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;�'�.-f� C"'`'/L�<.-�:r.-� l� <br /> Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: ❑ Fuel burninb equipment (complete schedules below) ❑ No fuel burning equipment <br /> INs�rKuc�riot��s EXHAUST/MAKE-UP AIR SCHEDULEx <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. cfin <br /> Step 2. Complete Exhaust/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 /> COMBUSTION EQUIPMENT SCHEDULE <br /> (check all t es ro osed) <br /> Space heating—nonsolid fuel ❑ Sealed combustion Y Hearth — nonsolid fuel � Sealed combustion Y <br /> � Direct or ower vented Y* ❑ Direct or ower vented Y <br /> Atmos hericall vented N Atmos herically vented N <br /> Water heating—nonsolid fuel ❑ Sealed combustion Y S ace heatin r—solid fuel ❑ Atmos hericall vented Y* <br /> Direct or ower vented Y Water heatin —solid fuel ❑ Atmos hericall vented Y <br /> Atmos hericall vented N Hearth—solid fuel ❑ Atmos herically vented Y <br /> * If atmospherically vented solid fuel or direct or power vented nonsolid fuel space heating is installed,then make-up air to mateh flow is require� <br /> for each individual exhaust device which exceeds 300 cubic feet per minute. <br /> Part C�. VENTILATION <br /> VENTILATION QUANTITY <br /> (Mechanical ventilation must be provided per the larger quantity calculated below) <br /> j��d � cubic feet x 0.00583/minute �',.�'i cfm ( � �� x IS cfm/bedroom)+ 15 cfm = �,�"� cfm <br /> volume of habitable rooms number of bedrooms <br /> VENTILATION FAN SCHEDULE <br /> Check method(s)proposed � � ❑ Exhaust only ,_ Balanced (heat recovery ventilator,�air exchanger, etc.) <br /> Fan descri tion or location � ���p"\o�°,,_ ¢ �.; � �+�'r: �,� ;' TOTALS <br /> VENTILATION Intake �,"'"�"""' cfm "�' cfm� cfm cfm cfin <br /> AS DESIGNED Exhaust �,;,�"' cfm �;`^�"� cfm cfin cfin cfm <br /> Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,specifications,an� <br /> other calculations submitted with the permit application. The proposed building has been designed to meet the rec�uirements ofthe Minnesota Energ <br /> Code. <br /> Applicant(print name) Signature Date Telephone number <br /> Part �2. VENTIL�TI�N (Submit Part C2 upon completion of system verification-F) <br /> � — _—. _------------- <br /> -------------------------------- <br /> Job Site Address: Permit Number <br /> Fan descri tion or location TOTALS <br /> MEASURED Intake cfm cfm cfm cfm cfm <br /> PERFORMANCE'� Exhaust cfm cfm cfm cfin cfm <br /> 1� Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive option for the sealinb of joints i� <br /> the building conditioned envelo�e(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 />