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Rental Application
Energy Conservation Services, Inc.
188 Broadway, P.O Box 116, Port Ewen, NY 12466
info@ecshv.com
(845) 338-3864
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Comfort & Energy Assessment Tool
This form is to be completed by Energy Conservation Services staff.
Today's Date
First Name
Last Name
Address
Phone
Email
Date of Occupancy
Year Built
Architectural Style
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# Stories
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# Occupants
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# Bedrooms
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# Baths
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Conditioned Square Footage
Average Ceiling Height
Exterior Siding
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Level of shielding
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Foundation type
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Basement or Crawlspace
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Attic Venting
Ridge vent
Gable vents
Soffit vents
Roof vent
Fan
None
Attic or Cathedral
Flat attic (adequate clearance)
Flat attic (inadequate clearance)
Cathedral ceiling
Some flat attic & some cathedral
Knee Wall Attic/s (accessible)
Knee wall attic (inaccessible)
Attic Access
Hatch
Door
Pulldown stairs
None
End Wall Insulation?
Yes
No
Plumbing vents to roof?
Yes
No
Air Sealing?
Yes
No
Some but Incomplete
Duct Work Type?
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Wall Framing
2 x 4
2 x 6
2 x 8
2 x 10
2 x 12
Exising Wall Insulation
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Attic Framing (Ceiling Joists)
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Existing Attic Insulation
Fiberglass
Vermiculite
Cellulose
Rockwool
Denim
Open cell spray foam
Closed cell spray foam
Wool
Rigid foam board - polystyrene or polyurethane
Rigid foam board - polyisocyanurate
Rafters
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Spacing
16" on center
24" on center
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