HomeMy WebLinkAbout0194 SALT ROCK ROAD - Wood Stove Permit 10/26/79 m`�' � °• TOWN OF . BARNSTABLE I
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,639. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION P,2(s 7� FIRE DEPT. ISSUING PERMIT ... AW A 4. -Al t F
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NAME (owner) J-A_Jr:.J.r /.. Lti41 e NAME (Installer) J,:*Ar0wra 1.1f��.J� ....................
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ADDRESS ........ ',l-J �s /�l T' �r { l t( Y1.:.... ADDRESS 0/��........A,4kG-.+�...,Cr-..... eAt;,,;�T:.... 4
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STOVE TYPE
r� kt f.. ........... ........................... ......... CHIMNEY: NEW EXISTING
Manufacturer r r�.,a,� M....................................... CHIMNEY: Masonry .......................................................................................
..................... ...M ............ _
Mass. Approval ............................................................................................................ CHIMNEY: Metal ......................l .................................................................
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 /&...A.. 0 11'4 7 4�LO. ......................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
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Issued By: ..... Title (� /�f- I /` ................. Date r U .� '179
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Permit to install expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance ................................................................................................................................................................................................................................................................................
Floor ..............................................................................................................................................................................................................................................................................................................
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
INSTALLATION APPROVED ...................................................... B Title
4 date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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