HomeMy WebLinkAbout0705 MAIN STREET (HYANNIS) - Health 705 MAIN ST '
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TOWN OF BARNSTABLE — UNDERGRUUND FIL AND CHEMICAL STORAGE REGISTRATION
MAP NO. PARCEL NO. TAG NO.A&'
ADDRESS OF TANK: j411,12171YI-5 VILLAGE :
Numb r atr .at
MAILING ADDRESS ( IF DIFFERENT FROM ABOVE ) :
OWNER NAME: Ll�er (160�-- Lh�C{�/ PHONE: 77, .
INSTALLATION DATE: D BY: 47 co/n lrocTol`
INSTALLER ADDRESS: /7 h.7Js -CERT.NO. FI�1� Ql9 c,Z
*TANK LOCATION: ABOVE BELOW
_ C naman Z ac TAN►e t�OCAT Z ON W Z TM I�QaP@CT TO �U Z LD Z NO)
CAPACITY 7S TYPE OF TANK 6W71 AGE YRS. FUEL/CHEMICAL
-41
TESTING CERTIFICATION [A-] PASS [ ] FAIL DATE
LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED ] YES [ ] NO DATE 0 Ia.A%7
CONSERVATION CHECK IF N/A DATE,
BOARD OF HEALTH TAG NO. [ /3 7 a ] DATE
* PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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TOWN OF BARNSTABLE — UNDERGRUUND FUEL AND CHEMICAL STORAGE REGISTRATION
MAP NO. PARCEL NO. TAG NO.-
ADDRESS OF TANK:
c,G�/I///5 VILLAGE:
MAILING ADDRESS ( IF DIFFERENT FROM ABOVE ) :
OWNER NAME: 7 l GUI )NA P�H'ONE 7Z�
INSTALLATION DATE: ,y BY: frocrof`
INSTALLER ADDRESS: �5 � S C b.,041s # 'CERT.NO.
STANK LOCATION:
ABOVE BELOW � �'•�' !��'� "'���
i'•. On a O PQ'S a s TA NK L.-OCAT S OfV W•2 T'H RQaP
.�.rrw.•fM.... »•.» „•- �� .%'a ... - ._ '- 5 / @ C T- T.O.,w.'i')I L D I N cm i
CAPACITY ' TYPE OF TANK e,-)Neal AGE YRS . FUEL/CHEMICAL —/)l
TESTING CERTIFICATION ] PASS [ ] FAIL DATE
LEAK DETECTION [ J CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES C ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED �] YES- [ ] NO DATE
1
!I
CONSERVATION ] CHECK IF N/A DATE
U
' BOARD OF TAG NO. [ ` ] DATE
PLEASE PROVIDE A SKETCH SHOWING THE 'TANK LOCATION ON THE BACK OF THIS CARD
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TOWN OF BARNSTABLE — UNDERGRUUND FUEL AND CHEMICAL STORAGE REGISTRATION
-F MAP NO. PARCEL NO. TAG
ADDRESS OF TANK: ) ;i I / �/ /' /r'1r } VILLAGE • ��k
e
MAILING ADDRESS ( IF DIFFERENT .FROM ABOVE ) :
OWNER NAME: 4/lrf/(' r� { ��''/ _ jlil�i-.:1Y' PHONE :
INSTALLATION DATE: 1 ' ./ BY: h�- �a�� ;4,;
INSTALLER ADDRESS: r ° "� r 'r%%I/ i -CERT .NO.
*TANK LOCATI_ON,: ABOVE, BELOW
CAPACITY P� �= TYPE OF TANK C�C)cj1 AGE YRS. FUEL/CHEMICAL _6I
TESTING CERTIFICATION 1A PASS [ ] FAIL DATE
LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED [/y\//] YES [ ] NO DATE
CONSERVATION CHECK : IF N/A DATE -
BOARD OF HEALTH TAG NO. [ l,: �� ] DATE
* PLEASE_,PROVIDE-:A _S.KETCH SHOWING THE TANK LOCAT LONE:O;Nu THE BACK-, OF -THIS CARD
�S 7'-
ANNIS FIRE DEPARTMENT
95 HIGH SCHOOL ROAD EXTENSION
HYANNIS, MASS. 02601
Paul D. Chisholm �7t11U�'e er'c'G'IUr.Y �JLIUe ,eiUes BUSINESS: 77Z-1300
CHIEF
EMERGENCY: 775-2323
1�
To ;
Town of Barnstable , Board of Health - T. McKean
Town of Barnstable, Conservation Commission -
From ; Fire Prevention Bureau, Hyannis Fire Department
Subject ; The installation of above ground storage tanks .
Date zd �D
Persuant to the applicable sections of 527 CMR - Fire
Prevention Regulations , this Department has inspected the
following location for above ground storage .
ADDRESS : 705 Main Street Hyannis
OWNER/OCCUPANT SEW WHAT
PHONE 775-2102
SIZE OF TANK (S) 275 gal, oval / steel OUTSIDE
COMMODITY STORED • : #_ 2 fuel oil
PURPOSE FOR STORAGE . Heating
THIS INSTALLATION IS . PRE-EXISTING A REPLACEMENT X
NEW
This installation complies does not comply
with the required installation regulation listed below.
FIRE _PREVEN'TION OFFICE
For: PAUL D. CHISHOL`f, CHIEF
HYA"\'\IS FIRE DEPAR'I'MENT
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