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� ' <br /> Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: ❑ Fuel burni�lg equipment (complete schedules below) � No fiiel burning equipment <br /> INSTRUCTIONS EXHAUST/MAKE-UP AIR SCHEDULE* <br /> Step 1. Complete the Combi�stio�7 L'qtripment Scheclrrle below. Only equipment Exhaust devices over 300 cfin Flow <br /> witll a Y (Yes)may be selected under the"Catego�y 1"alternate. cfin <br /> Step 2. Complete E�:l�nirst/A1nke-t�p Aii�Schedt�le on the i-ig11t if direct or power cfm <br /> vented or solid fue] atmospheric vent space heating equipment is cfin <br /> selected. <br /> COMBUSTION EQUIPD'IENT SCHEDULE <br /> (check all types proposed) <br /> Space heating—nonsolid fuel ❑ Sealed combustion Y Hearth — nonsolid fuel ❑ Sealed combustion Y <br /> ❑ Direct or power vented ❑ Direct or power vented Y <br /> Y* <br /> Ahnos herica]ly vented N Atmos hericall vented N <br /> Water heating—nonsolid fuel ❑ Sealed combustion Y Space heating—solid fuel ❑ Atmospherical ly vented <br /> Y* <br /> ❑ Direct or ower vented Y Water heatin —solid fuel ❑ Atmos herically vented Y <br /> Atmospl�erically vented N Hearth—solid fiiel ❑ Atmospherically vented Y <br /> * If atinospherically vented solid fue] or direct or power vented nonsolid fuei space heating is installed, then make-u�i air to matcl� <br /> flow is required for each individual exl�aust device which exceeds 300 cuUic feet per minute. <br /> Part C1. VENTILATION <br /> VENTILATION QUANTITY <br /> (Mechanical ventilation must be provided per the]arger yuantity calculated below) <br /> �___��7� cubic feet s 0.00583/minute = �_3�.�cfm ( L�, x 15 cfm/bedroom)+15 cfm= ��0� cfm <br /> volume of habitable rooms number of bedrooms <br /> VENTILATION FAN SCHEDULE <br /> --- ------- --------- <br /> Check method(s)proposed -� (�Exhaust only ❑ Balanced (l�eat recovery vei�tilator,air exchanger, etc.) <br /> `--^------_,__ <br /> Pan descri tion or location -� �C N�� TOTALS <br /> VENTILATION lntake cfin cfm cfin cfin ctnl <br /> AS DESIGNED Exhaust ZSp cfin lQ cfili cfm cfin �(,00 cfm <br /> State;nent of Comr�liance: The propnsed building design represented in tllese documents is consistent witli the building plans, <br /> specifications, and otl�er calculations submitted with the permit application. The proposed building has been designed to meet the <br /> requirements of the Minnesota Energy Code. � <br /> S�—v� l..icc�H' �.---- ���r� 7—I—�' 9 G/2 —3.5�—/7D <br /> Applicant(print natne) Signature Date Telepl�one number <br /> PaY't �2. VF,NTILATI�N (Submit Part C2 upon completion of system verification-�) <br /> ai -------------------------- <br /> e� ------------------ <br /> ------------- <br /> Job Site Address: Pennit Number <br /> Fan descri tion or location TOTALS <br /> MEASURED Intake cfin cfm cfin cfm cfm <br /> PERFORMANCE j' Exhaust cfin cfin cfm cfin ��� <br /> -� Ventilation rate must be measured and verified wl�en the perforinance 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 /> fl ow. <br /> Applicant(print name) Signature Date Telephoi�e number <br />