Advanced Energy || SystemVision Homes

*NONPROFIT DEVELOPER: *CONTACT

*MAILING ADDRESS:

*CITY/STATE/ZIP:

*PHONE: *FAX

*EMAIL ADDRESS: DATE OF TRAINING:

CONSTRUCTION MANAGER/BUILDER

*CONTACT:

*COMPANY:

*ADDRESS:

*CITY/STATE/ZIP:

*PHONE:

FAX:

BUILDING LOCATION

SUBDIVISION:

*PLAN NAME/NUMBER:

*ADDRESS:

*CITY/STATE:

*ZIP CODE:

*NEAREST MAJOR CITY:

MODULAR HOME MANUFACTURER

CONTACT:

COMPANY:

ADDRESS:

CITY/STATE/ZIP:

PHONE:

FAX:

MODEL NAME/NUMBER:

MECHANICAL CONTRACTOR

*Company:

*City:

*Phone:

*Contact Person:

Fax:

INSULATION INSTALLER

General Contractor Volunteers

Subcontractor: *Contact Person:

*City: *Phone: Fax:

MUST UPLOAD OR MAIL IN:

Filename:

One full set of plans

Filename:

Floor plans with options

Filename:

Window specifications including type and dimensions

Filename:

Exterior door specifications including type and dimensions

For each house, a room-by-room Manual "J" heat loss/heat gain calculation will need to be completed to correctly size the heating and cooling equipment. To get this information, we (the applicant) will:

Filename:

Attach a copy of the Manual J print out including all inputs and outputs (not the Short Form) with this form.

Send in copy of the Manual J print out including all inputs and outputs (not the Short Form) to Advanced Energy before Passing the insulation inspection.

Pay Advanced Energy $0.15 per square foot to perform this calculation.

ENERGY PROVIDERS

*Electric Utility: *Phone:

Natural Gas Utility: Phone:

Propane Company: Phone:

Other Company: Phone:

HOUSE TYPE

Single Family Detached Duplex Townhouse End Unit Townhouse Middle Unit

FOUNDATION

Slab on grade

Vented crawl space

Full basement: Conditioned Unconditioned

Walk-out basement: Conditioned Unconditioned

Enclosed unvented crawl space: Conditioned Unconditioned

Open piers

Other

THERMAL ENVELOPE

*Attic Insulation	*Insulation Type	*R-Value
Kneewall Insulation	Insulation Type	R-Value
*Exterior Wall Cavity Insulation	*Insulation Type	*R-Value
Exterior Wall Continuous Insulation	Insulation Type	R-Value
Floor Insulation	Insulation Type	R-Value
Slab Insulation	Insulation Type	R-Value
Crawlspace Insulation	Insulation Type	R-Value
Basement Wall Insulation	Insulation Type	R-Value

WINDOWS

*Double-paned/Low E glass

*Whole-Window U-Value: *SHGC-Value:

DOORS

*Front	*Door Type	*R-value U-value:
Rear	Door Type	R-value U-value:
Side	Door Type	R-value U-value:
To Garage	Door Type	R-value U-value:
Other	Door Type	R-value U-value:

VENTILATION

*Kitchen Exhaust	*Duct Type	*CFM:
*Bathroom exhaust 1	*Duct Type	*CFM:
Bathroom exhaust 2	Duct Type	CFM:
Other	Duct Type	CFM:

HVAC SYSTEM

Heat pump, central system

HSPF: SEER:

Natural gas furnace with central A/C

AFUE: SEER:

Natural Gas OR Propane Package Unit with Central A/C

AFUE: SEER:

Other Efficency:

HVAC SYSTEM LOCATION

Attic

Conditioned space

Unconditioned basement

Enclosed crawl space

Garage

Outside

Other

DUCT SYSTEM LOCATION

Crawl Space Attic Conditioned space Other:

DOMESTIC HOT WATER

Type:

Conventional tank

Other

Fuel & Efficiency

Electric Energy Factor (EF):

Natural gas Efficiency:

Propane Efficiency:

Other

Size

40 Gallon

Other

Buildings

Plan Review Input Form

PLAN REVIEW AND ENERGY RATING

CONSTRUCTION MANAGER/BUILDER

BUILDING LOCATION

MODULAR HOME MANUFACTURER

MECHANICAL CONTRACTOR

INSULATION INSTALLER

MUST UPLOAD OR MAIL IN:

ENERGY PROVIDERS

HOUSE TYPE

FOUNDATION

THERMAL ENVELOPE

WINDOWS

DOORS

VENTILATION

HVAC SYSTEM

HVAC SYSTEM LOCATION

DUCT SYSTEM LOCATION

DOMESTIC HOT WATER

Type:

Location:

Fuel & Efficiency

Size