HomeMy WebLinkAbout0095 COACH LANE - Wood Stove Permit 11/22/81 •,,, .`�. � — ram..... .. .-_ 1• - ...; - - T .,... � .
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Solid Fuel Stove Permit
d� .. l��1 DATE OF APPLICA
TION .................................../.`.. ................................. FIRE DEPT. ISSUING PERMIT .....o.....................................................�
NAME (owner) ... # S`.e ......................... NAME (Installer) ......s t " .. ................................................................
............................................ ....
ADDRESS'. '' .....'�[.-'c. i..... ... ADDRESS ........................ .'....................................................................
STOVE TYPE ...........f` ...1......C`
( ! �.........��..................................................... CHIMNEY: NEW ........................ EXISTING ....
Manufacturer ..................................................................................................................... CHIMNEY: Masonry .................... ............................................
Mass. Approval ............ vV/..,f? Q ........................................................ 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 ...!..: i ` J ................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: �i `°-c . .- f" _ �l
+...........Title ................................................................................... Date ..........................................
V Permit to install expires 60 days after issue date
(91�<
Stove _ ............................................................................................................................................................................................................................................................
StoveClearance ...........4. ..` ..!.....................................:...........................................................................................................................................................................................................
Floor .....................(��4
!........... ...................................................................................................................................................................................................................................................... ...........
SmokePipe ........... .......................................................................................................................................:.....................................................................................................................
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SmokePipe Clearance ..............................................................................................C.......................... .... ...... ..
Chimney ...................... ./j.. ................. n .................................. ........ ......................................
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SmokeDetector ................................ .............t...... ._....... ............................
i Th
e undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ��` has been made in accordance with provisions of 'the Commonwealth
,..a.............................................
of Massachusetts State Building Code now currently in effect and pertaining thereto ...�.''r...'�......Sk,0--............
Installer
(! �j .. Title INSTALLATION APPROVED j ....... By• �... .................date.................. ... ....................................�....I. ............................. ...... .......................................
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT