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� <br /> ,Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: J7�Fuel bur�ling equipment (complete sclledules Uelow) 0 No fuel bui-ning equipme�it <br /> INSTRUCTIONS EXHAUST/MAKE-UP AIR SCHEDULE* <br /> Step 1. Complete tl�e Combirstion Eqanpme�zt Schedirle below. Only equipment Exhaust devices over 300 cfin � Flow <br /> with a Y(Yes)may be selected under the"Category 1"alternate. cfin <br /> Step 2. Complete ExhausdMnke-up Air Schedule on the right if direct or power cfm <br /> vented or solid fuel atmospheric vent space heating equipment is cfin <br /> selected. - <br /> COAIBUSTION EQUIPMENT SCHEDULE <br /> (check all t�es proposed) <br /> Space heating-nonsolid fuel Sealed combustion�- Y Hearth - nonsolid fiiel ealed combustion I Y <br /> ❑ Direct or power vented �� ❑ Direct or power vented <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 /> o y* <br /> Direct o ower vented Water heatin -solid fuel ❑ Atmos herically vented Y <br /> Atmospherically vented N Hearth-solid fiiel ❑ AUnosphericaliy 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 /> �a�t C1. ��ll�'�'I�1�7�I01lT <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 only Balanced (heat recovery ventilator,air exchanger, etc.) <br /> Fan descri tion or location -� i 3 �k'[ � TOTALS <br /> VENTILATION Intake cfin cfm cfin cfin Qa cfrn <br /> AS DESIGNED Exhaust ZZD cfm �..10 cfiii 1�� cfrn cfrn cfin <br /> Statement of Compliance: The proposed building design represented in these documents is consistent witli the building plans, <br /> specifications, and other calculations submitted.�vitli�he permit application. The proposed building has been designed to meet the <br /> `_� --- <br /> requir ments of the innesota Energy Code. ��, , <br /> �o v � �. F��r1T `�---=�-c��__._. (� � 3 b t Z• 33Z� �l 1`10 <br /> Applicant(print name) Sign�re_ _ _ �_ Date Telephone number <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verification-j�l <br /> ai <br /> �� ------------------------------------------------------------- <br /> Job Site Address: Permit Number <br /> Fan descri tion or location TOTALS <br /> MEASURED Intake cfm cfm cfin cfm cfin <br /> PERFORMANCEt Exhaust cfm cfm cfin cfm cfm <br /> -� Ventilation rate must be measured and verified when the perfonnance 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 /> flow. <br /> Applicant(print name) Signature Date Telephone number <br />