Final Inspection Report and Certification - Department of Commerce

HVAC System Evaluation ContinuedCOOK STOVE INSPECTION (FUEL-FIRED UNITS ONLY)FINAL TESTFuel Type: NG LP(CO≤100 ppm) (CO≤400 ppm) (CO≤25 ppm)Fuel Leak Test OK? Yes NoFront LeftFront RightOvenFlex Connector OK? Yes No Rear Left Rear RightFREESTANDING FIREPLACE/CHIMNEY INSPECTION (COMPLETE IF PRESENT)COPermanent seal installed if fireplace abandoned, and/or removable seal provided if used seasonally? Yes NoIs seal indicator flag present/visible? Yes No Location(s):PASSFAILCOMMENTS:AFInsulation MeasuresATTIC/KNEE WALL/VAULTED CEILING INSULATION INSPECTIONN/ACharacteristics Attic 1 Attic 2 Knee Wall 1 Knee Wall 2 MSDS copy posted? Yes NoAccess Location Insulation Certificate posted? Yes NoAttic/Ceiling Type Depth markers visible? Yes NoSquare Footage Depth markers placed? Yes NoJunction boxes flagged? Yes NoFinal Insulation Type Wind baffles installed? Yes NoSoffit vents unobstructed? Yes NoFinal R-Value Attic access air sealed? Yes NoTotal Qty Added Attic access insulated? Yes NoWall tops/plates, penetrations, and chases fully air sealed using compliant materials? Yes NoCompliant blocking/clearance maintained between insulation and heat sources/mechanicals? Yes NoAttic insulation uniformly installed over entire area and in alignment with the air barrier? Yes NoIf not uniformly installed, is deficit/justification reflected in bag count/SF invoiced and noted in job file? Yes NoFinal insulation thickness consistent with the quantity of insulation/bag count on invoice? Yes NoMH Roof Patches properly sealed and with good workmanship? Yes NoCOMMENTS:PASSFAILFinal Inspection and Certification of Services Complete Page 4 of 8