Active (With fan and monitoring
device )
Location (or future location) of Fan:
Other Please Describe Here
Not applicable, all ducts located in conditioned space
Not required per mech. code
Passive
Powered
Interlocked with exhaust device.
Describe:
Cfm's
" round duct OR
" metal duct
Not required per mech. code
Low:
Location of fan(s), describe:
Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution
panel.
New Construction Energy Code Compliance Certificate
Name of Residential Contractor
Mailing Address of the Dwelling or Dwelling Unit
Rigid, Extruded Polystyrene
Heat Recover Ventilator (HRV) Capacity in cfms:
Energy Recover Ventilator (ERV) Capacity in cfms:
Combustion Air Select a Type
Location of duct or system:
Building envelope air tightness:
Solar Heat Gain Coefficient (SHGC):
Bay Windows or cantilevered areas
Floors over unconditioned area
Perimeter of Slab on Grade
Total R-Value of all Types of
Insulation
Type: Check All That Apply
Describe other insulated areas
Location of duct or system:
Heating or Cooling Ducts Outside Conditioned Spaces
Make-up Air Select a Type
Average U-Factor (excludes skylights and one door ) U:
Duct system air tightness:
Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air
source heat pump with gas back-up furnace):
Residential Load
Calculation
Capacity continuous ventilation rate in cfms:
Total ventilation (intermittent + continuous) rate in cfms:
Balanced Ventilation capacity in cfms:
MECHANICAL VENTILATION SYSTEM
Builders Associaton of Minnesota version 101014