HomeMy WebLinkAbout0104 CHERRY TREE ROAD - Wood Stove Permit 08/21/79 TOWN OF BARNSTABLE
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Wood Stove Permit
DATE OF APPLICATION ...............(--.1...................I fr�........................................ FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) 0 y 0/
.................. NAME (Installer) 31,t! !1.1...... ..... .........................................
ADDRESS ..17,V1......... r.............................................................. ADDRESS U.........................................................................................................
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01 V/�-A,1� ..................
STOVE TYPE ............................................................................................................... CHIMNEY: NEW ........................ EXISTING
Manufacturer ..................................................................................................................... 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
1"
in accordance with an application on file with the .........................................................................t............................I................ Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
.. ........ T' ................................................................... Date Issued By: A 7- .. .. ... . .. .. .............................................................................. �..............................Title ..........W�'
Permit to install expires 60 days after issue date
Stove ............................................................................................................................................................................................................................................................................................................
Stove Clearance ....................................................................................................................................................
............................................................................................................................
4
Floor ......................................................................................................................................................................................................... ..................................................................................
................
SmokePipe ..........................................................................................................I....................................................................................................................................................................................
SmokePipe Clearance ......................................................................................................................!.........................................I.................................t.......................................................
Chimney .................................................................................................................................................................................*
.................................................................................................................
Smoke Detector -7-6...............h
.....................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ...2�-n / - 7 7 with provisions of the Commonwealth
...................................................... has been made in accordance,,
of Massachusetts State Building Code now currently in effect and pertaining thereto .............. .........ti?...........................................
Installer
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17
INSTALLATION APPROVED ....... rr
............... 14L............... Title: L.E.(.... ....................................
......... .........................
date
-WHITE: FIRE DEPARTMENT - CANARY: BUILDING,INSPECTOR PINK: APPLICANT
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