Fillable TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson)

Fill Online, Printable, Fillable, Blank TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson) Form

Use Fill to complete blank online TOWN OF HUDSON (NH) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson)

On average this form takes 11 minutes to complete

The TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson) form is 1 page long and contains:

  • 2 signatures
  • 10 check-boxes
  • 31 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Hudson

BROWSE TOWN OF HUDSON (NH) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Tank Fees: Residential $30.00 per unit, Commercial/Industrial $75.00 per unit INSP-80 - Rev. 3/2015
TOWN OF HUDSON
FIRE DEPARTMENT - INSPECTIONAL SERVICES DIVISION
12 School Street · Hudson, New Hampshire 03051 · Tel: 603-886-6005 · Fax: 603-594-1142
TANK INSTALLATION PERMIT APPLICATION
Installation Address: _________________________________________________
Business Name: ______________________________ Unit: __________________
Type of Occupancy: Residential Commercial/Industrial
Estimated Cost: ______________ Permit Fee: _____________
Office Use:
Permit#: _______
Map: _______
Lot: _______
Zone: _______
Tank Location*: Above Ground
Under Ground**
Fuel: Propane
Oil
Tank: New Replacement Gas Lines: Existing New
Tank Size: ____________ Number of Tanks: _________ Tank Serial #: __________________________
Tank Owner: ______________________________________________________________________________
Tank Owner’s Address: ____________________________________________________________________
___________________________________________________________________________________________
Phone #:_________________________________________ Email: __________________________________
Property Owner: _____________________________
Mailing Address:_____________________________
_____________________________________________
Daytime Phone #: ___________________________
Cell Phone #: _______________________________
Email: ______________________________________
Contractor: _________________________________
Mailing Address:_____________________________
_____________________________________________
Daytime Phone #: ___________________________
Cell Phone #: _______________________________
Email: ______________________________________
*A site plan and or drawing of tank placement must be attached to this document. The plan / drawing
must include the following: main road, driveway, house location and adjacent lot line with approximate
dimensions to all.
** All underground installations must be inspected by an Inspectional Services representative prior to back-
filling of excavation.
My signature indicates that residential installations have met all requirements as stated in the NFPA
Standard 58 LP Gas Code, latest edition adopted by the NH State Fire Marshal’s Office and all applicable
state and local laws, ordinances, regulations and standards. My signature also indicates that commercial
and industrial installations have met all the above mentioned codes in addition to NFPA 30 Flammable and
Combustible Liquid Code and NFPA 54 National Fuel Gas Code.
_____________________________________________ _________________________
Signature of Installer Date
_____________________________________________ _________________________
Signature of Permit Clerk Date
click to sign
signature
click to edit
click to sign
signature
click to edit
Tank Fees: Residential $30.00 per unit, Commercial/Industrial $75.00 per unit INSP-80 - Rev. 3/2015
TOWN OF HUDSON
FIRE DEPARTMENT - INSPECTIONAL SERVICES DIVISION
12 School Street · Hudson, New Hampshire 03051 · Tel: 603-886-6005 · Fax: 603-594-1142
TANK INSTALLATION REQUIREMENTS
Oil Tanks
1. Maximum inside capacity shall not exceed 660 gallons.
2. Tank shall be at least 5 feet away from open flames or fuel burning appliances.
3. Tank shall be located at least 3 feet away from any electrical panels or shutoff
valves.
4. Fill pipe shall be at least 1¼ inch.
5. Fill and vent pipes shall terminate at least 2 feet from building openings.
Propane Tanks – Aboveground
1. Tank shall be installed to the requirements of the currently adopted edition of
NFPA-58 and by qualified installers.
2. 125-500 gallon tanks shall be at least 10 feet away from structures and property
lines.
3. 501-2000 gallon tanks shall be at least 25 feet away from structures and property
lines.
4. Tanks shall be 10 feet from any source of ignition.
5. Tanks shall be 5 feet from building openings.
Propane Tanks – Underground
1. Tank shall be installed to the requirements of the currently adopted edition of
NFPA-58 and by qualified installers.
2. Cathodic protection for tank.
3. All underground installations must be inspected by Inspectional Services prior to
back-filling of excavation.
4. Rock and abrasive free back fill on site.
5. 2000 gallon or less shall be 10 feet from buildings, openings, property lines
and/or ignition sources.
6. Gas line trench shall be at least 12 inches deep.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 18 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document