HomeMy WebLinkAbout0184 EISENHOWER DRIVE - Wood Stove Permit 11/29/82{fir -*.iw+�;r.:....,�-,,;,.r.;,..�.....r^�.�.+:+� -.......- -..,,.--... ,..__....._,,,__.`�_�-«---�+----...--�-.�.-----�. -.�-r„+-.+-.- -. ,..--_ - - -.-r--'-�"--••a..:e'...r� �--J.-,,....---
-M
29
TOWN --�.�i�
N ®�' BARNS A I,E
t DAUSTAK i
r
r639 MASSACHUSETTS
am ro-
Solid Fuel Steve Permit Tee I. # _ �-�3
DATE OF APPLICATION .1.1.............. . ........................................ FIRE DEPT. ISSUING PERMIT..............................:...:.........:..':...i' ...
NAME (owner) ..................................................................................................... ........ NAME (Installer)
..............:.................................................. ............. ...............
ADDRESS �. ` .......(- #:.c.....fri`� �1..`....Q..E'A ..,. � 1 �'T{41�DDRESS .����.......��� Q�.�t,-A.`....t,.,�,................ �
STOVE TYPE ...............?�� (C)C Y-IC
...........................................................:........................... CHIMNEY: NEW ........................ EgISTING ........................
Manufacturer ............................................................. CHIMNEY: . Masonry t-�
...................................................... .................... .................................................................
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 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. j ��tt.,f-"-� ...................Title ............d. siDatcher............................ Date .... .�...�...........................`
..............................C�`..�................................... .
Permit to install expires 60 days, after issue date
Stove ..............-r . .: � ...... ::� ...................................................................................................................................................................................................................................
y.
StoveClearance ............6'.:'V....................................................................... ............................................................................................................:............................................................
Floor ........'......?..!.....�.✓.................................................................................................................................................................................................................................................................................
SmokePipe ...... '`............................................................................................................................................................................................................................................ .................................
/e N
SmokePipe Clearance ......5.. ...........................................................................h:............................................................................................................................................................
Chimney
SmokeDetector ....... .1 ?' .......................................................................................................................................................... ....................................................................................
U
°1 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 u ,JWe �Comm6nwfealth
.
of Massachusetts State ,Building Code now currently in effect and pertaining thereto l" 1/1. .... F............................................................
Installer
l �I t
INSTALLATION APPROVED I 1{ 4.� By. I . i - ........... Title:
/�cc :....................
.............................................. :.,......� ...........................................
date �1
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
I� .r