HomeMy WebLinkAbout0388 OLD OYSTER ROAD - Wood Stove Permit 09/04/79 TOWN OF BARNSTABLE
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Wood Stove Permit
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DATE OF APPLICATION .......ti..................................................................... FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) '` ti " ... , NAME (Installer).....:.... ...:..... ...........�, ... :...... ......................................................................................................
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ADDRESS .: {?`......0 1L. G`�S �dC . t ADDRESS ...........................................................
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............................................................................................ ................................................................
STOVE TYPE ... ........................................................... CHIMNEY: NEW ........................ EXISTING ........................
... Manufacturer ..................................................................................................................... CHIMNEY: Masonry .......................................................................................
l_ << n CHIMNEY: Metal Mass. Approval ..............................................................................
This is to certify that the above installer has permission to install a wood 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.
1: sued.'s ` Title .............................................................................. Date ..........................................,........................
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Permit to install expires 60 days after issue date
StoveE;Yv.. ............................................................................ ................................................................................................................................................................................................
Stove Clearance .......::.' 1 .-
+ ... ..............................................................................................................................................................................................................................................
""Floor .......................................................................................................................................................................::.....................................................................................................................................
7 .Smoke Pipe
SmokePipe Clearance .............................................................................................................................................................................................................................................................
Chimney ..........................................................................................................................................................................................................................................:.........................................................
SmokeDetector .............................................................................................................................................................................................................................................................................
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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 ...........................:..................I............................
Installer
:INSTALLATION APPROVED 1.1.:..4..:... ..�
.......................... By:.................................................................................... Title: ......:..............................................
ti date
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT