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, , <br /> Pa�rt �. DEPRESSURIZATION PROTEC'�ION <br /> Check option used: '¢I Fuel burnin;equipment (complete schedules below) ❑ No fuel buming equipment <br /> INSTRUCTIo�vS EX��UST/1�IAKE-UP AIIZ SCHEDULE* <br /> Step 1. Complete the Combustion Equipment Schedule below. Only equipment Exhaust devices over 300 cfrn FIoRr <br /> with a Y(Yes)may be selected under the"Cate�ory 1"alternate. cfm <br /> Step 2. Complete Exhatrst/Make-tcp Air Schedule on the riQht if direct or power cfrn <br /> vented or solid fuel atmospheric vent space heatin�equipment is selected. cfm <br /> CO�IBUSTION EQUIP�IENT SCHEDULE <br /> (check all types proposed) <br /> Space heating-nonsolid fuel �! Sealed combustion Y Hearth - nonsolid fuel ❑ Sealed combustion Y: <br /> ❑ Direct or po�ver vented Y* ❑ Direct or power vented Y <br /> Atmospherically vented N Atmospherically vented N <br /> Water hearing-nonsolid fuel Sealed combusrion 1j' Space heating-solid fuel_ ❑ Atmospherically vented Y* <br /> , ❑ Direct or power vented 'Y Water heating-solid fuel ❑ Atmospherically vented Y <br /> Atrnospherically vented N Hearth-solid fuel ❑ Atmospherically vented Y <br /> * If ahnospherieally vented solid fuel or direct or power vented nonsoIid fuel space hearing is installed, then make-up air to match <br /> flow is required for each individual exhaust device«�hich exceeds 300 cubic feet per minute. <br /> Part C1. VENTILATION <br /> VENT'ILEITIO�i QUANTITY ' : <br /> ('�Iechanical ventilation must be provided per the larger quantity calculated below) ' <br /> :n � � ��� `cubic feef s 0.00�83/minute`_ �c' � cfm ( ;� g 15 cfm/bedroom)+1�cfm= ' '� 'cfm <br /> volume of habitable rooms number of bedrooms <br /> `�NTILATION FA1V SCHEDULE <br /> Check method(s)proposed � ; ❑ Exhaust only �J Balanced (heat recovery ventilator, air exchanger, etc.) <br /> Fan descriprion or location � TOTALS <br /> VENTILATION Intake cfin cfm cfm cfm cfrn <br /> AS DESIGI�'ED E�aust cfrn cfm cfin cfm cfrn <br /> Statement of Compliance: The proposed buildin� design represented in these documents is consistent with the building plans, <br /> specifications, and other calculations submitted with the pemiit applicarion. The proposed building has been designed to meet the <br /> requuements of the Minnesota Energy Code. <br /> _ r``� (( �:TC ��� J(��� 6 c�w- i-�E -�• � f,•�! -�7�' - �ilJ� <br /> Applicant(print name) Signature Date Telephone number <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verificationj-) <br /> a, <br /> �� -------------------------------------------------------------------- <br /> Job Site Address: Permit Number <br /> Fan description or Iocafion ' TOTALS <br /> MEASURED Intake cfrn cfm cfm cfm cfrn <br /> PERFOR1LiANCE fi Exhaust cfm cfm cfrn cfm cfrn <br /> -� Ventilarion rate must be measured and verified when the performance option is used in lieu of the prescriptive oprion for the seaiin� <br /> of joints in the buildin�conditioned envelope(from Part A). <br /> Compliance Statement: Installed ventilarion system is in compliance�vith�IN Energy Code and is sized to provide the desi�n air flow. <br /> Applicant(print name) Si;nature Date Telephone number <br /> ' 12 <br />