HomeMy WebLinkAboutoil tank installed 2021/ n"ir*lrrrll,
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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:04/oG/2o2L
permit Number: 102744
Address: 21 BRAE BURN LANE /South Yarmouth, MA 026&4
For permission to: lnstall oil tank
Name of Competent Operator: Steve l?ving I 21 Brae Burn Lane
By
Cert. No.
(Signature of applicant)
Due
171
BRAE03
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PERMIT
01115
City or Town: Yarmouth
Oate:04/06/2O2L
Permit Number (if applicable) )-02'7 a4
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 1O A this permit is granted
to: Steve lrving / 21 Brae Bum Lano
For permissaon to: lnstall oil tank
DIG SAFE NUMBER
Start Date:
Wx
-rY
Restrictions Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.Notify YFD before and after work is complete.
2'l BRAE BURN LANE /South Yarmouth, MA 02664At,
Fee Paid $$s0. oo
Signature of Official Granting permit
This permit will expire on
Title
This rmit must be cons icuousl osted u n the rem rses
ln accordance with the provisions of M.G.L. Chapte|I48, as provided in Section 10 A application is hereby made
by:
Date lssued-Re.iecled 04/ 06 / 202L
Date of Expiration:Fee: Sso.00 $ paid
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F.0. Eor 1025, &"1" P*"t, &to*, mA U115
APPLICATION FOR PERMIT
Gity or Town: Yarmouth
Oate:04/06/202L
permit Number: 102783
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section '10 A applicetion is hereby made
by:
Address: 21 BRAE BURN LANE /South Yarmouth, MA 02664
For permission to: Above Ground Tank Removal 527CMR 1 .12.8.2
Name of Competent Operator: Steve lwing I 21 Brea Burn Lane
Date lssued-Rejecled 04 / 06 / 202L By
Date of Expiration Fee: S50.00 $ paid
Gert. No.
(Signature of applicant)
Due
171
BRAEO3
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PERMIT
01115
City or Town: Yamouth
Date:04/06 /2O2L
Permit Number (if applicable) 7027a3
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: Steve lrving I 21 Brca Bum Lane
For permission to: Above Ground Tank Removal 527CMR '1.12.8.2
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFO before and after work is complete.
At
DIG SAFE NUMBER
Start Date:
Fee Paid $$50.00 This permit will expire on
Title
This rmit must be cons icuousl osted u n the remrses
21 BRAE BURN LANE ,South Yarmouth, MA 02664
Signature of Offlcial Granting Permit
.6.{1" Vr,*rr* r"."m 4
FP-056
(Rev. 1.26.2015)
Permit #'s: FD _
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527 CMR 1.00
Section 1.12.8.2.1
Form 1
Application for Permit, Permit, and Certificate of Completion for the
Installation or Alteration ofFuel Oil Buming Equipment and the Storage ofFuel Oil
sourH YARMoUTH 031 29 12021
(City orTown) (Date)
Fee Paid: $Elec.FDID#
Owner/Occupant Name JOSEPH MERCURIO
tnsra arion Address: 21 BRAE BURN LANE
ret #.978-490-6411
E Power Vent
Serviced Floor or Unit #
Other
Mfg:
Type
E Fuel Oil D Kerosene E Waste Oil
Locarion. BASEMENTStorage Tank: E New E existing
Type ROTH Capacity: 275 gattons No. of Tanks: 2
Special requirements (or additional safety devices)(1) INSTALL (1) REMOVAL
E Removal
Co. Name
Address.
BOSTON GREEN COMPANY Tet # (888) 338-2657
023471 @ CI{ARLES ELDRIDGE RD
Completion Date
Combustion Test: Gross Stack Temp
CO, Test:
Smoke:Overfire Draft
LAKEVILLE zip
Net Stack Temp
Breech Draft
Efficiency Rating %
l, the undersigned certary that the inslallation of tuel buming equipment has been made in accordance r,,rith M.G.L. Chapter 148 and S27 CMR .l.OO
currently in effect. Fu(hermore, this installation has been tested in accordance with such requirements, is now in proper operating condition ardcomplele instruclions as lo its use and mainlenance have been fumished to the pe6on or whom the installalion (or alterationl wa-s made.
tnstaller STEVE IRVTNG 029148
Ced ol C#Signalura (no Stamp)
Address 102 CHARLES ELDRIDGE RD LAKEVILLE l\,lA 02347City
once signed by the fre department. this is a pERMlr for the storage ot fueloit and use ot the oit buming equipment.
Keep original as application. lssue duplicate as permit. Thas form may be photocopied
arpba
E Heating Unit E Domestic Water Heater
Burner: E New E Existing El Location:
Model # or Size:Nozzle sizel
0 OSV valve E O Line protected
City:
Appro\€d by: Date: