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Home My WebLink Aboutnew oil burner 2016sJ, 527 CMR 4.00 Form 1 Application for Permit, Permit, and Certificate of Completion for the Installation or Alteration ofFuel Oil Burning Equipment and the Storage ofFuel Oil .LlarW^ri- /0-27- /b FP-056 (Rev.04/10) Elec 0wner/Occupant Name:l(alhL!.4,t b"lr- lnstallation Address: ) Caf Oc Permit #'s: FD _FDID#: - (City or Town)(Date) FeePaid:$ A- Tel.#: )a'y'' >t L ' Oo ,t fl Power Vent Serviced Floor or Unit #: 0therEffieating Unit Burner: tr New E Domestic Water Heater tr Existing E Location: Mfg e/,-"1; Type:C-'urn t= b-./Nozzle size: > {^) O /Z fl Waste oil Location:1ra-capaciry: lfgallons No. of Tanks: Special requirements (or additional safety devices) tr Fuel Oil Storage Tank: E New Type: E Kerosene Zd*irting Co. Name Address: Completion Date: Combustion Test: Smoke: -/) r-It4 EF: tryestr no (water heateo zip:d24,E o D OSV valve 216l Line Protected tr Sheet Hock E Sprinkler AFUE: tr yes E no (fumace and boilers) rct*f2 City:S. D.b- Net Stack Temp ls> Breech Draft:---. o Efficiency Hating %: q 0 /a ->?-.// Gross Stack Tsmp.: C0, Test:/ >'/. Overfire Draft - , /-t-' lhe r whom the inslallation (or alleralion)lyas made .1. Chapter 148 and 527 CMR 4.00 curlently in etfecl. condilion and inslructions as to ils use and Stanp) .5Da I, the undersigned certily that lhe installalion ol luel burning equipmenl has been made in accordance wilh M.G Furthermore,lhis installation has been tosted in accordance with such rsquirements, is now in proper op€rating maintenance have been lumished to rnsrarer: J4 mn.1- Print Name>b U4't,/)orvc.u ced ol ci Address City Once signed by the fire department, this is a PERMIT lor the storage of luel oil and use ol the oil burning equipmont. /L (l-.L C A QTA lFt Ku c- rC t( z\'te REFER TO CHECKLIST ON REVERSE SIDE Form Distribution: White: Fire Dept. (Application) Yellow: lnstallation (Permit to Store) Pink: lnstallel (Permit To lnstall) Approved by: oTl"V"r"-**",r*k/rr/e/honlrra"mq"/*r[r,*r 4&* o7" "r;"* Model # or Size: B/Kr^..,f- 0ale: ALL INSTALLATIONS tr4.03 (1)d All applications musl be on Form 1 tr4.03 (1)e Over 10,000 gallons on site requires License & Perm from localcommunity tr4,03 (1)g Certificate ol Competency required, no other license acceptable, plumbing, electrical, etc. !4.04 (3)a Verjty emergency shul-ofl is outside bumer room tr4.04 (4)b Verily separate circuit lor oil burner tr4.04 (4)e Verify presence ol overhead thermal switch tr4.04 (4)c Verify presence olservice switch within 3'of burner !4.04 (3)b Verity presence ol high limit controller fj4 04 (3)c(1) Primary control has safety timing of 45 secs.(max) tr4.04 (4)d Stack type primary may be easily removed !4.04 (3)d Steam boiler equipped with low-water cutotf tr4.04 (4)l Clear access lo clean out and services panels tr 4.04 (5)b No oil leaks present at burner tr4.04 (5)d lnstallation instructions present on site tr4.04 (5)l Overhead combustible clearances within 5 leel over unil Gypsum board or sprinkler required unless unit is AFUE (Furnace or Boile4 rated or EF (water healed tr4.04 (5)g Combustion test results on Form 1 !4.04 (9)b(12) Three metal screws at each joint in chimney tr4.04 (9)b(7) Thimble present at chimney connection tr4.04 (9)d lF PoWER VENTER lS USED: Check air pressure switch, post purge control and secondary control. lnstallation insfuclions present. f]4.04 (9)f Dratt regulator is present unless exempted D4.04 (5)m Adequate air is present for combustion tr4.04 (5)o Adequate clearances per manutacturers listing tr4.04 (2)i Thermalvalves al burner and tanks tr4.04 (1)b Listed flexible hose may be used. tr4.04 (1)c No Teflon tape on oil line or on oil line fittings tr4,04 (1)c No compression fittings are permitted tr a.04 (1)c Solder ioints made with 500 degree F solder or greater !4.04 (1)e Alloilsupply and relurn lines must be prolected trom iniury. All new lines must be continuously sleeved with non metallic tubing. oil safety valves may be used on exisling lines not exposed to freezing. Overhead lines require no sleeve and are permitted tr4.04 (1)g Oil supply lines and retum lines to tanks exposed to lreezing temperatures must come olf lhe top ol tanks Lines for kerosene, and range oil (#1) are exempt - tr4.04 (1)i No oil leaks present at tank tr4.04 (1)k Listed oillilter is present tr4.03 (5)b Tank is UL80 or (DlB+) PV-VI 321 (under 660 gal) or UL 142 (over 600 gal) tr4.03 (5)e Shutoff valve located at bottom ol tank tr4.03 (5)l Size ol vent as per Table 4.03A tr4.03 (5)g Oil tank gauge must be present to determine oil level tr4.03 (1 1)c lnside tanks have audible fill device (v€nt alarm) tr4.03 (5)J Outlet cross connection at bottom ol tanks must be 1/2' pipe or lubing. tr4.03 (5)l Non-combustible tank supports, tank secure. UNENCLOSED TANKS Single tanks shall not be largerthan 660 gallons Maximum aggregate capacity of unenclosed multiple lanks is 1320 gallons Unenclosed tanks shall be at least five leet from an inlernal or exlemal flame Unenclosed tanks shall not obslruct service meters, service panels and shutotl valves Eottom outlet tanks pitched to the opening Tanks exposed to vehicles will be prolected by barriers ENCLOSED TANKS Over 660 gallon tanks enclosed by two hour tire resistive assembly Tank enclosures provided with 6' high tight sills or ramps Tank is 4' above floor supported by 12'thick masonry saddles spaced not more lhan eight feet on centers and 15" from top and walls ol enclosure All oil musl be transferred by pump, and conneclions must be at the top ol the tank tr4.03 (6)b tr4.03 (6)b tr4 03 (6)d tr4.03 (6)d n4.03 (6)e tr4.03 (6)r ! 4.03 (7)a !4.03 (7)b D4.03 (7)d n4.03 (7)e ALL TANKS !4.03 (9)d Two tanks may be cross-connected as shown in Fig. 4.03 1. 44.03 (10)b Return lines must enter the top ol tanks !4.03 (9)c Vent pipes musl be two leet from building openings tr4.03 (9)c Vent pipes must terminate 3 ft. above grade min. n4.03 (9)c Vent pipes must have v{eatherproof caps !4.03 (10)a Fill pipes must be two feel from building openings !4.03 (10)a Fill pipes must have tamper proof identilying caps tr4.04 (9)d rF PoWER VENTER rS USED: All outside conneclions sealed Vent terminal must be three leet above all air inlets within 1ofl. Burner air intake is exempted Vent terminal must be lour feet from doors and windows. Vent must be one loot above flnished grade. Three foot clearance from inside corners. Nol above or within three leet of an oil tank. Seven feet above a public walkway. lF UNDEB PORCH OB DECK: Heating use only, no hot water. Four leet below deck AND not enclosed under deck OUTSIDE TANKS !4.03 (8)a All UST's and tanks over 660 gallons must be installed as per cMR 9.00 Tank protected from physical damage Tanks exterior coated with organic alkyd resin or asphalt paint Damaged protective coatings musl be recovered Tank does not block means of egress Tank mounted on continuous 4'thick slab that extends 8' beyond tank perimeter Tank is supported by rigid non-combustible supports fl4.03 (8)c !4.03 (8)c !4.03 (8)c D4.03 (8)c !4.03 (8)d Nole To lnstaller: lnspeclions will be conducted using thischecklisl as a guideline. Current regulations will apply. !4.03 (8)d