1266 Lone Oak Rd - Heating Test Records"i?#
APT. - FLDOR CITY SU8UR8
OWNER
INSTALLED BY _./142 ?A - "i1."?l •
Gas Line By I I < <
ACE HTR. -UNIT HTR. _OTHER ? .1610
Limit Setting -
/.?
NEATMG TEST RECORD
Filtera Siza
Fun Setting Chimney Location Inside Outside
Pilot Type ? Chimney Construcfion
Pilot Make ? ? ?
Pilot Medel to,?9R.?nier0 Nm2ke Bomb ??' "?Wiring L
Pilot Timing Droff Test Tag
L.W. Cut Of4 - /? Door Pressuro Lighting Inst. ?
Prossure42?PercentCO2 ? Dote Teated ?- /?-?K
I?ut CFH Percent Oz ? Company Testing -Rouse MeChaniCal, Inc.
Staek Temp. p Percent CO 0 1348 KTeI Dr.
Mi netonka, N 55343
Name of Tes
Ll
-G??0.?(1ilfl:?I? ?rllly I-Gke.3r?. ?HOUSE HEkTING TEST RECORD
ADDRESS APT. -FLOOR _
OCCUPANT ? >?? ILl S OWNER
HEAT LOSS DATE HTG. IN
SOLD BY ??Zlle, INSTALLED BY ?UV S?? rlcY_N
Electrical We.k 8y Gns Line By f?i)Sr? /tICZH
TYPE OF HEAT GA _>---FA V HW -STEAM SPACE HTR. -UNIT HTR. -OTHER 1' G/ v/t?ov%pr??
GAS DESIGN CONVERSION '
MAKE •? /0 " t- MAKE OP BURNER
Model G1? ° e? S% 'C?? Model
Smial s'-?"'?"r??7 Max. BTU Rating .
INPUT -Z'SC CW MAKE OF FURNACE
Model
THERMOSTAT
Valve w}
Limit / /
Limit $etting _
Fan Settin9 -
Pilot Type _
Pilot Make
Pilof Model -
Pflot Timin9 -
CONTROLS
L.W. Cut Off -'
Prossure •?%+5 ?JU Percent COZ
Inpuf CFH -;4 S-0 Percent 0
Sfack Tamp. ?' ??' Psrcent C02 Cj l?'G
Vent Size /7JI , o
KIND OF LINER L7t3.CA I c=.r-I% SIZE NONE
Dra{t Hood ?KLT(lT ?'? Ragulaior
FflTers Sizs !'t ??Number ?
Chimnsy Location Inside k?? Outside X
Qiimney Construction DoeW {'?_?Z_
Smoke Bomb Wiring J/
?
Draft Test Tag 11__
Door Pressure Lighting Inat.
Date Tesfed
Company Testing
Name of Testar - _/LT?
CITY SU URB
Form 235
?'?°,LtOCip&,lf tf:IC',y LAe,J,4 HOUSE? HEkTING TEST RECORD il ?S?'S?D
ADDRE55 ??"?? ????U?'L?"K !`ry • APT.-FLOOR CITY?SUBURB ,
OCCUPANT OWNER
H EAT LD55 DAT E H 7G. INST. ?
SOLD 8Y INSTALLED BY / 1d'v':e-"
Elecerical Work By L174 rZ7i? Gos Line 8y A/
TYPE OF HEAT GA FA -X-HW -STEAM SPACE HTR. _UNIT HTR. OTHER P??- 1?;+
/ ?
GAS DESIGN CONVERSION
MAKE ??? `j MAKE OP BURNER
Model L% ?i.?NG J/0(dh Model
Sxial ? J? fy e75 G: 34 Mox. BTU Rating 1-?
INPUT :09 Cl Cii MAKE OF FURNACE ?+J
Model
CONTROLS
THERMOSTA
Valre ?
Limif
Limit Sstting
Fan Settin9 -
Piloi Type -
Pilot Maka _
Pilm Model _
Pilot Timing
L.W. Cut Off
Vent Size ..
KIND OF ll ER ?- SIZE NONE?
Drafr Hooil 4? Regulamr 3.:>?- 3
> Y7CX7-
Filters Sum6ar,
Chimnay Locotion Inside Outaide
Chimnay ConstrucTion
Smoke 8omb Wiring
DraFt CNbV(rY-) Test To9=
Door Pressura ?~ Lighting Inst.
Prossuro '? ? 4?? . Pereent COZ DaM Tested
c'? Company Testing /S(?E+5 C ?f' y7c ? f/
Inpue CFH?Percent D 2
STOCk Tamp. ??Percent C0? Name of Tester ?j1 J?`?f ?1 71L'?'iiC ^-'
Ferm 235
LI, hI, i r,liGiiGtGje
?._? Lerquy ?rlt?e ,'?rG? HOUSE HEA•TING TEST RECORD
? 70 `
k 5010
M
ADDRESS L c/11L=
DW SUBURB
A APT.-FLOOR QTY0
OCCUPANT OWNER
HEAT LOSS ? DATE HTG. INST. ??- 8R _
SOLD BY tJ Sr` /hcLN INSTALLED BY U
Electrical Work By .57Z-X ?Wt Gas Line By 0J"SC
TYPE OF HEAT GA -7 _FA HW -STEAM SPACE HTR. -UNIT HTR. -OTHER ?
? i
? GAS DESIGN CONVERSION
MAKE
64-k MAKE OF BURNER
Modal 7;i.c6 o3?,Va Model
' $srial MKs? (?
?3G1 ??/ Max. BTU Rating ? . -.
INPUT ?mQ"n
? MAKE OF FURNACE ' L
Model
CONTROLS
THERMOSTAT iN??G Heat Plug
Valve _/Iu:.n
Limif Y9,94ftG b1 S L
Venf $ize
KIND OF LINER -` SIZE '-- NONE k
Drah Hood Z-i//T yA. Regularor
Filfers $izeGyxs.sxl Number?
Limit Ssttir
Fan 5etfing
Pilot Type
Pilot Make
Pilot Model
Piloi Timin
L.W. Cut Off
/ a
Prossure? Percent COZ
InpuT CFH dld i Pereent OZ
Stuck Tamp. Percent CO
Ferm 235
Chimnay Locafion Inside -r"-Outside =
Chimney Conshuction ^-
?
Smoke Bomb ? Wiring
Dwft?Nnuc-F> Test Tag
Dow Prossuro -? Lighting inst. ?
Date Tssted ' - 1al;
Compony Tes.:..g ?,. rC[-' LZf{
Name of Tester
3Li ) bit L;igArtdGlz LAGl I-4ke 34 HO
SE HEATING TEST RECORD
U '?vr?-TO
?
ADDRESS l?"&A /
?
1-m+?%L'' OtI(( Kd' APT. FLOOi2 CITY GT?' SUBURB
OCCUPANT OWNER
HEAT LO55 ? DATE HTG. INST.
SOLD BY UclS?." /yI?LN INSTALLED BY
Eleetrical Work BY Gos Line By ' ?-Gy
TYPEOFHEAT GA_ .X--FA-SLHW-STEAM -SPACEHTR.-UNITHTR._OTHERKr"A??
? GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Modal 1??LU l7y? I ? X L)?ab?1 Model
.? Y.`? 3-G83y3 Max. @Til Rt•
INPUT MAKE OF FURNACE
Model
THERMOSTAT
Valve
Limit? L
Limit Sstling _
Fan Setfin9._.
CONTROLS ?
? Heat Plug ? Vent Sizs
KIND OF LINER SIZE NONE
i. 5 c Draft Hood K"ilT .e;? ` Regularor ?1S " 3
?w?Z7 1
Pilot Type 'dCA&jK
Pilot Make yAt-?w e,,A17-22,1s
PilafAbdel
Pilot Timing
L.W. Cut Dff
F y
Prossure -? S ?L PercentCOZ
Input CFH /,)"5 Percent OZ 15F?Z
Sinck Temp. Perttnt CO d;?,
Form 235
Filters Size%4}A-`?NumberI
Chimney Location Inside -- Outside
Chimney Constructian
Smoke Bom6 I Wirine -
Draft /U4>0GC %:) Test Tag
/
Door Pressure ?- Lightfng InsT.
Date Te:ted % -/Z-BH
/
Company Testing ??'?/>?'r
Name of TesTer ?????
e
a
Li
?dc;le
hi HOUSE HEATING TEST RECORD T;6?5,7y0
p
,
.
,
,
ADDRE55 46 APT.-FLOOR CITY jr,?'SUBURB
OCCUPANT OWNER
HEAT IOSS DATE HT. IN
S
T.
SOLD BY /
/
?S ?H INSTALLED BY
ElacTrical Work Bv _' ? Gos Lins By OS" :iv- E?
TYPE OF HEAT GA FA _K_HW STEAM SPACE HTR. -UNIT HTR. - OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model Model
swiai M Ku.^h v35°i7 r,b.. sru Rafing
INPUT /??eAo 4' MAKE OF FURNACE
Model
THERMOST T'?
Valve====
Limit ?
Limit Satting /dg.
Fan Setting
Pilot Type
Pilot Make 2i,m?•
Pilot Model _.?
C CONTROLS
Heat Plug Venr Size
KIND OF LI ER SIZE -NONE
[ S Draft Hood MIrRegulamr
Filfers Siza _f?? IJumber?
Chimney Lacation
Chimney Construction
Outsida 1_
Smoke Bomb Wiring ?
Pilot Timing Draft _TsY(2UCE'?f Test Tng
L.W. Cut O7ff Door Pressure Lighting inst
Prossure -?•?`?/W C- PercantCOZ ? p Dote Tesrod
InputCFH?Percent 0 2? Company Teating
STaek Temp. Percent CO Name of Test -.??'?'// ?_?1/P.R?fo'?
Form 235
Ll,-8I, Lq&rijGI,?_ I..GII,M LA63rdH0U5E HEA•TING TEST RECORD f C)
Ia'50 ZL''
ft0&1
/' RD 0
V6
ADDRESS /
1 ppT.-FLOOR CITY SUBURB
j
_
OCCUPANT OWNER
HEAT LO55 ?DATE HTG. INST. IP"
SOLD BY _Wz)[ (,??ZN INSTALLED BY
Electrical Wwk B. 04'/-45TG? AE?l(J"Z- Gaa Line By vsE ??? ?
TYPE OF HEAT GA _>e_FA V HW STEAM SPACE HTR. -UNIT HTR. - OTHER 9?
/ GAS DESIGN CONVERSION
MAKE
a MAKE OF BURNER
Model
' Sxial ltiP V+1 14R -3y$- Max.67URating
INPUT % a?-CCr MAKE OF FURNACE
Model
CONTROLS
THERMOSTAJ Heat plug ? Vene Size
Vahe fr????C??-=7 KIND OF LINER SIZE '-" NONE ?
Limit oe,,?to -ot 5c
- Droft Hood
X7olk Regularor
/B.$?' (
Limit Setting /- /?
Filfers ' SizeT S'S-?__ y
Numbar
Fon Setting r <='? Chimney Lowtion' Inside Outaide
l-
PiIoT Type 5?? Chimney Consbuction
Pilot Moka ??/VS°"? t Go?f
G'?iL7?C?
P
ilot Model
$moks Bomb `
Wirin ?
g
Pilot Timing T? DrafT TesT Tag f
L.W. Cut Dff Door Pressure Lighting Inst.
Pressure _:?S/?L Percent CO
v''rm Dote Tested ??17-6?
Z
Inpuf CFH ?'? ParcenT O 2 ?
? Company Testing
$Tack Tamp. Percent CO d?
Nome of TesTer J?
Form 235
oj 3rr? HOUSE HEATING TEST RECORD
ADDRE55 ' APT.-FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS "?Y DATE HTG. INST.
SOLDBY ?'?c' /14.zW iNSTALLEDBY -
Elscfrical Work 6y %[nL '=`v' Gos Line 8y
TYPE OF HEAT GA _>C_ FA HW STEAM -SPACE HTR. _UNIT HTR. -OTHFR "tdVRTT 1 ?y4T??
GAS DESIGN
?a??'2??'???5 CONVERSION
MAKE
MAKE OF BURNER
`Modal Model
Serial Max. BTU Rafing
INPUT MAKE OF FURNACE
Model "
i_ ?. Jr W?c? ?n„? ,GOP1TROl5
THERMOSTAT?
Heat Plug Vent Sizs
Valre f?2r•?5 KIND OF LINER SIZE NONE
Limit Drak Hood -- ' Ragularor
L{mit Setting FilTers Siie ' Number
Fon Seifing Chimnay Loeatian , Inside Outsida -
Pilof Type s A?? Chimney ConstruNion '
Pilot Make 6
Pilot Model k
ff-? Smoke Bom6 "- Wiring ?
Pilot Timing ,
,n Draft 7eat Tag ?
L.W. Cut OfF Door Pressure ?- Lighting Inai.
Prossum Parcent COZ Dafe Tested
'
leryuT CFH Percent OZ? Compony Tes???a cf• ?
?_ - ?
L?
Stack Temp. _ Percenf CO ?
Name
Form 235
HOUSE HEATING TEST RECORD _ ?
ADDRESS ??Xi APT.-FLOOR CITY UBURB
OCCUPANT /i'J?C 3TL-.:e %PA? ?• OWNER
HEAT LO55 ??"D"AT?E HTG. tNST.
SOLD BY /7?r /Vat INSTALLED BY K
Elec}rical Wotk 8y Gas Line By =Mb
TYPE OF HEAT GA k FA X HW -STEAM SPACE HTR. UNIT HTR. OTHER
G 5 DES N CONVERSION '
MAKE ?lt? MAKE OF BURNER
Madel 3,?/7-??7" ?JH' '1,- Modsl
Saial ?l - n?(L9?'1-e-- L Mo:. BTU Rariog
INPUT A?? MAKE OF FURNACE
Model ?
y
?
CONTROLS
y
.??
?
THERMOSTAT I ? Heat Plug Vent Size
Valre KIND OF LINER SIZE NONE-.,)f
Limit-W Draft Hood _Rv/' 1 O/l/ Reaule,or 3+?s '2
? 9(??
Limit SaNing -
{? /?nkas-fr f
Filters Size?? Number
0 oN ?O ?/
Fon Sefting
/3 qiimney LocaHon .In ida Outside
p?
Pilot Type Chimney ConstKuction
Pilat Make ?o?Z?TSfi?i011J
Pilot Model -JP
`,t'C
'ZS Smoke Bomb Wiring
?
-
-
Pilot Timing
- _Test Tag
Draft
f
?`
L.W. Cut Of Door Pressure Lighting InsT.
?
/
Pressure «7 ?//?"?L PerceniCD2
? ? Date Tested - G ?
Input CFH ?p
Percent OZ d Campony TesY g Qu G? 4`z
o
Stock Temp -YPercene CO ?f? Name oF Test ? ?l?X?s
Fum 235
,G / ?? CPGL%??? ? Jrlil%t-c?u, f i ?
EATING TEST RECORD
126? ?
ADDRESS APT.-FLOOR CITY SUBURB
?
OCCUPANT OWNER
HEATLOSS?.DATE TG.INS ^
&
SOLD BY - Q?
?
? [Z
INSTALLED BY
0
1?
r
,
Elechical Work By 1
Goa Lins By 1 I I
TYPE OP HEAT GA «FA 4,--'HW _STEAM -SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN CONV RSION
MAKE ` MAKE OF BURNER
Modal ? Model
Serial Max. BTU Rating
INPUT MAKE Of FURNACE
Modsl
CONTROL5
THERMQS?? ? Heat Plu9 ?y--?---?y Vent Size
Valvs j? ?? ? Z4[ R{MV ?' x? Y?-L KIND OF LINER $IZE NONE
`
Limit Rsgularor
Drah Hood
Limit $etting ,C- Filters Siz
Number ?
Fon Setting v
Chimney Location Inside -- Ouiside
-
PiloT Type Chimney Construnion ?
Piloe Make J?
Pilot Model $moka Bo Wiring
Pi o Timing - Droft F? Af. Tasf Tag ?
L.W. Cuf Of
f Dow Prossure L? Lighting Inst. ?
n
Pressure • ?+ F_ Percen}CO Dote Teated ?f ??-3` L Z
2
Input CFHPercent OZ ? ,
Campany Testing -RouSC MOChaniC21, IfIC.
Stack Temp. Percent CO -? B KTeI Dr.
Mi netonka, MN
A
Name of Tester Fr'_1
/?,