HomeMy WebLinkAboutEnergy Compliance Certificate New Construction Energy Code Compliance Certificate
Per R401.3 Certificate.A building certificate shall be posted on or in the electrical distribution Date Certificate Pos
panel.
Place your
Mailing Address of the Dwelling or Dwelling Unit City
a LE T. �/z/D� logo here
Name of Residential Contractor MN License Number
11 o9 f ZeUVY
THERMAL ENVELOPE RADON CONTROL SYSTEM
Type:Check All That Apply Passive(No Fan)
o a) or other system monitoring
(V c
CL N
> v y Location(or future location)of Fan.
c° U c a
a ro g
J O C N O. lL U
Insulation Location z U) ro J p to 0
mo rn rn m
m
c v nt m m 4 6
z LL ti � it Other Please Describe Here
Below Entire Slab
Foundation Walt
Perimeter of Slab on Grade
Rim Joist(1st Floor
Rim Joist(2nd Floor+)
Wall
Ceiling,Flat
Ceiling,vaulted
Bay Windows or cantilevered areas
Floors over unconditioned area
Describe other insulated areas
Building envelope air tightness: Duct system air tightness:
Windows&Doors lHeatigg or Cooli2V Ducts Outside Conditioned Spaces
==A
Average LI-Factor(excludes skylights and one door)LI: Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): R-value
MECHANICAL SYSTEMS Make-up Air Select a Type
Appliances HeatingS Domestic Water
System Heater Cooling System
Not required per mech.code
Fuel Type Passive
Manufacturer Powered
Interlocked with exhaust device_
Model Describe:
Input in Capacity Output Other,describe:
Rating or Size BTUS: in Gallons: in Tons:
AFUE or BEER Location of duct or system:
Efficiency HSPF( LEER _,s/./d1"0A1"
Residential Load Calculate
Heating Loss Heating Gain Cooling Load Y r
Cfm's
"round duct OR
MECHANICAL VENTILATION SYSTEM "metai duct
Describe any additional_or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type
source heat pump with gas back-up furnace): Not required per mech.code
Select Type Passive
Heat Recover Ventilator(HRVj Capacity in cfms: Low: High: Other,describe:
Ener y Recover Ventilator(ERV)Capaci in cfms: Low High: Location of duct or system:
Balanced Ventilation rapacity in efms:
Location of fan(.),describe: Cim's �—
Capacity continuous ventilation rate in cfms "round duct OR
Total ventilation(intermittent+continuous)rate in cfms: "metal duct
Builders Associaton of Minnesota version 101014