Appliance Submittal Form

AMENITIES.SUBMITTAL.FORM.03.06.2017

Development Name

08/25/2017Appliance Submittal Form

VHDA Amenities Submittal Form
Development Name:
Street:
City:
VHDA Project Number:
Report Date:
Name: / Representing:
Phone # / Fax # / E-mail:

Add additional lines to table by placing the cursor in one of the cells then right clicking Table -> Insert -> Rows Below.

HVAC
AH/HP / Manufacturer / Model / Unit Type / AHRI Rating

NOTE: AHRI provides a certification that shows the SEER rating of the equipment you desire to use for your project. Equipment must meet VHDA MDCR and LIHTC Amenity requirements. Please provide the AHRI Certification to the CCO (i.e., the AHRI Certification will be attached to the VHDA Amenities form and the CCO will use it to confirm equipment onsite). www.ahridirectory.org

Appliances
Appliance / Manufacturer / Model / Unit Type

NOTE: VHDA signs off on EnergyStar refrigerators, dishwashers, washers and dryers (unless laundry equipment is leased).

Windows/Doors
Manufacturer / Model / SHGC / U-Factor

NOTE: the CCO will verify (LIHTC) compliance by window stickers that show ratings (appropriate for geographic area) and window labor warranty.

Date / General Contractor Signature/Company
VHDA Multifamily Development / Page 2 of 2 / 11.6.09