HomeMy WebLinkAbout0068 FURLONG WAY - Wood Stove Permit 01/04/84 r
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S TOWN OF BARNSTABLE
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MASSACHUSETTS
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Solid Fuel Stove .Permit
DATE OF APPLICATION �, `7 ` R_� FIRE DEPT. ISSUING PERMIT .....................................................................................................................................
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NAME (owner) l � /?a . ........... NAME (Installer) C 4' *A n
........... . ... ..... ................... . ...................................................................................
ADDRESS ... .... �!r /l3�,9� !'/rr /�............................. ADDRESS ................................. 1�`i,.nr..��...............................................................
.............................................................
STOVE TYPE .......... ..'.. :..� a ........ CHIMNEY: NEW. EXISTING
Manufacturer .....................a.....,. ,............................................................................... CHIMNEY: Masonry ....... ..................................................................................
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Mass. Approval .......... e ......-:...x;�::...-:................................................ 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.
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Issued By: .........`�...........� .......................Y............................................................Title .......................o........................................................ Date .........
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Permit to install expires 60 days after issue date
Stove �. ....:a.: ....-..... :........................................................................................................................................................................................................................................................
StoveClearance .......r S.Aa...........................................................................................................................................................................................................................................................
Floor ............OO..:............0 ..........................................................................................................................................................................................................................................................
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SmokePipe ......... ......................................................................................................................................................................................................................................................................
SmokePipe Clearance .......!:1: .........................................................................................................................................................................................................................................
Chimney ......&.�r''
....................................................................................................................................................................................................................................................................................
-Smoke Detector ....................................................................................................................................................................... ..............................................................................
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The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ................ .`a..ti.`..`?............... has been made in accordance with provision sofa the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ..:.. ,
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Installer
INSTALLATION APPROVED B � 1 '� ---:................................. Title• �-�
date......................... ...................
......�• '�,.
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT