HomeMy WebLinkAbout0080 COTUIT BAY DRIVE - Wood Stove Permit 10/22/80 TOWN .OF BARNSTABLE
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Wood Stove Permit
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DATE OF APPLICATION!a..........:!�.......�........................................... FIRE DEPT. ISSUING PERMIT .::.....:'......:..................
NAME (owner) ., !`". . /�^�/ NAME (Installer)..............................................................................
ADDRESS ............................... ...... ............................ ADDRESS ...:...............................:..............:.:......................................................................
STOVE TYPE / Viz!, r,r a►�-r ,/./,-ems'-Al-r CHIMNEY: NEW ........................ EXISTING .... �........
...............................................................................
Manufacturer
� Sra CHIMNEY: Masonry ................................................................................................................ ........................................................................
Mass. Approval ..Ul.......;I ...............................................I.................... CHIMNEY: Metal
This is to certify that the above installer has permission to install a wood burning appliance at the listed address
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in accordance with an application on file with the ............:......................... a % 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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IssuedBy .............y.......,... .... ............:.........,....,...........................................................Title Date ..
`. �. ................
Permit to install expires 60 days after issue date
Stove ........................................................................................................................................................................................................................................................................................................
StoveClearance ...................................................................................................................................................................................................................................................................
Floor .... .."...................................................................................................................................................................................................................... .............:.
SmokePipe ...? ................................................................................................................................................................................................................................................................................
SmokePipe Clearance Je.............................................................................................................................................................................................................................................
Chimney ....t .................................................................................................................................................................................................................................................................................
SmokeDetector ......v...................................................................................................................................................................................................................................................................
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 :/0'zZ � �U B �� � � 'Title: ?-��....��!�.��.
date....... y.: .....:.r. f. ..
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT