2905 Lexington Ave - House Heating Test Record' HOUSE HEATING TEST RECORD *a4,L. C4 S)k. 4??o
ADDRE55 e-? APT. _FLOOR _CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG INST.
SOID BY INSTALLED BY
Elecxiaol Wwk By Gas l{n• By
TYPE OF NEAT GA _ FA _HW _STEAM ,SPACE HTR. _UNIT HTR. OTHER
GAS DESIGN 'CO VERSION
MAKE MAKE OF BURNER
Model i(Do Abdel
s«iai NANFri-,bMLt`N??. ?J Mea. BTU Ratinq
INPUT ?1-2U 10(_2-? $21» MAKE OF FURNACE
Modol
^,- CONTROLS
THERMOSTAT 7?7?` kB.? If'av7-p}v?
Valro
Limit ? K?? yGVI
Limif SeMinq
Fan Settinq
Pibt Typ. ?-•?le.rvv.,??.v??
Pilot Mako
Pilm Modd vb S 471T -
Venf Siz• L-?
KIND OF LINER 12, SIZE NONE
Orah Hood Rpulamr
Ffitws $i:e Numbet
QiTMy Letation Illiido-OYTiide
Chimney CAnsTrudion
Spillage
Smoke Bomb Wiring
Pilot Timing ._..J ?ec? "' • 0.a4t Tout Ta9 -
?V! f9t'Off?? Dow Presaure Liqheinq Inat.
i?
Pnswre Pveene CO? $ Dats Tasted
laput CFHIL7(7 Pntent OZ? ?mpany Teating
$MCk T?mp. ??? PNNII} ?0 ?.LQ :2Namoof TaaM
Certificate of Compentency #
L I ,(S !, (?-eQ,?,,,,d{altc C'?F'.n. aLi,.dl. .bv.•t•
HOUSE HEATING TEST REC6RD
ADDRESSLU? '?_Y> APT._FLOOR CITY SUBURB
OC[UPANT ' 01YNER
MEAT LOSS DATE NTG. INST.
SOLD BY C`?a INSTALLED 8Y
El"hieal Wwk By Gas Lim Br
TYPE OF MEAT GA -FA HW _STEAM -SPAGE HTR. _UNiT HTR. -OTliER
(?
GAS DESIGN
O
MAKE w???e-? E OM? F BURNER _
Mea.i 9',;?HRTC)nE,(??? ?a.i?
s«ioi c?6?4?v-q4??s? Ma.. en, Ra,in9-
INPUT onn 91U14 MAKE OF FURNACE
Modd
CONTROLS
THERMOSTAT
Val.. W?1?P Hwr Pluy
:o?rS
Limif
r ?
Limif SMfinp ISl l
Fon Ssniny
Pilor Trp. I??'t'r
PilefMaln,kYM1" OY1
V"f $ixs
KI OF LINER SIZE NONE
Drah Ho Rpulaior
Filew s iz? Numb?r
Uhimn?y Locarian Inside Outside
Chimnsy Construcfion
Pilw MoMI s11--.1 ? 631 - $molce Bemb _
Pilof Timiny ! 6eC • Oroir
L.W'-Cut or Dow Vrosawe-
I? C?
Pressura-z• ? "N?l?615sreqnt C02 Date 1'estsd _
Input CFN?Psrcent 02 ? Gmpony Tastinq
Sbck T?mp. ? PwuM CO Name of TesHr
Certificat
CONVERSION
?
q.
HOUSE HEATING TEST RECORD
ADDRESS E eV-%. APT._FLDOR CITY SUBURB
OCCUPAHT OM'NER
HEAT LOSSq,?? y ?..x_?DAT, E YT 1 pTG. INST. 7i
SOLD BT 4tF,,1'ti . INSTALLED BY
Etechieal Wwk By Gas LiM By
TYPE OF NEAT GA _ FA _HW _STEAM _SPACE MTR. _UNIT HTR. OTNER
GAS DESIGN
MAKE MAKE OF BURNER _
Mod?l
' Model
?p?? 6r{L _ t 1 r. 2
\ 7
S?tial In"' ??? -? •r ?'crv,??
'
-- - Moa. BTU Raeln9-
A
INPUT 7';00D__KTU MAKE OF FURNACE
TMERMOSTAT
Valre ?)/??m,,,?eLimit i?••••
?l J
Limit SeMiny I
Fan s.,.+n9 1 f?D
Piloe Typ. T?A?fvh_l++C c}
Pflot Meka -TONnYY4S7" e.C??J'O I
Pcio.m.a.i C-4=`16G-S
Pilat Timing
6*40:-Evt-00
11 ?
Pressure 3 15 PereenlCO' ?o
input CFH )S Poreent 0
1
Smek Temp. ? Pweont CO N°T?Y9?E
Nc /
Modol
.,
?
? 1 )?
v.nr si:.
KIND OF LINER SIZE
NONE
p
DroN Huod ?_, %,e ? Rpularor
Filtws Size Numb?r
CAimney Locafien Inside ?
utaidn
Qhimnay Conatruetion ?
C? f/? S s
Spillaqe
Smo{te Bemb Wiring
Droft ? K T•st Taq
Dow Pnaame L
i
qhlina Insf.
Dats Testad ! p
.
q
! ' ?3` o v
?
??
Company Tsteing r
) y:?f Cr-
Name of Tastar
Certificate o Compentency #
CONYERSION
% ' HOUSE HEATING TEST RECORD
ADDRESS APT._FLOOR_CITY SUBURB
OCCUPANT 1 W 04 OWNER
MEAT 1055
SOLD BY _
INSTALLED BY
Elechical Wwk By Gas Lin* 8y
TYPE OF HEAT GA _ FA ? MW -STEAM -SPACE XTR. _UNIT MTR. _OTMER
AS DESIGN CONVERSION
MAKE C/ ,n R.s??` Q?r MAKE OF BURNER
Mad.l ?-YT (7d)(a 7a Mod•I
$wial ? ?QR8 Maz. BTU Rafinq. , _^
INPUT CLn. DO ? MAKE OF FURNACE "-- --
Modol
NONEYwELC
Valro J-/1
Limit Ki
Limir $ettinq
Fan SeMin9'
Pilat Type _p
Pilot Moke L
Pilm Medsl _
Pilot Timing
L.W. Cut Off
CONTROLS
O? Nsaf Plup Vent Size ?C' 00 F Tc??
'OCu?S C' D? BOA.7 ? KIND OF LINER SIZE NONE
Q DwNMood ti) V Rpularor IA.) vA LVAC
Filexs Size Number
E l7CL/F? Chimnoy loea}iee In:ide Outside
Praaaure 3' 5 ParcentCO
1
Input CFM T, ? Pneent O 7 ?ro
2
$bck T?mp. ? b 0? Pwunt CO ? g?
NE ?
DATE HTG. INST
a{mney Consfruefion
Spillage
Smeke, Bom6 Wiring
0.aft f"Pu QeP Test Taq
Dow Praaswe Liqhtiny Inst.
Daro Tosted 9 / - ? 3 -9-S
Company Testinq r ? C 1. ? &-;t -Al-rC t7?
Name ai Tosbr
Certificate of Compentency_ #
HOU/SE HEATING TEST RECORD'?
ADDRESS APT.-FLOOR CITY SUBURB ?U
OCCUPANT
HEAT LO55 DATE H7C. INST.
OYMER
SOLD BY INSTALLED 8Y
EI•a7rieel werk 8y Gas Lln• By
TYPE OF NEAT GA _ FA HW _STEAM _SPACE NTR. _ UHIT MTR. _OTHER
GAS DESIGN CONVERSION
[I ,n
MAKE '\e 2?0i'` MAKE OF BURN
Model rl OD^ 4-?_ Mod.l
5«i0l 44-16: (oLn M'{AJ 3.2< ?i3 Aba. BTU Ratiny
INPUT
?d?•?? MAKE OF FURNACE
_
Model
CONTROL$
TMERMOSTATT1 7 Mwe Pluq V•m Si:e
yal„e pN£ ?c..L iN !o KINDOFLINER SIZE
NONE
??, ?
Limit DeahMood Rpulawor
Limit SeMinq Filfxs Sixe Num6?1
Fan Seninq Qhimmy Leeefion Inside Ouiside
Pilot T.P. Chimney Consrruction L L?> { ????'L
DryNSO/J C?„?TiR t)Lf
Pilet Mak?? Sp].11dgE
^
PiIM Model Gl??74V dz -5' Smok• Bemb Wirinq
Pilot Timing / ?'-4?^j? Draft 04T64fe/rL - O k/ Test Taq
L.W. Cur Off Dom Presame LiqMtin9 Inst. 41C
rn
Preasure 3.S PereentGO ^ /o
? DataTasted
Input CFH ? P?remt 0; Cumpany Tett+ng
Swck TOmp. *R?J- Percent Co Na" oi TesHr
cf"?? Certificate of Compentency_ #
' HOUSE HEATING TEST RECORD
ADDRESS APT._FLOOR CITY
? SUBURB
OCCUPANT OWNER
HEAT LOSS?^-DATE HTG INST. G
SOLD BY h• INSTALIED BY
El"trieel Wxk By Gos Lin• By
TYPE OF HEAT GA _ FA HW _STEAM _SPACE HTR. _UNIT MTR. _OTNER
/
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model Modd
S«ial Moz. BTU Rotinq
INPUTMAKE OF fURNACE
Modsl
GONTROLS
THERMOSTAT 12K-kw.1L 1lavrpt6q
Velra+A???
i
Limit ???'1i??"•
Limit $eMinq
Fon $ottinq ?
Pilot Typ.
Pilot Maks S
aiia mod.i
Pilaf Timing J' SE ? •
L. .-w-CTOF?
Vent Si:•
KIND OF LINER SIZE NONE
Dmh Hoed Rpulamr
Filtws Siz. Number
Ghimmy Loeation Inslde Outside
Chimney Construefion
Spillage
Smeke Bemb Wiring
0.aft Toat Tag
Dow Presswe Liqhtinq Inst.
1^
Pressure '315 pvesneCO2 ? Dota Toted
Inpuf CFMP.rcent 02 t? *r Company Ttsting
$lack Temp. Pawnt CO Nams eF Tos»r
Certificate of Compentency_ #
HOUSE HEATING TEST RECORD
ADDRESS t°'CyPn APT._FLOOR_CITY
OCCUPANT OWNER
HEAT LO55 DATE HTG INST. ?
SOLD BY n^?? ??? 4 VI?S \,1 INSTALLED BY
El"hieal Wxk By Gas Lin* Br
TYPE OF HEAT CA _ FA HW _STEAM _SPACE HTR. _ UNIT HTR. _OTMER
(` CGAS DESIGN CONVERSION
MAKE ?^?r??r - MAKE OF BURNER
Medel Medd
s«ial Max. BTU Rarlny
INPUT LbOA,MAKE OF FURNACE
Model
CONTROLS
TMERMOSTAT4=4We\1 Maat Pluy Vent Size
Velro k-hi{e I'g KIND OF LINER S12E NONE
Limit k1NXOVl DrehHeod Rpulamr
Limit Settinq IAC) Filtns Si:e Number
Fan Seninq?me C).p C"^ Qimmy locatfon Insid* Outside
Pilaf TYm 50[)?e(fl+'?ef 'r Ghimmy Gnstructien
aiior Mak. 1`49C- I Spillage
pilee Mod•1 ? ic) -Smeb Bomb Wiring
Pilot Timing ?- !?;-p C' • Diaff
?;Y/.-C1i1-Qf{- Doar Preasure
Presaum 3•S " W C . Pereene C02 ?
Input CFM ? n Porc.nt 0
Stack Temp. `-'Sll,l-Pacont CO ? E-
Dats Tested
Test Taq_
Liyhfinq Insf.
Company Tasfiny
Name oi Tesbr
Certificate of Compentency #
SUBURB
w- T ' HOUSE HEATING TEST RECORD
ADDRESS y r` ? t'?? ??62&y" APT. _FLOOR CITY SUBURB
OCCUPANT
OWNER
MEAT LO55 DA7E HTG INST.
SOID BY INSTALLED BY
Eleehieal W«k By Goa Lin• Br
TYPE OF HEAT GA _ FA Z,- HW _STEAM _SPACE HTR. _UNIT HTR. _OTMER
/??2 ? _G/? 5 DESIGN CONVERSION
MAKE D?< <?? MAKE Of BURNER
Moa.i F / MDa.i
s«iai?7- f?}N l?IVI H 1? ?.Z S3?/ %a.. sTU ttafc.9
INPUT MAKE OF FURNAGE
Model
.?>?,? ?CONTROLS
ER
ST
T ?
V
Si r? f?-
TH
A
MO
Haut Plug za
enr
yel„e H pNt"r L?ECC C?/MQ/MA'r/ o4-? KIND OF LIN
ER SIZE NONE
Limie K 1- t ? Ol?.? ?
Dwh Hood / !a?z Rpularor 7A-) 11 L NZF-
Limit SeMing r$O Filfws $izo Numbor
Fan SeMinq 0F dhimney Location I
nsid
Outside
e
Pilet Trp. 1 NTivCµ^tT?t`??T 4iimnoy Conaxuefion ?
?,
?
Pilor Mak. YOKNS [xJ G_' ? c9L S Spillage
Pilm MaMI S5°7t4 (r " S FL ?'1C ?D17 Smoke Bomb Wiring
Pilot Timing 0.aft NA 1%r/R4'L T.u Toq
L.W. Cut Off Daw Prsssure Liqhfinq Inat.
P
C T
d
D
ve"e
Preaauro
02 a»
asN
Inpuf CFH ? Pereont D2? Campany Testinq
Stock TomF !Z m Pxcent CO n4:), r Na" of Tetnr
Certificate of Compentency_ #