Blank Massachusetts Fp 056 PDF Form

Blank Massachusetts Fp 056 PDF Form

The Massachusetts FP-056 form is an application used for obtaining a permit and certificate of completion related to the installation or alteration of fuel oil burning equipment and the storage of fuel oil. This form is essential for ensuring compliance with safety regulations set forth by the Commonwealth of Massachusetts Department of Fire Services. For those needing to fill out this form, please click the button below.

The Massachusetts FP-056 form is a critical document for anyone involved in the installation or alteration of fuel oil burning equipment and the storage of fuel oil within the Commonwealth. This form serves multiple purposes, including the application for a permit, the permit itself, and the certificate of completion for the work performed. It captures essential information such as the owner or occupant's details, the installation address, and specifics about the equipment being installed or modified. The form also requires the installer to certify that the installation complies with Massachusetts General Laws and safety standards. Important aspects include the need for combustion testing, verification of safety features, and adherence to local regulations regarding fuel oil storage. The form is comprehensive, detailing requirements for both new and existing installations, and ensuring that all safety measures are in place to protect both the property and its occupants. Proper completion and submission of the FP-056 form not only facilitate compliance with state regulations but also contribute to the safe operation of fuel oil systems.

Document Sample

The Commonwealth of Massachusetts

Department of Fire Services

FP-056

(Rev. 1.26.2015)

527 CMR 1.00

Section 1.12.8.2.1

Form 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

_______________________________________

 

 

 

(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

Removal

Storage Tank: New

Existing

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.: __________________________

 

CO2 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 NameCert 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.

ALL INSTALLATIONS

All applications must be on Form 1

Over 10,000 gallons on site requires License & Permit from local community

Certificate of Competency required, no other license acceptable, plumbing, electrical, etc.

Verify emergency shut-off is outside burner room

Verify separate circuit for oil burner

Verify presence of overhead thermal switch

Verify presence of service switch within 3' of burner

Verify presence of high limit controller

Primary control has safety shutoff within 15 secs.

Stack type primary may be easily removed

Steam boiler equipped with low-water cut-off

Clear access to clean out and services panels

No oil leaks present at burner

Installation instructions present on site

Combustion test results on Form 1

Three metal screws at each joint in chimney

Thimble present at chimney connection

IF POWER VENTER IS USED: Check air pressure switch, post purge control and secondary control. Installation instructions present.

Draft regulator is present unless exempted

Adequate air is present for combustion

Adequate clearances per manufacturers listing

Thermal valves at burner and tanks

Listed flexible hose may be used.

No Teflon tape on oil line or on oil line fittings

No compression fittings are permitted

Solder joints made with 500 degree F solder or greater

All oil supply and return lines must be protected from injury. All new lines must be continuously sleeved with non metallic tubing. Oil safety valves may be used on existing lines not exposed to freezing. Overhead lines require no sleeve and are permitted

Oil supply lines and return lines to tanks exposed to freezing temperatures must come off the top of tanks

Lines for kerosene, and range oil (#1) are exempt -

No oil leaks present at tank

Listed oil filter is present

Tank is UL80 or (DIB+) PV-VI 321 (under 660 gal) or UL 142 (over 600 gal)

Shutoff valve located at bottom of tank

Size of vent as per manufacturer

Oil tank gauge must be present to determine oil level

Inside tanks have audible fill device (vent alarm)

Outlet cross connection at bottom of tanks must be 3/8" pipe or tubing.

Non-combustible tank supports, tank secure.

Note To Installer: Inspections will be conducted using this checklist as a guideline. Current regulations will apply.

UNENCLOSED TANKS

Single tanks shall not be larger than 660 gallons

Maximum aggregate capacity of unenclosed multiple tanks is 1320 gallons

Unenclosed tanks shall be at least five feet from an internal or external flame

Unenclosed tanks shall not obstruct service meters, service panels and shutoff valves

Bottom outlet tanks pitched to the opening

Tanks exposed to vehicles will be protected by barriers

ENCLOSED TANKS

Over 660 gallon tanks enclosed by two hour fire resistive assembly

Tank enclosures provided with 6" high tight sills or ramps

Tank is 4" above floor supported by 12" thick masonry saddles spaced not more than eight feet on centers and 15" from top and walls of enclosure

All oil must be transferred by pump, and connections must be at the top of the tank

ALL TANKS

Two tanks may be cross-connected as shown in Fig. 8.9.1 NFPA 31 2011 edition

Return lines must enter the top of tanks

Vent pipes must be two feet from building openings

Vent pipes must terminate 3 ft. above grade min.

Vent pipes must have weatherproof caps

Fill pipes must be two feet from building openings

Fill pipes must have tamper proof identifying caps

IF POWER VENTER IS USED:

All outside connections sealed Vent terminal must be three feet above all air inlets within 10ft. Burner air intake is exempted Vent terminal must be four feet from doors and windows. Vent must be one foot above finished grade. Three foot clearance from inside corners. Not above or within three feet of an oil tank. Seven feet above a public walkway.

OUTSIDE TANKS

All UST's and tanks over 660 gallons must be installed as per NFPA 31 2011 edition

Tank protected from physical damage

Tanks exterior coated with organic alkyd resin or asphalt paint

Damaged protective coatings must be recovered

Tank does not block means of egress

Tank mounted on continuous 4" thick slab that extends 8" beyond tank perimeter

Tank is supported by rigid non-combustible supports

File Specifics

Fact Name Description
Governing Law The FP-056 form is governed by Massachusetts General Laws Chapter 148 and 527 CMR 1.00.
Purpose This form serves as an application for a permit and a certificate of completion for the installation or alteration of fuel oil burning equipment and the storage of fuel oil.
Application Requirements All applications must be submitted using Form 1. Additionally, installations involving over 10,000 gallons on-site require a license and permit from the local community.
Inspection Guidelines Inspections will follow a checklist based on current regulations, ensuring compliance with safety standards for both equipment and installations.

How to Use Massachusetts Fp 056

Completing the Massachusetts FP-056 form is a crucial step in ensuring the proper installation or alteration of fuel oil burning equipment. Once you have filled out this form, it will need to be submitted for review and approval by the relevant authorities. Below are the steps to guide you through the process of filling out the form accurately.

  1. Begin by entering the City or Town where the installation will take place.
  2. Write the Date of application.
  3. Fill in the Permit #'s for Fire Department and Electrical, if applicable.
  4. Enter the FDID# (Fire Department Identification Number).
  5. Indicate the Fee Paid for the application.
  6. Provide the Owner/Occupant Name and their Telephone Number.
  7. Fill in the Installation Address where the equipment will be installed.
  8. If applicable, specify the Serviced Floor or Unit #.
  9. Select the type of equipment being installed by checking the appropriate box: Heating Unit, Domestic Water Heater, Power Vent, or Other.
  10. Indicate whether the burner is New or Existing.
  11. Provide the Location of the burner.
  12. Enter the Manufacturer of the burner.
  13. Specify the Type of burner.
  14. Fill in the Model # or Size and Nozzle Size.
  15. Select the type of fuel being used by checking the appropriate box: Fuel Oil, Kerosene, or Waste Oil.
  16. Indicate if the Storage Tank is New or Existing.
  17. Provide the Location of the storage tank.
  18. Specify the Type and Capacity of the storage tank in gallons.
  19. Indicate the Number of Tanks being installed.
  20. List any Special Requirements or additional safety devices.
  21. Check the appropriate boxes for additional safety features such as the OSV valve and Oil Line Protected.
  22. Fill in the Company Name responsible for the installation, along with their Telephone Number and Address.
  23. Enter the Completion Date of the installation.
  24. Fill out the Combustion Test results including Gross Stack Temp, Net Stack Temp, CO2 Test, Breech Draft, Smoke, Overfire Draft, and Efficiency Rating %.
  25. Sign and print the name of the Installer, along with their Certification Number and Address.
  26. Finally, ensure the form is signed by the fire department to validate the permit.

Your Questions, Answered

What is the Massachusetts FP-056 form used for?

The FP-056 form is an application for a permit and certificate of completion related to the installation or alteration of fuel oil burning equipment. It also covers the storage of fuel oil. This form is essential for ensuring that installations comply with safety regulations and standards set by the Commonwealth of Massachusetts.

Who needs to fill out the FP-056 form?

Any owner or occupant planning to install or alter fuel oil burning equipment must complete the FP-056 form. This includes those installing new heating units, domestic water heaters, or power vents. It is also necessary for anyone looking to store fuel oil on their property.

What information is required on the FP-056 form?

The form requires several details, including:

  • Owner/occupant name and contact information
  • Installation address and specifics about the equipment being installed
  • Details about the fuel type and storage tank capacity
  • Completion date and combustion test results

Providing accurate information is crucial for the approval process.

What are the fees associated with the FP-056 form?

The form requires a fee to be paid, which must be indicated on the application. The exact amount may vary based on local regulations and the specifics of the installation. It is essential to check with your local fire department for the current fee structure.

What happens after the FP-056 form is submitted?

Once the form is submitted, the local fire department will review the application. If everything is in order, they will sign the form, granting permission for the installation or alteration. This signed form serves as the official permit for the storage of fuel oil and the use of the equipment.

Are there any specific safety requirements associated with the FP-056 form?

Yes, there are numerous safety requirements that must be met before approval. Some of these include:

  • Verification of emergency shut-off locations
  • Presence of safety devices like thermal switches and high limit controllers
  • Compliance with ventilation and clearance regulations

All installations must adhere to these safety measures to ensure proper operation and compliance with state regulations.

How long is the FP-056 form valid?

The validity of the FP-056 form is typically tied to the specific installation or alteration project. Once the installation is completed and approved, the permit remains valid as long as the equipment is maintained properly. Regular inspections may be required to ensure ongoing compliance.

Can the FP-056 form be photocopied?

Yes, the FP-056 form can be photocopied. This allows for easy distribution of the application and permit as needed. However, it is crucial to keep the original signed document for your records, as it serves as proof of compliance and approval from the fire department.

Common mistakes

  1. Incomplete Information: One of the most common mistakes is failing to provide all required information. Each section of the Massachusetts FP-056 form must be filled out completely. Missing details such as the permit number, owner’s name, or installation address can lead to delays or even rejection of the application.

  2. Incorrect Fees: Applicants often overlook the fee section. It is crucial to ensure that the correct fee is paid and documented. If the fee is incorrect or unpaid, the application may not be processed, causing unnecessary delays.

  3. Signature Issues: Another frequent error involves the signature. The form must be signed by the installer, and the signature cannot be stamped. If the signature is missing or not properly executed, it can invalidate the application.

  4. Failure to Verify Compliance: Many applicants neglect to verify that all installation requirements are met. This includes checking for necessary safety devices and ensuring that the installation complies with local codes. Failing to do so can result in safety hazards and potential legal issues.

Documents used along the form

The Massachusetts FP-056 form is essential for anyone looking to install or alter fuel oil burning equipment and manage fuel oil storage. However, several other documents often accompany this form to ensure compliance with local regulations and safety standards. Below is a list of these documents, each serving a specific purpose in the permitting and installation process.

  • Permit Application Form: This is the initial application submitted to the local fire department, requesting permission to install or modify fuel oil burning equipment. It outlines the proposed work and provides necessary details about the equipment and installation site.
  • Certificate of Competency: This certificate verifies that the installer has the necessary qualifications and training to perform the installation. It is crucial for ensuring that the work is carried out safely and in accordance with applicable laws.
  • Inspection Checklist: This document serves as a guide for inspectors to evaluate the installation against safety and regulatory standards. It includes items to verify, such as proper equipment installation and compliance with local codes.
  • Combustion Test Report: After installation, a combustion test is conducted to assess the efficiency and safety of the equipment. This report documents the test results, including stack temperatures and emissions, ensuring the system operates correctly.
  • Maintenance Instructions: This document provides detailed instructions on how to operate and maintain the fuel oil burning equipment. It is essential for ensuring the longevity and safety of the installation.

These documents work together with the FP-056 form to create a comprehensive framework for safely managing fuel oil installations in Massachusetts. Understanding each document's role can help streamline the process and ensure compliance with local regulations.

Similar forms

The Massachusetts FP-056 form is similar to the California Uniform Fire Code (CUFC) application. Both documents serve as official applications for permits related to fire safety equipment installations. They require detailed information about the equipment being installed, including specifications and safety features. The CUFC application emphasizes compliance with state regulations, mirroring the FP-056's focus on adherence to Massachusetts General Laws and local codes. Both forms also necessitate signatures from certified installers, ensuring accountability and proper installation practices.

Another comparable document is the New York State Department of Environmental Conservation (NYSDEC) Oil Storage Facility Registration form. This form is essential for registering facilities that store oil, similar to how the FP-056 regulates fuel oil burning equipment and storage. Both documents require information about the type, capacity, and location of tanks, ensuring that safety measures are in place. Additionally, both forms address compliance with state regulations to protect public health and the environment.

The Florida Department of Environmental Protection (FDEP) also has a similar form for the installation of fuel oil systems. This form requires details about the equipment, including the type of fuel used and safety features. Like the FP-056, the FDEP form emphasizes compliance with state laws and safety standards. Both documents aim to ensure that installations are conducted safely and responsibly, minimizing risks associated with fuel oil systems.

The Texas Commission on Environmental Quality (TCEQ) has a form for the registration of aboveground storage tanks (ASTs), which aligns with the FP-056 in terms of safety and compliance. Both forms require comprehensive information about the storage tanks, including capacity, location, and safety measures. They also mandate that installations meet specific state regulations, thereby ensuring public safety and environmental protection.

In Illinois, the Fire Prevention Bureau requires a permit application for fuel oil installations that bears similarities to the FP-056. Both documents require detailed descriptions of the equipment and its intended use. They also focus on compliance with state fire safety regulations, ensuring that installations are safe and effective. The Illinois form, like the FP-056, necessitates that certified professionals oversee the installation process.

The Pennsylvania Department of Environmental Protection (PADEP) has a similar application for the installation of oil burning equipment. This document requires detailed information about the equipment, including specifications and safety features. Both the PADEP application and the FP-056 ensure compliance with state laws governing fuel oil systems, aiming to protect public health and safety. They also require certifications from licensed professionals to validate the installation process.

The New Jersey Department of Environmental Protection (NJDEP) maintains a similar form for the installation of fuel oil tanks. This form, like the FP-056, requires detailed information about the tank's specifications and safety measures. Both documents emphasize compliance with state regulations, ensuring that installations are conducted safely. Additionally, both forms require signatures from certified installers, promoting accountability in the installation process.

In Virginia, the Department of Environmental Quality (DEQ) has a form for the registration of fuel oil storage tanks that parallels the FP-056. Both documents require comprehensive details about the tanks, including capacity, location, and safety features. They also focus on compliance with state regulations, ensuring that installations adhere to safety standards. The DEQ form, similar to the FP-056, mandates that certified professionals oversee the installation process.

The Ohio Environmental Protection Agency (OEPA) has a similar permit application for the installation of fuel oil systems. This application requires detailed information about the equipment, including specifications and safety features. Both the OEPA application and the FP-056 emphasize compliance with state laws governing fuel oil systems, aiming to protect public health and safety. They also require certifications from licensed professionals to validate the installation process.

Lastly, the Michigan Department of Environment, Great Lakes, and Energy (EGLE) has a permit application for fuel oil storage that is comparable to the FP-056. Both documents require detailed descriptions of the storage tanks and their intended use. They focus on ensuring compliance with state regulations, thereby safeguarding public health and the environment. Both forms necessitate that certified professionals oversee the installation process to ensure safety and compliance.

Dos and Don'ts

When filling out the Massachusetts FP-056 form, it is essential to follow specific guidelines to ensure a smooth application process. Below is a list of things you should and shouldn’t do.

  • Do ensure that all applications are completed using Form 1.
  • Do verify that the emergency shut-off is located outside the burner room.
  • Do include the combustion test results on the form.
  • Do make sure that all oil supply and return lines are protected from injury.
  • Don’t use Teflon tape on oil lines or fittings.
  • Don’t allow any oil leaks to be present at the burner or tank.

Adhering to these guidelines will help ensure that your application is processed efficiently and meets all necessary regulations.

Misconceptions

  • Misconception 1: The FP-056 form is only for new installations.
  • This form is applicable for both new and existing fuel oil burning equipment. It covers alterations as well as installations.

  • Misconception 2: Once the form is submitted, no further inspections are needed.
  • Inspections are required to ensure compliance with safety regulations. The installation will be checked against a checklist during the inspection process.

  • Misconception 3: Only licensed plumbers can fill out the FP-056 form.
  • While a Certificate of Competency is required, it is not limited to plumbers. Other qualified professionals can also complete the form.

  • Misconception 4: The form is not necessary if the installation is small.
  • Regardless of the size of the installation, the FP-056 form must be completed. It ensures that all safety measures are in place.

  • Misconception 5: The form can be filled out without any supporting documentation.
  • Supporting documents, such as installation instructions and combustion test results, are essential. These documents help verify that the installation meets safety standards.

  • Misconception 6: Submitting the form guarantees immediate approval.
  • Approval depends on passing the inspection. The fire department must review and sign off on the form before it becomes valid.

  • Misconception 7: The FP-056 form is only relevant for residential installations.
  • This form applies to both residential and commercial installations. It is important for any facility that uses fuel oil burning equipment.

Key takeaways

The Massachusetts FP-056 form is crucial for anyone looking to install or alter fuel oil burning equipment. Understanding its requirements can streamline the process and ensure compliance with state regulations. Here are some key takeaways:

  • Application Requirements: All applications must be submitted on Form 1, ensuring that all necessary information is included. This includes details about the owner, installation address, and equipment specifics.
  • Permit Necessity: Once signed by the fire department, the form serves as a permit for the storage and use of oil-burning equipment. Retain the original as the application and issue a duplicate as the permit.
  • Inspection Checklist: Various safety checks must be conducted, including verifying the emergency shut-off location and ensuring proper installation of safety devices like thermal switches and oil safety valves.
  • Tank Regulations: Specific guidelines exist for both enclosed and unenclosed tanks, including size limits and distance requirements from flames or service areas. Compliance with these regulations is essential for safety.
  • Combustion Testing: A combustion test must be completed and recorded on the form, confirming the equipment operates efficiently and safely. This includes checking stack temperatures and efficiency ratings.

By paying close attention to these points, individuals can facilitate a smoother process when filling out and submitting the FP-056 form. Proper adherence to the guidelines not only ensures compliance but also promotes safety in fuel oil equipment installation and usage.