Energy Certificate by irues2342

VIEWS: 28 PAGES: 2

									                          Energy Certificate                                                                   Energy Certificate
                        Energy Efficiency Components                                                        Energy Efficiency Components
Address: ___________________________________ CITY ___________________              Address: ____________________________________ CITY ___________________
Building Permit Number: ________________________________________________           Building Permit Number: ________________________________________________
Ceiling                    Flat                                        R=_____      Ceiling                    Flat                                        R=_____
                           Vaulted                                     R=_____                                 Vaulted                                     R=_____
Walls:                     Above grade walls                           R= ____      Walls:                     Above grade walls                           R= ____
                           Crawlspace/foundation walls                 R=_____                                 Crawlspace/foundation walls                 R=_____
Floors:                    Over unheated spaces                        R=_____      Floors:                    Over unheated spaces                        R=_____
                           Perimeter slab                              R=_____                                 Perimeter slab                              R=_____
                           under slab                                  R=_____                                 under slab                                  R=_____
Exterior doors             Metal, Wood,                                R=_____      Exterior doors             Metal, Wood,                                R=_____
                           Glass                                       U=_____                                 Glass                                       U=_____
Windows:                   NFRC unit rating                            U=_____      Windows:                   NFRC unit rating                            U=_____
                           (or) Default window rating                  U=_____                                 (or) Default window rating                  U=_____
                           Skylights                                   U=_____                                 Skylights                                   U=_____
Water heater               Energy factor (EF) rating                   EF_____      Water heater               Energy factor (EF) rating                   EF_____
                           Hot water piping                            R=_____                                 Hot water piping                            R=_____
Heating system Energy efficiency rating                                AFUE_____    Heating system Energy efficiency rating                                AFUE_____
                           (AFUE for gas; HSPF for heat pump)          HSPF_____                               (AFUE for gas; HSPF for heat pump)          HSPF_____
Cooling system             < 65,000Btu/h cooling capacity              SEER_____    Cooling system             < 65,000Btu/h cooling capacity              SEER_____
HVAC ducts                 Air ducts outside of the thermal envelope   R=_____      HVAC ducts                 Air ducts outside of the thermal envelope   R=_____
(Floors)Air ducts inside thermal envelope but outside condition space. R=______     (Floors)Air ducts inside thermal envelope but outside condition space. R=______
         Other (i.e. ventilation systems, radon abatement)                                   Other (i.e. ventilation systems, radon abatement)
___________________________________________________________________________         ___________________________________________________________________________
_________________________________________________________________________           _______________________________________________________________________
Insulation contractor: __________________________________________________           Insulation contractor: _______________________________________________
Builder Name (Company) ______________________________________________               Builder Name (Company) ________________________

Certified by Builder or Design Professional : ____________________________          Certified by Builder or Design Professional: ____________________________
Date: _____________________                                                         Date: _____________________
The builder certifies compliance with IRC N1101.8 by completing and signing         The builder certifies compliance with IRC N1101.8 by completing and signing
this label.                                                                         this label.
THIS LABEL MUST BE PERMANENTLY AFFIXED BY THE HOME BUILDER TO THE                  THIS LABEL MUST BE PERMANENTLY AFFIXED BY THE HOME BUILDER TO THE
ELECTRICAL DISTRIBUTION PANEL BOX COVER ON ALL NEW RESIDENTIAL BUILDINGS           ELECTRICAL DISTRIBUTION PANEL BOX COVER ON ALL NEW RESIDENTIAL BUILDINGS
AS REQUIRED BY THE VIRGINIA UNIFORM STATEWIDE BUILDING CODE, 2006 EDITION.         AS REQUIRED BY THE VIRGINIA UNIFORM STATEWIDE BUILDING CODE, 2006 EDITION.

								
To top