HomeMy WebLinkAbout0058 CHOLE COURT - Wood Stove Permit 02/24/81 (2) ��yo�Txt ro�`o�
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Solid Fuel Stove Permit
DATE OF APPLICATION �V. ..... .................. FIRE DEPT. ISSUING PERMIT .........................
NAME (owner) .,�.� -461CA I,tiA1T'FJt•Ffi4I NAME (Installer) ..........% .. /� ''�!
ADDRESS �h.........`��.�.:..�......�,f�v..G�..............��...r..................................... ADDRESS .................................1;'�.f............................................................................
STOVE TYPE ...........0.�Igfal� r ......................................... CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer ............................................................................................... ........ CHIMNEY: Masonry ................. ..............................................................
Mass. Approval ............................................................ CHIMNEY: Metal ...........:.......................................................................:. .............................. ...........
This is to certify that the above installer has permission to install]a solid fuel burning appliance at' the listed
address in accordance with an application on file with the .............. ����..�" �:� ....................... Fire, Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued'By: Title .......� ��...:!C.�........................................ Date ........................................� �/.......... .................
Permit to install expires 60 days after issue date
Stove /� i✓�"' '�" f C�//t-G ,/!.��J
StoveClearance .................... �...........................................................................................................................................................................................................................................
Floor .............................:...............................................................................................................................................................................................................................................................................
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Smoke Pipe .................
SmokePipe Clearance ........o ..........................................................................................................................................................................................................................................
Chimney ..............................................J......................................................................................................................................................................................................................................................
SmokeDetector .......................�t............................................................................................................................................................... . .............................................................................. k
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated .... 'O? � has been made in accordance with provision of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto �--
Installer
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INSTALLATION APPROVED dTitle:.../............. �............ By: ....................... .......... ..............................
date ` . �..
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT •>.s t