HomeMy WebLinkAbout0183 SALT ROCK ROAD - Wood Stove Permit 09/19/81 (2) L.
TOWN OF BARNSTABLE
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'moo 2039. ,� MASSACHUSEWS
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Wood Stove Permit
DATE OF APPLICATION ............................................... ......... ......... FIRE DEPT. ISSUING PERMIT .........
NAME (owner) ........................................... ......�................. NAME (Installer)
ADDRESS ADDRESS
/1 11c,A f 101/11 4115, ellf�
STOVE TYPE ...... ......... ............................ ......................................... CHIMNEY: NEW ........... ......... EXISTING
Manufacturer ...'.��...`.�.�.:...!......�.....�:..........�`j..............................�:.............. CHIMNEY: Masonry .......................................................................................
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Mass. Approval ..................................41................................................................ 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 � .................................................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: � I� *' Title Date I y .................................4................p.......... y......................:.................,...............................
Permit to install expires 60 days after issue date
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Stove ...................... okm Poe?""
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StoveClearance ................ .........................................................................................................................................................................................................................................................
Floor..............................................................................................................................................................................................................................................................................................................
Smoke Pipe !r
...............................................................................................................................................................................................................................................................................................
SmokePipe Clearance .............. .........................................................................................................................................................................................................................
Chimney .................................. `...":......................................................................................................................................................................................................................:..............................
SmokeDetector ...................... 1}. ...............................................................................:.......................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated 15 /................ has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto/6 &, ..� .I/- II 1"t-.*
...............................................
r Install- / r.
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INSTALLATIONAPPROVED ........................... ................... BA, Titledate y.. .................................:•, .................... . ........................................
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WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT