3926 Canter Glen Dr - House Heating Test Record11/05/2009 15:52 7634761143
MAKE
Model
Serial
INPUT
Mike Maguire
Mayor
Paul Bakken
Cyndee Fields
Gary Hansen
Meg Tilley
Council Members
Thomas Hedges
City Administrator
Municipal Center
1RQA Dant If nnh
Asx(ed81,
City of Eaffall
oat,.
Our records indicate that the permit(s) listed above have not received the required
inspections or final inspection as required by Section 108 of the Minnesota State
Building Code. Inspections are necessary to ensure that the work for which the permit
was issued meets all life safety requirements of the Minnesota State Building Code.
ADDRESS 3V CII D 6L- E i.) DL .
OCCUPANT kf N 1 gl et.4.4 i.S IZeOL1 +"
HEAT LOSS q4 S D A T E HTG. INST 3"' t ) 1
SOLD By HOME ENERGY CENTER
Electrical Work By_ _ .—_
TYPE OF HEAT GA _FA X HW STEAM
GAS DESIGN
CONTROLS
September 25, 2009
Home Energy Center
2415 Annapolis Lane, 170
Plymouth, MN 5544
ar Pe Applicant:
THERMOSTAT DI 4 t?R L Heat Plug
Valve I c A-06 Z714
Limit i' H?)A.'eklN
Limit Setting
Fan Setting _7 F �
Pilot Type r(.ECTEdi✓) L
Pilot Make
Pilot Model ,,,�
Pilot Timing `C $e'
L.W. Cut Oft
Pressure 3. " -ti ( _ Percent CO
Input CFH 70 _ Percent 0 9- S `Z.
Stack Temp. ?t 4 ' Percent CO (3i,
Form 235
HOUSE HEATING TEST RECORD
MAKE OF BURNER
Model
Max. ETU Rating
MAKE OF FURNACE
Model
HOME ENERGY CENTER
APT. FLO CIT
OWNER ,I _a
PAGE 01/01
INSTJBY HOME ENERGY CENTER
Ga
CE HTR. UNIT I-ITR OTHER
CONVERSION
Vent Size
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting Inst
Date Tested
Company Testing HOME ENERGY CENTER
Name of Tester .SDK' even