HomeMy WebLinkAbout0030 QUEEN ANNE LANE - Wood Stove Permit 12/26/80 TOWN OF BARNSTABLE
BARISTAHL i
'oo 1a 9 MASSACHUSETTS
Mil M�
Solid Fuel Stove Permit
6 1-51/7
DATE OF APPLICATION .... ...........2Z . ........... FIRE DEPT. ISSUING PERMIT
NAME (owner) ..... Q:U,►„ ,; �c �C, IGT)LJ£CVl NAME (Installer) s ....................Ir 'LU
....
ADDRESS �a !A&t ��we_ e �� `/�1
...............�.........................................................°�........1..............�..8::� .�... ADDRESS ce_.r.-A?...........................
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STOVE TYPE ............�S..�0.�..6. - . ... CHIMNEY: NEW ........................ EXISTING .......................
. .............................................. ... .....
Manufacturer ....��� ..K.f..i...r.�.......C.a.s..i , .. sL.....i.. L.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 E!p1 E.rv.i.11@—Os.erville Fire Department,
.................................. .... ... .
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
~ 14
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Issued B -a,�� �....../�t7.,��rt�i .................................Title ..v��4'f�.tln/��~. ........................:... Date ....L�� U
Yam_ �.. .......................
Permit to install expires 60 days after issue date
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Stove ................................................................................................................................................................................................................................................................................................
StoveClearance .. ..................................................................................................................................................................................................................:..............................................
Floor .... ...........................................................................................................................................................................................................................................................................................
SmokePipe ....!'.......................................................................................................................................................................................................................................................................................
Smoke Pipe Clearance .. .......................................
Chimney ................................
SmokeDetector .+...'............................................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ..../....................y..-..a.52 has been made in accordance with provisions of/theiCommonwealth---
of Massachusetts State Building Code now currently in effect and pertaining thereto ....,.✓..... ... ...........
Installer
INSTALLATION APPROVED '� r"
��.................. By ��'�. ........�............................................... � ..... ............. Title ..................................
.�-f
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT