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Part B. DEPRESSURIZATION PROTEC'�CION � <br /> Check option used: ❑ Fuel burning equipment (complete schedules belo�v) ❑ No fuel buming equipment <br /> I�STxuCTIONs , EXH.AUST/bIAKE-UP AIIt SCHEDULE* <br /> Step 1. Complete the Combustion Eqt�ipment Schedule below. Only equipment Exhaust devices over 300 cfrn Flow <br /> «�ith a Y(Yes)may be selected under the"Category 1"alternate. cfm <br /> Step 2. Complete Exhat�st/�l�fake-trp Air Schedt�le on the riQht if d'uect or power cfrn <br /> vented or solid fuel atmospheric vent space heatin�equipment is selected. cfm <br /> ' COi�IBUSTIO�'EQUIPi�LENT SCHEDULE <br /> (check all types proposed) ` <br /> Space hearing-nonsolid fuel ❑ Sealed combustion Y Hearth — nonsolid fuel ❑ Sealed combustion Y <br /> irect or power vented Y* ❑ D'uect or power vented Y <br /> Atmospherically vented N Atmosphericalty vented I�i <br /> tiVater hearina , nonsolid fuel ❑ Sealed combusrion Y Space hearing—solid fuel_ ❑ Atmospherically vented Y*_ <br /> 'Direct or power vented Y �Vater heating-solid fuel ❑ Atmospherically vented Y <br /> Atrnospherically vented N Hearth—solid fuel ❑ Atmospherically vented Y <br /> * If atrnospherically vented solid fuel or direct or power vented nonsolid fuel space heatin� is installed, then make-up air to match <br /> flow is required for each individual e�aust device�vhich exceeds 300 cubic feet per minute. . <br /> P�.rt C1. VENTILATION <br /> : ��NTTL�,.TION QU�utiTITY _ '' r <br /> ('Vlechanical ventilation must be provided per the larger quantity calculated beloa-) <br /> (—� cubic feef :Y 0.00�83/minute = � cfm ( ;� x 15 cfm/bedroom)+15 cfm= � cfm <br /> volume cf habitable rooms number of bedrooms <br /> �"E�ITILATION FAt�i SCHEDULE <br /> Check method(s)proposed -� ❑ Exhaust only Balanced (heat reco��ery ventilator, air exchan�er, etc.) <br /> Fan description or locahon�� �r5�;� -Y�`�' ;�;���> ��,;fl� �,� 6c,�tc�i• ko��( T�TALS � <br /> �'ENTILATION ' Intake cfrn cfm cfm c cfrn <br /> AS DESIGi`'ED ' Exhaust c cfrn cfin cfrn <br /> O � ��2 c <br /> Statement of Compliance: The proposed buildin� desien represented in these documents is consistent with the building plans, <br /> specifications, and other calculations submitted with the pemut application. The proposed building has been designed to meet the <br /> requirements of the Ivlinnesota Energy Code. <br /> -- /�+-- I S�-�17G-ss�a� <br /> ����1 ��., �� -�-- - � <br /> ,�: �5 �, ,-.�,� � 1 L �� �- - ��.� - ��� -s--���- <br /> Applicant(print name) i�nature Date Telephone number <br /> Part C2. VENTILA.TION (Submit Part Cz upon completion of system�-erification-�) <br /> a. <br /> �� ---------------------------------------------------------------------- <br /> Job Site Address: Permit Number <br /> Fan description or locafion TOTALS <br /> MEASURED Intake c&n cfm cfm cfrn cfin <br /> PERFOR1biANCE fi Exhaust cfrn cfm cfm cfin cfm <br /> j Ventilarion rate must be measured and verified when the perforrnance oprion is used in lieu of the prescriptive option for the sealing <br /> of joints in the buildin;conditioned envelope(from Part A)_ ' <br /> Compliance Statement: Installed�•entilarion system is in compliance with�SN Energy Code and is sized to provide the design air flow. <br /> Applicant(print name) Sianature Date Telephone number <br /> - 12 <br />