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Part B. DEPRESSURIZATION PROTECTION <br /> Check option used ❑ Fuer burning equipment (complete schedules below) G No fuel burning equipcietzt <br /> ,-- <br /> .INSTRUCTICNS EXHAUST 1 MAKE—LT AM SCHEDULE' <br /> Step 1. Cootpletz the Coinbtarrcn Equipment Schedule below. Only equtteanot Exhaust device over 300 am flow <br /> with a Y(Yes)may be seleczd under the"Category l„alte:tate. IG.T c.Le (goo d4 60e, e <br /> Step 2. Complete Er3rere7/Malte-up A .Schedule on tic right if direct or power A-.a ice c.,041 A• 600 cfm <br /> vented or solid fuel atmospbcric year apace heating egaipma .t Ls selected a f a <br /> COMBUSTION EQUIPMENT SO:MDT:LE <br /> (check all types proposed) <br /> Space heating—bonsai&fire! ! Seiied c.hi„doa Y He& — anuscliri Etel Cl Sealed combuatioc Y <br /> D Direz:or Bower vented Y-11 CI Director power vented Y <br /> Atraosr..laerically veted.'i N Attooseaetscally vented N <br /> Water heating—norsotid feel i Sealed combustion Y bra=bearing—solid fuel ❑ Atmospherically vented T Y' <br /> CI Direst or power versed Y I Water beating—solid fuel_ Q Atmtseplxrteally vented J Y <br /> itrassebe,ically vented N Hearth—solid fuel 1 1 Auaaepherically vented I Y <br /> Lf atmospherically vented sorld fuel or direct or power vented notselj fuel space hosting is installed. then make-up air to mates <br /> _flew is required for esch iadiN,d„aI exhaust device which ez=eds 3OC cubic feet per=L:ute• <br /> Part Ci. VENTIIJATION (Combustion Air/People Air) <br /> VENTILATION QUANTITY <br /> (Mechanical.ver-dSt:lon=1st be proviesd per the larges quantity calculated below) <br /> Lti17 So 1 cubic feet s 0.40583/minute @ oa 4g I aim ( y t 15 cfroibedroom) +15 dm e j 7.5— 1 rim <br /> vciurne of habitable rooms numb=of brogan <br /> VENTILATION SAY SCHEDULE <br /> Check rnetsce(s)proposed 4 O Exhaust only U Baianeed (heal'ecovey ventilator,air evrhinge, etc.) <br /> Far.description err 1oc on -3+ five. .•,,.. Duo i•9 B,.r,faw 1 1 1 TOTALS <br /> VENTILATION Intoe r a.o ea S o cfm 1 ct;a I - eta 1 a 9e, c <br /> ASDESICINi ED Exhaust_ ao6 eta sr) l 1 e£z I ado cc <br /> Statement of Compliance: The Fr-opesed builriing design renesenred in these dccsm:tt: is consistent with the building plans, <br /> sermons, and other cnlc !agora st:btrjaed with the Fe:rrit app-carica. The proposed buF.ding has bees designed? to meet the <br /> requirements of the Minnesota&espy Code. <br /> is te_ve_ r,.. /c. 46-V /c AQc• o 1 4sa.-9 Yr-ver /i <br /> Applicant(print rums) Signature Date Telephone number <br /> Part Cz. VENTILATION (Submit Part Cr upon completion of system verifieationl) <br /> Job Site Address: 3.- . . L"ST Lo,Ke , t ©vo..o Fermi:timber <br /> Fan des--prion er laedron I I 1 1 TOTALS <br /> MEASURE_. Intal e 1 cfm I cfm I c.^ I c frn cfrt <br /> PERFOR_ NCEt I Ezhau i er.. cfri 1 cfm ( cf-i cwt <br /> t vc.::Luioa rate Clser be measured and vsifiecc when the per`err-trete cpt on s c cd in lieu of the prescriptive option for the sealing <br /> of jci'irs in the building canditione::esvelooe(from Part A). <br /> Compliance Statement: Trstalled ver la:ion.system s in complier ace with I,,, 1-.1121.1y Cods 17 is sited ro provide the design air flow. <br /> 1-- <br /> _ <br /> Applicant <br /> — <br /> '.pplic=r.c(print name) Signat:re u�G_ T�teeiione t:urahet <br />