[XLS] · Web view... moisture and insulation all kept to the exterior of the structure - PERSIST method ... Perform a water leak test and ... sensors and record indoor/outdoor data

© Copyright 2008, 2009 Minnesota GreenStar All Rights Reserved

MN GreenStar - RemodelingVERSION 2.0 (4/3/09)

Welcome

Welcome to MN GreenStar. Please be sure to enable macros before

starting. If you have questions regarding the checklist, please first consult the manual and then feel

free to contact MN GreenStar at 615.493.0372.

GO TO CHECKLIST GO TO ADVANCED FILTERING

GO TO PROJECT & TEAM INFO.



General Project & Team Information

Project InformationName & Location Critical Milestones (date -Est. OR Act.)Name <Project Name> SampleAddress Doc. Exist. Cond.City, State, Zip <City, State, ZIP> Initial Energy RatingRegistration #

Pre-Wall FinishConst. Complete

Date Submitted <date> Other (describe)

Team MembersOwner General ContractorName NameCompany CompanyAddress AddressCity, State, Zip City, State, ZipPrimary Phone Primary PhoneSecondary Phone <Optional> Secondary PhoneFax <Optional> FaxEmail EmailInitials InitialsTraining # Training #

Building Architect / Designer Landscape Architect / DesignerName NameCompany CompanyAddress AddressCity, State, Zip City, State, ZipPrimary Phone Primary PhoneSecondary Phone <Optional> Secondary PhoneFax <Optional> FaxEmail EmailInitials InitialsTraining # Training #

Interior Designer RaterName NameCompany CompanyAddress AddressCity, State, Zip City, State, ZipPrimary Phone Primary PhoneSecondary Phone <Optional> Secondary PhoneFax <Optional> FaxEmail EmailInitials Initials

Pre-Con. Docs.

E11

Document Existing Conditions

B13

Enter number for this project after it is registered with MN GreenStar.

E13

Pre-Construction Documentation

B29

Enter initials that will be used throughout the Checklist to refer to this person.

E29


B30

Enter registration number for this person if they attended MN GreenStar training.

E30


B41


E41


B42


E42


B53


E53



Training # Training #

Solar Contractor Masonry ContractorName NameCompany CompanyAddress AddressCity, State, Zip City, State, ZipPrimary Phone Primary PhoneSecondary Phone <Optional> Secondary PhoneFax <Optional> FaxEmail EmailInitials InitialsTraining # Training #

Framing Contractor Insulation ContractorName NameCompany CompanyAddress AddressCity, State, Zip City, State, ZipPrimary Phone Primary PhoneSecondary Phone <Optional> Secondary PhoneFax <Optional> FaxEmail EmailInitials InitialsTraining # Training #

Electrical Contractor Mechanical ContractorName NameCompany CompanyAddress AddressCity, State, Zip City, State, ZipPrimary Phone Primary PhoneSecondary Phone <Optional> Secondary PhoneFax <Optional> FaxEmail EmailInitials InitialsTraining # Training #

Plumbing Contractor Painting / Finishing ContractorName NameCompany CompanyAddress AddressCity, State, Zip City, State, ZipPrimary Phone Primary PhoneSecondary Phone <Optional> Secondary PhoneFax <Optional> FaxEmail EmailInitials InitialsTraining # Training #

OtherNameCompanyAddress

B54


E54


B65


E65


B66


E66


B77


E77


B78


E78


B89


E89


B90


E90


B101


E101


B102


E102


B104

Replace the words "Other 2" with an additional Team Member. This Member will become available in the User List of the Main Checklist.


City, State, ZipPrimary PhoneSecondary Phone <Optional>Fax <Optional>EmailInitialsTraining #

B113


B114



Critical Milestones (date -Est. OR Act.)1/22/09 - TARGET

General Contractor

<Optional><Optional>

Landscape Architect / Designer



F9

Enter dates for the critical milestones. Enter the date and indicate if it is a TARGET or ACTUAL.


Masonry Contractor


Insulation Contractor


Mechanical Contractor


Painting / Finishing Contractor


MN GreenStar Remodeling Checklist Version 2.0 04/03/09 © Copyright 2008, 2009 Minnesota GreenStar All Rights Reserved Page 7 of 93

MN GreenStar - RemodelingVERSION 2.0 (4/3/09)Proj. Name: <Project Name>Proj. Date: <date>

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ID NUMBER DESCRIPTION

POINTS CATEGORIES REQUIRED DOCUMENTATION SIGN OFF

COMMENTS (OPTIONAL)

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TOTAL

Y 0 OVERALL REQUIREMENTS

Y 0PR- Prerequisites x x x x x x

Y 0PR-1x x x x x x

Other Doc Design

Y 0PR-2x x x x x x

Other Doc

Y 0PR-3

x x x x x x

Other Doc Design

Y 0PR-4 x x x x x x Complete

Y 0PR-5x x x x x x

Plan Design

Y 0PR-6 x x x x x x Design

Y 0PR-7x x x x x x

Plan Design

Y 0PR-8

x x x x x x

Other Doc

Y 0PR-9x x x x x x

Complete

Y 0PR-10x x x x x x

Test results

Y 0PR-11

x x x x x x

Photo Complete

Y 0PR-12

x x x x x x

GC Sign-off Complete

Y 0PR-13

x x x x x x

Complete

Y 0PR-14x x x x x x

Complete


Project Type (CHANGE)

Medal Goal (CHANGE)POINTS WITH "?"

POINTS WITH "Y + ?" GAP TO MEDAL

CHOOSE "Y" TO SELECT Type Of

Doc.Alt. Type Of Doc.

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Initial When Doc.

Comp.

MN Grn-Star Approval

Register with MN GreenStar and attend mandatory 8 hour contractor training Training reg #

Submit all required documentation for a plan review prior to start of construction PreConstruction

Submit two year's worth of utilities bills to MN GreenStar (One year prior to the project, and one year after the project) See attached "Utility Tracking Table 0PR--3

ENERGY STAR (or higher efficiency) rated appliances. Specifications

Rater Sign off

Site Plan showing Major Natural Resources, Erosion Control Instructions, & other project related site info. such as landscape design.

Water conservation plan for indoors and outdoors. Notes on Plan

Waste management plan. See attached "Waste Management Plan Template 0PR--7"

No intentional use of imported Forest Products on the "Controlled Imports List" unless FSC Certified. All Products from Canada are allowed without FSC Certification.PreConstruction

No mercury thermostats (remove/replace if pre-existing, dispose of properly) Rater Sign-off

Perform radon test in lowest possible habitable space. Mitigate if necessary. PreConstruction

Minimum of one approved and fully operational carbon monoxide alarm installed within ten (10) feet of each bedroom. Rater Sign-off

No NEW atmospherically vented combustion appliances allowed. (use direct vented, power vented or sealed combustion). Existing atmospherically vented appliances can remain.

All projects must pass Fresh Air Supply (FAS) and Worst Case Combustion Spillage (WCCS) tests at end of the project. See manual for exceptions.Rater Sign-off

Mandatory Green education of homeowner during construction by General Contractor (4 hour min.)Homeowner sign-off

Mandatory green remodeling education of homeowner at end of project (2 hour minimum) Homeowner sign-off

"Y" SELECTED

"?" SELECTED SECTION 1

SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA

SECTION 3 SELECTED CREDITS

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SELECTED CREDITS SELECTED CREDITS SELECTED CREDITS SELECTED CREDITS

SELECTED CREDITS SELECTED CREDITS

SELECTED CREDITS SELECTED CREDITS SELECTED CREDITS


SELECTED CREDITS

GO TO ADVANCED FILTERINGDESELECT ALL

FILTERS

SHOW TRADESHIDE TRADES

SELECTED CREDITS

N8

This NAME is auto-filled from PROJECT & TEAM INFO Sheet.

N9

This date auto-filled from PROJECT & TEAM INFO. Sheet.

BD18

Add comments to aid you team members or MN GreenStar (GS) know you such things as: Why or why don't you qualify, Specific instructions for someone who needs to take action, etc. TIP: Type the initials of who the note is for and then your message to them.

O19

Energy Efficiency

P19

Resource Efficiency (Including Durability)

Q19

Indoor Environmental Quality

R19

Water Conservation

S19

Site and Community Impacts

AI19

Indicates the PRIMARY type of documentation required.

AJ19

Indicates an ALTERNATE type of documentation that is acceptable.

AK19

Documentation for the credit should normally be done BEFORE this stage in the process.

AL19

Enter the initials of a member of the project team that is authorized to SIGN OFF when documentation is complete.

AM19

"APPROVED" in this column indicate MN GreenStar has approved the documentation for this credit.




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CHOOSE "Y" TO SELECT

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Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA

SECTION 3 SELECTED CREDITS SELECTED CREDITS SELECTED CREDITS SELECTED CREDITS SELECTED CREDITS




SELECTED CREDITS

SELECTED CREDITS

Y 0PR-16 x x x x x x Other Doc Complete

Y 0PR-17 x x x x x x GC Sign-off Complete

Y 0PR-18

x x x x x x

GC Sign-off


Y 0PR-20 x x x x x x Photo Complete

Y 0PR-21x x x x x x


1 PRECONSTRUCTION DESIGN STRATEGIES0 0 0 0 0 0

1A- Integrated Project Team 0 0 0 0 0 0

1A-1

1 1 1 1 1 5

Other Doc Complete

1A-21 1 1 1 1 5

Other Doc Complete

1A-31 1 1 1 1 5

Other Doc Complete

1B- Design 0 0 0 0 0 0

1B-1

1 1 1 1 1 5

Other Doc Design

1B-21 1 1 1 1 5

Other Doc Design

1B-33 3

Calcs Design

1B-4 1 1 Calcs Design

1B-5

2 1 2 5

Other Doc Design

1B-6 1 1 Photo Complete

1B-7

6 6

Plan Design

Provide homeowner with a user's manual covering house maintenance and green features of home.

Obtain all required permits & follow all required local and state bldg codes

Prepare and post a job-site materials management and recycling planBy posting a job-site materials management and recycling plan the details of the plan are communicated, shared and reinforced with everyone on-sitePreConstruction

No burying or burning of construction waste Homeowner sign-off

Seal all ducts and air handlers to prevent contamination during construction.

No construction debris shall be discarded and closed inside any wall assembly

Create multi-disciplinary project team, including homeowner, contractor and all subcontractors and include each in design and pre-construction meetings.Team member sign-off

Post-construction meeting for contractor, homeowner, and key subcontractors to review performance and lessons learned.Team member sign-off

Attendence at 8-hour MN GreenStar training by designer/architect from project team Team member sign-off

Document all existing conditions, equipment and assemblies in house. Create form template 1B-1; with sign offs

Contract with a MN GreenStar approved Rater for a whole home inspection Rater contract or SOW

Energy modeling instructs home design and performance

Estimate carbon emissions of operating home (use MN GreenStar calculator)

Universal Design Statementn of Universal Design strategies

Allocate space in the home as a disaster protection area

Passive solar heating design package (includes orientation, south glazing/floor area ratio orientation specific low-e tuning, summer shading and thermal mass design

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





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COMMENTS (OPTIONAL)

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Initial When Doc.

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"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

1B-8

6 6

Plan Design

1B-9 4 4 Plan Design

1B-10 1 1 GC Sign-off Complete

1B-114 5 9


1B-12 11 5 4 2 22 Plan Design

1C- Home Size 0 0 0 0 0 0

1C-1 2 2 4 Plan Design1C-2

x x x x x 0Plan Design

1C-2a 5 5 5 5 20 Plan Design1C-2b 4 4 4 4 16 Plan Design1C-2c 3 3 3 3 12 Plan Design1C-2d 2 2 2 2 8 Plan Design1C-2e 1 1 1 1 4 Plan Design1C-3

1 1Plan Design

2 SITE & LANDSCAPE 0 0 0 0 0 0

NA 2PR- Prerequisites

NA 2PR-1x x x x x x

Other Doc Complete

NA 2PR-2x x x x x x


NA 2PR-3x x x x x x


NA 2PR-4 x x x x x x GC Sign-off Complete

2A- Soil and Permeability 0 0 0 0 0 0

2A-1 1 1 2 Test results Complete

2A-2 1 1 GC Sign-off Complete

2A-3x x x x x x

Calcs Complete

2A-3a 2 2 Calcs Complete

2A-3b 3 3 Calcs Complete

2A-3c 4 4 Calcs Complete

2A-3d -1 -1 Calcs Complete

Passive cooling design package (including orientation, summer shading, thermal mass, attic ventilation, additional ceiling fans, heat recovery ventilation and natural ventilation design)

Building and landscaping plan which reduces heating/cooling loads naturally

Home shares a common driveway with at least one other home

Existing attached garage converted to living space and no new attached garage is constructed. New detached garage is allowed.

Existing house does not have A/C system and remodel designed to provide passive cooling.

No increase to building foot printTotal conditioned space of whole house after project completion is xx SF Select one:

<15001749-15001999-17502249-20002500-2250

Home utilizes incremental design techniques with documented provisions to expand to meet future growing needs

No invasive species, as determined by the MN Extension Agencies, are planted List of species planted

No cypress mulch

No railroad ties or other landscape materials may be used which contain creosote or chromated copper arsenate

Following construction completion, no part of the disturbed site is left uncovered or destabilized

Soil tested and amended to achieve optimal nutrient level and structure

No impervious surfaces constructed outside existing building footprint

Total site has XX% permeable surface Select one:

65% of undeveloped site is permeable



Permeability of site is reduced

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





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COMMENTS (OPTIONAL)

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Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

2A-4 x x x x x x Calcs Complete

2A-4a 2 2 Calcs Complete

2A-4b 3 3 Calcs Complete

2A-4c 4 4 Calcs Complete

2A-5 1 2 3 Plan Design

2B- Planting/Trees 0 0 0 0 0 0

2B-1

2 2

Calcs Complete

2B-22 2

Plan Design


2B-42 2 4

Other Doc Complete

2B-5 2 2 Complete

2B-6

5 5

Other Doc Complete

2B-71 1 2

Complete

2B-8 1 1 2 photo Complete

2B-9 2 2 Complete

2B-10 1 1 2 Plan Design

2B-111 1

Plan Design

2B-12 2 2 Plan Design

2B-13 2 2 Calcs Design

2B-142 2

Plan Design




2B-18 1 1 Complete

2B-194 4

Photo Complete

Permeability of the total site is increased by XX%

<20%

<40%

<60%

Keep excavated soils on site. Photo @ backfill

50% or more of the lot contains plants or trees other than turf GC, landscape arch, rater Sign off

Natural features on site (trees, prairie and wet lands, tundra and ecosystems) are protected during construction, regardless of project type or scope. Photos - on going

No Heritage trees removed

New plantings are compatible with soil type Documentation supporting match with Live trees from site are replanted or donated Receipt/

InvoiceRestore damaged ecosystem (I.e. restore existing prairie or wet lands, establish wildlife habitat, remove extensive invasive plant species, etc)Approval

from NWF or local habitat agency

Participate in a wildlife conservation program Receipt/Invoice

Install a compost bin Homeowner sign-off

Low-water/no-mow mix is used on 100% of turf areas Specifications

Landscaper sign-off

Edible landscape planting/food garden is installed

Structure located in fire-safe area, away from highly-flammable trees and plantings (for rural projects ONLY)

Design around or install deciduous trees on the south, east, and west sides of home

Existing and new deciduous trees shade 50% of sidewalks, patio or drive within 5 years Landscaper sign-off

Design around or install coniferous trees on the north side of the home (must not block solar access of neighbors)

All plantings and plant materials are kept at least 24“ from house

All plantings and plant materials are kept at least 36“ from house

Apply two inches of compost in the top 6 to 12 inches of soil in flower & vegetable garden beds Homeowner sign-off

Use slow-release organic fertilizers to establish vegetation Specifications

Community garden area

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





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COMMENTS (OPTIONAL)

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"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

2C- Irrigation 0 0 0 0 0 0

2C-11 2 3

Other Doc Complete

2C-26 1 7

Plan Complete

2C-31 1

Other Doc Complete

2C-4

x x x x x x

Complete

2C-4a2 2

Complete

2C-4b4 4

Complete

2C-4c6 6

Complete

2C-51 1


2C-63 3

Other Doc Complete

2C-7x x x x x x

gc sign-off Complete

2C-7a1 1


2C-7b2 2


2C-7c2 2


2C-81 1

Other Doc Complete

2C-97 7

Complete

2D- Decks, Patios and Porches 0 0 0 0 0 0

2D-12 2

Complete

2D-22 2

Photo Complete

Develop landscape maintenance plan LandscapeMaintenance plan

Landscape system that requires no municipally-supplied water or well water for irrigation (food gardens exempt)

Irrigation plan restricts watering to after dusk and before dawn Landscape maintenance plan

Native and drought-tolerant landscape plantings make up minimum of xx% of non-paved areas (excluding turf).Specifications

and calc; or landscaper sign-off

40% Specifications


60% Specifications


90% Specifications


Irrigation system that zones turf and bedding areas separately landscaper sign-off

Hydro zoning Landscaper sign-off

Irrigation SystemsSelect all that apply: Specifications

Install drip system Specifications

Moisture / rain sensor added to any type of irrigation system Specifications

Electronic timer added to any type of irrigation system Specifications

Use irrigation specialist certified through EPA WaterSense program copy of certification

Install greywater irrigation system Specifications

Use permeable paving for patios Specifications

Wood use is kept at least 12 inches from soil Rater sign-off

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





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COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

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Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

2D-34 4

Other Doc Complete

2D-4 1 1 Complete

2D-5

1 1

Photo Complete

2D-6

1 1

Photo Siding

2D-7

1 1

Complete

2E- Erosion Control 0 0 0 0 0 0

2E-1 1 1 Photo Complete

2E-2 1 1 GC Sign-off Complete

2E-3 1 1 Plan Design

2E-41 1


2E-5 1 1 2 and calcs Complete

2E-6 x x x x x x Plan Complete

2E-6a2 2

Plan Complete

2E-6b1 1

Complete

2E-72 2

Plan Complete

2F- Rainwater Harvest 0 0 0 0 0 0

2F-1

x x x x x x

Calcs Complete

2F-1a 3 3 6 Calcs Complete

2F-1b 7 7 14 Calcs Complete

2F-1c 14 12 26 Calcs Complete

2F-2x x x x x x

Plan Design

Use re-claimed material for deck or porch (80%)

Decking is made from recycled content and has low-toxicity Specifications

Wood to concrete connections prevent moisture wicking. (e.g. end grains have min. 3/8" air space. --AND-- side grains separated by 3/8" air space and/or flashing.) Rater sign-off

Deck ledger boards attached to home with either minimum 3/8" spacers and full flashing shingle fashion from drainage plane to over framing or adhesive membrane strip taped to drainage plane running over ledger board and folded around joists

Outdoor lumber used for landscaping made from wood treated with nontoxic preservatives, plastic/wood composites, or plastic (note: fasteners are product specific) (min. 90% all lumber)Specifications

Turf is not installed on slopes exceeding 25% rise Landscape Plan

Apply mulch to at least 3 inches of all planting beds (no cypress mulch allowed) homeowner sign-off

Use site material as mulch for erosion control on steep slopes

Recycled materials used for silt fencing

Native landscaping is planted along 80% of shoreline Specifications

Plantings Select all that apply:

At least one tree or 4-5 shrubs are planted per 500 SF of the building footprint, plus the disturbed area

Above plantings are native species Specifications

Landscaper sign-off

Long-term erosion is reduced through terracing, retaining walls, landscaping, or other restabilitization techniques

Roof water drainage system that captures xx% of roof area for irrigation use (storage capacity for 1/2" rain event & overflow to absorption area)Select one:

20%

50%

90%

Vegetated or green roof system is installed on XX% of roof area. Select One:

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





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86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

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Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

2F-2a 2 1 1 4 Plan Design

2F-2b 3 2 2 7 Plan Design

2F-2c 4 3 3 10 Plan Design

2F-3 1 1 Plan Design

2F-4x x x x x x

Photo Complete

2F-4a 2 2

Photo Complete

2F-4b 3 3

Photo Complete

2F-4c 5 5

Photo Complete

2F-5 2 2 Photo Backfill

2G- Grading/Drainage 0 0 0 0 0 0

2G-1 2 2 Design

2G-2 2 2 4 GC Sign-off Complete2G-3 1 1 2 Test results Design

2G-4 1 1 GC Sign-off Complete2G-5 1 1 GC Sign-off Complete

2G-61 1


2G-7 1 2 3 GC Sign-off Complete

3 0 0 0 0 0 0


NA 3PR-1

x x x x x x

Other Doc Design

NA 3PR-2 x x x x x x Photo Complete

NA 3PR-3x x x x x x


NA 3PR-4

x x x x x x

GC Sign-off Design

NA 3PR-5x x x x x x

GC Sign-off Design

20%

50%

90%

Vegetated or green roof is pitched

Plant a rain garden (captures XX% of roof runoff for 1/2 " rain event) incl Landscape Plan; Calc

20% incl Landscape Plan; Calc



Install French drains to manage rainwater and to keep storm water onsite

Minimum of 50% (75% over 1 acre) of lot is protected from all grading and tree clearing Notes on Plan

Retill top twelve inches of soil after constructionBearing capacity and soil permeability of the site are tested

Re-use all site topsoil, if site disturbance occursPatio slabs, walks and driveway shall be sloped a minimum of 1/8" per foot away from house

Land is re-graded (or terraced) to slope away from house (min. 5% slope 10 feet away from foundation walls) (minimum 6" within first 10 feet)

Drainage system at base of garage and driveway that captures run-off and keeps it on-site

IMPROVEMENTS TO EXISING FLOOR, WALL, AND ROOF ASSEMBLIES

Finishing a basement can be risky. If choosing to finish a basement anyway, perform thorough risk assessment of existing conditions and systems prior to doing basement finishing work.

Use Integrated Pest Management (IPM) methods to prevent pest entry.

Structural plywood & OSB must conform to PS1 and PS2 standards. Thus shall be made with non-urea formaldehyde, exterior-type adhesives

New attached garage only allowed if house has pre-existing attached garage. All new attached garages must be built with Breezeway / Mudroom and other measures to minimize the potential for garage pollution to enter the house.

No use of 9-1/4” or greater dimension solid lumber in interior floor, wall or roof systems. (Use 2x8s or smaller in exterior decks as much as possible).

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





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86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

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Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

NA 3PR-6

x x x x x x

Design

NA 3PR-7x x x x x x


NA 3PR-8

x x x x x x

Design

NA 3PR-9 x x x x x x Calcs Design

NA 3PR-10

x x x x x x

Other Doc Insulation

NA 3PR-11 x x x x x x Insulation

NA 3PR-12x x x x x x

Drywall

3A- Air Tightness 0 0 0 0 0 0

3A-1

30 30

Test results Complete

3A-2

x x x x x x


3A-2a

10 10


3A-2b

20 20


3A-2c

30 30


3A-3x x x x x x

3A-3a 3 1 4

3A-3b 3 1 1 5 Complete

3A-4

X X X X X X

Calcs Complete

If recessed light fixtures are being added or replaced where they penetrate into the unconditioned area of the attic, then they must be installed to prevent air and thermal leakage.Notes on Plan

Any new installation of salvaged doors or windows in an exterior application must be weather stripped, or air sealed with appropriate gasket.

All new connecting doors between living space and attached garage must be gasketed or made substantially air-tight with weather stripping and an automatic closerNotes on Plan

Specification

No power roof vents unless adequate air inlets exist. See also 5PR -- 7.

Obtain a copy of "FTC Fact Sheet" from the MN Energy Information Center for any type of insulation used on the project. This lists correct R-value for the insulation. (Metro 651-926-5120 or State wide 1-800-657-3710.

All insulation used must be formaldehyde free Notes on Plan

Specifications

Wall cavities exposed during removal of existing full window units must be insulated with foam (no fiberglass allowed for this application)Rater Sign-off

Air infiltration rate is 0.35 air changes per hour (ACH-natural) or less upon project completion, regardless if changes made to tightness during project or not. (See also 0PR-14 for Fresh Air Supply)

Air infiltration is reduced in the house by xx%Select one: Must include before and after

20% Must include before and after



Perform infrared thermal imaging during blower door test: Select all that apply:Receipt/Invoice

PreConstruction

Before (to identify problem areas) Receipt/Invoice

PreConstruction

After (to document that issues discovered have been amended) Receipt/Invoice

HERS Index Score at the end of the project regardless of whether changes were made to improve this score during the project. Select HERS Score:

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3A-4a10 10

Calcs Complete

3A-4b12 12

Calcs Complete

3A-4c14 14

Calcs Complete

3A-4d18 18

Calcs Complete

3A-4e25 25

Calcs Complete

3A-4f35 35

Calcs Complete

3A-4g45 45

Calcs Complete

3A-4h60 60

Calcs Complete

3A-510 10

Other Doc Complete

3B- 0 0 0 0 0 0

NA 3B-PR1 x x x x x x Design

3B-1 1 1 1 3 Photo Drywall

3B-2 2 1 3 Photo Drywall3B-3

4 1 2 7

Other Doc Design

3B-4x x x x x x

Design

3B-4a

2 2

Design

3B-4b

2 2

Photo Drywall

3B-4cx x x x x x

Photo Drywall

3B-5 x x x x x x Photo Complete

70-74

65-69

60-64

50-59

40-49

30-39

20-29

< 20

Remodeled Home is certified as an ENERGY STAR Home

Improvements to Existing Foundations, Crawlspaces, and Slab Floor AssembliesInstall radon mitigation system if finishing an unfinished basement. Notes on

PlanLeave minimum 1 inch gap between wall framing and foundation wall

Frame perimeter wall with steel studsDocument the condition of the air sealing, vapor retarder and insulation at rim joist. Improve any areas that do not have proper air seal, vapor retarder and/or min. R19 insulation as necessary. (Rim joist that do not need improvement also qualify).

Improve existing unconditioned crawlspace that will remain unconditioned. Select all that apply:Notes on Plan

Install: 1. Air and vapor barrier under sheathing of floor above. 2. R-25 Insulation between joists. 3. Continuous R5 rigid insulation under joists. 4. weather-resistant sheathing (air sealing must include all plumbing, electrical, and HVAC penetrations plus any chases) Notes on Plan

Openings between conditioned basement or crawlspace and unconditioned crawlspace are sealed with solid blocking and any remaining gaps are sealed with caulk or foam ---OR--- no such openings existNote On Checklist

Insulate ductwork passing through unconditioned crawlspace to R10 ---OR--- No such ductwork exists. See 5C--3f for points.Note On Checklist

Condition an unconditioned crawlspaceSelect all that apply: Rater sign off

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3B-5a

2 2

Photo Complete

3B-5b

2 2

Photo Complete

3B-5c

1 1

Calcs Design

3B-5d

1 1

Photo Complete

3B-6

x x x x x x

Design

3B-6a

2 2

Design

3B-6b 3 2 5 Design

3B-7 1 3 4 GC Sign-off Complete3B-8 x x x x x x Photo Backfill

3B-8a5 5 1 -1 10

Photo Backfill

3B-8b

4 4

Photo Drywall

3B-8c 1 1 2 Photo Insulation

3B-8d 1 1 2 Photo Complete

3B-8e 2 2 Photo Drywall

Air seal crawlspace walls and insulate to R-10 or better without creating vapor trap. Note: If foundation cannot dry to exterior above grade through minimum of 16” of exposed foundation and/or rim joist area is not separated from foundation by a capillary break, then insulation and air seal must be vapor permeable. Install thermal barrier to protect insulation as required by code. See also 3PR-2.Rater sign off

Use spray foam to air seal and insulate crawlspace walls.Note: If foundation cannot dry to exterior above grade through minimum of 16" of exposed foundation and/or rim joist area is not separated from foundation by a capillary break, then closed cell foam insulation CANNOT exceed the thickness that would reduce its vapor permeability to 1 perm or less.Rater sign off

Install crawl space ventilation system. Crawl space is provided with conditioned supply air at a rate not less than 0.02 cfm per square foot of horizontal area. Appropriately sized exhaust opening to other interior space required to prevent over 3 pascals of pressurization.

Install hydronic heat supply to crawl space (i.e. fin tube, etc.) Rater sign off

Improvement to foundation wall insulation and air sealing. (Bulk water and water vapor must be addressed) Select all that apply:Notes on Plan

Air seal basement walls and insulate concrete walls to R-10 or better. Framed walls insulated to R-13 or better. If concrete wall is insulated, framed wall can be without insulation.Notes on Plan

Use spray foam to air seal and insulate basement walls Notes on Plan

No carpet installed in basementInstall or improve bulk water drain system. Select all that apply:

Install exterior system such as waterproofing, drain board or sheeting, insulation, perimeter drain tile (or similar), etc.

Install interior sub-slab perimeter dain tile system with sealed sump basket & integrated dimpled drainage sheeting @ bottom of wall & floor slab edge. Air seal all edges & seams.

Install interior dimpled drainage sheeting to top of exterior grade min. Air seal all edges & seams.

Integrate soil gas (a.k.a. radon) vent pipe with interior sub-slab drain tile

Install rigid insulation at slab edge & under slab where interior sub-slab drain tile was installed.

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3B-92 2

Photo Drywall

3B-10

3 3

Other Doc Complete

3B-11x x x x x x

3C-0 0 0 0 0 0

NA 3C-PR1

x x x x x x

Photo Drywall

3C-11 2 3

Photo Insulation

3C-2

2 2

Complete

3C-3

3 2 5

Complete

3C-43 3

Photo Drywall

3C-5 1 1 1 3 Photo Drywall

3C-6 1 1 Photo Drywall

3C-7

1 1 2

Photo Complete

3C-8 1 1 2 Photo Insulation

3C-91 1 2

Photo Drywall

3C-10 x x x x x x3C-11

x x x x x xPhoto Siding

3C-11a1 1

Photo Siding

3C-11b

2 2

Photo Siding

Improvements to air barrier spans cantilever and any exposed edges of insulation of any cantilevered floor

Use reclaimed materials on foundation improvements. (i.e.brick for exterior of foundation and block for foundation). Minimum 50% of all material used.Letter stating source

Full replacement of existing slab. See Section 4 for new slab credits & Section 9 for demolition credits). See Associated

CreditsImprovements to All Existing Above Grade Walls, Ceilings and Non-Slab (framed) Floors

If existing common wall between an attached garage and the home does not have finish material on it, finish material must be added and properly sealed at perimeter & penetrations.

Common walls and ceiling between an attached garage and living space are completely air sealed before insulation is installed

Add insulation to closed wall cavities that have less than 1-1/2” of insulation. (minimum of 50% of uninsulated walls must be insulated to R-11 or better). Gasket and caulk joints. Blower door test with infrared scan to check for voids. Receipt/Invoice

Use foam to insulate uninsulated wall cavities where wall framing is not exposed (minimum of 50% of uninsulated walls must be insulated to R-11 of better. Blower door test with infrared scan to check for voids. Receipt/Invoice

Air seal and insulate all wall cavities where wall framing is exposed. (2x4 walls = min. R13) ( 2x6 walls = min R21)

Expose, air seal (including top and bottom plate), and insulate walls adjacent to shower/tub Rater sign-off

Penetrations through insulated ceilings are sealed Rater sign-off

Improve existing walls between house & attached garage by sealing all seams, edges, & penetrations of the wall finish material from the garage side

Air seal and insulate floor above garage, ensuring there are no exposed edges

Air seal penetrations and joints in existing fireplace framing

NOT USEDImprove exitsing walls with advanced siding materials & techniques. Select all that apply:

Install continuous drainage plane fully sealed at all penetrations that directs water away from home

Vented rain screen installed over sealed drain plane. Possible for all types of siding EXCEPT stucco. Properly installed new or existing stucco qualifies for this credit.

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3C-11c 1 1 Photo Siding3C-11d 1 1 Complete

3C-11e 1 1 Complete

3C-11f 1 1 Photo Complete3C-11g 3 3 Other Doc Complete

3C-11h 2 2 Complete

3C-122 2

Photo Complete

3C-13 2 2 Photo Complete

3C-14

2 2

Photo Complete

3C-151 1 2

Complete

3C-162 2

Complete

3C-17x x x x x x Complete

3C-17a1 1 2 Complete

3C-17b-1 1 1 1

Complete

3C-17c1 1 1 3 Photo Drywall

3C-17d-1 2 1

Photo Drywall

3C-182 2 Drywall

3C-193 1 4

Drywall

3C-20

x x x x x x

Complete

3C-20a 1 1 Complete

3C-20b2 2

Complete

3C-20c1 1 Complete

3C-20d 2 2 Complete

3C-20e 3 3 Complete

Siding and trim are back-primed on all sidesFiber-cement or wood composite siding installed (min. 50% of siding used) Receipt/

InvoiceSpecifiy % used

Steel siding with ENERGY STAR coating and long-life factory finish Specifications

Exposed wood is kept at least 12 inches from soil Use reclaimed brick (for exterior wall covering) and block (for foundation)

Install traditional three-coat stucco Receipt/Invoice

Provide flashing at the bottom of all wall cladding. Includes weeps & weep screed for masonry veneer, stucco, thin stone veneer, etc.

Wood trim or other water sensitive materials (composites) are kept at least 12 inches from soil all sides of the house

Provide rodent and corrosion proof screens (e.g., copper or stainless steel mesh) for all openings that cannot be fully sealed and caulked (e.g., vents)

Replace damaged exterior cladding (minimum 3 sides) with cladding with minimum 40 year warranty. Specifications

Existing cavity insulation between studs in exterior walls is GREATER than R19 or it is brought up to this level. Specifications

Advanced Insulation Materials & Strategies Select all that apply: Specifications

Insulation with min 20% recycled content is used for at least 50% of applications Specifications

"All-Natural" insulation, such as cotton batt, is used for at least 50% of applications Specifications

Spray foam insulation applied in stud cavities

Spray applied wet cellulose insulation (proper drying required before installing wall finish and/or vapor barrier)

Install fiberglass-coated (paper-less) gypsum board Receipt/Invoice

Install Magnesium Oxide board (a.k.a. MgO Board) Receipt/Invoice

Gypsum wall board(GWB)with preferred attributes is used (min. 90% of GWB used) Select all that applySpecifications

70% to 89% recycled paper (post consumer and/or post industrial qualifies). Specifications


8% to 19% recycled content in gypsum core. Specifications

20% or more recycled content in gypsum core. Specifications

50% to 89% synthetic Flue Gas Desulfurization (FGD) gypsum used in core. Specifications

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3C-20f 4 4 Complete

3C-21

1 1

Photo Pre-finish

3C-221 1 1 3

Photo Pre-finish

3C-231 1 1 3

Photo Pre-finish

3D- 0 0 0 0 0 0

NA 3D-PR1x x x x x x

Complete

NA 3D-PR2

x x x x x x

Photo Pre-finish

3D-1

x x x x x x

Photo Complete

3D-1a

2 2 4

Photo Complete

3D-1b

4 4 8

Photo Complete

3D-1c

3 2 5

Photo Complete

3D-1d

5 3 8

Photo Complete

3D-1e3 2 5

Complete

3D-1f6 4 10

Complete

3D-1g

4 2 6

Complete

3D-1h

8 4 12

Complete


Gypsum wallboard (GWB) is min. 1/2 inch from concrete slabs. (Applies to existing GWB on existing walls, or new GWB on existing walls.)

Seal all wall gypsum wallboard penetrations in exterior walls using caulk, gaskets or appropriate connection with gypsum board.

Seal top plate to drywall with gasket or glue

Improvements to Existing Windows, Skylights and DoorsReplacement sash and units must meet energy code, be ENERGY STAR rated and be NFRC rated (existing window sashes are exempt)Specificatio

ns

Remove weight and fill weight cavity with foam insulation, when old double hung sash are replaced. (no fiberglass insulation allowed for this application)

Improve existing double hung windows that have U-factor of 0.56 or greater. See manual for notes about existing U-factors. Select only one:also need calc

Improve double hungs with pipe, foam and weather stripping method –OR – ploughed sashes with JAMB LINER. Without replacement of sash. (minimum 50% of windows on house) also need calc of 50%

Improve double hungs with pipe, foam & weather stripping method. –OR – ploughed sashes with JAMB LINER. Without replacement of sash. (min. 90% of windows on house)also need calc of 90%

Improve double hungs with COMPRESSION TRACK method. With new sash & insulated glass. (min. 50% of windows on house)also need calc of 50%

Improve double hungs with COMPRESSION TRACK method. With new sash & insulated glass. (min. 90% of windows on house)also need calc of 90%

Improve any window type with FULL FRAME insert replacement unit having U-factor of 0.32. (min. 50% of windows on house)Specifications

also need calc of 50%

Improve any windowtype with FULL FRAME insert replacement unit having U-factor of 0.32. (min. 90% of windows on house)Specifications


Improve any window type with FULL FRAME insert replacement unit having U-factor of 0.29 to 0.31. (min. 50% of windows on house)Specifications


Improve any windowtype with FULL FRAME insert replacement unit having U-factor of 0.29 to 0.31. (min. 90% of windows on house)Specifications


BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3D-1i

5 2 7

Complete

3D-1j

9 4 13

Complete

3D-1k

6 2 8

Complete

3D-1L

10 4 14

Complete

3D-2 x x x x x x Complete

3D-2a 3 3 Complete

3D-2b 2 2 Complete

3D-2c 2 2 Complete

3D-3 2 2 Complete

3D-4

1 1

Complete

3D-52 2

photos Complete

3D-6 1 1 photos Complete

3D-7 1 1 2 photos Complete

3D-8

1 1

photos Complete


3D-101 1 2

photos Complete

3D-11

1 2 3

photos Complete


Improve any window type with FULL FRAME insert replacement unit having U-factor of 0.25 to 0.29. (min. 50% of windows on house)Specifications


Improve any windowtype with FULL FRAME insert replacement unit having U-factor of 0.25 to 0.29. (min. 90% of windows on house)Specifications


Improve any window type with FULL FRAME insert replacement unit having U-factor of < 0.24. (min. 50% of windows on house)Specifications


Improve any window type with FULL FRAME insert replacement unit having U-factor of < 0.24. (min. 90% of windows on house)Specifications


Material type for replacement windows Select only one: Specifications

Replacement windows are wood Specifications

Replacement windows are fiberglass Specifications

Replacement windows are wood with metal clad exterior Specifications

Window unit air leakage rating < 0.30 cfm/sq ft Specifications

All replacement windows installed on East & West have SHGC <0.35 Specifications

notes on plan commenting on E/W locations

Add exterior shading to existing windows on south and west side of home, such as awnings on south or west, vertical fins on west, etc.Notes on Plan

Install exterior solar shades on clear-glazed windows Notes on Plan

Install storm windows on double hung or fixed windows Notes on Plan

Install, adjustable interior solar shades, or reflective blinds to min. 80% of al (existing and new) east, west, and south windows/skylights which have no exterior shading to block summer sun.Notes on Plan

Install low-e film on interior side of clear-glazed windows and skylights Notes on Plan

Install storm doors Notes on Plan

Connecting doors between living space and garage are improved with gaskets or made substantially air-tight with weather stripping, air sealing door sweep, thresholds, etc. Also, new automatic closer verified to be working or replaced.Notes on Plan

Install new weatherstrip AND thresholds or air sealing door sweeps on all existing entry doors Notes on Plan

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3D-13

x x x x x x

photos Complete

3D-13a 2 2 photos Complete

3D-13b 4 4 photos Complete

3D-14

x x x x x x

Complete

3D-14a 1 1 Complete

3D-14b2 2

Complete

3D-15c2 2

Complete

3D-15d4 4

Complete

3D-15e1 1 2

Complete

3D-16f2 1 3

Complete

3D-16g2 2

Complete

3D-16h3 3

Complete

3D-17i 3 3 Complete

3D-17j 2 -1 1 Complete

3D-17k2 -1 1 Complete

3D-18L3 3 Complete

3D-151 1

Complete

3E-0 0 0 0 0 0

3E-1

4 1 1 6

Drywall

3E-2

x x x x x x

Complete

Home equipped with covered entry ways that extend three feet out from every exterior door. Existing covered entries also qualify. Select Only One:Notes on Plan

1 entry Notes on Plan

2 or more entries Notes on Plan

Replace existing doors between conditioned & unconditioned space and/or between interior & exteriorSelect all that apply:Specifications

Replacement Door with 1/2 glass or less U-factor is 0.18 to 0.20 (1 door)Specifications

Replacement Door with 1/2 glass or less U-factor is 0.18 to 0.20 (2 or more doors)Specifications

Replacement Door(s) with 1/2 glass or less U-factor is ≤ 0.17. 1 door.Specifications

Replacement Door(s) with 1/2 glass or less U-factor is ≤ 0.17. (2 or more doors) Specifications

Replacement Door with 1/2 glass or more U-factor is 0.31 to 0.47. (1 door)Specifications

Replacement Door with 1/2 glass or more U-factor is 0.31 to 0.47. (2 or more doors)Specifications

Replacement door(s) are full-view insulated glass in wood with metal clad exterior. 1 door.Specifications

Replacement Door(s) with 1/2 glass or more U-factor is ≤ 0.30. (2 or more doors) Specifications

Door(s) are wood Specifications

Door(s) have metal outer skin (e.g., aluminum or steel) Specifications

Door(s) have fiberglass outer skin Specifications

Wood used in door(s) (if any) is FSC certified (90% of doors containing wood) Specifications

20 year warranty on all insulated glazing, sash and frame for replacement windows and/or doors having a frame of wood or wood with claddingSpecifications

Improvements to Unfinished Attics That Are Remaining Unfinished

Air seal all attic penetrations (all plumbing, electrical and HVAC penetrations plus any chases) and add continuous insulation on floor of attic to R-38Rater Sign-off

Unfinished attic remaining unfinished -- Improved w/ ADVANCED INSULATION materials & techniques.Select all that apply:Specifications

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3E-2a1 1

Complete

3E-2b

-1 2 1

and Calc Complete

3E-2c 3 3 Drywall

3E-2d 6 6 Drywall

3E-2e1 1 1 3

Drywall

3E-2f2 1 1 4

Drywall

3E-2g 2 2 Complete

3E-2h1 1

Complete

3E-3

2 2

Calcs Complete

3E-4

x x x x x x

Complete

3E-4a2 2 4

Complete

3E-4b 1 1 Complete

3E-4c1 2 3

Complete

3E-5

1 1 2

Calcs Complete

3E-6

1 2 3

Photo Complete

3F- Finishing Unfinished Attics 0 0 0 0 0 0

NA 3F-PR1x x x x x x

Drywall

Insulation with minimum 20% recycled content is used for at least 50% of applications (based on R-value X Sq.Ft.)Specifications

All-natural insulation, such as cotton batt, is used for at least 50% of applications. (Soy based foam insulation is not considered "all natural" and is not eligible for credit in this category)Specifications

Attic insulation total R44 to R49 (flat or vaulted) Rater Sign-off

Attic insulation total R50 or more (flat or vaulted) Rater Sign-off

Add 1" min. foil face polyisocyanurate insulation to sloped roof / ceiling for thermal break and vapor barrierRater Sign-off

Add 2” (low perm rated) rigid insulation to interior of sloped roof / ceiling for thermal break and vapor barrierRater Sign-off

Energy Heel: min. R38 to outside face of exterior walls Rater Sign-off

Access openings to new attics and new knee wall areas are well insulated Horizontal Attic Access = R38 min & Vertical Knee Wall Access = R23 min.Rater Sign-off

Improve framing in attics being used as, or converted to unheated storage. Install extensions (i.e. 2X scrap framing, 1/2 I-Joist, etc.) on existing attic joists to increase space for R38 or greater attic insulation. Install new flooring or re-install existing flooring (preferred).

Unfinished attic remaining unfinished - Improved w/ ADVANCED AIR SEALING materials & techniques. Select all that apply:Rater Sign-off

Seal all attic by-passes (spot seal with foam or caulk --OR-- spray foam entire attic floor)Rater Sign-off

Access openings to existing attic and new knee wall areas are weatherstripped Rater Sign-off

Provide insulation wind baffle or other air barrier to block wind washing at all attic eave bays in roof assemblies with soffit ventsRater Sign-off

1. Inspect and document existing roof ventilation system. (possibly already done if measure 1A-1 was performed) 2. Design and specify venting improvements or conversion to non-vented system. (Projects not needing changes or improvements also qualify)Optional Worksheet in Checklist

Implement design from 3E -- 5. Install-new and/or improve-existing eave vents, vent chutes, roof vents, etc. ---OR--- Convert to non-vented. (Non-vented designs must be pre-approved by building code official.)Rater Sign Off

No recessed light fixtures may be installed unless fully compliant with recessed lighting requirements in credit 3PR-7Rater Sign-off

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3F-1

2 2

Photo Drywall

3F-2

3 3

Drywall

3F-31 1 2

Photo Drywall

3F-41 1 2

Photo Drywall

3F-5x x x x x x

3F-5a

2 2 2 6

3F-5b

3 2 2 7

3F-5c

4 2 2 8

3F-5d 1 1 1 3 Pre-finish

3F-5e6 2 2 10

3F-6x x x x x x

3F-6a 2 2

3F-6b 4 4

3F-6c 6 6

3F-6d 1 1 1 3 Pre-finish

3F-6e

1 1

Pre-finish

3F-6f

1 1

Pre-finish

Air seal all attic penetrations (at all plumbing, electrical and HVAC penetrations plus any chases, open wall cavities, dropped ceilings and soffits)rater check off

Seal EXISTING recessed light fixtures to drywall with gasket, caulk or foam and add air sealed foam box or dome at all locations where they penetrate into the unconditioned area of the atticRater Sign-off

Air barrier on dropped ceiling/soffit is fully aligned with insulated framing and any gaps are fully sealed with caulk or foam or fire-rated sealantrater check off

Air barrier in staircase framing adjacent to exterior wall/attic is fully aligned with insulated framing and any gaps are fully sealed with caulk or foamrater check off

Air sealing & Insulation improvements to unfinished knee wall areas. Select all that apply:Notes on Plan

PreConstruction

Knee Walls = R-15 to R-21 & floors behind knee walls = R-38 to R-41 (assumes unconditioned knee wall area) - OR - Sloped ceiling behind knee walls R - 38 to R-41 (for an unvented attic assembly) (assumes risidually conditioned knee wall area) Notes on Plan

PreConstruction

Knee Walls = R-22 to R-29 & floors behind knee walls = R-42 to R-49 (assumes unconditioned knee wall area) - OR - Sloped ceiling behind knee walls R - 42to R-49 (for an unvented attic assembly) (assumes risidually conditioned knee wall area) Notes on Plan

PreConstruction

Knee Walls = R-30 & floors behind knee walls = R-50 (assumes unconditioned knee wall area) - OR - Sloped ceiling behind knee walls R - 50 (for an unvented attic assembly) (assumes risidually conditioned knee wall area) Notes on Plan

PreConstruction

Use spray-foam to air seal and insulate knee walls & floor --OR-- sloped ceiling Rater Sign-off

Air seal and insulate critical areas (R30 min.) (e.g. rim joist @ eave, joist cavity under knee wall & cavity @ rafter cavity @ top of knee wall)Notes on Plan

PreConstruction

Improvements to unfinished vaulted and tray ceilings in living area Select all that apply:Specifications

notes on plan

PreConstruction

R25 to R37 Specifications

notes on plan

PreConstruction

R38 to R42 Specifications

notes on plan

PreConstruction

R43 or better Specifications

notes on plan

PreConstruction

Air seal and insulate sloped roof / tray ceiling with spray foam. Rater Sign-off

Add 3/4” minimum foil face polyisocyanurate (or equavalent) insulation to existing sloped roof / ceiling for thermal break and vapor retarder (seal all seams with tape or equivalent)Rater Sign-off

Install radiant barrier with air space when improving existing finished sloped roof / ceiling system where R38 insulation is not achievable. Radiant barrier on attic floor does NOT qualify.Rater Sign-off

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3F-7

1 1

Pre-finish

3F-8

1 1 2

Calcs Complete

3F-9

1 2 3

Photo Complete

3G- Improvements to Finished Attics & Roofs 0 0 0 0 0 0

NA 3G-PR1x x x x x x

Drywall

3G-1

2 2

Drywall

3G-2

3 1 4

Insulation

3G-31 1 2

Drywall

3G-41 1 2

Drywall

3G-5X X X X X x

Drywall

3G-5a

2 2 2 6

Drywall

3G-5b

3 2 2 7

Drywall

3G-5c

4 2 2 8

Drywall

3G-5d 1 1 2 Drywall

Improve weatherstripping and insulation at existing attic and knee wall access openings. Horizontal Attic Access = R38 min & Vertical Knee Wall Access = R23 min. (Also applies to new access openings being installed in existing attics or knee walls.)Rater Sign-off

1. Inspect and document existing roof ventilation system. (possibly already done if measure 1B-1 was performed) 2. Design and specify venting improvements or conversion to non-vented system. (Projects not needing changes or improvements also qualify)Optional Worksheet in Checklist

Implement design from 3F -- 8. Install-new and/or improve-existing eave vents, vent chutes, roof vents, etc. ---OR--- Convert to non-vented. (Non-vented designs must be pre-approved by building code official.)Rater Sign Off

No recessed light fixtures may be installed unless fully compliant with recessed lighting requirements in credit 3PR-7Rater Sign-off

Air seal all attic penetrations (at all plumbing, electrical and HVAC penetrations plus any chases, open wall cavities, dropped ceilings and soffits)Rater Sign-off

Seal recessed light fixtures to drywall with gasket, caulk or foam and add air sealed foam box or dome at all locations where they penetrate into the unconditioned area of the atticRater Sign-off

Air barrier on dropped ceiling/soffit is fully aligned with insulated framing and any gaps are fully sealed with caulk or foam or fire-rated sealantRater Sign-off

Air barrier in staircase framing adjacent to exterior wall/attic is fully aligned with insulated framing and any gaps are fully sealed with caulk or foamRater Sign-off

Air sealing & Insulation improvements to unfinished knee wall areas. Select all that apply:Rater Sign-off

Walls = R15 to R21 & Floors = R38 to R41 (assumes unconditioned knee wall area) --OR-- Sloped ceiling = R38 to R41 (assumes risidually conditioned knee wall area) Rater Sign-off

Walls = R22 to R29 & Floors = R42 to R49 (assumes unconditioned knee wall area) --OR-- Sloped ceiling = R42 to R49 (assumes risidually conditioned knee wall area) Rater Sign-off

Walls = R30 or more & Floors = R50 or more (assumes unconditioned knee wall area) --OR-- Sloped ceiling = R50 or more (assumes risidually conditioned knee wall area) Rater Sign-off

Use spray-foam to air seal and insulate knee walls & floor --OR-- sloped ceiling Rater Sign-off

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3G-5e6 2 2 10

Drywall

3G-6X X X X X x

Drywall

3G-6a 2 2 Drywall

3G-6b 4 4 Drywall

3G-6c 6 6 Drywall

3G-6d 1 1 2 Drywall

3G-6e

1 1

Drywall

3G-6f

1 1

Drywall

3G-7

1 1

Drywall

3G-8

1 1 2

Calcs Complete

3G-9

1 2 3

Photo Complete

3G-10x x x x x x

Photo Roofing

3G-10a 1 1 Photo Roofing

3G-10b 2 2 Photo Roofing

3G-10c1 1 Photo Roofing

3G-10d1 1 Photo Roofing

3G-10e1 -1 0 Complete

3G-10f 3 -1 2 Complete

3G-10g5 5 Complete

Air seal and insulate critical areas (R30 min.) (e.g. rim joist @ eave, joist cavity under knee wall & cavity @ rafter cavity @ top of knee wall)Rater Sign-off

Improvements to finished vaulted and tray ceilings in living area Select all that apply:Rater Sign-off

R25 to R37 Rater Sign-off

R38 to R42 Rater Sign-off

R43 or better Rater Sign-off

Air seal and insulate sloped roof / tray ceiling with spray foam. Rater Sign-off

Add 3/4” minimum foil face polyisocyanurate (or equavalent) insulation to existing sloped roof / ceiling for thermal break and vapor retarder (seal all seams with tape or equivalent)Rater Sign-off

Install radiant barrier with air space when improving existing finished sloped roof / ceiling system where R38 insulation is not achievable. Radiant barrier on attic floor does NOT qualify.Rater Sign-off

Improve weatherstripping and insulation at existing attic and knee wall access openings. Horizontal Attic Access = R38 min & Vertical Knee Wall Access = R23 min. (Also applies to new access openings being installed in existing attics or knee walls.)Rater Sign-off

1. Inspect and document existing roof ventilation system. (possibly already done if measure 1B-1 was performed) 2. Design and specify venting improvements or conversion to non-vented system. (Projects not needing changes or improvements also qualify)Optional Worksheet in Checklist

Implement design from 3G -- 8. Install-new and/or improve-existing eave vents, vent chutes, roof vents, etc. ---OR--- Convert to non-vented. (Non-vented designs must be pre-approved by building code official.)Rater Sign Off

Existing roof improved w/ Advanced Roofing Materials & Techniques. Select all that apply:

Self sealing bituminous membrane at valleys & penetrations (code required at eaves)

Self sealing bituminous membrane over entire roof deck

Metal drip edge at all roof edges & "W" shaped valley flashing at valleys

Metal "W" shaped valley flashing at valleys

Minimum 40 year roofing material. (min 90% of roof area) Specifications


Lifetime roofing material (including: slate, steel, concrete, clay, etc.) (min 90% of roof area) Specifications

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

3G-10h 1 1 Complete

3G-10i x x x x x x Complete

4 NEW FLOOR, WALL, & ROOF ASSEMBLIES 0 0 0 0 0 0


NA 4PR-1

x x x x x x

Other Doc Design

NA 4PR-2 x x x x x x Photo Complete

NA 4PR-3x x x x x x


NA 4PR-4

x x x x x x

GC Sign-off Design

NA 4PR-5x x x x x x

GC Sign-off Design

NA 4PR-6

x x x x x x

Design

NA 4PR-7x x x x x x


NA 4PR-8

x x x x x x

Design

NA 4PR-9 x x x x x x Calcs Design

NA 4PR-10

x x x x x x

Other Doc Insulation

NA 4PR-11 x x x x x Insulation

4A- 0 0 0 0 0 0

4B- 0 0 0 0 0 0

NA 4B-PR1 x x x x x x Design

NA 4B-PR2x x x x x x

Other Doc Design

NA 4B-PR3x x x x x x

Photo rater Complete

Roofing material with ENERGY STAR Cool Roof certification. (90% min. of roof area) Specifications

Green roof system is installed (see Rainwater Management) Specifications

Finishing a basement can be risky. If choosing to finish a basement anyway, indicate how bulk water and water vapor will be managed by the proposed design.

Use Integrated Pest Management (IPM) methods to minimize pest entry.

Structural plywood & OSB must conform to PS1 and PS2 standards. Thus shall be made with non-urea formaldehyde, exterior-type adhesives

All new attached garages must be built with Breezeway / Mudroom and other measures to minimize the potential for garage pollution to enter the house.

No use of 9-1/4” or greater dimension solid lumber in interior floor, wall or roof systems. (Use 2x8s or smaller in exterior decks as much as possible).

If recessed light fixtures are being added or replaced where they penetrate into the unconditioned area of the attic, then new fixtures must be installed to prevent air and thermal leakage.Notes on Plan

Any new installation of salvaged doors or windows in an exterior application must be weather stripped, or air sealed with appropriate gasket.

All new connecting doors between living space and attached garage must be gasketed or made substantially air-tight with weather stripping and an automatic closerNotes on Plan

Specification

No power roof vents unless adequate air inlets exist. See also 5PR--7.

Obtain a copy of "FTC Fact Sheet" from the MN Energy Information Center for any type of insulation used on the project. This lists correct R-value for the insulation. (Metro 651-926-5120 or State wide 1-800-657-3710.

All insulation used must be formaldehyde free Notes on Plan

Specifications

Air Tightness -- (See Sub-Section 3A)

New Foundations, Crawlspaces & Slab Floor AssembliesInstall soil gas (a.k.a. radon) mitigation system in new basement space (crawlspaces exempt) Notes on

PlanRemember basement risk assessment and Calcium Chloride Test before finishing basement. See 4PR -- 1 for more details.

New Crawl spaces shall be conditioned (raised pier foundation with no foundation walls are exempt)

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

NA 4B-PR4 x x x x x x Photo Insulation

4B-1

1 1 2

Photo Insulation

4B-2 2 2 4 Complete

4B-3 x x x x x X Photo Insulation

4B-3a2 2

Photo Insulation

4B-3b4 4

Photo Insulation

4B-3c6 6

Photo Insulation

4B-4x x x x x X

Photo Backfill

4B-4a2 1 3

Photo Backfill

4B-4b4 2 6

Photo Backfill

4B-4c6 2 8

Photo Backfill

4B-51 1

Pre-finish

4B-6x x x x x X

Complete

4B-6a1 1 1 3

Complete

4B-6b2 2 1 5

Complete

4B-71 1

Complete

Properly install class 1 or 2 vapor retarder on top of basement and/or crawl space soil or gravel. milestone at pre-slab

Install 4" bed of 3/4" diameter or greater clean or washed gravel on top of basement and/or crawlspace soil before any other flooring work is done.milestone at pre-slab

Recycled concrete, asphalt or glass for base or fill Specifications

Insulation for NEW SLAB FLOORS Select one: milestone at pre-slab

R-5 rigid insulation at edge and under entire basement floating floor slab. (assumes NO in-floor radiant heat) milestone at pre-slab

R-10 rigid insulation at slab edge and under entire basement slab or on-grade floating floor slab. (see manual for exceptions) milestone at pre-slab

R-15 rigid insulation at edge and under entire basement OR on grade floating floor slab. (suitable for in-floor radiant heat) (see manual for exceptions)milestone at pre-slab

Exterior foundation insulation SEE IMPORTANT NOTE IN MANUAL Select one:

R-15 continuous exterior foundation insulation. Top of foundation to top of footing or frost depth, which ever is greater).



Take measures to minimize and control cracking in interior concrete slabs. Install reinforcing AND provide control joints at proper locations.Notes on Plan

also req a photo of control joints

Fly Ash used in concrete (percent substitution by weight) Select one:Receipt/Invoice

25% to 39% Receipt/Invoice

40% or more Receipt/Invoice

Low toxicity form release agents used on concrete form work Specifications

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

4B-81 1

Photo Backfill

4B-91 1 2

Photo Backfill

4B-101 1 2

Photo Backfill

4B-113 3

Photo Backfill

4B-12

1 1

Photo Backfill

4B-13x x x x x X

Photo Backfill

4B-13a

x x x x x X

Photo Backfill

4B-13b

x x x x x X

Photo Backfill

4B-143 1 2 6

Photo Backfill

4B-152 1 1 4

Photo Backfill

4B-161 1

Photo Backfill

4B-17x x x x x X

other doc Complete

4B-17a2 2

other doc Complete

Reusable footing and foundation forms are used

Install 4" min. perforated foundation drain w/ 3/4" gravel and filter fabric at outside perimeter of new footings. (top of tile below bottom of interior slab floor)

Install 4" min. perforated foundation drain w/ 3/4" gravel and filter fabric at inside perimeter of new footings.

Install frost protected shallow foundation. (cannot be used in connection with other types of foundations. See Also IRC Code R403.3)

Provide capillary breaks. 1. between top of footings and bottom of foundation wall. 2. below slabs. 3. where cementitious products connect to framing material (i.e. garage floors, stoops, and porches)

Install Ufer Ground that does NOT contribute to widespread Electro Magnetic Fields (EMF) in home. Select one:

Install dedicated steel #4 rebar ground rod embedded in concrete footing and stubbed out for connection to electrical panel ground wire. 20 feet minimum rebar length & CANNOT touch other rebar. (See 11B-2 for points & requirements)

Install dedicated steel #4 rebar grounding rod embedded in separate concrete caisson and stubbed out for connection to electrical panel ground wire. 20 feet minimum rebar length. (See 11B-2 for points & requirements)

Foundation built with insulated concrete forms (ICF) or Insulated concrete "T" Mass or equivalent system with a minimum of R14

Insulated pre-cast concrete foundation system is used w/ min. R-10 Insulation.

Foundation walls are solid concrete -- OR -- CMU wall with top course of filled cores, solid block or bond beam.

Use reclaimed material for foundation. i.e. reclaimed CMU Select One:Receipt/Invoice


BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

4B-17b3 3

other doc Complete

4B-17c4 4

Complete

4B-181 1

Photo Backfill

4B-192 2

Photo Pre-finish

4B-20

1 1

Photo Pre-finish

4B-212 2

Photo Insulation

4B-221 1

Drywall

4B-23

1 1 2

Drywall

4B-242 1 3

Photo Drywall

4B-251 1


4C-0 0 0 0 0 0

4C-1 x x x x x X other doc Complete

4C-1a 2 1 3 other doc Complete

4C-1b 3 2 5 other doc Complete

4C-1c 2 1 3 other doc Complete

4C-1d 3 2 5 other doc Complete

4C-1e 2 1 3 other doc Complete


90% or more Specifications

Water based waterproofing system

Install material which protects waterproof membrane and functions as a hydrostatic pressure release. (I.e. dimpled polyethelene, poroused fibergalss board)

Foundation walls not covered with masonry veneer cladding are capped with sun interrupted termite sheet metal, plastic or equivalent termite shield that extends a minimum of 1/2 inch beyond the interior and exterior sides of the wall, before installation

Install vapor impermeable, dimpled sheet continuous from under slab to top of interior foundation wall. Seal all edges.

Air seal and insulate foundation to R-15 or better on interior. Rater Sign-off

Use spray foam to air seal and insulate interior foundation walls and rim joists.Note: If foundation cannot dry to exterior above grade through minimum of 16" of exposed foundation and/or rim joist area is not separated from foundation by a capillary break, then closed cell foam insulation CANNOT exceed the thickness that would reduce its vapor permeability to 1 perm or less.

Rater Sign-off

Use steel studs to furr out new foundation walls for basement finishing.

Slope garage slab toward main vehicle entry door. (minimum 1/8" per foot)

New Exterior Walls Above Grade, All New Non-Slab (framed) Floors, All New Interior Partition Walls & All New CeilngsUse of reclaimed (a.k.a. re-used) materials:Select all that apply: Receipt/

InvoiceBeams & Headers (50% to 89%) Receipt/

InvoiceBeams & Headers (90% or more) Receipt/

InvoiceFloor Joists (50% to 89%) Receipt/

InvoiceFloor Joists (90% or more) Receipt/

InvoiceSubfloor (50% to 89%) Receipt/

Invoice

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

4C-1f 3 2 5 other doc Complete

4C-1g 3 1 4 other doc Complete

4C-1h 4 1 5 other doc Complete

4C-1i 5 2 7 other doc Complete

4C-1j 2 1 3 other doc Complete

4C-1k 3 2 5 other doc Complete

4C-2

x x x x x X

other doc Complete

4C-2a 1 1 other doc Complete

4C-2b 2 2 other doc Complete

4C-2c 1 1 other doc Complete

4C-2d 2 2 other doc Complete

4C-2e 2 2 other doc Complete

4C-2f 3 3 other doc Complete

4C-2g 4 4 other doc Complete

4C-3x x x x x X

Complete

4C-3a 1 1 Complete

4C-3b2 2

Complete

4C-3c 2 1 3 Complete

4C-3d3 1 4

Complete

4C-4 x x x x x X Complete

4C-4a 1 1 2 Complete

4C-4b 2 2 4 Complete

4C-4c 1 1 2 Complete

4C-4d 2 2 4 Complete


4C-5a 2 2 Complete

Subfloor (90% or more) Receipt/Invoice

Wall Framing (30% to 49% Receipt/Invoice

Wall Framing (50% to 89%) Receipt/Invoice

Wall Framing (90% or more) Receipt/Invoice

Vaulted Roof / Ceiling Framing (50% to 89%) Receipt/Invoice

Vaulted Roof / Ceiling Framing (90% or more) Receipt/Invoice

Engineered wood, steel or trusses used. (Steel required to have min. 30% recycled content to qualify) Select all that apply:Receipt/Invoice

Beams & Headers in walls & floors (eng./steel/truss) (60% to 89%) Receipt/Invoice

Beams & Headers in walls & floors (eng./steel/truss) (90% or more) Receipt/Invoice

Floor Joists (eng./steel/truss) (60% to 89%) Receipt/Invoice

Floor Joists (eng./steel/truss) (90% or more) Receipt/Invoice

Wall Framing (eng./steel/truss) (30% to 49% Receipt/Invoice

Wall Framing (eng./steel/truss) (50% to 89%) Receipt/Invoice

Wall Framing (eng./steel/truss) (90% or more) Receipt/Invoice

Advanced FLOOR SHEATHING and EXTERIOR WALL SHEATHING Select all that apply:Specifications

Subfloor with no added urea-formaldehyde (min. 90% of all new subfloor) Specifications

Plywood or OSB with no added urea-formaldehyde (min. 90% of sheathing)Specifications

Install Fiberglass coated gypsum board for exterior wall sheathing. (min. 90% of sheathing) Specifications

Install Magnesium board for exterior wall sheathing (a.k.a. MgO) (min. 90% of all new wall sheathing)Specifications

Certification of structural wood products. Select all that apply: Receipt/Invoice

Plywood, OSB or other sheathing is FSC certified. (50% to 89%) Receipt/Invoice

Plywood, OSB or other sheathing is FSC certified. (90% or more) Receipt/Invoice

Framing Lumber is FSC certified. (50% to 89%) Receipt/Invoice

Framing Lumber is FSC certified. (90% or more) Receipt/Invoice

Local Sourcing of structural products. Select all that apply: Receipt/Invoice

Plywood, OSB or other sheathing is local. (50% to 89%) Receipt/Invoice

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS


4C-5c 2 2 Complete

4C-5d 3 1 4 Complete


4C-6a 2 2 Complete


4C-6c 1 2 1 4 photo Complete

4C-6d 1 2 1 4 photo Complete

4C-7 2 2 2 -1 5 Photo Backfill

4C-8

x x x x x X

Photo Insulation

4C-8a 2 2 4 Photo Insulation4C-8b 1 1 2 Photo Insulation4C-8c 1 1 Photo Insulation4C-8d 1 1 Plan Design4C-8e 1 1 2 Photo Insulation4C-8f 1 1 Photo Insulation

4C-9x x x x x X

Complete

4C-9a1 1

Complete

4C-9b

-1 2 1

Complete

4C-9c1 1 1 3 Photo receipt Drywall

4C-9d-1 2 1 Photo Drywall

4C-9e2 2 Drywall

4C-9f1 1 Drywall

4C-9g2 2 Drywall

4C-9h 1 1 Drywall

4C-10 x x x x x X GC Sign-off Complete

4C-10a 1 1 GC Sign-off Complete

Plywood, OSB or other sheathing is local. (90% or more) Receipt/Invoice

Framing Lumber is local. (50% to 89%) Receipt/Invoice

Framing Lumber is local. (90% or more) Receipt/Invoice

Panelized construction systems are used: Select all that apply: Receipt/Invoice

Wood framed panels (min. 80% of interior walls) Receipt/Invoice

Wood framed panels (min. 80% of exterior walls) Receipt/Invoice

Structural Insulated Panels (SIP) (min. 80% exterior walls) Receipt/Invoice

Structural Insulated Panels (SIP) (min. 80% roofs) Receipt/Invoice

Insulated Concrete Forms (ICF) or Insulated Concrete "T" Mass walls are used above grade.

Use Advanced Framing Techniques (a.k.a. Optimum Value Engineering - OVE) for wall construction. Select all that apply:

19.2" or 24" o.c. framing2 stud corners with drywall clipsSingle top plateDoor & Window headers sized for loadJack studs eliminated. (header hanger used)Insulated T-wall framing used at intersection of interior and exterior walls

Advanced insulation materials & techniques used:Select all that apply: Specifications

Insulation with minimum 20% recycled content is used for at least 50% of applications (based on R-value x Sq.Ft.)Specifications


Spray foam insulation applied in new studs

Spray applied wet cellulose insulation (proper drying required before installing wall finish and/or vapor barrier)

Cavity insulation between studs in exterior walls is greater than R19 Rater Sign-off

Rim joist connecting two conditioned floors are insulated to greater than R-23 Rater Sign-off

Floor over unheated space air sealed and insulated to minimum R38 Rater Sign-off

Insulated headers (minimum of 80% of new headers) Rater Sign-off

Advanced air sealing techniques used on new walls Select all that apply:

Bottom plates of exterior walls sealed to floor or foundation with a proper sealant

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

4C-10b 1 1 2 Drywall

4C-10c 1 1 Drywall

4C-10d 1 1 2 Drywall

4C-10e 1 1 2 Drywall

4C-10f1 1

Drywall

4C-10g1 1 1 3

Drywall

4C-10h 1 1 1 3 GC Sign-off Complete

4C-10i 2 2 GC Sign-off Complete

4C-11x x x x x X

Photo Siding

4C-11a1 1

Photo Siding

4C-11b

1 1

Photo Siding

4C-11c 1 1 Photo Siding4C-11d 1 1 Complete

4C-11e 1 1 Complete

4C-11f 1 1 Photo Complete

4C-11g 3 3 Other Doc Complete

4C-11h 2 2 Complete

4C-12 X X X X X X Photo Complete

4C-12a2 1 3

Photo Complete

4C-12b3 1 4

Photo Complete

4C-12c1 2 2 1 6

Complete

4C-13

X X X X X X

Complete

4C-13a 1 1 Complete

Seams and penetrations in rim joist between conditioned floors are sealed Rater Sign-off

Seal rim joists at all locations and connection with attic at exterior walls Rater Sign-off

Air seal penetrations and joints in fireplace framing Rater Sign-off

Cantilevered floor sealed above supporting wall Rater Sign-off

Stud cavities shall be blocked at locations of varying ceiling height, such as in common walls between adjacent rooms Rater Sign-off

Seal all gypsum or magnesium board penetrations in exterior walls using caulk, gaskets or appropriate connection with gypsum boardRater Sign-off

Seal drywall at top plate, bottom plate and penetrations with gasket, sealant or glue

Exterior sheathing with no gaps larger than 0.25 inches

Advanced siding materials & techniques used on new walls. Select all that apply:

Install continuous drainage plane fully sealed at all penetrations that directs water away from home

Vented rain screen installed over sealed drain plane. Possible for all types of siding EXCEPT stucco. Properly installed new or existing stucco qualifies for this credit.

Siding and trim are back-primed on all sidesFiber-cement or wood composite siding installed (min. 50% of siding used) Receipt/

InvoiceSpecifiy % used

Steel siding with ENERGY STAR coating and long-life factory finish Specifications

Exposed wood or other absortive material is kept at least 12 inches from soil

Use reclaimed brick (for exterior wall covering) and block (for foundation)

Install traditional three-coat stucco Receipt/Invoice

Advanced interior finish material used on new walls Receipt/Invoice

Fiberglass coated gypsum board installed for interior wall material. (min. 90% of all new walls and ceilings)Receipt/Invoice

Magnesium Oxide (a.k.a. MgO) board installed for interior wall and/or ceiling material. (min. 90% of all new walls and ceilings)Receipt/Invoice

Install plaster and lathe for interior wall and/or ceiling material. (min. 90% of all new walls and ceilings)Receipt/Invoice

Gypsum wall board(GWB) with preferred attributes is used in additions (min. 90% of GWB used) Select all that apply:Specifications


BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

4C-13b 2 2 Complete

4C-13c 1 1 Complete

4C-13d 2 2 Complete

4C-13e 3 3 Complete

4C-13f 4 4 Complete

4D- New Windows, Skylights & Doors 0 0 0 0 0 0

NA 4D-PR1 x x x x x x Complete


Complete

NA 4D-PR3 x x x x x x Photo Siding

NA 4D-PR5 x x x x x x Photo Drywall


Photo Complete

4D-1X X X X X x

Complete

4D-1a3 3

Complete

4D-1b3 3

Complete

4D-1c4 4

Complete

4D-1d5 5

Complete

4D-1e3 3

Complete

4D-1f2 2

Complete

4D-1g2 2

Complete

4D-1h2 2

Complete

4D-1i1 1

Complete


8% to 19% recycled content in gypsum core. Specifications

20% or more recycled content in gypsum core. Specifications

50% to 89% synthetic Flue Gas Desulfurization (FGD) Specifications


New and Replacement units must meet energy code (existing windows are exempt) Specifications

Windows must be ENERGY STAR and National Fenestration Rating Council (NFRC) labeled (existing window sash are exempt)Specifications

Flash windows and exterior doors with pan, side & head flashing

Air seal around outside of window and door units with low expansion foam insulation.

New connecting doors between living space and garage are self closing and ≤ 0.30cfm/sq.ft. air leakage rating.

New windows and/or skylights: (min. 90% of units) Select all that apply:Specifications

Windows and/or skylights have a U-factor of 0.32 Specifications

Windows and/or skylights have a U-factor of 0.29 to 0.31 Specifications

Windows and/or skylights have a U-factor of 0.25 to 0.29 Specifications

Windows and/or skylights have a U-factor of 0.24 or less Specifications

Windows are wood Receipt/Invoice

Specifications

Windows and/or skylights are fiberglass Receipt/Invoice

Specifications

Windows and/or skylights are wood-with metal clad exterior Receipt/Invoice

Specifications

Window and/or skylight air leakage rating < 0.30 cfm/s.f. Specifications

East/west facing windows and/or skylights have SHGC ≤ 0.35 Specifications

Must define which windows

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

4D-1j2 2

Complete

4D-1k2 2

Photo Complete

4D-1L1 1 2

Photo Complete

4D-1m1 1

Complete

4D-1n1 1

Complete

4D-2 1 1 Calcs Complete

4D-3 1 1 Calcs Complete

4D-4 1 1 2 Photo Complete

4D-5

X X X X X X

photos Complete

4D-6

x x x x x x

Photo Complete

4D-6a2 2

Photo Complete

4D-6b4 4

Photo Complete

4D-7

X X X X X X

Complete

4D-7a1 1

Complete

4D-7b2 2

Complete

4D-7c1 1

Complete

4D-7d2 2

Complete

4D-7e 3 3 Complete

4D-7f 2 -1 1 Complete

4D-7g 2 -1 1 Complete

Install Northern Glass on Southern exposures Specifications

Add exterior shading to new windows on south and west side of home, such as awnings on south or west, vertical fins on west, etc.

Install storm windows on double hung or fixed windows

Wood used in window construction (if any) is FSC certified Specifications

20 year warranty on windows with wood frame. (Warranty must apply to glazing, sash and frame) (min. 90% of new units)Specifications

West facing glazing less than 2% of floor area (total of new and existing windows)

East facing glazing less than 3% of floor area (total of new and existing windows)

Install Energy Star light tubes to bring light to interior areas that receive limited daylight

Install, adjustable interior solar shades, or reflective blinds to min. 80% of all (existing and new) east, west, and south windows/skylights which have no exterior shading to block summer sun. (See 3D-8 for points)Notes on Plan

New cover on a new entry. Must extend three feet out from new entry. (See Sub-Section 3D for existing entries. Select Only One:

1 new entry

2 or more new entries

Doors at entry between conditioned & unconditioned space and/or between interior & exteriorSelect all that apply:

Specifications

Door(s) with 1/2 glass or less (min. 90% of all doors of this type) U-factor is 0.18 to 0.20 Specifications

Door(s) with 1/2 glass or less (min. 90% of all doors of this type) U-factor is ≤ 0.17. Specifications

Door(s) with 1/2 glass or more (min. 90% of all doors of this type) U-factor is 0.31 to 0.47. Specifications

Door(s) with 1/2 glass or more (min. 90% of all doors of this type) U-factor is ≤ 0.30. Specifications

Door(s) are wood. Specifications

Door(s) have metal outer skin. (i.e. aluminum or steel) Specifications

Door(s) have fiberglass outer skin. Specifications

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

4D-7h 1 1 Complete

4D-7i 1 1 2 Complete

4D-7j 2 2 Complete

4E- New Attics & Roof Additions 0 0 0 0 0 0NA 4E-PR1

x x x x x x

Plan Design

NA 4E-PR2 x x x x x x Complete

NA 4E-PR3 x x x x x x Photo Complete

NA 4E-PR4x x x x x x

Drywall

NA 4E-PR5 x x x x x x Photo if applicable Complete

4E-1x x x x x x

Complete

4E-1a 2 1 3 Complete

4E-1b 3 1 4 Complete

4E-1c 4 2 6 Complete

4E-1d 2 1 3 Complete

4E-1e 3 1 4 Complete

4E-1f 4 2 6 Complete

4E-1g 2 1 3 Complete

4E-1h 3 1 4 Complete

4E-1i 4 2 6 Complete

4E-1J 1 1 2 Complete

4E-2

x x x x x x

Complete

4E-2a 1 1 Complete

4E-2b 2 2 Complete

4E-2c 1 1 Complete

4E-2d 2 2 Complete

Wood used in door(s) (if any) is FSC certified (90% of doors containing wood) Specifications

Install storm door at all entries. (sliding doors exempt) Specifications

20 year warranty on all doors with wood frame. (warranty must apply to glazing, sash and frame. Specifications

No recessed light fixtures in finished attic space, or recessed light fixture housing from a conditioned space protruding into an unconditioned attic space, unless installations can be met based on diagram 4PR-7

Provide attic insulation thickness markers Rater Sign-off

Provide attic information card Rater Sign-off

If batt insulation is used to insulate knee walls, an attic-side air barrier is required. Rater Sign-off

Step flashing & kick-out flashing required at all roof / sidewall locations

Use of Reclaimed (a.k.a. re-used) & Recycled Roof Materials:Select all that apply: Receipt/Invoice

Specifiy % used

Roof Beams & Headers reclaimed (50% to 69%) Receipt/Invoice

Specifiy % used

Roof Beams & Headers reclaimed (70% to 89%) Receipt/Invoice

Specifiy % used

Roof Beams & Headers reclaimed (90% or more) Receipt/Invoice

Specifiy % used

Rafters or Trusses reclaimed (50% to 69%) Receipt/Invoice

Specifiy % used

Rafters or Trusses reclaimed (70% to 89%) Receipt/Invoice

Specifiy % used

Rafters or Trusses reclaimed (90% or more) Receipt/Invoice

Specifiy % used

Roof Sheathing reclaimed (50% to 69%) Receipt/Invoice

Specifiy % used

Roof Sheathing reclaimed (70% to 89%) Receipt/Invoice

Specifiy % used

Roof Sheathing reclaimed (90% or more) Receipt/Invoice

Specifiy % used

Install recycled content roofing material (min 25% recycled content) Receipt/Invoice

Specifiy % used

Engineered wood, steel or trusses used. (Steel required to have min. 30% recycled content to qualify) Select all that apply:Receipt/Invoice

Specifiy % used

Roof Beams & Headers (50% to 89%) Receipt/Invoice

Specifiy % used

Roof Beams & Headers (90% or more) Receipt/Invoice

Specifiy % used

Roof Framing (50% to 89%) (roof trusses qualify) Receipt/Invoice

Specifiy % used

Roof Framing (90% or more) (roof trusses qualify) Receipt/Invoice

Specifiy % used

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

4E-3x x x x x x

Complete

4E-3a 2 2 Complete

4E-4 x x x x x x Complete



4E-4c 1 1 2 Complete



4E-5a 2 2 Complete


4E-5c 2 2 Complete




4E-6b 2 2 1 5 Complete

4E-7

x x x x x x

Photo Drywall

4E-7a 1 1 2 Photo Drywall4E-7b 1 1 Photo Drywall4E-8

x x x x x xComplete

4E-8a1 1

Complete

4E-8b

-1 2 1

and Calc Complete

4E-8c 3 3 Drywall

4E-8d 6 6 Drywall

4E-8e1 1 1 3

Drywall

4E-8f2 1 1 4

Drywall

No added urea-formaldehyde in roofing materials. Select all that apply:Specifications

Roof Sheathing with no added urea-formaldehyde Specifications

Certification of structural wood products. Select all that apply: Receipt/Invoice

Specifiy % used

Roof sheathing is FSC certified. (50% to 89%) Receipt/Invoice

Specifiy % used

Roof sheathing is FSC certified. (90% or more) Receipt/Invoice

Specifiy % used

Roof Framing Lumber is FSC certified. (50% to 89%) Receipt/Invoice

Specifiy % used

Roof Framing Lumber is FSC certified. (90% or more) Receipt/Invoice

Specifiy % used

Local Sourcing of structural wood products. Select all that apply: Receipt/Invoice

Specifiy % used

Plywood, OSB or other sheathing is local. (50% to 89%) Receipt/Invoice

Specifiy % used

Plywood, OSB or other sheathing is local. (90% or more) Receipt/Invoice

Specifiy % used

Framing Lumber is local. (50% to 89%) Receipt/Invoice

Specifiy % used

Framing Lumber is local. (90% or more) Receipt/Invoice

Specifiy % used

Panelized construction systems are used: Select all that apply: Receipt/Invoice

Specifiy % used

Wood framed panels (min. 80% of sq. ft. of roofs) (see 4E-2 for trusses) Receipt/Invoice

Specifiy % used

Structural Insulated Panels (SIP) (min. R38) (min. 80% of sq. ft. of roofs) Receipt/Invoice

Specifiy % used

Use Advanced Framing Techniques (a.k.a. Optimum Value Engineering - OVE) for roof construction. Select all that apply:

19.2" or 24" o.c. roof framingRafters align with wall framing belowNew attic built using Advanced Insulation materials & techniques.Select all that apply: Specificatio

ns

Insulation with minimum 20% recycled content is used for at least 50% of applications (based on R-value x Sq.Ft.)Specifications


Attic insulation total R44 to R49 (flat or vaulted) Rater Sign-off

Attic insulation total R50 or more (flat or vaulted) Rater Sign-off

Add 1" min. foil face polyisocyanurate insulation to sloped roof / ceiling for thermal break and vapor barrierRater Sign-off

Add 2” (low perm rated) rigid insulation to interior of sloped roof / ceiling for thermal break and vapor barrierRater Sign-off

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

4E-8g 2 2 Complete

4E-8h1 1

Complete

4E-9x x x x x x

Complete

4E-9a2 2 4

Complete

4E-9b 1 1 Complete

4E-9c1 2 3

Complete

4E-10x x x x x x

Photo Roofing

4E-10a 1 1 Photo Roofing

4E-10b 2 2 Photo Roofing

4E-10c1 1 Photo Roofing

4E-10d1 1 Photo Roofing

4E-10e1 -1 0 Complete

4E-10f 3 -1 2 Complete

4E-10g5 5 Complete

4E-10h 1 1 Complete

4E-10i x x x x x x Complete

4E-11 x x x x x x Plan Design

4E-11a 1 1 2 Plan Design4E-11b 1 2 3 Plan Design4E-11c 2 3 5 Plan Design4E-12

4 4

Photo Complete

4E-13

1 1 2

Other Doc Complete

4E-14

1 2 3

Photo Complete

5 MECHANICALS 0 0 0 0 0 0NA 5PR- Prerequisites

Energy Heel: min. R38 to outside face of exterior walls Rater Sign-off

Access openings to new attics and new knee wall areas are well insulated Horizontal Attic Access = R38 min & Vertical Knee Wall Access = R23 min.Rater Sign-off

New Roof Built w/ Advanced air sealing techniques. Select all that apply:Rater Sign-off

Seal all attic by-passes (spot seal with foam or caulk --OR-- spray foam entire attic floor)Rater Sign-off

Access openings to new attics and new knee wall areas are weatherstripped Rater Sign-off

Provide insulation wind baffle or other air barrier to block wind washing at all attic eave bays in roof assemblies with soffit ventsRater Sign-off

New Roof Built w/ Advanced Roofing Materials & Techniques. Select all that apply:

Self sealing bituminous membrane at valleys & penetrations (code required at eaves)

Self sealing bituminous membrane over entire roof deck

Metal drip edge at all roof edges & "W" shaped valley flashing at valleys

Metal "W" shaped valley flashing at valleys



Lifetime roofing material (including: slate, steel, concrete, clay, etc.) (min 90% of roof area) Specifications

Roofing material with ENERGY STAR Cool Roof certification. (90% min. of roof area) Specifications

Green roof system is installed (see Rainwater Management) Specifications

Roof Overhang Select one:

16" to 23"24" to 31"32" or moreInstall roof gutters to discharge water 5' away from any foundation or, in limited spaces, deposit into underground pipe that carries water min. 10 feet from foundation

Design and specify balanced roof ventilation system. (Non-vented "Hot" roofs also qualify if drawings are included to show critical details. i.e. @ roof / wall intersections.)

Implement design from 4E -13. Install-new eave vents, vent chutes, roof vents, etc ---OR--- Implement non-vented strategy. (Non-vented designs must be pre-approved by building code official.)

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

NA 5PR-1x x x x x x


NA 5PR-2x x x x x x


NA 5PR-3

x x x x x x

Photo Drywall

NA 5PR-4x x x x x x


NA 5PR-5x x x x x x

Complete

NA 5PR-6 x x x x x x Other Doc Complete

NA 5PR-7 x x x x x x Photo DrywallNA 5PR-8 x x x x x x Photo Drywall

NA 5PR-9 x x x x x x Photo Drywall

NA 5PR-10x x x x x x


NA 5PR-11

x x x x x x


5A- Ventilation and Fresh Air for Occupants 0 0 0 0 0 05A-1

3 3

Plan Design

5A-2

x x x x x x

GC Sign-off And Photo Complete

5A-2a 1 1 2 GC Sign-off And Photo Complete

5A-2b 2 2 4 GC Sign-off And Photo Complete

5A-2c

3 3 6


No unvented combustion units, with the exception of kitchen-type cooking devices with exhaust ventilation

No equipment is permitted that intentionally produces ozone as a product rather than as an incidental by-product

All clothes dryers must vent to the outside. Any new venting being added must be smooth, rigid duct, and must terminate at least 10 feet from any air intakes and any air conditioning compressor.int and exterior

No air handlers or conditioning equipment shall be placed in unconditioned spaces (e.g., garage)(does not include condensors)

Ducts must be protected until construction (including floor finishing) is completed (protect returns, intakes & air handling equipment)Homeowner sign-off

No power roof vents unless adequate air inlets exist.

All new ductwork must be sealedNew ducting MAY NOT use building cavities as part of air supply or return system.

All bath fan ducting that is in unheated space shall be insulated to min R8

All new cooling and heating equipment must be installed with a programmable thermostat --AND-- it must be programmed

No new air handling equipment shall be installed in a garage. If existing, it must be in a room sealed off from automobile emissions, and with fresh air supply as required by mechanical equipment within.

Design and install a whole-house ventilation system in accordance with SECTION N1104 MECHANICAL VENTILATION SYSTEMS of the (2007 proposed) Minnesota Residential Energy Code.

If no air exhaust already exists, install air exhaust system in any bathroom, kitchen, or laundry room. Must install ENERGY STAR equipment, ≤ 1 Sone, proper CFM & smooth rigid duct. (If kitchen, then > 1 Sone is acceptable.) Select one:

1 Room

2 Rooms

3 or more rooms

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

5A-3

x x x x x x


5A-3a 1 1 2 GC Sign-off And Photo Complete

5A-3b 2 2 4 GC Sign-off And Photo Complete

5A-3c

3 3 6


5A-4x x x x x x


5A-4a1 1 2 GC Sign-off And Photo Complete

5A-4b2 2 4 GC Sign-off And Photo Complete

5A-4c 3 3 6 GC Sign-off And Photo Complete

5A-4d 4 4 8 GC Sign-off And Photo Complete

5A-5

1 2 3

Complete

5A-6 1 1 Complete

5A-72 2

Complete

5A-8 2 1 1 4 Complete

5A-93 1 2 6 Complete

5A-104 2 6

Photo Complete

5A-111 2 3 Complete

5A-12x x x x x x

Complete

5A-12a3 3

Complete

5A-12b4 4

Complete

If any non-ENERGY STAR rated fan already exists, in any bathroom,kitchen or laundry room, it can be replaced with ENERGY STAR fan, ≤ 1 Sone. Proper CFM & smooth rigid duct required. (If kitchen, then > 1 Sone is acceptable.) Select one:

1 Room

2 Rooms

3 or more rooms

Install automatic controls on any exhaust fan in any bathrom or laundry roomSelect one:

1 Room

2 Rooms

3 Rooms

4 or more rooms

Install garage exhaust fan that is ENERGY STAR rated and runs continuously at min. 25 CFM. OR If it has intermittent operation, (i.e. controlled by a motion sensor or programmable timer), 100 CFM is required (attached garage only).Specifications

confirm switching in spec

Check air filter hardware for tightness and correct if leaks are detected Rater Sign-off

High efficiency whole house fan installed with R-42 minimum insulated cover (open windows and/or doors to prevent backdrafting).Rater Sign-off

Heat recovery ventilator (HRV) installed Specifications

Energy recovery ventilator (ERV) installed Specifications

All outdoor air intakes for ventilation located at least 10' away from air exhaust outlets and areas where vehicles may be idling.Rater Sign Off

Install large media filter Homeowner sign-off

Install high performance air filter Select One: Homeowner sign-off

Use HEPA or better-performing air filter with MERV rating of 12 to 15 (e.g. greater than 1" thick pleated filters preferred)Homeowner sign-off

Use HEPA or better-performing air filter with MERV rating of 16 or higher (e.g. greater than 1" thick pleated filters preferred)Homeowner sign-off

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

5A-13 3 3 Complete

5A-14 8 1 9 Photo Drywall

5B- Moisture and Relative Humidity 0 0 0 0 0 05B-1

1 3 4

Other Doc Table 3B-1 Complete

5B-2 -1 1 2 2 Complete

5C- Ducting/Air Distribution Strategies 0 0 0 0 0 0NA 5C-PR1 x x x x x x Photo DrywallNA 5C-PR2

x x x x x xDrywall

NA 5C-PR3x x x x x x

Drywall

5C-1x x x x x x

See Manual Complete

5C-1a 2 1 3 See Manual Complete

5C-1b4 1 5

See Manual Complete

5C-1c6 1 7

See Manual Complete

5C-24 2 6

Complete

5C-2a 2 1 3 See Manual Complete

5C-2b4 1 5

See Manual Complete

5C-2c6 1 7

See Manual Complete

5C-3 x x x x x x Drywall

5C-3a

2 2

Drywall

5C-3b2 2

Other Doc Complete

5C-3c 1 1 Complete

5C-3d1 1

Drywall

5C-3e4 2 4 10

Photo Drywall

Install UV light filter in return air duct and at the Air Conditioning “A” coil. Specifications

Install sub-slab soil gas / moisture vent system passive or active

Install temperature and humidity sensors and record indoor/outdoor data for two weeks minimum prior to and one year after project work. See attached "Temperature and Relative Humidity Tracking Table 3B -- 1"

Intallation of new (or replacement of old) dehumidifier with ENERGY STAR rated dehumidifier equipped with humidity sensor. (Portable, Stand-alone & HVAC integrated qualify)Specifications

All flex duct pulled tight-no pinchesAll new ductwork in unconditioned space insulated (attics = R-30 min.) (walls = R10 min.) Rater Sign-

off

No building cavities can be used as ductwork. (i.e. no panning of joist or wall cavities for duct supply or return)Rater Sign-off

Perform duct blaster test forAIR LEAKAGE TO THE OUTSIDE.Select one: Rater Sign-off

Air leakage < 8% of air handler flow Rater Sign-off



Perform duct blaster test for TOTAL DUCT LEAKAGE.Select one: Rater Sign-off




Ductwork Select all that apply: Rater Sign-off

All newly added ductwork kept in conditioned space and interior walls. Ductwork allowed in vaulted ceiling provided it stays on the conditioned side and the minimum R-values are still metRater Sign-off

Design appropriate duct system using ACCA Manual D. Manual D Calc.

All supply duct take-offs spaced 6" apart minimum Rater Sign-off

All ductwork is rigid (no flex duct used anywhere) Rater Sign-off

Upgrade existing duct system by replacing with rigid ductwork and sealing with mastic, aerosol duct sealant or equivalent

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

5C-3f 2 1 3 Drywall

5C-3g 4 1 5 Drywall

5C-3h 2 1 3 Plan Design

5C-3i 2 1 3 Plan Design

5C-3J 2 1 2 5 Photo Drywall5C-4

2 2 4Drywall

5C-55 2 7

Drywall

5C-6

1 1 2

Complete

5C-71 1

Photo Complete

5C-8

2 2

Photo Complete

5C-9 1 1 Photo Complete

5C-101 1


5D- Heating and Cooling Equipment 0 0 0 0 0 0NA 5D-PR1

x x x x x xGC Sign-off Complete

NA 5D-PR2 x x x x x x Photo Complete

5D-1 3 2 5 Other Doc Complete

5D-2

x x x x x x

Complete

5D-2a

5 5

Complete

5D-2b

10 10

Complete

Existing duct trunk lines in un-conditioned space insulated to R10 Rater Sign-off

Existing duct trunk lines in un-conditioned space insulated to R30 Rater Sign-off

Furnace located to minimize length of duct runs

Boiler located to minimize length of supply lines.

Seal all New Ductwork with MasticProperly designed ductless HVAC system installed in home. Ducted bath fan, kitchen hood and make-up air allowed.Rater Sign-

off

Seal existing HVAC cabinet seams, and all seams of plenums and duct-work with mastic. Install gaskets on cabinet doors if possible.Rater Sign-off

Rooms and zones have balanced air flow. +/- 3 pascals relative to the outdoors or adjacent rooms caused by any single or combination of fans or blowers.Rater Sign-off

Installation of depressurization protection (make-up) air intake (with or without damper) in homes that have no air intake. See also 0PR-12.

Replace OLD passive make-up air intake with NEW intake which contains a motorized damper. Damper must be electronically connected to largest exhaust fan in house.

Insulate a minimum of 3’ of piping exiting the boiler

No radiator pipes located through an unconditioned space (i.e. unconditioned crawlspace, attic, or garage)

No direct expansion systems allowed

Condensation drains into drain system not under slab

Design and install heating a cooling equipment according to manual J calculations.

Heating & Cooling Equipment Efficiency. At the end of the project ALL heating and cooling equipment must meet or exceed one of the categories below to get credit Select one:Specifications

Heating meets ENERGY STAR (≥ 8.2HSPF, ≥ 90 AFUE Furnace, ≥ 85 AFUE Boiler) (see manual for heat pump values)Specifications

Heating is better than ENERGY STAR(≥ 8.6HSPF, ≥ 92 AFUE Furnace, ≥ 87 AFUE Boiler) (see manual for heat pump values)Specifications

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

5D-2c

15 15

Complete

5D-2d

3 3

Complete

5D-2e

7 7

Complete

5D-2f11 11

Complete

5D-310 2 5 17

Photo Complete

5D-4 4 2 6 Complete

5D-5

4 2 2 8

Other Doc Complete

5D-61 1

Complete

5D-7 3 3 Complete

5D-8 1 1 Other Doc HVAC test Complete

5D-9

x x x x x x

Design

5D-10 2 2 Complete

5D-11 2 2 Photo Complete

5D-12 2 2 GC Sign-off Complete

5D-132 2

Complete

5D-142 2

Complete

5E- Miscellaneous Mechanical 0 0 0 0 0 05E-PR1

x x x x x 0

Photo Complete

Substantially better than ENERGY STAR(9.0HSPF, ≥ 94 AFUE Furnace, ≥ 90 AFUE Boiler. See manual for heat pump values.)Specifications

Cooling meets ENERGY STAR (≥ 15 SEER,) (see manual for heat pump values) Specifications

Cooling is better than ENERGY STAR (≥ 16 SEER) (see manual for heat pump values) Specifications

Cooling is substantially better than ENERGY STAR (≥ 17 SEER). See manual for heat pump values.)Specifications

Install ground source heat pump Receipt/Invoice

Install multiple zones in home to improve energy efficiency. Receipt/Invoice

Install hydronic in-floor heating system connected to heat source that has at least 80% AFUE boiler. Connecting to ground source heat pump or hot water solar systems also qualify.Rater verifies boiler;

Furnace is equipped with an electronically commutated fan motor (ECMs) -- (variable speed motor)Specifications

Air conditioner refrigerant is HCFC alternative Specifications

Verify proper refrigerant charge by HVAC contractor

Existing house does not have A/C system and remodel designed to provide passive cooling. (See 1B-12 for points)Notes on Plan

Measured airflow of new equipment within 10% of manufacturer's specifications Rater Sign-off

HVAC Test Results

Establish interruptible service for air conditioner with electric service

Replace old steam boiler with a high efficiency hot water boiler

Install an aquastat control (for hot water boilers only) Receipt/Invoice

Install a Time-Delay Relay (for hot water boilers only) Receipt/Invoice

New Site-built wood burning fireplaces must have gasketed doors, outside combustion air supply, and a means of sealing the flue to minimize interior air (heat) loss when not in operation.

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

5E-PR2

x x x x x 0

Complete

5E-PR3x x x x x 0

Complete

5E-PR4x x x x x 0

Complete

5E-PR5 x x x x x 0 Complete

5E-12 2 2 6


5E-2 2 2 Photo Complete

6 ELECTRICAL 0 0 0 0 0 0

NA 6PR- PrerequisitesNA 6PR-1 x x x x x x Complete

NA 6PR-2

x x x x x x

Design

6A- Appliances 0 0 0 0 0 0

6A-1 1 1 Other Doc Complete

6A-2x x x x x x

Complete

6A-2a 6 1 7 Complete

6A-2b2 2

Complete

6A-2c2 2 4

Complete

6A-2d4 4 8 Complete

6A-3 x x x x x x Complete


6A-3b 1 1 Complete

6A-3c1 1

Complete

6A-3d 1 1 2 Complete


New Factory-built wood burning fireplaces must meet certification requirements of UL 127 and be EPA Certified (or meet requirements for sale under IPA's voluntary Clean-Burning Fireplace Program).Specifications

New Wood stove and fireplace inserts must be EPA certified and meet certification requirements of US 1482, Section 3.8.Specifications

New Pellet (biomass/agrafuel) stoves and furnaces must meet the requirements of ASTM E1509 or are EPA Certified.Specifications

New Masonry heaters must meet the definition of ASTM e1602 and the IBC 2112.1 Specifications

No decorative fireplace or stove of any kind exists at the end of the project. (applies to wood, gas, electric & biomass, etc.)

Install a central vacuum system that is vented to the exterior

New appliances must meet or exceed ENERGY STAR requirements Specifications

If recessed light fixtures are being added where they penetrate into the unconditioned area of the attic, then fixtures must be installed to prevent air and thermal leakage. (See 3PR - 6 4PR - 6 )Notes on Plan

Document energy consumption and age of all existing major appliances

Replace existing appliances older than 1993(ENERGY STAR rated required) Select all that apply:Receipt/Invoice

Refrigerator Receipt/Invoice

Room air conditioner Receipt/Invoice

Dishwasher Receipt/Invoice

Clothes washer Receipt/Invoice

Install Super Efficient Home Appliances - CEE Tier One Select all that apply: Receipt/Invoice

Specification


Specification


Specification


Specification


Specification

Install Super Efficient Home Appliances - CEE Tier Two Select all that apply: Receipt/Invoice

Specification

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS


6A-4b2 2 Complete

6A-4d 2 1 3 Complete

6A-4c 2 2 4 Complete



6A-5b 2 3 5 Complete

6A-6 1 1 Photo Complete

6A-71 -1 0 Photo Complete

6A-8 3 1 4 Complete

6A-9 1 1 2 Complete

6A-10 1 1 Other Doc Complete

6A-112 2

Other Doc Complete

6A-12 1 1 2 GC Sign-off Complete

6A-13 2 2 GC Sign-off Complete

6B- Fans, Fixtures and Lights 0 0 0 0 0 06B-1

x x x x x xCalcs Complete

6B-1a

x x x x x x

Calcs Complete

6B-1ai 2 1 3 Calcs Complete

6B-1aii3 2 5

Calcs Complete

6B-1b

x x x x x x

Calcs Complete

6B-1bii 1 1 Calcs Complete

6B-1bii 2 2 Calcs Complete

6B-1c

x x x x x x

Calcs Complete


Specification


Specification


Specification


Specification

Install Super Efficient Home Appliances - CEE Tier Three Select all that apply: Receipt/Invoice

Specification


Specification


Specification

Install and outdoor clothesline

Install or replace electric cook top with gas cook top before and after

Install induction cook top Receipt/Invoice

Install or replace electric dryer with gas dryer Receipt/Invoice

include doc of prior applianceNumber of energy consuming electrical appliances is 5

Number of energy consuming electrical appliances is 4 or less

Provide switched outlets to dedicated media centers and home offices

Install whole house surge protection

Home has some or all ENERGY STAR Advanced Lighting Package featuresSelect all that apply: Specifications

Fixtures in high-use rooms (kitchen, dining room, living room, family bathroom, hall, stairway) are qualified by ENERGY STAR (xx% of fixtures) Select one:Specifications

50% Specifications

90% Specifications

Fixtures in medium/low-use rooms (bedroom, office, basement, laundry room, garage, closet) are qualified by ENERGY STAR (xx% of fixtures) Select one:Specifications

50% Specifications

90% Specifications

Outdoor lighting fixtures, including flood lighting, are qualified by ENERGY STAR (xx% of fixtures) Select one:Specifications

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

6B-1ci 1 1 Calcs Complete

6B-1cii2 2 Calcs Complete

6B-22 2

Calcs Complete

6B-3 2 1 3 Calcs Complete

6B-44 2 6 Calcs Complete


6B-64 2 6

Calcs Complete





6B-11 10 2 3 15 Calcs Complete

6B-122 2

Calcs Complete

6B-131 1

Calcs Complete

6B-142 2

Calcs Complete

6B-151 1

Calcs Complete

6B-16 6 3 9 GC Sign-off Rater Complete

6B-17 3 3 6 GC Sign-off Rater Complete

6B-185 4 9

GC Sign-off Rater Complete

6B-20x x x x x x

GC Sign-off Photo Complete

6B-20a1 1


6B-20b 2 2 GC Sign-off Photo Complete

6B-20c3 3


50% Specifications

90% Specifications

Install halogen in 30% of the remodeled space. Halogen fixtures make up 30% of fixtures where CFL or LED fixtures are not usedSpecifications & Photos

Install CFL bulbs in 50% of whole house Specifications & Photos

Install CFL bulbs in 90% of whole house Specifications & Photos

Install CFL bulbs in all recessed can light fixtures Specifications & Photos

Install LED bulbs in all recessed can light fixtures Specifications & Photos

Install three LED light fixtures Specifications & Photos

Install six LED light fixtures Specifications & Photos

Install LED light fixtures in 50% of high use rooms Specifications & Photos

Install LED light fixtures in 90% of high use rooms Specifications & Photos

Limit total indoor lighting to less than 0.5 watts per square foot

Install dimmers on all lights in high-use rooms where compact fluorescent lights are not installed Specifications & Photos

Install dimmers on all lights in medium/low-use rooms where compact fluorescents lights are not installed Specifications & Photos

Install automatic indoor lighting controls in all high-use rooms Specifications & Photos

Install automatic indoor lighting controls in all medium/low-use rooms Specifications & Photos

No recessed light fixtures installed in any part of the house

No recessed light fixtures added in insulated ceilings

Existing recessed light fixtures that penetrate the building envelope removed and none added (minimum 80% light fixtures)

Install new ENERGY STAR ceiling fans or replace old ceiling fans with ENERGY STAR fansSelect one:

1 Room

2 Rooms

3 or more rooms

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

6B-20d 4 4 GC Sign-off Photo Complete

6B-20e5 5 GC Sign-off Photo Complete


6B-221 1

Complete


6B-24 2 2 Other Doc Complete

6C- Wiring 0 0 0 0 0 06C-1

10 10GC Sign-off Drywall

6C-2 x x x x x GC Sign-off And Photo Complete

6C-31 1 GC Sign-off Drywall

6D- Electrical Systems 0 0 0 0 0 06D-1 3 3 Complete

6D-2

5 5

Plan Diagram Design

6D-3 x x x x x x Complete

6D-3a 10 10 Complete

6D-3b 15 15 Complete

6D-4 1 1 GC Sign-off Complete

6D-5x x x x x x

6D-6x x x x x x Complete

6D-6a 10 10 Complete

6D-6b 10 10 Complete

7 WATER - PLUMBING, SYSTEMS AND FIXTURES 0 0 0 0 0 0

NA 7PR- PrerequisitesNA 7PR-1

x x x x x xComplete

NA 7PR-2 x x x x x x GC Sign-off Drywall

7A- Equipment0 0 0 0 0 0

7A-1x x x x x x

Photo Complete

4 Rooms

5 or more rooms

Solar powered walkway or outdoor lighting (min. 6 fixtures)

Install automatic outdoor lighting controls or photocells/timers Specifications

Reduce light pollution by shielding fixtures and /or directing light downward

Limit outdoor lighting to total maximum of 100 watts show calcs by fx

Remove all knob and tube wiring from home Electrician sign off

Direct wire all bath fans to light switch or humidistat (See 5A - 4 for points)

Ceiling fan pre-wires provided in habitable rooms (min 2 pre-wires not including bedrooms) Electrician sign off

Homeowner signs up for 100% wind power from local electric utility (if available) Receipt/Invoice

Photovoltaic ready home: Install wiring conduit for future PV installation & provide a minimum 200 s.f. within 15° of south with a roof angle of 30°-50°.

Solar electric photovoltaic system installedSelect one: Specifications

One kilowatt Specifications

Two kilowatts or greater Specifications

No electric in-floor heating

For Electrical and Magnetic Fields see section 11B See Associated

CreditsOn-site wind turbine system installed Select One: Specificatio

ns

Five kilowatts to nine kilowatts Specifications

Ten kilowatts or greater Specifications

All newly installed plumbing fixtures and appliances Meet or exceed the 2005 National Energy Policy Act standards for water usage.Specifications

No new supplies or drains in exterior walls Plumber sign-off

Replace or install new water heater Select all that apply: Specifications

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

7A-1a3 3

Photo Complete

7A-1b2 -2 0

Photo Complete

7A-1c5 5

Photo Complete

7A-1d2 2

Photo Complete

7A-1e1 -1 0

Complete

7A-1f-1 1 0

Photo Complete

7A-1g1 1

Photo Complete

7A-1h2 2

Photo Complete

7A-21 1 Photo Complete

7B- Fixtures0 0 0 0 0 0

7B-11 1

Complete

7B-22 2

Complete

7B-3-1 3 -1 1

Complete

7B-41 1

Receipt Complete

7B-52 2

Photo Complete

7B-61 1

Complete

7B-72 2

Complete

7B-84 4

Complete

7B-91 1

Complete

7B-101 1

Photo Pre-finish

7B-113 3

Specs Complete

7B-122 2

Specs Complete

7B-134 4

Specs Complete

7B-148 8

Specs Complete

7B-156 6

Specs Complete

Install a sealed combustion unit Specifications

Install tankless water heater (elec) Specifications

Install tankless water heater (gas) Specifications

Install a high efficiency 88% min tankless water heater Specifications

Install a heat trap or demand valve on water heater Specifications

Install a hot water demand re-circulation pump for homes with hot water runs of greater than 100'Specifications

Install power vented water heater Specifications

Install a drain water heat recovery unit (DHR)

Install timer on all any tank water heater Specifications

Install NSF certified water filters on drinking water sources Specifications

Install NSF certified whole house water filter Specifications

Install an NSF certified reverse osmosis filter on all drinking water source Specifications

Install chlorine filters on shower heads or whole house chlorine filter Specifications

Limit shower heads to one per shower

Replace shower heads with low flow (max 2.5 gpm) showerheads Specifications

Replace/install shower heads with very low flow (max 2.0 gpm) Specifications

Replace/install shower heads with ultra low flow (max 1.0 gpm) Specifications

Replace all shower heads in home with low flow (2.5 gmp) Specifications

Seal around tub and shower traps in basement or other “slab set” drain locations using a plastic box as a form (Pre floor /pan finish)

Install new very-low flow dual flush toilet (.8/1.6 gpf) or pressure assist (1.1 gpf) toilet Receipt/Invoice

Install new toilets with 1.3gpf Receipt/Invoice

Replace all toilets in home with low flow (1.6 g/flush) Receipt/Invoice

Replace all toilets with low-flow dual flush (.8/1.6 gl/flush) or pressure assist (1.1gpf) toilet Receipt/Invoice

Replace all toilets with 1.3gpf Receipt/Invoice

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

7B-165 5

Specs Complete

7B-171 1

Complete

7B-182 2

Complete

7B-193 3

Complete

7B-204 1

Complete

7B-212 1

Complete

7C- Piping0 0 0 0 0 0

7C-11 1 1 3

Photo Drywall

7C-23 3

Photo

7C-3-1 2 1

Photo Drywall

7C-41 1

Photo Complete

7C-51 1

Photo Complete

7C-62 1 3

Plan Design

7C-72 1 3

Photo Complete

7C-81 1

Other Doc Complete

7C-9 5 2 2 9 Photo Complete

7D- Water Systems0 0 0 0 0 0

7D-1

7 7

Design

7D-27 7

Design

7D-32 2


7D-4

2 2

Plan Design

7D-52 2


Install composting toilet Receipt/Invoice

Replace all faucets or add aerators with low flow (max 2.2 gl/mn) Specifications

Replace all faucets or add aerators with low flow (1.5 gl/mn) Specifications

Replace all faucets or add aerators with low flow (1.0 gl/mn) Specifications

Replace all faucets or add aerators with low flow (.5 gl/mn) Specifications

Shut off valve, motion sensor, or pedal activated faucet to enable intermittent on/off operation (kitchen or lavatory) Specifications

Use copper alternative (PEX) when adding new or replacing existing water supply pipes

Replace galvanized water lines Photo from before

PreConstruction

Install circulation loop within 10' of each fixture (except utility sink)

Install water heater jacket on hot water heater (min. R-8)

Install water heater pipe insulation for first 20' of pipe

Centralize water heater, place as equidistant from fixtures as possible

Install central manifold for distribution with minimum R-4 on all hot water lines

Perform a water leak test and remediate leaks discovered

Install whole house fire supression system

Install a greywater collection system that annually captures and reuses a minimum of 50% of home's greywater Specifications

Create a worksheet based on occupancy etc.

Install solar domestic water heating system (min. 50% of water heating load) Specifications

Install heat-pump system that is combined with water heating system Homeowner sign-off

Provide south roof area for future domestic solar hot water heating system (min. 30 sf within 15° of South with a roof angle of 30°-50°) and plumbing rough-in for solar water heating system

No PVC piping for drains, wastes and vents

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

7D-61 1

Photo Complete

7D-7

1 1 2

GC Sign off Complete

8 FINISH MATERIALS AND COATINGS0 0 0 0 0 0


NA 8PR-1

x x x x x x


NA 8PR-2

x x x x x x

Complete

NA 8PR-3 x x x x x x Photo Pre-finish

NA 8PR-4x x x x x x


NA 8PR-5 x x x x x x Complete

8A- Wall and Ceiling Surface Materials & Coatings 0 0 0 0 0 0

8A-1x x x x x x

8A-2

x x x x x x

Complete

8A-2a

3 3

Complete

8A-2b

2 2

Complete

8A-2c

1 1

Complete

8A-2d

3 3

Complete

Install sump pump cover that is air tight & mechanically attached with full gasket seal.

No garbage disposal Homeowner sign-off

During the period between finishing and occupancy, ventilate the building with outside air at the highest rate the ventilation system can produce (minimum of 48 hours)Homeowner Sign off

Suspended/Acoustical ceilings are made with recycled materials (at least 60% - recycled content may include slag wool, other mineral wools, cellulose and recycled ceiling tiles - non fiberglass)Specifications

No paper-coated drywall in shower or tub surround or other moisture-rich area

No vinyl wall coverings allowed in moisture-rich areas such as bathrooms, kitchens, laundry rooms

All new carpet must be CRI Green Label Plus or third-party certified as low-emitting. Specifications

NOT USED

Use low / no-VOC paint/primer, natural clay, or natural plaster for 50% of the wall/ceiling area (non-tub and shower areas) Select all that apply:Specifications

Calculator (all wall/ceiling surface area)

No VOC primer Specifications


Very low VOC primer Specifications


low VOC primer Specifications


No VOC paint Specifications


BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

8A-2e

2 2

Complete

8A-2f

1 1

Complete

8A-3

x x x x x x

Complete

8A-3a

6 6

Complete

8A-3b

4 4

Complete

8A-3c

2 2

Complete

8A-3d

6 6

Complete

8A-3e

4 4

Complete

8A-3f

2 2

Complete

8A-4 2 2 Photo Complete

8A-5x x x x x x

Other Doc calculator Complete

8A-5a 2 2 Other Doc calculator Complete8A-5b 1 1 Other Doc calculator Complete

8A-5c 1 1 Other Doc calculator Complete

8A-5d 1 1 Other Doc calculator Complete

8A-5e 3 1 4 Other Doc calculator Complete

Very low VOC paint Specifications


Low VOC paint Specifications


Use low / no-VOC paint/primer, natural clay, or natural plaster for 90% of the wall/ceiling area (non-tub and shower areas) Select all that apply:Specifications


No VOC primer Specifications


Very low VOC primer Specifications


low VOC primer Specifications


No VOC paint Specifications


Very low VOC paint Specifications


Low VOC paint Specifications


Install tile or stone for all shower or tub surrounds

Install decorative coverings with 1 or more Green attributes for 50% of the wall/ceiling area (see Requirements) Select up to 3 sub-credits:

Locally sourcedContains mimimum 25% post-consumer recycled content

Contains minimum 40% post-industrial recycled content

Low emitting or no-added-formaldehyde (NAF or NAUF) (see requirements in manual)

Salvage/reclaimed/recovered

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

8A-5f 1 1 Other Doc calculator Complete8A-5g 1 1 calculator Complete

8A-5h 2 2 Other Doc calculator Complete8A-5i 1 1 Other Doc calculator Complete8A-5J 1 1 2 Other Doc Complete8A-6

x x x x x xOther Doc calculator Complete

8A-6a 3 3 Other Doc calculator Complete8A-6b 2 2 Other Doc calculator Complete

8A-6c 2 2 Other Doc calculator Complete

8A-6d 2 2 Other Doc calculator Complete

8A-6e 6 6 Other Doc calculator Complete8A-6f 4 4 Other Doc calculator Complete8A-6g 2 1 3 calculator Complete

8A-6h 4 4 Other Doc calculator Complete8A-6i 2 2 Other Doc calculator Complete8A-6J 2 2 4 Other Doc Complete8A-7

x x x x x xOther Doc Calculator Complete

8A-7a 2 2 Other Doc Calculator Complete8A-7b 4 4 Other Doc Calculator Complete8B- Flooring 0 0 0 0 0 0

8B-11 1

Photo Complete

8B-2 1 6 1 Complete


8B-4 2 2 4 Calcs Design

8B-5 1 1 Complete

8B-6 1 1 Complete

8B-7 2 2 Photo Pre-finish

8B-8x x x x x x

Other Doc Calc Complete

8B-8a 2 2 4 Other Doc Calc Complete8B-8b 1 1 Other Doc Calc Complete

8B-8c 1 1 Other Doc Calc Complete

8B-8d 1 1 Other Doc Calc Complete

8B-8e 3 1 4 Other Doc Calc Complete8B-8f 2 2 Other Doc Calc Complete

Rapidly renewable contentFSC certified Receipt/

InvoiceRefinishable/resurfaceableCertified sustainable manufacturing processLife cycle impact assessmentInstall product with 1 or more Green attributes for 90% of the wall/ceiling area (see Requirements) Select up to 3 sub-credits:




Salvage/reclaimed/recoveredRapidly renewable contentFSC certified Receipt/

InvoiceRefinishable/resurfaceableCertified sustainable manufacturing processLife cycle impact assessment

50% or 90% of the wall/ceiling surface is covered in a combination of materials that have 1 or more Green attributes50% of total area90% of total area

No wall-to-wall carpet in bathrooms, kitchens, entryways and utility rooms (photo of each listed room)

Install all hard-surface flooring (no carpet) Specifications

Install tile or stone for all shower flooringInstall sealed concrete floor (min. 80% of interior finish slab-work)

Low emitting or no-added-formaldehyde (NAF or NAUF) (see requirements in manual) Specifications

Use low VOC carpet glue Specifications

Tile installed over poured cementious bed with lathe

Install product with 1 or more Green attributes for 50% of the floor area (see Requirements) Select up to 3 sub-credits below:




Salvage/reclaimed/recoveredRapidly renewable content

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

8B-8g 1 1 2 Calc Complete

8B-8h 2 2 Other Doc Calc Complete8B-8i 1 1 Other Doc Calc Complete8B-8J 1 1 Other Doc Calc Complete8B-8k 1 1 Other Doc Calc Complete8B-8L 1 1 2 Other Doc Calc Complete8B-9

x x x x x x


8B-9a 3 3 6 Other Doc Calc Complete8B-9b 2 2 Other Doc Calc Complete

8B-9c 2 2 Other Doc Calc Complete

8B-9d 2 2 Other Doc Calc Complete

8B-9e 5 1 6 Other Doc Calc Complete8B-9f 3 3 Other Doc Calc Complete8B-9g 2 1 3 Calc Complete

8B-9h 3 3 Other Doc Calc Complete8B-9i 2 2 Other Doc Calc Complete8B-9J 2 2 Other Doc Calc Complete8B-9k 2 2 4 Other Doc Calc Complete8B-9L 2 2 4 Other Doc Calc Complete8B-10 x x x x x x Other Doc Calc Complete

8B-10a 2 2 4 Other Doc Calc Complete8B-10b 3 2 5 Other Doc Calc Complete8C- Millwork, Doors and Windows 0 0 0 0 0 0

8C-1x x x x x x


8C-1a 2 2 4 Other Doc Calc Complete8C-1b 1 1 Other Doc Calc Complete

8C-1c 1 1 Other Doc Calc Complete

8C-1d 1 1 Other Doc Calc Complete

8C-1e 3 1 4 Other Doc Calc Complete8C-1f 2 2 Other Doc Calc Complete8C-1g 1 1 2 Calc Complete

8C-1h 1 1 Other Doc Calc Complete8C-1i 1 1 2 Other Doc Calc Complete8C-1J 1 1 2 Other Doc Calc Complete8C-2 x x x x x x Other Doc Calc Complete



FSC certified Receipt/Invoice

Refinishable/resurfaceablereduced waste in manufacturingrecyclableCertified sustainable manufacturing processLife cycle impact assessmentInstall product with 1 or more Green attributes for 90% of the floor area. Select up to 3 sub-credits below:





InvoiceRefinishable/resurfaceablereduced waste in manufacturingrecyclableCertified sustainable manufacturing processLife cycle impact assessment50% or 90% of flooring is in a combination of materials that have 1 or more Green attributes

50% of total area90% of total area

50% of millwork has 1 or more Green attributes (see Requirements) Select up to 3 sub-credits below:





Invoicereduced waste in manufacturingCertified sustainable manufacturing processLife cycle impact assessment90% of millwork has 1 or more Green attributes (see Requirements) Select up to 3 sub-credits:



BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS


8C-2e 5 1 6 Other Doc Calc Complete8C-2f 4 4 Other Doc Calc Complete8C-2g 2 2 4 Calc Complete

8C-2h 2 2 4 Other Doc Calc Complete8C-2i 2 1 3 Other Doc Calc Complete8C-2J 2 1 3 Other Doc Calc Complete8C-3 x x x x x x Other Doc Calc Complete

8C-3a 3 2 5 Other Doc Calc Complete8C-3b 6 2 8 Other Doc Calc Complete

8C-4x x x x x x





8C-4e 1 1 Other Doc Calc Complete8C-4f 3 3 Other Doc Calc Complete8C-4g 1 1 2 Calc Complete

8C-4h 1 1 Other Doc Calc Complete8C-4i 1 1 2 Other Doc Calc Complete8C-4J 1 1 2 Other Doc Calc Complete8C-5

x x x x x xOther Doc Calc Complete




8C-5e 4 4 Other Doc Calc Complete8C-5f 2 2 Other Doc Calc Complete8C-5g 2 2 4 Calc Complete

8C-5h 2 2 Other Doc Calc Complete8C-5i 2 2 4 Other Doc Calc Complete8C-5J 2 2 4 Other Doc Calc Complete8C-6 x x x x x x Other Doc Calc Complete

8C-6a 2 1 3 Other Doc Calc Complete8C-6b 4 1 5 Other Doc Calc Complete

8D- Countertops 0 0 0 0 0 08D-1


Low emitting or no-added-formaldehyde (NAF or NAUF)


Invoicereduced waste in manufacturingCertified sustainable manufacturing processLife cycle impact assessment50% or 90% of millwork is in a combination of materials that have 1 or more Green attributes

50% of total millwork90% of total millwork

50% of interior doors have 1 or more Green attributes (see Requirements) Select up to 3 sub-credits:





Invoicereduced waste in manufacturingCertified sustainable manufacturing processLife cycle impact assessment90% of interior doors have 1 or more Green attributes (see Requirements) Select up to 3 sub-credits:





Invoicereduced waste in manufacturingCertified sustainable manufacturing processLife cycle impact assessment50% or 90% of interior doors are in a combination of materials that have 1 or more Green attributes

50% of total interior doors90% of total interior doors

Install product with 1 or more Green attributes for 50% of the countertop area (see Requirements) Select up to 3 sub-credits:

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

8D-1a 2 2 Other Doc Calc Complete8D-1b 1 1 Other Doc Calc Complete

8D-1c 1 1 Other Doc Calc Complete

8D-1d 1 1 Other Doc Calc Complete

8D-1e 3 3 Other Doc Calc Complete8D-1f 2 2 Other Doc Calc Complete8D-1g 1 1 2 Calc Complete

8D-1h 2 2 Other Doc Calc Complete8D-1i 1 1 Other Doc Calc Complete8D-1J 1 1 Other Doc Calc Complete8D-1k 1 1 Other Doc Calc Complete8D-1L 1 1 2 Other Doc Calc Complete8D-2

x x x x x x


8D-2a 4 4 Other Doc Calc Complete8D-2b 2 2 Other Doc Calc Complete

8D-2c 2 2 Other Doc Calc Complete

8D-2d 2 2 Other Doc Calc Complete

8D-2e 5 5 Other Doc Calc Complete8D-2f 4 4 Other Doc Calc Complete8D-2g 2 2 4 Calc Complete

8D-2h 3 3 Other Doc Calc Complete8D-2i 2 2 Other Doc Calc Complete8D-2J 2 2 Other Doc Calc Complete8D-2k 2 2 Other Doc Calc Complete8D-2L 2 2 4 Other Doc Calc Complete8D-3 x x x x x x Other Doc Calc Complete

8D-3a 2 1 3 Other Doc Calc Complete8D-3b 4 1 5 Other Doc Calc Complete8D-4 2 1 3 Complete

8E- Cabinetry 0 0 0 0 0 08E-1


8E-1a 3 3 Other Doc Calc Complete8E-1b 1 1 Other Doc Calc Complete

8E-1c 2 2 Other Doc Calc Complete

8E-1d 4 4 Other Doc Calc Complete8E-1e 1 1 Other Doc Calc Complete8E-1f 2 1 3 Calc Complete

8E-1g 1 1 Other Doc Calc Complete





InvoiceRefinishable/resurfaceablereduced waste in manufacturingrecyclableCertified sustainable manufacturing processLife cycle impact assessmentInstall product with 1 or more Green attributes for 90% of the countertop area (see Requirements) Select up to 3 sub-credits:



Low emitting or no-added-formaldehyde (NAF or NAUF)


InvoiceRefinishable/resurfaceablereduced waste in manufacturingrecyclableCertified sustainable manufacturing processLife cycle impact assessment50% or 90% of countertops are in a combination of materials that have 1 or more Green attributes

50% of total area90% of total area

Wood substrate for countertop has no-added urea formaldehyde Specifications

8E-1 50% of cabinetry has 1 or more Green attributes (see Requirements) Select up to 3 sub-credits:

Locally sourcedContains minimum 40% post-industrial recycled content



Invoicereduced waste in manufacturing

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

8E-1h 1 1 2 Other Doc Calc Complete8E-1i 1 1 2 Other Doc Calc Complete8E-2 2 2 Other Doc Calc Complete

8E-31 1 Complete

8F- Coatings and Adhesives 0 0 0 0 0 08F-1

2 1 3Other Doc Jobsite plan Design

8F-2 1 1 Complete

8F-31 1 Complete

9 WASTE MANAGEMENT0 0 0 0 0 0

9A- Construction & Demolition Waste0 0 0 0 0 0

9A-1

1 2 3

Other Doc

9A-2x x x x x x

Other Doc

9A-2a1 1 2

Other Doc

9A-2b1 1 2

Other Doc

9A-2c1 1 2

Other Doc

9A-2d1 1 2

Other Doc

9A-2e1 2 3

Other Doc

9A-2f1 1 2

Other Doc

9A-2g1 1 2

Other Doc

9A-2h1 1 2

Other Doc

9A-2i

1 1 2

Other Doc

9A-3x x x x x x

Statement Complete

Certified sustainable manufacturing processLife cycle impact assessment90% of cabinetry is in a combination of materials that have 1 or more Green attributes

Seal all edges of cabinetry not labeled as “no-added urea formaldehyde” prior to assembly Specifications

Supply workers with VOC protection

Adhesives are urea-formaldehyde free Specifications

Caulks are low VOC (minimum 75% caulk applications) Specifications

Require subcontractors to participate in waste reduction and recycling efforts Each sub contract and/or notes on plans

PreConstruction

Deconstruct for reuse the following items: Receipt, Photos, statement

Deconstruction

Cabinets, millwork or trim (70% minimum) Receipt, Photos, statement

Deconstruction

Wood flooring (minimum of 150 sq. ft.) Receipt, Photos, statement

Deconstruction

Doors (minimum of 2) Receipt, Photos, statement

Deconstruction

Bathtubs or sinks (minimum of 2) Receipt, Photos, statement

Deconstruction

Dimensional lumber regraded for structural use (minimum 20% landfill diversion) Receipt, Photos, statement

Deconstruction

Windows (minimum of 2) Receipt, Photos, statement

Deconstruction

Good condition carpet (50% minimum) Receipt, Photos, statement

Deconstruction

Insulation (minimum of 50%) Receipt, Photos, statement

Deconstruction

Other: The above list represents some of the materials that can be reused and is not a complete list. If you reclaim other items for reuse not included in the list above submit them on this line.Receipt, Photos, statement

Deconstruction

Recycle the following: Receipt/Invoice

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

9A-3a1 1

Statement Complete

9A-3b 1 1


9A-3c 1 1

Statement Complete

9A-3d 1 1

Statement Complete

9A-3e1 1

Statement Complete

9A-3f1 1

Statement Complete

9A-3g 1 1 2 Statement Complete

9A-3h 1 1

Statement Complete

9A-3i1 1

Complete

9A-3J1 1

Statement Complete

9A-3k1 1

Statement Complete

9A-3L1 1 2

Statement Complete

9A-3m1 1 2

Statement Complete

9A-41 1

Statement Complete

9A-51 1

Photo Complete

9A-61 1

Other Doc Statement Complete

9A-71 1


9A-81 1

Photo Complete

9A-9

1 1 2

Photo Insulation

9A-10 2 1 3 Other Doc Statement

9A-111 1 2

Other Doc

9A-121 1


9A-131 1

Photo Complete

Packaging Receipt/Invoice

Workers' beverage containers

Cardboard from new fixtures, appliances, and cabinets (90% minimum) Receipt/Invoice

Metal - copper, brass, lead and aluminum and non precious metals like steel, tin or sheet metal (90% minimum) Receipt/Invoice

Asphalt roofing (70% minimum) Receipt/Invoice

Brick and block (70% minimum) Receipt/Invoice

Drywall - grind or remove, and recycle (70% minimum) Receipt/Invoice

Carpet (70% minimum) Receipt/Invoice

Paints, primers, stains and sealants (100% recovery at hazardous waste site) Homeowner sign-off

Homeowner has to do it

Insulation Receipt/Invoice

Recycle or compost yard waste (minimum 90%) Receipt/Invoice

Wood scrap and broken pallets (70% landfill diversion) Receipt/Invoice

Asphalt or concrete rubble (90% minimum) Receipt/Invoice

Grind wood waste and stumps and use as mulch (70% minimum) Receipt/Invoice

Composting portable toilet on work site

Obtain products from suppliers that use recyclable or reusable packaging

Reuse supplies for operations, such as construction fences, tarps, refillable propane tanks

Wash out concrete trucks in slab or pavement sub-base areas and provide appropriate clean up areas for other trades (e.g. paint or plaster)Receipt/ Invoice

Building materials stored on site are protected from weather exposure. Materials wetted during the construction process are allowed to dry before enclosing in building assembly.

Framing waste is less than 10% of total framing order PreConstruction

Job site framing plan and cut list PreConstruction

Donate, sell or give away excess materials for reuse

Store and provide weather protection to building materials for future use by homeowner

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

9A-1410 10 20


9B- Homeowner Waste Reduction0 0 0 0 0 0


9B-2 1 2 3 Photo Complete

9B-31 1

Complete

10 EDUCATION0 0 0 0 0 0

10A- Homeowner and Subcontractor Education 0 0 0 0 0 0

10A-1 1 1 1 1 1 5 Other Doc Complete

10A-2 1 1 Test results Design

10A-3 1 1 Test results Design10A-4

1 1

Complete

10A-51 1 1 1 1 5

Complete

11 INNOVATION 0 0 0 0 0 011A- Performance Design and Alternative Methods 0 0 0 0 0 011A-1 2 4 2 8 And Photo Complete

11A-2 3 2 1 1 1 8 And Photo Complete

11A-3 5 5 2 4 4 20 Plan And Photo Design

11A-4 1 1 Other Doc Statement Complete

11A-54 5 4 13

Plan Design

11A-610 10

Other Doc Complete

11A-76 6

11B-0 0 0 0 0 0

11B-1

x x x x x x

Photo Backfill

11B-1a 1 1 2 Photo Backfill

11B-1b

1 1

Photo Complete

Deconstruct existing structure and reuse or recycle approximately 90% of the building materials

Install recycle center for homeowner use

Provide kitchen scrap compost bin and exterior compost bin

Recycle yard waste that cannot be composted Homeowner sign-off

Statement of Intent/and facility

Expand homeowner's user manual

Lead paint test performed

Asbestos test performedProvide owners of home with two radon test kits designed for 48-hour exposures, including instructions for future use and guidance for follow-up actions to testing results Homeowner

sign-off

Homeowner given a walk through education during framing to explain design and construction of home.Homeowner sign-off

Trees removed for construction are milled and incorporated in the project Receipt/Invoice

Use alternative building systems, e.g., Durasol, Fasswall, Autoclaved Aerated Concrete Receipt/Invoice

Cold climate appropriate natural building system (e.g. straw bale, cordwood, etc)

Unique partnerships formed to advance resource-efficient building

Air, moisture and insulation all kept to the exterior of the structure - PERSIST method

American Lung Association Health House

Abate asbestos from home Receipt/Invoice

PreConstruction

Design for Reduced Electrical and Magnetic Fields

Avoidance of grounding of electrical service to main water supply. (proper pre-existing conditions also qualify) Select one:

Install polyethylene pipe for main water service supply pipe underground

Install insulated, dedicated wire, or bare copper wire in plastic conduit, as new “Service” grounding conductor from main electric panel to point of entry of metal water service supply pipe before (below) water meter.

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

11B-2x x x x x x

Photo Backfill

11B-2a

1 1

Photo Backfill

11B-2b

2 2

Photo Backfill

11B-32 2


11B-4 x x x x x x Photo Insulation

11B-4a 1 2 3 Photo Insulation

11B-4b 2 4 6 Photo Insulation

11B-51 1

Photo Complete

11B-6

1 1


11B-71 1


11B-81 1

Complete

11B-91 1


11B-10

1 1 2


11B-11

1 1


11B-12

1 1 2


11B-131 1


11B-141 1


Install Ufer Ground that does NOT contribute to widespread Electro Magnetic Fields (EMF) in home. Select one:

Install dedicated steel #4 rebar ground rod embedded in concrete footing and stubbed out for connection to electrical panel ground wire. 20 feet minimum rebar length & CANNOT touch other rebar.

Install dedicated steel #4 rebar grounding rod embedded in separate concrete caisson and stubbed out for connection to electrical panel ground wire. 20 feet minimum rebar length.

Ground electrical panel to approved dedicated “Hammered-In” ground stake (not rebar, plumbing pipes or any integral part of the house)

Wiring run in metal conduit (low voltage exempt) Select one:

All wiring within 6 feet of a bedroom is run in metal conduit (flexible and rigid qualify)

All electrical wiring in whole house run in metal conduit (flexible and rigid qualify)

Proper sub-panels supplied by four-wire cable, where neutral and ground conductors are not connected

Keep electrical service connection, electric meters, and panels at least ten feet from sleeping areas

No fluorescent light fixtures or transformers for halogen lighting systems in ceiling beneath a child's bedroom or within 6' of a sleeping area.

Electric in-floor radiant heat carries 2 conductors and is located at least 6 feet away from sleeping areaSpecifications

Wall-mounted electric heaters are installed at least 6' away from sleeping area

Install dedicated circuit with shut off switch for all outlets that will have constant draw machines outside of media rooms (media rooms are covered under 4A--7)

Provide a shut off switch for all non-metallic (NM) circuits within ten feet of sleeping area. Run metal-clad wiring for all smoke detectors in bedrooms on independent circuits.

. Install CAT-5e (enhanced) or CAT-6 shielded data cable throughout house to every room where computers and telephones will be used. Avoid Wi-Fi. Use hardwired, corded telephones rather than cordless telephones.

Do not run coolant or power lines to air conditioner compressor motors within 10' of sleeping area

Refrigerator is not located within 6 feet of sleeping area

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS

11B-152 1 3


11C- INNOVATIVE DESIGN 0 0 0 0 0 011C-1

11C-2

11C-3

EE RE IEQ WC SC TOTAL

1 PRECONSTRUCTION DESIGN STRATEGIES 0 0 0 0 0 0


3 0 0 0 0 0 0


5 MECHANICALS 0 0 0 0 0 0



8 FINISH MATERIALS AND COATINGS 0 0 0 0 0 0

9 WASTE MANAGEMENT 0 0 0 0 0 0

10 EDUCATION 0 0 0 0 0 0

11 INNOVATION 0 0 0 0 0 0

0 0 0 0 0 0

EE RE IEQ WC SC TOTAL

1 PRECONSTRUCTION DESIGN STRATEGIES 0 0 0 0 0 0


3 0 0 0 0 0 0


5 MECHANICALS 0 0 0 0 0 0

Install alternative to electronic dimmer light switches, e.g. on/off switch or 3 way bulb that switches from 50 to 100 to 150 watt.

Documentation and justification are required in order to receive consideration for innovation points



TOTALS SUMMARY (Selected w/ --> Y)


GRAND TOTAL --> Y

TOTALS SUMMARY (Selected w/ --> ?)


BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19





GAP TO MEDAL 86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1

Bronze0 0 0 0 0 0 ### 1 1 1 1 1 1 1 1

86 28 23 8 7 165 ### 1 1 1 1 1 1 1 1



COMMENTS (OPTIONAL)

EE RE IEQ WC SC

TOTAL





Type Of Doc.

Alt. Type Of Doc.

Do It Before

Initial When Doc.

Comp.


"Y" SELECTED


SECTION 2 SECTION 5

SECTION 6

SECTION 7

SECTION 9

SECTION 10

SECTION 11

TEXT

SECTION 4

SECTION 0

SECTION 8BLANK / NA





SELECTED CREDITS

SELECTED CREDITS



8 FINISH MATERIALS AND COATINGS 0 0 0 0 0 0

9 WASTE MANAGEMENT 0 0 0 0 0 0

10 EDUCATION 0 0 0 0 0 0

11 INNOVATION 0 0 0 0 0 0

0 0 0 0 0 0

Points Required To Certify for Each Project Type

SELECT PROJECT TYPE EE RE IEQ WC SC TOTAL CERT. LEVEL

1 B

1 Renovations that do not add conditioned space

86 28 23 8 7 165 BRONZE

S 106 36 26 15 20 215 SILVER

G 122 43 30 18 28 255 GOLD

B

2

104 44 25 12 8 205 BRONZE

S 115 51 36 16 25 255 SILVER

G 144 58 46 26 34 320 GOLD

B

3

127 56 41 14 21 270 BRONZE

S 139 61 46 18 31 305 SILVER

G 160 70 51 28 43 365 GOLD

B

4 Renovations that add a foundation

154 60 42 14 35 315 BRONZE

S 172 68 48 19 49 370 SILVER

G 198 75 60 30 64 440 GOLD

GRAND TOTAL --> ?

Renovations that add conditioned space without changing exterior shell of building

Renovations that change exterior shell of building but use only existing foundation

BD18


O19

Energy Efficiency

P19


Q19


R19

Water Conservation

S19


AI19


AJ19


AK19


AL19


AM19




ADVANCED FILTERING

FILTERING ATTRIBUTE CATEGORIES

Credit Type 5 Principles of Green1 Pre-Requisite 1 1

1 Elective 1 1

1 1

1 1

1 1

1

1

1

1

1

1

1

1

1

1


Primary Doc. Type Alternate Doc. Option1 GC Sign Off 1 Y = Alt. Doc. IS An Option 1

1 Rater Sign Off 1 ? 1

1 Home Owner Sign Off 1 Blank =Alt Doc. NOT An Option 1

1 Receipt / Invoice 1

1 Photo 1

1 Test Results 1

1 Notes On Plan 1

EE -Energy Efficiency

RE -Resource Efficiency

IEQ -Indoor Env.Quality

WC -Water Conservation

SC -Site & Comm. Impact

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS



SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS


SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS


1 Plan 1

1 Specifications 1

1 Calculations 1

1 Other Document

1 Blank

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS

SELECTED CREDITS


SELECTED CREDITS

SELECTED CREDITS



Trade / Checklist User ListHome Owner

General Contractor

Building Architect / Designer

Landscape Architect / Designer

Interior Designer

Rater

Solar Contractor

Masonry Contractor

Framing Contractor

Insulation Contractor

Electrical Contractor

Mechanical Contractor

Plumbing Contractor

Painting / Finishing Contractor

Other


Do It Before. . .Design 1 Y = Doc. Is Complete 1

Pre-Construction 1 ? 1

Backfill 1 Blank / Incomplete 1

Roofing

Siding

Insulation

Drywall

Doc. Complete (by participant)

Filtering Tips:--> Think of each credit as having "Attributes".--> Each Attribute has a check box next to it. --> The Credit Attributes are grouped into "Categories". (i.e. Credits Selected, Section Number, Primary Doc. Type, etc.) --> Thus: "GC Sign Off", Rater Sign Off, & Photo are all Credit Attributes in the "Primary Doc. Type" Category.

--> If a check box is "checked", credits which have that attribute will be visible after pressing the UPDATE VIEW button.--> At least one check box must be selected in each Category for any credits to be visible.--> Complex filtering is possible by checking the combination of attributes you wish to see. For example, View all of the credits that you selected with a "Y" that require a Rater Sign Off at Drywall.




SHOW ALL CREDITSDESELECT ALL FILTERS

UPDATE VIEW


Const. Clean Up

Complete

Blank


MN GreenStar ApprovalsApproved

Need More Info.

Blank / Unreviewed

Filtering Tips:--> Think of each credit as having "Attributes".--> Each Attribute has a check box next to it. --> The Credit Attributes are grouped into "Categories". (i.e. Credits Selected, Section Number, Primary Doc. Type, etc.) --> Thus: "GC Sign Off", Rater Sign Off, & Photo are all Credit Attributes in the "Primary Doc. Type" Category.

--> If a check box is "checked", credits which have that attribute will be visible after pressing the UPDATE VIEW button.--> At least one check box must be selected in each Category for any credits to be visible.--> Complex filtering is possible by checking the combination of attributes you wish to see. For example, View all of the credits that you selected with a "Y" that require a Rater Sign Off at Drywall.

RETURN TO CHECKLIST



Registration Form

Please contact MN GreenStar at 615.493.0372.



Utility Tracking Table

PROJECT NAME: <Project Name>

CITY, STATE, ZIP: <City, State, ZIP>

YEAR HOME BUILT:

ENTER UTILITY USE FOR 1 YEAR AFTER REMODELING PROJECT

WATER

NAME OF UTILITY:

Bill for period starting: Water Used:Month Day Year Gallons Cost

ELECTRICITY

NAME OF UTILITY:

Bill for period starting: Electricity used:Month Day Year kwh Cost

NUMBER OF PEOPLE LIVING IN HOME:

SQUARE FOOTAGE OF HOME: (CONDITIONED FLOOR AREA)

E8

PROJECT NAME: The default is for this name to be automatically filled in to match the name give to this project on the PROJECT & TEAM INFO. tab.


NATURAL GAS

NAME OF UTILITY:

Bill for period starting: Natural Gas Used:

Month Day Year Therms or CCF Cost

FUEL OIL

NAME OF Company:

Bill for period starting: Fuel Oil Used:Month Day Year Gallons Cost


PROPANE

NAME OF Company:

Bill for period starting: Propane Used:Month Day Year Gallons Cost


Example Site Plan




Erosion Control Plan Template

Project Name: <Project Name>Instructions:

DESIGNATE AN EROSION CONTROL SUPERVISORName Role Phone Number

IDENTIFY EXISTING CONDITIONS ON THE SITE PLANSuggested Strategies:Property lines of the project Areas with a high susceptibility to erosion.

Proximity to natural or man-made water features Existing topographic contours (5 feet or smaller interval) Proximity to natural or man-made water features Drainage way, water features General vegetative cover types within 200 feet of water features (e.g. field, hardwood forest, grass etc.)Vegetative cover types in all proposed disturbance areas and areas receiving and treating runoff from the construction site Critical natural or man-made features within 3,000 feet of the projectSoil map and key Identified sensitive areas (e.g. steep slopes, erodible soils, wet areas) Structures, roads, utilities, buildings, ponds, wetlands

North arrow, scale, date, elevation datum

DEVELOP GRADING PLAN AND CONSTRUCTION TIMETABLESuggested Strategies:Existing and proposed topographic contours Limits of soil disturbance and method to be used for demarcation of these limits on site

Proposed structures, roads, utilities Location of topsoil stockpiles, staging areas, equipment storage, and refueling/maintenance areas and stump disposal areas Location of disposal areas for excess soil (include map if off-site)

Boundaries for undisturbed riparian buffers Description of proposed grading, seasonal limitations Timetable of all major construction and earth change activities, including stabilization methods for winter

MINIMIZE DISTURBED AREA OF SITESuggested Strategies:

Identify erosion control measures on the site plan. Each major category (dark green) must be addressed. Items printed in black under mandatory measures must be included in the erosion control plan. Items in gray under suggested strategies are non-encompassing suggestions for that category. Techniques not listed may also be included.

Areas of various construction phases, including sequential and concurrent activities

B7

PROJECT NAME: The default is for this name to be automatically filled in to match the name give to this project on the PROJECT & TEAM INFO. tab.


Develop a tree / plant preservation plan with "no-disturbance zone" clearly delineated on drawings Leaving undisturbed at least 40% of the lot areaAny "no disturbance zones" must also be protected from parked construction vehicles

INCORPORATE EROSION PREVENTION AND SEDIMENT CONTROLMandatory Measures:Stockpile and protect disturbed topsoil from erosion (for reuse)Protect on site storm sewer inlets with straw bales, silt fencing, silt sacks, or rock filtersStabilize soils that have been or may be disturbedOn steep slopes, use erosion control blankets where necessary

Suggested Strategies:Limits of soil disturbance Riparian conservation buffer limits and method to be used for demarcation

Location of all structural erosion and sediment control measures and details Location of areas to be seeded and mulched Storm water pathways Erosion control matting on slopes greater than 3:1 No hay bales or silt fence running across contours or in areas of concentrated flow Chart of inspection and maintenance schedule of all control measures Stabilized construction entrance shown

INCLUDE COVER MEASURESSuggested Strategies:

Specify the nature and location of permanent cover measures. If a landscaping plan is prepared, this may not be necessary.Specify the approximate amount of cover measures necessary to cover all disturbed areasIf erosion netting or blankets are specified, provide typical details sufficient for installation and maintenance.Specify the seed mixes, fertilizers, and soil amendments to be used, as well as the application rate for each item.

DEFINE CLEARING LIMITSSuggested Strategies:Delineate clearing limits (areas to remain uncleared)

DESCRIBE PERIMETER PROTECTIONSuggested Strategies:Specify the location and type of perimeter protection to be used.Provide typical details sufficient for installation and maintenance of perimeter protectionIf a silt fence is to be used, specify the type of fabric.

DEFINE TRAFFIC AREA STABILIZATION

Specify the type and location of temporary cover measures to be used on site- If more than one type of cover is to be used on site, indicate the areas where the different measures shall be used, including steep cut and fill slopes.- If the type of cover measures to be used will vary depending on the time of year, soil type, gradient, or some other factor, specify the conditions that control the use of the different measures.


Suggested Strategies:Locate the construction entrance(s).Provide typical details sufficient for installation and maintenance of the construction entranceLocate the construction roads and parking areas

Specify the measure(s) that will be used to create stabilized construction roads and parking areasDesignate and mark walking traffic areas

PREPARE SURFACE WATER CONTROL MEASURESMandatory Measures:Control the path and velocity of runoff with silt fencing or comparable measuresProvideswales to divert surface water from hillsides

Suggested Strategies:Site drainage characteristics (up and down-gradient)

Drainage, waterways, bodies of water Locate all pipes, ditches, and interceptor ditches and swales that will be used to convey stormwater.Provide details sufficient to install and maintain all conveyance systemssIndicate locations of outlet protection and provide detail of protectionsProvide all temporary pipe inverts.

Provide location and details of rock check damsProvide front and side sections of typical rock check damsProximity to natural or man-made water features

IDENTIFY SENSITIVE AREAS RESTRICTIONSSuggested Strategies:

Specify the type, location, and details of any measures necessary to comply with requirements to protect surface waters

Specify the type, location, and details of any measures necessary to comply with any additional protection required for steep slopes

Provide location and specifications for the interception of runoff from disturbed areas and the conveyance of the runoff to a non-erosive discharge point




Waste Management Plan Template

Project Name: <Project Name>

CONTACT INFORMATIONName Role Phone Number

PROJECT GOALSexample:This project will recycle, reuse or salvage at least XX% of the waste generated on site.

RELATED MINNESOTA GREENSTAR CREDITSCredit Description Points:

EE RE IEQ WC SC

example:9A--2a Recycle the following: Packaging 1

COMMUNICATION PLANexample:1. Waste prevention and recycling will be discussed at each job site meeing with general contractor employees and subcontractors.2. All general contractor employees have been notified of waste management plan (WMP) and are obligated to comply with the plan.3. All general contractor employees and subcontractors will receive a copy of this WMP.4. The subcontract used for this project clearly requires all subcontractors to comply with WMP.5. All recycling containers will be clearly labeled.

REPORTING AND RECORD-KEEPING PLANDOCUMENTATION POINT PERSON STORAGE LOCATION

6. General contractor will submit detailed monthly reports documenting types and quantities (tons) of materials recycled, reused, salvaged and disposed.


Source Contact Name Phone NumberWeight slips

Documentation of recycling or disposal

Transportation invoices

Recycling, sales and disposal invoices/receipts

Other

EXPECTED WASTE AND HANDLING METHODMaterial Procedure Market Estimated Quantity

RECYCLING RATEEstimate of total quantity recycled as a percentage of all waste. Do NOT count Alternate Daily Cover (ADC) in calculation.Calculate: recycling rate = quantity recycled

quantity recycled + quantity thrown away

Described in enough detail so as to be identified on site without ambiguity. All materials that will be handled separately should be listed separately.

Types of procedures include: (1) source-separated recycling, (2) commingled recycling, (3) disposal as waste, (4) recovery as salvage, (5) on or off-site grinding/crushing, (6) on-site stock-piling

List the specific organization or individual that will receive each material.

Quantities should be initially estimated and recorded as an aid in planning container needs, recycling rate, and waste management costs.


<Project Name>

example:This project will recycle, reuse or salvage at least XX% of the waste generated on site.

TOTAL

1

example:1. Waste prevention and recycling will be discussed at each job site meeing with general contractor employees and subcontractors.2. All general contractor employees have been notified of waste management plan (WMP) and are obligated to comply with the plan.3. All general contractor employees and subcontractors will receive a copy of this WMP.4. The subcontract used for this project clearly requires all subcontractors to comply with WMP.5. All recycling containers will be clearly labeled.

STORAGE LOCATION

6. General contractor will submit detailed monthly reports documenting types and quantities (tons) of materials recycled, reused, salvaged and


Weight slips

Documentation of recycling or disposal

Transportation invoices

Recycling, sales and disposal invoices/receipts

Other

Estimated Quantity

Estimate of total quantity recycled as a percentage of all waste. Do NOT count Alternate Daily Cover (ADC) in calculation.

Quantities should be initially estimated and recorded as an aid in planning container needs, recycling rate, and waste management costs.


MN GreenStar Rain Barrel Calculator

Avg Precipitation Event (inches) 0.5

Roof Area Sq Ft 0Conversion Sq Inches 144Cubic Inches Rainwater 0Conversion Cubic Feet 1728Cubic Feet Rainwater 0Conversion Gallons 7.481Gallons Rainwater 0Rain barrel size (gallons) 55Rain barrels for 100% Capture 0.0Rain barrels for 20% Capture 0.0Rain barrels for 50% Capture 0.0


Attic Ventilation WorksheetProject Name <Project Name>

Product Selections / Specifications / Assumptions:Continuous Ridge Vent = Cor-A-Vent X-5 Ridge Vent ( 17 sq. inch NFV per Lineal foot)Eave Vent Bug Screen (NFV = 80%)

Roof Exhaust Vents

Example 200 1/300 96.00 5 5 100%0.000.000.000.000.000.000.000.000.00

Definitions:Roof Area = Area of heated space covered by roof, measured from exterior face of walls.NFV Area Ratio = Net Free Venting Area Ratio. (1/300 = .0033 or 1/150 = .0066) See building code for guidelines. Total NFV Area = 50% must be provided at ridge and the NFV at the eave must be equal or greater than the ridge.

Usually determined by ridge vent product, check manufacturer specifications.

= width of continuous vent X 12 OR check manufacturer specifiactions for other screen products.

Roof Description

Roof Area (sq. foot)

NFV Area Ratio (Fraction)

Total NFV Area

Required

(sq. inch)

Continuous Ridge NFV

per Lineal Ft. (sq. inch)

Length Of Ridge With

Vent Applied (Lineal Feet)

Percentage Of Ridge

Sheathing Open

Continuous Ridge NFV per Lineal Ft. (sq. inch)

Continuous Eave NFV Area Per Lineal Foot (sq. inch)


Roof Exhaust Vents Roof Intake Vents

25 23.00 4 4 100%0 0.00 80%0 0.00 80%0 0.00 80%0 0.00 80%0 0.00 80%0 0.00 80%0 0.00 80%0 0.00 80%0 0.00 80%

= Net Free Venting Area Ratio. (1/300 = .0033 or 1/150 = .0066) See building code for guidelines. = 50% must be provided at ridge and the NFV at the eave must be equal or greater than the ridge.

= width of continuous vent X 12 OR check manufacturer specifiactions for other screen products.

Upper Roof Spot Vents Area Each (sq. inch)

Number Of Upper Roof Spot Vents

Curent NFV Provided At Ridge (sq. inch)

Additional NFV Area

Required At Ridge Red = Fail

(-Black) = Pass (sq. inch)

Continuous Eave Area

Per Lineal Ft. (sq.

inch)

Length Of Eave Vents

(Lineal Feet)

Percentage Of NFV Area Of Eave Bug

Screen


Roof Intake Vents

9.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Eave Spot Vents NFV Area Each

Number of Eave Spot

Vents

Additional NFV Area

Required At Eave For Balanced

Ventilation (sq. inch)



Temperature and Relative Humidity Tracking Table

PROJECT NAME: <Project Name>

Enter Temperature and Relative Humidity for one year after remodeling project.

Pre-ConstructionOutdoors Indoor Location 1: Indoor Location 2:

<enter description> <enter description> <enter description>Week Day Date Time Temp RH Temp RH Temp

e.g. eg date time -20 60 65 40 66

wk 1 1a

1p

2a

2p

3a

3p

4a

4p

5a

5p

6a

6p

7a

7p

wk 2 1a

1p

2a

2p


3a

3p

4a

4p

5a

5p

6a

6p

7a

7p

Post-ConstructionOutdoors Indoor Location 1: Indoor Location 2:

<enter description> <enter description> <enter description>Week Day Date Time Temp RH Temp RH Temp

e.g. eg date time -20 60 65 40 66

wk 1 1a

1p

2a

2p

3a

3p

4a

4p

5a

5p

6a

6p

7a

7p


wk 2 1a

1p

2a

2p

3a

3p

4a

4p

5a

5p

6a

6p

7a

7p

3

4

5

6

7

8

9

10

11

12

13

14

15

16


17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44


45

46

47

48

49

50

51

52


<Project Name>

Enter Temperature and Relative Humidity for one year after remodeling project.

Indoor Location 2: Indoor Location 3:<enter description> <enter description>

RH Temp RH

38 65 36

Observations RE: Condensation or Other

Moisture Related Issues Throughout the House

Slight condensation at lower corners of window glass


Indoor Location 2: Indoor Location 3:<enter description> <enter description>

RH Temp RH

38 65 36

Observations RE: Condensation or Other

Moisture Related Issues Throughout the House

Slight condensation at lower corners of window glass




Documents

[XLS] · Web view... moisture and insulation all kept to the exterior of the structure - PERSIST method ... Perform a water leak test and ... sensors and record indoor/outdoor data