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�.u'�°r.�� �it 'i�r'�. �":34'�I�i�";L�i`�""�""�� ir�t9+.^s�r.r,e <br /> . �'����+*����`,.���'"S`a��' <br /> ��l�� ����;o ������� �� ������`,�T <br /> INSTRUCTIONS <br /> Step i. CompleEe the i"ernilatiora Ouantiry worksheetbelow. <br /> Step 2. Check the l��al<e-up Air Path(from Part II)on the Ventilation tl�ethods table below. <br /> Step 3. Choose permittEd method(s) for People and Supplemental Ventilation from the I'entilation A7et,hods table. <br /> Ste 4. Com�leie the 1�e�ztilatiora FQ��Scl�edi�le. <br /> � V��T�I�AT�Q'1"rT ��J�;.T'�T'�'�TS.�' <br /> __ _ _.._._._. _.____ <br /> _.___- <br /> � TOTAL VEI��TILATIOI��: f�.0� cfr�t/5f x ' - �� � <br /> I __� �`.�e �..__ __! sf - �...� �._...._.. __' cLm <br /> conditioned floor area nornlallv includinQ basement <br /> � __ _�._ .._... ___ ____ <br /> P�OPLE V�NTILATIOl�': ( ,� �; 1�cfm/bedrooan)+15 ef� _ � '� <br /> __. _._ <br /> � __� � ..._ ... .. cfm <br /> #of bedrooms <br /> : - _.__.. _......_. <br /> � SUPPLEMENTAL VEI�T�ILAT�O]'1: � '� ' cfm _ efm = 2 7� ' cum <br /> , _3_ _ 9c� <br /> � total ventilation eo le ventilation � �� <br /> I ��l°d��F.��'I�N I`YEET�(I�IDS <br /> I MAKE-UP AIR PATH(iro;n Part II) PEOPLE SUPPLEA�SENTAL CO ALAi�ZI�� <br /> � i � Prescri tive(or AggreQate)Path 0 Balanced�or Exhaust onl Balanced or Exhaust onl '�` Not re uired <br /> '� ❑ Prescri tive(or AgQre�ate)Path 1 Balanced��or Exhaust onlv Balanced or E�haust onlv�� Not re uired j <br /> ❑ Prescriptive(or A�gre�ate)Path 2 Balanced � Balanced or Exhaust onlv�'� Required <br /> � ❑ Prescriptive(or Rgare�ate)Path 3 Balanced Balanced Re uired <br /> f ❑ Perfornlance Path(see art 76721000 sub art 7) Performance Perforn�ance Required <br /> ' '��Passive infiltration shall not be used to provide make-up air for exhaust only supplemental ventilation in excess of 0.05 cfin/sf. <br /> I T A carbon mono�ide alarm must be inst�alled if a conirolled combustion solid-fuel burninQ ap liance is instailed in Path 1. <br /> I V��T'�'IL�A'F�C�14iT �'�I`�T �.���+��J]C,E <br /> Fan description or location ` ���•r �-• _ � (.�; �: �� TOTALS <br /> Fan Pwpose � Peo le � Peo le ❑ Peo le ❑ Peo le cfm <br /> ( � Su lemental ❑ Su lemental ❑ Stit lemental ❑ Su lemental cfm <br /> VE1��TILATION �ntal<e � cfin Cfin -� � cfm cfi1� cfm <br /> � AS DESIG?'ED Exhaust cfin " ,,,- Cfiil � cfm cfm cfm <br /> �tater��ec�t�4���er¢plea€��e: The proposed building design represented in these documents is consistent«�ith the buildii�g plails, <br /> specificatioils, and other calculatioiis subinitted with the pennit application. Tl�e�roposed building has been designed to meet the <br /> requirements of the A�innesota Eneray Code. <br /> � <br /> �-�e ��:.r�. � ;� � �l,�k� - � �����'y -- y5 a -y��-��7� <br /> pplicant(print name) Signature Date Telephone number <br /> , <br /> ���� �����o �J�-'l�T�����`���T (Submi�gar�IT�b �npor� eo�p9ern�m �f�ystem vea-i�cata�+r�) <br /> C/ <br /> C�_______________________________________'-__-__-_--__-'_--_-___--_'- <br /> Job Site Address: Pennit Number <br /> Fan descri tion or tocation TOTALS <br /> MEASURED Intal:e* cfili Cfin cfm cfin cfm <br /> PERFORMANCE Exhaust�° cfin Cfin � cfm cfm cfin <br /> �`Measureinent re uired for ventilation svstem intal<es and exhausts from the buildina with desi�n air flou�of 30 cfin and Qreater. <br /> Coa�pi�ar�ce�tateEatent: Installed eentilarion system is in compliance with MN Energy Code and is sized to provide the design air flow. <br /> A�plicant(print name) Sienature Date Telephone number <br /> l6 <br />