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H.rL. �.C'QOd 11;.,ZFd''I i't11.:: -. . ',-; <br /> Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: 0 Fuel burning equipment (complete schedules below) C No Ex!burning equipment <br /> I STRUCnONS EXHAUST/MAI-UP AIR SCHEDULE' <br /> Step 1. Complete the Combustion Equipment Schedule below. Only equipment Exharit devices over 300 cfin Flow <br /> with a Y(Yes)may be sae-cmd order the"Category 1"alternate. ic;rc.k.€.. 14o0 ei (aocv c <br /> Step 2. Complete ExhauseMake-up 4 fr.Schedule eagle tight if direct ox power f__!-,,•:.E___.cce c.,a_ ,,- 60o c£a <br /> vented or solid fuel atmospheric vent Vac=hearing equipment is Selected. 1 cat <br /> COMBUSTION EQUIPMENT SCHEDULE ' <br /> (check all types proposed) <br /> Space heanng-nonsolid fuel • Sealed combustion 1 Y I Hearth - nonselid foci C1 Sealed combustion I Y <br /> ❑ Direct or power vented Y* 1 0 Direct or power vented Y <br /> ' Atmospherically ventedtiJ N Atmosphet dally vetted I N <br /> Water heating-nonsoiid fuel i Sealed combustion Y Space hest ;-solid fuel [ Cl Atrnospl cically vented I Y' <br /> CI Dire=or power vented Y N Water hr,rns-solid fuel 1 C Amosnl ically vented 1 Y <br /> Atmospherically vented N Hearth-solid the? I I Atmospherically vented I Y <br /> "4 tf atmospheric:01y vented solid fuel or direct or power vented nar.sol d fuel. spar.: heating is installedd, then rase.-t.:. air to matci: <br /> flow is required for coda individual exhaust device which excedds 300 cubic feet per zealot.. <br /> Part Ci. VENTILATION (Combustion A.ir/People Air) <br /> VENTILATION QC:A1 rrY <br /> (Mechanical ver^.dadon must be provided ps.T the limen quantity calculated below) <br /> ,Lia)Sc 1 cubic feet r 0.0058:/minute = a.4° I dm ( St I x 15 dim-bedroom) +1S cfrn= I je- 1 cfro <br /> vchio a of habitable rooms nuatobc of b—-Dance <br /> VEN li,LATlON FAY SCHEDULE <br /> Check me:hcd(s)proposed -> C E<!^stsr only i Balanced (hen:recover:venr!ator, air c.cam;-, etc.) <br /> Fan d=c prion or locaton -> IVe . Duo t,9 113".t4 FaL. I I I TOTALS <br /> VENTII_ATIO` Int:..ke I ;)c,o c 7 c c:u, I I c. I ,9cf.= <br /> ' <br /> AS DESIGNED , Exhaust 1 , (Do c m ( SC ct= j cr:. I of= I aro : <br /> Statement of Compliance: The pr posed huilaing dcsi7 represented in these Became nes is consistent with he buiiaing pians, <br /> specin ons, and other calculations submit:id with the pc.rn.it app_enticn. The proposed building has been deigned tc t:.eet the <br /> requiremertta of the 4linnesotaergy Code. <br /> lcLe.,e._ Sac /i" f. !`c AQc G l "..s-A..-9 Y/-cin i/ <br /> Applicant(prrt risme) Signature Date Telephone number <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verification; <br /> x <br /> Job Site Address: 3.)a 1--1 r La(CP .ST O vc>.,o Fernnt Number <br /> Fan des -prion or locaron I I_ I I I TOTALS <br /> MEASURED I Intake 1 cfsc° <br /> I .m I ca. I c�: I c:-1 <br /> PERFORMANCE Exhaust { c m <br /> ( cfrn I cfn I c`n: I ca ^ <br /> F Ventilation rate comae he measured and verified when the per:crr:.are3 cpt-ion is lased in lieu of the presc.:tie cotton for the sealing <br /> of;cinrs in the building conditioned.envelope(from Part A). <br /> Compiiaocc Statement: In_itaIled ventilation system is in cotrplia:c_with NLN linerey Cods sad is sized ,o prcvic._ the aesig air flow. <br /> Appiioar.t(print naive) Signature :pie Ta! 1crle ner~bet' . <br />