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New Construction Energy Code Compliance Certificate <br /> Per R401.3 Certificate.A building certificate shall be posted on or in the electrical distribufion Date Certificate Posted �� f�"�O E�r� <br /> ��fi:. Y' L <br /> p�i,el. <br /> Mailing Address of t e Dwelling or Dwelling Unit Ci �jCC _ 3 90+ ; <br /> � � �0' v� �r�no �M � <br /> Name of Re e tial ontractor MN License Number <br /> p ��4-�� � �r�'Z� �� n c � !I G cir�� oF oRc:::*�o <br /> THERMAL ENVELOPE RADON CONTROL SYSTEM <br /> Type:Check All That Apply Passive(No Fan) <br /> ///��� Active(With fan and monometer o� <br /> ����� �n�v N c othersystemmonitoringdevice) <br /> i� 8 � ` <br /> �� R� � �, N Location(or future location)of Fan: <br /> .p T <br /> (0 V C � N _ � a .�- <br /> p �a � (� � p .� f0 <br /> n. m � <br /> � Q m m � � � � c <br /> j � � m � n ii � o <br /> Insulation Location � � Z `—° `—° � � � W N <br /> m `o m m � E � -o -o <br /> (0 j C � � � � C . . <br /> E°- � z i�—i '���i �i i° � � � Other Please Describe Here <br /> Below Entire Slab <br /> Foundation Wall .� ��pr <br /> Perimeter of Slab on Grade <br /> Rim Joist(1st Floor) ��.�r �. <br /> Rim Joist(2nd Floor+) a } � <br /> Wall '�,�1 <br /> Ceiling,flat <br /> Ceiling,vaulted �� <br /> Bay Windows or cantilevered areas Q <br /> Floors over unconditioned area <br /> Describe other insulated areas <br /> Building envelope air tightness: Duct system air tightness: <br /> Windows 8�Doors Heating or Cooling Ducts Outside Conditioned Spaces <br /> Average U-Factor(excludes skylights and one door)U: Q �( Not applicable,atl ducts located in conditioned space <br /> Solar Heat Gain Coefficient(SHGC): � a R-value <br /> MECHANICAL SYSTEMS Make-up Air Select a Type <br /> Appliances Heating System Domestic Water Cooling System <br /> Heater Not required per mech.code <br /> Fuel Type G{�1JV fi�� f�'�'u�h� �'r r L Passive <br /> Manufacturer � 'v F' h �- �. � Powered <br /> Interlocked with exhaust device. <br /> Model ��IeQ)�� j�P, 0�� ' ��_ �G-C Describe: <br /> Input in Capaciry in y Output Oth@r,d2SCribe: <br /> Rating or Size BTUS: ��� �l(y� Gallons: J � in Tons: 2�p� <br /> AFUE or SEER �� Location of duct or system: <br /> EffICIBf1Cy � � HSPF% � /EER <br /> Heating Loss Heating Gain Cooling Load <br /> Residential Load Calculati , � � .� <br /> � Cfm's <br /> "round duct OR <br /> MECHANICAL VENTILATION SYSTEM "metal duct <br /> Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type <br /> source heat pump with gas back-up furnace): Not required per mech.code <br /> Select Type Passive <br /> Heat Recover Ventilator(HR� Capacity in cfms: Low: High: P Other,describe: <br /> Energy Recover Ventilator(ER�Capacity in cfms: Low: High: Location of duct or system: <br /> Balanced Ventilation capacity in cfms: <br /> Location of fan(s),describe: Cfm's <br /> Capacity continuous ventilation rate in cfms: "round duct OR <br /> Total ventilation(intermittent+continuous)rate in cfms: "metal duct <br /> Builders Associaton of Minnesota version 101014 <br />