HomeMy WebLinkAbouttank removal 2019,!
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APPLICATION FOR PERMIT
Gity or Town: Yarmouth
Oate:01/09/2Or9
permit Number: 102486
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section '10 A application is hereby made
bY: Joe celona
Address: 15 BASS RIVER TERRACE /South Yarmouth, MA 02664
For permission to: Above Ground Tank Removal 527CMR'1.12.8.2
Name of Competent Operator: Tankaway/Joe Celona Cert. No
Date lssued-Rejecled O7 /09/2019
Date of Expiration
139
BASSTOl
By
Fee:S50.00 $ Paid
(SEnature of aprl-rcaO
Due
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PERMIT
City or Town: Yarmouth
Date:
Permit Number (if applicable) 142486
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
Tankaway/Joe Celona
DIG SAFE NUMBER
Start Date:
For permission to Above Ground Tank Removal 527CMR 1.12.8.2
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes'
Notify YFD before and after work is complete.
15 BASS RIVER TERRACE /South Yarmouth, MA 02664At:
Fee Paid $9s0.00 This permit will expire on
Signature of Official Granting Permit L- k-Title u cl(
This rmit must be cons icuously ted upon the remtses
o'7 /L6/2Oa9
to:
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527 CMR 1.00 f'rx#Section 1.12.8.2.1
Form 1
Application for Permit, Perrnit, 4od Ccrtificate of Completion for the
Installation or Alteration ofFucl oil Burning Equipment and the storage oF F
UUTH
(.i-l 5L\1?30
ucl Oil
1-1'l \
FP-056
(R.v. 1.2C.2015)
Permit #'s: FD
Own€r/OccuPanl Name:l5 Rps5 Rr -{,/\
(City or Town)(oate)
Fee Paid: $
5oso
Serviced Floor or Unit #
FDI
,R.
lnst8llatlon AddrBss
El H€tng Unlt
Bumer: E New
D oomestic water Heater
D Existing n Locatlon
E Powsr Vent Other
Tlpe
A Fuel oil
Storagc Tank: X Naw
fl Kerosene
lI Existing Location:
Model # or Size: Nozzle size
D waste oit A Removal
Ty?e:SF,.iu gallons No. ot Tanks
Special requirements (or additional safety devices)0uq Sf,
E OSV wlve .l oit Line Protected
Co. Nams:K U'N
aaarsss:,1 trJ ,^.fto City:€.8oSfrr-/
Comploffon Date:
Combustlon Test
q
Gross Stack TemP.: Net Stack TemP
Tel #6rt S4l tl11
zip oanS
CO'lTest
Smoke:
-
Efficiency Rating %
l. tht undcdgrud cenify n of tuol bumlng oqulpmenl hat b66n madB in accorda nce with M.G.L Chapte. 148and527CMRJ00
curcniry ln dLcl. Funh€rnrore. this inst-allalion has b€6n test6d In eccordlnca wlth auch rrqulramonl5,i3 now in pTopor operatlng condltion snd
colnplato lltltrucllon! as to its use and mainlanancg havg b6an lumlsh6d to th! PlBon or \^/hom tho lation (or alt€ralion) wa3 made.
lnstsll€r:0Hr.,t Ar,s51
ignalurc (no Slam2)
Overfire 0raft:
thal lho inslallatlo
Cdtl CI s
Addlgss SHn r,, \Nat ^l fio City:
g.JIV
Keep original as application. lssue duplicat6 as permit. This form may be photocopied'
Mfg:
E lec.
Tel.#:
BAsegCapacitY:
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Onc. sighod by tho tire deparlment, this is a PERMIT tor the storage of fuel oil and use of the oil bu'ning equipmenl