2024 INSULATION AND AIR SEALING INCENTIVE SUPPLEMENTAL DATA SHEET NEED HELP? Call 800.762.7077
THIS FORM MUST BE ATTACHED TO COMPLETED INCENTIVE APPLICATION AND SUBMITTED TOGETHER. FOR PROJECTS INSTALLED BY 12/31/2024.
HOW TO FILL OUT THIS FORM Please refer to: • The insulation and air sealing section of this catalog for measure requirements and information. • Complete the table corresponding to the measure in this catalog. Attach this form to a completed Incentive Application and submit together.
CUSTOMER INFORMATION ______________________________________________________ JOB SITE BUSINESS NAME ______________________________________________________ JOB SITE ADDRESS ______________________________________________________ TRADE ALLY NAME
P1
BUILDING ENVELOPE —
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INCENTIVE CODE: I3703, I3704, I3705, I3706, I3707, I3708, I3709, I3710, I3711, I3712, I3713, I3714, I5167, I5168, I5169, I5170
BUILDING NUMBER
TOTAL CONDITIONED FLOOR AREA (SQ. FT.)
FLOOR TO FLOOR HEIGHT (FT.)
NUMBER OF FLOORS
APPROXIMATE BUILDING AGE (YEARS)
PRE R-VALUE
POST R-VALUE
A1
4,800
10
3
20
R-19
R-19
HEATING TYPE
HEATING EFFICIENCY
COOLING TYPE
COOLING EFFICIENCY
O NG Furnace or NG Boiler
AFUE / TE
O Room AC
EER
O Central AC or ASHP (less than 5.42 ton)
SEER
O Electric Baseboard or Electric Furnace
1.00
COP
O Central AC or ASHP (5.42 ton or greater)
EER
O Air Source Heat Pump or Package Terminal Heat Pump
HSPF
O Chiller
kW/Ton
O Other O None
O Other:
Not Applicable
EXAMPLE
HEATING TYPE
HEATING EFFICIENCY
COOLING TYPE
COOLING EFFICIENCY
O NG Furnace or NG Boiler
88%
AFUE / TE
O Room AC
EER
O Central AC or ASHP (less than 5.42 ton)
10
SEER
O Electric Baseboard or Electric Furnace
1.00
COP
O Central AC or ASHP (5.42 ton or greater)
EER
O Air Source Heat Pump or Package Terminal Heat Pump
HSPF
O Chiller
kW/Ton
O Other O None
O Other:
Not Applicable
*Focus on Energy may adjust total incentive based on project caps. See measure requirements and Terms and Conditions for more information.
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