Fillable Energy Compliance Certificate 2 N1101 (City of Andover)

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Energy Compliance Certificate 2 N1101 (City of Andover)

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The Energy Compliance Certificate 2 N1101 (City of Andover) form is 1 page long and contains:

  • 2 signatures
  • 2 check-boxes
  • 128 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Andover

BROWSE CITY OF ANDOVER (MN) FORMS

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Date Certificate Posted: __________________________ Site Address: _______________________________________________________________________________
Contractor Name: _________________________________________________________________________ License Number: _________________________________
Mechanical Contractor Name: ______________________________________________________________ Bond Number: ___________________________________
Location
Type of Insulation
Installed
R-Value
Type
Location
Size
Roof/Ceiling
Makeup Air
Combustion Air
Walls
Water Heating
Manufacturer
Model
Slab-on-Grade
Floor
Ducts Outside of
Conditioned Spaces
Location
R-Value
Rim Joist
Interior, Exterior
or Integral
Foundation Wall
Interior, Exterior
or Integral
Fenestration
SHGC(solar heat gain coefficient)
Radon Control
Passive
Active
Heating System
Type
Input Rating
AFUE
Manufacturer
Model
Calculated Heat Loss
Cooling System
Type
Output Rating
Seer
Manufacturer
Model
Cooling Load/Heat Gain
Mechanical
Ventilation
Type
Location
Continuous Ventilation
Total Ventilation
Building Contractor Signature __________________________________________Mechanical Contractor Signature___________________________________________
A building certificate must be posted in a permanently visible location inside the building
and must be completed by the builder and must list information and values of components.
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Energy Compliance Certificate 2 N1101 (City of Andover)

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Completed 14 July 2020

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