings ______ Area (sq ft) R-_______ Sloped Ceilings ______ Area (sq ft)
Other: R-_______ Floors over Unheated Spaces R-_______ Attic Access Hatch / Door NA
Fenestration U-_______ Windows NFRC Default U-_______ Doors NFRC Default U-_______ Skylights NFRC Default
Air Sealing / Blower Door Test _________ ACH50 Date of test ____________________ (must report either ACH50 _________ CFM50/sq ft of building shell (6 sides) Air Leakage Tester Name: or CFM50/sq ft for Base Code) Both measurements are required for Stretch Code _________________________________________________
Ventilation System Balanced, SRE ________% Flow verification: Rated, OR Measured ______ Exhaust air flow (total cfm) ______ Supply air flow (total cfm)
(must select one) Exhaust-Only Flow verification: Rated, OR Measured ______ Exhaust air flow (total cfm)
Combustion Safety Exterior (outdoor) air supply is provided for solid fuel-burning appliances and fireplaces, OR NA (no solid fuel burning appliance or fireplace in home)
(verify all) Solid fuel burning appliances and fireplaces have gasketed doors with compression closure, OR NA (no solid fuel burning appliance or fireplace in home)
Spillage testing conducted on combustion equipment not directly-vented, OR NA (no equipment, or all equipment directly-vented)
Mechanical System Design Load Calculation Method: ACCA Manual J, OR Other Approved Method (List) __________________________________________ (must complete all) Calculation details: (Ref. RBES R302 for design temperature exceptions)
_________ Winter design temp, outdoor dry-bulb (VT range: -11 to 1°F) _________ Summer design temp, outdoor dry-bulb (typ. max. 84°F), OR No cooling
_________ Winter design temp, indoor (max 72°F) _________ Summer design temp, indoor (min. 75°F), OR No cooling
_________ Heating design load, Btu/hr _________ Cooling design load, Btu/hr, OR No cooling
_________ Primary heating system size, Btu/hr _________ Primary cooling system size, Btu/hr, OR No cooling
_________ HSPF or COP or AFUE (circle which) _________ SEER or COP (circle which), OR No cooling
Programmable thermostat, OR Exempt; list reason __________________________________________________________________________________
Ducts Ducts located completely within conditioned space, OR NA (no ducts) _________ Duct airtightness test result (CFM @ 25 Pa)
Test performed at Rough-in (max 3 CFM per 100 sq ft of cond. floor area), OR Post-construction (max 4 CFM per 100 sq ft of cond. floor area)
Other Requirements Mandatory (Base and Stretch): Mechanical system piping, min. R-3 Multi-family: EV charging requirement is met: ________ # spaces
90% of lamps high efficacy Automatic or gravity dampers for vent. system intake and exhaust
Mandatory (Stretch Code Only): Single-family: Solar ready Single-family: One Level 1 EV-charging space
Where applicable: Circulating service hot water piping, R-3 Pools: All requirements per R403.10 are met Automatic controls for snow-melt systems
I certify to ______________________________ (Owner) that the above information is correct and that the premises listed have been constructed in accordance with the Vermont Residential Building Standards (RBES) created under 30 V.S.A. § 51. Date: _____________________________________________________________________
Signature: __________________________________________________________ Printed Name: ______________________________________________________________
Company: __________________________________________________________ Phone: ____________________________________________________________________
30 V.S.A. § 51 requires this certificate label to be permanently affixed to the inside electrical service panel or heating or cooling equipment or nearby in a visible location. Copies of the certificate (and Home Energy Rating Certificate if Option 3 is used) also must be provided to 1) the Dept. of Public Service, 112 State St., Montpelier, VT 05602, and 2) the town clerk of the town where the property is located. NOTE: Noncompliance with RBES may result in action for damages under 30 V.S.A. § 51. This label does not specify all 2020 RBES requirements. QUESTIONS? CALL the Energy Code Assistance Center at 855-887-0673 or the VT PUBLIC SERVICE DEPARTMENT at 802-828-2811.
This certificate is for projects started on or after September 1, 2020.
Before completing this form, refer to the instructions in Chapter 8 of the Residential Energy Code Handbook (5th edition).
For additions, alterations, renovations or repairs, only fill out applicable portions of certificate.
2020 Vermont Residential Building Energy Standards (RBES) Certificate
Compliance Method MUST select Option 1, Option 2, or Option 3