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Part B. DE�P�RESSURIZATION PROTECTION � . <br /> Check option used: Fuel burnmg equipment (complete schedules below) ❑ No fuel burning equipment <br /> INSTttuCTioNs EXHAUST/MAKE-UP AIR SCHEDULE* <br /> Step 1. Complete the Conibustion Equipment Scheciccle below. Only equipment Exhaust devices over 300 cfin Flow <br /> with a Y(Yes)may be selected under the"Category 1"alternate. cfrn <br /> Step 2. Complete Exhac�st/Make-up Air Schedule on the right if d'u•ect or power cfrn <br /> vented or solid fuel atmospheric vent space heating equipment is selected. cfin <br /> COMBUSTION EQUIPMENT SCHEDULE <br /> (check all types proposed) <br /> Space heating—nonsolid fuel Sealed combustion Y Hearth — nonsolid fuel Sealed combustion Y <br /> ❑ Direct or ower vented Y* � '` ❑ Direct or ower vented Y <br /> Atmos hericall vented N Atmos hericall vented N <br /> Water heating—nonsolid fuel ❑ Sealed combustion Y Space heating—solid fuel ❑ Atmos hericall vented Y* <br /> C�Direct or ower vented Y Water heating—solid fuel ❑ Atmos hericall vented Y <br /> Atmospherically vented N Hearth—solid fuel j � . Atmos hericall 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 flow is require <br /> for each individual exhaust device which exceeds 300 cubic feet per minute. <br /> Part C 1. VENTILATION <br /> VENTILATION QUANTITY <br /> (Mechanical ventilation must be provided per the larger quantity calculated below) <br /> _._. _ <br /> ��� � � � cubic feet x 0.00583/minute = cfm ( 3 ; x 15 cfm/bedroom)+15 cfm= �� � cfm <br /> volu�_..._ _ ����_� _ �.__ _� <br /> me of habitable rooms number of bedrooms <br /> VENTILA�N FAN SCHEDULE <br /> _ _.� .__....�. ._ _. �... _. ._ .._. ._._.. . _. ..�_. .. _.... _ �..... _�_..._ __. . _� _ <br /> Check method(s)proposed -� ❑ Exhaust only Balanced (heat recovery ventilator,air exchanger etc.) I <br /> __ __ <br /> Fan descn tion or location -� TOTALS <br /> VENTILATION Intake cfin cfin cfm cfin cfin <br /> AS DESIGNED Exhaust = c&n cfm � cfrn cfrn cfm <br /> Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,specifications, <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) Signature Date Telephone number <br /> Parl. C2. �ENTILL-iTl�� (Submit Part C2 upon completion of system veri�cation-F) <br /> �<------------------- ------------------------------------------- <br /> Job Site Address: Permit Number <br /> Fan descri tion or location TOTALS <br /> MEASURED Intake cfin cfin cfin cfin cfin <br /> PERFORMANCEf Exhaust cfin cfm cfm cfm cfin <br /> -� Ventilation rate must be measured and verified when the perfonnance option is used in lieu of the prescriptive option for the sealing of <br /> 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 flow. <br /> Applicant(print name) Signature Date Telephone number <br />