HomeMy WebLinkAbout0149 GROVE STREET - Wood Stove Permit 10/15/79 TOWN OF BARNSTABLE
33ARNSTAn
1639. MASSACHUSETTS
Wood Stove Permit
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DATE OF APPLICATION /17'A -/ / FIRE,DEPT. ISSUING PERMIT ..............................
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(Installer)NAME (owner) ............................................................................................................ NAME (In ..................................................... .�C;.....�:�..................
ADDRESS 1-CL5 ES ..............LHC-1 (btr-'w-
........................................................o..................................... ADDR ...............................t�......................................................................
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NEW ........................ EXISTING ........................STOVE TYPE ............................................................................. �CHIMNEY: N.................. ......
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
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in accordance with an application on file with the ........................................................................................................................ Fire Department,
and subject to the provisions of the Commonwealth of Masshchusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: ..............................................................................................................................Title .............................. ..................... Date ...................................
Permit to install expires 60 days after issue date
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Stove ..................f r:v u-1 I-)wc-jro bn I V,\41 ral
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Stove Clearance -e_\1 Frov, necfvc-s clot-� �
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Floor .................................................................................................................................................................................................................................................................................................I......
Smoke Pipe ...................0..........................L61 Goo a e
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SmokePipe Clearance ..........Z.)....................................................................................................................................................................................................;..................
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Chimney ....................................................................................................................................................................................................................................................................................................
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Smoke Detector ...................
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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
INSTALLATIONAPPROVED ............ By:.................................................................................... Title: ......................................................
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WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT