1345 Crestridge Lane - House Heating Test RecordsNOUSE HEATING TEST RECORD
ADDRESS ","4 pp
OCCUPANT -"
HEAT LO55
SOLD 8Y
DATE HTG. INST
T.?p/FLOOR._?CITY SUBURB
ER 41l."d O?& =-1;?.i w e<:?..i 14??
GAS C0. METER BADG #
INSTALLED BY
Gas Line By 9?8A. (t
Eleetrical Work By _
TYPE OF HEAT GA
FA 'J% HW _STEAM SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN
MAKE MAKE OF
Model 1;? nz •-t?s ' Madel -
Ssrial 6_49 7114 t) OG3i. Mox.BTU
INPUT J`SM MAKE OF
CONTROLS
THERMOSTAT ? Heat Plug
Valve
LimiT -
LimitSstting
Fan Setting ?L V
Pilot Type
Pilot Make
Pilor Model
Pilot Timing
L.W. Cut Off
Pressure Percenf COZ ? V
Inpuf CFH pereent 02 ? n
$taek Temp. 9 B6 ° pertent CO 0 •0R)
Model
BURNER
CONVERSION
Rating -
FURNACE
4
ve,,, size
KIND OF LINER l IC`tii ? S +? r?SIZE iCl NONE
Drah Hood $ 6 ? Regularor &44?
Filters Size Number
Chimney Location Inside q?`? Outside
Chimney Construcfion I ~ `?aS `-?-?
Smoke Bomb L Wiring ?
Draft [ffi Test Tag •??
Door Pressure
Lighting InsT. --;Oc-
Date Tested -
Company Tes+' g ?^s
Name of Test
Form 235
HOUSE HEATING TEST RECORD
ADDIYESS f? 9+? 4y d-+oZ-LA oS1i..n2 APT. d FLOOR ? CITY SUBURB
nrrl IoA ur d
HEAT LOSS
SOLD BY
DATE HTG. INST.
Electrical Work By
TYPE OF HEAT
GA FA ` HW STEAM
GAS C0. METER BADGF?, a s?
INSTALLED BY
Gas Lina By
SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE MAKE OF BURNER _
Model /) 1 ? -a Model
Serial 3A 73 F 0 ?1? ? Maz. BTU Rating_
INPUT LF A M MAKE OF FURNACE
CONTROLS
THERMOSTAT ,?eIIet?'/L.Heat Plug
Valve n..?- . A
Limit -??, °?/
Limit Sstting Za e
Fan Sefting
Pilot Type ??-
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut Off
y
Prossure?rPercenTC02 7• ?
Input CFH ? .,! ? Percent 0 ? •'b
L
Stack Temp. Percent COZ d- 6 a
Model
CON V E RSION
Vent $ize YYf1l
/
?.,C2S'-`s W SIZEZ' -NONE
KIND OF LINERP /
Drah Hoad /?,_^ k Regulator
Filters Size Number
Chimney Location Inside? ?j Outside
Chimney Construcfion z w
Smoke Bomb 'Miring ??
Drafr 0:4C Tes+ Tog;?
1
Door Pressure Lighting inst. &41
Date Tested
Company Tes ' g ? s9
Name of Testar
Form 235
HOUSE HEATING TEST RECORD
ADDRE55 _
OCCUPANT
i4ft CITY
HEAT LO55 DATE HTG. INST. GAS C0. METER BADGE
SOLD BY INSTALLED BY C?.a
Electrital Work By Gos Lina By e--y -?l_z?
TYPE OF HEAT GA _ FA il HW -STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE MAKE OF
Model i%,?, Lz,'f, •-ft Z-/ Model -
Ssrial 6_8 74 ? O il: 7L7 Max. BTU
INPUT 92 M MAKE OF
Model -
n CONTROLS
THERMOSTAT?Cq4t,a;iC Heat Plug
Valve ?/??n pf A
Limit `tl.qy?
Limit SeNing
0
Fon Satfing ?q p
Pilot Type
Pilot Make
BURNER
CONVERSION
Rati ng -
FURNACE
Vsnt Size A
n u?''
KIND OF LINER `??-c ?-SIZE/if2 NONE
Dra{tHood DfC Regularor ± %?-+? ?
Filters $ize Number
Chimney Location Inside ? Outsida
i?
Chimney Constmction j 265 +
Pilot Model p- $moke Bomb Wiring ?
Pilot Timing --L6 -BCIttf?. Draft ? Test Tag
L.W. Cuf Off Door Pressure Lighting lnat-
7p
Prossure 3. --; Percent COZ 7- ? Data Tested ll ?
Input CFH ?*Z Percent 0 Z g, C Ccmpany Tes ' ?A
Stack Temp. Percent CO 0,60 Name of Test
Form 235
? . HOUSE HEATING TEST RECORD
ADDRE55 APT. FLOOR1"CITY SUBURB
OCCUPANT OW ? F - ?•• ?'
HEAT LO55
SOLD BY
Elettrical Work By _
TYPE OF HEAT GA
DATE HTG. INST
N Zat?+??'
GAS C0. METER BADG 1
INSTALLED BY
Gas Line By !.X44? ts'
FA _L-? HW STEAM SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN
MAKE MAKE OF BURNER _
Mode?'i Ci a D/Z - A2 -I Model
Sxial -? g l:i a O B;?. 6..? . Moz. BTU Ratina -
INPUT a Zhl MAKE OF FURNACE
' CONTROLS
THERMOSTAT e?sq.:s Heat Plug
Vahe
Limit _Sefir?r...?T? ??---
Limif Setting
Fan Setting
Pilot Type ? G
Pilot Make
Model
CONVERSION
?I
Vent Size I
KIND OF LINER e JA..s.: 13 " SIZENONE
Draft Hood ? c-, .1'. Regulaior - gaea?
Filtsrs Size Number
Chimney Location Inzide v Outsida
Chimney Constroetion ? ? `'•' ?? '
Pilot Madel ? j Smoke Bom6 N?irin9 v'L
Pilot Timing ` ?p? A(?$.a'_71?yJ DrcFt &4-1 Test Tag n'-t
L.W. Cut 04f Door Prossure Lighting InzL ?
?i
PressuroI PercentC02 Date Tested
InputCFH .?-Peresnt OZ Compony Testing
$toek Temp. Percent CO 0? nn Name of Tester
Form 235
HOUSE HEATING TEST RECORD
ADCRPS^S In 4,5. Ai?? ?'Laa.L APT.Axo FLOOR -1- CITYSUBURB ??
OC U NT -
HEAT LOSS-
SOLD 8Y
DATE HTG. INST.
Elechical Work By
TYPE OF HEAT
OWNER .w? r-.
iAS CO. METER BADGE
INSTALLED BY
Gas Line 8y
GA FA _1-- HW STEAAS _SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE Av.iwc-+L. MAKE OF BURNER _
Model Q. / .1.12 2-'.. 9 ZModel
Ssria l 5-9 I-/3 F? n L)Max. BTU Rating -
INPUT A.2 M MAKE OF FURNACE
CONTROLS
: SYJERMOSTAT Heai Plug
Valve ?
Limit i& .a.v
?b
Limit $atting
FanSetting 9vt
PilotType 7-C-
Pilot Make
Modal
"
Vent Size
KIND OF LINER SIZE NONE
Dreft Haod Regulotor J?"E?7ke
Filters $izo Number
Chimney Location Inside A?_ Outside
3 .q? ?? tr
Chimney Construetion ??
Pilot Model $moke Bomb _
Pilot Timing 471 Draft
L.W. Cut Off Door Pressure
CON V E RSION
Wiring ?
Tesr Tag ?
Lightiny Inst.
Pressure if PerceniCO Z Aye) Date Tested ?yy -7
Input CFH ?-L? Pereent O 7' 6) Compuny Testing d4l
Stack Temp. 6'00 4 Percent C02 ? '?' ?') Name of Test 6QA
Form 235
HOUSE HEATING TEST RECORD
ADDRESS L? 9c'? a.?. m a'
^ ?.t APT. LOOR CITY SUBURB
OCCUPANT ? . OWNER asv((PA[tnt,as% I' ?? -
HEAT LOSS DATE HTG. INST. GAS CO. METER BA?G
SOLD 6Y INSTALLED BY
Electrical Work By Gos Line By r? I
TYPE OF HEAT GA FA _,V_HW-STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
aj? MAKE MAKE OF BURNER
Model ?°1.?fl•%? J Model
CONVERSION
$erial ??7312 A J /& "Ji Max. BTU Ratin9 -
INPUT e.4, ? MAKE OF FURNACE
Model
CONTROLS
4 r?
THERMOSTAT? Heat Plug Vent Size
Valve KIND OF LINER 1' SIZE6 " NONE
Limit DwfiHood 4 L?Ragularor P-QA94Le
Limit Setfing Filtsn Size Number
Fan Settin9
? Chimney Locafion Inside??0utside
?+-
Pilot T e
yp / ?-
Chimney ConsTmttion - ?J
?t ???''Y
PiloT Make y
Pilot Model Smoke Bomb Wiring _0'S,
Pilof Timing &t) 0.aft ? Test Tag O+fi
L.W. Cut Off Door Pressure Lighting Inat. QW'Z-
Pressure Percent CO2 7o Data Tested ???
Input CFH
g
T ?
R Pmcent OZ $,?+ Compony Tes 'g
e
j
??
$tack Tamp. Pereen} CO - p• CIa Name of Tese
Form 235
HOUSE HEATING TEST RECORD
ADDRESS 113-44- &rAPT.? FLOOR?CITY SUBURB
OCCUPANT ? OWNERaf"?s- ot.ew;?.-.-A-- - n ' ??,?
HEAT LOSS
SOLD BY
Eiecfrical Work By -
TYPE OF HEAT GA
DATE HTG. INST.
°"s?T
3A5 CO. METER BADG #
INSTALLED BY
Gas Lina By
FA _WL_HW STEAM SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN
MAKE -? MAKE OF BURNER _
Modsl Model
Serial
? Max. 8TU RaTing-
?
.1
INPUT A? I, MAKE OF FURNACE
CONTROLS
THERMOSTATHeat Plug
Valve ?-? -?T
Limit ?Q.d
Limit Setting '2-b0 'Fon Sotting b
Pilot TYpe
PiloT Make
Pilot Model Pilot Timing ? Z)
L.W. Cut Off
Prossure Percent C02
Input CFH 82i percent OZ 7+ 7
Stack Temp. Percent CO ?? 0e)
Model
CONVERSION
g.,
ven, s;ze
KIND OF LINER SIZE " NONE
Droft Hood fi)c Regularor &11d?.
Filtars Size Number
Chimney Location Insid? // / ?? _T_Outside
Chimney Consttuetion - , 1?._a -s '' )?4
Smoke Bom6 Wiring 0016
Droft Test Tag ?
Door
Lighting Inst.
Dore Tested Company Test'
Name o{ Test -? ?•? *
Fwm 235
• HOUSE HEATING TEST REGORD
' ?
ADDRESS 1?3 4.5- ?J? (.;Qt, ?-i APT.?LOOR?-CITY SUBURB .
OCCUPANT OWNER
HEAT LO55 -
SOLD 8Y
DATE HTG. INST.
Elechical Work By
TYPE OF HEAT GA FA HW STEAM
-GAS CO. METER BADGE #
_INSTALLED BY
_Gas Line By 9m Is= A^
SPACE HTR. -UNIT HTR. OTHER
GAS DESIGN
MAKE 46 MAKE OF BURNER _
Model ?1,2 P :1- "8;4? " Model
Seriol •r87 Zi A 0014b Max. BTU Ratin9-
INPUT ? d- M MAKE OF FURNACE
CONTROLS
THERMOSTAT?/21?f?? Heat Plug
Valve
Limit dd?++-??
Limit Ssfting 1?U v 4
Fan Setfing ?dTPilotType
Ptlot Make
Pilot Modal
Pilot Timin4 (O ,dL[SOfas?
L.W. Cut OFf
Model
CONVERSION
N
Vent Size
KIND OF LINER " SIZE NONE
Druf}Hood-R123( Regularor
Filfera Size
Chimney Location Inside 1`? Oufaide
? p ? e5 '?
Chimney Construction
Smoke Bomb Wiring 92C
DwFt *?t Test Tag.&
Doar
Lighliny Inst.
Ii / r
Pressure 3, ff? Percen}CO2 bS3 DoteTested ?l / 73
Input CFH ?,'?3y•^ Percent 02 Q?-? Company Testing tzf°^ -*•
Stack Temp. Percent CO 6,60 Name of Test ! 9
Form 235