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New Construction Energy Code Compliance Certificate <br /> Per R401.3 Certificate.A building certificate shall be pasted on or in the electrical Date Certificate Posted <br /> distribution panel. <br /> Mailing Address of the Dwelling or Dwelling Unit MunicJRality <br /> AMC to wo' <br /> Nam of Residential Contractor MN License Number <br /> � brae -* <br /> THERMAL ENVELOPE RADON CONTROL SYSTEM <br /> Type:Check All That Apply Passive(No Fan) <br /> o Active(With fen and monometer or other <br /> a system monitoring device) <br /> 9 a b <br /> tL 2 Location or future location of Fan: <br /> ° a o cmi m 17 <br /> 3 <br /> m Q m m m a <br /> r0 p N M o <br /> 0 p <br /> �° Z W id rJ O� LLI <br /> X N <br /> Insulation Location1. m o m rn E E -6iu <br /> O N c a a c rn o+ <br /> c z iz T L it Other Please Descnbe Here <br /> Below Entire Slab <br /> Foundation Wall LV <br /> Perimeter of Stab on Grade <br /> Rim Joist 1 st Floor) 1 <br /> Rim Joist 2nd Floor+ <br /> Wail <br /> Ceiling,flat <br /> Ceilin ,vaulted <br /> Bay Windows or cantilevered areas <br /> Floors over unconditioned area <br /> Describe other insulated areas <br /> Building envelope airtightness: dp��y� Duct system air tightness: few <br /> Windows 8 Doors Heating or Cooling Ducts Outside Conditioned Spaces <br /> Average U-Factor excludes skylights and one door)U: Not applicable,all ducts located in conditioned space <br /> Solar Heat Gain Coefficient(SHGC): R-value V— g <br /> MECHANICAL SYSTEMS Q rt aka up Air Select a Type <br /> Domestic Water Cooling System <br /> Appliances Heater gNot required per mach.cede <br /> Fuel T e f� Gtr ssive <br /> Manufacturer PAFUEor <br /> .�t� Pow d �'� <br /> �/ Intent ed with exhaust devi <br /> Model. t a9 6 VD 1)7 Dese ib : <br /> ` Capacityin output ^ Other,d r-be: <br /> Rating or Size DUOC�C� Gllons: in Tons: Q/; { SEER Location of duct or em:Efficien _t JEER <br /> Residential Load Heating Loss Heating Gain Cooling Load <br /> Calculation (55C) Ct I Cfm's <br /> "round du R <br /> MECHANICAL VENTILATION SYSTEM "me d <br /> Describe any additional or combined heating or coding systems if installed:(e.g.two furnaces or air Combustion r Select a Type <br /> source heat pump with gas back-up furnace): Not r ired per mech.code <br /> Pas e <br /> Select Tye <br /> Heat Recover Ventilator(HRV capacity in cfms: Low: High: / Ot r,describe: <br /> Energy Recover Ventilator(ERV)capacity in cfms: Low Hi h: Locatio of duct or system: <br /> Balanced ventilation capacity in cfms: <br /> Location of fans,describe: - E Ur �o C Cfm s <br /> Gapaci continuous ventilation rate in cfms: f�® "round duct OR <br /> Total ventilation(intermittent+continuous)rate incfrns: $ vmetaldud <br /> Builders Associaton of Minnesota version 101014 <br />