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�������; . ; <br /> � _� y� �� <br /> � . ��.. � f � �, ��� <br /> � Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: 0 Fuel buraing equipmant (complete schedules below) ❑ No fuel burning equipment <br /> IN3TRUCTIONS EXHAUST/.MAKE-iJP AIR 5CHEDITLE* <br /> Step 1. Complete the Combustion Equipment Schedule balow. Only equipment Eachai�st devices over 300 cfrn F`Iow <br /> with a Y(Yes)may be selected under the"Category 1"elteiDBte. Kitchen Hood 40o C� <br /> Step 2. Complete Exhaust/Muke-up Air Schedule on the right if direct or power �� <br /> vented or solid fuel atmospheric vent space heating equiptnent is c� <br /> selected. <br /> COMBUSTION EQUIPMENT SCHEDULE <br /> . .. check all es ro osed <br /> Space heating=nonsolid fuel ❑ Sealed combustion Y,. Hearth - nonsolid fuel ❑ Sealed combustion Y <br /> 0 D'uect or power vented � 0 Direct or power vented Y <br /> Y* <br /> Atmos hericall vented.. N . Ahnos herically vented N <br /> Watec tteating=nonaolid fuel ❑ Sealed combusHon Y Space heating-solid fuel ❑ Ahnospherically vented <br /> .. . .. . y* <br /> • Direct or ower vented Y.. Watet heatih -5olid fuel ❑ Atmos hericall vented Y <br /> .. _ , Atmo flerieally vented.;_ �1 Hearth-solid fuel ❑ Atmos hericall vented Y <br /> , _ <br /> * . If atmospherically vented aolid fuel or direct or power veht�d nonsolid fuel apace heating is installed, then make-up air td ziiatch <br /> � flow i5 re uited for each.inc�ividua�:e�ust c�evice which excee89 30U cubic feet. er minute:,„ <br /> Part C�. VENTILATION <br /> VENTtLATION QUANTITY <br /> (Tvlebhanic�l venNlation must ba provided per the larger quantity calculated below) <br /> , , . ..., . <br /> ��.�...__._ __ . . <br /> � 31 700 _I Cublc t'e�t x O.00SS3/minute � I S t 3.'._ J cfm ( I �+ _ .__� a 15 cfm/bedCot/m)+15 ct'�n= I "►S i cfm <br /> volulne of ha�itable rootns.., .,_.. � �"" <br /> _ number of'Uedrooms_ <br /> , VENTILA�'ION F'AN SCHEIIULE " <br /> ..: __.._.._:_�_.. _::.._:.____. <br /> Check inethod(s)�rroposed � C ❑ Exhaust onl� ___ M m,0 Balanced (heat recovery ver�hlator su exchan er ete)_ � <br /> ,. ... . . . <br /> _..�__.._._...�� - ----'- ____.._ �.._.� ,_ <br /> _... <br /> _. . <br /> Fau descri $on oi 1oCatic�n:�., INTAKE THROUG EACH BATHROOM ND LAUNDRY TOTALS <br /> VEN'�`ILATION _:..Iritake. 3 t 5 cfiri cfm _ <br /> c$n cfin _ cfin <br /> AS,ULSIGT�I�D e.: 3 t 5 <br /> _.:..�zhaust 340 C� CfIA. <br /> cfin_. cfm 340 cfm. <br /> Statement of Compliance: The proposed b 'lding design represented in these documents is consistent with the building plans, <br /> apecifications, and other calcularions sub ' ed i e ermit application. The proposed building has been designed to meet the <br /> requirements of the Minneaota Energy C e. -'' <br /> Jon Monsoo 8/3/04 <br /> (9521470-7416 <br /> Applicant(print name) Signa Date Telephone number <br /> Part C2. VENTILATION (Submit Part CZ upon completlon of system verificaHon f) <br /> �--------------- <br /> --------------------------------------------------- <br /> Job 5ite Address: Permit Number <br /> Fari descri Hon,oi location _. . TOTALS <br /> MBA.SURED Intake. cfm. cfm. cfin cftn cfm <br /> P�RFORIVIA�ICE E*haust, cfm cfin cfin cfm cfiii <br /> j' Ventiladon rate must be measufed and verified when the paiformance option is used in lieu of the prescziptive option for the <br /> sealin .of'oitits in the buildin cohditioned enyel e from,Part:A . <br /> CompHance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to prov;de the design au <br /> flow. <br /> Applicant(print name) Signature Date 'I'elephone number <br />