|
V
<br /> �. �'a.rt B. DEPRESSURIZA�'ION PR07CECTION
<br /> Check option used: p Fuel burning equipment (complete schedules below) ❑ No fuel burnuis equipment
<br /> INSTRUCT1oNs '::EXAAUST./,MAI�=i1P.ATR SCIiED:UT,E* +<
<br /> Step 1. Complete the Combustia�Equip�nent Schedule below. Only equipmcnt =�Exhaust'devices o�er 300 cfin : ,:Flo�v j'�
<br /> with a Y(Yes)may be selected under the"Category 1"alternate. cfm`
<br /> Step 2. Complete Exhairst/A�lake-up Air Scheciu/e on the riaht if d'u•ect or po�ver ._��,;
<br /> vented or solid fuel acmospheric vent space heating equipment is selected. ''cfrri•�:
<br /> , � ' �. ' �COMBUSTLON�QUIP1Yi�NT SC�DUL� s �'� ' � `
<br /> � � f q . . ,. . . 1 - � 7 �'.w Y� �
<br /> 1 � L �� '. �1 1
<br /> .F,. � .�, "�,. ! . � ` ,(checl.��alltypes'proposed), F 's- ' t, :? � _'� l.,: ` , w K,
<br /> Space heatmg J nonsolid fuel ❑ Sealed combustion a:• Y " ,Hearth,,� nonsolid fuel � ❑ Sealed combustion ^ - Y� .:
<br /> ;. , ,�
<br /> 's . g Fla}�j»`t wC'�t hr.�a"'4',�+tY, �p+, � ..iS +ka xd 4 C.i�-��''w�t .a h:>''X� q — _. �I
<br /> .,,�,,,,� a � , ; Duect or ower vented Y �1 � r ��
<br /> s�.s,��. �- ,.,.�s R, �, " �h� , ,. _, p � w�.��u � ''?k w�u� • <.' �R�,"'r ': .� Direct or power vented �,'�Y,�;��
<br /> � �,�°���."�r�"����a�,�,������r�'...�.���:Atinospherically'vented,; :"�T1 : ..``�,��;�;�;��;,�l�r ,������t,`,'��d'. �,:,;;,f Almospheiically�vez�ted.;;:' N�.;
<br /> : , r �� , J>
<br /> Water heaking, ,nonsolid fuel `^ ❑ Sealed combustion :y Y ;,(Space;h'canng�soltd`;fuel::; ❑ Atrnospl�crically venced *::
<br /> s�-7*�r,+�� �'Lrl k�Y s.r �'`! i -. .r't: r :.
<br /> , , � �. , # ,
<br /> Direct or power vented " Y Water h�eating `.,sohd fuel ; ❑ Aunospherically vented : a' '
<br /> ' ` {� `�n ,a''"`,« '� j a ;y'��`x �:� �.Pit}nospherically yented , ,'N . ;�iearth .;,solid fuel '", K,:: ❑ Atmospherically vented �r`Y�:r
<br /> *``�•If atmospl�erlcally��ented solid#'uel.o�,`'direct�or po.w,er�ented nonsol�d fuel space heating-`is uistalled,'then �al.e up au�,to match;�
<br /> � i.. th.. .`y, ,. . ..
<br /> :.:flaw is;requued�:for.,each�ir�dividual•exhaust:device;which,'e.xceeds'�3,00,cutiic feeY;perminute .,.,;; ='` '.: ` �. �:
<br /> Part C1. `VEN�'ILA7C'ION
<br /> : �� �` , ; , F ;t, �,`� ,: VENTILATION QUANTITY � � �
<br /> ..'r t �. .i� J� � d Y. : i � .. .. �... ` . ;; 1 �y �` .
<br /> ' '�w1��£�' � (Mechanieal`�ent�lat�ommustbe"�rovided �e'rfdielar er {U8Ilt1 calculated•below ,� �w'Y� r �� �* ' Y"
<br /> ..,. ,.t .�, , ,-1� P, .B 9 h', .) ` .�
<br /> ,. .. , . �
<br /> . :.. ...: .�'y:� ps,t"�4�.'�' �n �'��'!�^*t+%�'�.:f '`*"r�y �. , " �,,+ ,e✓•h '.� .
<br /> — r a. ,rG k'�+t : . ��� yK� .' Q, ,� .a.�w��:: �,. ,���,i "*#ay r.;:i�M i} l,..nxaa.n,ich-N2�,' �,,x!s ;`4 s.:. +t 5:rn`} _
<br /> , cubicfeet� 30OOS83'rp uEe ' ;' •'� ��
<br /> -�f`� ���;;*�.,�;:.;�>,7��',l,�P ��� a�: � ��.,i��,�����cfm�� �,�,� ��,xk15 cfm/bedroom)„,+;"�5 cf�m.�..�- �.cfm,��;
<br /> n)�.#3 �x.! .�J'`.�`rti � a;;r }7fr�i� ., Jr • ..,. '!.��} � i_>: f�Tc z «.1.x7- "i t
<br /> �volume.of habitahle.rooms;��M�`����F.w��'�'��."���;�;,� �;�,r.:����. .x>z?�y���number;of;bedrooms��:�„�,��::;�,��`�'��.$ �� ,,����uc� �4a`"�,,,,�,,��'��"��F',�
<br /> ;; , �:.� � <� dd1 , i � r�a.� � Y ,�' � z ;VLNTILATIOly FAN SCH�DUL� � .4 �/�J�.�. � , , �� � >> ��+
<br /> tit� �Ft.. C}�Y •ftiv t+ . S � y, . .. ��y. � , .::, . 1 � ..:�'., r.d��n.,:..t!/ � ..:a•.••..�r.�K�,.�:..•V.�'` iV�7v1 � � '+��"!'�:SOL�^xy' :.;�M�,u{.
<br /> Chec�,metho s ro osed -� � " �Y�'���.�_
<br /> _,. ,,.a�,�P P � Exhaust only ,� Balanced (heat recovery ventilator air exchanger etc.) ��` ��;��
<br /> ... . t S.: 4 �'�'�{ i::�. . f f At ��
<br /> ' � �.. ........ ...... . .... . ......�.. ._ . . ...,.... ... .... ..... ._..
<br /> . ,. �. tl+SN`d�"
<br /> Fanadescription or�locahon':-��._.. F: ��TOTALS:�.b;�
<br /> VENTILATIQ,�T,> ��.�.,�I�take� I S27 �.cfi� i� "cfm.r� cfni:;:�: ',cfm r;: .;;cfin°;
<br /> AS�DESIGNED';,�����'Ex°aust:: i Sv ;�cfin:.� :cfin:.":: �cfm:::; ;�cfin:'; <cfin,r;
<br /> Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,
<br /> speci6cations, and other calculations submitted with the permit application. The proposed buildins has been designed to meet the
<br /> requirements of the Minnesota Enerby Code.
<br /> C� �a-rz�,J � 7(03-Syd-833 .9
<br /> Applicant rint name) Signature Date Telephone number
<br /> Part C2. V�NTII.,A7CION (Subuiit Part C2 upon complctioii of systeiu verificationt)
<br /> a
<br /> d� ----------
<br /> --------�---------- -------------------------------------------
<br /> Job Site Address: • �- Permit Number
<br /> �Fan:description orflQcanon �xv r '`;TOTALS`::,,.
<br /> M�A,$URED��,����;;��`�Intake.; �c�m ; - c#'in : =-cfin ,�cfm ;
<br /> PERFORMANCE fi:r'�,=Extiaust.:� ,:;cfin,:c cfm';;: :�cfrn�; `:;cfin : :cfin.;�
<br /> � fi 5 V,cnhlahonrate�ust be;measured�and;�Ferifed;when;the perfoimance option is used�in lieu of die;p.iescri�tive o�tion foi,,the sealmg=
<br /> ..Wof,�oinis;inthe;b.uildmg•.cond�tioned.;envelope:(from:Ea�t A1 ;k� '� '�"i'� �:.:'`�'.. '"„:.'��r,fr:...`cT .�... .� �?2 .',,.''��`. "°: . '��',..�.:,� �;� .; `�
<br /> .,,_u-; ,
<br /> Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide d�e design air flow.
<br /> Applicant(print name) Signature Dale Tcicpl�one numbcr
<br />
|