21E archiveDavid tit . Cody
Chief
978- 744-6990
dcody@satem.com
City o Salem, Massachusetts
fire Department
48 Lafayette 'Street
Salem, Massachusetts 01970-3695
TeL 978-744-1235
fax 978-745--4646
The Salem Fire Department has 'received your letter of inquiry for
information concerning the possibility of flammable liquid storage or
releases on the property described below.
183 Rear Federal_ Street
Fire Prevention
Bureau
978-745-7777
You should understand that the Salem Fire Department is but one of several
departments within the City of Salem to which information can be obtained
concerning flammable liquid storage, ,releases, or hazardous wastes. It is
quite probable that this department would have no knowledge of the
presence of hazardous , wastes on any particular site since this department
does not do independent hn7Ardous waste investigations.
To assist you in conducting your environmentall assessment of the site, we
are able to inform you as indir-,ted by the report attached and/or
enclosures.
As stated above, the records of the 'Salem Fire Department do not permit
you to rely upon the information contained in this letter as being either
definitive or complete. Theinformation in this letter is provided to you
as a courtesy in conducting your investigation, and is provided on the
express condition that no liability shall attach yr be asserted against
the City of Salem, the Salem Fire Department, nor- it'semployees or
members in connection with providing this information to you, or in the
event of any inaccuracy or omission thereof.
This letter shall not be quoted in whole or in part in any hRT-Ardous waste
report prepared by you, nor cited as evidence of the presence or absence
ofany hazardous wastes or releases on this site.
Signe
Lt. Erin Griffin
Fire Marshal
Q7h ' o z �z
00a4te-orPezaco ea,,,c/g
527 CMR 4.00
Form 1
Application for Permit, Permit, and Certificate of Completion for the
InstaHation or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil
Permit #s: FD_ 7'� Elec.
Owner/Occupant Name. Robert Metzger
Installation Address. 183R Federal Street
Br Heating Unit 0 Domestic Water Heater
Sal PM 6/?0/96
(City or Town) (Date)
FDID#:_ J r Fee//r.7
TeI.#: 910-294-0839
Serviced Floor or Unit #:1
0 Power Vent Other:
Burner: 0 New 0 Existing Location: Basement — ' oil tank only
Trade Name: Mfg:
Type: Model # or Size:
ER Fuel Oil 0 Kerosene 0 Waste Oil
Storage Tank: RI New 0 Existing Location: basement
Type: Qi-PP1 Capadty. 27R, gals. No. oFTanks: 1
Special requirements (or additional safety devices)
Nozzle Size:
0 OSV valve D'Oil line protected 0 Sheet Rock 0 Sprinkler AFUE: 0 yes 0 no EF: 0 yes 0 no
(furnace and boilers) (water heater )
Co. Name: Bari-.1 Pt.tStPAn1man P1 iimhi n(j Corr_
Address:
Tel. #:, 617-631-8900
City: Zip:
Completion Date: 6/18/96
Combustion Test: Gross Stack Temp.: N/A Net Stack Temp:
CO, Test IVA Breech Draft: N/A
Smoke: Overtire Draft: Efficiency rating %:
1, the undersigned certify that the installation of fuel buming equipment has been made In accordance with M.G.L. Chapter 148 and 527 CMR 4.00
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 Nye been furnished to the person or whore the Installation (or alteration) was made.
Installer. Richard Steadman
Print name
Address: 67R Vi 11 acre StrPPf:
20634
Cert. of CU:
City or Town:Marblehead
Signature (no stamp)
Once signed by the (ire department,
this is a PERMIT for the storage of fuel oil and use of the oil buming equipment.
Approved by: Date: 1 /.2s7/0 3
. Keep original as application. Issue duplicate as permit. This form may be photocopied.
SALEM FIRE DEPARTMENT
Fire Prevention Bureau
48 LAFAYETTE STREET, SALEM, MASS. 01970
Date .9
Certificate of Completion - Installation or Alteration of Oil Burning Equipment
The undersigned hereby certifies that the installation (or alteration) of fuel oil burning equipment and/or storage tank and applying to the installation
(Name of Owner) /�
v Floor heated
at (Address) ��4-r / ¢- ,-e t.' - Sby system
I�J3 (1st,2nd,all)
has been made in accordance with provisions of the Salem Fire Prevention Code, of Chapter 148, G.L., and regulations made under authority thereof now currently in.
effect and pertaining thereto. (Ref. 527CMR4.00)
for
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 persons) for whom the installation (or alterations) was made.
BURNER
Name
Type
e
To use not heavier than " L fuel oil
Mfg. by
Mass. Approval No. 96 9
(D.H.W.; F.H.W.; STEAM; F.H.A.)
Kind of heat
STORAGE TANK
Type of Tank S/ C G' / [J j New Tank
No. of Tanks / Total Capacity [ ] Existing Tank
Location (e?‘'. [ ] No additional storage, using same tank as another unit.
Note: New underground tank installations, require a plan and Form 81G to be filed.
Type (automatic or manual) control
Location of automatic shut-off valve /`")vYyirq7/c t 744n -6.)'i%e,'
Location and type of manual shut-off valve.. Q / 7 10'1(-
Special requirements
Cert. of^Cpmp. Rec'd ck' ?i)
Permit issued.. .. C/ 7
ELECTRICAL CONTRACTOR: C G(2%6i.I- (4--
Company ,� / f/{!�u' -&-7
By k'rrr�..-4'Gr�r—
( itten signature)
/y 7 / l -S'
Address Issued By. Gc�t�7.. / ��i,.Cvn �.�i. �.... Installer's Certificate of Competency No....,,c20G34/
DO NOT WRITE BELOW THIS LINE
r
SALEM FIRE DEPARTMENT
Fire Prevention Bureau
48 LAFAYETTE STREET, SALEM, MASS. 01970
Certificate of Completion - Installation or Alteration of Oil Burning Equipment
The undersigned hereby certifies that the installation (or alteration) of fuel oil burning equipment and/or storage tank and applying to the installation for
(Name of Owner) 4a6 /14-744ye, "
Floor heated
by system
at (Address)
/9S (l n p ec/e,C 5 f
(lst,2nd,all)
has been made in accordance with provisions of the Salem Fire Prevention Code, of Chapter 148, G.L., and regulations made under authority thereof now currently in
effect and pertaining thereto. (Ref. 527CMR4.00)
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 persons) for whom the installation (or alterations) was made.
BURNER
Name ec4>e / Mfg.
g by
Type G•'n Mass. Approval No.
To use not heavier than 2— fuel oil Kind of heat
STORAGE TANK
Type of Tank Slee
No. of Tanks / Total Capacity .)-
Location <<' //f
Note: New underground tank installations, require a plan and Form 81G to be filed.
Type (automatic or manual) control �t'✓IL'
/4 /
(D.H.W.; F.H.W.; STEAM; F.H.A.)
[XI New Tank
[ ] Existing Tank
[ ] No additional storage, using same tank as another unit.
Location of automatic shut-off valve.. ''^.':e. `:""..'. 4 ..ti '. f44
Location and type of manual shut-off valve.Q,t.&i.`fier ELEC IC,,A��L CONTRACTOR:
Special requirements Company E%tJ *CLciG4fi GEC
Cert. oCCgmp. Rec'd...' .. . (Ae
Permit issued ... ., .. `. ¢}' 7 si Address
Issued By O
DO NOT WRITE BELOW THIS LINE
. ••^ c..1•,c•: I wl)Lf - uv rvvrWMI vt t1tLUW-THIS LINE
By � �/<c% ,' 42r�w
(written t-e''nsignature)
/'/ 7//rarejiel
Installer's Certificate of Competency No. 37V