Energy Certificate

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 Hot water piping R=_____ EF_____ Heating systemEnergy efficiency rating AFUE_____ Hot water piping R=_____ (AFUE for gas; HSPF for heat pump) HSPF_____ Heating system Energy efficiency rating Cooling system < 65,000Btu/h cooling capacity SEER_____ AFUE_____ HVAC ducts Air ducts outside of the thermal envelope R=_____ (AFUE for gas; HSPF for heat pump) HSPF_____ (Floors)Air ducts inside thermal envelope but outside condition space. R=______Cooling system < 65,000Btu/h cooling capacity Other (i.e. ventilation systems, radon abatement) SEER______HVAC ducts Air ducts outside of the thermal envelope R=______(Floors)Air ducts inside thermal envelope but outside condition space. R=______Insulation contractor: ______Other (i.e. ventilation systems, radon abatement) ______Builder Name (Company) ______Insulation contractor: ______Certified by Builder or Design Professional: ______Builder Name (Company) ______Date: ______Certified by Builder or Design Professional: The builder certifies compliance with IRC N1101.8 by completing and signing ______this label.

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