Ec 1 Form – Fill Out and Use This PDF

Minimum Provisions

Effective Date: April 1, 2010

Ow ner/ Ow ner Builder:

Company Name:

(if applicable)

General Contractor:

Company Name:

Name:

Name:

Mail Address:

Mail Address:

Town/City:

State:

Zip:

Town/City:

State:

Zip:

Phone:

Cell:

Phone:

Cell:

E-Mail:

E-Mail:

Location of Proposed Structure:

Type of Construction:

Tax Map #:

Lot #:



Residential



Small Commercial



New Building



Renovation



Addition

Street:



Thermally Isolated Sunroom



Modular Home: the site contractor must submit this

form detailing supplementary rooms and Floor and/or

Town/City:

County:

Basement insulation unless the floor insulation is installed or

provided by the manufacturer and no heated space is added.

Zone 5



Cheshire, Hillsborough, Rockingham or

Total New Conditioned* Floor Area:

Strafford except the town of Durham

Zone 6



All other counties and the town of Durham

ft2

_________________________

Heating System: (if new system is being installed)

Basement or Craw l Space:

(*a conditioned space is

Annual Fuel Use Efficiency (AFUE):

%

one being heated or cooled, containing un-insulated ducts or with a

Fuel Type(s):  Oil

 Natural Gas  Propane (LP)

fixed opening into a conditioned space. Walls must be insulated)

Conditioned?



Yes (Walls must be insulated)



No

 Electric

 Wood

 Other _______________

Heating System Type:

 Hot Water

 Hot Air

 Full Basement

 Walk Out Basement

 Stove  Resistance

 Heat Pump

 Geothermal

 Slab on Grade

 Other ____________

Structure is EXEMPT because:

Form Submitted by:

 Mobile Home

 On an historic register

 Owner

 Builder

 Designer

 Other ________

 Low energy use (less than 1 watt/ ft2 )

Architects must certify plans meet code; no form required

02/11

Date Complete Application Received:

Approved by:

Date:

Approval Number:

Stamp:

eason:

1



2



3

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Reeaassoonn:: 

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22

33

 Otthheerr::__________________________________

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Check here

√

Certification No.:

Air barrier and

Exterior thermal envelope insulation for framed walls is installed in

thermal barrier

substantial contact and continuous alignment with building envelope

air barrier.

Breaks or joints in the air barrier are filled or repaired.

Air-permeable insulation is not used as a sealing material.

Air-permeable insulation is inside of an air barrier.

Ceiling/attic

Air barrier in any dropped ceiling/soffit is substantially aligned with

insulation and any gaps are sealed.

Attic access (except unvented attic), knee wall door, or drop down

stair is sealed.

Walls

Corners and headers are insulated.

Junction of foundation and sill plate is sealed.

Windows and doors

Space between window/door jambs and framing is sealed.

Rim joists

Rim joists are insulated and include an air barrier.

Floors

Insulation is installed to maintain permanent contact with underside

(including above-garage

of sub floor decking.

and cantilevered floors)

Air barrier is installed at any exposed edge of insulation.

Crawl space walls

Insulation is permanently attached to walls.

Exposed earth in unvented crawl spaces is covered with Class I

vapor retarder with overlapping joints taped.

Shafts, penetrations

Duct shafts, utility penetrations, knee walls and flue shafts opening

to exterior or unconditioned space are sealed.

Narrow cavities

Batts in narrow cavities are cut to fit, or narrow cavities are filled by

sprayed/blown.

Garage separation

Air sealing is provided between the garage and conditioned spaces.

Recessed lighting

Recessed light fixtures are air tight, IC rated, and sealed to drywall.

Exception—fixtures in conditioned space.

Plumbing and

Insulation is placed between outside and pipes. Batt insulation is cut

wiring

to fit around wiring and plumbing, or sprayed/blown insulation

extends behind piping and wiring.

Shower/tub on

Showers and tubs on exterior walls have insulation and an air barrier

exterior wall

separating them from the exterior wall.

Electrical/phone box

Air barrier extends behind boxes or air sealed-type boxes are

on exterior walls

installed.

Common wall

Air barrier is installed in common wall between dwelling units.

HVAC register boots HVAC register boots that penetrate building

envelope are sealed to sub-floor or drywall.

Fireplace

Fireplace walls include an air barrier.

Check here

√

Certification No.:

Air Leakage

All joints, seams, penetrations and openings in the thermal envelope including those around

Code section 402.4

window and door assemblies, utility penetrations, dropped ceilings or chases, knee walls,

behind tubs and showers, separating unheated garages from the thermal envelope, common

The building thermal

walls between dwelling units, attic access, rim joist junction and all other openings in the

building envelope that are sources of air leakage must be caulked, gasketed, weather-stripped

envelope must be durably

or otherwise sealed.

sealed to limit infiltration

Air Sealing and Insulation

Building envelope air tightness and insulation installation shall be demonstrated to comply with

Code Section 402.4.2

requirements by Blower Door testing to less than 7 air changes/hr at 50 Pa or a visual

inspection per page 4 of this document. The local Building Official may require an

independent 3rd party to conduct the visual inspection. See page 4.

While the Blower Door Test and/or Visual Option are methods of demonstrating compliance many of the

general requirements as defined by this checklist (pages 5 & 6) must still be met.

Testing Option

Blower Door Test conducted by: _________________________________________

Code Section 402.4.2.1

or

Result (at 50 Pa): __________CFM Interior Volume___________ CF ______________ACH

or

Visual Option

Structure passes Visual Inspection: _____________________signed ______________ date

Code Section 402.4.2.1

Fireplaces

New wood-burning fireplaces shall have gasketed doors and outdoor combustion air.

Code Section 402.4.3

Recessed Lighting

Recessed lights must be type IC rated and labeled as meeting ASTM E 283 and sealed with a

Code Section 402.4.5

gasket or caulk between the housing and the interior wall or ceiling covering.

Electrical Power and

A minimum of 50% of the lamps in permanently installed lighting fixtures shall be high

Lighting Systems

efficacy lamps.

Code section 404

High-Efficacy Lamps

Compact fluorescent lamps, T-8 or smaller diameter linear fluorescent lamps, or lamps with

Code section 202

a minimum efficacy of:

1. 60 lumens per watt for lamps over 40 watts,

2. 50 lumens per watt for lamps over 15 watts to 40 watts, and

3. 40 lumens per watt for lamps 15 watts or less.

Materials and Insulation

Materials and equipment must be identified so that code compliance can be determined.

Information

Manufacturer manuals for all installed heating, cooling and service water heating equipment

Code section 102.1

must be provided. Insulation R-values, glazing and door U-values and heating and cooling

equipment efficiency must be clearly marked on the building plans, drawings or specifications.

Pull-Down Attic Stairs,

Should be insulated to a level equal to the surrounding surfaces and tightly sealed and weather-

Attic Hatch, and Knee

stripped at the opening.

Wall Doors

Code section 402.2.3

EC-1 Form page 5

Full size Attic or

All doors leading from a conditioned space into an unconditioned attic or enclosed attic or

Basement Entry Doors

basement stairwell should be insulated and weather-stripped exterior rated door units. One

door is exempt.

Duct Insulation

Supply ducts in attics must be insulated to at least R-8. All other ducts must be insulated to at

Code section 403.2

least R-6. Exception: Ducts or portions thereof located completely inside the building thermal

envelope.

Duct Construction

Ducts, air handlers, filter boxes, and building cavities used as ducts must be sealed. Joints and

Code sections 403.2.2 &.3

seams must comply with Section M1601.4.1 of the International Residential Code. Building

framing cavities must not be used as supply ducts.

Duct Testing

Duct tightness shall be verified by testing unless the air handler and all ducts are located within

Code sections 403.2.2 &.3

the conditioned space. Test conducted by: _________________________________________

Duct test result at 25 Pa:___________ __Post construction or _______________Rough-in test

Temperature Controls

At least one thermostat must be provided for each separate heating and cooling system. Hot air

Code section 403.1 & .1.1

systems must be equipped with a programmable thermostat.

Heat pumps having supplementary electric-resistance heat must have controls that, except

during defrost, prevent supplemental heat operation when the heat pump compressor can meet

the heating load

Mechanical System Piping

Mechanical system piping capable of conveying fluids at temperatures above 105°F or below

Insulation

55°F must be insulated to R-3.

Code section 403.3

Circulating Hot Water

Circulating service water systems must include an automatic or readily accessible manual

Systems

switch that can turn off the hot water circulating pump when the system is not in use.

Code section 403.4 & NH

amendments

Circulating domestic hot water system piping shall be insulated to R-4.

Mechanical Ventilation

Outdoor air intakes and exhausts must have automatic or gravity dampers that close when the

Code section 403.5

ventilation system is not operating.

Equipment Sizing

Heating and cooling equipment must be sized in accordance with Section M1401.3 of the

Code section 403.6

International Residential Code.

Certificate

A permanent certificate, completed by the builder or registered design professional, must be

Code section 401.3

posted on or in the electrical distribution panel. It must list the R-values of insulation installed

in or on the ceiling, walls, foundation, and ducts outside the conditioned spaces; U-factors and

SHGC for fenestration. The certificate must also list the type and efficiency of heating, cooling

and service water heating equipment.