Form Tr8 - Technical Report Statement Of Responsibility For Energy Code Progress Inspections

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TR8: Technical Report
Orient and affix BIS
Statement of Responsibility for
job number label here
Energy Code Progress Inspections
This form must be typewritten
1 Location Information
Required for all applications.
House No(s)
Street Name
Work on Floor(s)
2 Applicant Information
Required for all applications.
Choose all that apply:
Design Applicant 3A, 4
Progress Inspections Applicant 3B-D, 5-6
Last Name
First Name
Middle Initial
Business Name
Business Telephone
Business Address
Business Fax
City
State
Zip
Mobile Telephone
License Type
choose one:
P.E.
R.A.
License Number
3 Energy Code Progress Inspection
Required for applications where Energy Code Compliance Progress Inspection is marked Yes on TR1
3B Identification of
3C Certificate of Complete
3D Withdraw
3A
← Identification of Requirement
Responsibilities
Inspections / Tests
Responsibilities
Table Reference in 1RCNY
Y
N
Progress Inspections
§5000-01(h) (1 )and (2)
Initial & Date
Initial & Date
Initial & Date
Protection of exposed foundation insulation
(IA1), (IIA1)
Insulation placement and R values
(IA2), (IIA2)
(IA3), (IIA3)
Fenestration u-factor and product rating
Fenestration air leakage
(IA4), (IIA4)
Fenestration areas
(IA5), (IIA5)
(IA6), (IIA6)
Air sealing and insulation — visual
(IA7), (IIA7)
Air sealing and insulation — testing
Loading deck weather seals
(IIA8)
Vestibules
(IIA9)
(IB1), (IIB1)
Fireplaces
Shutoff dampers
(IB2), (IIB2)
HVAC and service water heating equipment
(IB3), (IIB3)
(IB4), (IIB4)
HVAC and service water heating system controls
HVAC insulation and sealing
(IB5), (IIB5)
Duct leakage testing
(IB6), (IIB6)
(IC1), (IIC1)
Electrical energy consumption
Lighting in dwelling units
(IIC2)
Interior lighting power
(IC2), (IIC3)
Exterior lighting power
(IIC4)
Lighting controls
(IIC5)
Electrical motors
(IIC6)
Maintenance information
(ID1), (IID1)
Permanent certificate
(ID2)
(ID3)
Solar Ready Requirements
* For column 3C, indicate date when the actual final inspection was performed.
September 2016

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