HomeMy WebLinkAbout0079 GUIMQUISSETT ROAD - Wood Stove Permit 11/30/79 TOWN *OF BARNSTABLE
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Wood Stove Permit
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DATE OF APPLICATION ., r..:........3.d: �9..7..9. FIRE DEPT. ISSUING PERMIT .......4�..,a..7.U.I. .................
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J .�......J a �' '1!� NAME (Installer) �r,V iI$ �.i NAME owner Q..Yo.t 1 .. r. 'J(>.e,r.. .... ....... ..... ...aa...l.... Y�
ADDRESS 7.:7.. r ..l:�r>a.. I .J.6 ....fi!...�. ... �f�.�......... ADDRESS �] d.:iyt'r�........
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STOVE TYPE .CYa. ...L.......W.r`k.' Yt1.....I .,QY: !1;.�:11.�!....... CHIMNEY: NEW ......1 ............ EXISTING
Manufacturer ... .;_,.:iQ ve.:...�.�.,::To 11:�.!�..b::�!�'1���'�i.�.. CHIMNEY: Masonry ....i�.........................................................................
Mass. Approval ............................................................................................................ CHIMNEY: Metal ................................................................................................
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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 E . ...... ?..:"..... Fire Department,
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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: -2t7........ ..:...................:. ... ...........................................::...:.................Title ....: (. .k 7..:.......... Date :..... ?/?...`.2.��...
Permit to install expires 60 days after issue date
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Stove ..�................................................................................................................................................................................................................................................................................................
StoveClearance ! .........................................................................................................................................................................................................................................................................
Floor ..:? .................................................................................................................................................................................................:........................................................:......................................
SmokePipe .! ...................................................................................................................................................................................................................................................................................
Smoke 'Pipe Clearance R.I.,....................................................................................................................................................................................................................................................
Chimney .............................................................................................................................................................................:......................................................................................................................
SmokeDetector .. ....................... ................................................................................................................................................................................................... ..........................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ..t..L.:::..:^:..11..........:�..�................ has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto -...............................................................tn� �*..........
Installer
INSTALLATION APPROVED .............................................:........ By: ...:.. ...:.................:..... .................. Title: ....:......................:..........................
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT