Form FP-056 (1) "Application for Permit, Permit, and Certificate of Completion for the Installation or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil" - Massachusetts

What Is Form FP-056 (1)?

This is a legal form that was released by the Massachusetts Department of Fire Services - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2019;
  • The latest edition provided by the Massachusetts Department of Fire Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form FP-056 (1) by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Fire Services.

ADVERTISEMENT
ADVERTISEMENT

Download Form FP-056 (1) "Application for Permit, Permit, and Certificate of Completion for the Installation or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil" - Massachusetts

Download PDF

Fill PDF online

Rate (4.6 / 5) 15 votes
The Commonwealth of Massachusetts
Department of Fire Services
527 CMR 1.00
Section 1.12.8.2.1
Form 1
FP-056
(Rev. 4.2019)
Application for Permit, Permit, and Certificate of Completion for the
Installation or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil
_______________________________________
(City or Town)
(Date)
_______
_______
_______
______
Permit #'s:
FD
Elec.
FDID#:
Fee Paid: $
_____________________________
___________________________
Owner/Occupant Name:
Tel.#:
___________________________________
__________
Installation Address:
Serviced Floor or Unit #:
______________________
Heating Unit
Domestic Water Heater
Power Vent
Other
_____________________________________________
Burner:
New
Existing
Location:
____________________________________________
Mfg: _______________________________________
__________________
_________________
_______________
Type:
Model # or Size:
Nozzle size:
Fuel Oil
Kerosene
Waste Oil
______________________________
Storage Tank:
New
Existing
Removal
Location:
__________________
______
______________________
Type:
Capacity:
gallons
No. of Tanks:
_____________________________________________
Special requirements (or additional safety devices)
_______________________________________________________________________________
OSV valve
Oil Line Protected
_________________________________________________
________________
Co. Name:
Tel #
_________________________
_________________________
___________
Address:
City:
Zip:
_________________________
Completion Date:
________________
Combustion Test:
Gross Stack Temp.:
Net Stack Temp.: __________________________
______________________
________________________
CO
2
Test:
Breech Draft:
_____
___________________
___________________
Smoke:
Overfire Draft:
Efficiency Rating %:
I, the undersigned certify that the installation of fuel burning equipment has been made in accordance with M.G.L. Chapter 148 and 527 CMR 1.00
currently in effect. Furthermore, this installation has been tested in accordance with such requirements, is now in proper operating condition and
complete instructions as to its use and maintenance have been furnished to the person or whom the installation (or alteration) was made.
Installer: ____________________________________________________________________________________________________
Print Name
Cert of C#
Signature (no Stamp)
Address: _________________________________________________________________ City: ____________________________________________
Once signed by the fire department, this is a PERMIT for the storage of fuel oil and use of the oil burning equipment.
Approved by: ___________________________________________________________________
Date: __________________________________
Keep original as application. Issue duplicate as permit. This form may be photocopied.
The Commonwealth of Massachusetts
Department of Fire Services
527 CMR 1.00
Section 1.12.8.2.1
Form 1
FP-056
(Rev. 4.2019)
Application for Permit, Permit, and Certificate of Completion for the
Installation or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil
_______________________________________
(City or Town)
(Date)
_______
_______
_______
______
Permit #'s:
FD
Elec.
FDID#:
Fee Paid: $
_____________________________
___________________________
Owner/Occupant Name:
Tel.#:
___________________________________
__________
Installation Address:
Serviced Floor or Unit #:
______________________
Heating Unit
Domestic Water Heater
Power Vent
Other
_____________________________________________
Burner:
New
Existing
Location:
____________________________________________
Mfg: _______________________________________
__________________
_________________
_______________
Type:
Model # or Size:
Nozzle size:
Fuel Oil
Kerosene
Waste Oil
______________________________
Storage Tank:
New
Existing
Removal
Location:
__________________
______
______________________
Type:
Capacity:
gallons
No. of Tanks:
_____________________________________________
Special requirements (or additional safety devices)
_______________________________________________________________________________
OSV valve
Oil Line Protected
_________________________________________________
________________
Co. Name:
Tel #
_________________________
_________________________
___________
Address:
City:
Zip:
_________________________
Completion Date:
________________
Combustion Test:
Gross Stack Temp.:
Net Stack Temp.: __________________________
______________________
________________________
CO
2
Test:
Breech Draft:
_____
___________________
___________________
Smoke:
Overfire Draft:
Efficiency Rating %:
I, the undersigned certify that the installation of fuel burning equipment has been made in accordance with M.G.L. Chapter 148 and 527 CMR 1.00
currently in effect. Furthermore, this installation has been tested in accordance with such requirements, is now in proper operating condition and
complete instructions as to its use and maintenance have been furnished to the person or whom the installation (or alteration) was made.
Installer: ____________________________________________________________________________________________________
Print Name
Cert of C#
Signature (no Stamp)
Address: _________________________________________________________________ City: ____________________________________________
Once signed by the fire department, this is a PERMIT for the storage of fuel oil and use of the oil burning equipment.
Approved by: ___________________________________________________________________
Date: __________________________________
Keep original as application. Issue duplicate as permit. This form may be photocopied.
Note to Installer: Inspections will be conducted using this
checklist as a guideline. Current regulations will apply.
ALL INSTALLATIONS
UNENCLOSED TANKS
All applications must be on Form 1
Single tanks shall not be larger than 660 gallons
Over 10,000 gallons on site requires License &
Permit from local community
Maximum aggregate capacity of unenclosed
multiple tanks is 1320 gallons
Certificate of Competency required, no other
license acceptable, plumbing, electrical, etc.
Unenclosed tanks shall be at least five feet from an
internal or external flame
Verify emergency shut-off is outside burner room
Unenclosed tanks shall not obstruct service meters,
Verify separate circuit for oil burner
service panels and shutoff valves
Verify presence of overhead thermal switch
Bottom outlet tanks pitched to the opening
Verify presence of service switch within 3' of burner
Tanks exposed to vehicles will be protected by
Verify presence of high limit controller
barriers
Primary control has safety shutoff within 15 secs.
Stack type primary may be easily removed
ENCLOSED TANKS
Clear access to clean out and services panels
No oil leaks present at burner
Over 660 gallon tanks enclosed by two hour fire
resistive assembly
Installation instructions present on site
Tank enclosures provided with 6" high tight sills or
Combustion test results on Form 1
ramps
Three metal screws at each joint in chimney
Tank is 4" above floor supported by 12" thick
IF POWER VENTER IS USED: Check air pressure
masonry saddles spaced not more than eight feet
switch, post purge control and secondary control.
on centers and 15" from top and walls of enclosure
Installation instructions present.
All oil must be transferred by pump, and
Draft regulator is present unless exempted
connections must be at the top of the tank
Adequate air is present for combustion
Adequate clearances per manufacturers listing
ALL TANKS
Thermal valves at burner and tanks
Listed flexible hose may be used (at burner only)
Two tanks may be cross-connected as shown in
Fig. 8.9.1 NFPA 31 2011 edition
No Teflon tape on oil line or on oil line fittings
Return lines must enter the top of tanks
No compression fittings are permitted
Vent pipes must be two feet from building openings
Solder joints made with 500 degree F solder or
greater
Vent pipes must terminate 3 ft. above grade min.
All oil supply and return lines must be protected
Vent pipes must have weatherproof caps
from injury. All new lines must be continuously
Fill pipes must be two feet from building openings
sleeved with non metallic tubing. Oil safety valves
may be used on existing lines not exposed to
Fill pipes must have tamper proof identifying caps
freezing. Overhead lines require no sleeve and are
permitted
OUTSIDE TANKS
Oil supply lines and return lines to tanks exposed to
freezing temperatures must come off the top of
tanks
All UST's and tanks over 660 gallons must be
Lines for kerosene, and range oil (#1) are exempt -
installed as per NFPA 31 2011 edition
No oil leaks present at tank
Tank protected from physical damage
Listed oil filter is present
Tanks exterior coated with organic alkyd resin or
Tank is UL80 or (DIB+) PV-VI 321 (under 660 gal)
asphalt paint
or UL 142 (over 600 gal)
Damaged protective coatings must be recovered
Thermal shutoff valve located at bottom of tank
Tank does not block means of egress
Vent as per NFPA 31
Tank mounted on continuous 4" thick slab that
Oil tank gauge must be present to determine oil
extends 8" beyond tank perimeter
level
Tank is supported by rigid non-combustible
Inside tanks have audible fill device (vent alarm)
supports
Outlet cross connection at bottom of tanks must be
1/2" pipe or tubing.
Non-combustible tank supports, tank
secure.
Page of 2