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Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: �I Fuel burning eyuipment (complete schedules bclo���) ❑ N�i f�ucl burning equipmcnt <br /> INsrRuc�rioNs EXHAUST I MAKE-UP AIR SCHEDULE* <br /> Step I. Complete the Combustion Equipment Schedrde belo���. Onl��equipment Exhaust deviees over 30o cfm Flow <br /> ���ith a Y(Yes)may be selected under the"Category 1"alternate. cfm <br /> Step 2. Complete Exhai�sl'.tifake-rrp.1 ir Schedule on the right if direct or power efm <br /> vented or solid fucl atmospheric vent space hcating equipment is selected. cfm <br /> COMBUSTION EQUIPMENT SCHEDULE <br /> (check all t es ro osed) � <br /> Space heating—nonsolid fuel Scaled combustion Y Hearth — nonsolid fuel � Scaled c��mhusti<in Y <br /> ...._,,,,...-- <br /> ❑ Direct or ower��ented Y* ❑ Direct or o�ver��ented Y <br /> ..,..._.---- <br /> Atma� herioal) vented N Atmos hericall vented N <br /> Water heatin�—nonsolid fuel ❑ Sealed combustion Y S ace heatin —solid tuel ❑ ntmos hericallv vented Y* <br /> �, Uircct or o���er�ented Y Water heatin —solid fuel ❑ ntmos hcricall� vented Y <br /> Atmos hericall �vented N Hcarth—solid fuel ❑ Atmos hericallv ��entcd Y <br /> * [f aCmospherically vented solid fue(or direct or power vented nonsolid i'uel space heating is instalied.then make-up air to match flow is required <br /> ti>r each individual exhaust device�i-hich exceeds 30(J cubic feet cr minute. <br /> Part C 1. VENTILATION <br /> VENTILATION QUANTITY <br /> (Mc:chanical ventilation must be provided per the larger quantity calculated below} <br /> _._..._. <br /> -- _..._ <br /> volume�h�ta� cubic feet x 0.00583/minute = �,3�$ �;� cfm ( � � x 15 cfm/bedroom}+]5 efm= 7S � efm <br /> �tl _ : <br /> ble rooms number ot bedrooms <br /> _____.._.___ <br /> VENTILATTON FAN SCHEDULE <br /> Check method(s)proposed -� i3O t;xhaust only �Balanc�d (heat rEc,o�c,r� �c.ntilatoi air c.��han�c,r c.t� ) I <br /> Fan descri tion or location � (J U U �Q(/ TOTALS <br /> VENTILATION Intake efm $ cfm � //Z efm //L cfin efm <br /> AS DESIGNED Exhaust S' cfm �" cfin //2 cfm /Z cfnt <br /> � cfm <br /> Statement of Compliance: l�he proposed building design represented in these documents is consistent with the building plans.specitications. <br /> and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the <br /> Minnesota Energy Code. <br /> Applicant(print name) Signaturc Date I�clephonc number � <br /> 1 <br /> P`drl C2. VENTILATION (Submit Part C2 upon completion of system verificationj�) <br /> �------------------------------------------------ <br /> Job Site Address: Permit Number <br /> Fan descri tion or location TOT'AI,S <br /> MEASURED Intake afm cfm cfm cfm cfin <br /> PERFORMANCEi' Exhaust cfm cfm cf'm cfm cfm <br /> fi Ventilation rat�;must be measured and verified when the performance option is ased in lieu of the prescripti��c option for the sealing of <br /> 'oints in the buildin conditioned envelo e(from Part A . <br /> Compliance Statement: Installed�°cntilation s��stem is in cumpliance��ilh MN t?nergy C'ode an�1 is sized tu pro��i�1e the dcsign air tlo���. <br /> Applicant(print name) Signature Date l�elephone number <br /> 12 <br />