2929 Lone Oak Cir - Heating Test Recorde .?, .
HOUSE HEATING TEST RECORD Gam, r Z
LoIQC OAS. r?n
ADDRESS APT. _
OCCUPANT TyRr'S X OWNER
HEAT LOSS DATE HTG. INST. 10- (4 1
FLOOR CITY f "A SUBURB
SOLD BY Ut" ?-LEC INSTALLED BY W &f) ZrL
Electrical Work By C rry di IF tj Gas Line By 015P2EL-
TYPE OF HEAT
GA FA HW STEAM
SPACE HTR. UNIT HTR. OTHER TWISt n 1 r"'
GAS DESIGN
MAKE for-P_ IDIJ MAKE OF
Model :LEI S ' ;A Q CA. Model -
Serial <kkan Max. BTU
INPUT a?,, DOD MAKE OF
Model
BURNER-
Rating -
FURNACE
CONTROLS
THERMOSTAT HOT Heat Plug Vent Size (e
Valve C'DV" & KIND OF LINER SIZE NONE ?$
Limit Y Draft Hood ?o9-1 FO Regulaior
Limit Setting Filters Size Number
Fan Setting
Pilot Type fl1 KfL I S e0k VK
Pilot Make t4Q?J I YW E L L
Pilot Model S 87C
Pilot Timing ( SAC
L.W. Cut Off
Pressure Percent CO
Input CFH J Percent 02
Stock Temp. 1 Percent CO
Chimney Location ?Outside
Inside 4
Chimney Construction -
Smoke Bomb Wiring
Draft L,. Test Tog
Door Pressure Lighting Inst.
Date Tested n - a - C, I
Company Testing d ),fl H VA(
Name of Tester eAVL L lisy-A
CONVERSION
Form 235
HOUSE HEATING TEST RECORD
ADDRESS o act a9 LONG OAK < <? APT.-FLOOR CITY SUBURB
OCCUPANT TRANS Y OWNER
HEAT LOSS DATE HTG. INST. - /? a 7 I
SOLD BY LJ E r' Z! ?-- INSTALLED BY
Electrical Work By r 1-i y V I r -' Gas Line By
-
TYPE OF HEAT GA FA HW STEAM SPACE HTR.
GAS DESIGN
MAKE eE'l-f EITI o ri MAKE OF BURNER _
Model SC_100-* DS6tJ - a Model
Serial Cli? b0 :1 <? 98 Max. BTU Rating
INPUT 1 06 000 MAKE OF FURNACE
CONTROLS
THERMOSTAT ?T Heat Plug
Volvo C P^ B .
Limit
Limit Setting
Fan Setting
Pilot Type D(2 EELT PA 121'
Pilot Make 4w -)EX6jFL1 _
Pilot Model 5 9C 7C
Pilot Timing L.W. Cut Off
Pressure 3 •7- " W. C,Percent CO 2 (0 C7O
Input CFH ' ion Percent 02 / &7°
e
Slack Temp. 7-110 Percent CO n !24_
Model
i.
Vent Size 112
KIND OF LINER SIZE NONE
Draft Hood r D ILC Cb Regularor?
Filters Size Number
Chimney Location Inside /t Outside
Chimney Construction ?- J C ?T
t/
Smoke Bomb Wiring
Draft Test Tag
Door Pressure ?/ Lighting Inst.
Date Tested k-)EN ZE t- VAL
Company Testing
Name of Tester if A u L_ L_ 16 r4fl
Form 235
41 T
L.
UNIT HTR. OTHER f U(j1 I-P,
CONVERSION
h « ' HOUSE HEATING TEST RECORD
ADDRESS a 7 LC?r`'? OAK- C-1 R APT.-FLOOR
OCCUPANT -- ltZAf 5 k OWNER
HEAT LOSS DATE HTG. INST. C D- a -4/
SOLD BY I`'EP-z c- L INSTALLED BY
Electrical Work By c I T 1/ ? Ir-- LJ Gas Line By
-
TYPE OF HEAT GA FA HW STEAM SPACE HTR.
GAS DESIGN
MAKE tz-r ( r, MAKE OF BURNER _
Model I Q?, - a USA 1` Model
Serial jgRto0 $5-00 Max. BTU Rating
INPUT d? y O O MAKE OF FURNACE
Model
CONTROLS-
THERMOSTAT Heat Plug Vent Size
Valve re)k-)S- KIND OF LINER SIZE NONE X
Limit - Draft Hood Ff7 r4 Regularor
x
Limit Setting - Filters Size dumber
Fan Setting Chimney Location Inside )C Outside
Pilot Type bIQE--c-T 5 r'AAK Chimney Construction a- V_J-)T-
Pilot Make A9NF VG.JCL.4
Pilot Model S g7C
Pilot Timing a k SEL
L.W. Cut Off
r,
Pressure ?, . 'X w L Percent CO 1
Input CFH 100 Percent 02 f
Stack Temp. Cl S % tC! Percent CO 0
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting Inst.
Date Tested ?- ?a- T I
Company Testing _---- ??1 rN-7 I ! I J cll !
Name of Tester - f -
Form 235
CONVERSION
CITY 0 ArSUBURB
ICI=N*7- L(.
I?CN`LL-L-
-UNIT HTR. OTHER TI)r3L' F4 1K
s
HOUSE HEATING TEST RECORD
ADDRESS •_ 2p f S LDNE OAK- CIX APT.-FLOOR CITY_1F_A6A1`SSUBURB
OCCUPANT T NS X OWNER
HEAT LOSS DATE HTG. INST. 10' a- r I
SOLD BY WAN Z1=L INSTALLED BY ??E/?1zG?
Electrical Work By CITY Y 1 E W Gas Line By w?? 7 L
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER T U 1` ?T?
p GAS DESIGN
MAKE f E FC_ CTI DN MAKE OF BURNER
Model SP n0 - a fl "Arj Model
Serial W9GD RCn 3 Max. BTU Rating-
CONVERSION
INPUT 100 0 Ob MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT 14-C Heat Plug Vent Size
Volvo KIND OF LINER SIZE NONE 2 'X
Limit Draft Hood !FILLER Regularor
r
Limit Setting Filters Size Numb9r
Fan Setting Chimney Location Inside ? Outside
Pilot Type fl 1 ?GLT s PAR K Chimney Construction R `VENT
Pilot Make I ft]NE? WLC.L.
Pilot Model S 13 -7 C'
Pilot Timing I S?L
L.W. Cut Off
Pressure 3 a i I w &'Percent CO 7%
Input CFH Percent 02 //70
Stack Temp. ?C]? tjtrpercent CO 0%
Smoke Bomb Wiring
Draft ? Test Tag
Door Pressure Lighting Inst.
y
Date Tested +?- ;T -;- _ ( t
Company Testing w( L, t-1 L
Name of Tester eAVL L i94
Form 235
w • ,
HOUSE HEATING TEST RECORD
ADDRESS aQJ? c) LLOIJE OP+I? C I ?- APT.-FLOOR CITY f A6- SUBURB
OCCUPANT Ir2,ANS X OWNER
HEAT LOSS DATE HTG. INST. 1 O _e7!
SOLD BY Vj1 r'`1-C_ '- INSTALLED BY I.J£N?EL
Electrical Work By C IT V ?ICGJ Gas Line By w E!J`LCl
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER TV OC V Tf-
GAS DESIGN CONVERSION
MAKE aE (Zf:r_r__r1 0 MAKE OF BURNER
Model s P, oo - a L> sA Model
Seriol !G Q !? S0 4 Max. BTU Rating
INPUT ICZD O OD MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size
Valve Co??I?. KIND OF LINER r SIZE NONE >-
Limit Draft Hood Y 0 /LLL° Q Regularor 3 ° '•
Limit Setting Filters Size Number
Fan Setting Chimney Location Inside y Outside
Pilot Type D?12E lT SPARK Chimney Construction
Pilot Make j}DIJEYWI: (,L
Pilot Model 5 SC 7 C-
Pilot Timing rte- I St=d
L.W. Cut Off
Pressure 1 J Percent CO ?O
Input CFH 10 0 Percent 02 I b 1_Z,
Stock Temp. ; 00 0NO(Percent CO n
Form 235
Smoke Bomb Wiring
Draft Test Tag
Door Pressure L/ Lighting Inst.
Date Tested ?L a' - 17 /
Company Tesfing kJ f_ H 7 r I- N VP C
Name of Tester eAU L C I RIB
HOUSE HEATING TEST RECORD
ADDRESS 2 NJ CA k' APT. -FLOOR CITY L?Gp'JSUBURB
OCCUPANT TR61rS ?C OWNER
HEAT LOSS DATE HTG. INST. Ln - a' 1?7 /
SOLD BY WI= t0-2 E L INSTALLED BY W-ErJZE L
Electrical Work By CITY ?IC_L Gas Line By Wf_N`2E V--
TYPE OF HEAT GA FA )'? HW STEAM SPACE HTR. UNIT HTR. OTHER Q? r ToP
GAS DESIGN
MAKE t rJNa MAKE OF BURNER _
Model CrGS 1 - 3 S - `/ Model
Serial sW 9 1 N a 24 a 6 Max. BTU Rating -
INPUT I ?? '5", DO O MAKE OF FURNACE
CONTROLS
THERMOSTAT Ik C00 L Heat Plug
Valve L0Y`^61NRTiod
Limit Al ET/4 L
Limit Setting Sy
0
Fan Setting 0/D °- //o
Pilot Type ?h112y?E.f LT SOS
Pilot Make ? r- IrI?A L
Pilot Model -
Pilot Timing
L.W. Cut Off
Pressure Percent CO
2 o °Te
Input CFH Percent O
Stack Temp. 32 by ebdLjreent C02 O
Form 235
Model
Vent Size
CONVERSION
KIND OF LINER SIZE NONE
Draft Hood rO(4 f 0 Regulator 3 a s' 3
Filters Size aOX?SY ( Number
Chimney Location Inside Outside K
Chimney Construction
? I/
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting Inst.
Date Tested ct I
Company Testing W f_tj-LF c. H V
Name of Tester !? V C L I (B RA
HOUSE HEATING TEST RECORD
ADDRESS L bNE 44K CIK APT.-FLOOR CITY tAkAP SUBURB
OCCUPANT X OWNER
HEAT LOSS DATE HTG. INST. 10- 3'D "'?(
SOLD BY W F_&7 F L_ INSTALLED BY NL NZLC
Electrical Work By C IT y V 1I w Gas Line By ?, (' NZ C l
TYPE OF HEAT GA FA XHW STEAM SPACE HTR. UNIT HTR. OTHER (too f T-0 P
GAS DESIGN
MAKE LEt'NaX MAKE OF BURNER
Model CGcsI - i{13-7 -S Model
Serial
- Max. BTU Rating -
jf?dOD
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT OT L6 0l. Heat Plug
Valve r[JwhINATKYi
Limit P?1 r? 'rAL
Limit Setting ' 7S o
Fan Setting Q Z) e I B S
Pilot Type 1'Z? L-( `) (A
A(
Pi lot Make 04
Vent Size
CONVERSION
KIND OF LINER SIZE NONE K
Draft Hood <04C-0 Regulator a S-3
Filters Size Ik, XD,4 a (. Number I i
Chimney Location
Chimney Construction
Inside Outside
Pilot Model _ Smoke Bomb Wiring L11
Pilot Timing b' SLG Draft V Test Ta
L`
g
L.W. Cut Off - Door Pressure Lighting Inst.
Pressure 3' S Ok Percent C0
. ? Date Tested o } a- `S
Input CFH 2
S Percent O
f_(0 Company Testing
W F N ZEL N ?l? ?'
Stack Temp. 3 1)DON(T Percent CO r' Name of Tester
2 PAvL L-i ign A
Form 235
4
HOUSE HEATING TEST RECORD
ADDRESS •a9a 9 LbrJE OA 4L C 1 2 APT.-FLOOR CITY FL-SUBURB
OCCUPANT TR?r'S X OWNER
HEAT LOSS DATE HTG. INST. 10-- a a - S 1
SOLD BY kje ri2_6-c, INSTALLED BY W C N 2 ( L-
Electrical Work By C1? y VICE Gas Line By ?-1CN7EC
TYPE OF HEAT GA FA ?, HW STEAM SPACE HTR. UNIT HTR. OTHER RODF TD to
GAS DESIGN
MAKE LrNNOX MAKE OF BURNER _
Model &C C3 la - 5-13 - 1 aS- Y Model
Serial S6G1 N baN 9A Max. BTU Rating -
INPUTJ-15 P00 MAKE OF FURNACE
CONTROLS
THERMOSTAT T OOLHow Plug
Volvo C Ow+ tj 0(-J
Limit Q?CTAI..
Limit Setting Ihn C
Fan Setting q00- 110°
Pilot Type fji RECT SCAK.K
Model
Vent Size
KIND OF LINER - SIZE NONE r
Draft Hood r "L)(LOGO Regulator 3 a S- 3
Filters size anx ;` i Number 1 x
Chimney Location Inside Outside
Chimney Construction
K
Pilot Make fErowA1. /
Pilot Model /I Smoke Bomb Wiring ?/
Pilot Timing Io?? SC.I, Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure Ilk) -C -Percent CO Date Tested I Q- ), -4- - ? 1
Input CFH I a e ' Percent _ 02 • 11 077 Company Testing W N Z- E. L k V hC.
Stack Temp. 31[{ N"' Percent CO )J'=? Name of Tester PAl1L L I (BRA
CONVERSION
Form 235
? Y
HOUSE HEATING TEST RECORD
ADDRESS a9a? L-C)r ow- CI r- APT. FLOOR CITY [W'-SUBURB
j2RN2 OCCUPANT X OWNER
HEAT LOSS DATE HTG. INST. ID- a 2 -J
SOLD BY j&Ct-'ZE L INSTALLED BY Vic ZF_
Electrical Work By ()_r Y wl (W Gas Line By ,Jo4-LE l
TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER R06f= 1000
GAS DESIGN
MAKE LE N0 DX MAKE OF
Model [C S I lo- y 13 - -7 3 V Model -
Serial s`l9 1 H60 r7 I9 Max. BTU
INPUT ?S vacs MAKE OF
CONTROLS
THERMOSTAT 00L Heat Plug
Valve t,- IS IrJ A, -rtOl
Limit jgNOP° & r° ETAL
Limit Setting ON* 1 5
Fan Setting C((1 f a S
Pilot Type
Pilot Make
Pilot Model
Pilot Timing •$ SGL
L.W. Cut Off `
s 1t.wL
Pressure 3 ` Percent C02
Input CFH P rcent 02 q °717
Stack Temp. %orcent CO D %d
Form 235
Model
Vent Size
BURNER
Rating
FURNACE
KIND OF LINER SIZE NONE
Draft Hood { D (ZC C a Regulator
Filters Size l (6'y (?g y l' Number
Chimney Location Inside Outside X
Chimney Construction
Smoke Bomb J Wiring t/
Draft Test Tag
Door Pressure Lf? Lighting Inst.
Date Tested
Company Testing ---
Name of Tester
CONVERSION
HOUSE HEATING TEST RECORD
ADDRESS a521; t_0rJt OAK-- C&- APT.-FLOOR
OCCUPANT R r1 X OWNER
HEAT LOSS DATE HTG. INST. 1 - a` 1
SOLD BY ?F 1(L INSTALLED BY ??{? Z? L
Electrical Work By CI-T y V It t,) Gas Line By tUEl??7 E i
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER `?U(3F?•
GAS DESIGN
MAKE QER ??LTia? MAKE OF BURNER _
Model 5 P IA?' ej D_5A /J Model
Serial g h? a -s Max. BTU Rating -
INPUT - C• boa MAKE OF FURNACE
Model
CONVERSION
CONTROLS fl
THERMOSTAT Heat Plug Vent Size b
Valve r, r 9, KIND OF LINER SIZE NONE X
Limit _ Draft Hood FD%2,C Ct? Regularor 2?1 6-'- 2
Limit Setting
Fan Setting
Pilot Type bIR?L-? ?jyArL
Pilot Make tiDt?E ywcL a
Pilot Model SIMC
Pilot,Timing ZA:
L.W.'Cut Off
Pressure 3' a W L Percent CO
2
Input CFH o Percent 02
Stock Temp. 1 Percent CO
Form 235
Filters Size Number
Chimney Location Inside Outside
Chimney Construction ?j YEN-r
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting inst. b
Date Tested a i ,9 1 Company Testing weti--ft ? W/ h _
Name of Tester eA VL I I k2 QA
CITY F?SUBURB