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. , ������ ���� �� <br /> tJe�v Construction Energy Code Compliance Certificate Place your <br /> Per N I 101 8 13uildine Cenir�are .a'ouildin_cert^;ca�e��r:a;l b:posrd in a pem�a�iend}��isible location inside i8�ate Certificate Posted <br /> builJmg_ "fhe certiticate snall be completed b��th:huil�;r a�id�hall Irt infonnation arid��alues of eomponents <br /> listcd in Tablc N I 101 8. <br /> \IailinK Address uf ihe DeellinE or DtiellinQ L�ni� Cit}� <br /> 3�-�S 2�1F L� �40 f�QoN o <br /> ti:une a(ResiJential Contr�ctor MN I.ic¢nse Number ��� <br /> STd�1 Ev►/oo p Ll�. �59 �31� ' <br /> THERMAL ENVELOPE RADON SYSTEM <br /> Type:Check All That Apply Passive(,�'o Fan) <br /> 97 o � c ive r ari an monome er or <br /> House area ( ( Sq. Ft. A, T other system monitoring device ) <br /> T � <br /> � r <br /> :O V ` ^ 9 0. N <br /> Number of bedrooms � ° a o ; � � .� � a <br /> � ¢ m m � � �, � � <br /> b � � �; �; o � � � � <br /> 0 <br /> � ,o Z � :a U p � ci � <br /> �a `o � � � � � .o .o <br /> `° a c a� c� �a ro c an on <br /> Insulation Loeation � � z° � � u°, r� � i� c< OtherPleasellescribeHere <br /> Belo�c�;ntire S::�b �� � <br /> Gou nl;�tion��';111 fl � Type in Iocatlon.interlor exterior or Integral <br /> Perimeter ot�Slxb on Grade <br /> Rim.Iuist(I�uundatiOn) � � �ype in location_interiorextoriororintegral <br /> Ri nl Juis[(1'�FIOOr'+) � � Type In locatlon:interior exterior or integral <br /> ���u Z K tC <br /> c��i�„„.n:�� <br /> c��i���:;,��a�ir�d <br /> 13:�}���"indows or cantilevered areas <br /> Bonus ruom o�ergaragc O � L <br /> Uescribe other insulatcd areas � <br /> Windows 8 Doors Heating or Cooling Ducts Outside Conditioned Spaces <br /> ,��eragc U-Factor(exch�des sln�ligius and o�ze door )U: . 3� Not applicable,all ducts located in conditioned space <br /> Solar I fr,u Gain Coefficient(Sf IGC): Z3 R-value <br /> MECHANICAL SYSTEMS Make-upAir SelectaTy�e <br /> ApplianCes f{cating System Domestic Water Heater Cooling System Not required per mech.code <br /> F uel't ype Passive <br /> Dtanuf'acturer Powered <br /> Interlocked with exhaust device. <br /> Alodel Describe: <br /> Inpu[in Capaciry in Output in Other,desCribe: <br /> 62A[in�;or Size BTUS Gallons- Tons: <br /> 31eat Loss� Heat Gain�. Location of duct or system: <br /> Siructure's Calculated <br /> APU[ur SEER. <br /> HSPF°-o <br /> Calculated <br /> F:t7iciencv cooling load: Cfm's <br /> "round duct OR <br /> Mechanical Ventilation System "metal duct <br /> l)oscrih�any additional or combined he�ting or cooling systems if installed:(e.g.two fumaces or air COmbuStion Alr Select a Type <br /> sourcc heat pump�vith gas back-up furnace): Not required per mech.code <br /> Srlect Tppe Passive <br /> 1:cat Recover Ventilator(HRV) Capacity in cfms: Low: High: Other,describe: <br /> Encrgy Recover Ventilator(ERV)Capaciry in cfms: I.ow: High: Location ofduct or system�. <br /> t'untinuous exhausting fan(s)rated capacit}�in cCms: <br /> Lucation of�fan(s),dcscribe: Cfnis <br /> Capacit}'continuous vcntilation ratc in cY'ms: "round duct OR <br /> Total venGiation(intcrmittcnt+cuntinuous)ratc in cfms: "metal duct <br /> G:\SAFETY\INSP\Form�2009energycodebuildingcertifcate\BAMcertificateexcelmodified.xls SAM version 052009 <br />