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New Construction Energy Code Compliance Certificate <br /> Per R401.3 Certificate.A building certificate shalt be posted on or In the electrical Date Certificate Posted <br /> distribution panel. <br /> Mailing Address A the Dwelling or Dwelling Unit Municipality <br /> V <br /> st)Yric' . <br /> Name of Residential Contractor MN License Number <br /> S <br /> THERMAL ENVELOPE RADON CONTROL SYSTEM <br /> Type:Check All That Apply Passive(No Fan) <br /> Z Active(With fan and monometer mother <br /> m — m systemmoniforfngdevice) <br /> ORONO COPYT <br /> f6 m d a d o location or future location of Fan: <br /> 0 CL <br /> U <br /> Q to m U 2 <br /> j c Z m H o n LL x o <br /> Insulation LocationtY o M U O m a <br /> E E m v -d <br /> w O In C i7o rn <br /> 5 Z LL LL LL LL "'a Other Please Describe Here <br /> Below Entire Slab <br /> Foundation Wail IQ <br /> Perimeter of Slab on Grade <br /> Rim Joist 1st Floor) <br /> Rim Joist 2nd Floor*) <br /> wall Z <br /> Ceiling,flat <br /> Ceilin ,vaulted <br /> Bay Windows or cantievered areas <br /> Floors over unconditioned area NA lit <br /> Describe other insulated areas <br /> Building envelope airtightness: To,,—n Duct system airtightness: Ae4y1S-eA <br /> Windows&Doors lHeating or Cooling Ducts Outside Conditioned Spaces <br /> Average U-Factor(excludes skjd4hts and one door)U: INot applicable,all duds located in conditioned space <br /> Solar Heat Gain Coefficient(SHGC): R-value <br /> MECHANICAL SYSTEMS j rnL HtB Matte-up Air Select a Type <br /> Appliances Domestic Water Cooling System <br /> Heater Not required per meth.code U6 <br /> FuelType Passive <br /> Manufacturer Q C L aA- 6 C\I a to Powered <br /> J p Interlocked with exhaust device. <br /> Model. � 64DOW I VOGO Describe: <br /> Input in Capacity in Output Other,describe: <br /> Rating or Size BTUS: U Q©Q Gallons: in Tons: s <br /> AFIl1 <br /> SEER Location of dud or system: <br /> Efficiency HSPF% l /EER <br /> Residential Load beating Loss heating Gain Cooling Load <br /> Calculation t Cws <br /> "round duct OR <br /> MECHANICAL VENTILATION SYSTEM .me duct <br /> Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaceAair <br /> Combustion Air Select a T esource heat pump with gas batik-up furnace): Not required per meth.code <br /> Select TypeHeat Recover Ventilator(HRV ca aci in cfms: Low: High: Otherdescribe:Energ Recover Ventilator(ERV)capacity in cfms: Low Hi h: Location of ud o�em: <br /> Balanced Ventilation capacity in cfms: CCJJrV�� <br /> Location of fan(s).describe: r4kil -A O it 99 Cfrn <br /> Capacity continuous ventilation rate in cfms: "round duct OR <br /> Tota{ventilation(intermittent+continuous)rate in cfms: "metal dud <br /> Builders Associaton of Minnesota version 101014 <br />