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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. `V <br /> IC I 1 <br /> Mailing Address of the Dwe 'ng or Dwelling Unit City <br /> to o ti� <br /> Name of Resid tial Contr ctor MN License Number KFSHo�``` <br /> -S vc N L.c�C C ) <br /> THERMAL ENVELOPE RADON CONTROL SYSTEM <br /> Type:Check All That Apply Passive(No Fan) <br /> o (D <br /> C 5DO Active(With fan and monometer or <br /> 1 <br /> F T other system monitoring device) <br /> mco0 _ m a°m <br /> 3 « U <br /> a°i n ° f6 a U -2 a ° Location(or future location)of Fan: <br /> Q m CO c ° c <br /> N ` T <br /> c Z y N ° G. LL X O <br /> Insulation Location 13� o <br /> O w N <br /> m o 21 2 E E <br /> N N '6 6 <br /> Cb CO -9 '2 0 Co 6 O) O) <br /> r S z LL ii LL LL EOther Please Describe Here <br /> Below Entire Slabr1 h <br /> Foundation Wall )O Ilk 11- 1 V <br /> Perimeter of Slab on Grade <br /> Rim Joist(1st Floor) <br /> Rim Joist(2nd Floor+) !s <br /> Wall X <br /> Ceiling,flat <br /> Ceiling,vaulted <br /> Bay Windows or cantilevered areas <br /> Floors over unconditioned area <br /> Describe other insulated areas <br /> Building envelope air tightness: Duct system airtightness: <br /> Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces <br /> Average LI-Factor(excludes skylights and one door)U: Not applicable,all ducts located in conditioned space <br /> Solar Heat Gain Coefficient(SHGC): 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 U & C,- l,L Passive <br /> Manufacturer ,ll�' ( N� �e ' ` a I ^/ Powered <br /> p Interlocked with exhaust device. <br /> Model N �'4 D�� Describe: <br /> Input in Capacity inOutput Other,describe: <br /> Rating or Size BTUS: p Do v GallonsC) in Tons: <br /> AFUE or SEER Location of duct or system: <br /> Efficiency HSPF% / /EER <br /> Heating Loss Heating Gain Cooling Load <br /> Residential Load Calculati 6S 1 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(HRV) Capacity in cfms: Low: High: Other,describe: <br /> Energy Recover Ventilator(ERV)Capacity in cfms: I Low: I IHigh: I Location of duct or system: <br /> Balanced Ventilation capacity in cfms: <br /> Location of fan(s),describe: p,�Ito, glt Cfm's <br /> Capacity continuous ventilation rate in cfms: "round duct OR <br /> Total ventilation(intermittent+continuous)rate in cfms: p "metal duct <br /> Builders Associaton of Minnesota version 101014 <br />