OMB Control Number: XXXX-XXXX
Expiration Date: MM/DD/YYYY
DF3: BUILDING INFORMATION SURVEY
Thank you for your prompt response to this data request which is part of the ARRA-period evaluation of the Weatherization Assistance Program. Evaluation results will provide essential feedback to the weatherization community and inform policymakers about the program's effects on clients' energy consumption, cost savings, and non-energy benefits.
This survey collects detailed information about multifamily buildings weatherized by your agency in Program Year 2010. The information you supply will be used with billing history data to better understand energy savings attributable to the Weatherization Assistance Program under ARRA.
Please use this form (DF3) to provide information about small or large multifamily buildings in which improvements were made to the building shell, common areas, central HVAC or domestic hot water systems. The Housing Unit Information Survey (DF2) should be used to document information on weatherized single family detached and attached houses, mobile homes, or individual units within multifamily buildings. Refer to the definitions of each building type provided at the end of the survey because these definitions are slightly different than those commonly used within the Weatherization Assistance Program.
All of the information obtained from this survey will be protected and will remain confidential. The data will be analyzed in such a way that the information provided cannot be associated back to your state, your agencies, or the housing units and clients that your state served.
Thank you in advance for completing this survey.
Public reporting burden for this collection of information is estimated to average twenty hours per weatherization agency, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records Management Division, IM-11, Paperwork Reduction Project (____), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (____), Washington, DC 20503.
Form completed by: ______________________________ Date: _______________
IDENTIFICATION
[Q1-6 will be pre-completed by the evaluation team]
1. Agency name: ________________________________________
2. State: _______________
3. Building ID number: ____________________
4. Building name: ______________________________
5. Site address: _______________________________
6. City: __________________________
WEATHERIZATION INFORMATION
Weatherization dates (not audit or inspection dates):
7a. Started: __________ __________ __________
7b. Completed:__________ __________ __________
(month) (day) (year)
The start date is the first date that weatherization improvements were made to the building. The weatherization start date is not the date the audit or home assessment was conducted UNLESS energy efficiency improvements were made at the time of the audit. Client education and low-cost measures such as light bulbs and showerheads ARE considered energy efficiency improvements, and if any of those are implemented at the time of the audit, then the start date is the audit date.
The end date is the last date that weatherization improvements were made to the building, including any rework required after agency or state-level post-weatherization inspections. The date of the post-inspection should NOT be used as the weatherization end date unless the post-inspection was conducted on the last day that improvements were made to the building and no rework was required.
8. Was this a “reweatherized” building? (check only one)
Yes
No
Don’t know
Check “yes” if the building was previously weatherized in a prior program year.
9. Does the building meet your state’s definition for being a high residential energy user? (check only one)
Yes
No
No state definition in place
Don’t know
10. Did the building owner or any occupants of housing units within the building file a complaint about the weatherization services you provided? (check only one)
Yes
No
Don’t know
BUILDING INFORMATION
11a. Building type – see definitions at end of the survey: (check only one)
Small multifamily building (2-4 units and not a single family attached house)
Large multifamily building (5 or more units and not a single family attached house)
Don’t know
11b. If this is a large multi-family building, was HUD’s list of pre-qualified buildings used to income qualify the building:
a. Yes
b. No
c. Don’t know
11.c If this is a large multi-family building, please indicate which description best describes its ownership:
a. private owner
b. private owner but HUD assisted
c. Publically owned
d.
Condominium owned by occupants
e. Other ____________
f. Don’t know
12. Number of housing units in the building: __________
13. Number of housing units in the building that met WAP eligibility requirements: ___
14. Number of stories above grade: (check only one)
1
2
3
4
5-9
10-19
20 or more
Don’t know
Please list the number of stories above ground-level. If there are half-stories, round up to the nearest whole number.
15. Year building originally built: (check only one)
2000 or later
1990 to 1999
1980 to 1989
1970 to 1979
1960 to 1969
1950 to 1959
1940 to 1949
1930 to 1939
1920 to 1929
1910 to 1919
1900 to 1909
Before 1900
Don’t know
Conditioned floor area at the time of weatherization:
16a. Heated floor area: _________ ft² Don’t know
16b. Air conditioned floor area: __________ft² Don’t know
Include the basement or common space only if it is intentionally conditioned (heated and/or cooled).
If you only know the total square footage of the building, please select “don’t know” rather than listing the total square footage.
17. Primary fuel used to heat the building during the winter before weatherization: (check only one)
Natural gas
Propane/LPG
Kerosene (#1 fuel oil)
Fuel oil #2
Fuel oil #4
Fuel oil #6
Electricity
Steam (purchased from a central distribution system)
Hot water (purchased from a central distribution system)
Other (specify: ____________________)
Don’t know
18. Primary fuel used for water heating before weatherization: (check only one)
Natural gas
Propane/LPG
Electricity
Other (specify: ____________________)
Don’t know
19. Type of primary space-heating system before weatherization: (check only one)
Central (ducted) warm-air furnace (forced-air or gravity, any fuel including electricity)
Heat pump
Built-in electric units (e.g., electric baseboards, ceiling heat)
Steam or hot water system (e.g., floor or baseboard radiators, convectors)
Floor, wall, or pipeless (ductless) furnace (e.g., floor or wall furnace)
Room/space heater (nonportable)
Portable space heater
Cooking stove
None
Don’t know
Select “steam or hot water system” for buildings heated with boilers.
20. Was the primary space-heating system a central system? (check only one)
Yes, a central system that supplied heat to all or most of the units in the building
No, each unit had its own heating system
Don’t know
21. Supplemental fuel(s) used to heat the building during the winter before weatherization: (check all that apply)
Natural gas
Propane/LPG
Kerosene (#1 fuel oil)
Fuel oil #2
Fuel oil #4
Fuel oil #6
Electricity
Steam (purchased from a central distribution system)
Hot water (purchased from a central distribution system)
Other (specify: ____________________)
Don’t know
22. Type of operable air conditioning system present before weatherization: (check all that apply)
Central air conditioner/heat pump
Window/wall units
Evaporative cooling system (“swamp coolers”)
None
Don’t know
23. Number of window/wall air conditioning units: (check only one)
None
1-4
5-9
10-19
20-49
50 or more
Don’t know
AUDIT
24. Primary method used to select weatherization measures for this building (excluding health, safety, and repair measures and general heat waste measures): (check only one)
Priority list
Calculation procedure (e.g., spreadsheet, computerized audit)
Other (specify: ____________________ )
25. If a calculation procedure was used, the name of the procedure(s): (check all that apply)
AK Warm
EA-3
EASY
EA-QUIP
HomeCheck
Meadows
REES
REM/Rate
SMOC-ERS
TIPS
TREAT
Weatherization Assistant (NEAT/MHEA)
WXEOR
Other (specify: ____________________ )
Not applicable
DIAGNOSTICS AND INSPECTIONS
If you know when a diagnostic/inspection procedure was performed, please check the appropriate box(es) in the first three response columns. If a diagnostic/inspection procedure was performed but you do not know when, please check the box in the “Performed?” column.
If a diagnostic/inspection procedure was performed in ANY of the housing units in the building please check the appropriate category.
Diagnostic measurement or inspection |
Diagnostic/inspection performed during: |
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Audit/house assessment |
Measure installation |
Post-inspection |
Performed? |
Pressure diagnostics: |
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26a. Unit-level blower door measurement (air leakage rate for individual dwelling units) |
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26b. Building-level blower door measurement (total air leakage rate for the whole building) |
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26c. Zonal pressure |
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26d. Room-to-room pressures (distribution system balancing) |
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26e. Duct pressure pan measurements |
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26f. Duct blower measurement (duct air leakage rate) |
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26g. Blower door subtraction meas. (duct air leakage rate) |
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Space-heating system: |
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27a. Flue gas analysis (steady-state efficiency measurement) |
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27b. Heat rise |
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27c. CO level in flue |
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27d. CO level of equipment room |
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Space-heating system (continued): |
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27e. Draft/spillage (normal operation) |
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27f. Worst case draft/spillage (CAZ) |
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27g. Safety inspection |
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Air-conditioning system: |
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28a. Refrigerant charge (e.g., superheat or subcooling) |
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28b. Safety inspection |
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HVAC components: |
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29a. Air handler flow rate |
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29b. Thermostat anticipator current |
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Hot-water (water-heating) system: |
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30a. Flue gas analysis (steady-state efficiency measurement) |
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30b. CO level in flue |
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30c. CO level of equipment room |
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30d. Draft/spillage (normal operation) |
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30e. Worst case draft/spillage (CAZ) |
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30f. Hot water temperature |
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30g. Shower head flow rate |
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30h. Faucet flow rate |
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30i. Safety inspection |
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Other CO measurements: |
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31a. Cook stove |
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31b. Kitchen |
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31c. Main living area |
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Other diagnostics and inspections: |
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32a. Refrigerator energy use |
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32b. Exhaust fan air flow rate |
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32c. Infrared scanning (camera) |
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32d. Radon testing |
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32e. Other (specify: _____________________________ ) |
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32f. Other (specify: _____________________________ ) |
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32g. Other (specify: ____________________________ ) |
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Record the diagnostic measurements taken on THIS building: (fill in all that were taken)
For diagnostics that were performed multiple times, please provide the measurements that are closest to the pre-weatherization and post-weatherization conditions of the building.
Diagnostic measurement |
Pre-weatherization |
Post weatherization |
Building air leakage (blower door measurement):1 |
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33a. Average air leakage rate per unit based on unit-level testing |
cfm |
cfm |
33b. Total air leakage rate of the building based on whole building test |
cfm |
cfm |
33c. House WRT outside pressure difference2 |
Pa |
Pa |
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Duct leakage (pressure pan measurements):3 |
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34a. Sum of pressure pan readings4 |
Pa |
Pa |
34b. Number of registers included in sum5 |
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34c. House WRT outside pressure difference6 |
Pa |
Pa |
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Duct leakage (duct blower measurements)7: |
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35a. Total duct leakage rate |
cfm |
cfm |
35b. Duct leakage to the outside |
cfm |
cfm |
35c. Duct WRT outside pressure difference8 |
Pa |
Pa |
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Steady-state efficiency (flue gas analysis):9 |
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36a. Primary space-heating system |
% |
% |
36b. Secondary space-heating system |
% |
% |
36c. Hot water heater |
% |
% |
If you know whether in-house crew or a contractor installed a given measure, please check the appropriate box in the first two response columns. If a measure was installed but you do not know whether it was installed by in-house crew or a contractor, please check the box in the “Installed?” column.
If a measure was installed in ANY of the housing units in the building please check the appropriate category.
Measure |
Installed by |
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In-house crew |
Contractor |
Installed? |
Air sealing work: |
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37a. General house caulking and weatherstripping (e.g., doors, windows) |
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37b. House air sealing emphasizing bypasses (leaks identified by auditor and/or crew without using a blower door) |
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37c. House air sealing emphasizing bypasses (leaks identified by auditor and/or crew with aid of a blower door) |
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37d. Air distribution system (duct) sealing and repair10 |
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37e. Repairs to broken windows, doors, or other major holes in the building shell |
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37f. Other air sealing work (specify: ______________ ) |
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37g. Other air sealing work (specify: ______________ ) |
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Insulation: |
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38a. Attic insulation |
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If attic insulation was installed, please provide quantity: 38b.____________square feet or 38c.____________pounds
38d. What was the R value of attic insulation prior to weatherization? _____ (Leave blank if unknown. Enter 0 if there was no existing insulation.) |
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38e. Wall insulation |
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If wall insulation was installed, please provide quantity: 38f.____________square feet or 37g. .____________pounds |
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38h. Floor insulation |
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38i. Rim or band joist insulation (sill box) |
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38j. Foundation wall insulation |
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38k. Duct insulation |
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38l. White roof coat |
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38m. Other insulation (specify: ____________________________ ) |
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38n. Other insulation (specify: _____________________________ ) |
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Windows: |
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39a. New window (justified because cost effective) |
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39b. New window (justified for reason other than cost effectiveness) |
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39c. If new windows were installed, please provide quantity: _________ |
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39d. Window glass repair or replacement not included under air sealing major holes in building shell (37e) |
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39e. Repair of window sashes or frames |
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39f. Window screen repair/replacement |
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39g. Window lock replacement |
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39h. Storm window |
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39i. Window shading (e.g., awning, film, sun screen) |
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39j. Other window treatments (specify: _______________________) |
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39k. Other window treatments (specify: ______________________) |
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Doors: |
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40a. New door (justified because cost effective) |
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40b. New door (justified for reason other than cost effectiveness) |
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40c. Door lock (new or replacement) |
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40d. Door or door framing repair not included under air sealing major holes in building shell (37e) |
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40e. Storm door installed |
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40f. Other door treatments (specify: _________________________) |
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40g. Other door treatments (specify: _________________________) |
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Central space heating systems (e.g., furnaces, boilers):11 |
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41a. New heating system (justified because cost effective) |
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41b. New heating system (justified for reason other than cost effectiveness) |
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41c. Heating system repair (e.g., controls, safety items, flues) |
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41d. Space-heating system tune-up |
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41e. New ductwork installed |
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41f. Vent damper |
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41g. Intermittent ignition device |
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41h. Other space-heating system modification (specify: _________)12 |
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41i. Other space-heating system modification (specify: __________) |
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Air-conditioning systems: |
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42a. New air conditioner (justified because cost effective) |
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42b. New air conditioner (justified for reason other than cost effectiveness) |
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42c. Air conditioner repair |
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42d. Air conditioner recharge/tune-up |
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42e. Ceiling or whole-house fans |
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42f. Other air-conditioning system modification (specify: ________ ) |
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42g. Other air-conditioning system modification (specify: ________ ) |
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Ventilation: |
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43a. New bathroom exhaust fan installed |
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43b. New kitchen exhaust fan installed |
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43c. Repair to kitchen or bathroom exhaust fan (including ductwork) |
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43d. Whole-house ventilation system |
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43e. Other ventilation system improvements (specify: __________) |
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43f. Other ventilation system improvements (specify: ___________) |
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HVAC accessories: |
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44a. New programmable (setback) thermostat |
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44b. New standard thermostat |
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44c. Duct vents, grills, or registers13 |
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44d. Standard air filter |
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44e. High efficiency particulate arresting (HEPA) air filter |
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44f. Other HVAC accessories (specify: _______________________) |
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44g. Other HVAC accessories (specify: ______________________) |
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Water-heating system: |
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45a. New water heater (justified because cost effective) |
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45b. New water heater (justified for reason other than cost effectiveness) |
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45c. Water-heating system repair |
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45d. Water-heater tank insulation wrap |
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45e. Pipe insulation |
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45f. Installed low-flow showerhead |
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45g. Installed low-flow device on faucet (aerator) |
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45h. Water heater temperature reduction |
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45i. Other water heating system measure (specify: ______________ ) |
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45j. Other water heating system measure (specify: ______________ ) |
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Other baseloads: |
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46a. Indoor lighting (energy efficient bulb or fixture) |
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46b. Outdoor lighting (energy efficient bulb or fixture) |
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46c. Lighting (indoor/outdoor location not recorded) |
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46d. Refrigerator (justified because cost effective) |
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46e. Refrigerator (justified for reason other than cost effectiveness) |
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46f. If new refrigerator is installed, how many old refrigerators were removed? ________________ |
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46g. If new refrigerator is installed, how many old refrigerators were removed? ________________ |
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46h. Other baseload measure (specify: ______________________ ) |
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46i. Other baseload measure (specify: _______________________ ) |
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Health and safety and repair: |
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47a. Smoke alarm |
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47b. CO monitor |
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47c. Attic ventilation |
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47d. Clothes dryer vent repair or replacement |
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47e. Roof repair |
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47f. Ceiling repair |
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47g. Wall repair |
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47h. Floor repair |
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47i. Foundation repair |
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47j. Ground vapor barrier |
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47k. Gutter or downspout (installed or repaired) |
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47l. Plumbing repair |
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47m. Sewer repair |
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47n. Electrical repair |
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47o. Stair repair |
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47p. Install/repair non-skid material on stairs |
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47q. Install/repair safety gate at stairs |
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47r. Install/repair grab bar in bathroom |
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47s. Install/repair non-skid material in bathtub |
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47t. Install/repair metal chimney liner |
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47u. Lead abatement |
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47v. Asbestos abatement |
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47w. Removal or safe storage of household poisons |
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47x. Other health & safety or repair items (specify: _____________) |
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47y. Other health & safety or repair items (specify: _____________) |
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Client education: |
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48a. Did the occupants receive an in-home visit in which energy education was provided? |
Yes No Don’t know |
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48b. Did the occupants participate in a classroom training in which energy education was provided? |
Yes No Don’t know |
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SERC AND WIPP MEASURES INSTALLED
49. Please indicate whether any additional measures were installed in this building that were funded by the Sustainable Energy Resources for Consumers (SERC) Program and/or Weatherization Innovation Pilot Program (WIPP).
SERC funded measures were installed
WIPP funded measures were installed
Both SERC and WIPP funded measures were installed
The building was not part of a SERC or WIPP grant (skip to Q60)
If you know whether in-house crew or a contractor installed a given measure, please check the appropriate box in the first two response columns. If a measure was installed but you do not know whether it was installed by in-house crew or a contractor, please check the box in the “Installed?” column.
Measure |
Installed by |
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In-house crew |
Contractor |
Installed? |
RENEWABLE ENERGY |
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50a. S1.1 Solar PV |
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50b. S1.2 PV: Shingles |
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50c. S1.3 Wind: Small-scale Residential |
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50d. S1.4 Passive Solar Panel |
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HOT WATER SYSTEMS |
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51a. S2.1 Solar HW |
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51b. S2.2 Tankless/On-demand HW |
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51c. S2.3 Condensing HW |
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51d. S2.4 Heat Pump/Hybrid HW |
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51e. S2.5 Combination HW and Boiler |
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51f. S2.6 Other hot water |
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HVAC SYSTEMS |
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52a. S3.1 Heat Pumps: Geothermal/Ground-Source |
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52b. S3.2 Heat Pumps: Air |
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52c. S3.3 Heat Pumps: Mini Split System Ductless |
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52d. S3.4 Replacement of Improperly Sized HVAC Equipment |
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52e. S3.5 Solar Thermal (Home Heat) |
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52f. S3.6 Wood Pellet Stoves |
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52g. S3.7 Ultra Cooling Systems |
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52h. S3.8 Central AC Units |
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52i. S3.9 Window AC Units |
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52j. S3.10 Micro-combined Heat and Power |
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52k. S3.11 High-efficiency Furnaces |
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52l. S3.12 Heat Recovery Ventilators |
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52m. S3.13 Biomass Thermal Units Installed |
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52n. S3.14 Evaporative Cooling System |
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52o. S3.15 Vented Space Heating |
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52p. S3.16 Solar Powered Attic Ventilation |
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52q. S3.17 Energy Recovery Ventilator |
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ROOFING: COOL ROOF |
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53a. S4.1 Roofing: Cool Roof Technology Installed |
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APPLIANCES |
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54a. S5.1 Energy Star Clothes Washer |
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54b. S5.2 Energy-Efficient Clothes Dryer |
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54c. S5.3 Energy-Efficient Refrigerator |
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54d. S5.4 Appliance Energy Meters |
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INSULATION |
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55a. S6.1 Insulation: Aerogel/super |
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55b. S6.2 Insulation: Foam Injection Technology |
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55c. S6.3 Insulation: Masonry Foam |
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55d. S6.4 Insulation: Radiant Barrier Attic |
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55e. S6.5 Insulate: Spray Foam |
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55f. S6.6 Insulation: Reflective Attic Insulation |
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WHOLE-HOUSE RETROFIT |
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56a. S7.1 Centralized Building Controls |
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56b. S7.2 Deep Energy Retrofits |
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56c. S7.3 High-Performance Space Conditioning Retrofits |
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56d. S7.4 High-Performance Building Envelope Retrofits |
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56e. S7.5 Cold Energy Retrofits |
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56f. S7.6 Warm Energy Retrofits |
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56g. S7.7 Foundation Improvements |
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OUTREACH |
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57a. S8.1 Home Energy Saver Workshops |
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57b. S8.2 Households Touched by Behavioral Change Message |
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EQUIPMENT |
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58a. S9.1 Monitoring: In-Home Energy Monitors |
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OTHER |
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59a. S10.1 Units with Window Upgrades |
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59b. S10.2 Outdoor Solar Security Lighting |
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59c. S10.3 Ceiling Fans |
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59d. S10.4 LED Lights |
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59e. S10.5 Energy Star Doors |
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60. If a new space-heating system was installed, indicate the primary fuel used to heat the building during the winter after weatherization: (check only one)
Natural gas
Propane/LPG
Kerosene (#1 fuel oil)
Fuel oil #2
Fuel oil #4
Fuel oil #6
Electricity
Steam (purchased from a central distribution system)
Hot water (purchased from a central distribution system)
Other (specify: ____________________)
Don’t know
61. If a new space-heating system was installed, indicate the type of primary space-heating system after weatherization: (check only one)
Central (ducted) warm-air furnace (forced-air or gravity, any fuel including electricity)
Heat pump
Built-in electric units (e.g., electric baseboards, ceiling heat)
Steam or hot water system (e.g., floor or baseboard radiators, convectors)
Floor, wall, or pipeless (ductless) furnace (e.g., floor or wall furnace)
Room/space heater (nonportable)
Portable space heater
Cooking stove
None
Don’t know
Not applicable
Select “steam or hot water system” for buildings heated with boilers.
62. If a new space-heating system was installed and justified for reasons other than cost effectiveness, identify the reason it was replaced: (check all that apply)
Cost of repair/retrofit exceeded 50% of replacement cost
Existing heating system was not running
Existing heating system was old (e.g., at end of life, too old to be repaired/adjusted)
To switch fuel
To convert from a steam system to a hot water system
Heat exchanger was cracked
Boiler was leaking
Safety switches/controls were not operational and could not be repaired
To replace unvented space heater(s)
Existing heating system was not safe to run for other reason (specify: _____________)
Other (specify: ________________________________________________________)
63. Please identify any cost-effective energy-efficiency measures (not repair or health and safety measures) recommended by your audit procedures that you were unable to install in this housing unit because of insufficient funds: (check all that apply)
Air sealing
Duct sealing
Attic insulation
Wall insulation
Floor/foundation insulation
Duct insulation
New window(s)
Storm windows(s)
Door(s)
Storm door(s)
New space-heating system
Space-heating system tune-up
New air conditioner(s)
Air conditioner tune-up(s)
HVAC thermostat
New water heater
Water heater insulation wrap
Water flow devices (e.g., showerheads, faucet aerators)
Lighting
Refrigerator
Other: __________________________________________
None
This question only applies in states where there is a per-building spending limit. If there is not a per-building spending limit in your state, check “none.”
64. If energy efficiency measures were checked in the previous question, provide a rough estimate of the cost for installing all the measures checked: $_______________
65. Please identify any repair or health and safety measures recommended by your audit procedures that you were unable to install in this building because of insufficient funds: (check all that apply)
New window(s)
Window glazing(s)
Window screen(s)
Window lock(s)
Window repair
New door(s)
Door lock(s)
Door repair
New space-heating system
Space-heating system repair
New air conditioner(s)
Air conditioner repair
Ceiling or whole-house fan(s)
Exhaust fan(s) or ventilation system
New water heater(s)
Water-heating system repair
Refrigerator(s)
Smoke alarm(s)
CO monitor(s)
Attic ventilation
Roof, wall, floor, or foundation repair
Plumbing/sewer repair
Electrical repair
Other: __________________________________________
None
This question only applies in states where there is a per-building spending limit. If there is not a per-building spending limit in your state, check “none.”
66. If repair or health and safety measures were checked in the previous question, provide a rough estimate of the cost for installing all the measures checked: $_______________
COSTS
67. Provide the total cost of weatherizing this multifamily building. Include ALL sources of funding. Do NOT include program management costs (e.g., intake, audits, final inspections or program administration) or installation-related overhead costs (e.g., vehicles, equipment and training).
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68. Divide the total costs spent on this building (from Question 67) into the categories below.
68a. Material costs |
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68b. Labor costs |
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68c. Enter total cost if above categories are not known |
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68d. Total (should match Q67 total) |
[Auto-tally] |
69. Divide the labor costs (from Question 68b) into the categories below. If labor costs for in-house crew are not tracked at the building level please leave 69a blank.
69a. In house crew labor1 |
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69b. Contractor labor |
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69c. Profit/overhead2 |
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69d. Enter total labor costs if above categories are not known |
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69e. Total (should match Q68b total) |
[Auto-tally] |
1Crew-based labor costs should be based on the crew’s fully loaded hourly rate (rather than the crew’s take-home pay rate) which may include costs associated with medical and other insurance, workers compensation, vacations, and other benefits. These labor costs should include the crew’s time for traveling to and from the job site.
2If contractor profit and overhead are included in the contractor’s material and labor costs, then leave 69c blank. |
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70. Provide estimates of non-monetary contributions to this weatherization job.
70a. Volunteer hours1 |
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70b. Apprentice hours2 |
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70c. Estimated value of material in-kind contributions |
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70d. Estimated value of other in-kind contributions |
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1An example of a volunteer is an unpaid person working on weatherizing a Habitat for Humanity Home. 2An example of an apprentice would be a student whose program of education requires hands-on, real-life work on weatherization jobs. |
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71. Divide the total costs spent on this building (from Question 67) into the categories below.
71a. Cost effective energy-related measures (SIR > 1.0) |
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71b. Health and safety and other non-cost effective measures |
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71c. Incidental repairs |
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71d. Enter total job cost if above categories are not known |
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70e. Total (should match Q67 total) |
[Auto-tally] |
72. Divide the total costs spent on this building (from Question 67) into these funding source categories below.
72a. DOE normal appropriation/formula WAP funds1 |
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72b. DOE SERC funds |
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72c. DOE WIPP funds |
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72d. Non-DOE (leveraged) funds |
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72e. Total (should match Q67 total) |
[Auto-tally] |
1 This line includes ARRA funds for standard weatherization jobs. |
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Energy Assistance Program (LI-EAP) funding should be considered Non-DOE funds if it is tracked separately.
73. Provide the amounts spent on the major measure categories below.
73a. HVAC measures |
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73b. Water heating measures |
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73c. Replacement windows and doors |
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73d. All other building shell measures (insulation, air sealing, etc.) |
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Housing Type Definitions
Single Family Detached – House that provides living space for one family or household, is contained within walls that go from the basement (or the ground floor, if there is no basement) to the roof, and has no walls that are shared (or built in contact) with another household. A manufactured house assembled on site is a single family detached housing unit, not a mobile home.
Single Family Attached – House that provides living space for one household, is contained within walls that go from the basement (or the ground floor, if there is no basement) to the roof, has at least one wall that is shared (or built in contact) with an adjacent household, and has an independent outside entrance. An attached house does not have any other households living above or below, and does not share basement or attic space with other housing units. Also, an attached house does not share a heating or cooling system with any other housing units. Examples include row houses, townhouses, condominiums and side-by-side duplexes that do not have shared attics, basements or HVAC equipment.
Small Multifamily (2-4 units) – Building with two to four housing units (i.e., building that is divided into living quarters for two, three, or four families or households) in which one household lives above or beside another and does not meet the single family attached house definition. Includes houses originally intended for occupancy by one family (or for some other use) that have since been converted to separate dwellings for two to four families. Typical arrangements in these types of living quarters are separate apartments downstairs and upstairs or one apartment on each of three or four floors.
Large multifamily (5 or More Units per Building) – Building with five or more housing units (i.e., building that contains living quarters for five or more families or households) that does not meet the single family attached house definition.
Mobile Home – Home that is built on a movable chassis, is moved to the site, and may be placed on a permanent or temporary foundation. If rooms are added to the structure, it is considered a mobile home if the added floor area is less than the mobile home’s original floor area; otherwise, it is a single family detached house. A manufactured house assembled on site is a single family detached house, not a mobile home.
Shelter - Structure whose principal purpose is to house individuals on a temporary basis who may or may not be related to one another and who are not living in nursing homes, prisons, or similar institutional care facilities.
1 Most agencies will report results in “a” or “b,” but not both.
2 Report the pressure differential at which the blower door test was performed. A typical value is 50 Pascals. Do not report baseline pressure (typically less than 5 Pascals).
3 If building has more than one duct system, average the results across all systems that were tested.
4 Total all of the individual measurements taken at registers in the building. The value for each register should be between 0 and 50 Pascals.
5 Total the number of registers at which the test was performed.
6 Report the pressure differential at which the test was performed (from blower door). A typical value is 50 Pascals.
7 If building has more than one duct system, average the results across all systems that were tested. If total duct leakage (inside the building and to the outside) was measured with a Duct BlasterTM or similar equipment, report results in 35a. If duct leakage to the outside was measured, report this result in 35b. Most agencies will report results in “a” or “b,” but not both.
8 Report the house-to-outside pressure differential (from blower door) at which the leakage-to-outside test was performed. A typical value is 25 Pascals.
9 If test was performed on multiple space- or water-heating systems, provide the average result across all systems that were tested.
10 Check 37d if duct sealing OR duct repair was performed. Check 41e if NEW ductwork was installed. Check 44c if new vents, grills or registers were installed.
11 Include central heating systems installed through programs other than WAP, such as emergency heating system replacements funded by LIHEAP.
12 Check 37d if duct sealing OR duct repair was performed. Check 41e if NEW ductwork was installed. Check 44c if new vents, grills or registers were installed.
13 Check 37d if duct sealing OR duct repair was performed. Check 41e if new ductwork was installed. Check 44c if new vents, grills or registers were installed.
| File Type | application/msword |
| File Title | BUILDING INFORMATION SURVEY |
| Author | TERNESMP2 |
| Last Modified By | Hawkins, Beth A. |
| File Modified | 2012-05-08 |
| File Created | 2012-05-08 |