HomeMy WebLinkAbout0204 MOORING DRIVE - Wood Stove Permit 11/30/80 'J
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TOWN OF BARNSTABU
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20 9 ,� MASSACHUSETTS
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M Solid Fuel Stove Permit
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DATE OF APPLICATION .............................................................. FIRE DEPT. ISSUING PERMIT ,..........
NAME (owner) ..,;,......�.i� s..�C'",rn..4' .eZI/ (Installer) /��,Y' C�L�;h..::r......C....l`:.ar.....:..�?`
...T..............-................................................................. NAME Installer .�.. ....:.:...:............/......�^. ...... .......... ..
ADDRESS ....................0-92 -i: . v4,4 c..................................... ADDRESS ........./....... �`,pi0n U/ /:_. /t��i�s x
.................................�..........,................................................
STOVE TYPE .....� / /�Ol�..1................................................................................ CHIMNEY: NEW ....L,*'....... EXISTING .....................
Manufacturer .......:�....ice'.<J/Ifv rir ��A2}..................... CHIMNEY: Masonry .............v........................................................................
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Mass. Approval .... :....!..-r......��/C'� .............................................. 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� A.. ��" —�i�1t�L
PP ............................ ......................:..... 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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IssuedBy: .......... ...... ......... ... w� ...............................Title .1.�.�............................. Date ...........!.............................
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Permit to install expires 60 days after issue date
Stove .4�..............................................................................................................................................................................................................................................................................................
StoveClearance .'' ..........................................................................................................................................................._....................................................................................................
Floorh .............................................................................................................................................................................................................................................................................................. s
SmokePipe .s.: ................................................................................................................................................................................................................................................................................
SmokePipe Clearance .��..................................................................................................................................................................................................................................................
Chimney ..................................... ... ...................................................... ........................................................................................................................................................................................
........: .......... .
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SmokeDetector ..................................................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority 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 ��-��.. r B � �. ra
y:..:....:.............. .........,.......:............................................... Title. .........................................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT