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Complete the top portion of the form and submit with your $42.53 credit card payment (includes a $2.53 processing fee) or print and bring to the Sharon Fire Department with a check for $40 made out to the Town of Sharon.
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Heating Unit
DomesticWater Heater
Power Vent Other_1
New
Existing
Location_2
FuelOil
Kerosene
Waste Oil
Removal
New_1
Existing_1
OSV valve
Oil Line Protected
Signature HereClick to Sign
Signature HereLt. Dan Greenfield Will Sign Here
04/04/2026
All applications must be on Form 1
Over 10 000 gallons on site requires License
NO
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 primarymay be easily removed
NO_6
Maximum aggregate capacity of unenclosed
Unenclosed tanks shall be at least five feet from an
NO_7
Bottom outlet tanks pitched to the opening
Tanks exposed to vehicles will be protected by
Steam boiler equipped with low water cut off
Clear access to clean out and services panels
Over 660 gallon tanks enclosed by two hour fire
NO_1
Installation instructions present on site
Tank enclosures provided with 6 high tight sills or
Combustion test results on Form 1
Tank is 4 above floor supported by 12 thick
Three metal screws at each joint in chimney
Thimble present at chimney connection
IF POWER VENTER IS USED Check air pressure
All oil must be transferred by pump and
Draft regulator is present unless exempted
Adequate air is present for combustion
Adequate clearances per manufacturers listing
Two tanks may be cross connected as shown in
Thermal valves at burner and tanks
Listed flexible hose may be used
Return lines must enter the top of tanks
NO_2
Vent pipes must be two feet from building openings
NO_3
Vent pipes must terminate 3 ft above grade min
Solder joints made with 500 degree F solder or
Vent pipes must have weatherproof caps
Fill pipes must be two feet from building openings
All oil supply and return lines must be protected
Fill pipes must have tamper proof identifying caps
IF POWER VENTER IS USED
Oil supply lines and return lines to tanks exposed to
NO_4
Listed oil filter is present
Tank is UL80 or DIB
All USTs and tanks over 660 gallons must be
Shutoff valve located at bottom of tank
Size of vent as per manufacturer
Tank protected from physical damage
Oil tank gauge must be present to determine oil
Tanks exterior coated with organic alkyd resin or
Inside tanks have audible fill device vent alarm
Damaged protective coatings must be recovered
Outlet cross connection at bottom of tanks must be
NO_8
Tank mounted on continuous 4 thick slab that
NO_5
NO_9
x

Additional Signatures Required