3420 Golfview Dr - Heating House Records(y??/ / HOUSE HEATING TEST RECORD
AD4RES5 ,.,
`? Vf^7 e?z APT._F1Ia0R '-CIT?SUBURB
OCCUPANT _ OWNER ?
HEAT LOSS DATE HTG. INST
SOLD 8Y 3e1 ex,?,? INSTALLED BY Elecirieel Work 8y ?
_?,: e.?_.... Gos Line 8
Y
TYPE OF HEAT GA _ FA . HW _STEAM SPACE HTR. UNIT HTR. OTHER _, Z d^? e?
? GAS DESIGN CONVERSION MAKE /?nQfJ-??? MAKE OF BURNER
Model 'T ei U i? 3 C. Model
$erial ? 7d;? ?;L? Maz. BTU Rating
INPUT MAKE OF FURNACE '
Model
CQNTROLS ,
THERMOSTAT "? H apPl g Vent Size
Valve ? KIND OF LINE ?- SIZE??o??? NbAF-
Limit _? Draft Haod ' ..M Ragulator Idl?
Limif SsMing Filters $izA??' Number p
Fon Setting Chimney Lotation [
?Y I?sde Outiide
Pilof TYPe
?? Chimney Constmdion Pilot Make ?+/ ? . / .
Pilot Modal Smoke 8omb Wiring v
Pilot Timing ? Droft I Test Tag
L.W. Cut Off Door Prassure ? Lighting Inst.
Prossure 3Percent COZ Dute Tested J?`
Inpuf CFH ?( dLl ? Pereent OZ Q? Company Tesfin
$tack Temp. ?Percent CO .? Name of Testor
?v
Form 235
HOUSE HEATING TEST RECORD
ADDRESS ???y qm !9:Z
- APT.-FLOf i1RCITY?SUBURB
OCCUPANT OWNER
HEAT LO55 DATE HTG. INST.
SOLD BY . INSTALLED BY
Eleetricol Work By - Cws Line By
TYPE OF HEAT GA _ FA HW -/,STEAM SPACE HTR. UNIT HTR. _OTHER
GAS DESI N
? CONVERSION
MAKE ,_, MAKE OF BURNER
Model Zor la - %s'? O Model
Smiol X0? =4p Max. BTU Roting
INPUT ??D O. DOIJ MAKE OF FURNACE
Model
C NTROLS
THERMOSTAT He r Plug
Valve
Limit
Limit SsMing L?7/1 d
Fan Setring -~
Pilot Type
i ?
Pilot Make
Yent Size
KIND OF LINER SIZE---- NONE-
Draft Hood Regulator yg '"-zi-r
Filfers $ize •? Number ?
Chimnay Location Insida l? Outside
Chimney Constro<tion l%/r/"er ?
Yilof Model $moke Bom6 `rWiring ?
Pilot Timing-16-LI) /j ,y Draft ?a Test Tug
L.W. Cut Off J-24jC114? Doar Pressure ? Lighting Inst.ell
Pressure 4-1 PereeniCOZ Date Tested w_- eB Z-
InputCFH \7 UD percent OZ?CompanyTesting
$tack Temp. ?? Percent CO ? Name oF Tests.
Form 235
HOUSE HEATING TEST RECORD
ADDRESS 4//.ftc, APT.GTY?SUBURB
OCCUPANT OWNER ? A-rL? r
HEAT LOSS D,4TE HTG. INST
SOLD BY INSTALLED BY/?/ ?
Electrieal W k B Gus Line 8y ?8?
TYPE OF HEAT GA _ FA _AF_ HW?STEAM -SPACE HTR. UNIT HTR. 0THER.?641j?•°?
G?AS DESIQ? Q .ry ?MAKE MAKE OF BURNER _
Model Model
Ssrial Maz. BTU Rating-
INPUT Dd,OUC? MAKE OF FURNACE
CO TROLS
THERMOSTAT Hear Plug
Va I va
Limit
Limif Setting aOO ?
Fan $etting
Pilot Type
Pilot Make ?
Model
Vant Size e
ERSION
KIND OF LINER ?'-SIZt_-" NONE
Drafi Hood Regularor ?ISd 19-OCr
Filfers $ize 'rNumber Chimney Lacation llnsi e ( ? Outside
Chimney Construction
Pilot Model
4il
Pilot Timin Smoke Bom6
' U
' Wiring V
g
T Drah
C Tezt Tag
L.W. Cut Off 'i'9 / Q Door Prassure ?- Lighting Inst.
Pressure ?"? Percent COZ? Date TesTed ?-'?
InputCFH '?
S
d Percent 02-? Company Tesrin? /?
Sfatk Temp. ?,
?
.,/ -vr? percent CO dftk Name of Tesfer Form 235
HOUSE HEATING TEST RECORD
ADDRESS 4, ppT._FL R CITSUBURB
OCCUPANT OWNER -o
HEAT LO55 -_? t?ATE HTG. INST.
SOLD BY ? ? f? /.96 2 4e. INSTALLED BY
Elscfrieal Work By ' J;?.?E' Cas Line By -- 1h?-?.? -}.?9.??5.
TYPE OP HEAT GA _FA HW_ X?STEAM SPACE HTR. UNIT HTR. _OTHER
CONVERSION
?c
MAKE MAKE OF BURNER
?
Model / v 37- /d '6 Cl Model
Serial ZI '9?p Maz.BTURating
INPUT- 0 09_d /Z I a MAKE OF FURNACE
_
Model
CO ROLS /
THERMOSTAT eae Plug Vent Size
Valve KIND OF LINER
? 51?-
"
NON??
Limit /
DwfiHoad ?-?y
?
b'?'?4
Re
la
?
a gu
ror
-
Limit S..Ning /YD D Filterz Size ::? Number-
Fan Seftin
9
Chimney Location Inside
Outside
Pilot Type Chimne
Construction
? y
Pilot Make '
Pilot Modal ?
Smoke Bomb ?- ? /
Wiring v
Pilot Timin9 Draft Tast Tag
L.W. Cut Off '?" ? d Dow Pressure ? Lighfing Inst
Pressure • Parcant COZ Date Tested
Inpui CFH ig
percent OZ Company TesTing
?
$tack Temp. ?Percent CO ? Name of Tester .
Form 235 ?
HOUSE HEATING TEST RECORD
?yo7? (cin?`
ADDRE55 Y/Ck7
- APT. _FL CITy?SUBURB
OCCUPANT OWNER A?
HEAT LOSS DATE HTG. INST. v
SOLD BY INSTALLED BY
Elechicol W k B Gus Line By
TYPE OF HEAT GA _ FA _HWX__STEAM -SPACE HTR. UNIT HTR. -OTHER -, L.x-Za^
GAS DES, CONVERSION
MAKE MAKE OF BURNER
Model ? 7 Model
$sriul Ma?? OpQ%?? Max. BTU Rating
INPUT MAKE OF FURNACE
Model
0" CO TROLS
THERMOSTAT Ha ? Plug Vent Siza
Vo1va ? KIND OF LINER Sti£? NONE
LimiT Oraft Hood Regularor
Limit Satting ?Q Fihers Size ? Num e-
Fon SetTing Chimnay Location
Inyida Outside
Pilot Type ?
Chimney ConstrucTian ?
Pilot Make ?
Pilot Model r Smoke Bom6 ? /
Wiring</
Pilot Timing ? . Dra{t t T
T
es
og
L.W. Cut Off Door Pressure Lighting Inst.
Prossure Percent CO2 ? Dote Tested ?
Input CFH-y?/3 ? Percent 02?-_ Company Tasting
$iaek Temp. 56?(v Permnt CO ? Name of Tester
Form 235
HOUSE HEATING TEST RECORD
ADDRESS 2 aM - APT.-FL OR ? CIT SUBURB
OCCUrANT ?/
OWNER ' ?-+`' ,
?-?'??
HEAT LOSS? - DATE HTGI?T. '
SOLD BY /-+z? INSTALLED BY .1
Eleetrical Work By ' OC^ii.vCTCh! Line By
TYPE OF HEAT GA_ FA _HW STEAM SPACE HTR. UNIT HTR. OTHER ?e?147L
GAS DE55 G ?'I, ,r1?? CONVERSION
MAKE -
? ?
?-?-Y'--LVK•v"-1_ MAKEOFBURNER
Model Model _
S°f1°l Max. BTU Rating
INPUT 04.DD MAKE OF FURNACE
Modal
TROLS ?l/
THERMOSTAT Hear lug Vent Size
Valve KIND OF LINER SIZE? NOAE-
Limit Dwft Hoad Regulotor .?d n`r
Limit Settin
9 °
Filters Size
Num6er?--
Fun Safting Chimney Locatien Inside ? Outside
Pilot Type Chimney Consiruetion 0,4 ''P?
Pilot Make
Pilot Modal 1---
-Smoke Bomb
Wiring 41?
Pilof Timing S'tL• Droft- CUc Q Test Tag 9V
L.W. Cut Off Door Pressure ?f Lighting lnst
Pressuro 3S Percent COZ J?
Date Tested '? s*? - Pa
?+y
Inpuf CFH 3C? d Percent 0 Company Testing
Z
Sfack Tem
?y
p• U?Z --Percant CO 6G Name of Test»r
n-.?/„Z+
Form 235
HOUSE HEATING TEST RECORD
ADDRESS "ff"YMU
OCCUPANT
HEAT LO55 DATE
SOLD BY
Eiectrical Work By
TYPE OF HEAT GA _ FA
NST.
AP T. _
OWNER
FLOOR CIT??SUBURB
?-INSTALLED BY
??• Gos Line By ? ?..
STEAM SPACE HTR. UNIT HTR. ( OTHER
CaAS DESIGN CONVERSION
MAKE 01 MAKE OF BURNER _
Model Model
5°^°I o d Max. BTLI Rar n, '
INPUT MAKE OF FURNACE
Model
CO ROLS /l
THERMOSTAT e ?
Vent Size
Valve _ KIND OF LIN
-- SIZNONE
Limi} Draft Hood
? Ragularor
Limit Sstting - Filters Siz Number f
Fon Settin9 Chimney Locafion Inside 0utside
Pilot Type ' Chimney Construction ? l yL?
Pilot Make
-
Pilot Modal _ Smoke Bom ? Wiring ?
Pilot Timing <? ??• DrafT Test Tag
L.W. Cut Off ! Door Ptessure Lighting Inst.
Pressure 62, PercentCOZ ? ?j ??/?
Date Tesfed %v`?-? 21 ?
Inpuf CFH Percent 0?
2 Company Tasting ?
Staek Temp. ?/e.o ?
?y
Parcent CO
Name of Tester
Form 235
NOUSE HEATING TEST RECORD
ADDRE55
APL_F ,. ORCITY?SUBURB
OCCUPAN7 OWNER - ?+•+l?
HEAT LO55 DATE HTG. I T.
SOLD.BY ? INSTALLEO BY
Electrical Work Bv ?ti/?iCfZr'V ?? Gos Line By
TYPE OF HEAT GA _ FA _HW _STEAM _SPACE HTR. - UNIT HTR.,(,--' OTHER
-GAS DESIGN CONVERSION
MAKE ???(j 4z4c$ MAKE OF BURNER
Modef f? E'J 4 el"?' Modol
Seriol a Q% 1d ?
Max. BTU Raring
INPUT Jd :V i/ MAKE DF FURNACE
?
Model
tJTROLS
THER
i e P
4 Vent Size ?
Valve
77
KIND OF LIN '
?- SIZE NG1MF
Limit Droh H
d ? R
l
Ir
oo egu
aror
Limit Setting FilTers Size Number
Fan Seteing Chimney Loeation Inside Outside
Pilot Type Chi
C'
f
i
mney
ons
rutt
on
Pilot Make
J
Pilet Model Smoke 807df' ? Wiring L?
Pilot Timing Drah ?;tiK? T
t T
es
og
L.W. Cut Off
L/ Door Preszure Ligheing Inst.
Pressure &'r Percam CO y? q
Date Tested ?? '-? Q?
?P ?
InputCFH ?vd a p
e O
p C y
ercen
2 ompany Testing
SMck Temp. ?percent CO ? Name of Tester
Form 235
'HOUSE HEATING TEST RECORD
ADDRESS 3Y?? ??!'" !/<E?iJ ' B~??
APT. 0I S
OCCUPANT OWNER
HEAT LO55??- DATE HTG. INST.
SOLD BY - -
- ?. INSTALLED BY
Electrieal Work By Cacs Line By e?
?
°
TYPE OF HEAT GA _ FA _HW STEAM
-SPACE HTR. ?
,'/
+
UNIT H i eG,?OTHER
DESIGN
& CONVERSION
MAKE MAKE OF BURNER
Modal /f" -Z900 Af - Model
$erial W414 ts-p Max. BTU Rating
INPUT dU„
IJB Q MAKE OF PURNACE
T
Model
co9 Y oLs
ER
?
TH
MOSTA7
t plug Vent Siza
Valve KIND OF LINE ?- SI-ZE
AC1RE-
Li?^it Droft Hood ;?
?R
l
?
-s egu
amr ?
Limit Setting Filters Size ' Numb6r-
Fan Seteing ? Chimney Lotation Inside A111- Outside
Pilot Type Chimne
Consemcti
n
i y
o
Pilot Make
Pilot Model
Pilot TiminB $moke Bom?6Tj?_ Wirina?
Draft T -C ?' Test TagCJ
L.W. CuT Off ? Door Pressure LighTing InsT.
P
re v'•? P ?" ?+
a
rasau
ercent CO2? Date Tested ?1
Input CFH gd?2Percent OZ Company Testing
?
Stack Temp. Percent CO Name of Tester i
Fwm 235
HOU5E HEATING TEST RECORD
r?-
ADDRESS 6'
?4?r IeI'.?4l
i APT. _ LOOR CITYUBURB
r
OCCUPANT OWNER ?
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY ?
Elactrical W k e ?4GW6/Y ft/ ?'
Gas Li
e B
? ?
n
y -
TYPE OF HEAT GA _ PA _HW _STEAM -SPACE HTR. UNIT HTR. ?OTHER
4 AS DESIGN CONVERSION
MAKE A4 c- MAKE OF BURNER
Modal f ?e n e Model
Serial ?.11OL4 12,Za 9nr--/ Max. BTU Rating
INPUT MAKE OF FURNACE
, Model
THERMOSTAT
Valve
Limit
Limit $etting _
Fan Settin9 _
Pilot Type -
Pilot Make -
Pilot Model _
Pilot Timing l?p417
s t+?
L.W. Cut Off ?
Prossure Parcent COZ
InputCFH pereent OZ
Sfack Temp. Percent CO ?
Form 235
'LS
PI Vent Size
KIND OF LINER - SI!E ?1 (D?NE
Drak Hood ? Regulator
Filters Size Num6er-
Chimney Location InsOutside
Chimney ConsiruNion
Smoke Bom Wiri??
Draft ? Test Tag ?f
Door Prcssure ' Lighting Inse.
Do}e Tested Ug
` nt? ?+
?`/'^Y L
Company Testing
Name ef Tesfer _
HOUSE,HEATING TEST RECORD
ADDRESS U f?? Cot??i"'?4/ ppT._F?OR CITY UBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. I?JfiT.
SOLD 8Y ? ..e?X? INSTALLED
Electrical W k B ? -? Z?1'GU? Gaa Line By
TYPE OFHEAT GA _ FA _HW _STEAM -SPACE HTR.-
BY
UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Modal Model
Serial Mox. BTU Rating
INPUT MAKE OF FURNACE
Model \
THERMOSTA
Vo I re
Limit
Limit Setting
Fun $e}Ting
Pilot Type
Pilot Make
Pilot Modal r_
Pilot Timing iir_v?C-y
L.W. Cut Off ?-
//
Prossure Parcant C02?
Inpuf CFH et?oQ Percent OZ
Stack Temp. .?Pertent CO
Fwm 235 ?
Vant $ize
KIND OF LINER -? ,SIzNOFIE
Draft Hood ? ? Rs9uloror f
Filters Size Nufflee-r
Chimney Location Inside 4_-? Outside
Chimney Construction
$moke Bom6 Wiring /_??
Draft Test Tag r?
Door Pressura LighTing Inat.
Do}e Tested
Company Testing -
Name of Testar -
HOUSE HEATING TEST RECORD
Y--`__SUBURB
ADDRESS APT.-?CIT??
OC6UPAN7 ? OWNER r
HEAT LOSS DATE HTG. INST. ? '
SOID BY hzJPct' ???!(. INSTALLED BY ?
Eleetrical Wcrk 8o Gos Line 6y ?
TYPE OF HEAT GA _. FA _HW _STEAM _SPACE HTR. UNIT HTR. - tZ-OTHER
? ?J GAS DESIGN CONVERSION
MAKE G a s MAKE OF BURNER
Model t. it/? Model _
Serial {? L?", ? A l,Ln /? Max. BTU Rating
INPUT MAKE OF FURNACE
Modal
T!i E RMOSTA
Valve _
Limit
Limit Setting
Fan Setling -
Pilot Type -
Pilot Make _
Pilot Model _
Pilot Timing ?Nz OG!_ _
Vsnt Size -& '
KIND OF LINE SPF NONE
Dmft Hood ?Regulator ????c9 n
Filters Size Number
Chimney Location Insi e?0utside
Chimnay Constmcfion L?
$moke Bo ng ?? -
Draft Test Tag
L.W. Cut Off ? Door Pressuro Lighfing Ins .
Pressuro PercentCOZ ? Date Tesfad 12Z
InputCFH percenf OZ? Company Testing
$taek Temp. Parcent CO ? Name ef Tester
Form 235