HomeMy WebLinkAbout0205 CROCKERS NECK ROAD - Wood Stove Permit 12/03/79i
TOWN OF BARNSTABLE
BARNSTLU
AUL
6 q. MASSACHUSETTS
Wood Stove Permit
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DATE OF APPLICATION ................................. FIRE DEPT. ISSUING PERMIT # �
. ........ ..."... _ .... ..... .......................
P ......
NAME (owner) .. /fit ( ) ......................... :........: i ............... NAME Installer „� A ,.,
ADDRESS �(� � ,^ �� . - —
........................................................................... ADDRESS .................................................................................................................................................
STOVE TYPE zPP...L.A.A ( .� G� CHIMNEY: EW ..................
..................V.W .......... EXISTING ........................
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Manufacturer r�.P.�s,� �.. ..................... CHIMNEY: Masonry ...............................................� 4(? ✓..:........................
.:........:.........:.. ..................,..........................................
Mass. Approval ....f. .... ..... ::. ............................................................................ 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 ...........................................�.�.-1-;; h :. ................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: _...: �' _.��' � L . .+ L'el .........................Title �. ---v...r:........ '. ..................... Date .. ....................................
.........................................................
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Permit to install expires 60 days after issue date
Stove
..........................................................................................................................................................................................................................................................................:..................................
StoveClearance ........ .................................................................................................................................................................................... ................................................................
FloorV..........................................................................................
...............................................................................................................................................................................................................
SmokePipe .Ef.........................................................................................................................................................................................................................................................................................
SmokePipe Clearance t `' ......................................:............................................................................................................................................................................................................
Chimney ..K..............................................................................................................................................................................................................................................................................................
SmokeDetector I..........................................................................................................................................................................................................................................................
................
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 ... .. ..�,.....� ( . . .. :410.....• . Titl .....................................................
date y` �...................... .�..t,
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT
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