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Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: ❑ Fuel burning equipment (complete schedules below) ❑ No fuel burning equipment <br /> I <br /> INSTRUCTIONS +i A1(r�" -U? IR SCHEDU:E* <br /> Step 1. Complete the Combustion Equipment Schedule below. Only equipment Exhaust"devices ovef" b0 cfm 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 cfm <br /> vented or solid fuel atmospheric vent space heating equipment is selected. cfm <br /> C01%0 TION,EQUIPMENT SCHEDULE <br /> }} ;; (check al types proposed) <br /> Space heating—nonsrilid fuel ❑ Sealed combustion Y Hearth''— nonsalid fuel` ❑ Sealed combustion Y <br /> ❑ Direct or power vented Y* ❑ Direct or power vented Y <br /> Atmpherically vented N Atmospherically vented N <br /> Water heating-nonsi lid fuel ❑ Sealed'combustion Y Space heating-solid fuel ❑ Atmospherically vented Y* <br /> ❑ Direct pr power vented Y - ,Water heating-�= olid fuel . ❑ Atmospherically vented Y <br /> Atm'' <br /> herically ver#ed N Hearth—solid fuel ❑ Atmospherically vented Y <br /> * If atmospherically vented sal id fuel or+ .- or power verted:honsol)d fuel space heating is installed,then"make-up air to match flow is required <br /> for each individual exhaust device wilt <br /> exceeds 300 cubic feet per minute. <br /> Part Ci. VENTILATION <br /> 1. VENTILATION QUANTITY <br /> (Mecham . entilation"trust be provided per the larger •quantity calculated below) <br /> r <br /> 5 I Do U cubic feet x ©.0051 ! !;note 3�� , cfm ( x 1S efmlbeslroom}+I5 elm q I) cfm, <br /> volume of habitable rooms ' <22<number of bedrooms.. : <br /> VENTILATION FAN SCHEDULE <br /> Check methods)proposed -� ❑ Exhaust onl C�Balanced heat recove ventilator,air exchan_er,eta <br /> Fan+ cr ptio or ca tion TOTALS <br /> VENTILATION Intake cfm cfxn cfm cfm cfin <br /> AS DESIGNED Exhaust cfm.._ cfin cirri cfm cfm <br /> Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,specifications, <br /> and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the <br /> Minnesota Energy Code. <br /> Applicant(print name) Signature Date Telephone number <br /> I <br /> Part C2. VENTILATION (Submit Part C2 upon completion of system verificationt) <br /> X <br /> Job Site Address: Permit Number <br /> Fan description or loco ion TOTALS <br /> MEASURED Intake " cfm cfm cfm din cfm <br /> 1?ERFQRMANGEt !Exhaust efmt cfm elm efrn cfm <br /> t Ventilation rate my st be measured any n ed when the perfo stance option is used In lieu of ie:prescriptive option for the sealing cif <br /> joints in the,building conditioned envel ' from Part Al. <br /> Compliance Statement:• Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow. <br /> Applicant(print name) Signature Date Telephone number <br /> 12 <br />