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. � <br /> , <br /> � P�rt �. DEPRESSURIZATION PROTECTION <br /> Check option used: � Fuel burning equipment (complete schedules Uelow) ❑ No fuel burni�ig equipment <br /> IrrsrRvcrioNs EXHAUST/MAKE-UP AIR SCHEDULE* <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/Mnke-up Air Scherlule on the right if direct or power cfm <br /> vented or solid fuel arinospheric vent space heating equipment is cfm <br /> selected. - <br /> COn4BUSTION EQUIPMENT SCHEDULE <br /> (check all types proposed) <br /> Space heating—nonsolid fuel Sealed combustion Hearth — nonsolid fuel Sealed combustion L <br /> ❑ Direct or power vented ❑ Direct or power vented Y <br /> Y* <br /> Ahnos hericall vented N Atmos hericall vented N <br /> Water heating—nonsolid fuel ❑ Sealed combustion Y Space heating—solid fuel 0 Atmospherically vented <br /> Y* <br /> Di�t or ower vented Water heatin —solid fuel ❑ Atmos hericall vented Y <br /> Atmosphen en ed N Hearth—solid fiiel ❑ Atmospherically vented Y <br /> * If atmospherically vented solid fuel or direct or power vented nonsolid fuel space heating is installed, then make-up air to match <br /> flow is required for each individual exhaust device which exceeds 300 cubic feet per minute. <br /> ��i�'� �1. ����'������� <br /> VENTILATION QUANTITY <br /> (Mechanical ventilation must be provided per the larger quantity calculated below) <br /> 5 3 cubic feet x 0.00583/minute = C� cfm ( ` 4� x 15 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.'�'�{ z, •f s�. ,$A. gq. S < �i'�''I�1 TOTALS <br /> VENTILATION Intake cfm cfm cfm cfin cfrn <br /> AS DESIGNED Exhaust ZZO cfin Z Q cfin � (O cfrn 3 cfm cfm <br /> Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, <br /> specifications, and other calculations submitted with the permit application. The proposed building has beea designed to meet the <br /> requirements of the Minnesota Energy Code. o <br /> s�� �ic�.t-�- -- �i�u�1�1` S-q- l� �lZ- 3s q- l70`� <br /> Applicant(print name) Signature Date Telephone number <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verification fi) <br /> a, <br /> �� --- ------- <br /> Job Site Address: Permit Number <br /> Fan descri tion or location TOTALS <br /> MEASURED Intake cfin cfm cfin cfm cfm <br /> PERFORMANCE�' Exhaust cfm cfm cfin cfm cfm <br /> �' Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive option for the <br /> sealiilg of joints in the buildi�lg conditioned e�ivelope(fi-om Part 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) Signatw�e Date Telephone number <br />