HomeMy WebLinkAbout0072 FREEZER ROAD - Wood Stove Permit 09/07/79 TOWN OF BARNSTABLE
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MASSACHUSETTS
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Wood Stove Permit
� FIRE DEPT. ISSUING PERMIT ��',ti .'� 4. �.
DATEOF APPLICATION ......................................................:....................... :.:.........,.......:...............................
NAME (owner) .... /.. ; c'� ra! d;,'iP. NAME (Installer) !��' ...� ! =4` .... ri/1fi r.:.a. ?`.:............
ADDRESS 1 4-r A4 tf=�...................... ADDRESS .....�:�'.+�.d.!1.- �' �" 1�� ;�. �'�...,�;
......... ..... ............. .......................................... .... d ...... ..V ., . y
STOVE TYPE ....... .!`r A/A C, rn r�E CHIMNEY: NEW ........................ EXISTING ......y,..........
Manufacturer •,f 7 i,/�' � ...., �J-A, S........... CHIMNEY: Masonry ..............................�,?. ...:�....................................
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........... ...... ......... ..........
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Mass. Approval .........................�.. ^................................................................ CHIMNEY: Metal ................................................................................................
This is to certify that the above installer has permission to install a wood burning,appliance at the listed address
in accordance with an application on file with the ....................
. vAP,,-4.7 :��. •••••••••••••••••••••••••••••••••• Fire Department,
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and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
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Issued By. ...........................` � .. .....:�1• ' Title ...........................,. . Date ......�... .......
Permit to install expires 60 days after issue date
Stove ........................................-...........
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StoveClearance .............................. ...............:.............................................................. .......................................................................................................................................
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Floor .......... ..................... ....... .............................................
.... ....... ............... ...........
SmokePipe ...............................................................................................................................................................................................................................................................................................
Smoke Pipe Clearance
Chimney ............................................................................................../. 11;•.. ..................................................................................................................................................................................
Smoke Detector �.. /_07— 47- r0 �
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The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of perf it dated " "*' �.**. ��................. has been made in accordance with provisions of the Commonwealth
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IV
of Massachusetts State Building Code now currently in effect and pertaining thereto ..... ....�`�.... )//),Jr .. .....................
Installer
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INSTALLATION APPROVED By• ..... .............. Title: ..r.........:...`.;...........................
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WHITE: FIRE DEPARTMENT - CANARY:'BUILDING INSPECTOR - PINK: APPLICANT
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