HomeMy WebLinkAboutFridley Energy Compliance form 4-4-23 New Construction EnergyCode Compliance Certificate
Per R401 .3 Certificate. A building certificate shall be posted on or in the electrical distribution Date Certificate Pos
panel.
Mailing Address of the Dwelling or Dwelling Unit Ci _'L__ - ____ — 1 Place your
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Name of Residential Contractor MN License Number-—
i A- . -S - ?_ 7 C � C 31 00 G
HERNIAL ENVELOPE RADON CONTROL SYSTEM
Type: Check All That Apply Passive (No Fan )
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ai or other system monitoring
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a� Location (or future location ) of Fan:
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Insulation Location z _� c� v p t1' tj
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►— z X Cr- Other Please Describe Here
Below Entire Slab ,..,
Foundation Wall iz AN* [ C
Perimeter of Slab on Grade
Rim Joist ( 1 st Floor)
Rim Joist (2nd Floor+)
Wall
Ceiling, flat ,., 149 Ix
Ceiling , vaulted
Bay Windows or cantilevered areas
Floors over unconditioned area
Describe other insulated areas
Building envelope air tightness:
Ducts stem air tightness :y
V1lindows & Doors Heating or Cooling Ducts outside Conditioned
Spaces
Average U-Factor (excludes skylights and one door ) U . Not applicable, all ducts located in conditioned space
Solar Heat Gain Coefficient ('SHGC): R-value
CHANICAL SYSTEMS Mak
e-up up Air Select a Type
Appliances HeatingS Domestic water
System Heater Cooling System
Not required per mech. code
Fuel Type
Passive
t
Manufacturer tvo Powered
Model Y
Interiocked with exhaust device.
Describe.
input in Capacity Output Other, describe:
Rating or Size STUS: in Gallons: in Tons:
AFUE or �.v SEER Location of duct or system :
Efficiency HSPF% V JEER
Residential Load Calculate Heating Lass Heating Gain Cooling Load
Cfm's
" round duct OR
MECHANICAL VENTILATION SYSTEM
metal 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 (HRV) Capacity in cfms: Low: High: ]Other, describe:
] Energy Recover Ventilator (ERV) Capacity in cfms: Low: High: Location of duct or system:
Balanced Ventilation capacity in cfms:
Location of fan(s), describe-
I Cfm'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