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1����t1��[5 <br /> New Construction Energy Cade Compliance Cer#ificate �'"� � � 2�17 <br /> Date CertifiGate Posted <br /> Per R401.3 Certificate.A buikting certrfi�ate 5hali be pasted on or in the eiectrical distnbUtion panel. I� <br /> Mait'i�nLg Address of th Dweiling ar Dwe[ling Unit City <br /> l:/ � ti�. �� <br /> Nam ot Residerrt9al C ntractor MN License Number ����Fs i i o4�' <br /> td c> <br /> THERMAL EIVVELQPE RADON CONTROL SYSTEiIlI �� <br /> Type:Check All That Apply ` Passive(Mo Fan) <br /> a o� <br /> T j� Active(With fan and mpnometer pr <br /> �- a �,�', other system monitoring device) <br /> m <br /> 8..A7R .. � � U 3 '3 U =y o � m <br /> � � ���� _ ¢ m m m V � � � Location(or future location}of Fars: <br /> m �, <br /> 4 � '� � � 2 <br /> `p Vi Vi p � <br /> Insulation Location � � � � � V O � w y <br /> m `o °' °� E E a v <br /> � � c m a> d - - � <br /> a o o � <br /> � � z €�-i � �s. � � � � Other Please Describe Here <br /> Below Entire Slab <br /> Faundalian Wall <br /> Perimeter of Slab on Grade <br /> Rim Joist(tst Floor) <br /> Rim Joist(2nd Floor+) <br /> Walf <br /> Ceiling,ftat <br /> Ceiling,vaulEed <br /> Bay Windows or cantilevered areas <br /> Floors over uncflnditio»ed�rea d <br /> Describe other insulated areas <br /> Buitding envelope air tightness: Duct system air tightness: <br /> Windows&Doors Heating or Coaling Ouc#s Qutside Condltioeed Spaces <br /> Avera e U-Factor exctucfes sk f hts and one doory U: O Not a licable,ali ducts{ocated in conditioned space <br /> Soiar Heaf Gain Coet(icierst(SHGCj: � 2 R-value <br /> MECHANtCAL SYSTEMS Make-up Air Select a Type <br /> Qomestic Water <br /> Appliances Meating System Heater Coo[ing System Not required per mech.code <br /> Fuel Type Passive <br /> Manufacturer (�Wl91�1� Powered <br /> /-/ fnterlocked with exhaust de�ice. <br /> Model l�l�� �b Lj� G�pL 3 pescril�e: <br /> Input in Capacity in Output A '� Qther,describe: <br /> R2Ung Or$iZE 8TU5' � Gaibns: in Tons: -c. <br /> AFUE or / /�, SEER Location of duct or system: <br /> Efticiency HSPF°� ��b , �JV lEER <br /> Heating Loss Heating Gain Coali�g Load <br /> Residential Load Calculati <br /> Cfm's <br /> "round duct OR <br /> @�A ECHANiCAL VENT[LATION SYSTEM ^metal duct <br /> Describe any additiona[ar combined heat€ng ar cooling sysiems if installed�(e.g.two furnaces or air Combustian Air Select a Type <br /> source heat pump with gas back-up fumace): .. Not required per mech.code <br /> Select T Passive <br /> Heat Recovar Ventilator(HRV) Capacity in cfms: Low High� Other,describe: <br /> Energ Recqver Ventilatar{ERV}Capacity irs cfms: low High: Location o#duct or system_ <br /> Balanced VenGlation capacity in cfms: <br /> Location of fan(s�,describe: Cfm's <br /> Capaciry continuous ventilation rate in cfms: ` "round duct OR <br /> Totai�entilation(intermiFtent+r,qntinuous)rate in c#ms_ `� "metal duct <br /> Builders AssoCiaton of Minnesota�ersion 101014 <br />