HomeMy WebLinkAbout0183 SALT ROCK ROAD - Wood Stove Permit 09/19/81 TOWN OF BARNSTABLE
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039. MASSACHUSEI"I'S
0r"Y` ROBERT B. PICKEL
BARNSTABLE,,MASS. 02630 Wood Stove Permit
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DATE OF APPLICATION S j 0 J
.,,:..•.. ��....,, ...........�......�/�f�...!.... FIRE DEPT. ISSUING PERMIT
NAME (owner).......................................................... ........ -.. ...... NAME (Installer) c U� /X !� ....
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ADDRESS ............ � / riJl�� 43 ADDRESS r s C �2......7= a ...
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STOVE TYPE ......�...t".. Y 600 n�.................................... CHIMNEY: NEW ..........� EXISTING...... .....�..................... ......................
Manufacturer ���{ G��-..,1 � lV..� UL.. .......... CHIMNEY: Masonry ............................................................
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Mass. Approval �- ^"'........................................................ CHIMNEY: Metal .
....................... ..... ........ ...... . ...................................................................................
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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,
I.: ....................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedB .. .. .... ..........:.........y ..............,:..:......... ?::: ...........Title ��!i .............. Date y .. ................ ....................... ............ .............................. ...........
Permit to install expires 60 days after issue date
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.._._..S.tove_.............�...........J... C,U........h...f....R1nPnF.. ... ,1.........I............ ................................. .......
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StoveClearance ..............................................................................................................................................................................................................................................................................
Floor ....................... ...... ...................................................................................................................................................................................................................................................................
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SmokePipe ............ ..F..``... ...............................................................................................................................................................................................................................................................
SmokePipe Clearance ............................................................................................................................................................................................................................ .................................
Chimney ...............................
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5.
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 f!.....`!::''t r`�'.�:`.�.....
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INSTALLATIONAPPROVED ...................................................... By:.................................................................................... Title: ......................................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT