HomeMy WebLinkAbout0022 BAY ROAD - Wood Stove Permit 12/01/80 ��y0f1XET0�y*
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6 q MASSACHUSETTS
Solid Fuel Stove Permit
DATE OF APPLICATION .................:�........t............................................. FIRE DEPT. ISSUING PERMIT ......°.....V..!....................................
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NAME (owner) .....................................*.............1....................................................... NAME (Installer) .:.........,............................... ..................
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ADDRESS `..... .✓ ....:. .. ......./s!�� I/,,,.,, at....../ JtlJd
....... ADDRESS .:...................... .................................................................
STOVE TYPE ............................................................. CHIMNEY: NEW ........................ EXISTING . �..............
Manufacturer4le//—i 11//� I AIPV-s rd I /✓t CHIMNEY: Masonry . �..................................................................................
• L)L Mi-A '4PR' aJ- Ifs
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 ....C� .,4�....AI .1....................................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy. ..........:............./...�..�............:"' ...............................................................Title ........................ Dater ....... !„1 ...
Permit to install expires 60 days after issue date
Stover.-•'®!�`L' (� :......................................................................................................................................................................................................................................................................
StoveClearance !::............................................................................................................................................................................................................................................................................ '
Floort.........................................................................................................................................................................................................................................................................................................
SmokePipe .............................................................................................................................................................................................................................................................................................
SmokePipe Clearance ..............................................................................................................................................................................................................................I...........
Chimney '`+ ........................................................................................................................................................................................................................................................................................
SmokeDetector ..................................................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ................................................... p ommonwealth1 ,
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. has been made in accordance with provisions •o the
of Massachusetts State Building Code now currently in effect and pertaining thereto�,.�'�"�" Inst G' aller(f
INSTALLATION APPROVED ............................................................. By........LtiA ..-r-.................. . Title• r
� date .....,..................... .. ... _ ........ .......
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fir WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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