HomeMy WebLinkAbout0090 CHERRY TREE ROAD - Wood Stove Permit 09/22/79 o� ro
TOWN OF BARNSTABLE
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6 9 MASSACHUSETTS
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Wood -Stove Permit
DATE OF APPLICATION
......... ........ FIRE DEPT. ISSUING PERMIT ............ ..
.............................,........
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NAME (owner) ............ ...................... . . ..................... NAME (Installer) ..... ...�.....�....
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ADDRESS Q
.--/..•................... r.: .........,.,..... R...•,, L_............ ......`.. ADDRESS ,................... /
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STOVETYPE ............................................................................................................... CHIMNEY: NEW ....,................... EXISTING ........................
ManufacturerA.,.V.S.S.n "� -,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 ....... ...... �...` .. ... ...................... Fire Department- •`z 4 t} .........
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and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof: .i
Issued By: -cam,,t t_ •
........................... ..............................................................Title l... .. ....... Date
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L� Permit to install expires.: 60'days afters sydate
Stove ....................................................................................... ..........................:. .............................................
StoveClearance' ... �.�...lC.t�.......�� .......................................................................:...... .............:.............................:.......................::...............................................
IN
Floor .................. ................................,............ . ............................. ...... .. ..
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SmokePipe ...............................................................................................................................................................................................................................................................................................
Smoke—Pipe Clearance ...r'' ........
' Chimney - "l0
SmokeDetector ..........................................................................................................................................................................................................................................:...............
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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 .......... Title ' �'................date •s ........................ ....................................... i
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR - PINK: APPLICANT
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