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P�rt B. DEPRESSURIZATION PROTECTION ,, �� <br /> Check option used: ❑ Fuel burning equipment (complete schedules below) ❑ No fuel burning eq�tpment ' -" <br /> ItvST[tUCT1oNs EXHAUST/MAKE-UP AIR SCAEDULE* <br /> Step 1. Complete the Combustion Equipment Schedule below. Only equipment Exhaust devices over 300 cfm Flow <br /> with a Y(Yes)may be selected under the"Category 1"alternate. cfm <br /> Step 2. Complete F�haust/Make-up Air Schedule on the right if direct or power cfm <br /> vented or solid fuel atmospheric vent space heating equipment is selected. cfm <br /> COMBUSTION-EQUIPMENT SCHEDULE <br /> (check all tv es ro osed) <br /> Space heating—nonsolid fuel ❑ Sealed combustion Y ' Hearth — nonsolid fue) ❑ Sealed combustion Y <br /> ❑ Direct or ower vented Y* ❑ Direct or ower vented Y <br /> �Atmos hericall vented N Atmos hericall vented N <br /> Water heating—nonsolid fuel ❑ Sealed combustion Y S ace heatin —solid fuel� ❑ Atmos hericall vented Y* <br /> ❑ Direct or ower vented Y Water heatin —solid fuel ❑ Atmos herica(1 �vented Y <br /> Atmos hericall vented N Hearth—solid'fuel ❑ Atmos hericall �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 er minute. - <br /> Part C�. VENTILATION <br /> ' VENTILATION QUANTITY <br /> � (Mechanical ventilation must be provided per the larger quantity calculated below) _ <br /> ��� cubic feet x 0.00583/minute = �� cfm ( C�� x 15 cfm/bedroom)+ 15 cfm = �� cfm <br /> volume of habitable rooms number of bedrooms <br /> � � � � VENTILATION FAN�SCIiEDULE � <br /> Check method(s)proposed -� ❑ Exhaust oniy ❑ Balanced heat recovery ventilator,air excha ,neer,ete.� <br /> Fan descri tion or location -� ��� � TOTALS <br /> VENTILATION Intake cfm cfm cfm cfm cfm <br /> AS DESIGNED Exhaust cfm cfm cfm cfm cfm <br /> Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,specifications, <br /> and other calculations submitted with the permit ap�. The propose �jing has been designed to meet the requirements of the <br /> Minnesota Energy Code. � <br /> � <br /> ` �/-. irr ��91c�� <br /> _ f ,3 �8 G� /.�,.3� � -36/l <br /> Applicant(print rrmnej Signature Date Telephone number <br /> Part C2. �ENTILATIDN (Submit Part C2 upon completion of system verification�) <br /> �--- — ---- ------------------- <br /> Job Site Address: Permit Number <br /> Fan descri tion or location TOTALS <br /> MEASURED Intake cfm cfm cfm cfm cfm <br /> PERFORMANCE� Exhaust cfm cfm` cfm cfm cfm <br /> ��' � Ventilation rate must be measured and verified when the performance�option is used in lieu of the prescriptive option��for the sealin�of <br /> 'oints in the buildin�conditioned envelo e��� from Part A). �� � � � � � � �� �� � <br /> Compliance 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 />