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4 � . 4 <br /> New Construction Energy Code Compliance Certificate <br /> Per N I 101.8 Building Certificate.A building cemficaze shall be posted in a pertnanrndy visible bcation inside the bwlding. 'Che Date Certificah Poated <br /> certificate shall be completed by the builder and shall list informa�ion and values of components lisred in Table Nl 101.8. <br /> Mailing A ss of the Dwel' g r Dwdling Uoit Ciry <br /> ��C�� l�� �✓P: C �� �► C� <br /> Name of R aidential Contr to MN License Number <br /> 6 �,., ,--���;;,�,�,�,- ::�,�,( _'��� �� ���� <br /> THERMAL ENVELOPE RADON SYSTEM <br /> Type:Check All That Apply passive(No Fan) <br /> w <br /> o � <br /> c <br /> � � � Active(With fan and monometer or <br /> _ � �, other system monitoring device) <br /> iti U � ^ '� 0. y <br /> O 4 � V � O -p <br /> N <br /> N Ll' O R � � <br /> � d Ca W � V d v c <br /> �y . C .O T <br /> > O m v," O a� � x O <br /> Insulation Location ° z � � � q w <br /> °G �o o �w �o � � " <br /> a, �v �c <br /> '� � ° a .o � 5 on co <br /> F � Z w w w° u° � c� cG Other Please Describe Here <br /> Below Entire Slab Q�I b <br /> FOundation W911 - () Type in location:interior exterior or integral <br /> Perimeter of Slab on Grade <br /> Rim Joist(Foundation) ZDj 3 Type in location:intenor extenor or integral <br /> Rim Joist(1"�FIOor+) Zp. Type in�ocation:intenor extenor or integrai <br /> Wall -�{j, <br /> Ceiling,Flat -�U <br /> Ceiling,vauited �,- <br /> Bay Windows or cantilevered areas <br /> Bonus room over garage -38. <br /> Describe other insulated areas <br /> Windows 8�Doors Heating or Cooling Ducts Outside Conditioned Spaces <br /> Average U-Factor(excludes sky/ights and one door)U: Not applicable,all ducts located in conditioned space <br /> Solar Heat Gain Coefficient(SHGC): R-value <br /> MECHANICAL SYSTEMS `'�t�;,t v '��t sl ,�,� ,; Make-upAir se�e�roTyPe <br /> ApplianCes Heating System Domestic Water Heater Cooling System Not required per mech.code <br /> Fuel Type •r ��w�' li`'�S - • Passive <br /> Manufacturer � { iG� �{ '^�L ►,G�(�l�l - Powered <br /> Interlocked with exhaust device. <br /> Model _ M��, d /�-� <br /> �7 ,�U � � 5� -! �V C� Describe: <br /> Input in Capaciry in �` Output in / Other,desc�ibe: <br /> Rating or Size BTUS: �(,)�'(��/ Gallons: 7.J Tons: <br /> Heat Loss: Heat Gain: Loc;ation of duct or system: <br /> Structure's Calculated .��'�(.� �,,,����, <br /> AFUE or SEER: � ' � �� �j <br /> HSPF% I^ "�Llt�. <br /> � Calculated <br /> L <br /> � �Efficienc � L� cool;ng load: 1��GG� �jL Cfm's ,f-L� <br /> "round duct OR <br /> Mechanical Ventilation System ���� �`GL t� "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 /> ource heat pump with gas back-up fumace): 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: Low: High: Location of d ct or system: <br /> Continuous e�austing fan(s)rated capacity in cfrns: �1 �(�'� - <br /> Location of fan(s),describe: I 1 i'���S � � � ���C(' ,ti� �� �!' Cfm's <br /> Ca aciry continuous ventilation rate in cfins: �'� "round duct OR <br /> Total ventilation(intermittent+continuous)rate in cfms: ',��' "metal duct <br /> Created by BAM version 052009 <br />