HomeMy WebLinkAbout0158 CROCKERS NECK ROAD - Wood Stove Permit 10/20/82 r-^�..✓" ^�`!�s/". r. '—.-v �.—_.-`.w �_ � 'Jtl".�...«+.r+.ti.. n..-_....r__�+i»:'.�.'wE�il �.. .......-. - .�-� _. ...r -.�iV'�-ry .. -�-..- .
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OF ME fo � i
TOWN OF BARNSTABEE
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rb 9• MASSACHUSETTS
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Solid Fuel Stove Permit
DATE OF APPLICATION ............►0..�. .�?./ �� FIRE DEPT. ISSUING PERMIT ....... ' �. ��~... .................................. .................................
NAME (owner) ....:^ f!/`ri1T�, 1;........ift : t_ •. .. NAME (Installer) ,i' / ii..�'�.............�ITf�l,�,l� . ......................................................
ADDRESS /....{:, �r-;1(,f. ref" .Al,r"f'/ i � ` �.7........ ...::.:.:..........�..�.......................... �`
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STOVE TYPE t Win• or i L k...,�:.... .,..�......�.. .................. ............ CHIMNEY: NEW ........................ f� EXISTING ... !
Manufacturer -Y�r"� }-�.r').."fT'����` ........................... CHIMNEY: Masonry ..... ...............................................................:.:.....
Mass. Approval ..............................................................................................................: CHIMNEY: Metal ......................................................................................:............
-This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed
address in accordance with an application on file with the ��?� .......................................................... Fire Department,
...................,....................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy �M ... Date: ....................:. ................................ `'�......................................................Title ....;...........,...: ,a.� Y.2...............
Permit to install expires 60 days after issue date
Stove lr... ��').T t"��.k".. SK .................................`...........................................................................................................................................................................
..................... ..................................................
Stove Clearance ........�`: ............................................
........................................:.........................
Floor .. . .. .... r?'...j. ..: . ? `:.... '�.......t!..n :,, -: -.....................................:............................................
- �.
SmokePipe ................ ..... .....................................: ......................... < . ..................................................................................................... ............................................................
Smoke Pipe Clearance `
Cam,,. .� ........................................................� .. �L�.�.....:�..............................................................................................................................................:........Y..
Chimney , 4 .. ...........
Smoke Detector ........ '�� . :.:.....................................�..... n .......
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ...... ::.1.. �r ...�"` has been made in accordance with provissions offthe�Co monwealth
.....................
of Massachusetts State Building Code now currently in effect and pertaining thereto ........................................................................
Installer
io II�'I By. i......;�'�i� .... .,1.....t
INSTALLATION APPROVED ....................................................... ..., ........ :.....X....:.:.............................................. Title: ...r............. ,............... : _
/ date V(l r
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT