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HomeMy WebLinkAbout0200 PALOMINO DRIVE - Wood Stove Permit 05/20/82 Terro�`e* ,. TOWN OF BARNSTABLE KUL DAHd9T i MASSACHUSETTS Solid Fuel Stove Permit R� 59 I ns �� DATE OF APPLICATION ............. ....................................... ..... FIRE DEPT. ISSUING PERMIT .............................................. v NAME (owner) NAME (Installer) ................................... . ADDRESS .. PM ����© `'� ......... ADDRESS .....(A/4�......��`.< iS.' STOVE TYPE A......0 1.15 p ..........I.................... .............. CHIMNEY NEW EXISTING. ........... ..................... . ........................ ........................ 04 Manufacturer .`..- ... ................... .. '1 " , CHIMNEY: Masonry ........ .......................................................... �C Mass. Approval .............�....:.................................................................................... CHIMNEY: Metal ..................................................................................... ............ This is to certify that the above installer has permission to install, ,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. IssuedBy: ......................Title .................................................................................... Date .......................................... i Permit to install expires 60 days after issue date Stove ............................................�,.,.l.`.............................................................................................................................:.........................................:.........................................5....................................... StoveClearance .... "........................................................................................ ................. ........................................................................................................................................ Floor ............... ...................................................................................................................................................................................................................................................................... Smoke Pipe ` ........................ ;✓t ..................................................................................................................................................................................................................................... SmokePipe Clearance ............:.................................................................................................................................................................................................................................................. Chimney / .......................... �/f .................. SmokeDetector ...................yf....Q.�............................................................................................................................................................................................................................................ The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au- thorityof permit dated S. .4� p .......................... has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto ll�.�.. ......................... Installer C(4 INSTALLATIONAPPROVED ............................................................ By: .......................................................:... :.. Title. .............................. l/ date ,t WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT