2859 Lexington Ave - House Heating Tests
HOUSE H EATING TEST RECORD
G P?? y? fpu
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ADDRESS
- _ APT. FLOOR CI TYa i
?' SUBURB
OCCUPANT `'`?t ? 01MNE R
HEAT LOSZ DATE HTG. IN57.
SOLD BY f `?
I ? l? C-
I?TALLED BY `t z {
Elsetrieal Work By f'L F`-c``I oj'?•?' Caos Line By w{h Z f 4G/°" ?U
TYPE OF NEAT GA FA HW STEAM SPACE HTR. _e-UNIT HTR. OTHER
/? GAS DESIG
?7'r'?U`a,?t c•? ?? CONVERSION
M A K E AtiAKE OF Bl3RNER
Model Sf /' - I`/ Sfi' S~ Model
Seria l 0.? p/: 4 ?: S- Max. BTU Rating
INPUT MAKE OF FURNACE
Model --
CONTROLS
THERMQSTAT NV N?? Heat Plu
Vent Size
g
?
Valve f
U''? KIND OF LINER SIZE yNONE
L(mit Oraft Hood Regulator
it Satti
Li
z4? Filters Size d
Nu
ber
m
ng
Fan Settinp Alo _
m
y
Chimney Locarion Inside Outside __1]
PiloT Type Chimney Constructiort
Pifot Make
Pilot Model Smoke Bomb
Wiring _
Pilot Timing ? e {
Draft Tes? Tog??
L.W. Cut Off N? Door Pressure Lightiny Inst.
?'• G
Prsssurs 3r 5 Psrcent CO 2 _
Date Tested zz / 7/cp / •.
?
Ir+put CFN_1*;* Pe?eent O r
Z??' 3
Company Testing C?Y "t z C ?
Stock Temp. _? 7s Percent CO 0 Nome of Tesfer o
Form 235 ?
HOUSE NEATING TEST RECORD
ADDRESS 42 7 ? FX?•a(' fi'e.? -E .APT. FLOOR CITY ?fotiSUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY ? f`t f INSTALLED BY I.YvCI ?
Eleefrical 1Msrk By 4. Zn C'aos Line By w t K 2 f / I ct C!: /?OVf
-
TYPE OF HEAT GA FA HW STEAM •? ?I?r?L
SPACE HTR. UN17 HTR. OTHER -Zur
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model r - 00 N.- Model
Serial V Max. BTU Rating
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTATy?Nr?tl Heot Pluy ?
Vsnt Size
Valvs yL'111'/ ?"W KIND OF LINER id L/`?, t- SIZE NNONE
Limif 1'11,4 OraFt Hood Ragularor 41146 ? fv('[/ 3?+
Limit Setting Filters Size ? /4 _Numbsr /I "I It
Fan Settiny V Chimney Loealion Inside Outsids ?r
e u){
Pilot T Chimney Consrructian
yp
Pilof Maks `
Pilot Modsl g 7 ? Smoke Bomb Wiring _
Pilot Timing -? DroFt ' Test Tag
L.W. Cut Off Door Preswro It- Lighfinp Inst.
Pressure 4/• 7 Pereent COZ c4, Date Tosfed ZZ/74) /
Input CFH /or Pereant OZ f? Compony Testing _?? Y'^ Z??
Sfack Temp. Percent CO
?
Name oi Tesfer \ << i' ?v ? '
,•
Form 235 *
?
HOUSE HEATING TEST RECORD
ADDRESS _??? / ? ????5)k'K. ?v"L APT. FLOOR CITY ??-t-SUBURB
OCCUPANT ilnrfti t-`t L?w c r OWNE R
HEAT LOSS DATE HTG. INST.
SOLD BY W'C "' Z-e / iNSTALLED BY C?!"r e A?-
Elecfrical Wwk By Idf 4t `?u 't r L' "?- Gas Line By gC / u
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER T-k?
GAS DESIGN CONVERSION
/. .
MAKE tcE, "v? MAKE OF BURNER
Modsl T / cC' 0- Model _iaK SKiol Max. BTU Rating
INPUT MAKE OF FURNACE
CQNTROLS
THERMOSTAT k,"? oirtt Heat Pluy Vant Size
Volve ??-? ? t'L G1/ KIND OF LINER SIZE ? NONE
L imit h /'( Draff Hood _ Regularor 38 S' ")
LimitSeMing Filfers Size? Number
Fan $eftiny N? Chimney Location Inside Outsids 41-1
Pilot Type C
I t? ?"•?/? cCof-O Chimney Conslruction
Pilot Mak• ?
Pilof Model 5 7 T7 ? Smoke Bomb ?- Wiring _
Pilof Timing .7c'S{a~r DraFt Te:1 Tcg? r t
L.W. Cuf Off .Z-11 Doa Pressure sc?, fCt` Lighting Inst.
Prsssuro Z " ' w. C
.7 PeresntCO
S• 5
Date Testsd _1/17 /O/
Inpvf CFH 1G' ?
Ir• 3
0 Psrcenf D Company Testing ?'?f H t
Z
Stack Tsmp. Percenf CO C Name oi Tsster ?,)? v?-
Fwm 235 ,
HOUSE HEATING TEST RECORD
ADDRESS _]c .APT. FLOOR CITY 04UBURB
OCCUPANT f,4 ok e-t "Q'.,j '` - OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY ('`J`'"` z rl INSTALLED BY v4 G
EleNrical Work By `, f " t ?? "`A °` / • L r ? [ . Gos Line By tt?f "A Z { / -QG / : %
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
f GAS DESIGN CONVERSION
MAKE ?t r'r 0A- MAKE OF BURNER
Mode) Model
Seriol IYO ln ILi¢ ? Max. BTU Roring
INPUT /00? re)C? MAKE OF FURNACE
Model
C9NTROLS
THERMOSTAT uwt wf ? Heof Pluy
vaIVe Nu&I e V c.r-crl
Limit ti 14 A
Limif Sotfing N ?R
Fan Setting ? ?1 S?4+t
Piio, TYPQ N_ ?0 1-4 w f r l 4 v?o S f?a ? r?
Pilot Moka ?
Pilot Model ? 7
Pilof Timing
L.W. Cut OFf
Prassure -
Input CFH_
Stack Tsmp.
Fwm 235
Vent Si:e
KIND OF LINER ? f?t v?t SIZE? ? NONE
DraFt Hood Reyulato? "Xi cA»I/
Filters Size W-A _Numbsr "
Chimney Locotion In:ide Outside
Chimney Consirvcfion
Smoke Bomb _
Orcft ??,
Door Pressure_
.Pereent CD2 b' Date Tasred -
Psrcent 02 Compony Testii
Psrcent CO ? Nome oF Tester
Wiring _
Test Tag ?'?S
LighNny Inst.
w at.
AdDRESS _
OCCUPANT
HOUSE NEATING TEST RECORD
?
AP T. _
OWNER
FLOOR CITY?? SUBURB
HEAT LOSS DATE HTG. INST.
7? `? 2
'e-
r
SOLD BY
A
- / INSTALLED BY ?-
Elsetrieal Work By 15 { ? ?"?u ,.t ? f- .ti Gas Line By 'f "? ? -4 G!? pv
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTNER
GAS DESIGN CONV RSION
MAKE 'F?^ rLfbw A?AKE OF BURNER
Modal 1 /c v -vA M,d,,
Serial ! CL-wo 2 Z T(c Max. BTU Rotin9
INPUT ? ?• ?? MAKE OF FURNACE
Model
THERMOSTAT 1 < CONTROLS
<ll H
t Pl
? 4
t Size
Vs
ea
ug n
` I
Volve ^ KIND OF LINER SIZE y?NONE
/
Limit 1'1f Draft Hood Reyulaior
Limit Sefting Filfers Size _Number -
Fan Satting -" Chimney Location Insids Outside X
Pilot Type t/E-{ f, q vfC' S v Y• Chimney Consfruetion
Pilof Maks - ?f
Pilot Model Smoke Bomb Wiring _
Pilot Timing ??) 5 fG i.. t Dra{t Test Toy ?t s
L.W. Cuf Off Door Pressure s?"''f« Lightiny Inst.
C?. C ?-
Pressurs Psreent CO? Date Testsd U?
Input CFH Peresnt 02 Company Testing ??0 Z T
Stock Temp. ??S Percent CO ? Nama of Tester Z2Q v
Form 235
HOUSE HEATING TEST RECORD
?_c .
ADORESS ? ? ? ? 7 / L' {X"Fhs`62 &,%- APT. FLOOR CITY 4 C?-SUBURB
OCCU PANT _YA76,rH {.^ r,-- 06 w.e -- OWN E R
HEAT LOSS DATE HTG. INST.
SOLD BY w'f''t LC/ INSTALLED BY 'e&I < <
El.crrical wo.k By _idret 17F'ar.,1; ?ic1 _Gos Lina By G?tvtZ rl_?1 Cc? /? ?/ tlUf_
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
G?S DESIGN CONVERSION
? 6? ?? MAKE OF BURNER
MAKE ?"
Modsl Model
Soriol Max. BTU Rofing
INPUT /11,7 719 a MAKE OF FURNACE
Model
CPNTROLS
THERMOSTA7 60f «Heot Pluy ? Vsnt Size
Volve ?? ??E?? KIND OF LINER SIZE?NONE
Limit Draft Hood Rsquloror G0aXfef.?to//
Limit SoHinq zL?? Filfers Size - Number -
Fan Sstting tC Chimney Loeation Insids Outside
Pilor Tr. ??? ? A r Chimnay Construcfion r
Pilot Moks (.? t /!
Pilot Model ? 5moke Bomb ? Wiring _
-
Pilot Timing Sc c- Droft Ct
Tsst Tog?'F 5
L.W. Cut Off Door Pressuro 5SC? "fC Lighfinp Inst.
7. ? &
/01
Pr*ssure PercenT C02 % 7
Dafs Tssfed
Input CFN u 3
l
Peresnt 0 •
2
ComPany Testin9 W t"1 2 e?
Stack Temp. C
u?J Ct ??v
Psrtent CO Name of Tester ?j f
Form 235
I
.. r'. w ? - ? • , . , . ' . . ; - ,. . - . . ' . ?
HOUSE HEATING TEST RECORD
ADDRESS Z_ ?'x`'' ? '?d"t- ?T[J `? APT. FLOOR CITY 6c- SUBURB
OCCUPANT OWNER
HEAT LOSS pATE HTG. INST. ?204?
SOLD BY wf - Ze- / INSTALLED BY
Elsetrical Work By ?f °A _Gas ?Line By Z < / .1 ?«?_T
7
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER _
Modsl Or. 00 Model _
Serial Max. BTU Roring
INPUT 1-2 0000 MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vsnt Size d /( /
Valvs ??itnE- KIND OF LINER SIZE NONE
Limit AM kll Xd ? Draft Hood Regulator ?u/?/ 1??v? 3,?. ?- 3
Limit Setting ft ap Filfers $ize U,< / _Number
Fan Sefting 40 Chimney Location Inside Outside ???
Pilot Type J?r /i j_n< Chimne Construcfion
Pilot Maks /-F 1?
Pilot Model Smoke Bomb Wiring _
Pilot Timing ?k" "L Drotf 1h6/cr-c Te:t Tag
L.W. Cut Off Door Pressute 4 Lighting In t.
?.
Prsssurs -3' 3`?? Psresnt CO 710 Oafe Tesfsd /4/7/101
2 ?
Input CFH Z-10 Pereent p - Company Testing L?Y vt 7-e
Stack Temp. y/ ?z Percent C02 G' Name of Tesrer ?&4 OaUt'= F.
Form 235 ??
.? . , y . r? . . , ., , . . . , . ? ?. ,
? ? . ? , . , . ,. . , . .
HOUSE HEATING TEST RECORD
? ADDRESS _APT. FLOOR CITY SUBURB
OCCUPANT 4112 OWNER
HEAT LOSS DA7E HTG. INST.
?. SOLD BY ??'P ?'' Z'c ? INSTALLED BY ?f "? 2 T J /-/U 4C
Eleefrfcol Work 8y "A Gas Line By '-4
7YPE OF HEAT GA FA HW STEAM SPACE HTR. UH1T HTR. OTHER
4 .
MAKE ht GAS OESIGN MAKE OF BURNER CONVER510N
? Modsl A? 3 4 G Model
, Ssrial z 311 cV?,l? I Max. BTU Roting
INPUT /1V 000 MAKE OF FURNACE
' Model
CONTRDLS ?? x I
THERMOSTAT Heot Plug Vent Si:e .2
Valve ???} Y C1TS KIND OF LINER SIZE NaNE?
Limit it' Draft Hood 4Z& Reguloror a" 2'c ff=z 3? r" 3
Limit Sstting 0 Fi Iters Size ?O)( 30 ;6 _Number
Fan Setting n Chimney Location Inside Outside X
Pilot Type /5rt ?f+U..% n,ttt* Chimney Consfrvcfion 4A
Pilot Moke
Pi{of h4ode) $moke Bomb Wiring _
Pilot Timing Oraff Tesf Teg
L.W. Cvt Off Door Prossure Lighliny I?t.
? w
Proswre ??• ? Psrcenf GO ??? Da1e Te:tsd ?f?7/a' / w
? ??? Y•l 2 ??
Input CFH Parcant 0 g' S 2 Compeny Testing
395- Psrcent C0 ? Name of Tester
Stuck Temp.
, •
? ..
Form 235
s
HOUSE HEATING TEST RECORD
2
ADDRESS 4
YS 2 AP T. FLOOR CI T449-ki= SUBURB
OCCUPANT Z-?O/ ' fL+ f rvc ?i?? E•?'" OWNE R
HEAT LOSS DATE NTG. INST.
SOLD BY 6tle"t2 r / INSTALLED BY b-,"f02-t / ??UcC
Elsetrical Work By ?E "Iu o l? 4, ?- _Gos Line By LiJ E.vt Z -? C C'C
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. _K__?DTHER
f `?,a ?GASDESIGN
? CONVERSION
K
MAKE fx?? C MAKE OF BURNER _
Model <,??? ? f- Model
Serial 6 e''e` /? 3,;Z 7 Max. BTU Roring
(NPUT // 2 MAKE OF FURNACE
CONTROLS
THERMOSTAT Heat PIug
Va Ive
Limif ?
Limif Setting a?Q
Fan 5ettiny O
Pilot Typa ? Cc t 5,?•r ?
Pilot Mak• ?.L'o1 f '
Pilot Model ?
Pilot 7lming G?r 5?C
L.W. Cut Off -
Pressuro ParcaM CO
2
Inpuf CFH Pereenf 02 7. O
S}ock Tsmp. ?? Ss Percent CO ?
Fwm 235
Model
Venf Size zw ?
KIND OF LINER SIZE e'/ ' NONE
DraftHood ? Rayulator ft'ff/
Filters Size ? _Number -
Chimney Loeation Insida Outside ,x
Chimney Consfrucfion
Smoke Bomb ! Wiring
Dro(t cC'''C-ect Tesr Tay
Door Prossure Lighfing Inaf.
Dofe Tested
Company Testing f? Z Y
Nome oi Tsstar
ol-
HOUSE H EATING TEST RECORD
ADDRESS ?U s/ G'P?/ w??fDw wv "e- _ _APT. FLOOR CITY &-, SUBURB
OCCUPANT41a'^fkY"'°- ?1?
r OWNER
HEAT LO55 DATE HTG. INST.
SOLD BY wf''1 - / iNSTALLED BY (?f It Z P/ flb 46
Elsetrical Wsrk By t N F,"c. u/; Li 'v? Gas L'ene By CU"p L1Z-r/ ! Cti C?/ !?,?+Gf
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. ?OTNER ?
5 OESIGN
? CONVER510
?Uc'ivt[EG
MAKE MAKE OF BURNER
Model Model
Serial rno /C 5:1? ? Max. BTU Rating
INPUT MAKE OF FURNACE
Model
? TROLS
THERMOSTAT U?"< Heat Plug ? Vent Size
Valve KIND OF LINER S1ZE NONE ?
Limit - Dra4t 4iood Reyulator
Limit Sstiing ZL4rr FiNers Size ? _Number
Fan SeTting Chimney Locafion Inside Outsida 'r
Pilot Type Chimnay Construcfion `
Pi iot Moke /??•? -? ?i ??? r?
Pilot Model " Smoke ?mb Wiring
Pilot Timing ys` Sc ?- Draft Tes+ Tag
L.W. Cut Off Door Pressure S?. FC Et. Lighting Inst. -
Proswre 471' & Psrcanf CO /,7 dale Tesred
Input CFH //s Pereent 0 2 2 7. 3
v! Z f
Company Testing
Stack Temp. L-LG Pertanf CO Q Name oi 7esfer
Form 235
.
HOUSE HEATING TEST RECORD
C<
ADDRESS APT. FLO OR CITY
< UBURB
OCCUPANT ?e--- OWNER
HEAT LOSS DATE HTG. IMST. n ZbC/
SOLD BY (-'-F" Z t( INSTALLED BY ?-?{ ?t Z{? yU ? C
Eloctrical Work By & 't "'t"^ h Gos Line 8y t ?f `"t z < / - EE'
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. ?-OTHER
?
«`? GAS DESIGN ONVERSIaN
MAKE
? "'
' MAKE OF BURNER
Model !`J J? ` Model
S*riol ?v ?•
v
Maz. BTU Ratinq
INPUT L) MAKE OF FURNACE CE ?
AAodel
CONTROLS
THERMOLSTAT *F Uf , Heat Pluy ? Vsnt Siza
Valvs r/? KIND OF UNER -f "` SIZE NONE 19- Limit - Drah Hood ` Rsgularor ?
Llmit SoMiny ? evc Filfars 5ise ?dumbsr -
Fan $effiny C Chimney Loeation Insids Outside
Pilot Type Chimney Construction
Pilothloks /'A"L'J{
Pilot Modsl ^ Smoke Bomb - Wiring
Pilof Timing Gf ? S<'C DroftZo"-C Test Top l'p S
L.W. Gut Off ` Door Pressu?e <<- Lightfnp Inst.
7
Prossura ??, •"J '? P*reontCO
Oafe Tesred ?
/f! - C' /
Z p
C
Input CFH Peresnt 0 2 Z Companr Testing C-o
-
?'
Stock Tamp. Perc?nt CO 0 Name of Tsster
0
Fwm 235 0
HOUSE HEATING TEST RECORD
ADDRESS v` ??? ? FX Sy?? /?'UF APT. FLOOR CITY Cw0 UBURB
OCCUPANT ? ?r???{ ?'? ?G??`? 011YNER
HEAT Ld55 pATE HTG. INST.
SOI.D BY (L'F `-t 4 'r / INSTALLED BY
Eleetrical WorkcFt r`/u.-i h G,--l.-- _Gas Lins By C?C A C G.
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONYERSION
MAKE MAKE OF BURNER
Modsl Model
S"ial Max. BTU Roting
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Tieaf Pluy ? Vent Si:e _/e/
Valve KIND OF LINER SIZE NONE
' 3
Llmit - n DroFt Hood ? Regularor fv// 22S
Limif SeHing Filters Si:e _Number
Fan SeTtin9 Chimney Location Inside Outside ?
Pflot Typs Chimney Consf?ucfion
.1 `,? C?? ?l
Pilot Maks 'A2
Pilot Model " i
Pilot Timing
L.W. Cur Off `
Proswro Percent CO -7' 3
2
Input CFH Peresnt 0 g• O
2
Stack Tsmp. Psrcent CO C)
Form 235
Smoke Bomb
Draf t F O ?'C -r ?-(
Door Pressure--s-4
Date Tsstsd ___LL/
Company Testing _
Nams of Tsster _
Wiring -
- Tsa? Tag?
d?lCCL Lfghtinp Inst. _
?7Lo 1
G?CNZC /
T 4 C?2o .,r
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