Application for Certificate of Approval
| ||
To the Superintendent of Buildings of the Village of Freeport, New York.
Request is hereby made that a certificate of approval be issued to the undersigned
for the oil burner described below:
| ||
(1)
|
Name of burner
| |
(2)
|
Name of manufacturer
| |
(3)
|
Address of manufacturer
| |
(4)
|
Grade of fuel oil recommended for burner (commercial standard grade
number)
| |
(5)
|
Length of time burner has been on market
| |
(6)
|
List of approvals by states, cities or recognized laboratories:
| |
Name Date
| ||
(7)
|
Attach blueprint of assembly drawings, showing construction of device,
indicating moving parts, oil passages and air passages.
| |
In consideration of being issued a certificate of approval, the undersigned
swears that he will, to the best of his ability, install or have installed,
in accordance with the provisions made in this article, all oil-burning equipment
sold or otherwise disposed of and further agrees to and does hereby waive
all rights to a certificate of approval, which may, on five days' notice,
in writing, by the Superintendent of Buildings, be revoked for a willful violation
of the provisions of this article over which he has direct control.
| ||
Signature of applicant
| ||
Filed at this day of 19
| ||
Application received by
| ||
Application approved by Title
| ||
At this day of 19.
|
Capacity
(gallons)
|
Minimum Gauge
| |
---|---|---|
1 to 285
|
14 gauge
| |
286 to 560
|
12 gauge
| |
561 to 1,100
|
10 gauge
| |
1,101 to 4,000
|
3/16 inch
| |
4,001 to 12,000
|
1/4 inch
|