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( � <br /> � Part B. DEPRESSURIZATION PROTECTION <br /> Check optian used: ❑ Fuel buming equipment (complete schedules below) ❑ No fuel burning equipment <br /> �.,�..� - <br /> Irrs�rxUcrtorrs EXHAUST/MAKE-UP AIR SC'I�Di1LE" <br /> Step 1. Complete the CombustiNai Equipment Schedule below. Only equipment Exhaust devices over 300 cfin Flow <br /> with a Y(Yes)may be selected under the"Category 1"alternate. �� <br /> Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power �� <br /> vented or solid fuei ahnospheric vent space heating equipment is selected �� <br /> COMBUSTION EQUIPMENT SCHEDULE <br /> check all es ro osed <br /> Space heating—nonsolid fuel Sealed combustion Y Hearth — nonsolid fuel ❑ Sealed combustion Y <br /> 0 D'uect or wer vented Y' ❑ Direct or power vented Y <br /> Ahno hericall vented N Ahnos hericall vented N <br /> Water heating—nonsolid fuel ❑ Sealed combustion Y S ce hea' —solid fuel ❑ Ahnos hericall vented Y' <br /> ❑ Direct or wer vented Y Water heat' —solid fuel ❑ Atmos hericall vented Y <br /> Atmo herically vented N Hearth—solid fuei ❑ Atrnospherically vented Y <br /> • If atmospherically vented solid fuel or direct or power vented nonsolid fuel space heating is installed,then make-up air to match flow is required <br /> for each individual exhaust device which exceeds 300 cubic feet minute. <br /> Part Ci. VENTILATION <br /> VENTILATION QUANTITY <br /> (Mechanical ventilation must be provided per the larger quantity calculated below) <br /> ! �� cubic feet z 0.00583/minute = �_ �D cfm ( � g 15 cfm/bedroom)+15 cfm= � cfm <br /> volume of habitable rooms number of bedrooms <br /> VENTILATION FAN SCHEDULE <br /> Check method(s)proposed -� J� Exhaust only �❑ Balanced (heat recovery ventilator,air exchanger,et��� <br /> Fan descri tion or location � Y ; z P V� TOTALS <br /> VENTILATION Intake cfm cfm cfm cfm cfin <br /> AS DESIGNED Exhaust � cfm cfm cfm cfrn cfm <br /> Statement of Compiiance: The proposed building design represented in these documents is consistent with the building plans,specificarions, <br /> and other calculations submitted with the permit application. T'he proposed building has been designed to meet the requirements of the <br /> Minnesota Energy Code. <br /> �obe�-�' -?,�h '�ti� �a� 06 a�a-Y�a-s��o <br /> Appl�cant(print name) Signature Date Telephone number <br /> Part Cz. VENTILATION (Submit Part C2 upon coarpletion of system verification�) <br /> �G---------------------------------------------------------- <br /> ------------ <br /> Job Site Address: Permit Number <br /> Fan descri tion or location TOTALS <br /> MEASITRED Intake cfm cfin cfm cfm cfm <br /> PERFORMANCE Exhaust cfin cfin cfm cfm cfm <br /> j' Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive option for the sealing of <br /> 'oints in the build' conditioned envelo from Part A . <br /> Compiiance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow. <br /> Applicant(print name) Signature Date Telephone number <br /> 12 <br />