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HomeMy WebLinkAbout0111 NICKERSON ROAD - Wood Stove Permit 11/03/82 • •}1. .t,.�. . . . . . . . . . . . . . TOWN OE BARNSTABLE Z BMSTAU i 'oo .ut .q. MASSACHUSETTS MJY��� Ted., � ew Ss S.4 r Solid Fuel Stove Permit Cente l�.e— � /DATE OF APPLICATION .....a f�.�:...�............................................ FIRE DEPT. ISSUING PERMIT ........n..�.�-.-:..- -= ��..::......... NAME (owner)/0,r!0 ,.g,.� AelN ,/.2:-:�............... .............. NAME (Installer) ......X.���}..�*�.�!.......��.�...��'.�!.................................................. . 5 ADDRESS .... ......11/i c. .. A... �: ADDRESS ;/�,/....../�! .,c e.,.s® AJ .......................... ................................................................................................... STOVE TYPE .................... A...?.................... CHIMNEY: NEW ....... ........ EXISTING ........................ Manufacturer is q..' ..'. ...............°. ....................."�.�.............. CHIMNEY: Masonry .....�............ ................................................................. Mass. Approval .... ................................:........................................................................ 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 ................. r ............ '"`.............................. f ..... Fire Department, ' and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. . 'dispatcher eIssued By: .....w....:.....:........ ........... Title .......... . ...................................................... a... ........................................ ....::...........Permit to install expires 60 days after issue date Stove ............................................................................................................................................................................................................................................................... StoveClearance .......('75-/r ........................................................................................................................................................................................................................................................... Floor . .. ........................................................................................................................................................................................................................................................................................ SmokePipe ...... .......................................................................................................................................................................................................................................................................... SmokePipe Clearance ....... ........................................................................................................................................................................................................................................ Chimney ^.................................:............................................................................................................................................................................................................................................. SmokeDetector ... ...... __�.:- f.{'......�n: ...... :f ?a............................................................................................................................................................................ 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 i INSTALLATION APPROVED 11 �............................................................ By: ............ ................................................... Title: ............u�rtd`..........:.... date WHITE: } FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT T 4