Fillable TABLE 401.9 ENERGY EFFICIENCY CERTIFICATE (Madison County Government)

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TABLE 401.9 ENERGY EFFICIENCY CERTIFICATE (Madison County Government)

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TABLE 401.9
ENERGY EFFICIENCY CERTIFICATE
Builder, Permit Holder or Registered Design Professional
Print Name:
Signature:
Property Address:
Date:
Insulation Rating – List the value covering
largest area to all that apply
R - Value
Ceiling/roof:
R -
Wall:
R -
Floor:
R -
Closed Crawl Space Wall:
R -
Closed Crawl Space Floor:
R -
Slab:
R -
Basement Wall:
R -
Fenestration:
U-Factor
Solar Heat Gain Coefficient (SHGC)
Building Air Leakage
Visually inspected according to 402.4.2.1 OR
Building Air Leakage Test Results
(Sec. 402.4.2.2)
ACH50 [Target: 5.0] or
CFM50/SFSA [Target: 0.30]
Name of Tester/Company:
Date: Phone:
Ducts:
Insulation
R -
Total Duct Leakage Test Result (Sect. 403.2.2)
(CFM25 Total/100SF) [Target: 6]
Name of Tester/Company:
Date: Phone:
Certificate to be displayed permanently
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TABLE 401.9 ENERGY EFFICIENCY CERTIFICATE (Madison County Government)

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Completed 18 July 2020

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