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Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: ❑ Fuel bumin� equipment (completc schedules be]ow) ❑ No fuel burning equipment <br /> InsTaucTions EXHAUST/i�9AKE-UP AIR SCHEDULE* <br /> Step 1. Con�plete the Combirs�io�r Eq:�ipmerll Sd�eclule below. Only cquipment Exhaust devices over 300 cfin Flow <br /> with a Y(Yes)may be selected under the"Cateeory 1"alternate. ���r�G� bo (�o O cfin <br /> Step 2. Complete Ex/�nirst/Muke-u�Air Sc•Irecltrle on the right if direct or po���er cfiii <br /> vented or solid fuel atmospheric vent space heating equipment is cfin <br /> selecte.d. <br /> COA9BUSTION EQUIP119ENT SCHEDULE <br /> (cl�eck all t cs ro osed) <br /> Spacc heating-nonsolid fuel ,�(Sealed combustion Y HeaiZh - nonsolid fue] Sealed combustion Y <br /> ❑ Direct or power vented ❑ Direct or power vented Y <br /> Y* <br /> Atmos herically vented N Atmos hericall vented N <br /> Water heating-nonsolid fuel ❑ Sealed combustion Y Space heating-solid fuel ❑ Aimn.crilierir2ljy vPnfP.i <br /> Y* <br /> � Direct or power vented Y Water heating-solid fuel ❑ Atmos hericall vented Y <br /> Atmos hericall vented N Hearth-solid fuel ❑ Atmos hei-icall 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 /> Part C�. VENTILATION <br /> VEN'I'ILAT'ION QU,41VTjTY <br /> (Mechanical ventilation must be provided per the larger quantity calculated below) <br /> _.. _ . _. r ._., � __..�__I <br /> ,_,�-3�j�_� __ cuF�ic feet x 0.00533/minute = ��1� ; cfm ( __�__j x l5 cfm/bedroo►n)+ 15 cfm= ; �];� cfm <br /> _ ___._ __. <br /> volume of habitable rooms number of bedrooms <br /> VENTILATION FAN SCHEDULE <br /> __ ____.__� __ _... _..___ ._� _— _ <br /> _ __ _ _— <br /> Check method(s)proposed � ,�❑ Exhaust only� �_�Q Balanced (heat recovery ventilator,air exchanger,etc ) ; <br /> ---_ .__. ____ <br /> Fan descri tion or location -� �� ��c,,� gp-�l S TOTALS <br /> VFNTiLATION Intake cfm cfm cfin cfm cfm <br /> AS DESIGNED Exhaust (oc90 cfrn 2p cfm cfm cfm o 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 permit application. The proposed building has been designed to meet the <br /> requirements of th Mi ta Energy Code. / <br /> � ' ��c� /�l. l-f'olzlnlC� r �' od �i L-3.>�j- 170�-� <br /> Applicant(print name) Signature Dat Telephone number <br /> �� <br /> Part C2. VENTILATION (Submit Part Cz upon completion of system verification�-) <br /> a, <br /> ��------------------------------ <br /> ------------------------- <br /> .lob Site Address: Permit Nwnber <br /> Fan descri tion or location TOTALS <br /> MEASURED lntake cfm cfm cfm cfm cfm <br /> PERFORMANCEt Exhaust cfm cfm cfm cfm cfm <br /> t Ventilation rate miist be mcasured and verified when the perfonnance option is used in lieu of the prescriptive option for the <br /> sealing of joints in the buildine conditioned envelope(from Part A). <br /> Cumpiience Siaiemeni: instaiied ventiiation system is in compliance with MN Energy Code and is sized to provide the design air <br /> flow. <br /> °pplica;t(pr���t nu,;,cj Sigiiaiure Date 7'elephone number <br />