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HomeMy WebLinkAbout0158 SALT ROCK ROAD - Wood Stove Permit 12/06/80 TOWN OF BARNSTABLE Z BARTSTM AASL 26.39. MASSACHUSETTS Wood Stove Permit DATE OF APPLICATION .F ..... FIRE DEPT. ISSUING PERMIT *'` �'�..�'`.................... ..... .. ....... NAME (owner) �T4C tr kri M� NAME (Installer)................................................................................................ .............................. ................................................................... ADDRESS .......�..'.�.... �... ;` ADDRESS ........................................................................................................................... . .................................................................................................. STOVE TYPE A44,t,4A CHIMNEY: NEW ........................ EXISTING ........................ ................:................................................................................... Manufacturer ��tt i', .lit_4F,l,f,T ...... CHIMNEY: Masonry ............................... ............................................... ..................:........................................................................................... 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 �"`� ,// ..��. t�............................................. Fire .Department,r. .... ........... and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. Issued By• �— t ---' ........... Title 'f�4 111-O .............................. Date .j ..W..........`.............. Permit to install expires 60 days after issue date ___ Stove ....................................... fG�...�:.......................................�,!'.`ti-...........�...................:.. .. ........................................................................................................................... StoveClearance ..................................�.�...�f................................................................................................................................................................................................................................ Floor ........................................................ ...�............................................................. ...................................................................................... ... .V SmokePipe ........................................... -�.�.................................................................................................................................................................................................................................. SmokePipe Clearance ........................ ............................................................................................................................................................................................................................. Chimney ..............................................................t) f4 ............................................................................................................................................................................................................................... Smoke Detector ................................................ ............................................................................................................................................................................................................................... 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 ................ .(...1;4('"' ` - ,( ................................................ -Installer INSTALLATIONAPPROVED ...................................................... By............Y.............. .....:.....: � ......................... Title. ...:;:.............�. ................. date WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT f