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1743 Yankee Doodle Rd - Heating Test Records ~ HOUSE HEATING TEST RECORD ^ADDRESS APT.-FLOOR CITY SUBURB OCCUPANT OWNER • HEAT LOSS D T.HTG. INST. SOLD BY INSTALLED BY Electrical W...4 Ry TYPE OF HEAT GA FA _HW -STEAM -SPACE HTR. UNIT HTR. -OTHER ~ G/ GAS DESIGN ONVER510 1 MAKE Lr/MAKE OF BURNER Model ~CGG~j b'/~l /52 Model Smial Max. BTU Rating INPUT MAKE OF FURNACE , Model CONTROLS T THERMOSTAT~~ Heat Plug Vant Size ~ ~'~n . Valvs -,e.~ KIND OF LINER ' SIZE NONE -71 Limit A/ Draft Hood l ~ ~ Regularor 1 Z' ~ Limit Setting Filfers Siza A pIL~Kri Number J Fan Setting Chimney Location / YA'.ide Ouiside Pilaf Type Chimney Construction . . Pilot Make Pilgt Model Smoke Bomb ' Wiring Pilof Timing Draft Tes} Ta~ L.W. Cut Off Dow Pressure ~ Lighfing Inst Pressure -?s Psrcent COq o Date Tssted~ InpuT CFH Peresnt OZ 6 Company Tes!i IV .n~ e`~7 ' Stack Temp. yCs~~ Percant CO Name oF Tesf Fwm 235 ~ HOUSE HEATING TEST RECORD ADDRESS 1/S~ ~CJ/~~'~Ft-' ~~f(C- G/h APT. - FLOOR CITY ~ SUBURB OCCUPANT • ' ~A OWNER HEAT LO55 J, DAT~/ HTG. INST. SOLD BY I~"LX /.~'L`I INSTALLED 8Y Electrical Wer4 By tf Y Gos Lina By ~ OG rl TYPE OF HEAT rA FAJ,-" HW-STEAM-SPACE HTR. -UNIT HTR. -OTHER ~ GAS DESIGN CONV RSION MAKE C r`- MAKE OF BURNER - Model ,7i619GN; Model ' Sxial 712 i • Ma:. BTU Roting INPUT MAKE OF FURNACE Model CONTROLS THERMOS7~T. 1 y Heat Plug Vent Size Valve f~ Ae v KIND OF LINER SIZE NONE Limit / Draft Hood. 11 Regularor P71 ~ Limit 5e8ing FiMers Size 2 Numbsr G C Fan Seffing Chimney Location/y~~ln Ad Outaide Pilot Typs PChimnsy Construetion Pilet Make ~4e- ' Pilot Model ~ Smoke Bomb~ Wiring Pilo} Timing C ' Droft Test Tag L.W. Cut Off Door Prossuro ~J- pvLi9hting Inst. Prossure f~f ~yv Pereent COZ " Dote Tested - Input CFH Percent OZ_ Company Testing $taek Temp. -Perpent CO Name of Tsst Form 235 ' ' , . . , HEATING TEST RECORD ADDRE55 17~ qpT._F/WO~R~ TY~SU8UR8 OCCUPANT OWNER ~ HEAT LOSS PlkTE HTG. INST. - SOLD BY i~:A7GXi INSTALLED BY Eleetrieal Wo.4 Ry Cws Line By ' TYPE OF HEAT GA _ A_HW STEAM SPACE HTR. UNIT HTR. OTHER . GAS DESIGN CONVERSION MAKE MAKE OF B Model Model ~ Max. BTU Rating INPUT l~ MAKE OF ACE CONTROLS THERMOSTAT Heat Plu Vent Si:e Valve 1//w~3V~, KIND OF LINE SIZE~- NONE~ Limit /IIX0N DmftHoed ~ Regularor Limit SeNing -24 Fileers Size Num6er i tside Fan $ettin9 Chimney Location (nsi ,7C7 ,e~ Pilot Type Chimney Construttion Pibe Make Pilot Model 6/ ve74 Smoke Bom6 Wiring Pilot Timing Draft Test Tag L.W. CuT Off Door P easure Lighting Inst. / gp , o a Prossure PercentCOZDoto Teated 'i~ Inpuf CFH- .__L~ Percent 02Company Testing - ROUSO M0Ch2niC21. InC. Srock Temp. Psresnt CO 11348 KTeI Dr. MjaR§fon~5343 / G. Name of Tesfer ~~I~~ , ; HEATING TEST RECORD ADDRE55~7J~ AP7._Fly1~q~ TY SUBURB OCCUPANT OWNER HEAT LO55 le, E HTG. INST. SOLD BY INSTALLED BY rr~~ Eleehieal Work By Gas Line By ~ TYPE OF HEAT GA_F _HW,~<_STEAM SPACE HTR.-UNIT HTR. _OTHER AS DESIGN CONVERSION 74 RNER MAKE _MAKE-O Modal Model Sxial Maz. BTU Rating INPUT - MAKE OF F E CONTROLS THERMOSTAT Heat Plug Vent Size Vulve KIND OF LINER SIZE NONE~ Limit / !.a! Draft Hood Rsgulamr Limit Setting F{Itms Size Number Fon SeTTing Chimney Lecoeion In~~ n~Qy~side Pilot Typa Chimney Conatmction L b / Pilot Make / Pilot Model ~ $moke Bom6 Wiring Pilot Timing Draft Test Tog L.W. Cut Off Door P ssure Lighting Inst. Prossuro__.Percent CO2 Date Tested InpuT CFHPereent 02 Company Testing -ROUSC MCChBniCel, Inc. Smck Temp. Percent CO . 11 KTaI Dr. i etank N 55343 Name of Teste / HEATING TEST RECORD ADDRESS APT.-FL~R ' CCIT ~5UBUR8 OCCUPANT OWNER HEAT LO55DATE HTG. INST. - SOLD BY ~Ie ' ~ - INSTALLED BY ~ Elscirical Wer4 8y Gas Line By TYPE OF HEAT GA-FAX ~vHW STEAM _SPACE HTR. _UNIT HTR. _OTHER GAS DESIGN CONVERSION MAKE MAKEO ER Model 5 C 5 Model Sarial ZIA Max. BTU Ruting INPUT MAKE 0 ACE e NTROLS THERMOSTAT ? Heat Plug Vent Size ~ Valva~ 6E?S KINDOFLIN SIZE NONE limit DraftHood.-A R.~-.I..ror . 0'T--3 Limit Seffing ,~70 Filters Size ~XaS,~( - ~~O t' t- ~1 Zl7Y - Fan $etiing Chimney Loeation Inside Outside Pilot Type Chimney Cansiruetion Pilot Make ~ Pilot Model Smoke Bomb Wiring Pilof Timing Draft Test Tag-~ ~ L.W. Cut Off Door Pressure Lighting Inst. Pressure valv Percent COZ~ Date Teated Inpur CFH ~ Peresnr OZ Company Testinq -Rouse Mechanical, Inc. Stack Tamp. 3bd Percent CO 77348 KTeI Dr. i~~nk5343 Name of Testar . . HEATING TEST RECORD OCCUPANT 50 OWNER /L O_,or_ITY SUBURB HEAT LOSS DATE HTG. INST. - SOLD BY INSTALLED RV 0 Elsctrical Work By Gaz Line By TYPE OF HEAT GA - F HW -STEAM -SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE .-MAKE OF BUR Modal Modsl smio~ T' a.. sTU rtaring INPUT oe~~422V MAKE OF ACE e FONTROLS . THERMOSTAT Heat Plug Vent Size Valve KIND OF LINER SIZE NONE Limit A LjYO~ Droft Hood AME sgularor S /~7O Limit Setting ' Filtsrs SizeT,~~~hlum6er , Fon Setting Chimney Lotafion Insi~deOutside u Pilot Type ~imney Consirudien ~i"^"~- s~ Pilot Make Pilot Model ~ E Smoke 8opb Wirin9 Pilot Timing Draft 7est Tog ~ L.W. Cut Off Door Pressure~Lighting Inst. Prossuro GPercent CO2 DaM Tested A Irpur CFH Percenr 02~_ Company Testing -ROUSe Mechanical, Inc. Staek Temp. Percent CO 11348 K-Tel Dr. etonka. N 55343 Name oF Tester ~ , . , HEATING TEST RECORD ADDRESS APT._FL CITY§jg~-SUBURB OCCUPANT J OWNER HEAT LOSS DATE HTG. INST. - SOLD BY INSTALLED BY Elsctrical Wo.4 Ry Gas Line By TYPE OF HEAT GA - FA ~HW -STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE BURNER Model ~y Model Sxial se Mat. BTU Rating INPUT Agi~ MAKE OF PURN 1 Model ONTROLS THERMOS AT?~ Heat Plug Vent Size Volve KIND OF LINER ~ SIZE~ NONE- Limit Dmh Hood / Regulator S Limit Sattin9 FilTsrs $ize%'X7~XZNum6er Fon Se}ting ~ Chimney Location Inside~utside ~ Pilot Typa Chimney Construction Pilot Make - ~ Pilot Model $moke Bomb Wiring Pilot Timing D'aft ~-`Test Tag ~ L.W. Cut Off Door Pressure Lighting Inst. r f~ Pressure Psrcent COZ ~ Date Tested Input CFH Percent 02Company Testing -Rouse Mechanical, Inc. Statk Temp. Percent CO 11348 KTeI Dr. tonka, M 5343 Name o{ Tsstar ~ nHEATING TEST RECORD - ADDRESS APT. R ' C Y/y J U8UR8 OCCUPANT OWNER ~l HEAT LOSS DATE HTG. INST. - SOLD BY INSTALLED BY - Elsctrical Work By Gos Line By TYPE OF HEAT GA _ FA~.HW -STEAM _SPACE HTR. UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE MAKEOF BURN Modal ' 0 E.j ~/Q Model Sxial ~ ~ I O Max. BTU Rating INPUT z~~9 MAKE OF FUR Model jgONTROLS ~ THERMOSTAT .~_dL~ Heof Plug Vent Size Valve..//"x 3~~~s KIND OF LINER SIZE~ NONE.A- Limit L T~ Droft Hood Ragularor v 3 LimiTSeMing OO Filters $ize -A TX 1'wma.rAvXZ'w I-AMXZOYl Fon Setting Chimney Location I~n~sideOutside T- Pilot Type Chimney Construcfion Pilot Make Pilot Model ~ Smoke Bomb ~Miring v Pilot Timing Draft % Tezt Tag ~ L.W. Cut Off ~ Door Prassure Lighting Inst. Prsasure ~ U Percent COZ ~ Date Tsstsd l~ ~ Inpuf CFH Percent 0 2 Company Testing -Rouse MBChaniCal, Inc. Smck Tamp. 3 ~ PerceM CO 11348 Kdel Dr. Min a; MN 5 3 Name of Tesrer ~ rn HEATING TEST RECORD ADDRE55 APT.-FLOOit CITY""~~ SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD 8Y ~v7 ! p v C yE~a INSTALLED BY' ~6 6d(1~ l~~N Elachicvl Work By Gaa Lina By iTYPE OF HEAT GA _ FA -1,'HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER ^ /J GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model ~eelv ~i Abdel Serial Mox. BTU Raring INPUT MAKE OF FURNACE Model CONTROLS THERMOSTAT iA~ Heat Plug Vent Size Valve . KIND OF LINE `-51~~- N~E-~ Limit Draft Hood ~1'4"K Regularor r LimiiSsitin9 / Filtars Size ~lf"IEF3TC~Number ~"/6'F1oAti 3~SeT~"i~ Fan Setfing ~ Chimnay Location Inzide Oufsid~ Pilot Type ~ G Chimnay Consiruefion Pilot Maka ' ~ G?'`lo'-? ~ Pilot Model 6~~~7? Smoke Bomb Wirin9 Pilot Timing Draft n ,FP2 Test Tag L.W. Cuf Ofi r ~ Door Pressure ~C~ Liyhtiny Insi. Prossuro J J Psrwnt COZ~ Dats Tastsd >n-6 Inpuf CFH Percent OzSl~ Company Testing -ROUSe Mechanical, InC. Stack Temp. Percent CO ~ 11348 KTeI Dr. mne nk 1N 5~43 1 Name of Tes ~ (~Q/J HEATING TEST RECORD ADDRE55 ppT.-FLOOR CITYSUBURB OCCUPANT_v OWNER HEAT LOSS DATE HTG. INST. SOLD BY a w~ INSTALLED BY TZ?IF ~`'C'k Elaehical Work By 444,021 ~1wr(: Gos Line By "I 11~1 - TYPE OF HEAT GA _ FA X HW _STEAM -SPACE HTR. -UNIT HTR. -OTHER,2~s30` GAS OESIGN CONVERSION MAKE ~pQ/eX MAKE OF BURNER Model ~~rb Q/z, Model Serial , dp--? Z' Mox. BTU Rating INPUT MAKE OF FURNACE i Model CONTROLS THERMOSTATHeat Plug Vsnt Size Valve KIND OF LINE13 ~ SIZE NQRE~ Limit /~I°~'s0 ~/?C Draff Hood O + L Regularor 32./`~? Limif Ssttin9 Filterz Size , Y~~Number Fon Setting Chimnay LowHen Insids - Outsida~ Pilot Type Chimmy ConstruNion Pi lot Make ~ Piloe Model -I Smoke Bamb ~ Wiring t Pilat Timing Draft Test Tag L.W. Cut OfF Door Pressure Lightiny Inat. Pressuro O'r Percent C02 Daro Tssfed Input CFHPercent OZ~ Compnny Testing -Rouse MeChdniCal, Inc. Stack Temp. Xrz) Paresnt CO ~ 11348 KTeI Dr. M~~-3:~Gd M iv+7 Name of Tester G~ %1 ~n ~ HEATING TEST RECORD ~CJR?d'XQ / ADDRE55 A APT.-FLOOR CITI'4~"~ SUBURB OCCUPANT - OWNER HEAT LOSS TE HTG. INST. SOLD BY INSTALLED BY d~~<<' Elscerical Work By Goa Lina 6y TYPE OF HEAT GA _ FA HW -STEAM SPACE HTR. -UNIT HTR. _OTHER ~ GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model Serial hbx. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERMOSTA _jWf*t~ Heat Plug Vent Size Valve ldJk? KIND OF LINER $IZE-NON-E1LimiT ~~aaff' d/-ff- • Draff Hoad aprn.,•~ ~-~'T Regularor LimitSsHing - ~ Filters Size ~lX~-'rRl-y Number /L.Y26xL-'z_- Fnn SeHing ~ ~ Chimney Location Inside Outai Pilot Type Chimnsy Construetion Pilot Make-~ ~(D~'?-/o^> ~ Pilot Model Smoke Bomb ~ Wiring Pilot Timing Oraft .~~?~-~'2 Test Tag ? L.W. Cut Off / Door Prossure Lfghting Inst. l Prossuro ParcentC02~ Oote Teated 47Inpur CFH Parcenr OZ Company Testing -ROUSe Mechanical, Inc. S1ack Temp. 0 Parcent CO ~ 11348 K-Tel Dr. i nka, MN, 53 Name of Tester ~ i HEATING TEST RECORD ? ADDRE55 ~P e APT.-FLOOR CITYSUBURB OCCUPANT OWNER HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY Eleetricol Work By 179Jfc'j ~LE(~ Gcs Line B Y TYPE OF HEAT GA _ FA Y HW -STEAM -SPACE HTR. -UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Madal Model Serial ~ t Max. BTU Rating INPUT X~`~ ~a v MAKE OF FURNACE Model CONTROLS THERMOSTA Heat Plug Vent Size Valre KIND OF LINER r~ SIZE ~ NOP{€ Limif ~`?'~v n/?G• Draft Hood 7 "Vi Regularor ~02-r --7 Limit SsHing InO ~ Filtars Sizs ~~~J'~L-y Mumber /dX1UX'Z' --Z Fan Setiing Chimney Locatian Insida Outaide Pilot Type ~ Chimney Conztruction Pilot Make s L, Pilot Model , 2rv G 7 '3' Smoke Bomb Wiring ~ Pilof Timing DrafT Test Tag L.W. Cut Off Door Prassure Lighting Inst. ~ ~ Prossuro_ T'f Parceni COZ Dats Teated ',0 _G/7 25~F Irryut CFH------.~Percent 02~ Company Testing -ROUSe Mechanical, Inc. Stack Tsmp. Percent CO D 11348 KTeI Dt 5343 Name ef Taster ~ / HEATING TEST RECORD ~ ADDRE55 Z ~APT._FLOOR CITY~ SUBURB OCCUPANT OWNER HEAT LOSS ATE HTG. INST. ~ SOLD BY 41 ' INSTALLED BY Elechical Work By 'Q ' ~LiT Gas Line 8y ~ TYPE OF HEAT GA FA.Js`_'HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER wvlt~ GAS DESIGN CONVERSION MAKE ~-gg`/ r MAKE OF BURNER Model 1~4Q'p O/ Model swiai y~de-,r ~d/ a T M.x. eru Raring INPUT 6 V MAKE OF FURNACE Model / CONTROLS THERMOSTAT~~Y Heat Plug Vant Size Valve KIND OF LINE SIZE Limit ~~•''r"~J /~~'~L • Drah Heod Ragulaior Limit Sstting Filters SizaNumber Fan Sefting Chimney Lowtion Inside ~-Outaide^" Pilof TYpe Chimney Construcfion PilotMaks Pilot Model Smoke Bomb Wiring ~ Pilot Timing Draft TesT Tag ` L.W. Cut Off Door Pressure Lightiny Inst. ~ Prsssure ~ Psrcent COZ Date Tssted Inpur CFH-_"ir->' Pereenr OZ T Company Testing -Rouse Mechanical, Inc. Stack Temp. Percent CO 11348 KTeI Dr. n ~ / Minneto , M ~843 Name oF Test? ~1"'~ , , HEATING TEST RECORD p ADDRESS X)04 APT.-FLOOR CITYSUBURB OCCUPANT 6L~l _ OWNER HEAT LOSS ATE HTG. INST. SOLD BY INSTALLED BY~WE ~"JE!!! Electrical Work By Gas Lins By /C !i TYPE OF HEAT GA _ FA~A--'HW -STEAM SPACE HTR. -UNIT HTR. -OTHER N~T 1g GAS DESIGN CONVERSION MAKE L~ ~ MAKE OF BURNER Modal N~D 23 a0 Model Serial Ef944~& 6k3 Max. BTU Rafinq . INPUT ~2441$"P MAKE OF FURNACE Modsl '~i~ CONTROLS THERMOSTA~~_ Heat Plug Vsnt Size ~ Valre KIND OF L1NER SIZE NOME-- Limit Draft Hood s4'lla~ .~t.RIea.,laror Limit Sstting Filters Size Number. 614OD'(-2' Fon Setting Chimney Location Inside Outaide'~ Pilot Type Chimney Construction Pilot Make ~ Pilot Model ~ Smoke Bomb Wirin9 Pibt Timing Draft 'Test Tag^ L.W. Cu} Off Daor Pressure Lighfing Insf. Pressure Par<eni CO2 21_1~ Date Tested Zd"e,-,r 9 Input CFH Percenr 0 ~ Company Testing -RouseMechanical, Inc. Stock Temp. Percenf COZ~ Tei Df Name oi Tss! HE ING TEST RECORD ADDRESS 6~ XA04 APT.-FLOOR SUBURB OCCUPANT ~ _ OWNER HEAT LO55 DATE HTG. INST. SOLD BY FINSTALLED 8Y Elechical Wwk By \/2~ Gas line By TYPE OF HEAT GA _ FA ~LHW -STEAM -SPACE HTR. ^UNtT HTR. _OTHER ~y GAS DESIGN CONVERSION MAKE MAKE OP BURNER , Madsl .7Oc~~q ~ - Model Ssrial ~L- Mox. BTU Rating INPUT 61-4 90 MAKE OF FURNACE Model CONTROLS THERMOSTA~±W-~ Haat Plug Vent Sizs Valve w~L F~. KIND OF LINER SIZE NONr_' Limit ~4'00 Drofr Hood Limit Sstting ~ Filters. Siza ~dX2'rK2- Number 2'" Fan Setting Chimney Location Inside Outzi~e ' Pilot Type Qhimney Conshuctian Pilor Make / Pilot Mode{ Smoka Bomb Wiring Pilot Timing Draft ~•~+~~L Test Tag L.W. CuT Off Door Prosaure Lightiny Inst. Pressure ParceniCOZ/ Dote Tested 10 _Z( _26P 9 Input CFH __a?~ Percent OZ Company Tesiing -ROUSO MeChaniCal, InC. Stack 7emp. Vo-Percent CO 11348 KTeI Or. C"eOi~n~ 55343 Name of Testa HEATING TEST RECORD y ADDRESS/ APT.-FLDOR CITY4'F~'j SUBURB OCCUPANT M OWNER HEAT LOSS TE HTG. INS 01, SOLD BY INSTALLED BY l~.9Er' _ Elechical Work By k~cc' Gas Line 8y TYPE OF HEAT GA _ FA HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER /J GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model 1f~~ D a~ Model s~.~ai P9,~'•r Ma:. BTU Raring INPUT W 7d 8 B`~ MAKE OF FURNACE Model - CONTROLS THERMOSTAT Heat Plug Vent Size Valve ? KIND OF LINER SIZE~.NON..r--~Limit Draft Hood Regulnror ~2~ ~ i Limit Sstting Filters Size/6Yab.fy~27-.~Num6ar Fan 5etting-~ ~ Chimney Locatior~''afAside ~-_Outsida Pilot Typa Chimney Consiruction Piloi Make l-- ~ r Pilot Model Smake 8om6 Wiring - Pilot Timing Drafi -TTesT T o L.W. Cut Dff Doer Pressure / Lighfiny inst. -A ~ Pressuro X Percent COZ Date Tssted Input CFH Percenr 02 Company Tesring -Rouse Mechanical, Inc. Stack TemP• PerceM CO 11348 KTeI Dt ~DAI k KM~43 Name of Tester ~"tJ HOUSE HEATING TEST RECORD AQDRESS ~ APT. FLOOR CIT~3~'J SUBURB OCCUPANT - OWNER ~ HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY s Electrical Work By /1109r'T~L 'EL-tG Gas Lins By TYPEOFHEAT GA-FA-Y,--HW-STEAM SPACEHTR. UNITHTR._OTHER ~ GAS DESIGN CONVERSION MAKE 4e9kGFe_ MAKE OF BURNER Model 'Abdel ~ $xiul -Z;~, A 9!7 Max. BTU Rating zl~ INPUT U a L7 MAKE OF FURNACE Modsl ~jCONTROLS THERMOSTAT Heaf Plug Vent Size Valve KIND OF IINEfj SIZE'~. NONY^^•- Limit , 771e"~f""4,) 04rC Draft Hood -Regularor LimiT Setting Filters Size 2i~`~Z' umbsr Fan Setfing Ohimney Location I4Y~~i+~ Oufside ~Pilof Type Chimney ConstruHion Pilot Mcka Pilot Model Smoke Bom6 Wiring X Pilot Timing Draft Test Tag L L.W. Cut Off . Door Prossure q Lightirtg Inst. Prossuro Psresnt CO Dnte Tested InputCFH '9°~~ Percent Oz D Company TesTing ~ Stack Temp. ~A PercenT CO Name of Tester Form 235 HEATING TEST RECORD AODRESS yeo._APT.-FLOOR CITY SUBURB OCCUPANT - OWNER HEAT LOSS DATE HTG. INST. D ~ SOL 8Y t INSTALLED BY ~ Elechical Work By 10/91'%1W. r',L~' - Gaa Lina By ~j A.-Y_~Cw ~ TYPEOFHEAT GA_FA_HW.X STEAM SPACEHTR. UNITHTR. - OTHER ~ n GAS DESIGN . CONVERSION ~ MAKE MAKEOFBURNER~ ~ Model r Model Smial Mux. BTU Rating . INPUT-~ 00 D MAKE OF FURNACE Model . AJIONTROLS n ~ THERMOSTAHeat Plug Vant Size d Yalva KIND OF LINER-JIMSPIE 5!?F~9-unuc Limit Droft Hood ~~l~ Regulator 044 p 2 Limit 5etting cis,4)0 Filtars Size Number Fnn Setting ~ Chimney Lotation insida Outaide Pilet Type Chimnay Construcfion Pilot Make Pilot Model - Smoke Bom6 Wiring . PiloT Timing 0.aft rd 7est Tag- L.W. Cut Off 1:!P Dow Prossure ~Lighting Inst. ~ . ~ Pressuro PercentC02Date Tested Input CFH am ~ Percent' OZCampany Tasting -ROUSe Mechanic2l, Inc. $tack Temp. -yv_Permnt CO ~ KTeI r. net , M ~5343 er ' Name oi Teat H ATING TEST RECORD ADDRE55 APT.-FLOOR CIT01~'24-"' SUBURB OCCUPANT OWNER HEAT LOSS DATE HT . INST. SOLD BY - My~ INSTALLED BY SZd_-' Gaa Line By Elechical Work By a TYPE OF HEAT GA _ FA _HW -STEAM -SPACE HTR. -UNIT HT&,<-OTHER ~GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model Modsl Serial Max. BTU Rating INPUT ~ MAKE OF FURNACE ~ f ~ Model ~aY'KBICM•~ CONTROLS 9~~ THERMOSTAT eat P g~ Vant Si:e Valre ~rnu,r KIND OF LINER SiZt ``1V9NE-~"Limit DraR Hood Ragularor __3 Limit SsMing Filten $ize Nzi~I'nh - Fan Sefting Chimnsy Locntion Inside Outside Pilot Type ~ r Chimney Construction Pilot Make Pilot Rlodel Smoke Bomb ~ Wiring . Pilot Timing ~ ~ - Draft Is 2~, Test Tag - L.W. Cut Off Door Presaure~ - Lighting Inst. Prsasuro F_Tl~~y Psrcent COZ Da}e Tested G Inpur CFH Pereent OZ Company Testing -Rouse Mechanical, Inc. $toek Temp. Paresnt CO ~ 11348 KTel Dr, a 5 ~ Name of Tester v HEATING TEST RECORD ADDRES$ APT.-FLOOR CITI'~Afa' SUBURB OCCUPANT OWNER HEAT LOSS ATE HTG. ST. SOLD BY INSTALLED 8Y /I E Elechical Work By Goa Line By TYPE OF HEAT GA _ FA HW ~STEAM -SPACE HTR. -UNIT HTR. _DTHER GA DESIGN CONVERSION MAKE s7zlkl/-~ MAKE OF BURNER Model [~r G,7'~D 0 Model Seriol '5 3! 'r-0.0 Max. BTU Rating INPUT 300.BD11 MAKE OF FURNACE ~ Model CONTROLS THERMOSTA Heat Plug Vsnf Size Valve KIND OF LINER !~--SIZE~ ~NO E~ Limit DrakHood yW42i~9L Regulawr Limit Sstting r:Ao d Filters $ize Number Fan Settin9 Chimney Location Inside ~ Outside Pilof Type 15f'"f 'w-`=PChimney Cons}ruction Pilot Maka =zLGg i h Pilot Model - $moke Bomb _ Wiring Pilot Timing y~ r$= Draft ---Test Tag L.W. Cuf Off Door Prosaure ~ + Li9htiny Insi. Preasuro • PereentC02Date Tastad /~-~~7 Inpue CFH Percenr O~ Company Testing -Rouse Mechanical, Inc. - Stack Temp. ~2-Percent CO ~ 11348 KTeI Dr. 77 n ca, I~5 43 Name oF Tsstsr HOUSE HEATING TEST RECORD jDJ.7 * .~Q ADDRESS ~ A4e'Q I t, I APT.-FLOOR CITY~SUBURB OCCUPANT- L_IX S, M OWNER HEAT LOSS ?y ~DATE HTG. INST. - SOLD BY l~o~ 'r INSTALLED 8Y Elechical Work By Gas Line By ~ 61 TYPE OF HEAT GA>*_FA k HW STEAM-SPACE HTR. UNIT HTR. _>!(,-OTHER GAS DESIGN ONVERSION MAKE ft17 MAKE OF BURNER Madel L C0 yf4 / Model ~ Max. BTU Rating ` INPUT ~ MAKE OF FURNACE Model ~COnNTR0L5 - THERMOSTA7~y2YHeat Plug qr" VeM Size ~ Volve KIND OP LI ER doi?_t SIZ~ NONE Limit -r.~/ Ob~ s c Drah Hood vll l Regularor LimitSetting Filterz Size Number ~ Fan Sefting Chimney location Inside / Outsida x Pilot Typa -Chimney Construction Pilot Make Pilot Model Smoke Bomb ing ~ Pilot Timing Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. Prossure Percent COZ 4K ~E Date Tested Input CFH ~ Peresni 0 ypoq Company Testing ~~~A/~? ' $taek TempPercent CO ~ Z Nam<of TesTer J'C/rL/ Form 235 , HEATING TEST RECORD ~-0/~J3 J p ADDRESS~~~ APT. _ F OR-T CITY~%~~UBWI~~ B OCCUPA.af c.. tJ Sp! o T~ti+C. OWNER MEATLOSS DATE HTG.INST. . SOLD BY WSTALLED BY I'r dLiVi C.Q-G Eledrical Work By R 6 3Arke c--D`, ! Gas Line By ~ U~ -nqze~" a wi [ TYPE OF HEAT GA _FA.~HW_ STEAM_ SPACE HTR._ UNIT HTR.- OTHER GAS DESIGN ' NVERSI N MAKE 13 R YaN= MAKE OF BURNER Model 9-6 0 1)Pi/ %O2A X 804 C 4 iQ Model ~ sedal a4 h0C'i "~D/ Max. B ating INPUT /~a1o " IRL.~fUDOF FUR od ~ THERMOSTA e yNTZ~~H at Plug ` VeM Size r2c ( L/ PTr ~ Valve 6.' KIND OF LINER SIZE NONE Limit Draft Hood Regulator M/~X ~T. Z ~ Limit Setting Filters Size f4 x7k o)e -Rk N=mber ~ Fan Setfing fAChimney Location Inside OWSide Pilot Type ~ S Chimney Construction - ~ Pilot Make 1 Pilot Model Smake Bomb Wiring ~ Pilotllming ~-~~s7/7N UU J Drak TestTag D~ L.W. Cut Off Door Pressure Lightin Inst. O _ a ~ Pressure Percent COZ ~ Date Testad d - d Input CFH P Percent OZ ~ Company Testing - Rouse Mechanical. Inc. Phone (612) 593-5300 Stack Tem . ~ PerceM CO f' 2916 Nevada Ave. No. ' By ope, MN 554 - j Name ot Testbr-. ~ 3-853 /1 eek9 HEAI'ING TEST RECORD ADDRE55 ` APT.-FL~p~p R CITYSUBURB OCCUPAN? '~?K L/~CLifJ ~.(afG ,~~iE4l7 OWNER ti^G HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY Elechical Work By `-X~ e-I -1- L Gus Lina By ! r TYPE OF HEAT GA _FA HW STEAM SPACE HTR.. UNIT HTR. ~OTHER GAS DESIGN CONVERSION MAKE h1~~~-?c MAKE OF BURNER Model Model Seriol Max. BTU Raring INPUT--~~ov V MAKE OF FURNACE Modsl CONTROLS 4~101 THERMOSTAT?/ "~rtleat Plug Vent Size Valve -~-P^• -~+~L KIND OF LINE SIZE NONL= Limit G?^o? ~~~'G . Draft Hood Regularor . Limit Setting Filten $ize Numbsr r Fon SefTing ~ Chimney Location Inside-e Outside Pilot Type ~ ~'~'~?~aK~ Chimney Constructien 'e'6wI ig, Pilot Make Pilot Model Smoke Bomb - Wiring Y Pilat Timing Droft y Test Tpg y` L.W. Cut Off ~ Door Pressure Lighting Inst. -r Prossure~PeresntC02 Date Tesied IF / Inpuf CFH Percent Oz~ Company Testing -ROUSe MBCheniCal, Inc. Smek Temi- ~/~Percent CO ~ 11348 KTeI Dr. Minnetonka M7N 55343 Name o{ Tesrer / v HEATING TEST RECORD ~y ADDRE55 ~yS~ I~//-~?.Y~.se~~~^ APT.~;LOOR CITIr" SU8UR8 OCCUPANT Ge-ot'( OWNER-I-L, HEAT LOSS DATE HTG. INST. SOLD BY b+/lt.` ~~LI INSTALLED 8Y Elsctrital Work 8y Gas Line By k' " TYPE OF HEAT GA FA __1e_HW -STEAM -SPACE HTR. UNIT HTR. OTHER ~ GAS DESIGN CONVERSION MAKE ~ MAKEDF BURNER Modal yCe Dg d f ~ J Mydel Sxial 194z'I ~r ~ Mox. BTU Rating INPUT ,~Q '~Q.rO~(~ MAKE OF FURNACE Modsl CONTROLS THERMOSTA7 ~ mL""L Heat Plug Venf Size (//lnc~ Valve KIND OF LINER SIZE -NON - Limit Draft Hood Regulawr /~Y9 , Limif SeNing / Fi{ters $ize~Num6er Fan Satting Chimney Location Inside Outside Pilot Type Chimnay Construcfion Pilot Make ^r'y JO ~"fr`~ Piloe Madel Smoke Bomb ~ Wiring ~ Pilot Timing Draft ~C~ Test Tag ~ L.W. Cut OFf Door Prosaure Lighting Inst. Prossure Parcenf COZ Date Tested i-a 3-91 Input CFH Percent 02 Company Testing -ROU58 Mechanical, Inc. $tock Temp. Percent CO ~ 11348 K-Tel Dr. ///~~~MiJJJnnetonka, 343 " Name of Tesier(~ ! ~ ~ HEATING TEST RECORD ADURESS c6I,rD ' j~i}.?~°r- ;'PCOC,E APT.-FLW Cl TYSUBURB OCCUPANT ~P~F ~~1f OWNER /~-~-~TOsO~+^d'o-ZJ HEAT LOSS DATE HTG. INST. SOLD BY nv4'r INSTALLED BY ?JC Elscfrical Work 8y IrWZ Gaa Line By TYPE OF HEAT GA FA _Y_HW STEAM SPACE HTR. _UNIT HTR. -OTHER ~u GAS.DESIGN CONVERSION MAKE G MAKE OF BURNER . Modal Model Swiol AaO/ Mo:. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERMOSTA at Plug Vent Size Valve 240 A_'n KIND OF LINER SIZE N9RE-Lirimlf ~ Droh Hood Ragularor .ZOy Limit Setting Filfers $ize~__Number A Fon Sefting Chimney Location Invde ' Outside Pilat Type Chimney Construc}ion PilotMake c'~'..~ J.e~'?fi-~ Pilot Model 5- 97e.? Smoke Bomb Wiring ~ Pilof Timing ~y f~ Drafr Test Tag L.W. Cut Off - Door Prossuro Lighfing Inst. ~ Prossuro t?'T~ Percant CO2 Date Tesred 3-_Oz Irryut CFH ':9' 7 p Pereanr OZ A~ Company Testinq - Rouse Mechanical, Inc. Stack Temp. y0~ Peresnt CO ~ 11348 KTeI Dr. Minneton M 55343 - Name of Teatal ~f"~' .L/1 ~~9?f6~ q~% . 1750 YANKEE DOODLE RD • HEATING TEST RECORD ADDRE55-a APT.-F OR C Y SUBURB OCGUPANT G ~ X OWNER HEAT LO55 DATE HT~j I 5T. SOLD BY INSTALLED BY dU Elsctrical Work By Gas Line By - TYPE OF HEAT GA X FA X HW STEAM -SPACE HTR. -UNIT HTR. -OTHER d AS DESIGN CONVERSION MAKE ` Q MAKE OF BURNER Model _ J L.. ~n (1.5-~O Model - Smial ~I", S' v 72j Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERMOSTAT at,glu Vent Size Valve ~ - KIND OF LINER ' SIZE ~ NONE Limit n{'[,C [U G' Draft Hood WiNg- Regulawr 1-3 p2TVYIX~41 Limit$stting~ C Filtars ' $ize , umber Fan $ettiny ~IMFi nLc.-+r Chimney Lecolion Inside Ourside Pilot Type Chimney Construction Pilot Make 6_~_ Pilot Model 1AL'A ` Q Smoka Bo ~ Wiring Pilot Timing Q04 Draft 19-erL Test Tag L.W. Cut OfF poor Pr ssure Lighting Insi. Pro ssuro~=~~ I Percenf CO2 _--J-~T-- Date Tested lon Input CFH Percent 0 2 -1~-- Company Testing -ROUSe Mechanical, Inc. $tack Temp. Percent CO ~ 71348 K-TBI Dr. Minnetonka,MN~yaa3 Name of Tesfsr e~ ~ +~ssso <e~, ~t',~VEp un;+ he0.-~.v. ,Iobd~I/ n HEATING TEST RECORD ADDRESS ~APT.-FLOOR CITY SUBURB OCCUPANT G 0 OWNER HEAT LOSS D E HTG. ST. SOLD BY tde INSTALLED BY - Elschicol Work By Gas Lina By TYPE OF HEAT GA FAV__HW -STEAM _SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONV SION MAKE MAKE OF BURNER Model Model Ssrial Mas. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERM T~F:: Hea PI Vent Size ~D Valve KIND OF LIN SIZE NONE Limit - Draft Hood Regularor ~ Limit Setting ` 0 FilTars Size Numbar Fon Satting _ Chimney Location Inside( Outside Pilot Typa ~imney Consfrucfion ~ 'v Pflot Make Pilot Model $moke Bomb ` Wirin9 Pilot Timing Draft f 407, Test Tog L.W, Cut Off . Door Prossuro ~ Lighting Inst. , yo - Preasure Per<ent C02 Date Tested 01- Input CFH Percent OZ-~ Company 7esting -ROUSe Mechanical, Inc. Smck Temp. Percent CO go 11348 KTeI Dr. innetonka, N 55343 + Name oi Test,r ~ 41,131, ' ,/7~ -J 1750 YANKEE DOODLE RD HEATING TEST RECORD l~~ ADDRESS~ ~APT._FLOjlft ~TY1 OCCUPANT ''SUBURB ~~w, vn.rso _OWNER K L` HEAT LOSS-~.-DA E HTG. INST. SOLD BY h,rTG[/~.Pi'~~ INSTALLED 6Y Elsetricol Work By Gaa Line By "k«_P_ .J.)UaA TYPE OF HEAT GA _ FA _HW STEAM -SPACE HTR. -UNIT HTR. >C_OTHER GAS DESIGN CONVERSION ~ MAKE OF BURNER MAKE V Modal ~0 U f) ! Model Ssrial Max. BTU Rating INPUT MAKE OF FURNACE Modal ONTROLS THERMOSTA,Heat Plug Venf Size Valve KIND OF LINER SIZE NONE x- Lim{t Dmft Hood Regulater 7 Limit SeMing Filters Size Number ~ 07-.0 Fan See}ing Chimney Location Inside::,Outaide PilotType ChimneyConsituetion Pilot Make Pilot Model ~Smoke Bomb Wiring Zl- Pilof Timing Dra4t v- Tsst Tag L___ L.W. Cut Of{ Daor Prassure Lighting Inst. Prsssure -3•`S Percent C02 6P 4"10 Dafe Tested Irwur CFH Peresne 02~ Compony Testing - Rouse Mechanical, Inc. Staek Temp. Q Percant CO j11348 KTeI Dr L I~9inpel¢ ItsielAlS 3 Name of Testar //~-v HEATING TEST RECORD 44 y14 (2 ADDRE55 APT. LOOR CIT SUBURB OCCUPANT_~IdQ~ OWNE/ J~vnr~t HEAT LO55 DATE HTG. INJ~ T. SOLD 8Y ~~~d+~tl~j' INSTALLED BY r Elsctrical Work By Gas Line By ~ . TYPE OF HEAT GA FA_HW STEAM-SPACE HTR. UNIT HTR. _5e__OTHER ~ ~ J~~ GAS DESIGN CONVERSION MAKE MAKE OF BURNER Modal Q Ol / D Modsl Sxial /4' l5~ /~.d Mox. BTU Rating INPUT ISQ.~~iO MAKE OP FURNACE i Model T ROL S THERMOS ~ Heae Plug VenT Size Valve KIND OF LINER SIZE NONE~- Limit DrafT Hood Regulaior~ Limit $atting Filters Size Number Nv~~p Fan Setting Chimney Leeation Insids Outaide PilotType QiimnayCanstruction Qa;d . PilotMake `1 PiloT Model $moke Bom6 ~ Wiring L~ Pilof Timing Draft Test Tag ~ L.W. Cut Off Door Pressure ~ Lighting Inst. Prossure Percent COZ 714 Date Tesied Input CFH Percenr Oa o Company Testing - Rouse Mechanical, Inc. ' $mek Tsmp. Percent CO S 11348 K-Tel Dr. Minnet N 5 3 Name of Teafer ~ 'Z"yt HEATING TEST RECORD ADDRESS _350CI ~?~~GCIJ%~n.-f' APT._FLOOR CITY66YA^15UBUR8 OCCUPANT ~ OWNER S, HEAT SOLO 8 OSS T. ~ ( 6 INSTALLED BY ' Electrieal Work By Gos Line By ew~ rn~ TYPE OF HEAT GA _ FA _HW STEAM -SPACE HTR. -UNIT HTR. -OTHER ~ GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model vo'lf/.~TUVSS/c' Model Serial Opf 4- 6~'/!~~ Max. BTU Rating INPUT 429 000 MAKE OF FURNACE e Model CO ROLS THERMOS~THeae Plug Vent Size ~~n.]1" l•~ N Valve yA-de~pl,vl~ KIND OF LINER SIZE NONE ~ Limit ~?l' /Drah Hood .Ya~ZLJS Regulator 335- 3 Limit Satting r r~U Filters Size/ Yh f Number Fan Setting~ Chimney Location Inside a O/~utsi,dQ Pilof Typs Chimney Cons}ruction Pilot Moke Pilot Modal Smaka Bom6 ~Wiring Pilot Timing 0.aft Test Tag L.W. Cut Off Du« Pressure ~%y 7 LighNnq lnst. _ Prossuro ~ ~Percam CO ~ Dats Tsstad 7 Input CFH Z-!~ ~ Percent OZ ~ Company Testing -Rouse MeChaniCal, InC. Stnck Temp. Paresnt CO ~ 11348 KTeI Dr. . ' f~linnet@Flke'/ Mry 5543 , Name ef Tester 4` ° HEATING TEST RECORD 7 Lg~ ADDRESS APT.-FLOOR CIT ~SUBURB OCCUPANT OWNER HEAT LOSS~- DATE HTG INST. SOLD BY INSTALLED BY Elscfrical Work By Gas Line By YC~~ TYPE OF HEAT GA _ FA _HW STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Madei Model Sxiol w~8~r.~7 Max. BTU Rating INPUT '~L~ O~U MAKE OF FURNACE Model co ~toLs 1 THERMOSTAT pat Plug Ven/ Si:e - ~ Valve Gt' `TT '6~ KIND OF LINU SIZE NONE Limit Drak Hood rW - Regularor Limit SeMing Q Filters Sizey AMum6er_,-/~' Fon Setting ad_ Chfmney Location Inside A% t3ide Pilot Type Y-~~~L~•- Chimney ConsiruNion Pilot Moke i Pilm Modal L'7 Smoke 8omb L___~ Wiring ? Pilot Timing Draft Test Tag L_W. Cut Off Door Preawro Liqhting Inst. t~ } Pressure ~7 "S PereentC02~ tr~ ~.y~E Dote Tested Inpuf CFH a-~ Percent 02~ ~mpany Testinq -Rouse Mechanical, Inc. Stack Temp. Pereent CO ~ 11346 KTeI Dr. ~fylinnB1 a,MN 5343 i . Name of Testar ' ~ HEATING TEST RECORD ADDRESS ~ , ~~~L~v-f~ APT. -F~OOR ~I~xY~SUBURB OCCUPANT- ~ i.~~<<`-*+a OWNER ~ • Jr HEAT LOSS ~-DAJF, HTG. INST; ~ SOLD BY ~ ~ INSTALLED BY ~~i"'~ Elechieal Work By Gos Lina By - TYPE OF HEAT GA _ FA _HW -STEAM SPACE HTR. _UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE ~ MAKE OF BURNER Model ' . ~ ~ Model Seriol 5 ~ Max. BTU Raring INPUT ~ L L, ~ MAKE OF FURNACE ~ Model ~NTROLS L THERMD TATr~~ Heat Plug VeM Size ~~'~V}° L~Ci'w'7 Valve KIND OF LINER SIZE NONE Limit 11~ ~i Draff Hoed Rsgulator-~-~-J -3 Limit Setting Filters $ize/'/Z'~1~ ~ ~ hlum6er ~ •~cX X 1 Fun Setting ~ ~ Chimnay Location Insi Outside Pilof Type ' L~~n~' Qiimney Consiruction ~f Pilot Make ~~^'~-r'~ /~%L Pilof Model ~ Smoke 8omb Wiring L~ Pilot Timing 0.aft Tsst Tag ~ L.W. Cut Off Door Prassure Lighting Inst. v S ` Prossura ~ Percem C0~ /C Dote TesMd ~ ~ j ~ ~ Input CFH~_~--Paresnr OZ Company Tesfinq -ROUSeMechanical, Inc. Stack Temp. ~~-S Percent CO ~ 11346 Kdel Dr. ,rAi neipfika, MPl 55343 Name of Tester ~~y ~~~~~1'~ ' HEATING TEST RECORD U& ADDRESS ~JSUQ 12ke APT.-_F,y00R CiSUBURB OCCUPANT OWNER HEAT LO55_-DATE HTG. I 5T. > SOLD BY ~ I ~ INSTALLED BY Electrical Work By Gas Line By + TYPE QF HEAT GA _ FA _HW -STEAM SPACE HTR. UNIT HTR. OTHER C~ GAS DESIGN CONVERSION MAKE 7^A X , MAKE OF BURNER Modal j)l; C)~;l-Q Modal Sxiol V?~~~~~f ~ Max. 8TU Rating INPUT~'~~ MAKE OF FURNACE Model C 17 I TROLS THERMOSTA'S%'~+~"y' ' 7 Heat Plug Vent Size Valve (,1/ KIND OF LINER SIZE NONE ~ Limif Draft Hood /,'~'L,.-I Regularor LimitSstting r Filrors SiA4---)uX267 Number ~-/6'A-a26AZ Fan Setting ~ - Chfmney Location Insid/c~.- Oujside Pilat Type Chimney Construction Pilot Make /t"WL,/ /C. Pilot Model -7X L' 11 Smoke Bomb Wirin9 Pilo} Timing J-~LU~•(Y~ Draft Tast Tag L.W. Cut Off ~ Door Preasure Lightiny Inst. ' {~7e Pressuro Parcent CO2 7ee7Dota Tested il I~ut CFH %~S Pereenr OZ ~ Company Tesrinq -Rouse Mechanical, Inc. S1ack Temp. ~-I S Percent CO n 11348 K-Tel Dr. Minnetonk N 55343 / Name of Teater ' HEATING TEST RECORD ~ # ADDRE55 APT.-FLOOR CISUBURB OCCUPAN7 OWNER HEAT LO55 DA1 rTG. II~ST.~~- ~ SOLD BY r~ 7A~1.G' INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA _HW _STEAM -SPACE HTR. UNIT HTR. -OTHER /''_t_ I,J / GAS DESIGN CONVERSION MAKE MAKE OF BURNER Modal Model Serial 1 Max. BTU Rating INPUT MAKE OF FURNACE Model C ROLS THERMOS/~~~,T - ~eat Plug Vant Valve v'~ 7~UX,6,W~ KIND OF LI~ 512 S_^ y NONE Limit c G~ Drah Hoed ~'"K~ ularor ~ Limit Setting FilTen Size~"/ ~A~vx Num6er Fon 5etfing Chimney Location Inzide Outside / Pilof Type Chimney Construction~l~!~ Pilot Make ~ ? Pilot Model S X~+' Smoke Bomb ? Wiring Pibt Timing Draft Tazf Tag L.W. Cut Off Door Pressure Lighting Inst. Presaurs 3 a' Percent COZ T C" ~Do fe Tastad 0 Ve Inpur CFH Percent OZ~ Company Testing -FOUSe Mechanical, Inc. Stack Tsmp. 11348 KTeI Dr. Mi~ to9ka, MN 5~343 Name of TesTer ~ ' HEATING TEST RECORD 4 ADDRESS-:?S(J.,,,.`I, OZ~F~L~ APT.- OR IT UBURB OCCUPANT iL~dd OWNER ~ HEAT LOSS DA~TE H G. INST.~j--- SOLD BY INSTALLED BY 44uaQ•~ryry,~ Elethical Work By Gas Line By-----ie :l~J~c TYPE OF HEAT GA _ FA _HW _k__STEAM SPACE HTR. _UNIT HTR. -OTHER ~C Dd E 51 GN CON V E RSI ON MAKE 7~'Q MAKE OF BURNER Model 1'11 - . Model $xial Max. BTU Rating INPUT~~ MAKE OF FURNACE Model C TROLS 'a THERMOSTAT t~Ei/f Hear Plug Vent Size Valve t~ KIND OF LINER SIZNONE~ DroFt Haod ~-~/~/~j Regularor S Limit SeHin9 -~00 Fihers $ize Lv0 ~umber Fon Sefting r?~~~ CRimnsy Loeation nsida RX Outaids Pilot Typa ~ Q+imney Consfruction Pilot Moke Pilot Madel Smoke Bomb ~ Wiring v~ Pilot Timing 6S' Draft ? Test Tog Lighting Inst. L.W. Cut Off ' Door Pwsaure t_~ p~-gg ~ ~J Pressure 5 Parcant CO2 ~-L-1g- Date Tesfed 17 -J Input CFH ~p Q U Percenr 02~ Company Tesring -Rouse Mechanical, Inc. SMck Temp. J Percent CO Q 11348 K-Tel Dr. Min , N Name ef Teeter ~ ' • HEATING TEST RECORD ~~b Lf iy% ADDRESS _3SO APT.-~ LOOR CI4r~n__ SUBURB OCCUPANT~1 ei~_ OWNER ~ - L-• -~~'Fvv~A.o-+- HEAT LOSS~- DATE HTG. INST. SOLD BY -1S~.Q~ ~~`t-?~•~ INSTALLED 8Y Q_ Y~, cAa Elachical Work By Goa Line By VAIAU TYPE OF HEAT GA _ PA _HW -STEAM SPACE HTR. _UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model y~g/Mj&y Model Sxial ~Gn59/A Ma:. BTU Rating INPUT afl3 MAKE OF FURNACE Model y~TROLS PC 647 .L-D.D - THERMOSTA Heat Plug Vent Size 1- - Valve AA- KIND OF LINE-SIZE NONE Limit J,f,( -rTw.&j Droft Hood f4QC-r Reguloror Limit SeHing -Q Filtars Siz~ ~X~-Oa aNlum6er ~-a~X c-~~ x~ Fan Sefting~ Chimnsy Lotation In e ,Ofutside Pilot Typa _3+S"P.CdJdChd.i~ Chimney Construction ~'n0 r~Ow'~ W N~7 PilotMake U11rid Pilot Model SxSmoke Bomb Wiring v Pilot Timing 140 &_e4,nXj_ Draft v ! Test Tag ~l / ~ ghting Inst. L.W. Cut Off I Door Pressure Li ~ Presauro tp`5L-PercenTCOZ Data Tesfed Inpur CFH Q Percent OZ d Company Testiny -ROUSe Mechanical, Inc. Stack Temp. Pereent CO ~ ~17348 KTeI Dr. ln5~ Name ef Tesbr ~ HEATING TEST RECORD ~V'"' ADDRESS ~~rD~O `'LCNY~iuc~- `)f~MI~P APT.- LOOR CITY M- SUBURB OCCUPAN7_~?(~C.I.e~YO OWNER AAVY, 4'r HEAT LO55 D TE HTG. IN$T. SOLD 8Y INSTALLED BY Electrical We.k 8y u w~M~Ah.n.t, Gos Line By ~ TYPE OF HEAT GA _ FA _HW -STEAM ' SPACE HTR. -UNIT HTR. -OTHER I GAS DESIGN CONVERSION MAKE .5...6L1S6fM. MAKE OF BURNER Model ~g ~9Syn Medel Serial ~ Max. BTU Rating INPUT ~2 g , 000 MAKE OF FURNACE Model CO RO~S j'~ • THERMOSTAT \ eat Plug ' Vent Size Valre ~/~Q KIND OF LINER SIZl;~~~,~-~ ~ NONE Limif Drah Hood `~6ee-F Regularor Limit Sstting Filtera Siz~-~6xJ-Oxa Number ~-~x a'/~k Z Fon Setting \ elek, Chimney Location Ipatds-„TOueaide Pilot Type Chimney Consfrucfion Pilot Make Pilot Model -sk (611 Smoke Bomb Wiring Pilot Timing ~ O Draft ~ Tast Tag ~ ' L.W. Cut Off Door Pressure Lighliny Inst. L~ Presaure 3, ~ Percent C02 ~p Date Taseed 9-V(S' Inpuf CFH .2 g2~3r Percent OZ~ Company Testing -Rouse Mechanical, Inc. Stock Temp. ~~-',t~~ Parcent CO 11348 KTeI Dr. ~~yliqn~tonke,~5343 Name of Tssfer lV VY~ HEATING TEST RECORD c~- 1750 YANKEE DOODLE RD ) ,'P'? ADDRESS APT.-FLOOR CITY SUBURB OCCUPANT OWNER ~ HEAT LO55 DATE HTG INST. ~ SOLD BY ~ g yfr INSTALLED BY ,a..t~ ~6 ~Z~`" Eleetricol Werk By Goa Line By t '61 TYPE OF HEAT GA _ FA k HW _STEAM -SPACE HTR. -UNIT HTR. -OTHER pA~~ GAS DESIGN CONVERSION MAKE G MAKE OF BURNER Modsl ' -J7 t:f 4~~ Model $erial ~~'~~~~yyy f-~ ~a Max. BTU Rating iNPUT ~y 0 MAKE OF FURNACE - Model ,,GLCONTROLS THERMOSTAT Heat Plug Vent Size Valve KIND OF LINE ~ SIZE NOR-E Limit Drafr Hood a'•' Regulator 1100)12_ ^~J ber Limit Sstting Filters Size / fan $aRing.-o Chimnay Location ~ nv Outside--~' XII Pilot Type ~ Chimnay Consirucfion Pilot Maka B N'rV l / Pilof Modsl - Smoke Bomb WirinB~ Pilot Timing ~N~ Oraft ea'."FZ Tsst Tag ~ L.W. Cut Off Dow Prossure -~Q LigMing Inst. x Prossuro ~ PsrcentCOZ ~Date Tested Inpur CFH~Percenr Oz Company Testing -ROUSe Mechanical, Inc. $mek Temp. Percent CO 11348 KTeI Dr. O inn nka, y1~f~43 . . Name oi Taste h~~ ~ HEATING TEST RECORD ADDRESS kw= ad'^' C APT.-FLOOR CIT~~SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY O~~f ~INSTALLED BY 192?lE rJf~ Elechical Work By Gas Lins 8y . ' ! TYPE OF HEAT GA _FA Y-HW _STEAM _SPACE HTR. -UNIT HTR. -OTHER GA DESIG c CONVERSION MAKE Q MAKEOF BURNER Modal Model Sxial Maa. BTU Rating . INPUT ~,~,AaO MAKE OF FURNACE Model CONTROLS THERMO Heat Plug VeM Size Valve KIND DF LINE SIZE~~pT N E Limit Drak Hood S X O~~gularor S~ ~ LimitSettiny Ffl}ars $ize u Numberj&,a&-vZ- Fon Setting Asnw~ Chimney Locaeion nsi a Outside Pilot Type ~ - - Chimney Consiru[tion PilolMake~ PilotModel J~(dJ~ SmokeBomb ~ Wiring~l _ Pilot Timing ~'Y~~41 Draft A,-0-1' Tast Tag ~ L.W. Cut Off ~ Door Pressurs Lighfing In:t. Cdc, PressuraParcentCO2 Date Tested Inpur CFH a 3 Percent OZ Company Tesrinq -Rouse Mechanical, Inc. Staek Temp. ~-Percent CO 11348 KTeI Dr. inn a. M 3 ' Name of Testar ~ I HEATING TEST RECORD ADDRESS `"50 ee K06APT.-FLOOR CIT~~SUBURB OCCUPANT 'C f OWNER HEAT LOSS~_ DATE HTG. INST. SOLD BY -7,~rJ~ ~w'~'~ INSTALLED 8Y f_i~ j 0. H~'y Elactrical Work By Gos Line By le' TYPE OF HEAT GA _ FA '>e HW -STEAM -SPACE HTR. -UNIT HTR. _/OTHER n GAS DESIGN CO /ERSION MAKE MAKE OF BURNER Modal Modsl Sarial Ma:. BTU Rating INPUT a MAKE OF FURNACE Modsl C TROLS - THERMOSTAT ~T"Sy6'-" ot Plug Vent Size Valvs KIND OF LINE -l SIZE~ Hf--`~- Limit DrakHood Regularor Limit SaHing 0 A Filtars Size Numbe~~ ~X Fan Setfing 'P Chimney Locatfon Inside Outsid ~=2pXZ~ PiloT Type CFiimnay Consfruefion Pilot Make ~ Pilot Model Smoke Bomb ~ Wiring Pilot Timin9 Draff DwC2 Test Tog c L.W. Cut Off Door Pressure Lightinp InsT. Pressure~PsrcentC02 Date Testad I~ue CFH Parcent OZ Cempany Testing - Rouse Mechanical, Inc. Swck Tamp_Jr1A40 Percent CO 11346 K-Tel Dr. n ~ neto , MN 55~p3 / N---- Nama of Tsster ~ ~ HEATIgG TEST RECORD ADDRESS ~DO 49- APT._FLOOR CITY C~UBURB OCCUPANT ? OWNER HEAT LOSS DATE HTG~NST. SOLD BY ~~U/ INSTALLED BY Elechical Work By Ga: Line By L TYPE OF HEAT GA _ F HW -STEAM -SPACE HTR. -UNIT HTR. _OTHER -GAS DESIGN CONVERSION MAKE ~ MAKE OF BURNER Modal ~ Model Sxial Max. BTU Rating INPUT ~V MAKE OF FURNACE Model /C`ONTROLS THERMOSTAT }leat Plug Vant Sizs Valve KIND OF LINER SIZ~~-~ - Limft Draff Hood Regularor 6P-2 Limit $sttiny Filtars Size A1Y.2'V x y- umber Fan Setfing Qiimney Location Inside O teids~ Pilot Typs Chimney Consfruction - Pilot Make ~ Pilot Model Smoke Bomb~- Wiring r Pilot Timing ~'t{ 0~r Drafi Test Tag L.W. Cut Off Door Prossure~~ljn9 lnet• it'~s Presaure Percent COZ ~ Doro Tested -7~ ~ Input CFH . 1~ Percent 02 Company Testing - ROUSe MechanlCal, lnc. Stack Temp. ~4Qa Percant CO ~ 11348 KTeI r. ~ Minn nl , 55343 Name of Te! ~ , HEATING TEST RECORD ~J ADDRE55 APT.-FLOOR CITY ~SUBURB OCCUPAN7 OWNER HEAT LO55 DATE HTG. INST. o SOLDBY INSTALLEDBY~ Eleehical Work By Gas Line By TYPE OF HEAT GA _ FA .<-HW STEAM SPACE HTR. -UNIT HTR. -OTHER e • GAS DESIGN C NVERSION MAKE " woejp MAKE OF BURNER Model Madel Serial Max. BTU Rating INPUT Zooo MAKE OF FURNACE Model COyTROLS THERMOSTAT f"~ ~ut Plug Vent Size Valve ~ KIND OF LINE ~SIZE N9Ne_ Limit t r~ Drafr Hood ~y"~'~' Regularor 3 Limit Sstting ~ Filters $iza F}txN" umber Fan $etting Chimney Location j` X ns.. - utsida Pilot Type = Chimney ConstruNion ~ Pilot Make ~ N 0 Pilot Model Smoke 8om6 Wiring Pilot Timing Draft yNte~ Test Tog L.W. Cut Off Door Prezsure L Lighfing Inst. Prossure~PercentCO2 Date Tested Inpur CFH e" Percene OZ Gmpany Testing -ROUSe Mechanical, Inc. SMCk Temp. V Percent CO ~ 11348 KTeI Dr. tonc 5343 Nama of Teat~ , L/ ~ HEATING TEST RECORD ADDRE55 JS~C~ V~d~K~c ~l IQI II'F APT.-FLOOR CIT~SUBURB OCCUPANT ~UF ,QOf OWNER HEAT LOSS~ DATE HTG. INST. SOLDBY 'L~?'F H~w INSTALLEDBY ~'~f~ Elechical Work 8y Gos Line By /f TYPE OF HEAT GA _ FA X_HW -STEAM SPACE HTR. -UNIT HTR. -OTHER 14, _ GAS DESIGN CONVERSION MAKE MAKEOF BURNER Model ~ L) ~T/Decr 6 Model Sxial p. 3 V ~ ~ 576 Ma:. BTU Rating INPUT F Qf+0~4 v MAKE OF FURNACE Model CONTROLS THERMOSTAT ~~Heat Plug Veni Size Valve KIND OF LINER - SIZE-- NOME- Limit DrakHood •l/~ .v C- Regularor TJ.f Limit SsNing Filfers Size Numbsr / F'?c/eFon Setting Chimney Locotian d6 Outsida ~ Pilot Typs r~ - Chimney Construdion Pilot Make lL//0Q 72L J X Pilot Model s{ L'~ ~ ` Smoke Bomb Wiring ' Pilot Timing Draft D-461 Test Tag kf L.W. Cut Offv~ Door Pressure ` Lighting Inst. { Preasure s' PsrceniCOZ~ ~ Date Tested q ,/_~rs ~ Irryut CFH 982 Percenf OZ •'O Company Testing -Rouse Mechanical, InC. Stack Temp. 3Percent CO 11348 KTeI Dr. 8 etonka, Q 5 43 Name of Tester / HEATIKG TEST RECORD / ADDRESSS~~v APT._FLODR CIT~~SUBURB OCCUPANT -i 4, _ OWNER HEAT LO55 ATE HTG. INST. SOLD BY Li,eJ('~2 INSTALLED BY Elechical Work By Gas Line By /V TYPE OF HEAT GA _ FA HW -STEAM -SPACE HTR. UNIT HTR. _OTHER 7_ e ~ ~AS DESIGN CONVERSION MAKE MAKE OF BURNER Modsl Model Sxial Max. BTU Raring INPUT MAKE OF PURNACE i Modal ^ CpNTROLS THERMOSTA K'Heat Plug Yent Siza Valve KIND OF LINE Limit 'KV ~f DroftHaod LimitSeMing Filters 1VVZ Number __0 ~?e~C'l Fan Setting Chimney Locot ~n~Out Pilot Type Chimney Construciion ~ Pibt Mnka 0 M1°'~ Pilot Model ^ Smoke Bo Wiring Pilof Timing ~!nDraft ~ Test Tag , L.W. Cut Off Dow Prezsure ~ Lighfing Insf. ~ DaM Testad - ~ Preasure~Pereenf COZ Input CFH Percent OZ Cempany Testing -Rouse MOChanical, Inc. S1ack Temp. Peresnt CO ~ 11348 KTeI Dr. M ~ Name of Testjl HEATIKG TEST RECORD ADDRESS ~,?'SVv 0"I"L APT. - FLOOi2 CITYA'G~ SUBURB OCCUPANT r Llr OWNER HEAT LO55'~7 DATE HTG. INST. SOLD BY vlC ~4~~ INSTALLED BY Elschical Work By Gas Line By ~L ~I TYPE OF HEAT GA _ FA 1y-HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER 6AS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model SMial a Mox. BTII R i INPUT MAKE OF FURNACE Model CONTROLS THERMOSTAT - 4L Heat Pluy Vant Size Valve KIND OF LINER ~-SIZE-___~ ~~NE Limit Draft Hood /~~?r7~ Regularat ~ Limit Settiny n Filfers $ize Number - ~ lL- Fon Setting Chimney Location $i e OutalTde Pilot Type Chimney Canstrucfion Pilot Maks PilatModel SmokeBomb Wirin~ Pilot Timing f^'lT~"'~ Draft d"~ Test T L.W. Cut Off r Door Pressure . Li9hting I Prossure Percent COZ Date Tesrod ~~~_04T Inpu} CF~Pereent 02~ ~mpany Testing -ROU38 MBChe~lic21, InC. ' Smek Temp. Percent CU 11348 KTeI DC,/ l ~ka. +I 3 Name oF Testor ~ 1750 YANKEE DOODLE RD HEATING TEST RECORD ADDRESS ~ JI • APT.-Fh OO,R CITY SUBURB~LN OCCUPAN7 1EGP ~OSS OWNER /~-a,fnhn SC~ HEATLOSS~DATE HTG ST. 9a- SOLD 8Y ~j7 INSTALLED 8Y Eleetrital W rk By r?~ . Gas Line By ~Q ~ ~ • TYPE OF HEAT GA FA L-HW -STEAM -SPACE HTR. -UNIT HTR. -OTFlER GAS DESIGN CONVERSION MAKE C-Oarr~-°ol`" MAKE OF BURNER Model A o~y n Model Serial ~~79I~~ ~ w~& Max. BTU Rating INPUT A;Ael Oan MAKE OF FURNACE Model CONTROLS f/ y X r' y r THERMOSTp ~ / T~~ a/ ~p Heat Plug Vent Size 2Z Valve ~n ~~~/-/=i KIND OF LINER SIZE 3,~3N,0NE Limif ~/g,~ L Droh Hood 1n~i~L~--°/~ Regulator LimitSeHinq Filtars $ize.210162M J`~-Numbm ~ Fon Setting Chimney Location InsOuiside ~ Chimna Construcfion Piler Type G~ f et'~/~ y PilotMake Pilot Model Smoks Bomb, Wiring Pilot Timing Draft ncia re--d Test Tag L.W. Cut Off Door Prassure Lighting Inst. Proasure ~~sy PereentCO2~ Do}e Tested ~a -4/- 9a InpurCFH ~aVI Percent OZ Company Tesrinq -RouseMechanical,lnc. Staek Temp.3~5~_Percent CO -io- 11 K-Tel D~. onka, MN 43 Name of Tester J~~ . ~ HEATING TEST RECORD ~Z d`3ia7 ADDRESS ~LtA? APT.-FLOOR7"TY SUBURB OCCUPANT r~ ~ OWNER R L U!-,n Sa Q Q~r.ci HEAT LOSS DATE HTG. INST. 6 /)yc 50LD BY INSTALLED BY C Elechical Wo•k By Go¢ Line By ~ TYPE OF HEAT GA _ FA -HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER /T GAS DESIGN CONVERSION MAKE C',1r 1el- MAKE OF BURNER Model ~~~~.~dQ .~7-,A 0/4/,S/O Model $erial '~Z1L a Max. BTU Rating INPUT ~ • /i Qc:p - MAKE OF FURNACE Model CONTROLS , THERMOSTATL Heat Plug Vent Si:e Valve. KIND OF LINER~'-~' ~ SIZE NONE Limit 9, 41P"f Drak Hood t nA i.e r-e- Regularor 3 7~^3 LimiT Setting /z/0a Filter: Size 2dK°~0 Xa'Num6er Fon Setting -y-; I~~1?p- SF~Q-L Chimney Location Inside N Outside Pilot TYpe a4o.r' Chimney Consiructian et< ti< Pilet Make ' Pilot Model ~v 21} -S Smoke Boerb Wiring ~ , Pilot Timing ~ e Q, Draft 461 /(!'.ptfz Tsst Tag ~ L.W. Cut Off Dow Pressurs Lighting Inst. y Praasure 3•~ Parcent CO2 Date Tested !/2 9%=-L Input CFH a,qc Percent 0 2~ Company Testing -ROUSe Mechanical, Inc. Stack Temp. Percent CO 11 KTeI Dr. i eton M 3 Nams of Tesror