1201 NE 97 St (8)r-3,089.5-2-13-51. PAID BY ®1eroQz".1 `o)
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
Q t- om
// J I
42 Q
Io2 - 3/-s -- ,
/
/ _ G
/
!9 - 7 - - j
� f 9 to j
'�
/ O
'
ADDRESS 1201 W. E. th ats'cou
Lot #11B1ok
LEGAL . ar1toY Shored
RECORD GARBAGE TAX
w.- OWNER'S NAME
n. Anderon
JOB LOCATION (ST. OR AVE.)
221 N. 9 .xbrees't
72)f Fn R. 07arvs °z3
GENERAL CONTRACTOR
'o8
BUILDING PERMIT NO. -�
ZONE PEQUIREMENTS 2 ', ° ,GOO
NEW CONSTRUCTION
REPAIRS
ALTERATION
ADDITION
SUBMITTED TO PLANNING BOARD
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
CU. FT.
4
DATE - � '-..! °` ,..:
,..T "vT i-*is Llv
LOT
Tile
'n!. Floor -- Bc rc: n 2 :tat 36
PRESENT ADDRESS
ADDRESS
BLOCK
' r
PERMIT FEE $ 22 .00
PLAN CUBE 54(19P CU. FT.
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: ..7•.
TYPE STORIES ROOF CONSTRUCTION
APPROVED REJECTED REFERRED TO COUNCIL
REMARKS
i.'1ton +13:1' "'SS
PHONE NO.
DESCR IPTION
N 'LJQ'�` �iath -2 Zia"? rt ;'t-_ i -n_
u Th M
7 "47:- TO
CERTIFICATE OF OCCUPANCY NO.- ISSUE BY-/' ' '/ '
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
LICENSE NO.
SUBDIVISION
INTERIOR CONSTRUCTION
REASONS
PHONE NO.
LICENSE NO.
fl9J
qq 3 UILD T , Fi erred
NO. (S'i 1 '1 DATE?-13-51 T2
EST. COST $ al • n :t
DATE
13. j
Terr azo �'..()G37'S�t rl;?iI' 'Ly Jul).
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
DATE
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
7a O i r
$
BEAMS & LINTELS
2
C?
-7 47
>
S
MOTORS
FRAMING
3 -a3-.i1
Til
_
$
GAS
$
8
$
INSPECTIONS
$
INSPECTIONS
FINAL
- � ^s ! , < (:,,
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
ROUGHING
3- Z1-ii
GAS
CONTRACTOR
PHONE „/
PERMIT NO. DATE +
FEE S ..
NEW BLDG. ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
7a O i r
$
SEPTIC TANK
H. W. HEATER CONN.
RANGE CONN.
$
SEWER
S
MOTORS
$
SOLAR HEATER
$
FIXTURES
$
GAS
$
8
$
INSPECTIONS
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
ROUGHING
3- Z1-ii
GAS
MOW
f
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
f
/��-
frn-
SOLAR HEATER
MI
FIXTURES & FINAL
S .27 -,r i
FIXTURES
CONTRACTOR ,_ y �'' o r
PHONE
'��tt
PERMIT NOS ,.'
DATE �.. !/
FEE $ J '. /O
NEW BLDG. A/ ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT N O.
DATE
FEE
TEMPORARY SERVICE
7a O i r
//,137
$
$
H. W. HEATER CONN.
RANGE CONN.
S
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
4�A �� - emu
e -
vt',
ROUGHING
3- Z1-ii
T
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
S .27 -,r i
1331-0- / r°4 -4- BUILDING INSPECTIONS 3 V D /
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
sa -
S[
BY
1.441,4i:;Vesamea...
1201 N. E. 97TH STREET
January 26 1964
Village Hall
Mimi Shores, Fla
Dar Mr. Bradford:
M. A. SUMBERG
This is to certify that it is our agreement not to
enclose our shimming pool during our ownership
of our residence located at 1201 Northeast 97th
Stre t Miami Shores, Florida.
Mervin A. Sunberg
MIAMI SHORES 38. FLORIDA
TO THE ?DAR NING ZONING AND BUILDING DEPNRTETas
Mimi Shores Pillage Florida
c'I hereby agree that the pool being constructed on my property r.t
PRONSS N00
will not be filled with
water until the proper and legal enclosurehas been erected around such .
pool and final inspection made and pool and enclosure approved and
said enclosure will be erected simultaneously with and prior to completion
to the pool and in accordance with the plans and specifications submitted.a
, PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date °° tt -1 Job Address / ADS . 6 77 S /
Legal Description V. 8(.41=°
Owner / Lessee / Tenant
Owner's Address
Contracting Co. 1\3 \ 'c Address irT - `,, 9�e e /f 7
Qualifier 41/4//4 re / r of 9
State # Municipal # Competency # Ins.Co.
Ow
Architect /Engineer W : Address IO( N- .3JEdai •1 •
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGI
WORK DESCRIPTION `.-- (t -U.
Square Ft. Estimated Cost(value) (, �7; c � c �
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING MTh
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat4
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wit
be done in compliance with all applicable laws regulating construction and zoning. Furthermore,
aut.•rize the above -named contractor to do the work state
Signature of o er and /or Condo President
Date. .
\,
SS#
®-, Phone —6v 3 < -
0' b f (t D 1q ? A
/0
Signatur e Qf Cdcntractor or Owner - Builder
Date: l
�Bui in
Mechanical Plumbing
Tax Folio - `?''-" A
Master Permit #
Phone ` S
;
NOTARY TOTAL DUE .J.'':
wq Other
/ Electrical
Engineering
MIAMI SHORES VILLAGE, FLA.
JOB
/ 40 ! 1
INSPECTION ______ � ='
TIME READY a- ��
- v
V /
REMARKS:
5689
INSPECTOR_ DATE
O NE FS NAME
n JOB
PRESENT ADDRESS
1207, _., 1.a 31;.
LICENSE NO.
PHONE NO.
LOCA ION (ST. OR AVE.)
` ?^`i , 7 :i xoEt
LOT
l/0
ADDRESS
v � I, ale �:o 22 ei
/ ( ..
BLOCK
1 `-„2
- jd j
/ !/,--4')
SUBDIVISION
,
PHONE NO.
LICENSE NO.
GENER CONTRACTOR
- w, �. � l .r,- ;� -� .
e... e a•10 V:.Y _.• P 1.,.iL..,.tl. .. .. _.
/ : ,7:) �
BUILDING PERMIT NO. '
7,-27-54 �. 3 0,,
DATE �
Cl
PERMIT FEE S
BUILDER'S BOND
"i':a
NO. � DATE
ZONE REQUIREMENTS CU. FT.
' ,1 1 .1),; . : v':•,:i:Ula ° 7 )2S to CD la
PLAN CUBE •. 25Oe00 CU. FT.
A (;'171 7;
EST. COSTS '7
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY JL O no )1
DATE:
•'
NEW CONSTRUCTION
TYPE
STORIES
I ROOF CONSTRUCTION
I INTERIOR CONSTRUCTION
REPAIRS
DESCRIPTION
FJii r1".L:, ,r ,.':. !07).C'C,7 :e ( :.7 0 5 4.0) 29 2,rt f7 (2 :a — (?,...;.:-Z..;.,0
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTEn TO VILLAGE. COUNCIL
REMARKS
®
CERTIFICATE OF OCCUPANCY NO. D ff
ISSUED Y ��J��
BY "�
TO O" 1 O�i/ l'''`' /7 ja''2 e
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
SEPTIC TANK
ROOF
$
SEWER
.SEAMS & LINTELS
$
POO /,'
$
FRAMING
I
$
AIR COND.
- /.:Z — !o '/ - ..0 R KD .
S
FINAL I
DATE
CLEAN UP
RE- INSPECT
BY
SLAB
BY
6413A14 '
D. - /1 - 6 q
t.' .
SLAB
FIXTURES & FINAL
TEt -'P U T
SPECIALS PERMITS
PERMIT NO. 1 DATE
FEE
TEMPORARY SERVICE
1
$
SEPTIC TANK
I
$
SEWER
1
$
SOLAR HEATER
$
GAS
I
$
•gam ,�,,,
- /.:Z — !o '/ - ..0 R KD .
S
INSSPEC ONS
DATE
BY
RE- INSPECT
BY
RE - INSPECT
BY
6413A14 '
D. - /1 - 6 q
t.' .
FIXTURES & FINAL
TEt -'P U T
,7— /q - !0Y
WkIS --
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
GAS
SPECIAL PERMITS
PERMIT NO.
DATE FEE
TEMPORARY SERVICE
RE- INSPECT' BY
I $
H. W. HEATER CONN.
I $
RANGE CONN.
ROUGHING
$
MOTORS
I $
FIXTURES
H. W. HEATER CONN
I $
•gam ,�,,,
.3- -6 u s
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT' BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR Eeil � ' R ee/V i LVe
PERMIT NO. f/99.3.1 I DATE 7 -6
NEW BLDG. 1 ALTERATION 1 ADDITION
CONTRACTOR
PERMIT NO.
NEW BLDG.
ELECTRICAL PERMITS & INSPECTIONS
I DATE
(ALTERATION
APPROVAL TO POWER CO. FOR SERVICE DATE
I ADDITION
PHONE
FEE $ 476
REPAIRS
PHONE
FEE $
REPAIRS
OWNER:
DUCTS
FORM 1000.C.89
SMALL ADDITIONS
AND RENOVATIONS
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
SECTION 10 — RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD
DEPARTMENT OF COMMUNITY AFFAIRS
CLIMATE ZONES
SOUTH 7 8 9
COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM 1000C•89 FOR ADDITIONS OF 600 SOUARE FEET OR LESS AND RENOVATIONS
TO SINGLE AND MULTIFAMILY RESIDENCES ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 1000A•89 OR 900A -89
PROJECT NAME
AND ADDRESS: 1 Z.o I '51
M 14•M• 4I„or -s Fk. 1 ;133
FOR ADDITIONS ONLY:
PERCENTAGE
OF GLASS
TO FLOOR
DATE:_
4
7
EXHAUST FANS
WATER HEATERS
~ SPAS AND HEATED
_SWIMMING POOLS
HOT WATER PIPES
SHOWER HEADS
HVAC DUCT
CONSTRUCTION
HVAC CONTROLS
RENOVATIONS ONLY GLASS
rS • `ja ^d 6 ra wv(
RENOVATION
ADDITION
MULTIFAMILY ATTACHED ❑
SINGLE- FAMILY DETACHED ❑
IF MULTIFAMILY. NUMBER OF
UNITS COVERED BY
THIS SUBMITTAL
CONDITIONED
FLOOR AREA
0
SO
FT
PREDOMINANT
EAVE OVERHANG
LENGTH
Z
8
FT
PORCH OVERHANG
tFNGIH
I 1FT
NEW GLASS AREA AND TYPE
CLEAR
SINGLE -
PANE
1
9
SO
FT
DOUBLE -
PANE
11
SO
FT
TINT.FILM,SOLAR SCREEN
SINGLE -
PANE
11
SO
FT
DOUBLE.
PANE
111
SO
FT
COOLING SYSTEM
IN
UNCONDITIONED au CENTRAL ❑ NONE
SPACE El ROOM
I
11 . ❑ PTAC
IN CONDITIONED . ❑' TIOTIIEW,SYSTEM
SPACE: El• • • A � ',J`
r �`+ "EERIEET?1 - 1 [
L �.I d r 1
J
_ _ WALL TYPE AND INS ULATION
WOOD FRAME MASONRY
EXTERIOR EXTERIOR
R= C I . R=
ADJACENT I ADJACENT:
R =1 R=
COMMON COMMON:
R IJ. R
�n nccor1ance frith Section 653907 r S, hereby certify th . t the plans
and specihcatIo is corere. oc I&uIe r .r ws in co . fiance with the
Florida Enery C. • -
GW 4ER/AG
903.2
904.2
904.3
904.4
904.5
903.2
904.6
904.7
1003.0
PERMITTING
OFFICE: e4) Am , ' A
nO
PERMIT
NO.:
UNDER ATTIC:
SINGLE ASSEMBLY:
R =
COMMON:
R
HEATING SYSTEM
ELECTRIC STRIP U HEAT PUMP
❑ NATURAL GAS ❑ ROOM /PTHP
❑ OTHER FUELS ❑ NONE
❑ NO NEW SYSTEM
COPIHSPFIAFUE
CEILING TYPE AND NSULATION
0 17
O
111
111
•
Q
.❑
.❑
ELECTRIC
❑ NATURAL GAS
❑ OTHER FUELS
❑ NO NEW
SYSTEM EF
NUMBER OF BEDROOMS =
CLIMATE 7 ❑ 8 ® 9
ZONE:
JURISDICTION
NO.:
Z
121/1e: O
FLOOR TYPE AND INSULATION
WOOD MASONRY
1 1
RAISED
R=
COMMON
R=
SLAB ON-
GRADE: R =
RAISED
R
COMMON
R
HOT WATER SYSTEM
❑ SOLAR
❑ HEAT RECOVERY
❑ DED. HEAT PUMP
Eta
SF /EF
b
TAP 1¢A_ - MINIMUM REQUIREMENTS FOR SMALL ADDITIONS AND RENOVATIONS
• C0 )PONENT$ SLC11�N REQUIREMENTS
WINDOWS' , 504.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK,
EXTERIOR & ADJACENT DOORS 9041 SOLID CORE. WOOD PANEL INSULATED OR GLASS DOORS ONLY. MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.
• INCLUDESALIDINi GLASS DOORS
EXTERIOR JOINTS /CRACKS 904 1 TO BE CAULKED GASKETED. WEATHERSTRIPPED QR OTHERWISE SEALED.
_SOLE& TV PLATES 903 2 SOLE PLATES AND PENETRATIONS THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED
INFILTRATION BARRIER 903 2
INTERIOR JOINTS /CRACKS 903.2
FIR €PI ACg 903 2
CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL CODE. JOINTS IN UNCONDMONED
SPACE SHALL BE SEALED. DUCTS SHALL BE INSULATED TO A MINIMUM OF 84.2
A SEPARATE READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM.
MEETS THE REQUIREMENTS OF SEC 10030 SEE STEP -3 OF PAGE 2 OF THIS FORM
Review of the plans and specifications covered by this calculation indicates
compliance with the Florida Energy Code. Before construction is completed, thin
budding will be inspected fo ; t. ce in accordance with Section 553.908 F.S.
BUILDING OFFICIAL•
DATE: - - - -
CHECK
INFILTRATION BARRIER MUST BE INSTALLED IN EXTERIOR WALLS & RAISED WOOD FLOORS.
ALL OPENINGS IN INTERIOR SURFACES OF CEILINGS AND EXTERIOR WALLS MUST BE SEALED. ✓
FIREPLACES MAT HAVE FLUE DAMPERS. GLASS DOORS AND OUTSIDE COMBUSTION AIR INTAKES.
EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS, EXCEPT FOR COMBUSTION DEVICES WITH
INTEGRAL EXHAUST DUCTWORK,
MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY
LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER (ELECTRIC) OR CUTOFF (GAS) VALVE MUST BE
PROVIDED AN EXTERNAL OR HUILT•IN HEAT TRAP MUST BE PROVIDED
SPAS AND HEATED POOLS MUST HAVE COVERS (EXCEPT SOLAR HEATED). NONCOMMERCIAL POOLS MUST HAVE A
PUMP TIMER GAS SPA & POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%,
INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS. IN SUCH
CASES, PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE
WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 80 PSIG
COMPONENT
MINIMUM
INSULATION
INS
INS
I EQUIPMENT
MINIMUM
EFFICIENCY
LNCv
L1 1 ICI INSIAL.LU
UP TO 30%
UP TO 40%
Concrete
R-5
Double
Z'
Double
Central AIC
SEER
=
b 0
SLLH
OH - SC
OH - SC
OH - SC
EER =
OH - SC
s,1'
Wood Uame. 2' x 4'
wood frame. 2' x 6'
R•11
R -19
0' .90
Room unit or PTAC
EER
=
8 5
' -.86
1' -.45
0' - .35
3' - .90
2' -.70
1' -.50
0' - .40
Shading coefficients (SC) may be obtained from the manufacturer of the glass. Typical shading coefficients are: single -paned clear
SC = 1.0, double -paned clear SC = .90, and single -paned tint SC = .86.
Electric resistance
ANY
/, D
Common Wood Irame'
R•11
Common. Masonry'
R4
Under attic
R40
I
0
Heat pump
COP
HSPF
=
=
2.7 or
6 4
COPIHSPF =
in
Single assembly
R -19
Common. Wood Irame'
R -11
ACE 1
Room unit or PTHP .
COP
HSPF
=
=
2.6 or
61
COPIHSPF =
.
Stab-on-grade
No Minimum
— 0
—
Gas. natural or propane
AFUE
=
70
AFUE _
Raised wood
R•11
00
Raised concrete
R -5
Fuel oil
AFUE
=
70
AFUE =
Common. Wood Irame'
R•11
Electric resistance
=
88
,
EF _
8�
L7no
in uncond space
R -4.2
2
4' 2
Gas. natural or propane
EF
=
54
EF =
In conditioned space
No Minimum
Fuel oil
EF
=
54
EF =
Maximum percentage glass to Iloor area allowed is selected by type, overhang length, and shading coefficient. See below. 1
°�Maxim�D
Installed
aro ?
GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT (TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED
UP TO 20%
UP TO 30%
UP TO 40%
UP TO 50%
Single
Double
Single
Double
Single
Double
Single
Double
OH - SC
OH - SC
OH - SC
OH - SC
OH - SC
OH - SC
OH - SC
OH - SC
1' 1.0
0'- .86
0' .90
2' • 1.0
1'- .86
0' -.65
1' .90
0' -.70
3' 1.0
2' -.86
1' - .65
0' - .45
2' .90
1' -.70
0' -.50
' -.86
1' -.45
0' - .35
3' - .90
2' -.70
1' -.50
0' - .40
Shading coefficients (SC) may be obtained from the manufacturer of the glass. Typical shading coefficients are: single -paned clear
SC = 1.0, double -paned clear SC = .90, and single -paned tint SC = .86.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
'Common components are those which separate two conditioned living units in a multifamily building
TABLE 10C. Prescriptive Requirements for Glass Areas In ADDITIONS ONLY (Renovations see 3 below)
10 -23
CLIMATE ZONES 7 8 9
TABLE 10B. Prescriptive Requirements for Small Additions (600 Sq.Ft. and Less) and for Renovations to Existing Buildings.
Form 1000C may be used to comply the following types of construction:
SMALL ADDITIONS TO EXISTING RESIDENCES. Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form The prescriptive
requirements in Tables 10A, 108 and 10C apply only to the components of the addition. not 10 the existing building Space healing. cooling. and water heating equipment efliciency levels must
be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction Components separating unconditioned spaces Pram
conditioned spaces must meel the prescribed minimum insulation levels
RENOVATIONS. Residential buildings undergoing renovations costing more than 30% of the assessed value of the building must comply with the Energy Code using this form The
prescriptive requirements in Tables 10A and 10B apply only to the components and equipment being renovated or replaced.
GENERAL DIRECTIONS:
1 On the left side of Table 108 in the column titled "INSULATION INSTALLED ", indicate the R -value of the insulation being added to each component. On the right side of Table 108 indicate the
efficiency levels 01 the equipment being installed in the column titled "EFFICIENCY INSTALLED" All R- values and efficiencies Installed must meet or exceed the minimum values prescribed
in the preceding column for that component. Components and equipment neither being added nor renovated may be left blank.
2 ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows Total the areas of all glass windows, sliding glass doors and glass panels in
Doors which are more than 1 /3 of the area of the door Double the area of all non - vertical roof glass and add It to the previous total. When glass in existing exterior walls is being remcred or
enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area Divide the adjusted glass area total by the conditioned Iloor area of the
addition Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 10C. For example, 29% glass would qual ty for the 'Up to
30V column. Prescnptives are given by the type of glass (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC►. Any pair within the selected "Up To
category is acceptable. For a given glass type and overhang. the maximum shading coefficient allowed is specified Indicate the category into which the percentage tails in the box at the top
titled `Maximum °%° = ". In the next column titled "Installed ". Indicate the calculated percentage of glass in the addition Actual glass windows and doors previously in the exterior walls
of the house and being reinstalled in the addition, do not have to comply with the overhang and shading coefficient requirements on Table IOC All new glass in the addition must meet the
requirements for one of the options In the glass percentage category you Indicated. The overhang (OH) distance is measured perpendicularly from the face of the glass to a point directly
ender the outermost edge of the overhang.
3 RENOVATIONS ONLY. Only glass areas which are being replaced as part of the renovations need 10 meet the following requirements Any glass type and shading coefficient may be used
for glass areas which are under at least a Iwo fool overhang and whose lowest edge does not extend further than 8 feel from the overhang. Glass areas being renovated that do not meet this
u4er must be either single -pane tinted, double -pane clear, or double -pane tinted.
4 Compete the Information requested on the top half of page 1.
5 Read Minimum Requirements for Small Additions and Renovations ", Table 10A on page 1, and check to Indicate your intention to comply with all applicable items.
6 Read sign and rate the "Owner /Agent" certification statement on page 1.