Laserfiche WebLink
New Construction Energy Code Compliance Certificate <br />Date Certificate Posted <br />Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel. <br />Mailing A dress of the we ling or Dw Iting Unit Cit <br />Name of Residential Contractor/ MN License Number <br />THERMAL ENVELOPE <br />Duct System alrs1lghtness (cfm/100 <br />Building envelope airtightness (ACH): <br />4"OSC? r <br />Windows & Doors <br />RADON CONTROL SYSTEM <br />Heating or Cooling Ducts Outside Conditioned Spaces <br />Average U -Factor (excludes skylights and one door) U: <br />Type: Check All That Apply <br />>< Passive {Iva Fan) <br />Solar Heat Gain Coefficient (SHGC): <br />_ <br />R -value ~U <br />MECHANICAL SYSTEMS <br />I <br />Make-up Air Select a Type <br />Appliances <br />Active (With fan and manometer or <br />Domestic WaterCooling <br />Heater <br />° <br />Not required per meth. Cade <br />Fuel Type <br />9&pkWtg� <br />other system monitoring device) <br />Manufacturer <br />fAlw"ite- <br />,iQ <br />V`r�A <br />Powered <br />Model <br />W" <br />Q_ <br />�, <br />Input inCapacity <br />in <br />a <br />Location (or future location) of Fan: <br />Rating or Size <br />BTU S: <br />a <br />Gallons: <br />Tons: <br />rAFUEor <br />0 <br />=CL <br />c <br />3 <br />N <br />m <br />U <br />_ <br />0 - <br />�ALocation <br />LEER <br />RI <br />l 9001U,Residential <br />CL <br />Heating Loss <br />Heating <br />m <br />° <br />Load Calculation <br />b5 <br />Q <br />Cfm's <br />" round duct OR <br />MECHANICAL VENTILATION SYSTEM <br />" metal duct <br />> aM <br />Combustion Air Select a Type <br />Not required per meth. code <br />CPU <br />O <br />u <br />w <br />vo <br />Low: <br />Insulation Location <br />Other, describe: <br />o <br />m <br />12E <br />M <br />E <br />Location of fan(s), describe: <br />;o <br />a <br />Cfm's <br />Capacity continuous ventilation rate in cfms. <br />c <br />C: <br />LL <br />LL <br />6 <br />r° <br />0 <br />LL <br />C <br />s <br />iY <br />O <br />iY <br />Other w <br />Below Entire Slab <br />'la <br />Foundation Wall <br />Perimeter of Slab on Grade <br />Rim Joist (1st Floor) <br />Rim Joist (2nd Floor+) <br />Wall <br />Ceiling, flat <br />Ceiling, vaulted <br />Bay Windows or cantilevered areas <br />Floors over unconditioned area <br />Describe other insulated areas <br />Duct System alrs1lghtness (cfm/100 <br />Building envelope airtightness (ACH): <br />4"OSC? r <br />Windows & Doors <br />Heating or Cooling Ducts Outside Conditioned Spaces <br />Average U -Factor (excludes skylights and one door) U: <br />Not applicable, all ducts located in conditioned space <br />Solar Heat Gain Coefficient (SHGC): <br />R -value ~U <br />MECHANICAL SYSTEMS <br />I <br />Make-up Air Select a Type <br />Appliances <br />Heating System <br />Domestic WaterCooling <br />Heater <br />System <br />Not required per meth. Cade <br />Fuel Type <br />9&pkWtg� <br />Passive <br />Manufacturer <br />fAlw"ite- <br />,iQ <br />V`r�A <br />Powered <br />Model <br />W" <br />Interlocked with exhaust device. <br />Describe: <br />Input inCapacity <br />in <br />Output in <br />Other, describe: <br />Rating or Size <br />BTU S: <br />Gallons: <br />Tons: <br />rAFUEor <br />SEER <br />of duct or system: <br />Efficiency <br />PF% <br />�ALocation <br />LEER <br />RI <br />l 9001U,Residential <br />Cooling Load <br />Heating Loss <br />Heating <br />Gain <br />Load Calculation <br />b5 <br />Cfm's <br />" round duct OR <br />MECHANICAL VENTILATION SYSTEM <br />" metal duct <br />Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air <br />Combustion Air Select a Type <br />Not required per meth. code <br />source heat pump with gas back-up furnace): <br />Passive <br />Select Type <br />Heat Recover Ventilator (HRV) Capacity in cfms: <br />Low: <br />High: <br />Other, describe: <br />Energy Recover Ventilator (ERV) Capacity in cfms: <br />Low:Jill <br />11­11qh: <br />Location of duct or system: <br />Balanced Ventilation capacity in cfms: <br />Location of fan(s), describe: <br />N <br />Cfm's <br />Capacity continuous ventilation rate in cfms. <br />Ld <br />"round duct OR <br />Tntal ventilation iintermittent + continuous) rate in cfms: <br />"metal duct <br />