HomeMy WebLinkAbout0248 ARROWHEAD DRIVE - Wood Stove Permit 10/18/81 yDi He
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/ Solid Fuel Stove Permit
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DATE OF APPLICATION �� r�.. ..� ���j.............. FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) .......................� ;P;?... NAME (Installer)
ADDRESS �� llGti/���/52Gf ++P / �'/I�. ADDRESS
........ ............................... ...................... ........... ....
STOVE TYPE . � 6162 :...... . - ...Q............................................... CHIMNEY: NEW ........................ EXISTING .... ....
Manufacturere ,P;........................................................................ CHIMNEY: Masonry .............V ......................................................................
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.
IssuedBy: .................................................................................................................................Title .................................................................................... Date ..........................................
Permit to install expires' 60 days after issue date
Stove ...`
Stove Clearance ../...:.......................................................................................:
Floor :....................................... .......................:..:.:4:...:.....:........... ....................................... ... ....... .........................................................................................................................
Smoke Pipe .........................
.....................................................................................................................................................................................................................................................................
SmokePipe Clearance ....................................................................................................................................................................................................................................
Chimney .....................I.......................................................................................................................................................................................................... .............................
Smoke Detector . : /711 I
....................... .............................................................................................................................................................................................4...........................
I
The 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
of Massachusetts State Building Code now currently in effect and pertaining thereto ........................................................................
Installer
I'NSTALLATION APPROVED ...../..........�: ........................... B • '. ... ..... Title: .. .........`:.`...................
date ✓
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT