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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-LIP 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 Ex,.aust/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 /> CON BUSTION EQUIPiVIENT SCHEDULE <br /> (check all types proposed) <br /> Space heating-nonsolid fuel HL Sealed combustion Y Hearth — nonsohd fuel ❑ Sealed combustion Y.-, <br /> ❑ Direct or power vented Y* 1$1 Direct or power vented Y <br /> Atmospherically vented N :Atmospherically vented N <br /> Water heating—nonsolid fuel C3 Sealed combustion Y Space heating—solid fuel, ❑ Atmospherically vented Y*._ <br /> Ak Director power vented Y Water he —solid fuel ❑ Atmospherically vented Y <br /> Atmospherically vented N Hearth-'solid fuel E3Atmospherically 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 <br /> flow is required for each individual exhaust device which exceeds 300 cubic&et'per minute. <br /> Part C1. VENTILATION <br /> VENTILATION QUANTITY <br /> (Mechanical ventilation must be provided per the larger quantity,calculated below) <br /> (og cubic feef x' 0.00583/minute = .� cfm (;�� g 15 cfm bedroom);F 15 cfm cfm <br /> volume of habitable rooms number of bedrooms <br /> VENTILATION FAN SCHEDULE <br /> Check niethod(s)proposed ❑ Exhaust only NJ Balanced (heat recovery ventilator,air exchanger,etc.) <br /> Fan description or location 4 w G WLLI Fi0s, w UfPRit.I� Y1A1N� TOTALS <br /> VENTILATION Intake' `cfrn cfm cfm:' cfm CEM <br /> AS DESIGNED` Exhaust Sp cfrn 50 cfrn j50 cfm Xco cfm 4ko 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 of the Minnesota Energy Code. <br /> KFA kfo& ��— Iq D2 61Z-2175-ggqb <br /> Applicant(print name) wASa►z"t*,O Signature Date Telephone number <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verificationf) <br /> Job Site Address: Permit Number <br /> Fan description or location TOTALS . <br /> MEASURED Intake cfm cfm cfm cfm cfm. <br /> PERFOILVIANCE `'Exhaust cfm cfm cfm` cfm cf ni <br /> j Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive'op tion 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 />