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Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: ❑ Fuel burning equipment (complete schedules below) O'No fuel burning equipment <br /> INSTRUCTIONS EXHAUST/MAKE-UP'AIR SCHEDULE* `. <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 Exhaust/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 EQUIPAIEN SCHEDULE <br /> (check all types proposed) <br /> Space heating-nonsohd fuel ❑ Sealed combustion Y ! Hearth — nonsolid fuel ❑ Sealed combustion Y <br /> ❑ Direct or power vented Y*, E3 Direct or power vented Y <br /> Atmospherically vented.: N Atmospherically vented'' N. <br /> Water heating-nonsolid fuel ❑ Sealed combustion Y Space heating-,solid fuel ❑ Atmospherically vented Y*;. <br /> ❑ Direct or power vented Y Water heating solid fuel ❑ Atmospherically vented Y <br /> Atmospherically vented' N ° Hearth-solid fuel L3 Atmospherically vented <br /> *; If atmospherically vented,solid:fgel or direct or::power vented nonsolid fuel space heating is:installed, then make-up air.to match <br /> now is required for each individual exhaust deviee'which exceeds 300 cubic feet per minute. , <br /> Part C1. VENTILATION <br /> r VENTILATION QUANTITY r : <br /> r (Mechanical ventilation must be provided per the larger quantity calculated below) <br /> Zg,LA1 Z cubic feet x 0.00583/minute =' �(o cfm` ( a 15 cfm/bedroom)+15 cfm cfm <br /> volume of habitable rooms . number of bedrooms <br /> VENTILATION FAV'SCHEDULE ; <br /> Check niethod(s)proposed ': : ❑ Exhaust only ❑ Balanced (heat recovery ventilator,air exchanger,etc.) <br /> Fan description or location TOTALS <br /> VENTILATION Intake cfm cfm cfin cfm cfrn <br /> AS DESIGNED Exhausf` cfrn! cfm cfm:.. cfm <br /> Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, <br /> specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the <br /> requirements <br /> �of the Minnesota Energy Code. <br /> ir <br /> Applicant(print name) Signature Date Telephone number <br /> Part C2. VENTILATION (Submit Part Cz upon completion of system verification-) <br /> ---------------------------------------------------------------------- <br /> Job Site Address: CSY1-V t-e—w Permit Number <br /> Fan description or location z ITOTALS:: <br /> j MEASURED Intake cfm cfm cfm cfm -clip <br /> PERFORMANCEt Exhaust cfrn cfm cfm" cfm' cfm. <br /> fi Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive-option for the sealing <br /> of joints in the building conditioned envelope(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 />