2700 Lone Oak Pkwy - Heating TestHOUSE HEATING TEST RECORD
i
SOLD BY
ElacTrieal Work By
TYPE OF HEAT
ADDRESS i!G-'fa'
APT. ?
OCCUPANTNOR'r'µu) sST 41fPLINF[(NEADQ1d8R'TEAS OWNER
HEAT LOSS DATE HTG. INST. FLOOR CITY SUBURBIly
INSTALLED BY 1?087ft /71SdN, C"eall?'
Gas Line By
GA x FA_HW X?fTEAM SPACE HTR.
?--,?? GAS DESIGN
MAKE /-L,I-loRk MAKE OF BURNER _
Modal 1--1;f/-V7- Medel
s,,;,i G$b/o3z?8-T'D Max.6TURating-
INPUT 5/00, 20o MAKE OF PURNACE
Model
UNIT HTR. -OTHER
900gs-?5y'1ssn-a?us-gg"?R,°LS 4k?'.? !/,c%r Power p r?..._- ?b ??
4HEg MO TAT Heat ug Vm+-S+ze 14baAg :=74& -?-3
ValvBM %" Pj1v vr?",1O-515/1 KIND OF LINER SIZE NONE
Limi??`?ooaE ? -V5307f1'4- VQQyllaft Hood Regulaior
N.Limit Setting /f A°F Ftlters Siza Num6er
'???ey Lycotion Inside Outside Pil„ TYP, 'N!N ? Z¢co i?? f? ?.?.Skff3FfPN/lQ? VzlfP
--? ?
Pilot Make /Vo%tfy/./r/L '
Pilot Model $moke Bomb-?- Wiring
Pilot TimingZM/hFL/K1TE: OraftT nn ed Test Tag
L.ytokl Cuf Off mC?anne// R Door Pressure Lighfing Inst.
? ? -
Pressure ?sf 3 r Percent CO2 4.eO Daro Tested Q" g4
,p
Input CFH Perceni 0 2 Company Testing AlP?`x Cli-f
03
Stock Tomp. 250 PercenT CO Name of Tester AAAJ c.1v6E,e 31S1S-
Ferm 235
Wif 7-rg HOUSE HEATING TEST RECORD
ADDRE55 CITY SUBURB
OCCUPANT JiJ. L/f. / ? ER
HEAT LOSS DATE HTG. INST. ,,??t
SOLD BY INSTALLED BYME - [u????7T5
Elechicol Work By Gos Line 8y
TYPE OF HEAT GA ?L FA HN -yLSTEAM SPACE HTR. UNIT HTR. OTHER _
GAS DESIGN CONVERSION
MAKE ?e,h o(lan MAKE OF BURNER
Model C?i1?3£3? Model .
Sxial Maz. BTU Rating
INPUT ?t? MAKE OF FURNACE
Model
7HERMOSTAT
Va IrjZ5n3_
Limit ?
Limit Setting 1
Fon Setting -
Pilot TYpe ?
Pilof Make ?
Pflm Model ?
Pilat Timing..1
L.W. Cut Off _
Pressure
Input CFH Percent 0
$taek Temp. Percent CO
Form 235 !?o
15?0'' Ln°
SIZE NONE
Hood ' Rsgularor
s Size ? Numbar
C?J?iimnsy Locotion
k:filmnsy Cons}ruefion
Draft ?d h
Door Pressure
Outside
Wiring
Test Tag-
? Lighting Inst.
? Dote Tssted
Company Tes ' ??"1?R ?I?
(2.-- Name of Tesrer ? p?}???E R
V
HOUSE HEATING TEST RECORD
ADDRESS2700 LO/Jr= QAff(?AiPkiJR?? MpT.-FLOOR CITY SUBUR6?
OCCUPANT ? ? 1.+IRLI(LF??OFAA QUAQI`FRS OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY
Electrical Work By
TYPE OF HEAT
ED BY ?_?"'TP.0 YnF.Oh4. C) 6A('j-
Gas Lina By
GA_)( FA HW-)L-STEAM SPACEHTR. UNITHTR. OTHER
GAS DESIGN CONVERSION
MAKE??'Y P? MAKE OF BURNER
Model i525"f]6'rq Model '
Serial ???S1O?01Z Max. BTU Rating
INPUT ?-41CI9•QnG MAKE OF FURNACE
Model r '-"--"-'- - CONTROLS -- - '1 i . i/ RE%"
Limii
Drafr Hood
Filtars
Pilot Type ? NlEd2/?rt/T7?iti/ 1667"u7'eIfi
Pilor Make ?, ?
Piloe Model ?1_S/? RP
Pilof Timing e ?
L.W. ctor orf p
„?.._ m.
Pressure 3 >S ParcentcCO "ne
Z 19%2
Input CFH Pereent OZ
Staek Temp. Z.SOo Perceni CO ?
Form 235
NONE
$moke B m Wiring -
Draft Tast Tay
Door Pressure Lighting Inst.
Date Tested '-3 jR?
.-
Cn,npony Testingi M6•?T,lZU t11 L° ?ffr? T9rC
Name of Tes. ?1 <:;,&Nric.A -C' ???5
HOUSE HEATING TEST
ADDRES521Gb,oneDa n??' a / LU'?TW.?YJj/IA Sc APT._
OCCUPANT N /t/KL /1I1U.!/7,#tnJq/_Iard5NER_
HEAT LO55 DATE HTG INST
SOLD BY INSTALLED BY
Electrical Work By Gos Line By .
TYPE OF HEAT GA ,V_ FA -HW _,)K-STEAM -SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN
MAKE ??Yp/4? MAKE OF BURNER_
Model 6-X]rnn7'6 Model %
Sniol n9p-5109360 Mox. BTU Rating--
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT _ Heat Plu
Limit
Pilor Type A
Pilot Maks _j
Pilot Mode14.
Pilot Timing
L.W. Cut Off
,.
2f4z
Draft Hood
Rsgularoi
$ize Number
Location Insida ? Outsida r°
Construction
WirinB -
Test Tog-
Lighting Insi.
Preszure ParcentCO2DaM Tested - ?g
Input CFH Peresnt Oz q Company Testing -
Stack Temp. Zsa Parcenf CO C? Name of Tester
Form 235
RECORD
FLOOR CITY SUBURB- A,/
CONVERSION
HOUSE HEATING TEST RECORD
, , f_,
ADDRESS
OCCUPANT I+.?• UJ, IR?.?I?S-NE?it
HEAT LO55 DATE HTG. INST.
SOLD 8Y
Electricol Work By
TYPE OF HEAT GA X FA _HW __?(__STEAM
_L GAS DESIGN
MAKE?t?
Model F. Z_ t7j2lB ,?.PT.-FLOOR CITY SUBURB ?
OWNER
t
INSTALLED BY MMnP6Li+86 M £CPBX? CAL OtSti
Gas Line 8y
_SPACE HTR. UNIT HTR. -OTHER
CONVERSION
MAKE OF BURNER
Model EAGAN
sftiai ? Max. sTU rtatins R F V I E W E D
INPUT Zi ??LL ?r MAKE OF FURNACE --'°
Model 4t7/ 11
.?
CONTROLS
? ?
THEf, OSTAT Heat lug
? t ze L?o
pn G
q/2Q
?{?)
?11U-
R
. ?7Cfl3
yaiv? E
?
IAD?F LINER LI AI t-5liff-NONE
?L
,
.' DroftHood Regulmor
Limit Settin ? Fflters $izs
)9 Number
?
202s4-inn-4cezz &oo Ga IB6F
?p
I
mnsy Location Inside
Outside
,.??
PilotTypeaNTERMB?owl Zaw1. !?0`?„?jl;vTt ,
_J D ?mney Construetion
Pilot Make
Pilot Model $moke omb Wiring
Pilot Timing Draft ? uR Tsst Tag
L.W. Cut Off ModeL P` Daor Pressure Lighting Inst.
r N
Pressure -St s Percent CO
- 7kZ-:2 6
Dote Tesfed 3
2
Input CFH Pereent O
Z Company Tes*' ?'ET'tio EC?k
$tack Temp. 300 Percent CO gL- Name of Test ?? ?` Z?t' ? 7 « ( cz
W
Form 235
HOUSE HEATING TEST
ADDRESS 2-900 ?jL?n?nF ?.-3,FL!c`f?dnlCu??/CQ?7 AOT.-
OCCUPANTAI??EI_G(i.C/VFS S-OWNER_
HEAT LO55 DATE HTG. INST
SOLD BY
INSTALLED BYIn .?rtetk?Lu'Ah1lECtianmal QaAt"c
Electrieol Work By Gaa Line By
TYPE OF HEAT GA f PA _HW ?STEAM SPACE HTR. _UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE?`a???'( MAKE OF BURNER
Madel E9 500'r13 Model
Serial IC! S'1 f b56I3 Max. BTII R t' n AI
INPUT?`t?n?' MAKE OF FURNACE
Model o C\/ I F W E D
CONTROLS
THE MOSTAT
Heat Plug V r Sizo
VaIv?A?il??o Yil Luy[fi3??2443Iwp.$y?oESSD OF LINER BY NONE
Limit neYlarell L AP-jp?A Draft Haod Regulaior
LAmit $attiny ? RO Filtero Size DAT
Pilor Typa/f
Pilot Maka J
Pilot Model ?
Pilot 7iming
L.W. Cur OFf
Inside Outside
Smoke B?m`b` Wiring -
Dwft '?[L?l_ra L-- Test Tag
Door Pressura
Lighting Inst.
Prossure ?? ? Percent C02 ?P??' DaM Tested "`-S'
Inpue CFH Percent D2 Company Testing CAP !r k
$tack Temp. Percent CO Nome of Tesfer ' Y?11. _? Icl\??
RECORD
FLOOR CITY SUBURB- r `
Form 235