1020 Discovery Rd - Heating Test Record??-I.
/? HOUSE HEATING TEST RECORD
ADDRESS ???? {LcSlOWDdl + APT
OCCUPANT
HEAT LOSS
DATE HTG. INST
OWNER
FLOOR CITY SUBURB?_
SOLD BY INSTALLED BY
Elsctrical Work By q
Gas Line By
' ?
TYPE OF NEAT GA - FAC-V-
HW -STEAM SPACE HTR.
UNIT HTR. _ OTHER
GAS DESIGN CONVERSION
MAKE
? MAKE F BURNER
Model rT21T Z2 Model
Sarial AXS 71 L",2 N Max. BTU Rafing-
INPUT MAKE OF FURNACE
Modal CONTROLS
THERMOSTAT ?•?I HeatPlug
Valve I
Limit 1??6 L(
Limit Setting I
Fan Setting 42- I ?('JUF
Pilot TYpe
PilotMake -herC?
Pilot Model ? L-f 7 /GL
Pilot Timing 3'7s? &i"
L.W. Cur Off /_%A
Venf $ize
.i
KIND OF LINER SIZE NONE
Draft Haod Regularor 32. (?- TA L-
Fi1}ers $ize--t2j4Z= Number
Glhimnay Location Inside Outside
Chimney Construction
$moke Bomb
Droft
Door Pressui
Wirin9 _
Test Tog?
Lighting Inst.
Prossure _'?'r-' r ? Z
"f- PeresntCO 6;'? DoteTssted -l -?
Input CFH Percene 02 Company Testing Q
Stack Temp. Percant CO Name of Test p.
Form 235
• ? L
? ?
(,
OUSE HEATING TEST RECORD
ADDRESS APT._FLOOR qTY SUBURB?
OCCUPANT
HEAT LOSS
SOLD BY
Elschical Work By
TYPE OF HEAT
OWNER
DATE HTG. INST.
INSTALLED BY
i
Gas Line By /?r c?.
GA _ FA _HW -STEAM SPACE MTR. -UNIT HTR. _OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNE
Modal ?'? ?G?Sp C- ' ?(} / Modsl
Serial U]Q ?rz [L7 2C) Mox. BTU Rating
INPUT MAKE OF PURMhC
Model
?? ?CONTROLS
THERMOSTAT /fit?[q[5??!- Heat Plug Vem Size ela
Valve '1?. f L7?- y'tf O KIND OF LINER SIZE NONE
Llmir c!i ch soH Droft Hoad Regularor CXLimit Setting I S n°r Filters $ize 4(2-ZS'1.'Z._ hlum6er ?Z
Fon SeHing Chimney Location Inside Outside
Pilot Type 1aa?? -
Pilot Make ?
/a?-
r ?
Pilot Model -111A
PilotTiming 3-7-, *-'--?
L.W. Cut Off kla
?I
Prossuro ? - ? ?.
7
Pereent C0
Input CFH 2
Per<rmt 0 Q'}
7
Stack Tamp. ,S Z Z? Percenf CO I"?
Form 235
Chimney Construefion
Smoke Bomb
Draft
Dow Pressure
Wiring
Test '
Lighting Inst.
Date Tested ? - ? 9- 99
Company Testing ??..S.SLS-c
Name of Tester
(
?HOUSE HEATING TEST
ADDRE55 ?n APT.-
OCCUPANT ? OWNER.
HEAT LOSS -
SOLD BY
Elaetricol Work By
TYPE OF HEAT
DATE HTG. INST.
INSTALLED BY
Gas Line By
GA _ FA _,r-HW STEAM -SPACE H7R. _UNIT HTR. _OTHER
GAS DESIGN
MAKE ` ?'?•P?- MA RN
Model i-I?l?F(X??- .SOI Model
Sxial y? Max. BTU Rating
INPUT ItMAKE OF FURN,
CONTROLS
THERMOSTAT Heot Plug
Valve 36 F2Z - 2I (D
Limit C030 c/ ?
Limif 3etting I
Fan SeHing j • ^+ °?
Vent $ize
CONVERSION
KIND OF LINER SIZE NONE
Dmft Hood Ragularor 123-- 2?`A'
Filters $iza_1G?z-5^ Z Numbsr e?
Chimnsy Locotion
Pilot Type 5G1 +`?"L[i?c Chimney ConsTrucfion
Pilot Make ?i2^"
Pilot Model Smoka Bomb
Pilot Timing -i 4=,4 64? Draft
L.W. cuf orr n?y Doo.
Wiring
Test Top Y
Lighting Inst. -
Prosaure Percent CO 2 DaM Tested / ' `99
Input CFH ( t S R Percenf p/ 4..?- Company Tesfing
Stoek Temp. Percent CO ±!2:j, Name of Tezter
Form 235 1
Inside Outside
RECORD
FLOOR CITY SUBURB FA;
HOUSE HEATING TEST RECORD
U'
ADDRESS APT.-FLOOR CITY SUBUR
OCCUPANT e OWNER
HEAT LOSS
?
- DATE
??
77 G
?aST. `
?
-
SOLD BY c/
?
; INSTALLEU ar' ?
Elechieal Werk By (oas Line By
TYPE OF HEAT GA ? FA7,?W - STEAM -SPACE HTR. _UNIT HTR. _OTHER
AS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model dal
Ssriol //J .? /3? ?lJ ? Max. BTU Ratiny
INPUT MAKE OF FURNACE
Model
i /• rnuroi{LS '
THERMOSTR
Valvs -
Limit -
Limit Sstting
Fan Settin9 _
Pilot Type _
Pilot Make _
PiIM Model _
Pilot Timing
L.W. Cut Of{
Plug ?Vont Size
Prsasuro PercentCOZ?
Input CFH-JCs???Peresnt O? 7i2
Stock Temp. Peresnt CO ?
KIND OF LINER SIZE NONE
DrakHood Reguloror 7s2.? ?
Filfsr: Sizs?? ?2-Number
Chimnsy Loeatfon Inside Outside_?
Chimney Consiruetian e
Smoka Bomb Wiring ?
Draft Tast Tag
Door Prossuro p Lightiny Inst. ?
Dats Tesfed
Company Testi g
Name of Tsster
Form 235
HOUSE HEATING TEST RECORD
<
ADDRE55 D GO? ? ApT.-FLOOR CITY SUBUR
OCCUPANT e U Gt? OWNER
MEAT LO55 DATE T INST.
SOLD 8Y INSTALLED BY Elechical Work By Gas Lins By
TYPE OF HEAT GA-FA?HW-STEAM SPACE HTR. -UNIT HTR. _OTHER
6A5 DESIGN CONVERSION
MAKE MAKE OF BURNER
Model Model
$srial °?? Mox. BTU Rat' g
INPUT , MAKE OF FI_1RNA['F _
Modal
CON LS
THERMOSTA W eat Plug
Valve
Limit ?
Limit Setting Q
.
Fan Setting
Pilot Type
-
Pilor Make
Pilot Model
Pilot Timing ? 5??•
L.W. Cut Off
Vent Size -?
KIND OF LINER SIZE NONE ?
Dmft Hood . ?/ Regularor ???? ?
Filters Size/6X,'? ?I mber ?
Gfmnay Locotion Inside Outside
Chimney Construefion
Smoks Bo b Wiring -
Draft , G Test Tag
Door
Z _? DateTssted?
Prossure-===?7 PsreantCO v
Input CFH Peresnt OCompany Testing
Stack Temp. Pereant CO O Name of Testar _
Form 235 t
InsT. L__1
HOUSE HEATING TEST RECORD
ADDRESS ? ? dv APT._FLOOR CITY SUBUR6_6 OCCUPANT v NER
HEAT LOSS DATE HTG. I
SOLD BY 0 INSTALLED BY a
Eleeerieal Work By Gos Lfns By
TYPE OF HEAT GA _ FA HW _STEAM -SPACE HTR. _UNIT HTR. -OTHER
G!RSIGN CON V E RSION
MAKE MAKE OF BURNER
Model Modsl
$xial Max. &Tll Rating
INPUT MAKE OF FURNACE ?
Model
THERMOSTAT t Plug Vsnt Sizs
Valve KIND OP LINER SIZE
NONE 4-'
Limit ? ??XON ? -? ?.-
DrahHood -v' R ?quIaror
F
S
?
?
Limif SeMing - ? iltars
ise
mber
Fan SeMing ? CMimney Location Inside Outsids x'
Pilot Type Chimnsy Conafrotlion ?
Pilot Make
Pilot Model Smoke Bom6 W{ring v
Pilot Timing Draft Test Tap
L.W. Cut Off Door Praasure_
Lightinp Inat.
Prossuro Percent CO Q
Date Tsstsd ?? ??s- L? . Ig
Inpuf CFH Z
PsresM 0 Company Testing -,/¢SSaG/
/
Stock Temp. ???- Percent CO gn Name of Tsater ?
F«m 235
HOUSE HEATING TEST RECORD
ADDRE55 APT.-FLOOR CITY SUBURB2*eL/
OCCUPANT OWNER
HEAT LOSS_DATE HT . I T. `
SOLD BY __?2 INSTALLED BY
Elschical Wwk By Gas Lins By
TYPE OF HEAT GA _ FA ?MW -STEAM -SPACE HTR. -UNIT HTR. _OTHER
_GAS DESIGN CONVERSION "
MAKE lil KE OF BURNER
Model d? del Ssrial Mox. BTU Rotinq
INPUT MAKE OF FURNACE ? -
M daI
Valve ?
Limit 2 411
Limit Sstting /v
Fan Setting
PilotTyps
Pilof Make
Pilot Model ?
Pilof Timing
L.W. Cut Off
.
o
iL5
Plup VeM Size J xs KIND OF LINER SIZE- NONE
Drok Hood Re ulamr ? -?•?_?Filtsrs Size bsr -?7e
Chimnay Location Inside Outsids
Chimnsy Cons}rucfion C-
Prossure Prrcent C0 7i 0
?- ?
InpufCFH? -ParceM 02
SMCk Temp. Percent C0/.'d
Fwm 235
Smoka Bom6 - Wiring L
Draft Test Tap v
Dow Pressure Lighfinp Inst.
Date Tssted
Company Testine
Name of Testsr
? HOUSE HEATING TEST RECORD
ADDRESS Da` L'?s?6? ? APT.-FLOOR_
OCCUPANT WNER
HEAT LO55? DATE HT I .
SOLD BY INSTALLED 8Y
Electrical Work 8y
TYPE OF HEAT
Gas Line 8y
GA _FA --4---iW STEAM SPACE HTR. _UNIT HTR. OTHER
GAS OESIGN CONVERSION
MAKE ? MAKE DF BURNER
Madal Model
Seriol Mox. BTII ReHna _
INPUT MAKE OF FURNACE ,
Model
THERMOSTA
Valve G
Limit
Limif SsMing
Fan Settin9 -
Piloi Type -
Pilot Make -
Pilot Model _
Pilot Timing
L.W. Cur Off
plug Vent Size
KIND OF LINER SIZENONE
Draft Hood C--?/- ?r Regularor ?-
Filrors Size ?L?,X?nJ?2td?m6er? Chimnay Location ?nside Outaide?
L°
Chimney Consiruction
Smoke Wiring -
Draft, ? & G P Test Tag
ZDoor Pressure??- Liahtine
Proasure_PerceniCOZ
Input CFH Perc.f O' 7i z?
Stack Temp. ? Percent CO ?
Form 235
Dote
Company Testir
Name of Tesfer
CITY SUBURB*t'?
I ? G/I ?d aVlt?`C. CoY ra?1eCC?ieV' ?WI• ???03
1- 9 P? HEATI. ?G TEST RECORD
ADDRESS APT. _ FLO CITY SUBURB ?-
OCCUPANT " G M OWNER
HEAT LOSS DATE HTG. INST. ?
?
?
?
SOLD BY
Electrical Work By
TYPE OF HEAT GA _ FA HW
INSTALLED BY _
Gas Line By D u S? r'?'1 Q C c? ir" i c?L
STEAM SPACE HTR._ UNIT HTR.
GAS DES
MAKE C p-R I E i
Model ?OU So
Serial ?
INPUT IoZO 000
S?_ oZ ?Q
CONTROLS
7T'?VQ` Heat Plug
Valve
Limit Setting / -S J -
Fan Setting
Pilot Type
Pibt Make ?A1Z 1Z; E't2
Pilot Model J 6/ O^
Chimney Location
Chimney ConstrucNon
Smoke
Outside I
Wiring
Pilot Timing r-s I ts? ro Dratt Test Tag YCS
L.W. Cut Ott Door Pressure ? LighUng Inst. ?
Pressur?-/??+.!'- 3.S,..r, percent COZ " Date Tested ? Z 3 0? a D?
•aav _/rYoauo
Input CFH Percant O2 Company Testing - Rouse Mechanical, Inc. Phone (612) 593,5300_
Stack Temp. 6-;1 r Percent CO o . 2916 Nevada Ave ?
n?l r6 w Ho G T Q ? L?ul?
Name of este -
3-853
L-_-?=
Vent Size ? i ? C'c\ V P? ?. ?• C.?.
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size 162aCXKa Number 7-