625 Yankee Doodle Rd - House Heating Test Records
~ •
/ HOUSE HEATING TEST RECORD
ADDRE55 p`~" d ~/y~~~PT.-FLOOR7S~ CITYC~d.~t~ik1BUR6
OCCUPANT a~ ~Q O^~~ Q~'-~ OWNER L
HEAT LO55 DATE H7G. INST.
SOLD BY INSTALLED BY A
~l s ~ d i_
Electrieal Wark By _ Gos Lina By
TYPE OF HEAT GA FA _ W_STEAM _SPACE HTR. UNIT NTR. ~OTHER
f GAS DESIGN CONVERSION
MAKE ~~~4 l~-A MAKE OF BURNER
Model ~ S L`7 Model -
Sxial Max. BTU Rating
INPUT 0~~~ MAKE OF FUR
Model
CONTROLS ~
- THERMDST T ~aa' ~qt Plug Vsnt Size
yu~ve °=~e~-'~ J~ KIND OF LINE~R~ y~~~ ~ SIZE NONE
Limit Drafi Hood a^~^w~ J Regularor ~a~
Limit Sstting ~ FilTSrs $ize .f~~_ Num6er
Fon Seffing Chimnsy Locetfon Insids Outside
Pilot Type Chimney Construc}ion .~c~'
Pibt Make ~
Pilot Model $moke Bomb Wiring
Pilot Timing ~ d1-~~ Draft Test T~p -
L.W. Cut Off Dem Pressure Lighting InaT.
Prassure Psrcent COZ~ Date Teseed
Input CFH ~Sp^' Pereen~ 0~-~----- ~mpany Testing
Stack Temp. -~'.(~.L~ Percent CO ~ Name of Tsstar
Form 235
' HOUSE HEATING TEST RECORD
ADDRESS ~~S YtwL~ LJO~ I~ ~APT.-FLOOR CITY~o'~'LSU8UR6
OCCUPANT ~~'~L ~-~_~~'~-4~a-~~~ OWNER ~ ~
HEAT LOSS ~ATE HTG. INST. 1•~n
SOLD BY INSTALLED BY ~,C~
'
Elsctrieal W 4 8 ~e~~Li Gaa Line By ~~~C~ C./.f ~
TYPE OF HEAT GA FA ~ HW STEAM _SPACE HTR. UNIT HTR. -.~~OTHER
GAS DESIGN CONVERSION
MAKE Q MAKE OF BURNER
Model TF I S"r~ Modsl
Ssrial Maa. BTU Rating
INPUT I SFJFaDO MAKE OF FURN
Model
CONTROLS ~
THERMOSTAT ~ Heat Plug Vsnf Si:e
ya~~a - KIND OF LINER SIZE NONE
wr+ Droh Hood -~!p'u~'~~~ Rsgularor ~ ~
Limit -
Limif Sstting ~ ~ Filfers Si:e Numbar N~
Fan Settin ~l Ch{mney Locatfon Insids~p0utside
Pilof Type9~~ Chimney Conatruc}ion G7 ~
Pilee Make ~,y..~ ~'~'L~ ?
Pilot Model Smoke Bomb W~~~~9 ~
Pilot Timing d-EL' Draft Test Tag
L.W, Cut Off Door Prossure Lightiny InsL ~
Pressure ~'S,/~ PercentCO~~ Date Tested -
Input CFH ~~~1,%^ Psresn* O~ Company Tet}ing
Stock Temp. ~{S.~Percent CO ~ Neme of Testar
Form 235
HOUSE HEATING TEST RECORD
ADDRESS ~a"'S Tll..~.Co~~ ~o~t~-n<.dC ~pT.-Fl ~
g L CIT~.vUBURB
OCCUPANT ~~'~a OM+C Q~~.v.'~tr5 t'wek- OWNER V
HEAT LO55-T~~DATE HTG. INST.
SOLD BY INSTALLED BY ~~l1 y
Elsctricel Work By p~"""-'~ s Gas Lina By ef~•;
TYPEOFHEAT GA-FA W STEAM-SPACEHTR. UNITHTR.~OTHER
~ I~. GAS DESIGN CONVERSION
MAKE ~~_U MAKE OF BURNER
Model ti ~ Modsl
$niol ~n Max. BTU Rnting
INPUT I~~f7F~C~ MAKE OF F NACE
Model
r~ CONTROLS C u
THERMOST T_L Heat Plug Vent Si:s J
,L KIND OF LINER SIZE NONE
Valre ~,1c
Limit Drok Hood ~ Regularor cL-?
Filters Sizs~-~~~- Number
LimiT ~Miny
Fan Sefting (]~imney Location Inside~ utside
Pilof Type Chimney ConstruNien ~A~~`~
Pilot Make , /
Pilot Model Smoke Bomb W~~~~9 ~
~ Pilot Timing ~ Draft Ts:t Tag
L.W. Cut Dff - Dow Pressura Lighfin9
Pressure ~ PeresntC02~r- Date Testad
Input CFH PerceN O Company Tssting
Stack Temp• ~ Percant CO' ~ Nama of Testsr
Form 235
~ ' HOUSE HEATING TEST RECORD
ADDRESS~~~ZG.1 ~~l7I~~~PT.-F QUR CIT~SUBURB
OCCUPANT R.nyt (~Yt~L Q.~S.~n~F3S -~^/'+"~Y°iI~L OWNER L- r~
HEAT LOSS DATE HTG. INST. an n - ,
SOLD BY ` INSTALLED BY A p~
Elsctrical Work By + Gas Lins By ~.l~i w~ ~ ~
TYPE OF HEAT GA _ FA _ W-STEAM -SPACE HTR. -UNIT HTR. ~OTHER
iGAS DEStGN CONV
MAKE ~ lI'~.C.( MAKE OF BURNER -
Modsl T~' fl Modsl
Serial Max. BTU Rari
INPUT ~ Q~ MAKE OF RNACE
Mod
~j^ yCONTROLS ir
THERMOSTA1 T t Plug Vsnt Size ~
Valve _~T~T~~(d~'`Q~ KIND OF LINER SIZE NONE
Limit_~'er~_el"'n-~ DrakHeod Nh~'-~'u-r-~~~A///~~p' Re~~-g~~.ulator ~~S•~
LimitSaMing ~.~g~~~ Pilters Size!/-~-~umber
Fan Setting Chimney Location Inafda Outside
Pilot Typa Chimney Constfuction ~ '
Pilot Make ~
Pilof Model Smoks Bomb W~~~~9
Pilot TiminS ~ Draft Tact Tag
L.W. Cut OFf Dow Pressure Liyhfiny Insf.
' g • ~ ~c9,~
Prossure 2~~ Percent CO2 Date Tested -
InputCFH Psresnr 0 CompanyTeating .
7
Stack Tamp. ~Ar~ Percent CO Name ef 7ester
Form 235