3500 Dodd Rd - Heating Test RecordADDRESS
OCCUPANT C-
HEAT LOSS DA
SOLD BY ?+-n/ ?
Electrical Work By - 9.9
TYPE OF HEAT GA
HOUSE HEATING-TEST RECORD
APT.-FLOOR CITY SUBURB
OWNER V4_12 ?
INST. ZA?
INSTALLED BY
Gas Line By "111 ?
FA Vf HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER
GASDESIGN ?
MAKE /
Model + L-
• CONVERSION -
MAKE OF BURNER
Model
Serial Max. BTU Rating
INPUT /??? pJD MAKE OF FURNACE
iOA,d CONTROLS Model
THERMOS
T
R
Heat Plug Vent Size
Volvo +U??+'+""?'aV n
KIND OF LINER
? SIZE-NONE
Limit 141, ,,,,,,""
Draft Hood Reguloror i?ss? 3-Jr---3
Limit Setting -? OV Filters SizeCC?/ Number
Fan Setting V ` Chimney Location Inside ? Outside
Pilot Type Chimney Construction A
Pilot Make
-?'?'`?
'?6?/?` '!.I
Pilot Model ?S?/ i
Smoke Bomb Wiring
Pilot Timing Draft Axs Test Tag
L.W. Cut Off Door Pressure' Lighting Inst. t
QQ /
Pressure J• S""'perc?C02 a
/>
p
Date Tested /-I '-
'
Input CFH //V3 Percent 02 /
d { G ?K't-J
Company Testing C6?/ ,
Stock Temp. Percent CO C)UG7 Name of Tester -
Form 235
HOUSE HEATING-TEST RECORD
ADDRESS -A-'K7(
OCCUPANT OCCUPANT U,4
HEAT LOSS T-
SOLD BY Cam'
Electrical Work By
TYPE OF HEAT
HTG. INST.
GA _ FA ;?HW
y? ,
-`9-Qev*^AP T._FL,gOR CITY SUBURB
0, E
INSTALLED BY
Gas Line By ? .r..?
-STEAM SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE L d? MAKE OF BURNER
Model Model
Serial 7 •=?- 3
-Max. BTU Rating
INPUT /3 7 llOta MAKE OF FURNACE
Model
THERMOS
Valve
Limit
Limit Setting tzC/'
Fan Setting
Pilot Type
Pilot Make 'L
Pilot Model -t^"'
NTROLS
Heat Plug Plug
Pilot Timing
L.W. Cut Off
/r
Vent Size
KIND OF LINER" SIZE NONE
Draft Hood ?'- Regularor-?/' .?J3
Filters 'e Number
Chimney Location Inside Outside
6
Chimney Construction (!I&L'"
1
Smoke Bomb Wiring
Draft Test Tap r?'z"
Door Pressure Lighting Inst.
?A__/? r7v
Pressure t"gferrnt C02 Date Tested )-'
Input CFH 1-37 Percent 0 Company Testing C/rox-e. -
n 2
Stack Temp. 3--So Percent CO , coo Nome of Tester
Form 235
HOUSE HEATING.,TEST RECORD
ADDRESS L ?NJ deoec - 1,a° APT. -F OR CITY SUBURB
OCCUPANT 1214-6e OWNER
HEAT LO_ _DAT TG. INST. -y- Y
SOLD BYt-??'+`x'+?-<?- ?-^?- ?^ INSTALLED BY
Electrical Work By ,J2 rte. j Gas Line By
TYPE OF HEAT GA _ FA ZHW -STEAM -SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE ??'?? 3 MAKE OF BURNER
Model t1-_3,f;7/.3'7 -% Model
Serial 45`E92,46 -211A- Max. BTU Rating
INPUT X37 MAKE OF FURNACE
/ Model
?eyLZie.t? CONTROLS Al
THERMi /( Heat Plug
Valve
Limit
Limit Setting .44'nj ^ •-7
Fan Setting
Pilot Type --cxt
Pilot Make
Pilot Model ?•^^---`?-r""'
Pilot Timing i?n ??
L.W. Cut Off
Pressure -3? aaW7srcent C02 r • S A O
Input CFH Percent 02 !5"n
Stack Temp. Percent CO - _r 06 6
/i
Vent Size
KIND OF LINER SIZE NONE
Draft Hood &7" -*A Regulator -
Filters?.,p+'?CSi Number rn'ej^?
Chimney Location Inside Outside
Chimney Construction d AL-'&2 A
Smoke Bomb Wiring
Draft - ?1 114 Test Tag _0-t L
Door Pressure `L+° Lighting Inst.
Date Tested -45 -
Company Testing L/crl,t?Name of Tester
Form 235
HOUSE HEATING. TEST RECORD
ADDRESS ?? ?o f
?
-'t•6Q
?
APT. _FLOOR CITY SUBURB
OCCUPANT OWNE
HEAT LOSS DATE TG. INST.
SOLD BY INSTALLED BY r =g.[.t<tr-?tJ
Electrical Work By Gas Line By
TYPE OF HEAT GA-FA ._HW-STEAM -SPACE HTR.-UNITHTR._'X OTHER
!? GAS DESIGN "
6 2C?'uat" CONVERSION
MAKE r rn 04 MAKE 00 BURNER
Model - Model
Serial Ss'8 Max. BTU Rating
. /1017
INPUT I37 MAKE OF FURNACE
I
Model
?
.? CONTROLS j,
THERMOSTAT ----J 2 Hear Plug '
9 Vent Size
Valve s a 4a41-19 KIND OF LINER -SIZE l" NONE
Limit 1?Lr (z.-pn/
Re
ulator
Draft Hood 4,,2n
4
Limit Ssriing s)OOn? g
.
Filters Size 1 I Number
Fan Setting lie _ Chimney Location Inside Outsida (x
Pilot Type ""411 Chimney Construction
Pilot Make
Pilot Model Smoke Bomb r Wiring
Pilot Timing -3n Draft IYLLQ Tsst Tap ?" ??r"O"
L.W. Cut Off Door Pressure?T Lighting Inst. C^`•
Pressure Percent CO Date Tested 97-
2 ?f
Input CFH 1.i7 Percent 02 - n
Company Testing g r60 ,2 199. 2C
Stack Temp. .3&"" Percent CO s 007? Name of Tester T" 'A A_ te•tet.+
Form 235
?l
HOUSE HEATING TEST RECORD
ADDRESS 25a &"e 'd APT.-FLOOR CITY K-SUBURB
OCCUPANT A OWNER <-
HEAT LOSS DAT HgG. INST. Z
SOLD BY INSTALLED BY +'?r?r?w._ I
Electrical Work By b Gas Line By
TYPE OF HEAT GA _FA HW STEAM-SPACE HTR. UNIT HTR. OTHER
41 GAS DESIGN CONVERSION
77/?
MAKE & Y-_4 ?_5' MAKE OF BURNER
Model Model
Serial Max. BTU Rating
INPUT?? MAKE OF FURNACE
Model
1 E-Vu,%L CONTROLS
THERMOSTAT 8? Heat Plug ??.
Valve ?? - ??A i+
r
Limit =l
Limit Setting
Fan Setting 10"k-
Pilot Type
Pilot Make ic+% Qn-{?+?.n•
Pilot Model .QP n -? ??..-?n.?-w• t
Pilot Timing ??- y4"'0.•
ii
Vent Size y'
KIND OF LINER SIZE?NONE
Draft Hood - Regularor mC
Filters Size -? Number
Chimney Location Inside Outside
Chimney Construction 0_Qnnn 6
Smoke Bomb
Draft
L.W. Cut Off Door Pressure
Pressure J 5 Percent C02 Date Tested -
Input CFH ry `
?3/ Percent 02? Company Testing
Stock Temp. -760 O Percent CO '- Name of Tester _
Wiring
Test Tap
V J1 Lighting Inst.
Form 235
HOUSE HEATING TEST RECORD
ADDRESS 16W &VY IP APT. -FL
0 R CITYSUBURB
OCCUPANT 7
?iD.k',• ?Aadj- 7 2
OWNER A ?
HEAT LOSS G. INST. lyz
SOLD BY ? 'u-cwt f? .P INSTALLED BY lirnz?.?c.tw Bc?n,.•??l ?-
?
Electrical Work By Gas Line By /
7
t-P-e _j
TYPE OF HEAT GA _. FA HW - STEAM -SPACE HTR. UNIT HTR. OTHER
/ GAS DESIGN CONVERSION
MAKE I?7-? MAKE OF BURNER
Model I.R,/.. I Model
Serial a?9 0'7Qp p -Max. BTU Rating
INPUT /.?? mro MAKE OF FURNACE
Model
'A
Fig F j CONTROLS ?r
THERMOSTAT Heat Plug Vent Size
Vnlre KIND OF LINER SIZE-NONE
Limit g Drah Hood rtxce Regularor mahAW4 .1.2.5- 3
Limit Setting "0/1/)r? Filters Size ^
Number
Fan Setting IIO c Chimney Location y
Inside A Outside
Pilot Type Chimne
Construction r146-ld fl xwlaze
y
Pilot Make "4 A-
Pilot Model Smoke Bomb Wiring ?'?
Pilot Timing Draft - ')It< Test Tag ?"'--
L.W. Cut Off Door Pressure 21" IL
Li
htin
Inst
`''
Pressure ?r? '?^ Percent C02
t CFH ??
In
P .
g
g
N.
_-7?7°''- Date Tested /112 1(,- 2
?°
pu
/ ercent 02-- Company Testing
e
Stack Temp. Percent CO Name of Tester
Form 235
HOUSE HEATING TEST RECORD
ADDRESS APT._FLOOR CITYSUBURB
OCCUPANT Ql,.Zt? ?11} OWNER
HEAT LOSS DA E
HTG. INST. c- -,f Z
p
SOLD BY d:?'?tCAs4J?u+,ras I L" ' INSTALLED BY
- --!r_« ?. ?......1 a. u%?1;llt..el
Electrical Work By 7
Gas Line By d-
TYPE OF HEAT GA _ FA HW -STEAM SPACE HTR. -UNIT H TR. OTHER
GAS DESIGN ?,o ?y CONVERSION
MAKE ?t-= f?Y / MAKE OF BURNER
Model Model
Serial Maz. BTU Rating
INPUT 43Z czar) MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size
Valve c 9 {i; M) KIND OF LINER ??` ?Q? SIZE--I NONE
Limit `??-(?i .-d ?Y ar
Draft H
d R
l
'4f ?
?5
__`
oo egu
aror
,
Limit Setting Filters Size Number ^-
Fan Setting
!/b°F M Chimney Location Insi Outside
r?
Pilot Type EL6&Y C,: Chimney Construction
Pilot Make
Pilot Model
Smoke Bomb
Wiring aiar?
Pilot Timing 130 44_ Draft T
t Ta
w+-+?-?
as
g
L.W. Cut Off Door Pressure Lighting Inst.
Pressure 3^Percent CO2 Date Tested 1
Input CFH 1,57
Percent 0
Company Testin _
2
A
Stack Temp. Portent CO g
Name of Taster
Form 235
HOUSE HEATING TEST RECORD
?? ?
i ?
ADDRESS Atf
d
' APT. -FLOOR _CITY
SUBURB
OCCUPANT OWNER
HEAT LOSS PAT F}?G.INST.
SOLD BY l?J w, y INSTALLED BY ,.:
Electrical Work By Gas Line By?
TYPE OF HEAT GA _ FA -HW -STEAM SPACE HTR. -UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE
' MAKE OF BURNER
Model 462" Jra /- .3 e 137 Model
Serial 59,7 4 /7 L'I II Max. BTU Rating
INPUT 13 73 0c,Z MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT at Plug Vent Size
Valve KIND OF LINER- SIZE NONE
Limit Draft Hood e-xi.- ••- -? • u.o..i...,..1Ste.1 • 3%zS • 3
Limit Setting Filters Size <?? N mber -?
Fan Setting Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make s,
Pilot Model Smoke Bomb Wiring ??63•'(
Pilot Timing •?L t3zt_. Draft d Test Tag
L.W. Cut Off Door Pressure YIR Lighting Inst. d2W A?
Pressure -_--3? 5? areant CO2
-
, 1$? 8?
Date Tested .4-
Input CFH Percent 02
IT 7 ..
Company Testing
Stack Temp. /?-Percent CO Name of Tester
Form 235
HOUSE HEATING TEST RECORD
ADDRESS APT. _FLO,QR CITY 'SUBURB
OCCUPANT OWNER ?t-?_,_•
HEAT LOSS DAT HT . INST.
SOLD BY 1t.c...J ...?.?? INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE f ? #-MAKE OF BURNER
Model
Model
Serial Max. BTU Rating
INPUT MAKE OF FURNACE
Model
^I. VIVIKVLJ -fir
THERMOSTAT / Heat Plug Vent Size f/
VaIV* ?'?++;J+--?'+?g•??+r? KIND OF LINER e% ONE
Limit ?K(rL„ J Drah Mood ?? Regulator ?./ ??s 3
Limit Setting o Filters Size -? Number -s?
Fan Setting U Chimney Location Inside Outside
Pilot Type ' I 1 Chimney Construction
Pilot Make -
Pilot
Pilot Model Smoke Bomb ?- Wiring 6 A4AjEl
Timing Draft Test Tag_I?
L.W. Cut Off Door Pressure Lighting Inst, j,
60
Pressure Percent CO Date Tested , 16 - 92- All
Input CFH Percent 02 Company Testing
Stock Temp. Percent CO Name of Tester
Form 235
HOUSE HEATING TEST RECORD
ADDRESS 12.1- APT.-FLOOR CITYSUBURB
OCCUPANTtG. lt OWNER -?-<+
HEAT LOSS DATE INST. J4 - ? -
SOLD BY INSTALLED BY
«-?+t-«3
Electrical Work BY Gas Line By --
TYPE OF HEAT GA _ FA -XHW -STEAM SPACE HTR. UNIT HTR. OTHER
?qrtqr4 GAS DESIG - _ J, CONVERSION
MAKE S MAKE OF BURNER
Model A& Model
Serial Max. BTU Rating
INPUT did acv MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT
Valve
Limit
Limit Setting _
Fan Setting
Pilot Type
Pilot Make
Pilot Model -
Heat Plug - ° to Vent Size
KIND OF LINER/"
Draft Hood
Filters Size
Chimney Location
Chimney Construction
Regulator
Outside
NONE
Smoke Bomb Wiring --t, " zru
Pilot Timing dn 'JA:te Draft 6 t? Test Tap
L.W. Cut Off 1` Door Pressure Lighting Inst.
Pressure 3"5 1i"64"percent CO2 a Date Tested CY
Input CFH 40 Percent 02 Company Testing
Stack Temp. Percent CO r0 ` Name of Tester I
Form 235
HOUSE HEATING TEST RECORD
ADDRESS APT. -FLOOR
??CITY UBURS
OCCUPANT ??
OWNER Safm....-c.
HEAT LOSS DATE TG. INST
SOLD BY t - ' INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA _ FA HW -STEAM SPACE HTR. -UNIT HTR. -OTHER
2
MAKE GAS DESIGN
J CONVERSION
,. MAKE OF BURNER
Model IWO Model
Serials ^
a861-3 '7 Max. BTU Rating
INPUT MAKE OF FURNACE
^""""' "
Model
CONTROLS
THERMOSTA Hea
Plug 6 Vent Size
Volve ?
1U'f KIND OF LINER I" On A,1 .3- IZ "r'`??Q9 E
Limit
Limit Setting
b Draft Hood 4 Regula 77?t''
rdr.?kA h7q,
Filters Size fib)y2G Nu ber 2-
Fan Setting 116
ON, Chimney Location Ins' Outside
Pilot Type Chimney Construction (A
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing - Draft Tast Tag - _A2
L.W. Cut Off Door Pressure ?- Lighting Inst. r
Pressure f? "' Percent CO2 n Date Tested 'JS
Input CFH_ Ig Percent 02 + D Company Testing dip/ L?fi
Stack Temp. d 51 Percent CO Name of Tester
Form 235