HomeMy WebLinkAboutnew oil tank 2023C"r,,r r*,*rb / fldrtur/b
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APPLIGATION FOR PERMIT
City or Town: Yarmouth
Date:o'7 /2s /2023
Permit Number: 103204
ln accordance with the provrsions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
bv: LTNDA BRADEoBD
Addressr 31 BROOKHILL LANE /South Yarmouth, MA 02664
For permission to: lnstall Oil Burning Equipmenutanks
Name of Competent Operator:BRADFORD/TASHA FUELS & PROPANE
Date lssued-Rejected 07 / 25 / 2023
Cert. No
Date of Expiration Fee: Sso.00 $ paid
(SE atare ofapplicailf
Due
142
318R01
By
A,Vrrrr-rr"*r,"rhr/a//rr4r.lril"h WidO
FP{56
(Rev. 1.26.2015)
installation Address
E Heating Unit
Bumer: E New
E Domestic Water Heater
D Existing E Location:
Permit fs: FD /Elec
da{1,8o. ?'oa fJ3tzroc,tchiri Rd
@a.r*r.,z/e7r."A*""tu
527 CMR 1.00
Section '1.12.8.2.1
Form 1
Application for Permit, Permit, and Certificate of Completion for the
Installatioo or Alteration of Fuel Oil Buming Equipment and the Storage of Fuel Oil
'/on^*rn 6laT las
(City or Town) (Date)
Fee Paid: $ 5n
ret.#: 174'361'Anq
FDID#:
E Power Vent
Serviced Floor or Unit #
Other
Mfg:
Type:
El Fuel oil
Storage Tank: BNew
Nozzle size:
D Kerosene
u Existing
E Waste oil
Location: Bro*rr*"^^+-
EI Removal
Type:Aotu D^^r Capacity: J? 5 gattons No. of Tanks: I
Special requirements (or additional safety devices)
E OSV valve BOil Line protected
Co. Name:d
Address:
Completion Date:
Combustion Test
o
City:D Prt
6l 1 lo3
Gross Stack Temp.:--
CO'? Test:
v(w Zip oe536
Net Stack Temp
Breech Draft:
Smoke: _Overfire Draft:
that the installation of tuel buming equipment has been made in accordance with M.G.L. Chapter 1i18 and 527 CMR 1.00
andcunently in sffect. Fu(hermore, this installation has been tested in accordance with such requirements, is now in operating coMitioncomplete instructions as to its use and maintenance have been fumished to the person or whom the instal Iteration) was
lnstaller:U-
Efficiency Rating %:
a
Address:553 Thomas I hvlJrrs H e ( vyrootl,-tCitv
Date:Approved by:
Keep original as appircation. lssue duplicate as permit. This form may be photocopied
Owner/Occupant Name:
Model # or Size:
ret# 50tr't/57-A5q5
l, lhe undersigned ce{ify
Once signed by the fire department, this is a PERMIT ior he storage of fuel oil and use of the oil buming equipm€nt.