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- , ' � � - o <br /> �art �. DE� SSU�ZATI�I� FROT�C'�'IQI�Y <br /> Check ogdon uscd: Fuel burning cquiQmertt (eemplete schedulw below) d ltio fuel barning equipmenc <br /> i EXSAUS?/MAKE-UP AIR SCHEDUI.E' <br /> IxSrRUCnoNs <br /> S�ep l. Comple�e �he Combustian Equip�ent Sched►�le below. Only equipment �xhaus.de�ices over 300 cfm =Flow_C� <br /> with a Y(Yes)maq be selecccd under the"Cace�ary i"alcemace. :,� <br /> Step 2. Completa Ez1z.��st/Mctke-up�lir Schedule on tl�e right if direct or powar ,� <br /> vcntcd or solid fucl a�nospheac vent space �xating equipment is <br /> stlected.' • <br /> ' COMBUS'I'iON EQUU�MENT SC�DULE � ' , <br /> � (check all �s sed) '` ., . . .- <br /> Sgace heatia�-nor.so:id�el 5ealed eoa:buscion Y Hcar�� - nonsolid fuel � �i�`do°power ueeced �Y. <br /> .0 Dircci or povvcr�ented _ <br /> Y* . <br /> � ptrnos hcricail vented N Atmo herieallv vcneed N <br /> Water heacing-nonsotid fuel O S�aled eombustion Y Space heating-solid fuel ❑ �►tmospheric�lly vented <br /> �� <br /> Direct or owcr vented Y Waten c�atin -saSid fuel ❑ Atmos herical] vented Y <br /> ' Atrno 'call �ented N Hearth-solid fuei O Atmas hericai( vented Y- <br /> ' If atmosphcrically ven�ed solid fuel or clirect or pQwr vented nonsolid fuel space hcating is installed,�make-up air to mstah <br /> flow is re uired Far caeh individual exhaust device which exceeds 300 cubic feec er m'snute. <br /> Part C1. V�N'I'�LA.T��N <br /> YEi�'TII.ATIdN QUAI�TTTY • � . <br /> (�vtecbanical ventilation r•►ust be provided per the l�ger quanriry calculated bciow) <br /> � �ubic fe¢t x 0.005$3 lminute =�� �fm ( � x i5 ctm/�edroom)+15 cfm= � cfm <br /> ' volume of habitable roarns nu�nb�r of bcdrooms <br /> V ENTILATION FAN SC�lEDU�� - <br /> Cheek rnethod(s)progvscd� � 0 Exhauss onl alanced (hcat recav ventilatot,air exehaa er,�te. <br /> Fan descri aon or location 3 �CA I TOTALS <br /> cfm cfin c&n cftn c&n <br /> V�Iti^fILATION Intake �� �� c{m <br /> AS DESIGNED Exhaust cfin cfm <br /> Staternent of Cornpliance: The proposed building design represemed in thcse documents is cons�stcnt wich the building plans> <br /> spceificacions, artd other e8icuiations submitted with thc permit application. The proposed building has been desi�ed to meet the <br /> requ��' m,,e�nt�s of M' esosa Energy Codc. 1 Q2 ��'�4��-� <br /> —�^ 1 <br /> Si ature Dat Telcphonc numbcr <br /> Appiicant(print name} � � <br /> �f r��•t �'2. v�i`1.,������1� (5ubmit 1Part CZ upon completion af syst�em verific�t�on�*) <br /> e'� ----�------�-------------------------------------- PzrmitNumber _ �-- <br /> ]ob Site Addrss: <br /> TO?ALS <br /> Fan descri tian Qr lxation � �� c� cfin <br /> MEASL`RED IIntske �� cfm <br /> PERFORMANCEt �ihaust <br /> cfm cfm cfrn cfm <br /> t Yenrilation rate m�t be meosured and vcrifi�d when the performaz�ce option is used in lieu of the grescriptive option for t e <br /> sealin of'oints in the buildin conditioned envelo e(from Part A)• <br /> Comptiance Scutement:� Installed ventitation syst-.m is in compiiance with MN Encigy Code and is sized to prqvide thc design ait <br /> Elow. � <br /> Si nasure Dace Telephone numbz� <br /> Applicant(princ namej S <br /> i — <br /> 'Cfl()f'�1 ')S� �A `IATT.T.�"�A 't'�7U'�At � CCRRbRQTCA Fd.�i Cf':7.T 7(1/QT/7_T <br />