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uo.'ua an ie:oo r.ye oo ,a ,nr rnneni.� ..nr ��� <br /> BN rRGv CONSERVATION APPLICATT^N FORM- FOR <br /> L04V-RISER :IDENTIAL NEW CONSTRUC-t .JN aid ADDIT[ONS <br /> 730 CMR Appendix J (effective 3/1/:?8) <br /> A?i;N;antNamt, Kenneth Litvack Site Address: 11 Taffrai ' Way <br /> Appli;ant .Address: 6554 NW 31st Way Citv/Town: Mashoee <br /> Beta Raten, FL 33496 Use Group; _ <br /> Applicant Phone: 561 .995. 7837 Date ofAppiica:icn: <br /> Applcant Signatu•e; <br /> Compliance Path (check ouch <br /> LI Prescriptive Pacl age (Limited to I- or 2-family wood frame buildiags b eared wi:b fossil fuels oely) <br /> Package (A through KK from Table J5-2.lb): Heating Degree Days (FDDai) from Table J5.2 la: <br /> (For kerns d. through i., fill in all values that apply from Table J5.2.(b:) <br /> a. Gross W&I Area sq.ft E Wall R-value <br /> b. Glazing Area' sq.ft. g. Floor R-value _ <br /> c Glazing % 1100 z b h. Basement sval! R. <br /> d. Glazing U•vaiue i. Slab Perimeter R. <br /> e. Ceiling R-value R- i. Heating AFUE <br /> ❑ Compoaeet Performaace: "Dlaaual Trade-OM (Limi:ed to wood or metal framed bcildinos eei}) <br /> Climate Zone (from Figure Jfi.s'.?) ❑ Zone 12 C] Zone 13 ❑ Zone 14 <br /> ARach Tradr•O,¢'l'rcrksher: from Appendi., J, [and FIYRC Teade•Ojf R'crl:sReef, :f applicable! <br /> ❑ LL-iScheckSoft- are <br /> Asch Compliance Reporr and lnspecricr, Checklisr printouts. <br /> ❑ Systems Aaalyais OR ❑ Reeerrable Eder.-Sources <br /> Anach ;Mass Rtsistered Architect or En-gin-et, Analysis <br /> ALTERNATIV-E FOR ADDITIONS ONLY; <br /> a. Gross Wal! + Ceiling A:ea 785 sq P,. b. Grazing Areal 101 sq.ft, C. Glazing % (1P0x b «a) 13 % <br /> CS ADDITION' with Glazieo % (c.) up to 40% may use 790 Vv RITable J1.1.2. ;.1 below: <br /> 0 <br /> >UJ(1�fUSI L`-.alae til LV 1 RL IFeneR•'aluq '—� <br /> .,:l,: 1 ct: ino �.a'I i F�"o Saee^,e t Wa S :: Per:nater, -e�:S <br /> U..19 R —�T— <br /> i R 10 R 1), ah l <br /> ❑ "SUrROO,.V, addidoe (greater tbac 400,', glazicg-to-wall acd ceilieg gross area) <br /> Attach "Consumer information Form" from, 780 C&tR Appendix 3. <br /> Official's Name: Official's Signarure: <br /> Application Approved ❑ Den:ad ❑ Date of Approvai/Denia': _ <br /> Reasons) for Denial: (provide additiona; details as needed on back side) <br /> 'Glazing Area may be either Rcugh Opening or umc dimensions. 89R5 py1J7B <br />