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Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: ❑ Fuel buming equipment (complete schedules belo�v) 0 No fuel burning equipment <br /> INSTRUCTIONS , :EXHAUSTJ 11�IAI�=UP AIIt SCHEDUI.E*.-: <br /> Step 1. Complete the Combustion Equipment Schedule below. Only equipment Exhaust devices over 300.cfin ' ` Flow <br /> with a Y(Yes)may be selected under the"Category 1"alternate. ''cfm <br /> Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power !:cfrn <br /> vented or solid fuel atmospheric vent space heatin�equipment is selected. ;cfm <br /> - � GOMBUSTI0�I.EQUIP�IENT SCFIEDULE <br /> - � .::.: ; � <br /> �,,, <br /> '` = ` ' check all types proposed) " - <br /> Space heating-nonsolid fnel ; �1 Sealed combustion Y i Hearth — nonsolid fuel : ', Sealed combusrion Y�_-: <br /> "s', ❑ Direct or power vented Y* ' ❑ Direct or power vented Y <br /> .,.? . : ..-. Atmospherically vented; N '. - -: - Atmospherically:vented:, >N :.: <br /> Water.heating ,,nonsolid fue2, ❑ Sealed combustion Y : 6Space heating—salid fuel.: ❑ Atmospherically vented ,.Y*. <br /> - j8( Direct or power vented Y-� Water heating-solid fuel ❑ Atmospherically vented Y :; <br /> . . <br /> Atmospherically vented N Hearth—solid fuel '- " ❑ Atmospherically vented .Y,-`' <br /> *_. If ahriosphericaily`vented;solid fuel or direct or.po�ver vented nonsoIid fuel space heattng is.',mstalled, then;make-up air to match, <br /> ' flow is required for each individual exhaiist device which exceeds 30Q cubic feet per minute: `y <br /> Part C1. VENTILATION <br /> � _; � VENTII,ATION QiIANTITY -���,��� `� `,�N ��,� , � <br /> •: � _� ,, , � , - <br /> :, , , . . � :. ..� . � <br /> ° " (Mechanical ventilation rriust be provided. per the larger qnantity calculated below)�� ; <br /> '�'[J 3 3Dg� cubic feet Yx 0.00583/minute,_ � cfm' ( � s 15 cfm/bedrooin)-F 15 cfm � cfm�- <br /> volume of habitable rooms . -: number of bedrooms . <br /> VENTILATION FAl�i''SCHEDULE <br /> � _ :. <br /> Check method(s)proposed 3:. `� ❑ Exhaust only ❑ Balanced (heat recovery ventilator,air exchanger,etc.) <br /> Fan descriprion or location�� ' TOTALS <br /> VENTILATION " Intake' 'cfiri ' cfm cfm ` cfm' cfrn <br /> AS DESIGNED . '�: Exhaust; cfrn cfrn cfrn �cfin` �.cfm <br /> Statement of Compliance: The proposed buildin� design represented in these documents is consistent with the building plans, <br /> specifications, and other calcularions submitted with the permit applicarion. The proposed building has been designed to meet the <br /> requirements of the Minnesota Energy Code. <br /> Applicant(print name) Signature Date Telephone number <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verification-�) <br /> a. <br /> ��---------------------------------------------------------------------- <br /> Job Site Address: Pernut Number <br /> Fan description or locafion ' TOTALS <br /> MEASt�RED Intake cfm cfm cfm cfm_ '-::cfm <br /> PERFORIv1ANCE j- Exhaust cfin cfm cfin cfm cfm - <br /> t Ventilation rate must be measured and r erified when the performance option is used in lieu af the prescriptiye oprion for the sealing <br /> of joints in the building eonditioned envelope(from Part A).'. <br /> Compliance Statement: Installed ventilation system is in compliance�vith�i�i Energy Code and is sized to provide the design air flow. <br /> Applicant(print name) Signature Date Telephone number <br /> - 12 <br />