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�:����� ����:�"��r <br /> ...�:; .±.. Y�W., ._ ,+,�.��� . �. <br /> III!�stration #5 Version 1 .0: May 2009 � <br /> New Construction Energy Code Compliance Certificate <br /> Per N 1 I 01.8 Building�Ceitificate.A building certificatz shall be postcd in a�nnanendy visihle location inside the building• ' BUILDERS <br /> I'he certificate shall be completed hy the builder and shall list inCormation and values of components�isted in"fablz N110 LR. w�waATioN oF rniNNesorn <br /> For detuled infoitna�ion on how to coiTecdy complete this 1'um�go to wn�u:Gamn.urg/enerp,ycnrle Dr E'eluped hp rhr[3nild�-�sAaroclnri��n ojAO;nnecora <br /> fr,� se bv�hr recidenrial cnn.slnicriun indmn,v. <br /> 3 I o S--Cpsco �o►n[�-- -- _--- .._..--_ __ __...- ------ DRonIO <br /> - - __ __. _ ._.-__ -- _ -- - - ____._. ...__ <br /> MailingAddrzss of Dwelling o�Da�elling Llnit City Date Certificate Posted <br /> C E-�aR�� '�'_�o o DE /l!01ro �o cv_3��_�-�__u�_v_ <br /> N�me of Kesidential Contractor � MN License Number <br /> THERMAL ENVELOPE RADON SYSTEM <br /> e <br /> Type:Check All That Apply � Passivc(No Fan) <br /> 0 <br /> C Activc(\�'ith(on and monometer or nther <br /> z � <br /> � � systcm monitoring dcvicc) <br /> � � <br /> o~ � u <br /> � <br /> c � �. <br /> � U <br /> � � � <br /> G V � � <br /> Q V W IZ <br /> G � � � � � <br /> G <br /> � C pa ^, � � � ` � <br /> :� z �; �; ; � � � <br /> � 4 � v a � � � <br /> `o � L° E c � 3 � <br /> � � u u q � � . . <br /> lnsulation Loeation :° Z 'w 'w � U'. � %—Y, x Otheq Please Describe Herc <br /> t3elo�r GnHre Slnb � ��� ���5 L <br /> Foundation Wiill Ci�rle I.oc•c��ion.•bverior/F�-terior�Lrtegra! � � <br /> Pcrimetcr of Slab on Crodc � <br /> Rim Joist(Fotrndntion)Circle Lncntl�n:Interior/Ext�rioriLntegra! �,"� <br /> Riro Joist(Is!Flnor+)Circle Loca�ion:lnrerionG.r�eriar7irle��a1 � <br /> �1�a I I Z� ,� <br /> Cciling,flat � J � " � � '� . <br /> Ccilin�,vaulted 5� � � •�" W5� .�L� 0•� <br /> [3ay wi�do�rs or othcr cantilcrcrcd arces 3'7 � _/ <br /> i v <br /> lionus ruom ovcr�aragc �.�. <br /> Describe othcrinsulated arcas <br /> Windows & Doors Heating or Cooling Ducts Outside Conditioned Spoces <br /> Average U-�ac[pr(e.cch�des 1)ery.n.,skplighls und one door)U: • 3 D [�/�Not applicable,all in conditioned space <br /> Solar Hcat Gain Coclficicnr. . � [ ]R= <br /> ME�HANICAL SYSTEMS <br /> Make-up Air <br /> Applianees Nexting System Domestic Water Herter Cooling System Se%rct a T�pe <br /> Fue17)�pc �at3 a, �(i�L"T]z�L. ['✓I Not required per mechanical code <br /> �[anutucturer �y�/j}{ IJI'�YaN-r [ ]Passive [ ]Powered <br /> Model � e,>!�r SQ � A�a ( ]Interlocked with exhaust device, <br /> describe <br /> Rati��;or Size Input in B'I 11S: Z Capacity in Gallons: Output in 7'ons: [ ]Oiher,describe: <br /> Slruclure's Culculvled I�eat Loss: --Not Applicable-- Heat Gain: Z Locution ofd.u/ct or.s��stetn: <br /> Efficicncy AFUEorHSPF°/r --NotApplicaUle— SEER: J3 1�•� - <br /> 9�.. Calculated cooling loed: Cfur's I- - -] <br /> Size ofdrtct[ )inch round <br /> Mechanical Ventilation System orz�__��„�nn,ecai <br /> Desc'rrl c nny nclrliGanrd nr comhine[f heuting nr cnoli�rg s}•slems if irrstalle :(e.q.two fin�nares or air source hent �ombustion Air <br /> f7!l/tl(7 N'!!It,{'C!S GUCIi'll�)J�ll'flllCC'f 2 �-t,►►LuQ.eE 3�7��''l � O� �7L�r1S F��L� Select a Tipe <br /> Seles�f n T�,pe [ ]Not rcquircd per mechanical code <br /> (�/�k-Ieat Recover Ventilator(HRV) Capacity in cfmx Low_ ��/1�i�h 0 � O [�/j Yacsi�-e <br /> [ J F.ner�y Recover Ventilator(GRV) Capacit��in cfms:I.ow_ _ _/High_ __ [ ]Other,describe: <br /> [ J Continuously cxhaustin�fan(s)ratcd capaciry in cfins:_ _ _ Lorntion ojdrrct ors��srenc <br /> Location of'tan(s)check all that apply;[ ]Master badiroom( ]Hallway[ ]ocl,e�describ�: �ELN • RoOM <br /> Cnpacrty Cj�u's[—— —] <br /> Continuous ventilation r:ttc= - - -cfin Size ofduc![_��inch round <br /> Tolul aenfilntion(intermittent+continuous)rate= _ _ __cfin OR[__]inch metal <br /> 42 Builders Association of Minnesola 525 Park St, Ste 1 SO I St. Paul,MN 55103 800-654-7783 or 651-646-7959 wv�nv.bamn.org <br />