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� Part B. DEPRESSUI2IZATION PROTECTION <br /> Check option used: � Fuel Uurning equipment (complete schedules below) ❑ No fuel burning equipment <br /> INsrxucT�oNs EXHAUST/MAKE-UP AIR SCHEDULE* <br /> Step 1. Complete tl�e Combtrstiori Eqiripmeitt Sdiedirle Uelow. Only equipment Exhaus't devices over 300 cfin Fiow <br /> with a Y(Yes)may be selected under the"Category 1"alteinate. cfin <br /> Step 2. Complete Exhnarst/Mnke-irp Air Schedtrle on the riglit if direct or power cfin <br /> vented or so]id fuel atmosplieric vent space heating equipment is cfin <br /> selected. - <br /> COMBUSTION EQUIPMENT SCHEDULE <br /> (check all types proposed) <br /> Space heating—nonsolid fuel Sealed combustion � Hearth — nonsolid fuel Sealed combustion — Z Y <br /> ❑ Direct or power vented ❑ Direct or power vented Y <br /> Y* <br /> Atmos hericall vented N Atmos l�ericall vented N <br /> Water heating—nonsolid fue] ❑ Sealed combustion Y Space heating—solid fuel ❑ Atmospherically vented <br /> Y* <br /> Direct or wer vei Water heatin —solid fuel ❑ Atmos I�erically vented Y <br /> Atmos lierically vented N Heartli—solid fiiel ❑ Atmospherically 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 feet per minute. <br /> ���'� �1. ����'��1-����� <br /> VENTILATION QUANTITY <br /> (Mechanical ventilation must be provided per the larger quantity calculated below) <br /> ��,�!o � cubic feet x 0.00583/minute = Z�1 D cfm ( �� x 15 cfm/bedroom)+15 cfm= �$ cfm <br /> volume of habitable rooms number of bedrooms <br /> VENTILATION FAN SCHEDULE <br /> Check method(s)proposed -� ❑ Exhaust only � �R[ Balanced (heat recovery ventilator,air exchanger, etc.) _ <br /> Fan descri tion or location � �n,7'N S 4- tTC�'�"'� TOTALS <br /> VENTILATION Intake cfin cfm cfin cfin' cfin <br /> AS DESIGNED Exhaust O cfin p cfiii Z,�Q cfrn p(� cfm `�jp cfrn <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 Min`n'esota Energy Code. �/ -o-A�' <br /> S�G L��RT ��f/-al�v' 8�'�� �� �n'Z� ��-J�o9 <br /> Applicant(print name) Signature Date Telephone number <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verification�l <br /> ai <br /> �� ------------------------------------------------ ------------ <br /> Job Site Address: Permit Number <br /> Fan descri tion or location TOTALS <br /> MEASURED Intake cfm cfm cfin cfm cfm <br /> PERFORMANCE j' Exhaust cfrn cfin cfin cfrn cfm <br /> �' Ventilation rate must be measw•ed and verified when the performance option is used in lieu of the prescriptive option for the <br /> sealing 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 <br /> flow. <br /> Applicant(print name) Signature Date Telephone number <br />