HomeMy WebLinkAbout0061 PINE LANE - Wood Stove Permit 02/20/82 t
TOWN OF BARNSTABLE
i BARISTAK i
'oo 1639 MASSACHUSETTS
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Wood Stove Permit
DATE OF APPLICATION .................`......... l `'� FIRE DEPT. ISSUING PERMIT ........:...............................:..................................................... .................
1-1 Of 1
NAME (owner) ! ......` j� NAME (Installer) �`�'�'`
ADDRESS 4.1
.........130'
.(................................................................................::................... ADDRESS ....................................................................:...............`..........................................
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STOVE TYPEEXISTING i l eVol..y........................�.........a�. .$.....r�...f�.........0 CHIMNEY: NEW ........................
Manufacturer .............`! J... . �r.�"�.......;:�....................................... CHIMNEY: Masonry ..�''.s.........................................................................
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 it- f"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 ........................Title ""' ' ......................... Date ............7..... .
................................... ............................. .................................................. ......................r L
Permit to install expires 60 days after issue date
Stove ............. .......................................................................................................................................................................................................................................................................................
StoveClearance ........ ..............................................................................................................................................................................................................................................................
Floor .................. ..........:.........................................................................................,...................................................................................................................................I...........................
SmokePipe ...............................................................................................................................................................................................................................................................................................
SmokePipe Clearance .......... ....................................................................................................................................................................................................................................
Chimney ............I.../...... ... ......................................................................................................................................................................................................................................................................
SmokeDetector ......................... ....... ................................................................................ .................................................................................................. ...............................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity 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'
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INSTALLATIONAPPROVED ...................................................... By..................................................................................... Title: ......................................................
date
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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