HomeMy WebLinkAboutnew oil tank 2009L"oauntorruaffi, o/ l/furou1z,reiL
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APPLICATION FOR PERMIT
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mA u115
City or Town
Date:|t/o9/2009
permit Number: 100487
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address: 113 Center St fYarmouthPort, MA 02675
For permission to: lnstall Oil Burning Equipmenutanks
Cape Excavating Service 508432-8198
Date lssued-Rejected 7L / O9 / 2009 By
Cert. No.
Fee: S25 ' 00 $ paid
(Signature of applicant)
DueDate of Expiration
THEUOl
MATO02
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PERMIT
Oate:rL/09/2009
Permit Number (if applicable) -
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: Cape Excavating Service 508432-8198
For permission to: lnstall Oil Burning EquipmenUtanks
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes
Notify YFD before and after work is complete.
At 113 Center St fYarmouthPort, MA 02675
OIG SAFE NUMBER
Start Date:
Fee Paid $
Signature of Official Granting Permit
This permit will expire on
Tifle
This permit must be conspicuously posted upon the premises
Yarmouth
Name of Competent Operator:
City or Town: Yarmouth
Yarmouth Ma
96 Old Main Street
South Yarmouth, ma 02664
508-398-2212
Receipt IOI
Prinary Contact:
cash or chec k
Occupanqy:
Barbar.a Matsykief
113 Center St
Ya::mouth?crt, Y'F. C2 615
Cape Excavating Service 508-432-8198
Pernit *TyPe Issued Effective Exprres Fee
100487 InstaIl O11 Burning
Equipment / t anks
Special condj-tions of issue:e\L& +
esao
17 /09 /20A9 77 / A9 /20A9
Cash Received by:
s25.00
Total Fee 92s.00
Page
A.
(Gry or Town)
Permit --'s: FD
Owner/Occupant Namc:*+1(
lnsaliauon Addrcss:
EJ Headng Unit
Bumer: EI New
Trade Name:
roro*: f)\.3fr l
@atc)
Fcc Paid:
(lr l (L Tcl it
crviced Floor or Unit *
t
+
E Domestic warcr Hcatcr EI power vcnr tr orn"rldr+L ll"arov4*
E Eristing [ocadon:4il
Mfg:
Type:Modcl # or Size:
p Fucl Oil E Kcrosenc E Vr'asa oil
Storage Tank E New $ existing Lo
Type:Capaciry:
Special requiremcns (or additional safcry dcvices)
Locadon:
/(s+tMl/vt0
3d ga.ls. No. of Tanks:o-
Combusrion Tcsr Nozzie Sizc
New Stack Tcrnp.: COrTcsr
Gross Suck Tcrnp.:
Brcech Drafc
Smokc:0ver6:c Drafi:
I' the undersigned cenify that the installation of fuel buming equipment has teen made in accordance with M.G.L. c. 148 and 527 CMR,t.00cunently in effect. Furthermore, thh insmllation has been tested in accordance with such rcqui.ements, is now in proper operating condition andcomplet€ instructions as to its use and maintenance have been fumished to the persoo for whom the installatlon (oi alteration) was"made.
Co. Name C,Tel. +s06^L.-l-
Address.t3 ilklL""City:zip
lnstaller:
Prinl Noru Sierudre (no Srarnp)
once signed by the fire department, this is a pERMIT for the storage and use of oil buming equipment
Inspected by:Date:
Tfrz Comtonueo[tfi of grhssochtsets
Depafina* of 9u5ti. Sofrty
527 CMR 4.00
Form I
Application for Permit, Permit and Certificate of completion for the Insullation or
Alteration of Fud Oil Burning Equipment and the Storage of Fuet Oil
E OSv vaire EI Oit tinc prorecled EI Shcet Rock El Sprinllcr AFUE: E yes E no
Efficicnc-v rating 9o:
l\+lITE CoPY: Prcperty owne/s copy; CAt{AFy COpy: yF.D. Copy. Boturn wier iob b compl€ted; plNX COpy.This copy must be posted at installation.