HomeMy WebLinkAboutMP3667 y PLUMBING INSPECTOR
TOWN OF RYE
ti
APPLICATION FOR INSTALLATION OF FUEL BURNER AND TANK
No (ko7
APPLICATION IS HEREBY MADE to the Plumbing Inspector of the Town of Rye for the
aDDroval of the detailed statement herewith submitted for the installation--p-' the
Fuel burning equipment herein described, and for a perrait to install such Fuel burning
equipment as provided for in the Town of Rye ordinance for construction and insta-
llation of Puel burning equipment, etc.
It is agreed that if such permission be granted that said equipment will be
installed in conformity with this application and the plan and specifications thereof,
as approved, and that all State Laws, y-. wws and ordinances of the Town of Rye, and
rules, regulations and orders of any board, body or department so far as the same
may be pertinent, including the National Board of Fire Underwriters, will be complied
with.
The applicant further agrees to furnish such additional. information, plans or
statements as ,vay be required by the Plumbing inspector.
1. What is the owner's name and address?
2. What is the contractor's name and address?__ Ohl :'� _
3. Location where installation is to be made OVA\
4. LvIlat is tLe number of the lot? Block?��
5. Location of Tanks (exterior or Interior)__
6. Capacity of each tank
7. Gauge of metal in each tank-
8. Name of .Burner �� ►�,C r�`
9. Has Burner been approved by Underwriter's Laboratory? �l p
10. Distance of Tank from Foundation Wall 1(.0'• Ci'
11. Distance of Tank from Adjoining Property
Signature of Applicant _ j - �
Address " P �,• <<�
1)ated,
'T'ort Chester,N.Y. 'y �L
Fee of J2.5�Q MUST yCCOMPiU1Y this application.
PLUMBING INSPECTOR
TOWN OF RYE
APPLICATION FOR INSTALLATION OF FUEL BURNER AND TANK
h
No
APPLICATION IS HEREBY MADE to the Plumbing Inspector of the Town of Rye for the
-au roval of the detailed statement herewith submitted for the installatio& the
Fuel burning equipment herein described, and for a permit to install such Fuel burning
equipment as provided for in the Town of Rye ordinance for construction and insta-
llation of Fuel burning equipment, etc.
It is agreed that if such permission be granted that said equipment will be
installed in conformity with this application and the plan and specifications thereof,
as approved, and that all. State Laws, by-laws cuid ordinances of the Town of Rye, and
rules, regulations and orders of any board, body or department so far as the same
niay be pertinent, including the National Board of Fire Underwriters, will. be complied
with.
The applicant further agrees to furnish such additional information, plans or
statements as may be required by the Plumbing inspector.
1. What is the owner's name and address? ,,
2. What is the contractors name and address?
S nC
r
C� � �C\ dY� •l�—�t
3. Location where installation is to be made_����,�
4. Wliat is the number of the lot? Block?
5. Location of Tanks (Exterior or Interior)__ r,07
6; Capacity of each tank_
7. Gauge of metal in each tank_
8. Name of .Burner
9. Has Burner been approved by Underwriter's laooratory?
10. Distance of Tank from Foundation Wall
11. Distance of Tank from Adjoining Property_
Signature of Applicant
Address
'N rt Chester,N.Y.
Fee of- 425 , St yCCOr1PA:lY this application.
M PLUN®ING INSPECTOR
TOWN OF RYE
APPLICATION FOR INSTALLATION OF FUEL BURNER AND TANK
ti
No
APPLICATION IS HEREBY MADE to the Plumbing Inspector of the Town of Rye for the
annroval of the detailed statement herewith submitted for the installatiow-af the
Fuel burning equipment herein described, and for a permit to install such burning
Fuel burni
equipment as provided for in the Town of Rye ordinance for construction nd burns
llation of Fuel burning equipment, etc. a
insta-
It is agreed that if such permission be granted that said equipment will be
installed in conformity with this application and the plan and specifications thereof,
as approved, and that all State Laws, by-lawn and ordinances of the Town of Rye, and
rules, regulations and orders of any board, body or department so far as the same
may be pertinent, including the National Board of Fire Underwriters
will. be complied
The applicant further agrees to furnish such additional. information, plans or
statements as may be required by the Plumbing Inspector.
1. What is the owner's name and address? J_<l d _ L
2. What isthe contractor's name and address? \,/J , R '��,�, n�; C.� T r,c•
3. Location where installation is to be made_
4. Miat is the number of the lot?_ Block?
5. Location of Tanks (Exterior or Interior)_
6; Capacity of each tank
7. Gauge of matal in each tank ►�/�" U, �• '
6. Name of .Burner ?j C
9. Has Burner been approved by Underwriter's Laboratory?
10. Distance of Tank from Foundation Wall__
11. Distance of Tank from Adjoining Property, c
Signature of Applicant
Address
ddress
'Port Chester,N.Y. 7 / ?,VLJ
Fee of J25pQ_MUST ACCa1PA11Y this application.