Humidity Monitoring Survey

Field Visit Date: ____________________ Site I.D. Number:___________ OMB Control Number:____________

Expiration Date:____________

Humidity Monitoring Field Data Form

Home Characteristics

House Type (ranch, cape, colonial, townhome, etc.): ________________ Year of Construction: ______

Approximate square footage: basement ________ 1^st floor _______ 2^nd floor ______ other ______

Ceiling heights: basement ________ 1^st floor _______ 2^nd floor ______ other ______

# of Bedrooms ______ # of Bathrooms ________

Occupancy: # of occupants: _______ # of adults:________ # of children: ________

# of all-day occupants: ______ # of adults:________ # of children: ________

Foundation type (basement, finished/unfinished, crawlspace, vented/unvented, etc.): _________________________________________________________________________

Notable Moisture Sources (i.e., plants, pets, aquariums, etc.): _______________________________

_________________________________________________________________________

_________________________________________________________________________

Primary floor coverings:  vinyl  wood  carpet  tile  other ________________________________

Primary Siding Material  wood  metal  vinyl  stucco  brick  other _________________________

Structure:  2 x4 wood frame  2 x 6 wood frame  other ____________________________

Windows:  single-glazed  double-glazed  low-e  other __________________

Window frames:  wood  vinyl  metal  other _____________________

Attic insulation type:  blown fiberglass  blown cellulose  fiberglass batt  other ________________

Attic insulation depth: ______ inches

Foundation insulation description: ____________________________________________________

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Notes

Mechanical Equipment (if multiple systems, complete survey for all systems)

How many air handling units? __________

Central HVAC System:  heating only  cooling only  heating and cooling

Heating Fuel:  gas  oil  propane  electric  wood/coal  other

Heating Type:  Furnace  Boiler Baseboard  Hydro-air  Elec. Resistance  Heat Pump (AS or GS)

System Location: ____________________  conditioned  unconditioned

Duct Location:  Attic Only  Basement/Crawlspace Only  Both  All within envelope

Heating Make: ___________Model #: _____________ Input Size (MBtuh): ______ AFUE: ____

Cooling Make: ___________Model: _______________Output Size (MBtuh): ______ SEER: ____

Central dehumidifier (type/location) ___________________________

Central humidifier (type/location) _____________________________

Central mechanical ventilation (type/location) __________________________________

Domestic Hot Water System Type:  tank  indirect tank  tankless coil  instantaneous

 other: _____________________________________________

Domestic Hot Water Fuel:  gas  oil  propane  electric  wood/coal  other: ______________

Domestic Hot Water Venting Type:  atmospheric  fan-assisted  sealed combustion  N/A

Appliances

Kitchen Stove Fuel:  gas  electric  other

Clothes Dryer Fuel:  gas  electric  other

Fireplace(s) or Stoves:  gas  wood  other _______________________

 vented  unvented  other _______________________

Room Air Conditioner(s): How many? ____ Where? ___________________________________

Humidifier(s): How many? ____ Where? ___________________________________

Dehumidifier(s): How many? ____ Where? ___________________________________

Are dryer, bath fans, range hood, etc vented to the outside? ________________________________

Notes

Other Observations:

Is there evidence of potential moisture problems such as mold growth, water damage at window sills, etc.?

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Measurements:

bath exhaust fan air flows (with lo-flow balometer)

Fan location: ___________________ Measured cfm: __________ Method of Control: __________

Fan location: ___________________ Measured cfm: __________ Method of Control: __________

Fan location: ___________________ Measured cfm: __________ Method of Control: __________

Fan location: ___________________ Measured cfm: __________ Method of Control: __________

blower door test

House Pressure: ___________ Pa Fan Pressure: ___________ Pa Ring: open A B

CFM50: _________________

Notes:

duct system airflow measurements (delta q method)

PRESSURIZING PRESSURIZING

With Air Handler ON With Air Handler OFF

Test Pressure: __________ Pa Test Pressure: __________ Pa

BD Ring:  open  1  2  3 BD Ring:  open  1  2  3

BD Fan Pressure: __________ Pa BD Fan Pressure: __________ Pa

Duct Leakage: ___________ cfm@25 Duct Leakage: ____________ cfm@25

DEPRESSURIZING DEPRESSURIZING

With Air Handler ON With Air Handler OFF

Test Pressure: __________ Pa Test Pressure: __________ Pa

BD Ring:  open  1  2  3 BD Ring:  open  1  2  3

BD Fan Pressure: __________ Pa BD Fan Pressure: __________ Pa

Duct Leakage: ___________ cfm@25 Duct Leakage: ____________ cfm@25

Data Logger Installation

	Specific Location	I.D. Number
Living Room/Family Rm
2nd Floor Bedroom or Master Bedroom
Primary Bathroom
Basement/crawlspace/attic
Ambient

Note: With homeowners’ permission, digital photographs will be taken to complement the data collection.

P ublic Reporting Burden Statement

The purpose of this survey is: (1) Collect moisture load data to support research to better understand the impact of indoor moisture on the durability of homes; (2) Support the development of design criteria, such as ASHRAE Standard 160P, that will minimize durability problems associated with high indoor moisture levels; and (3) Investigate the influence of the interior and exterior conditions on the indoor moisture level of a typical single family home.

HUD will provide this data to researchers and engineers. The researchers and engineers will use the information as points of reference to develop new and enhance existing residential moisture models and technical standards. These models and standards will help to improve the durability of homes by minimizing durability problems associated with high moisture levels.

The public reporting burden is estimated to be 420 hours.

Participation in this Government-sponsored survey is voluntary.

The names or other identifying information for individuals that respond to this survey will not be used in any published reports or datasets nor will this identifying information be shared with HUD. At the completion of this project, SWA will destroy all personally identifiable information.

The surveyor will display the currently valid OMB control number at all times.

Steven Winter Associates, Inc. 4