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Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: ❑ Fuel burning equipment (complete schedules below) ❑ No fuel burning equipment <br /> INSTRUCTIONS EXHAUST / MAKE-UP AIR t <br /> SCHEDULE* <br /> Step I. 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 I"alternate. <br /> x� _ cfm <br /> Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power /V cfrn <br /> vented or solid fuel atmospheric vent space heating equipment is selected. cfm <br /> COMBUSTION EQUIPMENT SCHEDULE r <br /> (check all types proposed) <br /> Space heating—nonsolid fuel 0 Sealed combustion Y Hearth — nonsolid fuel 0 Sealed combustion Y <br /> El Direct or power vented Y* $'Direct or power vented Y <br /> Atmospherically vented N Atmospherically vented N <br /> Water heating—nonsolid fuel ❑ Sealed combustion Y Space heating—solid fuel 0 Atmospherically vented Y* <br /> eL�r✓ ❑ Direct or power vented Y Water heating—solid fuel 0 Atmospherically vented Y <br /> Atmospherically vented N Hearth—solid fuel 0 Atmospherically vented Y <br /> * If atmospherically vented solid fuel or direct or power vented nonsolid fuel space heating is installed, then make-tip air to match flow is required <br /> for each individual exhaust device which exceeds 300 cubic feet per minute. <br /> Part Ci. VENTILATION • <br /> VENTILATION QUANTITY <br /> I/ (Mechanical ventilation must be provided per the larger quantity calculated below) <br /> ab Ida cubic feet x 0.00583/minute = /5&,O] cfm ( 4 x 15 cfm/bedroom)+15 cfm= 15 cfrn <br /> volume of habitable rooms number of bedrooms <br /> VENTILATION FAN SCHEDULE <br /> Check method(s)proposed 4 ❑ Exhaust only ril Balanced (heat recovery ventilator,air exchanger,etc.) <br /> Fan description or location --> Val/1474e. Z ,.6 TOTALS <br /> VENTILATION Intake elm cfm cfm cfm Z(pc cfm <br /> AS DESIGNED Exhaust elm cfm cfm elm 24.5 cfm <br /> Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and <br /> other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy <br /> Code. <br /> A/11 ka. 7 )es1-.€ 1----9,----- sr __. <br /> IP 3131 It15 763--W-575C- <br /> Applicant(print name) Signature Date Telephone number <br /> Part C2. VENTILA1 ION (Submit Part C2 upon completion of system verificationt) <br /> X <br /> NA _Job Site Address: Permit Number <br /> Fan description or location ' .:TOTALS <br /> MEASURED Intake ..cfm cfm - cfm cfm.:: cfm <br /> PERFORMANCEt Exhaust' cfm cfm'; : cfm: efin cfm <br /> t Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive option for the sealing of joints in the <br /> 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 />