HomeMy WebLinkAboutoil burner 2005=r:-
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527 CMR 4.00
Form 1
Application for Permit, Permi! and Certificate of completion for the Insullarion or
Alteration of Fuel Oil Burning E ment and rage of Fuel Oil o-6t
(Ciry own) (Datc)
FDID+h Fee Paid:Permit #'s: FD
fl Heating Unir
Bumer: p Ncw
Trade Namc:
Owncr/Occupanr Namc:6Rocedes Tci #7?S 4b0L
ln5rrll1gien Ad&ess:,4194Sewiced Floor or Unit #:
-E Domestic Warcr Hcatcr E Power Yent E Orhcr
E gvisting [.ocadon:At4 JL t)
(>t-,nt Modct # or sizc:Afl-Locadon:
E
Type:
/ Fuel Oit E Ksosane E \lrastc oil
Storage Tanb E New E g*isring Location:Bmcrr*.
Type:
Special requiremcns (or additional safcry devices)
Capaciry:2af gals. No. of Tanks:
-F,ffu,v{'f, fterrW*r1ur1f- ,G sr,qtXy'*qtr Asrirrucr
Combustion Tesc Nozzlc Sizc Gross Stack Tcrnp.:
Brcech Drut ,0rl
O7/Efficicary raang 9o;s9
Tel
City:1A zip:026/o( --t
. __,-A.hu!.: u yes Ll no
4<oNew S tCck-Tcnp.:
Smoke:
CO l Tcst
I Ovcrdre Drafc
l, the mdersigned cenify that the installation of fuel buming equipment has been made in accordance with M.C.L. c. 148 and 52? CMR 4.00
currently rn effect. Funhermore, this installarion has becn tesred. in lccord_ance with.such requirenFgas, is now iq Eqrer eporatrng condition and
complere instmcrions as ro its us€ and rnahrenance h'ave beedin{ilrcd ro'the person for whom rhd lixrallation (oi alteranon) was made.6F h),l)SU 77fCo. Name
Addres
lnstalIer:
Once signed by the fire
lnspected by:
Rs{4/D
o
'f srpar,i. (
:7
Pnnt Nama
t,this for vtorage and use of oil g equlpment
Date:
WHIE CoPY: Property owne/s copy; CANARY COPY: YED. Copy. Retum when iob i! conpleted; PltlK CoPY .Ihis copy must be po8ted at installation.
'Ifre Camrunuru[trt. of Massa{wset*
Depormant ,f eu6fu Sof"ty
Vec IT Mfs:Berx.ir
I
I
YARMOUTH FIRE AND RESCUE
96 OLD MAIN STREET
SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone: (508) 398-2212 Fa.x: (508) 760-4858
MEMO
TO:Stephen Koplow
FROM: CaptainRobertKelleher/FirePrevention
RE Property at 590 Route 28 West Yarmouth
DATE: 12123/05
This memo is to review our conservation this morning. We discussed the recent
replaccmcnt of the oil burncr for Cape Grocerics and my subsoqucnt inspoction.
During that inspection I am required to evaluate the attached oil tank. Itwas my
observation that the tank may be approaching the end of its useful lifespan. As we
discussed I based my assessment on the visible rust, lack of a stable foundation and sitting
on a dirt floor.
We iliscussed that I was hesitant to order you to replace these tanks if we coulil
agree that they needed to be replaced and you were amenable to replacing them on a
reasonable timetable. It was my understanding that you were in agreement on these points
and understood the need and the hazards that might be created if they were not replaced.
I Iook forsard to working with you to resolve the sifuation in the near future.
Sl-. phe r,r K"p ), -
M K I{",ltY
LSL FlarY>rJ 6\
Broa\( ti r"e MA
ozq Ll ('Lqot)
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