HomeMy WebLinkAboutEnergy Code Compliance Certificate Form 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.
Mailing Address of the Dwelling or Dwelling Unit City
Place your
logo here
Name of Residential Contractor MN License Number
Four Brothers Construction LLC BC799541
THERMAL ENVELOPE RADON CONTROL SYSTEM
Type:Check All That Apply Passive(No Fan)
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Insulation Location ° z m m v o ia w N
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Below Entire Slab
Foundation Wall
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 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
MECHANICAL SYSTEMS Make-up Air Select a Type
Appliances Heating stem Domestic Water
pp g 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 SEER Location of duct or system:
Efficiency HSPF% LEER
Residential Load Calculatit
Heating Loss 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: jHiqh. I 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