HomeMy WebLinkAbout0259 PINE RIDGE ROAD - Wood Stove Permit 10/12/84 N �`°• TOWN,., OF BARNSTABLE
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6 q. MASSACHUSETTS
�0 MAY
Solid Fuel Stove Permit
DATE OF APPLICATION .............P�>... ...Q�.. ��........................ FIRE DEPT. ISSUING PERMIT ... ...::.L.'... ..:.�.�................
NAME (owner) ............................................................................................................... NAME (Installer) ....................................................................................................
ADDRESS ...........................................:.:.........:........... ........... .....................:.............. ADDRESS ............................................:�.........................................................................
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STOVE TYPE ....�t/�.�/C�,�/ �/lf�„�:/?:................. CHIMNEY: NEW ........................ EXISTING ........................
........................................... ...........
Manufacturer ............................. t1..C-�..,............................................................ 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 ....... / ...... .......� Fire Department,
...................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: � �. _,�� .........Title �i'g �l r �- ............................. Date .....�.z�° :f....
.................................... v .............................................
Permit to install expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance .....✓....................................................................................:......................................................................................................................................................................................
Floor ...............:.............................................................................................................................................................................................................................................................................................
Smoke Pipe `.
r !
SmokePipe Clearance ...✓...................................................................................................................................................................................::..................................................................
Chimney .........................................................................................................................:..........................................................................................................................................................................
Smoke Detector . -- . ..._. ..- ...................................................................................... .......................
}���....... ..................................................................................... .......................
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 : :�' �� .�/ l.....e... ......................... ....
Installer
u
itle: ................................................. . 'INSTALLATION APPROVED ........ yBy: _......(r= ............................................. T
date
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WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT