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Part B. DEPRESSURIZATION PR4TECTION <br /> Check option used: J� Fuel burning equipment (complete schedules below) ❑ No fuel burning equipment <br /> INSTRUcrtoNs EXHAUST/MAKE-UP AIR SCHEDiTLE* <br /> Step ]. Coit�pfete the Combi�stion Equipmei7t Scl�edule below. Only equipment E�chaust devices over 300 cfm Flow <br /> with a Y(Yes)may be selected under the"Category I"a(ternate. �� <br /> Step 2. Complete Exhatrst/Make-zrp Air Schedirle on the right if direct or power cfm <br /> vented or solid fuel atmospheric vent space heating equipinent is cfm <br /> selected. <br /> COMBUSTION EQUIPMENT SCHEDULE <br /> check all es ro osed <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 /> Atmos hericall vented N - Atmos hericall vented N ' <br /> Water heating-nonsolid fuel ❑ Sealed combustion Y Space heating-solid fuel ❑ Atmospherically vented <br /> Y* <br /> Direct or ower vented Y Water heatin -solid fuel ❑ Atmos hericall vented Y <br /> Ahnos hericall vented N Hearth-solid fuel ❑ Atmos herical( vented Y <br /> * If atmospherically vented solid fuel nr direct or power vented nonsolid fuel space heating is installed,#hen make-up air to match <br /> flow is re uired for each individual exhaust device which exceeds 300 cubic feet er minute. ' <br /> Part C�. VENTILATION <br /> VENTILATION QUANTITY <br /> (Mechanical ventilation must be provided per the larger quantity calculated below) <br /> � cubic feet x 0.00583/minute = � cfm ( � 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 onl ❑ Balanced heat recove ventilator,air exchan er,etc. <br /> Fan descri tion or location -� "( �,:,(L- ' jt..rtE'v�� "'� �j W G�s-3 �3R s1� TOTAI.;S ' <br /> VENTILATION Intake cfm cfin cfm cfm cfm ` <br /> AS DES[GNED Exhaust j,� cfm ' z �:� cfm '�:' cfm �c� 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 rmit applicaxioq. The proposed building has been designed to meet the <br /> re uirements of the Minnesota Energy Code. ` / ` <br /> �1�.-,a�-�7 N1,C.�cc���-�L i �-`t� ' ����..��G'�, L� � ��Z ��'4 �G �L-.�����- L�� �Z <br /> Applicant(print name) ignature Date Telephone number <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verification�-) <br /> �c --------------------------------------------------------- <br /> Job Site Address: Permit Number <br /> Fan descri tion or location TOTALS'' <br /> MEASURED Intake cfin cfin cfin cfm cfin <br /> PERFORMANCE Exhaust cfm cfm cfrn cfm cfin <br /> t Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive,option for the' <br /> sealin of'oints in the buildin conditioned envelo e(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 /> flow. <br /> Applicant(print name) Signature Date Telephone number <br /> 12 <br />