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_ ,� <br /> Part B. DEPRESSURIZATION PROTECTION <br /> Cl:eck optiqn used: � Fuel bui7�ing equipment (complete schedules below) ❑ No fuel burning equipment <br /> INSTxucTtoNs EXHAUST L MAKE-UP A1R SCHEDULE* <br /> Step 1. Complete tl�e Combtrstio�t Eqtripnre�tt Schedt�le below. Only equipment Exhaust devices over 300 cfi�t _ Flow <br /> with a Y(Yes)may be selected under the"Category 1"alternate. cfin <br /> Step 2. Complete EYhaz�st/Mnke-up Air Schedule on the right if direct or power cfm <br /> vented or solid fuel atmospheric vent space heating equipment is cfin <br /> selected. • <br /> COMBUSTION EQUIPMENT SCHEDULE <br /> (check all types proposed) <br /> Space heatiiig—nonsolid fuel Sealed combustion Hearth - nonsolid fiiel Sealed combustion <br /> ❑ Direct or power vented ❑ Direct or power vented Y <br /> Y* <br /> ' Afmos liericall veiited N Afinos liericall vented N <br /> Water heating—nonsolid fue] ❑ Sealed combustion Y Space heating-:solid fuel ❑ Atmospherically vented <br /> Y* <br /> Direct • ower vente� Y Waterlieatin -solid fuel ❑ Atmos herically vented Y : <br /> Atmosplienca �iited N Heartli=solid fiiel ❑ Atmospherically vented Y <br /> * If atmospherically venfed solid fuel or direct or power vented iionsolid fuel space heating is installed, then make-up air to'matcli <br /> flow is required for each individual exhaust device which exceeds 300 cubic_feet per minute. <br /> �2i�i'� �1. ��+ ����1-��'�i�� <br /> VENTILATION QUANTITY `_' <br /> (Mechanical veritilation must be provided per the larger quantity calculated below) <br /> �ZZ(v .cubic feet s 0.00583/minute-= LPj E cfm ( ��-� x 15 cfm/bedrootn)+15 cfm= �,� cfm` <br /> volume of habitable rooms ` number of bedroon�s , ' '. <br /> ' VENTILATION FAN SCHEDULE ` <br /> Check method s ro osed'� ❑ Exhaust only � Balanced (heat recovery ventilator,air exchanger, etc.) <br /> � )P p <br /> Fan descri tion or location -� p. � 4 S • 3 G�( 'TOTALS <br /> VENTILATION Intake' ' cfm- cfm cfm` cfin` ' cfrn <br /> AS DESIGNED `Exhaust 3 3 0 cfin; L,d 0 cfiii "cfin' cfin : ' cfin <br /> Statement of Compliance: The proposed building design represented in these documents is consistent with the bui]ding plans, <br /> specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the <br /> requirements of tlie Mim�esota Energy Code. v <br /> ��1>E. �t r F4-`�" -- ���' B I - 3 U -�q �n I 2- 3�9 —/�0� <br /> Applicant(print name) Signature Date Te]ephone number <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verification�) <br /> 4/ <br /> G� --------------------------------------------------------------------- <br /> Job Site Address: Permit Number <br /> Fan descri tion or location TOTALS <br /> MEASURED Intake cfrii cfn� cfin cfm cfin <br /> PERFORMANCE�' Exhaust cfm cfm cfin cfin cfm <br /> j` '_Ventilation rate must be ineasw-ed aiid verified when the perfonnance option is used in lieu of the prescriptive option for the <br /> sealing of joints in the building conditioned e�ivelope(fronrParf 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 />