1765 Yankee Doodle Rd - House Heating Test Records HOUSE HEATING TEST RECORD
ACOUS3 1 7~7 APT. _FLOOR CITY'Ct,) SUBUR~'"~
aCCUPANT OWNER C, d-
C~~
HEAT 1.055 DATE HTG. INST.
SOID BY ~rP~ UAO't~-'a - INSTALLED BY
Elechical Work By Gos Line By
TYPE OF HEAT GA _ FA ALHW -STEAM -SPACE HTR. _UNIT HTR. _OTHER T
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Modal Model
Sxial -F36t7Z 13l-sZ Max. BTU Rating
INPUT e1eg MAKE OF FURNACE
Model
CONTROLS ~
Heat Plug Venf Size 6
THERMOSTATIV— ~
Valve ~ KIND OF LINER SIZE NONE
Limit L+'~ fx~`~.4 '-.q- Droft Hood Regularor
Limit Ssiting_.Znkla Fil}ers $ize Number
Fan SeiTing Chimnay Location Inside Outside ~
Pilot Type ss~fL-•~e• i1•G ? Chimney Construction
Pilot Make -~Q
Pilot Model $moka Bomb Wiring ?
Pilot Timing Droft Test Tog ?
L.W. Cut OFf Door Pressure Lightiny Inst. .1-1
f `
Prossure Pereenf COZDme Tested -7~~
InPut CFH .•~PercenT OZ qS Company Testing ` h"~ [~~+•~T
Stock Temp. S~G Percent CO ~ Name oi Tester ~
Form 235 n I
C~o, PL~ Sl
HOUSE~ H/EATING TEST RECORD
A~?R~55 ~J~~Cd/{~F!°2' rw'~? /t¢f APT. -FLOOR CI Y' e l? SUBURf 1l`-4:7
~ 7~Su
6CCUPANT OWNER ~'p ~a, .
HEAT LOSS r 4ATE, HTG. INST.
SOLD BY / p_/~"rC•> > INSTALLED BY S~
Electrical Work BY Gaa Line By TYPE OF HEAT 6A _ FA _,k-HW _STEAM -SPACE HTR. l1NIT HTR. _OTHER
GAS DESIGN CONVERSION
MAKE - ~ MAKEOF BURNER
Model ~Model
Smial
Max. 8TU Rating
INPUT-JA~MAKE OF FURNACE
Model
CONTROLS ~
THERMOSTAT~ Hear Plug Vent Size
Val+e KIND OF LINER SIZE NONE
Limit 6e4,~ Droft Hood Regularar
LimitSetting 992i)7 ~ FilTers Size Numbar
a
Fan Setting r` d` ; Chimney Location Insida Oufaide ~
/
Pilot Type c~-5;//"~ Chimnay ConsTruction
Pilot Muke
Pilot Model Smoke 8omb Wiring ~
Pilot Timing Dro(t 1~ Test Tog
L.W. Cut Off Door Pressure Lighting lnst
~
'
Prossura ` PercenT COZ Dote Tesrod InpuT CFH IAO ' Percent OZ Campany Testing J,- [ p/>-,
Stack Temp. V7CP9 Percent CO ~ Name of Tesh.r
Form 235 -
HOUS ~0~i/E T 1'fTE5T RECO&_'~ ~
ADDRESS / ~ P~ APT.- OOR CI 1~-~_SUB B
OCCUPANT OWNER
' HEAT LOSS DATE HTG. INST.
SOLD BY I ISTALLED BY
Elechical Work By Gos Lins By L 4~,e~
TYPEOFHEAT GA_FA71C__ HW-STEAM SPACEHTR._UNITHTR..~OTHER
GAS DESIGN li CONVER~~ION
MAKE y~ MAKE OF BURNER s N
Model ~ Abdel I
i
Serial Max. BTU Rating
INPUT ~ MAKE OF FURNACE _ d
Model
CONTROLS I
THERMOSTAT ~ Heat Piug Vent Size I
Valve KIND OF LINER_--~ S NONE
Limit DmFt Hood ~
~ 0Yaror
Limit Filters I $ize Number
Fon Setting Chimney Locction Inside Oufaide
Pilot Type Chimney Coristrudion
Pilot Make /
Pilot Modal Smake Bomb ~ Wiring 4/
Pilot Timing Draft ~ Tesf Tag 4 /
L.W. Cut Off Door Pressure Li hting Inst. v
Preasuro PercenT COZ ~ Date Tested I r
Input CFH Percent OZ G Company TesTing
Sfack Temp. ~ v Percent CO Name of Teater C N ~
Form 235 I
HOUSE HEATING TEST RECORD
1.04
ADDRlSS =l~ 2 -2
APT.-FLOOR CITY ""SUBURB~_.
OCCUPANT G AESS95;C Z__ w, e. OWNER G°eS 3 f" /
HEAT LOSS DATE HTG. INST. el "e-I ~
SOLD BY Lt,9 e-+i 2LVI INSTALLED BY
Electrieal Work By Gas Line By ~A2MFRS J~E.9J/N
~
TYPE OF HEAT GA _ FA '54 HW STEAM -SPACE HTR. -UNIT HTR. -OT{iER
GAS DESIGN CONVERSION.
MAKE C~FNi'R'AL FLEGTR~C MAKE OF BURNE
Modal C- C,c7 ~ 1 D%l l4C> Model
$miol Maz. BTU Rating_
INPUT ~P MAKE OF FURNACE
'k:'„ Model
CONTROLS '
THERMOSTAT Heat Plug Vent Size F() ctiE~ /z' ~E k-T Valve ~~1JNTC f~f ?F. G r. G KIND OF LINER SIZE NONE x
Limit GR/'-i STRT Draft Hood Regularor ~
o ~ S
LimitSetfing Filters Size I Num6er
0
Fan Setting %`1O Chimney Locafion Inside Oufside x
Pilot Type GT(/LZ N/ CC Chimney Construction Af Pilat Maka r/?h Yl /dj&f/Z{ I '
Pilot Model <e~ Smoke Bomb Wiring ^l '
Pilot Timing - J o SEGn NJf Draft Test Tag ^J .
L.W. Cut Off Door Prossure Ne Lighiing Inst.~ ~
Prossure Percent COZ ~ Dnte Tesied /rs N
~
Input CFH Percent O ~ 2 Company Testing ~1~ t-
$tack Temp. z Percent CO ~ Name of Tester
Form 235 / /
HOUSE HEATING TEST RECORD
ADDR,~.SS- ~7~7/ ( liKiee f>vo6&e KcLAPT. -FLOOR CITY SUBURB
OCCUPANT G2~-SS'ER -ZNG OWNER
HEAT LO55 DATE HTG. INST. '`7"Pi- 84
SOLD BY 60f'h r.i ( M pe4 cwra. f INSTALLED BY ~"''r r~ M<<(.
Elecfrical Work By Gas Line By A'PM~iCS ~EP.YiN~S
TYPE OF HEAT GA_FA_)~_HW STEAM-SPACE HTR. -UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE TRHNC _MAKE OF BURNER
Model ~ Y C r~ 4 4S' R l! Mydel
Serial ! S 8; Max. BTU Rating
INPUT ~vt~f)G MAKE OF FURN4CE
Model
CONTROLS f
THERMOSTAT Heat Plug 1Uo~"L Vsnt Size ~p
?lE2 VE~~
Valve Rn EEC T S/°iAYi/ KIND OF LINER SIZE NONE~-
Limit Droh Hood ' Regularor
Limit SsMing -A FiIterz Size.~lE'+«pK I Number ~
Fan SetTing 0
Chimney Location Insida Outside ~
Pilot Type ~~EGT?t<Nl~ Chimney Construction
PilottAake~~0eJEQT SA~Ifll fFNW/IG ~
Pilot Model W~ ~7X d,Smoke 8omb Wiring
Pilot Timing -~O S,tr'C~iN/JS pra{t A-~ Test Tog ~
L.W. Cut Off Door ProssureLighTing Inat. ~
Prossure Percent COZ ~ Duta Tested
Input CFH o Percent Oz ~ Company TesTing ( ~~r ~
$tack Temp. KF)oL Percant CO ~ Name o{ Tester ~~~--'-"a
Form 235 ~
HOUSE HEATING TEST RECORD
ADDR€SS Y!«rJcpe &ocE'tt KcQ APT.-FLOOR CITY SUBURB
OCCUPANT (r~~SS~~ e- OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY ~E'Nr.r.I [~?LK~e a~~eti~ INSTALLED BY
Electrical Work By Gos Line By X-44MC/LS 46r,
~
TYPE OF HEAT GA _ FA HW STEAM -SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model Rl nc. N 2D i/ i 'Model
$eriol x06 MaxW.., BTU Roting
INPUT a- nc' F FU~
C0THERMOSTATe yaI,e ~/ti.F LINER SIZE NONELimit ood Regularor ~ ~r3
Limif SeMing ~ nCJ ~ Filtero $ize kY~K / Mum6er ~
a
Fan Setfing /nn 4t V Chimney Location Inside Outside 14
Pilot Type ~Chimney Consfruction
Pilot Make iNLf iY"E {~-C~ itRs ~
Pilot Model Smolie Bomb Wiring
Pilot Timing Draft NIf-!O Test Tog
L.W. Cut Off Door Prossure9~9_Lighfing Inst.
/
Prossure PercentC02 ~ Dote Testsd
InputCFH ~ ZV Percent O-~_- Company Tssting '.I~nER'S
2
Stack Temp. Percent CO Name ef Tester ~ .
m 235 _