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. � �. <br /> Part B. DEPRESSURIZATION PROTEC�IO <br /> Check option used: ❑ Fuel burning equipment (complete schedules below) ❑ No fuel burning equipment <br /> ItiSTRUCTIONS EXHAUST/1�IAKE-UP AIR SCHEDULE* <br /> Step 1. Complete the Combustion Eqc�ipment Schedc�le below. Only equipment E�chaust devices over 300 cfrn Flow <br /> «�ith a Y(Yes)may be selected under the"CateQory 1"alternate. cfm <br /> Step 2. Complete Ezhaust/�l�lake-up Air Schedule on the ri�ht if d'uect or power �� <br /> vented or solid fuel atmospheric vent space heatin�equipment is selected. �� <br /> C0IIBUSTIO�EQUiPVIENT SCHEDULE <br /> (check all types proposed) <br /> Space heatin�–nonsolid fuel ❑ Sealed combustion Y Hearth – nonsolid fuel ❑ Sealed combustion Y <br /> Direct or po�ver vented Y* ❑ Duect or power vented Y <br /> Atmospherically vented N A�nospherically vented N. <br /> Water hearing–nonsolid fitel ❑ Sealed combustion Y Space heating–solid fuel ❑ Atmosphencally vented Y* <br /> ❑ Direct or power��ented �' �Vater hear:ng–solid fuel ❑ Atmospherically vented Y <br /> Atmospherically vented N Hearth–solid fuel ❑ Atmospherically vented Y <br /> * ' If ahnospherically vented solid fuel or d'uect or po�ver vented nonsolid fuel space heating is installed, then make-up air to match <br /> flo�v�is required for each individual e�aust'device which exceeds 300 cubic feet per minute. . <br /> P art C 1. VENTILATION <br /> �'ENTILATIO:�QUANT'ITY _ <br /> (vfechanical ventilation must be provided per the larger quantity calculated beloR-) <br /> ( � � � —' cubic feef x 0.00�83/minute = J(, j;7 cfm ( ��- a 15 cfm/bedroom)-{-15 cfm= L� cfm <br /> � � � I <br /> volume o—f habitable rooms number of bedrooms <br /> �'ENTILATION F�N SCHEDULE <br /> Check method(s)proposed -� ; 1� Exhaust only ❑ Balanced (heat recovery ventilator, air exchanQer, etc.) <br /> Fan descriprion or locaiion -� TOTALS <br /> VENTILATION Intabe cfm cfm cfin cfm cfrn <br /> AS DESIG�TED E�aust cfrn cfin cfm cfm cfrn <br /> Statement of Compliance: The proposed buildin� desien repr�sented in these documents is consistent with the building plans, <br /> specifications, and other calculations submitted with the pemut application. The proposed building has been designed to meet the <br /> requirements of the Ivlinnesota Ener�y Code. /, , <br /> ) i � \ / 7� / <br /> �-.,) / Cwl � � f � / _.__ ___ �7 . :/�A C � c/ 1 )� ��/==�' �� ` I <br /> Applicant(print name) Si�nature Date Telephone number <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verificationj) <br /> �� <br /> �� ------------------------------------------------------------------- <br /> Job Site Address: � � ��' �'�d ���'"����� ���� i�•-� ��.�� y� Pernlit Number <br /> Fan description or locarion TOTALS <br /> iVIEASURED Intake cfrn cfm cfm cfrn cfm <br /> PERFOR�'�iANCET Exhaust cfm cfm cfm cfm cfrn <br /> j- Ventilarion rate must be measured and venfied ahen the performance oprion is used in lieu of the prescriptive oprion for the seaiin� <br /> of joints in the building conditioned envelope(from Part A). <br /> Compliance Statement: Installed�•entilarion system is in compliance with�IN Energy Code and is sized to prov7de the desi�n air flow. <br /> Applicant(print name) SiQnature Date Telephone number <br /> 12 <br />